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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

MIDWESTERN REGION MED CENTER, INC

Zion, IL · CCN 140100 · Rates published

10,741 distinct procedures filed
14 distinct payers
98,537 rate rows
2026-05-28 last MRF observed
Data quality

63,483 of 98,537 rate rows are consumer-grade (64.4%)

35,054 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 34,095
per-diem day rate — not a per-procedure price 896
placeholder amount (≤ $0.02) — excluded from medians 36
percent-of-charges filed in the dollar field — excluded from medians 27
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.cityofhope.org/362510771_midwestern-regional-medical-center,-inc._standardcharges.json
Found on page https://www.cityofhope.org/patients/our-value-and-pricing/pricing-information
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-18
Content fingerprint c8d077220785cff6… · 278,160,360 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
Q2042
HCPCS 		Hc Kymriah Car-t Cell-dlbcl 13 $167,850.00 $839,250.00 $607,333.34 nat. median
$753,246
0.8× median
Q2054
HCPCS 		Lisocabtagene Maraleucel (cd8) 70000000 Cells IV Susp 13 $531,350.40 $1,591,406.98 $605,711.76 nat. median
$673,137
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel 460000000 Cells IV Susp 13 $528,316.68 $1,582,308.44 $587,984.68 nat. median
$625,184
0.9× median
Q2058
HCPCS 		Obecabtagene Autoleucel 10 X 1,000,000 Cells IV Susp Day 0 13 $262,500.00 $1,572,387.58 $525,004.20 nat. median
$324,450
1.6× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 10 $285,501.36 $1,178,959.83 $459,009.00 nat. median
$370,174
1.2× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 10 $213,245.58 $880,584.16 $342,841.00 nat. median
$265,286
1.3× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 10 $162,246.00 $669,984.61 $260,848.00 nat. median
$202,976
1.3× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 10 $179,591.32 $741,611.02 $244,790.00 nat. median
$206,474
1.2× median
5834
APR_DRG 		Neonate With Ecmo 2 $193,610.54 $193,610.54 $193,610.54 nat. median
$309,665
0.6× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And… 10 $106,969.89 $441,725.42 $171,979.00 nat. median
$133,161
1.3× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 10 $99,186.00 $409,582.31 $159,464.00 nat. median
$117,357
1.4× median
7
MS_DRG 		Lung Transplant 10 $98,936.17 $408,550.68 $159,062.00 nat. median
$122,708
1.3× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 2 $158,813.15 $158,813.15 $158,813.15 nat. median
$246,434
0.6× median
5833
APR_DRG 		Neonate With Ecmo 2 $153,343.24 $153,343.24 $153,343.24 nat. median
$244,017
0.6× median
1614
APR_DRG 		Implantable Heart Assist Systems 2 $151,844.23 $151,844.23 $151,844.23 nat. median
$207,730
0.7× median
24
APR_DRG 		Heart And/or Lung Transplant 2 $146,534.22 $146,534.22 $146,534.22 nat. median
$234,729
0.6× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 10 $82,471.29 $340,559.98 $132,591.00 nat. median
$102,358
1.3× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 10 $80,620.32 $332,916.54 $129,615.00 nat. median
$100,136
1.3× median
215
MS_DRG 		Other Heart Assist System Implant 10 $80,206.98 $331,209.66 $128,953.00 nat. median
$99,019
1.3× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 $79,303.07 $327,477.03 $127,582.00 nat. median
$98,894
1.3× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 $73,062.78 $301,708.15 $117,465.00 nat. median
$93,672
1.3× median
1613
APR_DRG 		Implantable Heart Assist Systems 2 $116,328.29 $116,328.29 $116,328.29 nat. median
$119,796
1.0× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 2 $115,272.48 $115,272.48 $115,272.48 nat. median
$150,721
0.8× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 10 $83,423.65 $344,492.68 $114,463.00 nat. median
$108,660
1.1× median
5832
APR_DRG 		Neonate With Ecmo 2 $113,075.94 $113,075.94 $113,075.94 nat. median
$156,126
0.7× median
850
MS_DRG 		Acute Leukemia With Other Procedures 10 $69,737.86 $287,978.09 $112,120.00 nat. median
$83,470
1.3× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 2 $107,081.10 $107,081.10 $107,081.10 nat. median
$160,267
0.7× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 2 $103,576.40 $103,576.40 $103,576.40 nat. median
$151,838
0.7× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 10 $64,150.90 $264,907.08 $103,138.00 nat. median
$79,312
1.3× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 10 $64,115.32 $264,760.15 $103,080.00 nat. median
$81,118
1.3× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 2 $102,313.47 $102,313.47 $102,313.47 nat. median
$182,665
0.6× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 10 $63,141.76 $260,739.92 $101,514.00 nat. median
$82,711
1.2× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 2 $100,184.79 $100,184.79 $100,184.79 nat. median
