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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

CARLE FOUNDATION HOSPITAL

Urbana, IL · CCN 140091 · Rates published

19,268 distinct procedures filed
14 distinct payers
593,720 rate rows
2026-04-15 last MRF observed
Data quality

566,645 of 593,720 rate rows are consumer-grade (95.4%)

27,075 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 22,442
placeholder amount (≤ $0.02) — excluded from medians 4,438
percent-of-charges filed in the dollar field — excluded from medians 152
exceeds 10× this hospital's gross charge — excluded from medians 23
per-diem day rate — not a per-procedure price 20
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sthpiprd.blob.core.windows.net/machine-readable-files/11405/371119538_the-carle-foundation-hospital_standardcharges.csv
Found on page https://search.hospitalpriceindex.com/hpi2/machineReadable/CarleFoundationHospital/11405
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-16
Content fingerprint e7c6381f7c8ce2b6… · 697,169,303 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 7 $4,505,000.00 $4,595,100.00 $4,505,000.00 nat. median
$4,505,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 7 $3,685,266.67 $3,758,972.00 $3,685,266.67 nat. median
$3,710,000
1.0× median
J3389
HCPCS 		Topi Adm Prad Zami Per Treat 7 $3,335,820.00 $3,402,536.40 $3,335,820.00 nat. median
$3,335,820
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 7 $3,327,859.73 $3,394,416.92 $3,327,859.73 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 7 $3,252,508.08 $3,317,558.24 $3,252,508.08 nat. median
$3,286,000
1.0× median
J3387
HCPCS 		Inj Elivaldogene Autotemecel 7 $3,180,000.00 $3,243,600.00 $3,180,000.00 nat. median
$3,180,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 7 $2,939,968.89 $2,998,768.27 $2,939,968.89 nat. median
$3,006,423
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 7 $2,588,981.23 $2,640,760.85 $2,588,981.23 nat. median
$2,469,189
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 7 $2,332,000.00 $2,378,640.00 $2,332,000.00 nat. median
$2,448,600
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 7 $770,620.00 $786,032.40 $770,620.00 nat. median
$824,563
0.9× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 8 $526,846.12 $599,402.57 $587,649.57 nat. median
$675,122
0.9× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 8 $513,700.90 $577,861.93 $566,531.30 nat. median
$754,974
0.8× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 8 $501,865.93 $573,445.27 $562,201.24 nat. median
$674,188
0.8× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 8 $512,460.88 $569,243.36 $558,081.73 nat. median
$625,184
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 8 $476,302.36 $542,836.09 $532,192.24 nat. median
$634,511
0.8× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 8 $476,406.40 $499,239.21 $489,450.20 nat. median
$620,080
0.8× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 9 $364,246.80 $950,021.60 $364,246.80 nat. median
$370,174
1.0× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 7 $278,250.00 $283,815.00 $278,250.00 nat. median
$324,450
0.9× median
J3403
HCPCS 		Revakinagene, Per Implant 7 $265,000.00 $270,300.00 $265,000.00 nat. median
$265,000
1.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 9 $236,843.21 $616,525.80 $236,843.21 nat. median
$265,286
0.9× median
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 7 $201,669.02 $205,702.40 $201,669.02 nat. median
$209,753
1.0× median
5834
APR_DRG 		Inpatient Services: Apr-DRG 4 $186,745.44 $186,745.44 $186,745.44 nat. median
$309,665
0.6× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 9 $180,756.35 $469,711.00 $180,756.35 nat. median
$206,368
0.9× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 9 $179,703.26 $466,954.40 $179,703.26 nat. median
$202,986
0.9× median
5833
APR_DRG 		Inpatient Services: Apr-DRG 4 $169,768.69 $169,768.69 $169,768.69 nat. median
$244,017
0.7× median
5884
APR_DRG 		Inpatient Services: Apr-DRG 4 $152,903.22 $152,903.22 $152,903.22 nat. median
$246,434
0.6× median
Q2043
HCPCS 		Provenge 50 Million Cell/250 Ml Intravenous Suspension 14 $28,953.70 $246,106.48 $137,530.09 nat. median
$66,682
outlier · 2.1×
5914
APR_DRG 		Inpatient Services: Apr-DRG 4 $126,352.03 $126,352.03 $126,352.03 nat. median
$164,279
0.8× median
24
APR_DRG 		Inpatient Services: Apr-DRG 4 $123,533.05 $123,533.05 $123,533.05 nat. median
$234,738
0.5× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And… 9 $117,729.83 $304,730.80 $117,729.83 nat. median
$133,176
0.9× median
6094
