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 →

Export CSV
Hospital

OSF LITTLE COMPANY OF MARY MEDICAL CENTER

Evergreen Park, IL · CCN 140179 · Rates published

12,187 distinct procedures filed
18 distinct payers
117,635 rate rows
2026-03-31 last MRF observed
Data quality

88,807 of 117,635 rate rows are consumer-grade (75.5%)

28,828 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 28,588
placeholder amount (≤ $0.02) — excluded from medians 240
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://osf-p-001.sitecorecontenthub.cloud/api/public/content/370813229_1215572045_osf-healthcare-system_standardcharges.json
Found on page https://www.osfhealthcare.org/patients-visitors/billing-insurance/price-transparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint 2da02c6aa73808dc… · 32,770,644 bytes · first seen 2026-05-05

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 5 $3,685,266.67 $4,429,740.00 $3,728,364.50 nat. median
$3,710,000
1.0× median
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 1 $3,710,000.00 $3,710,000.00 $3,710,000.00 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 6 $3,321,376.38 $4,649,926.93 $3,371,197.03 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 6 $3,245,381.39 $4,543,533.94 $3,298,144.51 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 6 $2,938,320.00 $4,113,648.00 $2,982,394.80 nat. median
$3,006,423
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 7 $2,423,131.23 $4,811,982.30 $2,638,829.00 nat. median
$2,469,189
1.1× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 7 $2,332,000.00 $4,337,520.00 $2,378,640.00 nat. median
$2,448,600
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 7 $770,620.00 $1,433,353.20 $786,032.40 nat. median
$824,563
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 7 $578,771.12 $1,142,376.30 $626,464.42 nat. median
$754,974
0.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 7 $553,169.30 $1,094,600.34 $600,264.70 nat. median
$675,122
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 7 $516,442.29 $1,045,805.15 $573,506.05 nat. median
$674,188
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 7 $527,622.46 $1,041,192.81 $570,976.70 nat. median
$625,184
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 7 $502,840.73 $989,239.36 $542,486.10 nat. median
$634,511
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 7 $489,290.60 $910,080.52 $499,076.41 nat. median
$620,080
0.8× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 13 $296,536.29 $699,345.45 $387,506.62 nat. median
$370,174
1.0× median
C9301
HCPCS 		Obecabtagene Car Pos T 1 $278,250.00 $278,250.00 $278,250.00 nat. median
$459,112
0.6× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 13 $192,440.12 $453,847.06 $251,567.59 nat. median
$265,286
0.9× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 13 $146,613.88 $345,771.35 $191,723.17 nat. median
$206,368
0.9× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 14 $145,753.45 $675,482.05 $179,559.65 nat. median
$202,986
0.9× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 15 $59,847.27 $373,365.08 $116,790.38 nat. median
$133,176
0.9× median
7
MS_DRG 		Lung Transplant 13 $88,929.02 $209,728.49 $116,392.58 nat. median
$122,708
0.9× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 13 $82,526.92 $194,629.89 $108,032.09 nat. median
$117,303
0.9× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 13 $77,815.47 $183,518.50 $101,879.42 nat. median
$108,660
0.9× median
209
MS_DRG 		Complex Aortic Arch Procedures 13 $77,726.20 $183,307.97 $101,762.84 nat. median
$98,017
1.0× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 13 $75,682.58 $178,488.33 $99,094.08 nat. median
$98,905
1.0× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 13 $74,672.44 $176,106.05 $97,774.94 nat. median
$102,358
1.0× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 6 $60,851.23 $143,510.37 $97,692.51 nat. median
$87,411
1.1× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 13 $70,802.20 $166,978.55 $92,720.80 nat. median
$100,136
0.9× median
215
MS_DRG 		Other Heart Assist System Implant 13 $68,374.72 $161,253.62 $89,550.76 nat. median
$99,019
0.9× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 13 $67,178.49 $158,432.45 $87,988.60 nat. median
$93,672
0.9× median
5731
OTHER 		Level 1 Minor Procedures 2 $5,196.78 $168,316.00 $86,756.39 nat. median
$31
outlier · 2812.2×
222
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 6 $52,577.87 $123,998.64 $84,410.18 nat. median
$63,570
1.3× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 13 $61,868.92 $145,910.47 $81,054.84 nat. median
$82,712
1.0× median
224
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 6 $48,681.54 $114,809.59 $78,154.89 nat. median
$54,196
1.4× median
850
MS_DRG 		Acute Leukemia With Other Procedures 13 $59,464.79 $140,240.60 $77,915.29 nat. median
$83,442
0.9× median
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 7 $45,544.00 $171,165.45 $76,503.58 nat. median
$65,381
1.2× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 13 $57,888.12 $136,522.23 $75,856.32 nat. median
$79,312
1.0× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 13 $57,706.15 $136,093.06 $75,618.68 nat. median
$81,118
0.9× median
J9029
HCPCS 		Inj, Adstiladrin, Per Tx Dos 7 $63,235.61 $119,565.08 $71,353.35 nat. median
$69,774
1.0× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 13 $54,035.05 $127,435.22 $70,824.60 nat. median
$77,576
0.9× median
226
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 6 $43,954.98 $103,662.58 $70,566.72 nat. median
$49,935
1.4× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 13 $52,726.89 $124,350.07 $69,116.26 nat. median
$74,915
0.9× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 13 $52,499.59 $123,814.01 $68,819.44 nat. median
$73,807
0.9× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 13 $52,325.85 $123,404.28 $68,592.56 nat. median
$72,138
1.0× median
38240
HCPCS 		Transplt Allo Hct/donor 7 $2,360.00 $125,375.17 $68,417.10 nat. median
$15,912
outlier · 4.3×
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 6 $42,000.63 $99,053.48 $67,429.15 nat. median
$62,270
1.1× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 13 $49,570.13 $116,905.23 $64,993.86 nat. median
$68,090
1.0× median
10
MS_DRG 		Pancreas Transplant 13 $49,275.53 $116,210.46 $64,609.15 nat. median
$68,882
0.9× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 13 $49,254.93 $116,161.88 $64,582.24 nat. median
$64,027
1.0× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 13 $48,993.30 $115,544.85 $64,240.58 nat. median
$71,240
0.9× median