$145,336
0.7× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 2 $100,020.12 $100,020.12 $100,020.12 nat. median
$164,289
0.6× median
114
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 $99,891.57 $99,891.57 $99,891.57 nat. median
$117,173
0.9× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 2 $99,382.11 $99,382.11 $99,382.11 nat. median
$162,982
0.6× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 10 $61,025.83 $252,002.32 $98,112.00 nat. median
$77,570
1.3× median
5831
APR_DRG 		Neonate With Ecmo 2 $97,718.05 $97,718.05 $97,718.05 nat. median
$144,745
0.7× median
10
MS_DRG 		Pancreas Transplant 10 $60,358.88 $249,248.18 $97,042.00 nat. median
$68,884
1.4× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 10 $60,012.91 $247,819.53 $96,484.00 nat. median
$71,271
1.4× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 2 $96,065.49 $96,065.49 $96,065.49 nat. median
$187,061
0.5× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 2 $95,411.21 $95,411.21 $95,411.21 nat. median
$122,924
0.8× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 2 $95,153.31 $95,153.31 $95,153.31 nat. median
$105,658
0.9× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 10 $59,173.35 $244,352.62 $95,134.00 nat. median
$73,807
1.3× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 10 $58,576.05 $241,886.09 $94,175.00 nat. median
$74,915
1.3× median
14
APR_DRG 		Liver Transplant And/or Intestinal Transplant 2 $93,673.74 $93,673.74 $93,673.74 nat. median
$129,535
0.7× median
1612
APR_DRG 		Implantable Heart Assist Systems 2 $93,401.55 $93,401.55 $93,401.55 nat. median
$85,444
1.1× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 2 $93,157.54 $93,157.54 $93,157.54 nat. median
$164,834
0.6× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 10 $56,507.05 $233,342.31 $90,848.00 nat. median
$72,135
1.3× median
23
APR_DRG 		Heart And/or Lung Transplant 2 $90,614.62 $90,614.62 $90,614.62 nat. median
$93,528
1.0× median

Other procedures at this hospital

Browse this hospital's 10,741 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
             
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 11 10 — — $213,245.58 $880,584.16 $342,841.00 2026-03-27
10 MS_DRG Pancreas Transplant 11 10 — — $60,358.88 $249,248.18 $97,042.00 2026-03-27
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 11 10 — — $40,849.18 $168,684.09 $65,675.00 2026-03-27
11 APR_DRG Liver Transplant And/or Intestinal Transplant 2 2 — — $40,299.44 $40,299.44 $40,299.44 2026-03-27
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 2 — — $49,169.30 $49,169.30 $49,169.30 2026-03-27
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 2 — — $99,891.57 $99,891.57 $99,891.57 2026-03-27
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 11 10 — — $31,066.69 $128,287.94 $49,947.00 2026-03-27
12 APR_DRG Liver Transplant And/or Intestinal Transplant 2 2 — — $45,388.85 $45,388.85 $45,388.85 2026-03-27
120 EAPG Car T-cell Immunotherapy 2 2 — — $37,060.40 $37,060.40 $37,060.40 2026-03-27
1204 APR_DRG Major Respiratory And Chest Procedures 2 2 — — $34,070.50 $34,070.50 $34,070.50 2026-03-27
13 APR_DRG Liver Transplant And/or Intestinal Transplant 2 2 — — $54,155.55 $54,155.55 $54,155.55 2026-03-27
14 MS_DRG Allogeneic Bone Marrow Transplant 11 10 — — $99,186.00 $409,582.31 $159,464.00 2026-03-27
14 APR_DRG Liver Transplant And/or Intestinal Transplant 2 2 — — $93,673.74 $93,673.74 $93,673.74 2026-03-27
140 MS_DRG Major Head And Neck Procedures With Mcc 11 10 — — $32,016.78 $132,211.26 $51,475.00 2026-03-27
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 11 10 — — $24,996.74 $103,222.45 $40,188.00 2026-03-27
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 11 10 — — $45,694.24 $188,691.47 $73,464.00 2026-03-27
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 2 2 — — $34,490.68 $34,490.68 $34,490.68 2026-03-27
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 2 2 — — $64,251.83 $64,251.83 $64,251.83 2026-03-27
1611 APR_DRG Implantable Heart Assist Systems 2 2 — — $88,731.14 $88,731.14 $88,731.14 2026-03-27
1612 APR_DRG Implantable Heart Assist Systems 2 2 — — $93,401.55 $93,401.55 $93,401.55 2026-03-27
1613 APR_DRG Implantable Heart Assist Systems 2 2 — — $116,328.29 $116,328.29 $116,328.29 2026-03-27
1614 APR_DRG Implantable Heart Assist Systems 2 2 — — $151,844.23 $151,844.23 $151,844.23 2026-03-27
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 2 2 — — $41,475.87 $41,475.87 $41,475.87 2026-03-27
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 2 2 — — $60,556.29 $60,556.29 $60,556.29 2026-03-27
163 MS_DRG Major Chest Procedures With Mcc 11 10 — — $34,893.53 $144,090.64 $56,100.00 2026-03-27
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 2 2 — — $34,304.60 $34,304.60 $34,304.60 2026-03-27