APR_DRG 		Inpatient Services: Apr-DRG 4 $114,074.22 $114,074.22 $114,074.22 nat. median
$162,982
0.7× median
74
APR_DRG 		Inpatient Services: Apr-DRG 4 $114,057.31 $114,057.31 $114,057.31 nat. median
$187,294
0.6× median
5891
APR_DRG 		Inpatient Services: Apr-DRG 4 $113,169.03 $113,169.03 $113,169.03 nat. median
$93,260
1.2× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 8 $50,709.24 $113,119.80 $110,901.76 nat. median
$111,989
1.0× median
5934
APR_DRG 		Inpatient Services: Apr-DRG 4 $110,339.05 $110,339.05 $110,339.05 nat. median
$151,838
0.7× median
7
MS_DRG 		Lung Transplant 9 $110,155.67 $284,904.40 $110,155.67 nat. median
$122,708
0.9× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 9 $102,320.11 $264,393.80 $102,320.11 nat. median
$117,303
0.9× median
5832
APR_DRG 		Inpatient Services: Apr-DRG 4 $100,080.80 $100,080.80 $100,080.80 nat. median
$156,126
0.6× median
5831
APR_DRG 		Inpatient Services: Apr-DRG 4 $99,865.71 $99,865.71 $99,865.71 nat. median
$145,122
0.7× median
5913
APR_DRG 		Inpatient Services: Apr-DRG 4 $97,826.10 $97,826.10 $97,826.10 nat. median
$102,636
1.0× median
1614
APR_DRG 		Inpatient Services: Apr-DRG 4 $97,212.68 $97,212.68 $97,212.68 nat. median
$207,730
outlier · 0.5×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 9 $96,553.78 $249,299.60 $96,553.78 nat. median
$108,660
0.9× median
209
MS_DRG 		Complex Aortic Arch Procedures 9 $96,444.51 $249,013.60 $96,444.51 nat. median
$98,017
1.0× median
5883
APR_DRG 		Inpatient Services: Apr-DRG 4 $95,706.27 $95,706.27 $95,706.27 nat. median
$182,736
0.5× median
K1007
HCPCS 		Bil Hkaf Pc S/d Micro Sensor 7 $95,081.03 $96,982.65 $95,081.03 nat. median
$96,983
1.0× median
6024
APR_DRG 		Inpatient Services: Apr-DRG 4 $94,083.46 $94,083.46 $94,083.46 nat. median
$118,620
0.8× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 9 $93,943.31 $242,466.40 $93,943.31 nat. median
$98,905
0.9× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 9 $92,707.00 $239,230.20 $92,707.00 nat. median
$102,358
0.9× median
J2351
HCPCS 		Ocrevus Zunovo 920 Mg-23,000 Unit/23 Ml Subcutaneous Solution 14 $47.05 $164,219.46 $91,769.70 nat. median
$78
outlier · 1177.3×
5912
APR_DRG 		Inpatient Services: Apr-DRG 4 $91,040.75 $91,040.75 $91,040.75 nat. median
$81,294
1.1× median

Other procedures at this hospital

Browse this hospital's 19,268 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
             
0408T CPT Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd 25 13 $120,372.00 $120,372.00 $771.71 $102,316.20 $34,309.63 2026-04-15
0571T CPT Insj/rplcmt Icds Ss Eltrd 11 8 — — $543.72 $34,309.63 $33,636.89 2026-04-15
0620T CPT Evasc Ven Artlz Tibl/prnl Vn 12 9 — — $3,895.33 $153,403.33 $47,201.02 2026-04-15
0674T CPT Laps Insj Nw/rpcmt Prm Isdss 9 7 — — $33,067.68 $33,729.04 $33,067.68 2026-04-15
0686T CPT Histotripsy Mal Hepatcel Tis 9 7 — — $36,712.02 $37,446.26 $36,712.02 2026-04-15
0908T CPT Opn Imp Int Nstm Sys Vgs Nrv 9 7 — — $33,067.68 $33,729.04 $33,067.68 2026-04-15
0909T CPT Rplcmt Int Nstim Sys Vgs Nrv 9 7 — — $33,067.68 $33,729.04 $33,067.68 2026-04-15
0915T CPT Insj Perm Ccm-d Sys Pg&Eltrd 40 14 $140,364.00 $140,364.00 $14,036.40 $119,309.40 $66,672.90 2026-04-15
0916T CPT Insj Perm Ccm-d Sys Pg Only 40 14 $98,270.00 $98,270.00 $9,827.00 $83,529.50 $46,678.25 2026-04-15
0923T CPT Rmvl&Rplcmt Perm Ccm-d Pg 40 14 $98,270.00 $98,270.00 $9,827.00 $83,529.50 $46,678.25 2026-04-15
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 15 9 — — $236,843.21 $616,525.80 $236,843.21 2026-04-15
10 MS_DRG Pancreas Transplant 15 9 — — $61,623.65 $157,865.40 $61,623.65 2026-04-15
104 APR_DRG Inpatient Services: Apr-DRG 4 4 — — $43,008.11 $43,008.11 $43,008.11 2026-04-15
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 15 9 — — $47,154.39 $119,990.20 $47,154.39 2026-04-15
11 APR_DRG Inpatient Services: Apr-DRG 4 4 — — $43,533.45 $43,533.45 $43,533.45 2026-04-15
12 APR_DRG Inpatient Services: Apr-DRG 4 4 — — $46,094.86 $46,094.86 $46,094.86 2026-04-15
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 15 9 — — $36,748.72 $92,752.00 $36,748.72 2026-04-15
1204 APR_DRG Inpatient Services: Apr-DRG 4 4 — — $34,543.72 $34,543.72 $34,543.72 2026-04-15
13 APR_DRG Inpatient Services: Apr-DRG 4 4 — — $48,122.29 $48,122.29 $48,122.29 2026-04-15
14 MS_DRG Allogeneic Bone Marrow Transplant 15 9 — — $102,320.11 $264,393.80 $102,320.11 2026-04-15
14 APR_DRG Inpatient Services: Apr-DRG 4 4 — — $89,457.26 $89,457.26 $89,457.26 2026-04-15
140 MS_DRG Major Head And Neck Procedures With Mcc 15 9 — — $37,163.07 $93,836.60 $37,163.07 2026-04-15
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 15 9 — — $32,803.63 $82,425.20 $32,803.63 2026-04-15
