Price Transparency Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

OSF SAINT ELIZABETH MDL CTR

Ottawa, IL · CCN 140110 · Rates published

8,391 distinct procedures filed
16 distinct payers
55,897 rate rows
2026-03-31 last MRF observed
Data quality

32,784 of 55,897 rate rows are consumer-grade (58.7%)

23,113 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 23,107
placeholder amount (≤ $0.02) — excluded from medians 6
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://osf-p-001.sitecorecontenthub.cloud/api/public/content/362604009_osf-saint-elizabeth-medical-center_standardcharges.json
Found on page https://www.osfhealthcare.org/patients-visitors/billing-insurance/price-transparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-16
Content fingerprint a2a094b6ef87777b… · 18,295,821 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 2 $4,505,000.00 $4,595,100.00 $4,550,050.00 nat. median
$4,505,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 2 $3,691,450.00 $3,765,279.00 $3,728,364.50 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 2 $3,321,376.38 $3,387,803.91 $3,354,590.14 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 2 $3,245,381.39 $3,310,289.02 $3,277,835.20 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 2 $2,938,320.00 $2,997,086.40 $2,967,703.20 nat. median
$3,006,423
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 2 $2,587,087.26 $2,638,829.00 $2,612,958.13 nat. median
$2,469,189
1.1× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 2 $2,332,000.00 $2,378,640.00 $2,355,320.00 nat. median
$2,448,600
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 3 $770,620.00 $2,098,012.95 $782,179.30 nat. median
$824,563
0.9× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 3 $614,180.81 $1,574,488.67 $623,393.52 nat. median
$754,974
0.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 3 $588,494.81 $1,506,573.87 $597,322.23 nat. median
$675,122
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 3 $562,260.84 $1,474,603.09 $570,694.74 nat. median
$674,188
0.8× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 3 $559,781.08 $1,473,581.57 $568,177.79 nat. median
$625,184
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 3 $531,849.12 $1,451,300.71 $539,826.85 nat. median
$634,511
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 3 $489,290.60 $1,333,262.70 $496,629.96 nat. median
$620,080
0.8× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 9 $343,605.54 $734,193.97 $355,374.04 nat. median
$370,174
1.0× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 3 $278,250.00 $736,095.94 $282,423.75 nat. median
$324,450
0.9× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 9 $222,986.17 $476,462.35 $230,845.58 nat. median
$265,286
0.9× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 9 $169,885.93 $363,001.20 $176,024.43 nat. median
$206,368
0.9× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 9 $168,888.92 $360,870.85 $174,995.10 nat. median
$202,986
0.9× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 9 $110,215.59 $235,501.50 $114,420.26 nat. median
$133,176
0.9× median
7
MS_DRG 		Lung Transplant 9 $103,044.74 $220,179.30 $107,017.01 nat. median
$122,708
0.9× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 9 $95,626.43 $204,328.34 $99,358.29 nat. median
$117,303
0.8× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 9 $90,167.13 $192,663.26 $93,722.06 nat. median
$108,660
0.9× median
209
MS_DRG 		Complex Aortic Arch Procedures 9 $90,063.69 $192,442.24 $93,615.27 nat. median
$98,017
1.0× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 9 $87,695.69 $187,382.44 $91,170.53 nat. median
$98,905
0.9× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 9 $86,525.21 $184,881.45 $89,962.11 nat. median
$102,358
0.9× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 9 $82,040.65 $175,299.12 $85,332.21 nat. median
$100,136
0.9× median
215
MS_DRG 		Other Heart Assist System Implant 9 $79,227.85 $169,288.91 $82,428.25 nat. median
$99,019
0.8× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 9 $77,841.74 $166,327.17 $80,997.22 nat. median
$93,672
0.9× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 9 $71,689.39 $153,181.22 $74,645.48 nat. median
$82,712
0.9× median
850
MS_DRG 		Acute Leukemia With Other Procedures 9 $68,903.64 $147,228.82 $71,769.45 nat. median
$83,442
0.9× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 9 $67,076.71 $143,325.16 $69,883.31 nat. median
$79,312
0.9× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 9 $66,865.85 $142,874.61 $69,665.63 nat. median
$81,118
0.9× median
J9600
HCPCS 		Porfimer Sodium Injection 1 $65,961.87 $65,961.87 $65,961.87 nat. median
$31,644
outlier · 2.1×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 9 $62,612.04 $133,785.34 $65,273.96 nat. median
$77,576
0.8× median
J9029
HCPCS 		Inj, Adstiladrin, Per Tx Dos 3 $64,282.30 $172,691.03 $65,246.53 nat. median
$69,774
0.9× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 9 $61,096.23 $130,546.46 $63,709.02 nat. median
$74,915
0.9× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 9 $60,832.86 $129,983.69 $63,437.11 nat. median
$73,807
0.9× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 9 $60,631.54 $129,553.54 $63,229.27 nat. median
$72,138
0.9× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 9 $57,438.40 $122,730.64 $59,932.64 nat. median
$68,090
0.9× median
10
MS_DRG 		Pancreas Transplant 9 $57,097.04 $122,001.25 $59,580.22 nat. median
$68,882
0.9× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 9 $52,540.11 $121,950.25 $59,260.75 nat. median
$64,027
0.9× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 9 $56,770.01 $121,302.47 $59,242.59 nat. median
$71,240
0.8× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 9 $56,736.59 $121,231.06 $59,208.09 nat. median
$68,887
0.9× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 3 $56,824.55 $154,704.84 $57,676.92 nat. median
$62,507
0.9× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 9 $54,727.45 $116,938.06 $57,133.83 nat. median
$65,950
0.9× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 3 $56,269.19 $152,312.90 $57,113.23 nat. median
$66,682
0.9× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 9 $16,970.34 $117,514.42 $56,843.88 nat. median
$66,526
0.9× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 9 $53,559.36 $114,442.16 $55,927.89 nat. median
$64,732
0.9× median
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 9 $53,204.48 $113,683.87 $55,561.50 nat. median
$60,691
0.9× median

Other procedures at this hospital

Browse this hospital's 8,391 published procedures. Use the slice to choose what to show, then sort or filter any column.