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 2 2 — — $51,529.70 $51,529.70 $51,529.70 2026-03-27
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 2 2 — — $34,803.34 $34,803.34 $34,803.34 2026-03-27
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 2 2 — — $47,122.75 $47,122.75 $47,122.75 2026-03-27
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 11 10 — — $29,148.35 $120,366.27 $46,874.00 2026-03-27
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 2 2 — — $42,476.93 $42,476.93 $42,476.93 2026-03-27
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 2 2 — — $46,351.42 $46,351.42 $46,351.42 2026-03-27
1694 APR_DRG Major Abdominal Vascular Procedures 2 2 — — $39,757.05 $39,757.05 $39,757.05 2026-03-27
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 11 10 — — $45,694.24 $188,691.47 $73,464.00 2026-03-27
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 11 10 — — $23,230.56 $95,929.13 $37,349.00 2026-03-27
1782 APR_DRG External Heart Assist Systems 2 2 — — $35,280.26 $35,280.26 $35,280.26 2026-03-27
1783 APR_DRG External Heart Assist Systems 2 2 — — $37,867.22 $37,867.22 $37,867.22 2026-03-27
1784 APR_DRG External Heart Assist Systems 2 2 — — $51,185.70 $51,185.70 $51,185.70 2026-03-27
1794 APR_DRG Defibrillator Implants 2 2 — — $41,702.43 $41,702.43 $41,702.43 2026-03-27
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 11 10 — — $285,501.36 $1,178,959.83 $459,009.00 2026-03-27
1834 APR_DRG Percutaneous Structural Cardiac Procedures 2 2 — — $43,679.15 $43,679.15 $43,679.15 2026-03-27
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 11 10 — — $60,012.91 $247,819.53 $96,484.00 2026-03-27
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 11 10 — — $83,423.65 $344,492.68 $114,463.00 2026-03-27
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 11 10 — — $61,025.83 $252,002.32 $98,112.00 2026-03-27
204 APR_DRG Open Craniotomy For Trauma 2 2 — — $34,228.42 $34,228.42 $34,228.42 2026-03-27
207 MS_DRG Respiratory System Diagnosis With Ventilator Support &gt;96 Hours 11 10 — — $48,959.36 $202,174.57 $78,725.00 2026-03-27
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 11 10 — — $41,843.93 $172,791.85 $65,005.00 2026-03-27
21 APR_DRG Heart And/or Lung Transplant 2 2 — — $57,647.55 $57,647.55 $57,647.55 2026-03-27
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 11 10 — — $82,471.29 $340,559.98 $132,591.00 2026-03-27
214 APR_DRG Open Craniotomy Except Trauma 2 2 — — $37,101.05 $37,101.05 $37,101.05 2026-03-27
215 MS_DRG Other Heart Assist System Implant 11 10 — — $80,206.98 $331,209.66 $128,953.00 2026-03-27
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 10 — — $73,062.78 $301,708.15 $117,465.00 2026-03-27
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 10 — — $48,888.95 $201,883.83 $78,599.00 2026-03-27
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 10 — — $45,038.64 $185,984.22 $72,412.00 2026-03-27
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 11 10 — — $58,576.05 $241,886.09 $94,175.00 2026-03-27
22 APR_DRG Heart And/or Lung Transplant 2 2 — — $67,245.88 $67,245.88 $67,245.88 2026-03-27
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 11 10 — — $26,726.58 $110,365.71 $33,617.00 2026-03-27
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 11 10 — — $40,098.19 $165,582.95 $64,467.00 2026-03-27
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 2 2 — — $35,141.79 $35,141.79 $35,141.79 2026-03-27
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 11 10 — — $34,767.86 $143,571.70 $55,897.00 2026-03-27
228 MS_DRG Other Cardiothoracic Procedures With Mcc 11 10 — — $37,725.62 $155,785.58 $60,652.00 2026-03-27
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 11 10 — — $23,515.96 $97,107.69 $37,807.00 2026-03-27
23 APR_DRG Heart And/or Lung Transplant 2 2 — — $90,614.62 $90,614.62 $90,614.62 2026-03-27
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 11 10 — — $43,189.95 $178,350.15 $69,438.00 2026-03-27
231 MS_DRG Coronary Bypass With Ptca With Mcc 11 10 — — $64,150.90 $264,907.08 $103,138.00 2026-03-27
232 MS_DRG Coronary Bypass With Ptca Without Mcc 11 10 — — $46,245.36 $190,967.31 $74,350.00 2026-03-27
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 11 10 — — $59,173.35 $244,352.62 $95,134.00 2026-03-27
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 11 10 — — $40,276.10 $166,317.59 $64,754.00 2026-03-27
234 APR_DRG Spinal Procedures 2 2 — — $37,616.46 $37,616.46 $37,616.46 2026-03-27
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 11 10 — — $44,545.81 $183,949.09 $71,618.00 2026-03-27
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 11 10 — — $31,130.28 $128,550.54 $50,049.00 2026-03-27
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 11 10 — — $38,131.40 $157,461.20 $61,304.00 2026-03-27
24 APR_DRG Heart And/or Lung Transplant 2 2 — — $146,534.22 $146,534.22 $146,534.22 2026-03-27