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 15 9 — — $51,151.58 $130,453.40 $51,151.58 2026-04-15
1603 APR_DRG Inpatient Services: Apr-DRG 4 4 — — $34,212.24 $34,212.24 $34,212.24 2026-04-15
1604 APR_DRG Inpatient Services: Apr-DRG 4 4 — — $67,076.14 $67,076.14 $67,076.14 2026-04-15
1613 APR_DRG Inpatient Services: Apr-DRG 4 4 — — $42,533.10 $42,533.10 $42,533.10 2026-04-15
1614 APR_DRG Inpatient Services: Apr-DRG 4 4 — — $97,212.68 $97,212.68 $97,212.68 2026-04-15
1623 APR_DRG Inpatient Services: Apr-DRG 4 4 — — $37,255.74 $37,255.74 $37,255.74 2026-04-15
1624 APR_DRG Inpatient Services: Apr-DRG 4 4 — — $58,924.75 $58,924.75 $58,924.75 2026-04-15
163 MS_DRG Major Chest Procedures With Mcc 15 9 — — $38,982.65 $98,599.60 $38,982.65 2026-04-15
1634 APR_DRG Inpatient Services: Apr-DRG 4 4 — — $48,393.61 $48,393.61 $48,393.61 2026-04-15
1654 APR_DRG Inpatient Services: Apr-DRG 4 4 — — $42,813.47 $42,813.47 $42,813.47 2026-04-15
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 15 9 — — $32,728.84 $82,229.40 $32,728.84 2026-04-15
1664 APR_DRG Inpatient Services: Apr-DRG 4 4 — — $38,339.05 $38,339.05 $38,339.05 2026-04-15
1674 APR_DRG Inpatient Services: Apr-DRG 4 4 — — $45,274.22 $45,274.22 $45,274.22 2026-04-15
1694 APR_DRG Inpatient Services: Apr-DRG 4 4 — — $38,800.29 $38,800.29 $38,800.29 2026-04-15
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 15 9 — — $46,971.16 $119,510.60 $46,971.16 2026-04-15
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 15 9 — — $364,246.80 $950,021.60 $364,246.80 2026-04-15
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 15 9 — — $61,278.23 $156,961.20 $61,278.23 2026-04-15
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 15 9 — — $96,553.78 $249,299.60 $96,553.78 2026-04-15
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 15 9 — — $67,448.83 $173,113.60 $67,448.83 2026-04-15
204 APR_DRG Inpatient Services: Apr-DRG 4 4 — — $32,811.99 $32,811.99 $32,811.99 2026-04-15
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 15 9 — — $55,395.88 $141,563.40 $55,395.88 2026-04-15
209 MS_DRG Complex Aortic Arch Procedures 15 9 — — $96,444.51 $249,013.60 $96,444.51 2026-04-15
21 APR_DRG Inpatient Services: Apr-DRG 4 4 — — $52,180.29 $52,180.29 $52,180.29 2026-04-15
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 15 9 — — $45,807.15 $116,463.60 $45,807.15 2026-04-15
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 15 9 — — $92,707.00 $239,230.20 $92,707.00 2026-04-15
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 15 9 — — $49,279.07 $125,551.80 $49,279.07 2026-04-15
215 MS_DRG Other Heart Assist System Implant 15 9 — — $84,999.20 $219,054.00 $84,999.20 2026-04-15
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 15 9 — — $83,535.13 $215,221.60 $83,535.13 2026-04-15
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 15 9 — — $56,577.55 $144,656.60 $56,577.55 2026-04-15
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 15 9 — — $56,577.55 $144,656.60 $56,577.55 2026-04-15
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 15 9 — — $65,847.77 $168,922.60 $65,847.77 2026-04-15
22 APR_DRG Inpatient Services: Apr-DRG 4 4 — — $66,400.98 $66,400.98 $66,400.98 2026-04-15
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 15 9 — — $46,134.92 $117,321.60 $46,134.92 2026-04-15
2204 APR_DRG Inpatient Services: Apr-DRG 4 4 — — $34,019.17 $34,019.17 $34,019.17 2026-04-15
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 15 9 — — $43,675.75 $110,884.40 $43,675.75 2026-04-15
228 MS_DRG Other Cardiothoracic Procedures With Mcc 15 9 — — $42,895.82 $108,842.80 $42,895.82 2026-04-15
23 APR_DRG Inpatient Services: Apr-DRG 4 4 — — $85,137.77 $85,137.77 $85,137.77 2026-04-15
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 15 9 — — $49,475.73 $126,066.60 $49,475.73 2026-04-15
231 MS_DRG Coronary Bypass With Ptca With Mcc 15 9 — — $72,164.64 $185,457.80 $72,164.64 2026-04-15
232 MS_DRG Coronary Bypass With Ptca Without Mcc 15 9 — — $52,268.55 $133,377.20 $52,268.55 2026-04-15
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 15 9 — — $65,569.56 $168,194.40 $65,569.56 2026-04-15
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 15 9 — — $47,226.68 $120,179.40 $47,226.68 2026-04-15
234 APR_DRG Inpatient Services: Apr-DRG 4 4 — — $33,272.06 $33,272.06 $33,272.06 2026-04-15
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 15 9 — — $50,638.07 $129,109.20 $50,638.07 2026-04-15
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 15 9 — — $36,520.12 $92,153.60 $36,520.12 2026-04-15