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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
             
20982 HCPCS Ablate Bone Tumor(s) Perq 3 2 — — $18,789.56 $19,165.36 $18,977.46 2026-03-31
288 MS_DRG Acute And Subacute Endocarditis With Mcc 11 9 — — $21,533.23 $46,010.81 $22,863.83 2026-03-31
834 MS_DRG Acute Leukemia With Mcc 11 9 — — $43,683.13 $93,339.28 $45,731.59 2026-03-31
850 MS_DRG Acute Leukemia With Other Procedures 11 9 — — $68,903.64 $147,228.82 $71,769.45 2026-03-31
Q2057 HCPCS Afamitresgene Autoleucel 4 3 — — $770,620.00 $2,098,012.95 $782,179.30 2026-03-31
245 MS_DRG Aicd Generator Procedures 11 9 — — $36,303.02 $77,569.92 $38,112.29 2026-03-31
265 MS_DRG Aicd Lead Procedures 11 9 — — $28,790.02 $61,516.64 $30,355.80 2026-03-31
14 MS_DRG Allogeneic Bone Marrow Transplant 11 9 — — $95,626.43 $204,328.34 $99,358.29 2026-03-31
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 11 9 — — $22,681.43 $48,464.20 $24,049.24 2026-03-31
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 11 9 — — $39,161.97 $83,678.74 $41,063.89 2026-03-31
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 11 9 — — $18,107.74 $38,691.45 $19,327.34 2026-03-31
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 11 9 — — $34,158.61 $72,987.89 $35,898.38 2026-03-31
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 11 9 — — $27,749.24 $59,292.77 $29,281.30 2026-03-31
347 MS_DRG Anal And Stomal Procedures With Mcc 11 9 — — $18,266.09 $39,029.79 $19,490.81 2026-03-31
22808 HCPCS Ant Fusion 2-3 Vert Seg 3 2 — — $18,789.56 $19,165.36 $18,977.46 2026-03-31
22810 HCPCS Ant Fusion 4-7 Vert Seg 3 2 — — $18,789.56 $19,165.36 $18,977.46 2026-03-31
22812 HCPCS Ant Fusion 8/> Vert Seg 3 2 — — $18,789.56 $19,165.36 $18,977.46 2026-03-31
22836 HCPCS Ant Thrc Vrt Body Tethrg <7 3 2 — — $18,789.56 $19,165.36 $18,977.46 2026-03-31
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 11 9 — — $54,727.45 $116,938.06 $57,133.83 2026-03-31
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 11 9 — — $33,604.00 $71,802.85 $35,325.80 2026-03-31
397 MS_DRG Appendix Procedures With Mcc 11 9 — — $19,056.22 $40,718.09 $20,306.54 2026-03-31
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 11 9 — — $47,182.62 $100,816.76 $49,344.49 2026-03-31
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 11 9 — — $43,224.81 $92,359.96 $45,258.41 2026-03-31
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 4 3 — — $531,849.12 $1,451,300.71 $539,826.85 2026-03-31
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 11 9 — — $29,737.70 $63,541.57 $31,334.20 2026-03-31
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 11 9 — — $20,522.69 $43,851.56 $21,820.54 2026-03-31
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 11 9 — — $28,003.87 $59,836.84 $29,544.18 2026-03-31
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 11 9 — — $20,522.69 $43,851.56 $21,820.54 2026-03-31
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 11 9 — — $43,946.51 $93,902.05 $46,003.50 2026-03-31
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 11 9 — — $21,165.62 $45,225.32 $22,484.31 2026-03-31
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 11 9 — — $28,371.48 $60,622.33 $29,923.70 2026-03-31
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 12 9 — — $19,567.85 $92,650.90 $20,834.76 2026-03-31
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 11 9 — — $27,488.25 $58,735.11 $29,011.86 2026-03-31
Q2053 HCPCS Brexucabtagene Car Pos T 4 3 — — $489,290.60 $1,333,262.70 $496,629.96 2026-03-31
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 11 9 — — $56,736.59 $121,231.06 $59,208.09 2026-03-31
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 11 9 — — $47,794.52 $102,124.21 $49,976.21 2026-03-31
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 11 9 — — $36,749.40 $78,523.74 $38,573.14 2026-03-31
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 11 9 — — $25,001.69 $53,421.98 $26,444.70 2026-03-31
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 11 9 — — $25,882.53 $55,304.11 $27,354.09 2026-03-31
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 9 — — $77,841.74 $166,327.17 $80,997.22 2026-03-31
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 9 — — $52,319.66 $111,793.25 $54,648.01 2026-03-31
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 9 — — $52,319.66 $111,793.25 $54,648.01 2026-03-31