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 11 10 — — $28,780.43 $118,846.96 $46,271.00 2026-03-27
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 11 10 — — $22,046.55 $91,039.83 $35,445.00 2026-03-27
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 11 10 — — $25,678.83 $106,039.11 $41,287.00 2026-03-27
245 MS_DRG Aicd Generator Procedures 11 10 — — $36,995.08 $152,768.84 $59,478.00 2026-03-27
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 11 10 — — $33,857.14 $139,810.94 $54,433.00 2026-03-27
252 MS_DRG Other Vascular Procedures With Mcc 11 10 — — $25,969.53 $107,239.55 $41,752.00 2026-03-27
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 11 10 — — $21,238.79 $87,704.22 $34,147.00 2026-03-27
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 11 10 — — $23,154.86 $95,616.52 $37,227.00 2026-03-27
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 11 10 — — $25,786.33 $106,483.02 $41,468.00 2026-03-27
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 2 2 — — $36,629.29 $36,629.29 $36,629.29 2026-03-27
264 MS_DRG Other Circulatory System O.r. Procedures 11 10 — — $26,459.34 $109,262.17 $42,540.00 2026-03-27
265 MS_DRG Aicd Lead Procedures 11 10 — — $27,005.17 $111,516.13 $43,416.00 2026-03-27
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 11 10 — — $45,352.81 $187,281.57 $72,915.00 2026-03-27
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 11 10 — — $35,616.51 $147,076.12 $57,262.00 2026-03-27
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 11 10 — — $50,476.47 $208,439.38 $81,153.00 2026-03-27
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 11 10 — — $31,498.20 $130,069.85 $50,640.00 2026-03-27
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 11 10 — — $38,858.91 $160,465.43 $62,476.00 2026-03-27
271 MS_DRG Other Major Cardiovascular Procedures With Cc 11 10 — — $26,075.52 $107,677.21 $41,925.00 2026-03-27
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 11 10 — — $29,602.57 $122,241.96 $47,593.00 2026-03-27
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 11 10 — — $23,627.25 $97,567.24 $37,986.00 2026-03-27
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 11 10 — — $53,500.09 $220,925.23 $86,013.00 2026-03-27
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 11 10 — — $46,894.15 $193,646.42 $75,393.00 2026-03-27
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 11 10 — — $35,216.79 $145,425.51 $56,627.00 2026-03-27
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 11 10 — — $37,877.03 $156,410.81 $60,895.00 2026-03-27
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 11 10 — — $24,258.62 $100,174.45 $39,002.00 2026-03-27
28 MS_DRG Spinal Procedures With Mcc 11 10 — — $46,024.31 $190,054.47 $73,995.00 2026-03-27
288 MS_DRG Acute And Subacute Endocarditis With Mcc 11 10 — — $20,678.57 $85,390.87 $33,245.00 2026-03-27
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 11 10 — — $25,411.60 $104,935.58 $40,855.00 2026-03-27
3 MS_DRG Ecmo Or Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mo… 11 10 — — $162,246.00 $669,984.61 $260,848.00 2026-03-27
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 2 2 — — $43,835.08 $43,835.08 $43,835.08 2026-03-27
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 2 2 — — $57,893.55 $57,893.55 $57,893.55 2026-03-27
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 2 2 — — $44,436.20 $44,436.20 $44,436.20 2026-03-27
31 MS_DRG Ventricular Shunt Procedures With Mcc 11 10 — — $31,724.56 $131,004.57 $51,004.00 2026-03-27
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 2 2 — — $39,470.98 $39,470.98 $39,470.98 2026-03-27
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 11 10 — — $46,833.58 $193,396.33 $75,296.00 2026-03-27
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 11 10 — — $33,255.30 $137,325.65 $53,466.00 2026-03-27
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 11 10 — — $21,551.44 $88,995.32 $34,650.00 2026-03-27
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 11 10 — — $32,245.40 $133,155.36 $51,843.00 2026-03-27
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 11 10 — — $24,188.22 $99,883.71 $38,890.00 2026-03-27
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 11 10 — — $21,667.27 $89,473.63 $34,836.00 2026-03-27
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 11 10 — — $38,450.11 $158,777.31 $61,818.00 2026-03-27
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 11 10 — — $34,762.57 $143,549.82 $55,890.00 2026-03-27
332 MS_DRG Rectal Resection With Mcc 11 10 — — $26,259.48 $108,436.87 $42,219.00 2026-03-27
335 MS_DRG Peritoneal Adhesiolysis With Mcc 11 10 — — $27,430.62 $113,273.03 $44,110.00 2026-03-27
34 MS_DRG Carotid Artery Stent Procedures With Mcc 11 10 — — $29,439.05 $121,566.71 $47,331.00 2026-03-27