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 15 9 — — $42,679.80 $108,277.40 $42,679.80 2026-04-15
24 APR_DRG Inpatient Services: Apr-DRG 4 4 — — $123,533.05 $123,533.05 $123,533.05 2026-04-15
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 15 9 — — $34,192.91 $86,061.80 $34,192.91 2026-04-15
245 MS_DRG Aicd Generator Procedures 15 9 — — $39,660.07 $100,372.80 $39,660.07 2026-04-15
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 15 9 — — $39,528.11 $100,027.40 $39,528.11 2026-04-15
2604 APR_DRG Inpatient Services: Apr-DRG 4 4 — — $39,277.66 $39,277.66 $39,277.66 2026-04-15
2614 APR_DRG Inpatient Services: Apr-DRG 4 4 — — $32,701.11 $32,701.11 $32,701.11 2026-04-15
2644 APR_DRG Inpatient Services: Apr-DRG 4 4 — — $33,435.63 $33,435.63 $33,435.63 2026-04-15
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 15 9 — — $52,821.58 $134,824.80 $52,821.58 2026-04-15
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 15 9 — — $41,327.53 $104,737.60 $41,327.53 2026-04-15
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 15 9 — — $59,120.78 $151,313.80 $59,120.78 2026-04-15
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 15 9 — — $36,809.24 $92,910.40 $36,809.24 2026-04-15
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 15 9 — — $45,660.06 $116,078.60 $45,660.06 2026-04-15
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 15 9 — — $35,988.11 $90,761.00 $35,988.11 2026-04-15
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 15 9 — — $61,242.91 $156,868.80 $61,242.91 2026-04-15
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 15 9 — — $51,797.89 $132,145.20 $51,797.89 2026-04-15
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 15 9 — — $40,131.56 $101,607.00 $40,131.56 2026-04-15
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 15 9 — — $48,096.55 $122,456.40 $48,096.55 2026-04-15
28 MS_DRG Spinal Procedures With Mcc 15 9 — — $51,812.19 $132,182.60 $51,812.19 2026-04-15
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 15 9 — — $179,703.26 $466,954.40 $179,703.26 2026-04-15
3033 APR_DRG Inpatient Services: Apr-DRG 4 4 — — $41,724.26 $41,724.26 $41,724.26 2026-04-15
3034 APR_DRG Inpatient Services: Apr-DRG 4 4 — — $53,416.96 $53,416.96 $53,416.96 2026-04-15
3044 APR_DRG Inpatient Services: Apr-DRG 4 4 — — $42,937.33 $42,937.33 $42,937.33 2026-04-15
31 MS_DRG Ventricular Shunt Procedures With Mcc 15 9 — — $38,971.74 $98,571.00 $38,971.74 2026-04-15
3124 APR_DRG Inpatient Services: Apr-DRG 4 4 — — $36,163.38 $36,163.38 $36,163.38 2026-04-15
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 15 9 — — $57,512.15 $147,103.00 $57,512.15 2026-04-15
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 15 9 — — $38,823.81 $98,183.80 $38,823.81 2026-04-15
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 15 9 — — $37,684.99 $95,202.80 $37,684.99 2026-04-15
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 15 9 — — $43,231.99 $109,722.80 $43,231.99 2026-04-15
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 15 9 — — $39,946.64 $101,123.00 $39,946.64 2026-04-15
33249 CPT Ins/Rpos Dual Chmb Pcg Lds&Gen 29 14 $76,808.00 $76,808.00 $1,003.27 $65,286.80 $33,636.89 2026-04-15
33270 CPT Insrtn Subq Implnt Defib Systm 25 13 $80,105.00 $80,105.00 $616.92 $68,089.25 $33,636.89 2026-04-15
33276 CPT Insj Phrnc Nrv Stim Sys 11 8 — — $620.98 $48,145.04 $47,201.02 2026-04-15
33287 CPT Rmv&rplcmt Phrnc Nrv Stim Pg 11 8 — — $414.65 $33,729.04 $33,067.68 2026-04-15
34 MS_DRG Carotid Artery Stent Procedures With Mcc 15 9 — — $33,846.65 $85,155.40 $33,846.65 2026-04-15
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 15 9 — — $38,234.65 $96,641.60 $38,234.65 2026-04-15
38240 CPT Transplt Allo Hct/donor 11 8 — — $210.32 $68,754.13 $67,406.01 2026-04-15
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And … 15 9 — — $117,729.83 $304,730.80 $117,729.83 2026-04-15
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 15 9 — — $33,766.80 $84,946.40 $33,766.80 2026-04-15
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 15 9 — — $35,105.65 $88,451.00 $35,105.65 2026-04-15
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 15 9 — — $47,292.22 $120,351.00 $47,292.22 2026-04-15
41 APR_DRG Inpatient Services: Apr-DRG 4 4 — — $37,778.72 $37,778.72 $37,778.72 2026-04-15
42 APR_DRG Inpatient Services: Apr-DRG 4 4 — — $43,278.64 $43,278.64 $43,278.64 2026-04-15
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 15 9 — — $36,219.25 $91,366.00 $36,219.25 2026-04-15
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 9 — — $93,943.31 $242,466.40 $93,943.31 2026-04-15
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 9 — — $61,984.19 $158,809.20 $61,984.19 2026-04-15