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 11 9 — — $61,096.23 $130,546.46 $63,709.02 2026-03-31
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 11 9 — — $42,433.09 $90,668.27 $44,441.03 2026-03-31
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 11 9 — — $40,104.87 $85,693.48 $42,037.36 2026-03-31
35 MS_DRG Carotid Artery Stent Procedures With Cc 11 9 — — $19,021.21 $40,643.28 $20,270.41 2026-03-31
34 MS_DRG Carotid Artery Stent Procedures With Mcc 11 9 — — $30,799.16 $65,809.64 $32,430.06 2026-03-31
472 MS_DRG Cervical Spinal Fusion With Cc 11 9 — — $23,442.12 $50,089.59 $24,834.59 2026-03-31
471 MS_DRG Cervical Spinal Fusion With Mcc 11 9 — — $38,421.97 $82,097.56 $40,299.91 2026-03-31
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 11 9 — — $19,425.42 $41,506.98 $20,687.72 2026-03-31
783 MS_DRG Cesarean Section With Sterilization With Mcc 11 9 — — $19,535.23 $41,741.61 $20,801.08 2026-03-31
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 11 9 — — $38,227.82 $81,682.71 $40,099.46 2026-03-31
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 11 9 — — $20,628.52 $44,077.69 $21,929.81 2026-03-31
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 11 9 — — $343,605.54 $734,193.97 $355,374.04 2026-03-31
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 11 9 — — $28,347.61 $60,571.33 $29,899.06 2026-03-31
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 11 9 — — $26,284.36 $56,162.71 $27,768.94 2026-03-31
Q2056 HCPCS Ciltacabtagene Car-pos T 4 3 — — $588,494.81 $1,506,573.87 $597,322.23 2026-03-31
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 11 9 — — $71,689.39 $153,181.22 $74,645.48 2026-03-31
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 11 9 — — $45,888.81 $98,052.23 $48,008.75 2026-03-31
209 MS_DRG Complex Aortic Arch Procedures 11 9 — — $90,063.69 $192,442.24 $93,615.27 2026-03-31
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 11 9 — — $86,525.21 $184,881.45 $89,962.11 2026-03-31
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 11 9 — — $53,204.48 $113,683.87 $55,561.50 2026-03-31
545 MS_DRG Connective Tissue Disorders With Mcc 11 9 — — $19,746.89 $42,193.86 $21,019.59 2026-03-31
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 11 9 — — $60,832.86 $129,983.69 $63,437.11 2026-03-31
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 11 9 — — $43,466.70 $92,876.83 $45,508.15 2026-03-31
231 MS_DRG Coronary Bypass With Ptca With Mcc 11 9 — — $67,076.71 $143,325.16 $69,883.31 2026-03-31
232 MS_DRG Coronary Bypass With Ptca Without Mcc 11 9 — — $48,240.11 $103,076.33 $50,436.25 2026-03-31
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 11 9 — — $46,696.45 $99,777.94 $48,842.56 2026-03-31
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 11 9 — — $33,330.28 $71,217.98 $35,043.21 2026-03-31
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 11 9 — — $34,433.12 $73,574.45 $36,181.80 2026-03-31
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 11 9 — — $25,072.51 $53,573.30 $26,517.81 2026-03-31
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 11 9 — — $25,545.15 $54,583.22 $27,005.78 2026-03-31
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 11 9 — — $24,739.90 $52,862.62 $26,174.43 2026-03-31
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 11 9 — — $36,178.09 $77,302.99 $37,983.31 2026-03-31
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 11 9 — — $20,074.72 $42,894.35 $21,358.06 2026-03-31
955 MS_DRG Craniotomy For Multiple Significant Trauma 11 9 — — $53,559.36 $114,442.16 $55,927.89 2026-03-31
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 11 9 — — $45,596.00 $97,426.56 $47,706.44 2026-03-31
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 11 9 — — $31,126.99 $66,510.12 $32,768.51 2026-03-31
56 MS_DRG Degenerative Nervous System Disorders With Mcc 13 9 — — $6,256.70 $39,497.35 $19,521.51 2026-03-31
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 11 9 — — $168,888.92 $360,870.85 $174,995.10 2026-03-31
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 11 9 — — $45,409.80 $97,028.71 $47,514.22 2026-03-31
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 11 9 — — $48,763.68 $104,195.06 $50,976.78 2026-03-31
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 11 9 — — $37,881.69 $80,943.12 $39,742.12 2026-03-31
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 11 9 — — $169,885.93 $363,001.20 $176,024.43 2026-03-31