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 11 10 — — $22,204.01 $91,690.07 $35,698.00 2026-03-27
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 11 10 — — $32,293.10 $133,352.31 $51,918.00 2026-03-27
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 2 2 — — $33,426.93 $33,426.93 $33,426.93 2026-03-27
37 MS_DRG Extracranial Procedures With Mcc 11 10 — — $25,140.57 $103,816.41 $40,420.00 2026-03-27
4 MS_DRG Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mouth And … 11 10 — — $106,969.89 $441,725.42 $171,979.00 2026-03-27
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 11 10 — — $28,556.34 $117,921.62 $45,910.00 2026-03-27
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 11 10 — — $29,616.96 $122,301.36 $47,826.00 2026-03-27
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 11 10 — — $41,097.48 $169,709.47 $66,074.00 2026-03-27
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 11 10 — — $21,260.74 $87,794.88 $34,181.00 2026-03-27
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 11 10 — — $26,506.28 $109,455.99 $42,615.00 2026-03-27
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 11 10 — — $20,715.67 $85,544.05 $33,028.00 2026-03-27
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 11 10 — — $26,525.20 $109,534.15 $42,646.00 2026-03-27
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 2 2 — — $44,767.50 $44,767.50 $44,767.50 2026-03-27
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 11 10 — — $26,719.76 $110,337.57 $42,957.00 2026-03-27
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 11 10 — — $30,791.89 $127,153.15 $49,505.00 2026-03-27
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 11 10 — — $79,303.07 $327,477.03 $127,582.00 2026-03-27
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 11 10 — — $53,770.35 $222,041.27 $86,405.00 2026-03-27
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 11 10 — — $41,668.29 $172,066.59 $67,009.00 2026-03-27
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 11 10 — — $63,141.76 $260,739.92 $101,514.00 2026-03-27
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 2 2 — — $65,116.00 $65,116.00 $65,116.00 2026-03-27
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 11 10 — — $41,413.93 $171,016.20 $66,582.00 2026-03-27
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 2 2 — — $95,153.31 $95,153.31 $95,153.31 2026-03-27
4403 APR_DRG Kidney Transplant 2 2 — — $36,278.54 $36,278.54 $36,278.54 2026-03-27
4404 APR_DRG Kidney Transplant 2 2 — — $55,037.97 $55,037.97 $55,037.97 2026-03-27
4414 APR_DRG Major Bladder Procedures 2 2 — — $37,094.31 $37,094.31 $37,094.31 2026-03-27
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 11 10 — — $50,757.33 $209,599.18 $81,604.00 2026-03-27
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 11 10 — — $30,913.77 $127,656.46 $49,701.00 2026-03-27
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 11 10 — — $38,988.37 $161,000.01 $62,682.00 2026-03-27
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 11 10 — — $23,362.29 $96,473.08 $37,560.00 2026-03-27
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 11 10 — — $64,115.32 $264,760.15 $103,080.00 2026-03-27
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 11 10 — — $43,449.61 $179,422.43 $69,855.00 2026-03-27
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 11 10 — — $32,689.03 $134,987.29 $52,555.00 2026-03-27
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 11 10 — — $46,457.34 $191,842.63 $72,915.00 2026-03-27
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 11 10 — — $21,680.14 $89,526.77 $34,856.00 2026-03-27
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 11 10 — — $40,887.78 $168,843.52 $65,737.00 2026-03-27
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 11 10 — — $22,322.11 $92,177.75 $35,890.00 2026-03-27
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 11 10 — — $38,568.21 $159,264.99 $62,008.00 2026-03-27
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 11 10 — — $25,930.17 $107,076.99 $41,688.00 2026-03-27
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 11 10 — — $24,745.40 $102,184.56 $39,784.00 2026-03-27
471 MS_DRG Cervical Spinal Fusion With Mcc 11 10 — — $36,771.75 $151,846.63 $59,119.00 2026-03-27
472 MS_DRG Cervical Spinal Fusion With Cc 11 10 — — $21,932.99 $90,570.90 $35,262.00 2026-03-27
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 11 10 — — $33,951.02 $140,198.58 $54,584.00 2026-03-27
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 11 10 — — $26,034.64 $107,508.40 $41,857.00 2026-03-27
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 11 10 — — $22,264.58 $91,940.16 $35,798.00 2026-03-27
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 11 10 — — $24,371.42 $100,640.24 $39,238.00 2026-03-27