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 9 — — $48,565.51 $123,684.00 $48,565.51 2026-04-15
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 15 9 — — $77,036.74 $198,211.20 $77,036.74 2026-04-15
43 APR_DRG Inpatient Services: Apr-DRG 4 4 — — $56,132.12 $56,132.12 $56,132.12 2026-04-15
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 15 9 — — $49,785.01 $126,876.20 $49,785.01 2026-04-15
44 APR_DRG Inpatient Services: Apr-DRG 4 4 — — $83,444.97 $83,444.97 $83,444.97 2026-04-15
4402 APR_DRG Inpatient Services: Apr-DRG 4 4 — — $32,546.18 $32,546.18 $32,546.18 2026-04-15
4403 APR_DRG Inpatient Services: Apr-DRG 4 4 — — $36,462.23 $36,462.23 $36,462.23 2026-04-15
4404 APR_DRG Inpatient Services: Apr-DRG 4 4 — — $55,423.15 $55,423.15 $55,423.15 2026-04-15
4414 APR_DRG Inpatient Services: Apr-DRG 4 4 — — $36,960.83 $36,960.83 $36,960.83 2026-04-15
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 15 9 — — $57,470.97 $146,995.20 $57,470.97 2026-04-15
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 15 9 — — $36,957.16 $93,297.60 $36,957.16 2026-04-15
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 15 9 — — $46,108.03 $117,251.20 $46,108.03 2026-04-15
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 15 9 — — $71,941.90 $184,874.80 $71,941.90 2026-04-15
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 15 9 — — $51,432.30 $131,188.20 $51,432.30 2026-04-15
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 15 9 — — $36,383.96 $91,797.20 $36,383.96 2026-04-15
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 15 9 — — $47,733.45 $121,506.00 $47,733.45 2026-04-15
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 15 9 — — $49,216.87 $125,389.00 $49,216.87 2026-04-15
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 15 9 — — $45,064.19 $114,518.80 $45,064.19 2026-04-15
471 MS_DRG Cervical Spinal Fusion With Mcc 15 9 — — $41,898.19 $106,231.40 $41,898.19 2026-04-15
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 15 9 — — $37,395.04 $94,443.80 $37,395.04 2026-04-15
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 15 9 — — $87,970.21 $226,831.00 $87,970.21 2026-04-15
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 15 9 — — $32,725.47 $82,220.60 $32,725.47 2026-04-15
53 APR_DRG Inpatient Services: Apr-DRG 4 4 — — $41,421.87 $41,421.87 $41,421.87 2026-04-15
54 APR_DRG Inpatient Services: Apr-DRG 4 4 — — $55,996.85 $55,996.85 $55,996.85 2026-04-15
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 15 9 — — $56,376.69 $144,130.80 $56,376.69 2026-04-15
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 15 9 — — $42,507.52 $107,826.40 $42,507.52 2026-04-15
5831 APR_DRG Inpatient Services: Apr-DRG 4 4 — — $99,865.71 $99,865.71 $99,865.71 2026-04-15
5832 APR_DRG Inpatient Services: Apr-DRG 4 4 — — $100,080.80 $100,080.80 $100,080.80 2026-04-15
5833 APR_DRG Inpatient Services: Apr-DRG 4 4 — — $169,768.69 $169,768.69 $169,768.69 2026-04-15
5834 APR_DRG Inpatient Services: Apr-DRG 4 4 — — $186,745.44 $186,745.44 $186,745.44 2026-04-15
5881 APR_DRG Inpatient Services: Apr-DRG 4 4 — — $77,644.63 $77,644.63 $77,644.63 2026-04-15
5882 APR_DRG Inpatient Services: Apr-DRG 4 4 — — $86,271.81 $86,271.81 $86,271.81 2026-04-15
5883 APR_DRG Inpatient Services: Apr-DRG 4 4 — — $95,706.27 $95,706.27 $95,706.27 2026-04-15
5884 APR_DRG Inpatient Services: Apr-DRG 4 4 — — $152,903.22 $152,903.22 $152,903.22 2026-04-15
5891 APR_DRG Inpatient Services: Apr-DRG 4 4 — — $113,169.03 $113,169.03 $113,169.03 2026-04-15
5892 APR_DRG Inpatient Services: Apr-DRG 4 4 — — $79,382.25 $79,382.25 $79,382.25 2026-04-15
5893 APR_DRG Inpatient Services: Apr-DRG 4 4 — — $72,165.94 $72,165.94 $72,165.94 2026-04-15
5911 APR_DRG Inpatient Services: Apr-DRG 4 4 — — $65,620.45 $65,620.45 $65,620.45 2026-04-15
5912 APR_DRG Inpatient Services: Apr-DRG 4 4 — — $91,040.75 $91,040.75 $91,040.75 2026-04-15
5913 APR_DRG Inpatient Services: Apr-DRG 4 4 — — $97,826.10 $97,826.10 $97,826.10 2026-04-15
5914 APR_DRG Inpatient Services: Apr-DRG 4 4 — — $126,352.03 $126,352.03 $126,352.03 2026-04-15
5931 APR_DRG Inpatient Services: Apr-DRG 4 4 — — $43,233.82 $43,233.82 $43,233.82 2026-04-15
5932 APR_DRG Inpatient Services: Apr-DRG 4 4 — — $67,892.45 $67,892.45 $67,892.45 2026-04-15
5933 APR_DRG Inpatient Services: Apr-DRG 4 4 — — $81,616.12 $81,616.12 $81,616.12 2026-04-15
5934 APR_DRG Inpatient Services: Apr-DRG 4 4 — — $110,339.05 $110,339.05 $110,339.05 2026-04-15
6 MS_DRG Liver Transplant Without Mcc 15 9 — — $40,287.04 $102,014.00 $40,287.04 2026-04-15