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 11 9 — — $30,986.15 $66,209.19 $32,623.11 2026-03-31
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 13 9 — — $19,406.17 $50,663.85 $20,829.02 2026-03-31
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 11 9 — — $37,332.65 $79,769.98 $39,175.29 2026-03-31
37 MS_DRG Extracranial Procedures With Mcc 11 9 — — $26,195.24 $55,972.28 $27,676.94 2026-03-31
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 11 9 — — $47,292.43 $101,051.39 $49,457.85 2026-03-31
503 MS_DRG Foot Procedures With Mcc 11 9 — — $22,208.78 $47,454.28 $23,561.28 2026-03-31
793 MS_DRG Full Term Neonate With Major Problems 13 9 — — $1,738.82 $70,891.54 $34,540.09 2026-03-31
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 12 9 — — $52,540.11 $121,950.25 $59,260.75 2026-03-31
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 11 9 — — $25,627.91 $54,760.04 $27,091.21 2026-03-31
28705 HCPCS Fusion Of Foot Bones 3 2 — — $18,789.56 $19,165.36 $18,977.46 2026-03-31
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 11 9 — — $222,986.17 $476,462.35 $230,845.58 2026-03-31
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 11 9 — — $90,167.13 $192,663.26 $93,722.06 2026-03-31
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 11 9 — — $27,110.29 $57,927.51 $28,621.64 2026-03-31
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 11 9 — — $23,091.21 $49,339.80 $24,472.31 2026-03-31
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 13 9 — — $21,514.47 $49,514.92 $24,313.79 2026-03-31
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 15 9 — — $19,002.56 $53,294.58 $23,971.36 2026-03-31
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 11 9 — — $48,707.18 $104,074.34 $50,918.46 2026-03-31
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 11 9 — — $20,985.79 $44,841.07 $22,298.66 2026-03-31
974 MS_DRG HIV With Major Related Condition With Mcc 11 9 — — $22,963.90 $49,067.77 $24,340.87 2026-03-31
Q2055 HCPCS Idecabtagene Vicleucel Car 4 3 — — $559,781.08 $1,473,581.57 $568,177.79 2026-03-31
C8003 HCPCS Imp Extar Knee Shck Absrb 3 2 — — $18,789.56 $19,165.36 $18,977.46 2026-03-31
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 17 9 — — $21,741.27 $148,553.11 $40,794.78 2026-03-31
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 11 9 — — $19,828.05 $42,367.28 $21,103.39 2026-03-31
J1413 HCPCS Inj Delandistrogene Mox Rokl 3 2 — — $3,321,376.38 $3,387,803.91 $3,354,590.14 2026-03-31
J3399 HCPCS Inj Onase Abepar-xioi Treat 3 2 — — $2,587,087.26 $2,638,829.00 $2,612,958.13 2026-03-31
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 4 3 — — $64,282.30 $172,691.03 $65,246.53 2026-03-31
J3391 HCPCS Inj, Atidarsagene Autotemcel 3 2 — — $4,505,000.00 $4,595,100.00 $4,550,050.00 2026-03-31
J3393 HCPCS Inj, Betibeglogene Autotemce 3 2 — — $2,938,320.00 $2,997,086.40 $2,967,703.20 2026-03-31
0763 OTHER Inj, Bupivacaine Liposome 2 2 — — $11,623.17 $51,028.52 $31,325.85 2026-03-31
J3392 HCPCS Inj, Exagamglogene Autotem 3 2 — — $2,332,000.00 $2,378,640.00 $2,355,320.00 2026-03-31
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 3 2 — — $3,691,450.00 $3,765,279.00 $3,728,364.50 2026-03-31
J3394 HCPCS Inj, Lovotibeglogene Autotem 3 2 — — $3,245,381.39 $3,310,289.02 $3,277,835.20 2026-03-31
Q0224 HCPCS Inj, Pemivibart, 4500 Mg 1 1 — — $19,708.18 $19,708.18 $19,708.18 2026-03-31
22867 HCPCS Insj Stablj Dev W/dcmprn 3 2 — — $18,789.56 $19,165.36 $18,977.46 2026-03-31
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 11 9 — — $42,122.77 $90,005.19 $44,120.65 2026-03-31
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 11 9 — — $62,612.04 $133,785.34 $65,273.96 2026-03-31
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 11 9 — — $25,282.57 $54,022.15 $26,734.69 2026-03-31
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 11 9 — — $21,938.24 $46,876.21 $23,281.97 2026-03-31
0764 OTHER Ketorolac Tromethamine Inj 3 2 — — $9,505.85 $46,047.65 $44,459.45 2026-03-31
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 11 9 — — $25,333.50 $54,130.97 $26,787.26 2026-03-31
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 13 9 — — $14,157.77 $43,200.38 $21,292.99 2026-03-31
652 MS_DRG Kidney Transplant 11 9 — — $25,697.13 $54,907.96 $27,162.69 2026-03-31
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 11 9 — — $37,409.04 $79,933.20 $39,254.16 2026-03-31