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 11 10 — — $26,884.04 $111,015.95 $43,223.00 2026-03-27
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 11 10 — — $26,652.39 $110,059.34 $42,849.00 2026-03-27
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 11 10 — — $80,620.32 $332,916.54 $129,615.00 2026-03-27
500 MS_DRG Soft Tissue Procedures With Mcc 11 10 — — $23,988.36 $99,058.41 $38,567.00 2026-03-27
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 11 10 — — $21,636.99 $89,348.58 $34,788.00 2026-03-27
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 11 10 — — $23,410.74 $96,673.16 $37,638.00 2026-03-27
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 11 10 — — $27,132.35 $112,041.32 $43,622.00 2026-03-27
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 2 2 — — $33,800.70 $33,800.70 $33,800.70 2026-03-27
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 11 10 — — $22,065.47 $91,117.98 $35,477.00 2026-03-27
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 2 2 — — $46,177.24 $46,177.24 $46,177.24 2026-03-27
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 2 2 — — $62,707.99 $62,707.99 $62,707.99 2026-03-27
570 MS_DRG Skin Debridement With Mcc 11 10 — — $22,788.45 $94,103.46 $36,643.00 2026-03-27
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 11 10 — — $46,620.10 $192,514.75 $74,953.00 2026-03-27
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 11 10 — — $26,230.71 $108,318.08 $42,172.00 2026-03-27
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 11 10 — — $40,844.63 $168,665.33 $65,667.00 2026-03-27
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 11 10 — — $24,674.99 $101,893.83 $39,670.00 2026-03-27
5831 APR_DRG Neonate With Ecmo 2 2 — — $97,718.05 $97,718.05 $97,718.05 2026-03-27
5832 APR_DRG Neonate With Ecmo 2 2 — — $113,075.94 $113,075.94 $113,075.94 2026-03-27
5833 APR_DRG Neonate With Ecmo 2 2 — — $153,343.24 $153,343.24 $153,343.24 2026-03-27
5834 APR_DRG Neonate With Ecmo 2 2 — — $193,610.54 $193,610.54 $193,610.54 2026-03-27
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 2 2 — — $65,945.26 $65,945.26 $65,945.26 2026-03-27
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 2 2 — — $100,184.79 $100,184.79 $100,184.79 2026-03-27
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 2 2 — — $102,313.47 $102,313.47 $102,313.47 2026-03-27
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 2 2 — — $158,813.15 $158,813.15 $158,813.15 2026-03-27
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 2 2 — — $58,596.63 $58,596.63 $58,596.63 2026-03-27
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 2 2 — — $100,020.12 $100,020.12 $100,020.12 2026-03-27
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 2 2 — — $52,791.84 $52,791.84 $52,791.84 2026-03-27
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 2 2 — — $66,606.28 $66,606.28 $66,606.28 2026-03-27
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 2 2 — — $103,576.40 $103,576.40 $103,576.40 2026-03-27
6 MS_DRG Liver Transplant Without Mcc 11 10 — — $36,710.43 $151,593.41 $59,021.00 2026-03-27
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 2 2 — — $44,670.29 $44,670.29 $44,670.29 2026-03-27
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 2 2 — — $58,543.06 $58,543.06 $58,543.06 2026-03-27
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 2 2 — — $74,243.77 $74,243.77 $74,243.77 2026-03-27
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 2 2 — — $40,516.08 $40,516.08 $40,516.08 2026-03-27
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 2 2 — — $83,258.05 $83,258.05 $83,258.05 2026-03-27
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 2 2 — — $34,351.42 $34,351.42 $34,351.42 2026-03-27
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 2 2 — — $44,362.79 $44,362.79 $44,362.79 2026-03-27
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 2 2 — — $57,025.80 $57,025.80 $57,025.80 2026-03-27
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 2 2 — — $34,386.73 $34,386.73 $34,386.73 2026-03-27
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 2 2 — — $36,106.34 $36,106.34 $36,106.34 2026-03-27
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 2 2 — — $49,512.51 $49,512.51 $49,512.51 2026-03-27
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 2 2 — — $99,382.11 $99,382.11 $99,382.11 2026-03-27
61 APR_DRG Pancreas Transplant 2 2 — — $39,691.58 $39,691.58 $39,691.58 2026-03-27
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 2 2 — — $43,335.15 $43,335.15 $43,335.15 2026-03-27
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 2 2 — — $41,439.37 $41,439.37 $41,439.37 2026-03-27
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 2 2 — — $40,656.93 $40,656.93 $40,656.93 2026-03-27
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 11 10 — — $29,259.63 $120,825.81 $47,044.00 2026-03-27