6021 APR_DRG Inpatient Services: Apr-DRG 4 4 — — $41,615.73 $41,615.73 $41,615.73 2026-04-15
6022 APR_DRG Inpatient Services: Apr-DRG 4 4 — — $49,298.79 $49,298.79 $49,298.79 2026-04-15
6023 APR_DRG Inpatient Services: Apr-DRG 4 4 — — $64,892.99 $64,892.99 $64,892.99 2026-04-15
6024 APR_DRG Inpatient Services: Apr-DRG 4 4 — — $94,083.46 $94,083.46 $94,083.46 2026-04-15
6032 APR_DRG Inpatient Services: Apr-DRG 4 4 — — $36,344.26 $36,344.26 $36,344.26 2026-04-15
6033 APR_DRG Inpatient Services: Apr-DRG 4 4 — — $52,333.25 $52,333.25 $52,333.25 2026-04-15
6034 APR_DRG Inpatient Services: Apr-DRG 4 4 — — $81,843.40 $81,843.40 $81,843.40 2026-04-15
6072 APR_DRG Inpatient Services: Apr-DRG 4 4 — — $36,273.88 $36,273.88 $36,273.88 2026-04-15
6073 APR_DRG Inpatient Services: Apr-DRG 4 4 — — $47,640.21 $47,640.21 $47,640.21 2026-04-15
6074 APR_DRG Inpatient Services: Apr-DRG 4 4 — — $73,799.36 $73,799.36 $73,799.36 2026-04-15
6083 APR_DRG Inpatient Services: Apr-DRG 4 4 — — $39,646.10 $39,646.10 $39,646.10 2026-04-15
6084 APR_DRG Inpatient Services: Apr-DRG 4 4 — — $69,561.66 $69,561.66 $69,561.66 2026-04-15
6093 APR_DRG Inpatient Services: Apr-DRG 4 4 — — $53,785.79 $53,785.79 $53,785.79 2026-04-15
6094 APR_DRG Inpatient Services: Apr-DRG 4 4 — — $114,074.22 $114,074.22 $114,074.22 2026-04-15
61 APR_DRG Inpatient Services: Apr-DRG 4 4 — — $46,367.76 $46,367.76 $46,367.76 2026-04-15
6113 APR_DRG Inpatient Services: Apr-DRG 4 4 — — $37,016.27 $37,016.27 $37,016.27 2026-04-15
6114 APR_DRG Inpatient Services: Apr-DRG 4 4 — — $66,570.07 $66,570.07 $66,570.07 2026-04-15
6123 APR_DRG Inpatient Services: Apr-DRG 4 4 — — $33,398.28 $33,398.28 $33,398.28 2026-04-15
6124 APR_DRG Inpatient Services: Apr-DRG 4 4 — — $48,527.30 $48,527.30 $48,527.30 2026-04-15
6134 APR_DRG Inpatient Services: Apr-DRG 4 4 — — $54,619.41 $54,619.41 $54,619.41 2026-04-15
6144 APR_DRG Inpatient Services: Apr-DRG 4 4 — — $51,885.38 $51,885.38 $51,885.38 2026-04-15
61885 CPT Insrt/redo Neurostim 1 Array 11 8 — — $465.84 $33,729.04 $33,067.68 2026-04-15
61886 CPT Implant Neurostim Arrays 11 8 — — $776.01 $33,729.04 $33,067.68 2026-04-15
61891 CPT Rev/rplcmt Sk-mnt Crnl Nstm 11 8 — — $507.86 $33,729.04 $33,067.68 2026-04-15
62 APR_DRG Inpatient Services: Apr-DRG 4 4 — — $51,519.68 $51,519.68 $51,519.68 2026-04-15
6214 APR_DRG Inpatient Services: Apr-DRG 4 4 — — $56,660.60 $56,660.60 $56,660.60 2026-04-15
6224 APR_DRG Inpatient Services: Apr-DRG 4 4 — — $37,192.04 $37,192.04 $37,192.04 2026-04-15
6234 APR_DRG Inpatient Services: Apr-DRG 4 4 — — $33,723.47 $33,723.47 $33,723.47 2026-04-15
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 15 9 — — $32,637.23 $81,989.60 $32,637.23 2026-04-15
63 APR_DRG Inpatient Services: Apr-DRG 4 4 — — $54,692.55 $54,692.55 $54,692.55 2026-04-15
6303 APR_DRG Inpatient Services: Apr-DRG 4 4 — — $50,932.22 $50,932.22 $50,932.22 2026-04-15
6304 APR_DRG Inpatient Services: Apr-DRG 4 4 — — $90,577.93 $90,577.93 $90,577.93 2026-04-15
6313 APR_DRG Inpatient Services: Apr-DRG 4 4 — — $38,636.72 $38,636.72 $38,636.72 2026-04-15
6314 APR_DRG Inpatient Services: Apr-DRG 4 4 — — $85,211.30 $85,211.30 $85,211.30 2026-04-15
6334 APR_DRG Inpatient Services: Apr-DRG 4 4 — — $51,314.82 $51,314.82 $51,314.82 2026-04-15
6344 APR_DRG Inpatient Services: Apr-DRG 4 4 — — $32,963.38 $32,963.38 $32,963.38 2026-04-15
64 APR_DRG Inpatient Services: Apr-DRG 4 4 — — $76,050.53 $76,050.53 $76,050.53 2026-04-15
64568 CPT Opn Impltj Crnl Nrv Nea&pg 11 8 — — $521.01 $48,145.04 $47,201.02 2026-04-15
64582 CPT Opn Mpltj Hpglsl Nstm Ary Pg 11 8 — — $749.30 $33,729.04 $33,067.68 2026-04-15
64654 CPT 1st Opn Implt Bat Modulj Sys 9 7 — — $47,201.02 $48,145.04 $47,201.02 2026-04-15
64656 CPT Revj/rplcmt Bat Mod Sys Pg 9 7 — — $33,067.68 $33,729.04 $33,067.68 2026-04-15
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 15 9 — — $40,828.30 $103,430.80 $40,828.30 2026-04-15
6514 APR_DRG Inpatient Services: Apr-DRG 4 4 — — $38,378.37 $38,378.37 $38,378.37 2026-04-15
653 MS_DRG Major Bladder Procedures With Mcc 15 9 — — $44,988.54 $114,320.80 $44,988.54 2026-04-15
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 15 9 — — $36,627.70 $92,435.20 $36,627.70 2026-04-15
6804 APR_DRG Inpatient Services: Apr-DRG 4 4 — — $40,022.41 $40,022.41 $40,022.41 2026-04-15
6814 APR_DRG Inpatient Services: Apr-DRG 4 4 — — $36,974.59 $36,974.59 $36,974.59 2026-04-15
6904 APR_DRG Inpatient Services: Apr-DRG 4 4 — — $38,329.61 $38,329.61 $38,329.61 2026-04-15
6954 APR_DRG Inpatient Services: Apr-DRG 4 4 — — $37,611.60 $37,611.60 $37,611.60 2026-04-15
69930 CPT Implant Cochlear Device 11 8 — — $1,069.72 $36,040.21 $35,333.54 2026-04-15