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 11 9 — — $29,487.05 $63,006.01 $31,075.43 2026-03-31
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 11 9 — — $25,678.03 $54,867.15 $27,142.97 2026-03-31
22818 HCPCS Kyphectomy 1-2 Segments 3 2 — — $18,789.56 $19,165.36 $18,977.46 2026-03-31
22819 HCPCS Kyphectomy 3 Or More 3 2 — — $18,789.56 $19,165.36 $18,977.46 2026-03-31
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 12 9 — — $18,856.23 $40,573.57 $20,136.54 2026-03-31
22533 HCPCS Lat Lumbar Spine Fusion 3 2 — — $18,789.56 $19,165.36 $18,977.46 2026-03-31
5092 OTHER Level 2 Breast/Lymphatic Surgery And Related Procedures 2 2 — — $6,938.34 $36,287.25 $21,612.79 2026-03-31
5416 OTHER Level 6 Gynecologic Procedures 1 1 — — $27,660.85 $27,660.85 $27,660.85 2026-03-31
5116 OTHER Level 6 Musculoskeletal Procedures 4 3 — — $18,795.66 $19,560.20 $18,995.81 2026-03-31
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 12 9 — — $29,942.19 $63,978.53 $31,389.15 2026-03-31
Q2054 HCPCS Lisocabtagene Mara Car Pos T 4 3 — — $562,260.84 $1,474,603.09 $570,694.74 2026-03-31
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 11 9 — — $82,040.65 $175,299.12 $85,332.21 2026-03-31
6 MS_DRG Liver Transplant Without Mcc 11 9 — — $36,896.61 $78,838.27 $38,725.12 2026-03-31
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 11 9 — — $28,849.69 $61,644.15 $30,417.41 2026-03-31
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 11 9 — — $24,004.68 $51,291.63 $25,415.38 2026-03-31
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 13 9 — — $18,878.94 $43,118.77 $21,253.95 2026-03-31
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 11 9 — — $29,214.92 $62,424.54 $30,794.48 2026-03-31
22612 HCPCS Lumbar Spine Fusion 3 2 — — $18,789.56 $19,165.36 $18,977.46 2026-03-31
7 MS_DRG Lung Transplant 11 9 — — $103,044.74 $220,179.30 $107,017.01 2026-03-31
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 11 9 — — $17,812.54 $38,060.68 $19,022.56 2026-03-31
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 11 9 — — $46,666.21 $99,713.33 $48,811.34 2026-03-31
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 11 9 — — $25,740.10 $54,999.77 $27,207.05 2026-03-31
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 11 9 — — $18,027.38 $38,519.73 $19,244.37 2026-03-31
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 11 9 — — $36,481.25 $77,950.77 $38,296.30 2026-03-31
654 MS_DRG Major Bladder Procedures With Cc 11 9 — — $22,274.03 $47,593.70 $23,628.65 2026-03-31
653 MS_DRG Major Bladder Procedures With Mcc 11 9 — — $41,347.75 $88,349.19 $43,320.52 2026-03-31
164 MS_DRG Major Chest Procedures With Cc 11 9 — — $20,083.47 $42,913.05 $21,367.09 2026-03-31
163 MS_DRG Major Chest Procedures With Mcc 11 9 — — $35,661.68 $76,199.56 $37,450.17 2026-03-31
140 MS_DRG Major Head And Neck Procedures With Mcc 11 9 — — $33,938.99 $72,518.63 $35,671.65 2026-03-31
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 11 9 — — $24,135.17 $51,570.47 $25,550.10 2026-03-31
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 11 9 — — $22,056.01 $47,127.84 $23,403.56 2026-03-31
330 MS_DRG Major Small And Large Bowel Procedures With Cc 18 10 — — $1,686.00 $58,951.77 $20,124.20 2026-03-31
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 16 9 — — $15,120.75 $117,932.25 $38,012.29 2026-03-31
662 MS_DRG Minor Bladder Procedures With Mcc 12 9 — — $24,355.55 $52,051.62 $25,654.94 2026-03-31
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 11 9 — — $20,551.34 $43,912.77 $21,850.13 2026-03-31
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 11 9 — — $87,695.69 $187,382.44 $91,170.53 2026-03-31
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 11 9 — — $57,438.40 $122,730.64 $59,932.64 2026-03-31
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 11 9 — — $44,734.25 $95,585.24 $46,816.77 2026-03-31
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 11 9 — — $53,165.49 $113,600.56 $55,521.26 2026-03-31
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 11 9 — — $33,744.05 $72,102.08 $35,470.38 2026-03-31
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 12 9 — — $24,793.28 $79,531.96 $38,866.92 2026-03-31
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 11 9 — — $18,390.22 $39,295.02 $19,618.97 2026-03-31
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 11 9 — — $25,144.12 $53,726.32 $26,591.74 2026-03-31