62 APR_DRG Pancreas Transplant 2 2 — — $50,495.32 $50,495.32 $50,495.32 2026-03-27
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 2 2 — — $33,997.10 $33,997.10 $33,997.10 2026-03-27
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 11 10 — — $28,328.47 $116,980.65 $45,572.00 2026-03-27
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 11 10 — — $21,705.12 $89,629.93 $34,896.00 2026-03-27
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 11 10 — — $29,870.57 $123,348.62 $48,034.00 2026-03-27
63 APR_DRG Pancreas Transplant 2 2 — — $58,167.72 $58,167.72 $58,167.72 2026-03-27
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 2 2 — — $35,337.79 $35,337.79 $35,337.79 2026-03-27
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 2 2 — — $55,697.01 $55,697.01 $55,697.01 2026-03-27
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 2 2 — — $115,272.48 $115,272.48 $115,272.48 2026-03-27
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 2 2 — — $36,640.40 $36,640.40 $36,640.40 2026-03-27
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 2 2 — — $95,411.21 $95,411.21 $95,411.21 2026-03-27
64 APR_DRG Pancreas Transplant 2 2 — — $82,724.79 $82,724.79 $82,724.79 2026-03-27
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 11 10 — — $34,879.15 $144,031.25 $56,076.00 2026-03-27
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 11 10 — — $26,288.25 $108,555.66 $42,264.00 2026-03-27
652 MS_DRG Kidney Transplant 11 10 — — $23,251.76 $96,016.66 $37,383.00 2026-03-27
653 MS_DRG Major Bladder Procedures With Mcc 11 10 — — $42,202.01 $174,270.53 $67,849.00 2026-03-27
654 MS_DRG Major Bladder Procedures With Cc 11 10 — — $21,364.45 $88,223.16 $34,348.00 2026-03-27
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 11 10 — — $24,664.40 $101,850.06 $39,653.00 2026-03-27
662 MS_DRG Minor Bladder Procedures With Mcc 11 10 — — $23,616.65 $97,523.47 $37,969.00 2026-03-27
665 MS_DRG Prostatectomy With Mcc 11 10 — — $25,993.76 $107,339.59 $41,791.00 2026-03-27
668 MS_DRG Transurethral Procedures With Mcc 11 10 — — $22,077.59 $91,168.00 $35,495.00 2026-03-27
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 11 10 — — $31,716.99 $130,973.31 $51,001.00 2026-03-27
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 2 2 — — $41,529.44 $41,529.44 $41,529.44 2026-03-27
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 2 2 — — $35,412.78 $35,412.78 $35,412.78 2026-03-27
6904 APR_DRG Acute Leukemia 2 2 — — $33,897.51 $33,897.51 $33,897.51 2026-03-27
7 MS_DRG Lung Transplant 11 10 — — $98,936.17 $408,550.68 $159,062.00 2026-03-27
71 APR_DRG Allogeneic Bone Marrow Transplant 2 2 — — $39,431.30 $39,431.30 $39,431.30 2026-03-27
72 APR_DRG Allogeneic Bone Marrow Transplant 2 2 — — $44,283.83 $44,283.83 $44,283.83 2026-03-27
73 APR_DRG Allogeneic Bone Marrow Transplant 2 2 — — $56,613.95 $56,613.95 $56,613.95 2026-03-27
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 11 10 — — $29,809.25 $123,095.40 $47,925.00 2026-03-27
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 11 10 — — $30,137.05 $124,449.02 $48,453.00 2026-03-27
74 APR_DRG Allogeneic Bone Marrow Transplant 2 2 — — $96,065.49 $96,065.49 $96,065.49 2026-03-27
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure 2 2 — — $36,159.91 $36,159.91 $36,159.91 2026-03-27
7594 APR_DRG Eating Disorders 2 2 — — $33,836.80 $33,836.80 $33,836.80 2026-03-27
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 11 10 — — $44,822.83 $185,843.54 $45,004.57 2026-03-27
799 MS_DRG Splenic Procedures With Mcc 11 10 — — $35,995.79 $148,642.32 $57,872.00 2026-03-27
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 11 10 — — $41,191.36 $170,097.11 $66,225.00 2026-03-27
800 MS_DRG Splenic Procedures With Cc 11 10 — — $22,058.66 $91,089.85 $35,464.00 2026-03-27
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 11 10 — — $27,138.41 $112,066.33 $43,632.00 2026-03-27
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 11 10 — — $44,077.20 $182,014.01 $70,864.00 2026-03-27
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 11 10 — — $35,425.73 $146,288.33 $56,955.00 2026-03-27
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 11 10 — — $36,152.49 $149,289.44 $58,124.00 2026-03-27
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 11 10 — — $23,345.63 $96,404.31 $37,534.00 2026-03-27
834 MS_DRG Acute Leukemia With Mcc 11 10 — — $41,843.93 $172,791.85 $67,273.00 2026-03-27
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 11 10 — — $37,906.56 $156,532.73 $60,943.00 2026-03-27
84 APR_DRG Autologous Bone Marrow Transplant 2 2 — — $48,595.57 $48,595.57 $48,595.57 2026-03-27
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 11 10 — — $24,142.04 $99,693.02 $38,821.00 2026-03-27
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 2 2 — — $39,297.59 $39,297.59 $39,297.59 2026-03-27