7 MS_DRG Lung Transplant 15 9 — — $110,155.67 $284,904.40 $110,155.67 2026-04-15
71 APR_DRG Inpatient Services: Apr-DRG 4 4 — — $43,981.71 $43,981.71 $43,981.71 2026-04-15
72 APR_DRG Inpatient Services: Apr-DRG 4 4 — — $54,994.94 $54,994.94 $54,994.94 2026-04-15
73 APR_DRG Inpatient Services: Apr-DRG 4 4 — — $68,461.83 $68,461.83 $68,461.83 2026-04-15
74 APR_DRG Inpatient Services: Apr-DRG 4 4 — — $114,057.31 $114,057.31 $114,057.31 2026-04-15
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 15 9 — — $51,267.57 $130,757.00 $51,267.57 2026-04-15
791 MS_DRG Prematurity With Major Problems 15 9 — — $35,429.20 $89,298.00 $35,429.20 2026-04-15
793 MS_DRG Full Term Neonate With Major Problems 15 9 — — $36,358.74 $91,731.20 $36,358.74 2026-04-15
799 MS_DRG Splenic Procedures With Mcc 15 9 — — $39,378.51 $99,635.80 $39,378.51 2026-04-15
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 15 9 — — $48,419.29 $123,301.20 $48,419.29 2026-04-15
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 15 9 — — $34,799.71 $87,650.20 $34,799.71 2026-04-15
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 15 9 — — $50,606.15 $129,025.60 $50,606.15 2026-04-15
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 15 9 — — $39,848.32 $100,865.60 $39,848.32 2026-04-15
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 15 9 — — $40,629.93 $102,911.60 $40,629.93 2026-04-15
83 APR_DRG Inpatient Services: Apr-DRG 4 4 — — $36,819.27 $36,819.27 $36,819.27 2026-04-15
834 MS_DRG Acute Leukemia With Mcc 15 9 — — $47,455.27 $120,777.80 $47,455.27 2026-04-15
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 15 9 — — $41,693.11 $105,694.60 $41,693.11 2026-04-15
84 APR_DRG Inpatient Services: Apr-DRG 4 4 — — $59,019.91 $59,019.91 $59,019.91 2026-04-15
8413 APR_DRG Inpatient Services: Apr-DRG 4 4 — — $40,594.94 $40,594.94 $40,594.94 2026-04-15
8414 APR_DRG Inpatient Services: Apr-DRG 4 4 — — $88,038.93 $88,038.93 $88,038.93 2026-04-15
8424 APR_DRG Inpatient Services: Apr-DRG 4 4 — — $54,924.94 $54,924.94 $54,924.94 2026-04-15
850 MS_DRG Acute Leukemia With Other Procedures 15 9 — — $74,094.29 $190,509.00 $74,094.29 2026-04-15
8504 APR_DRG Inpatient Services: Apr-DRG 4 4 — — $38,112.95 $38,112.95 $38,112.95 2026-04-15
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 15 9 — — $42,821.85 $108,649.20 $42,821.85 2026-04-15
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 15 9 — — $39,544.93 $100,071.40 $39,544.93 2026-04-15
8634 APR_DRG Inpatient Services: Apr-DRG 4 4 — — $56,051.51 $56,051.51 $56,051.51 2026-04-15
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 15 9 — — $59,405.69 $152,059.60 $59,405.69 2026-04-15
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 15 9 — — $33,797.88 $85,027.80 $33,797.88 2026-04-15
894 APR_DRG Inpatient Services: Apr-DRG 4 4 — — $36,665.91 $36,665.91 $36,665.91 2026-04-15
901 MS_DRG Wound Debridements For Injuries With Mcc 15 9 — — $36,585.68 $92,325.20 $36,585.68 2026-04-15
90288 CPT Botulism Ig IV 3 3 — — $48,705.00 $131,503.50 $50,166.15 2026-04-15
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 15 9 — — $33,582.74 $84,464.60 $33,582.74 2026-04-15
9104 APR_DRG Inpatient Services: Apr-DRG 4 4 — — $41,718.36 $41,718.36 $41,718.36 2026-04-15
9114 APR_DRG Inpatient Services: Apr-DRG 4 4 — — $36,716.24 $36,716.24 $36,716.24 2026-04-15
9124 APR_DRG Inpatient Services: Apr-DRG 4 4 — — $34,571.64 $34,571.64 $34,571.64 2026-04-15
914 APR_DRG Inpatient Services: Apr-DRG 4 4 — — $37,562.84 $37,562.84 $37,562.84 2026-04-15
92 APR_DRG Inpatient Services: Apr-DRG 4 4 — — $35,218.48 $35,218.48 $35,218.48 2026-04-15
924 APR_DRG Inpatient Services: Apr-DRG 4 4 — — $35,290.05 $35,290.05 $35,290.05 2026-04-15
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 15 9 — — $180,756.35 $469,711.00 $180,756.35 2026-04-15
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 15 9 — — $61,598.43 $157,799.40 $61,598.43 2026-04-15
93 APR_DRG Inpatient Services: Apr-DRG 4 4 — — $41,605.90 $41,605.90 $41,605.90 2026-04-15
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 15 9 — — $34,044.15 $85,672.40 $34,044.15 2026-04-15
94 APR_DRG Inpatient Services: Apr-DRG 4 4 — — $90,745.05 $90,745.05 $90,745.05 2026-04-15
955 MS_DRG Craniotomy For Multiple Significant Trauma 15 9 — — $57,886.98 $148,084.20 $57,886.98 2026-04-15
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 15 9 — — $32,941.47 $82,786.00 $32,941.47 2026-04-15
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 15 9 — — $65,356.93 $167,637.80 $65,356.93 2026-04-15
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 15 9 — — $36,731.07 $92,705.80 $36,731.07 2026-04-15