22600 HCPCS Neck Spine Fusion 3 2 — — $18,789.56 $19,165.36 $18,977.46 2026-03-31
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 11 9 — — $18,260.52 $39,017.89 $19,485.06 2026-03-31
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 11 9 — — $28,739.09 $61,407.82 $30,303.23 2026-03-31
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 11 9 — — $27,279.78 $58,289.66 $28,796.63 2026-03-31
619 MS_DRG O.r. Procedures For Obesity With Mcc 11 9 — — $22,975.04 $49,091.57 $24,352.37 2026-03-31
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 11 9 — — $18,594.71 $39,731.97 $19,830.09 2026-03-31
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 11 9 — — $28,871.97 $61,691.76 $30,440.42 2026-03-31
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 11 9 — — $30,753.01 $65,711.03 $32,382.42 2026-03-31
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 4 3 — — $278,250.00 $736,095.94 $282,423.75 2026-03-31
113 MS_DRG Orbital Procedures With Cc/Mcc 11 9 — — $18,707.70 $39,973.40 $19,946.73 2026-03-31
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 11 9 — — $18,154.69 $38,791.76 $19,375.80 2026-03-31
228 MS_DRG Other Cardiothoracic Procedures With Mcc 11 9 — — $39,366.46 $84,115.69 $41,275.01 2026-03-31
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 11 9 — — $25,060.57 $53,547.80 $26,505.49 2026-03-31
264 MS_DRG Other Circulatory System O.r. Procedures 12 9 — — $20,062.83 $56,796.88 $27,936.36 2026-03-31
357 MS_DRG Other Digestive System O.r. Procedures With Cc 11 9 — — $18,504.00 $39,538.15 $19,736.44 2026-03-31
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 13 9 — — $34,953.51 $83,646.19 $36,719.04 2026-03-31
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 11 9 — — $29,811.70 $63,699.69 $31,410.60 2026-03-31
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 11 9 — — $29,654.15 $63,363.05 $31,247.94 2026-03-31
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 11 9 — — $35,511.30 $75,878.23 $37,294.91 2026-03-31
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 11 9 — — $19,138.97 $40,894.91 $20,391.98 2026-03-31
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 11 9 — — $20,430.39 $43,654.34 $21,725.26 2026-03-31
215 MS_DRG Other Heart Assist System Implant 11 9 — — $79,227.85 $169,288.91 $82,428.25 2026-03-31
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 11 9 — — $33,045.42 $70,609.31 $34,749.12 2026-03-31
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 11 9 — — $18,608.24 $39,760.88 $19,844.06 2026-03-31
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 12 9 — — $32,525.19 $71,435.60 $34,974.36 2026-03-31
271 MS_DRG Other Major Cardiovascular Procedures With Cc 11 9 — — $28,297.48 $60,464.21 $29,847.31 2026-03-31
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 11 9 — — $41,983.52 $89,707.65 $43,976.88 2026-03-31
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 11 9 — — $20,314.22 $43,406.11 $21,605.32 2026-03-31
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/Mcc 11 9 — — $17,802.20 $38,038.57 $19,011.89 2026-03-31
963 MS_DRG Other Multiple Significant Trauma With Mcc 12 9 — — $21,752.85 $46,480.07 $23,090.57 2026-03-31
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 11 9 — — $25,358.16 $54,183.67 $26,812.73 2026-03-31
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 12 9 — — $18,279.70 $65,275.78 $32,012.85 2026-03-31
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 11 9 — — $33,530.00 $71,644.73 $35,249.40 2026-03-31
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 11 9 — — $60,631.54 $129,553.54 $63,229.27 2026-03-31
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 11 9 — — $23,426.20 $50,055.59 $24,818.15 2026-03-31
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 11 9 — — $31,701.48 $67,737.67 $33,361.62 2026-03-31
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 11 9 — — $29,740.88 $63,548.38 $31,337.48 2026-03-31
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 11 9 — — $25,768.74 $55,060.98 $27,236.62 2026-03-31
253 MS_DRG Other Vascular Procedures With Cc 11 9 — — $20,653.19 $44,130.39 $21,955.28 2026-03-31
252 MS_DRG Other Vascular Procedures With Mcc 11 9 — — $27,756.40 $59,308.08 $29,288.70 2026-03-31
10 MS_DRG Pancreas Transplant 11 9 — — $57,097.04 $122,001.25 $59,580.22 2026-03-31
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 11 9 — — $23,076.89 $49,309.20 $24,457.52 2026-03-31