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 2 2 — — $107,081.10 $107,081.10 $107,081.10 2026-03-27
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 2 2 — — $54,115.87 $54,115.87 $54,115.87 2026-03-27
850 MS_DRG Acute Leukemia With Other Procedures 11 10 — — $69,737.86 $287,978.09 $112,120.00 2026-03-27
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 2 2 — — $37,713.27 $37,713.27 $37,713.27 2026-03-27
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 11 10 — — $37,861.89 $156,348.29 $60,878.00 2026-03-27
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 11 10 — — $34,154.66 $141,039.52 $54,912.00 2026-03-27
8634 APR_DRG Neonatal Aftercare 2 2 — — $42,484.07 $42,484.07 $42,484.07 2026-03-27
870 MS_DRG Septicemia Or Severe Sepsis With Mv &gt;96 Hours 11 10 — — $52,663.56 $217,470.83 $84,675.00 2026-03-27
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 11 10 — — $29,748.68 $122,845.31 $47,829.00 2026-03-27
894 APR_DRG Major Cranial Or Facial Bone Procedures 2 2 — — $34,904.52 $34,904.52 $34,904.52 2026-03-27
901 MS_DRG Wound Debridements For Injuries With Mcc 11 10 — — $33,540.70 $138,504.21 $53,924.00 2026-03-27
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 11 10 — — $29,230.11 $120,703.89 $46,995.00 2026-03-27
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 11 10 — — $30,158.24 $124,536.56 $48,487.00 2026-03-27
9104 APR_DRG Craniotomy For Multiple Significant Trauma 2 2 — — $41,962.71 $41,962.71 $41,962.71 2026-03-27
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 2 2 — — $39,643.97 $39,643.97 $39,643.97 2026-03-27
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 2 2 — — $38,517.53 $38,517.53 $38,517.53 2026-03-27
914 APR_DRG Other Major Head And Neck Procedures 2 2 — — $39,264.26 $39,264.26 $39,264.26 2026-03-27
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours With Skin Graft 11 10 — — $179,591.32 $741,611.02 $244,790.00 2026-03-27
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 11 10 — — $50,562.01 $208,792.63 $81,291.00 2026-03-27
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 11 10 — — $24,076.93 $99,424.17 $38,709.00 2026-03-27
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 2 2 — — $42,935.60 $42,935.60 $42,935.60 2026-03-27
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours Without Skin Graft 11 10 — — $32,756.41 $135,265.51 $52,665.00 2026-03-27
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 11 10 — — $24,028.48 $99,224.10 $38,631.00 2026-03-27
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 2 2 — — $93,157.54 $93,157.54 $93,157.54 2026-03-27
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 11 10 — — $27,622.15 $114,063.94 $44,408.00 2026-03-27
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 2 2 — — $34,560.52 $34,560.52 $34,560.52 2026-03-27
955 MS_DRG Craniotomy For Multiple Significant Trauma 11 10 — — $51,693.03 $213,463.11 $83,109.00 2026-03-27
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 11 10 — — $28,937.14 $119,494.07 $46,524.00 2026-03-27
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 11 10 — — $56,507.05 $233,342.31 $90,848.00 2026-03-27
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 11 10 — — $31,112.87 $128,478.64 $50,021.00 2026-03-27
963 MS_DRG Other Multiple Significant Trauma With Mcc 11 10 — — $20,566.53 $84,928.20 $33,066.00 2026-03-27
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 11 10 — — $47,877.54 $197,707.29 $76,975.00 2026-03-27
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 11 10 — — $27,136.89 $112,060.08 $43,634.00 2026-03-27
974 MS_DRG HIV With Major Related Condition With Mcc 11 10 — — $22,606.76 $93,353.18 $36,346.00 2026-03-27
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 11 10 — — $35,988.97 $148,614.19 $57,869.00 2026-03-27
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 11 10 — — $26,516.88 $109,499.76 $42,639.00 2026-03-27
A9543 HCPCS Hc Provsn,ther Radiorx_zeval 14 13 $92,587.00 $41,664.15 55% off $18,517.40 $92,587.00 $59,674.87 2026-03-27
J9029 HCPCS Nadofaragene Firadenovec-vncg 300000000000 Vp/ml Is Susp 14 13 $78,750.00 $35,437.50 55% off $15,750.00 $78,750.00 $66,612.75 2026-03-27
Q2042 HCPCS Hc Kymriah Car-t Cell-dlbcl 14 13 $839,250.00 $377,662.50 55% off $167,850.00 $839,250.00 $607,333.34 2026-03-27
Q2054 HCPCS Lisocabtagene Maraleucel (cd8) 70000000 Cells IV Susp 20 13 $2,656,752.00 $1,195,538.40 55% off $531,350.40 $1,591,406.98 $605,711.76 2026-03-27
Q2055 HCPCS Idecabtagene Vicleucel 460000000 Cells IV Susp 14 13 $2,641,583.38 $1,188,712.53 55% off $528,316.68 $1,582,308.44 $587,984.68 2026-03-27
Q2058 HCPCS Obecabtagene Autoleucel 10 X 1,000,000 Cells IV Susp Day 0 21 13 $2,625,021.00 $1,181,259.45 55% off $262,500.00 $1,572,387.58 $525,004.20 2026-03-27
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