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 15 9 — — $52,761.91 $134,668.60 $52,761.91 2026-04-15
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 15 9 — — $40,747.60 $103,219.60 $40,747.60 2026-04-15
A9543 HCPCS Y90 Ibritumomab, Rx 12 9 — — $56,824.55 $170,115.58 $56,824.55 2026-04-15
C2624 HCPCS Wireless Pressure Sensor 33 14 $101,590.00 $101,590.00 $10,159.00 $86,351.50 $48,255.25 2026-04-15
C9150 HCPCS Inpatient Services 3 3 — — $49,920.00 $143,208.00 $51,417.60 2026-04-15
C9741 HCPCS Impl Pressure Sensor W/Angio 33 14 $83,696.00 $83,696.00 $8,369.60 $71,141.60 $39,755.60 2026-04-15
C9767 HCPCS Fem/Pop Art Stent/Arthrect/Pta 40 14 $69,972.00 $69,972.00 $6,997.20 $59,476.20 $33,236.70 2026-04-15
E0766 HCPCS Elec Stim Cancer Treatment 3 3 — — $72,269.17 $81,890.24 $79,505.09 2026-04-15
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 9 7 — — $3,685,266.67 $3,758,972.00 $3,685,266.67 2026-04-15
J1413 HCPCS Inj Delandistrogene Mox Rokl 9 7 — — $3,327,859.73 $3,394,416.92 $3,327,859.73 2026-04-15
J2326 HCPCS Spinraza (pf) 12 Mg/5 Ml Intrathecal Solution 25 13 $333,561.63 $333,561.63 $1,103.21 $283,527.39 $33,356.16 2026-04-15
J2351 HCPCS Ocrevus Zunovo 920 Mg-23,000 Unit/23 Ml Subcutaneous Solution 40 14 $193,199.36 $193,199.36 $47.05 $164,219.46 $91,769.70 2026-04-15
J3387 HCPCS Inj Elivaldogene Autotemecel 9 7 — — $3,180,000.00 $3,243,600.00 $3,180,000.00 2026-04-15
J3389 HCPCS Topi Adm Prad Zami Per Treat 9 7 — — $3,335,820.00 $3,402,536.40 $3,335,820.00 2026-04-15
J3391 HCPCS Inj, Atidarsagene Autotemcel 9 7 — — $4,505,000.00 $4,595,100.00 $4,505,000.00 2026-04-15
J3392 HCPCS Inj, Exagamglogene Autotem 9 7 — — $2,332,000.00 $2,378,640.00 $2,332,000.00 2026-04-15
J3393 HCPCS Inj, Betibeglogene Autotemce 9 7 — — $2,939,968.89 $2,998,768.27 $2,939,968.89 2026-04-15
J3394 HCPCS Inj, Lovotibeglogene Autotem 9 7 — — $3,252,508.08 $3,317,558.24 $3,252,508.08 2026-04-15
J3399 HCPCS Inj Onase Abepar-xioi Treat 9 7 — — $2,588,981.23 $2,640,760.85 $2,588,981.23 2026-04-15
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 9 7 — — $201,669.02 $205,702.40 $201,669.02 2026-04-15
J3403 HCPCS Revakinagene, Per Implant 9 7 — — $265,000.00 $270,300.00 $265,000.00 2026-04-15
J7181 HCPCS Tretten 2,500 Unit Intravenous Solution 25 13 $369,210.00 $369,210.00 $17.10 $313,828.50 $36,921.00 2026-04-15
J7330 HCPCS Cultured Chondrocytes Implnt 4 4 — — $46,661.76 $154,694.93 $54,733.02 2026-04-15
J9028 HCPCS Anktiva 400 Mcg/0.4 Ml Intravesical Solution 40 14 $81,624.00 $81,624.00 $94.73 $69,380.40 $38,771.40 2026-04-15
J9029 HCPCS Adstiladrin 3x10exp11 Vp/ml Intravesical Suspension 53 14 $34,713.00 $34,713.00 $3,471.30 $165,240.00 $34,440.93 2026-04-15
J9226 HCPCS Supprelin La 50 Mg (65 Mcg/day) Implant Kit 40 14 $114,414.09 $114,414.09 $11,441.41 $120,355.04 $54,346.69 2026-04-15
J9999 HCPCS Gliadel Wafer 7.7 Mg Implant 33 14 $131,788.68 $131,788.68 $13,178.87 $112,020.38 $62,599.62 2026-04-15
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 9 7 — — $95,081.03 $96,982.65 $95,081.03 2026-04-15
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 11 8 — — $20,292.18 $40,328.65 $39,537.89 2026-04-15
L7180 HCPCS Electronic Elbow Sequential 11 8 — — $25,041.32 $48,878.39 $47,919.99 2026-04-15
L7181 HCPCS Electronic Elbo Simultaneous 11 8 — — $25,782.42 $50,324.94 $49,338.18 2026-04-15
L8701 HCPCS Ewh S/d Uprt Micro Sensor 11 8 — — $18,749.34 $35,669.53 $34,970.13 2026-04-15
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 9 7 — — $68,801.71 $70,177.74 $68,801.71 2026-04-15
Q0480 HCPCS Driver Pneumatic Vad, Rep 11 8 — — $50,709.24 $113,119.80 $110,901.76 2026-04-15
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 11 8 — — $476,302.36 $542,836.09 $532,192.24 2026-04-15
Q2042 HCPCS Tisagenlecleucel Car-pos T 11 8 — — $513,700.90 $577,861.93 $566,531.30 2026-04-15
Q2043 HCPCS Provenge 50 Million Cell/250 Ml Intravenous Suspension 40 14 $289,537.03 $289,537.03 $28,953.70 $246,106.48 $137,530.09 2026-04-15
Q2053 HCPCS Brexucabtagene Car Pos T 11 8 — — $476,406.40 $499,239.21 $489,450.20 2026-04-15
Q2054 HCPCS Lisocabtagene Mara Car Pos T 11 8 — — $501,865.93 $573,445.27 $562,201.24 2026-04-15
Q2055 HCPCS Idecabtagene Vicleucel Car 11 8 — — $512,460.88 $569,243.36 $558,081.73 2026-04-15
Q2056 HCPCS Ciltacabtagene Car-pos T 11 8 — — $526,846.12 $599,402.57 $587,649.57 2026-04-15
Q2057 HCPCS Afamitresgene Autoleucel 9 7 — — $770,620.00 $786,032.40 $770,620.00 2026-04-15
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 9 7 — — $278,250.00 $283,815.00 $278,250.00 2026-04-15
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