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 11 9 — — $43,528.77 $93,009.44 $45,572.22 2026-03-31
J9266 HCPCS Pegaspargase Injection 4 3 — — $28,424.06 $77,384.51 $28,850.42 2026-03-31
709 MS_DRG Penis Procedures With Cc/Mcc 11 9 — — $18,516.73 $39,565.35 $19,749.58 2026-03-31
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 11 9 — — $32,826.60 $70,141.75 $34,523.21 2026-03-31
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 11 9 — — $26,192.06 $55,965.48 $27,673.65 2026-03-31
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 11 9 — — $21,649.41 $46,259.04 $22,983.77 2026-03-31
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 11 9 — — $27,360.94 $58,463.08 $28,880.41 2026-03-31
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 11 9 — — $19,210.59 $41,047.93 $20,465.91 2026-03-31
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 11 9 — — $19,273.45 $41,182.24 $20,530.82 2026-03-31
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 11 9 — — $30,723.57 $65,648.12 $32,352.02 2026-03-31
335 MS_DRG Peritoneal Adhesiolysis With Mcc 12 9 — — $12,233.26 $60,712.44 $29,818.90 2026-03-31
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 11 9 — — $25,405.11 $54,283.99 $26,861.19 2026-03-31
J9600 HCPCS Porfimer Sodium Injection 1 1 — — $65,961.87 $65,961.87 $65,961.87 2026-03-31
22804 HCPCS Post Fusion 13/> Vert Seg 3 2 — — $18,789.56 $19,165.36 $18,977.46 2026-03-31
22802 HCPCS Post Fusion 7-12 Vert Seg 3 2 — — $18,789.56 $19,165.36 $18,977.46 2026-03-31
22800 HCPCS Post Fusion <=6 Vert Seg 3 2 — — $18,789.56 $19,165.36 $18,977.46 2026-03-31
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 11 9 — — $36,194.01 $77,337.00 $37,999.75 2026-03-31
791 MS_DRG Prematurity With Major Problems 11 9 — — $32,297.46 $69,011.12 $33,976.93 2026-03-31
792 MS_DRG Prematurity Without Major Problems 13 9 — — $2,254.37 $41,641.30 $20,547.14 2026-03-31
22586 HCPCS Prescrl Fuse With Instr L5-s1 3 2 — — $18,789.56 $19,165.36 $18,977.46 2026-03-31
665 MS_DRG Prostatectomy With Mcc 11 9 — — $24,835.39 $53,066.64 $26,273.01 2026-03-31
849 MS_DRG Radiotherapy 11 9 — — $21,559.49 $46,066.92 $22,890.95 2026-03-31
24361 HCPCS Reconstruct Elbow Joint 3 2 — — $18,789.56 $19,165.36 $18,977.46 2026-03-31
23472 HCPCS Reconstruct Shoulder Joint 3 2 — — $18,789.56 $19,165.36 $18,977.46 2026-03-31
25442 HCPCS Reconstruct Wrist Joint 3 2 — — $18,789.56 $19,165.36 $18,977.46 2026-03-31
333 MS_DRG Rectal Resection With Cc 11 9 — — $18,636.89 $39,822.08 $19,873.63 2026-03-31
332 MS_DRG Rectal Resection With Mcc 11 9 — — $28,809.91 $61,559.14 $30,376.35 2026-03-31
24363 HCPCS Replace Elbow Joint 3 2 — — $18,789.56 $19,165.36 $18,977.46 2026-03-31
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 13 9 — — $3,110.40 $46,733.40 $22,983.14 2026-03-31
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 12 9 — — $47,250.57 $109,402.77 $53,228.18 2026-03-31
22838 HCPCS Rev Rplc/rmv Thrc Vrt Tethrg 3 2 — — $18,789.56 $19,165.36 $18,977.46 2026-03-31
22862 HCPCS Revise Lumbar Artif Disc 3 2 — — $18,789.56 $19,165.36 $18,977.46 2026-03-31
24371 HCPCS Revise Reconst Elbow Joint 3 2 — — $18,789.56 $19,165.36 $18,977.46 2026-03-31
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 12 9 — — $26,679.94 $59,959.25 $29,456.77 2026-03-31
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 11 9 — — $41,419.37 $88,502.21 $43,394.46 2026-03-31
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 11 9 — — $21,865.84 $46,721.50 $23,207.22 2026-03-31
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 13 9 — — $16,970.34 $117,514.42 $56,843.88 2026-03-31
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 12 9 — — $17,403.15 $51,354.54 $25,319.81 2026-03-31
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 11 9 — — $44,595.80 $95,289.41 $46,673.84 2026-03-31
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 11 9 — — $56,770.01 $121,302.47 $59,242.59 2026-03-31
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 11 9 — — $31,991.12 $68,356.54 $33,660.65 2026-03-31
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 11 9 — — $42,407.63 $90,613.86 $44,414.74 2026-03-31
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 11 9 — — $25,704.29 $54,923.26 $27,170.08 2026-03-31
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 4 3 — — $56,269.19 $152,312.90 $57,113.23 2026-03-31
570 MS_DRG Skin Debridement With Mcc 12 9 — — $23,402.33 $109,015.41 $24,793.51 2026-03-31
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 11 9 — — $21,091.62 $45,067.20 $22,407.91 2026-03-31
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 11 9 — — $38,998.85 $83,330.20 $40,895.49 2026-03-31
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 11 9 — — $27,621.93 $59,020.74 $29,149.86 2026-03-31
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 11 9 — — $52,129.49 $111,386.90 $54,451.68 2026-03-31
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 13 9 — — $21,291.92 $60,513.52 $29,575.37 2026-03-31
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 11 9 — — $29,226.86 $62,450.05 $30,806.80 2026-03-31
500 MS_DRG Soft Tissue Procedures With Mcc 11 9 — — $25,182.31 $53,807.93 $26,631.19 2026-03-31
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 11 9 — — $66,865.85 $142,874.61 $69,665.63 2026-03-31
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 11 9 — — $47,448.39 $101,384.63 $49,618.87 2026-03-31
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 11 9 — — $33,201.38 $70,942.55 $34,910.13 2026-03-31
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 11 9 — — $27,146.10 $58,004.02 $28,658.61 2026-03-31
28 MS_DRG Spinal Procedures With Mcc 11 9 — — $47,808.04 $102,153.12 $49,990.18 2026-03-31
800 MS_DRG Splenic Procedures With Cc 11 9 — — $22,354.40 $47,765.42 $23,711.62 2026-03-31
799 MS_DRG Splenic Procedures With Mcc 11 9 — — $36,036.46 $77,000.36 $37,837.09 2026-03-31
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 11 9 — — $19,448.50 $41,556.29 $20,711.54 2026-03-31
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 12 9 — — $39,675.85 $84,795.77 $41,397.65 2026-03-31
J9226 HCPCS Supprelin La Implant 4 3 — — $41,173.43 $124,038.16 $41,791.03 2026-03-31
22556 HCPCS Thorax Spine Fusion 3 2 — — $18,789.56 $19,165.36 $18,977.46 2026-03-31
22610 HCPCS Thorax Spine Fusion 3 2 — — $18,789.56 $19,165.36 $18,977.46 2026-03-31
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 11 9 — — $24,030.94 $51,347.74 $25,442.49 2026-03-31
Q2042 HCPCS Tisagenlecleucel Car-pos T 4 3 — — $614,180.81 $1,574,488.67 $623,393.52 2026-03-31
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 11 9 — — $33,546.71 $71,680.43 $35,266.65 2026-03-31
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 11 9 — — $43,398.27 $92,730.61 $45,437.50 2026-03-31
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 11 9 — — $22,930.48 $48,996.36 $24,306.37 2026-03-31
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 11 9 — — $110,215.59 $235,501.50 $114,420.26 2026-03-31
668 MS_DRG Transurethral Procedures With Mcc 11 9 — — $23,234.44 $49,645.84 $24,620.18 2026-03-31
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 11 9 — — $18,077.51 $38,626.84 $19,296.12 2026-03-31
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 11 9 — — $18,186.52 $38,859.77 $19,408.66 2026-03-31
23616 HCPCS Treat Humerus Fracture 3 2 — — $18,789.56 $19,165.36 $18,977.46 2026-03-31
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 11 9 — — $44,290.25 $94,636.53 $46,358.38 2026-03-31
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 11 9 — — $28,696.12 $61,316.01 $30,258.87 2026-03-31
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 11 9 — — $23,683.21 $50,604.75 $25,083.50 2026-03-31
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 11 9 — — $21,463.21 $45,861.19 $22,791.55 2026-03-31
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 11 9 — — $28,508.34 $60,914.77 $30,065.00 2026-03-31
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 11 9 — — $28,442.30 $60,773.65 $29,996.82 2026-03-31
263 MS_DRG Vein Ligation And Stripping 11 9 — — $24,327.73 $51,981.91 $25,748.90 2026-03-31
31 MS_DRG Ventricular Shunt Procedures With Mcc 11 9 — — $35,651.34 $76,177.46 $37,439.49 2026-03-31
0656T HCPCS Vrt Bdy Tethering Ant 3 2 — — $18,789.56 $19,165.36 $18,977.46 2026-03-31
0657T HCPCS Vrt Bdy Tethering Ant 8+ Seg 3 2 — — $18,789.56 $19,165.36 $18,977.46 2026-03-31
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 12 9 — — $2,884.41 $96,902.90 $47,218.51 2026-03-31
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 11 9 — — $24,783.67 $52,956.13 $26,219.62 2026-03-31
901 MS_DRG Wound Debridements For Injuries With Mcc 11 9 — — $33,392.35 $71,350.59 $35,107.29 2026-03-31
A9543 HCPCS Y90 Ibritumomab, Rx 4 3 — — $56,824.55 $154,704.84 $57,676.92 2026-03-31
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