Other procedures at this hospital

Browse this hospital's 12,187 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
             
J1414 HCPCS Inj, Beqvez, Per Tx Dose 1 1 — — $3,710,000.00 $3,710,000.00 $3,710,000.00 2026-03-31
C9301 HCPCS Obecabtagene Car Pos T 1 1 — — $278,250.00 $278,250.00 $278,250.00 2026-03-31
2616 OTHER Brachytx, Non-str,yttrium-90 2 1 — — $49,367.75 $49,652.80 $49,510.28 2026-03-31
5464 OTHER Level 4 Neurostimulator And Related Procedures 1 1 — — $33,448.90 $33,448.90 $33,448.90 2026-03-31
5661 OTHER Therapeutic Nuclear Medicine 1 1 — — $25,028.00 $25,028.00 $25,028.00 2026-03-31
5376 OTHER Level 6 Urology And Related Services 2 1 — — $392.00 $47,741.25 $24,066.62 2026-03-31
5231 OTHER Level 1 Icd And Similar Procedures 1 1 — — $23,024.29 $23,024.29 $23,024.29 2026-03-31
5731 OTHER Level 1 Minor Procedures 2 2 — — $5,196.78 $168,316.00 $86,756.39 2026-03-31
J9600 HCPCS Porfimer Sodium Injection 2 2 — — $24,228.42 $32,465.62 $28,347.02 2026-03-31
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 5 5 — — $3,685,266.67 $4,429,740.00 $3,728,364.50 2026-03-31
J1413 HCPCS Inj Delandistrogene Mox Rokl 6 6 — — $3,321,376.38 $4,649,926.93 $3,371,197.03 2026-03-31
J3394 HCPCS Inj, Lovotibeglogene Autotem 6 6 — — $3,245,381.39 $4,543,533.94 $3,298,144.51 2026-03-31
J3393 HCPCS Inj, Betibeglogene Autotemce 6 6 — — $2,938,320.00 $4,113,648.00 $2,982,394.80 2026-03-31
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 8 6 — — $60,851.23 $143,510.37 $97,692.51 2026-03-31
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 8 6 — — $52,577.87 $123,998.64 $84,410.18 2026-03-31
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 8 6 — — $48,681.54 $114,809.59 $78,154.89 2026-03-31
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 8 6 — — $43,954.98 $103,662.58 $70,566.72 2026-03-31
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 8 6 — — $42,000.63 $99,053.48 $67,429.15 2026-03-31
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 8 6 — — $35,836.81 $84,516.85 $57,533.56 2026-03-31
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 8 6 — — $34,731.23 $81,909.45 $55,758.62 2026-03-31
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 8 6 — — $34,477.15 $81,310.24 $55,350.71 2026-03-31
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 8 6 — — $31,626.66 $74,587.69 $50,774.44 2026-03-31
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 8 6 — — $20,668.30 $48,743.71 $33,181.54 2026-03-31
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 8 6 — — $20,569.41 $48,510.50 $33,022.79 2026-03-31
338 MS_DRG Appendectomy With Complicated Principal Diagnosis With Mcc 8 6 — — $18,242.19 $43,022.02 $29,286.58 2026-03-31
5213 OTHER Level 3 Electrophysiologic Procedures 12 6 — — $3,274.00 $154,083.07 $25,075.50 2026-03-31
341 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Mcc 8 6 — — $15,512.55 $36,584.51 $24,904.35 2026-03-31
J3399 HCPCS Inj Onase Abepar-xioi Treat 7 7 — — $2,423,131.23 $4,811,982.30 $2,638,829.00 2026-03-31
J3392 HCPCS Inj, Exagamglogene Autotem 7 7 — — $2,332,000.00 $4,337,520.00 $2,378,640.00 2026-03-31
Q2057 HCPCS Afamitresgene Autoleucel 7 7 — — $770,620.00 $1,433,353.20 $786,032.40 2026-03-31
Q2042 HCPCS Tisagenlecleucel Car-pos T 7 7 — — $578,771.12 $1,142,376.30 $626,464.42 2026-03-31
Q2056 HCPCS Ciltacabtagene Car-pos T 7 7 — — $553,169.30 $1,094,600.34 $600,264.70 2026-03-31
Q2054 HCPCS Lisocabtagene Mara Car Pos T 7 7 — — $516,442.29 $1,045,805.15 $573,506.05 2026-03-31
Q2055 HCPCS Idecabtagene Vicleucel Car 7 7 — — $527,622.46 $1,041,192.81 $570,976.70 2026-03-31
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 7 7 — — $502,840.73 $989,239.36 $542,486.10 2026-03-31
Q2053 HCPCS Brexucabtagene Car Pos T 7 7 — — $489,290.60 $910,080.52 $499,076.41 2026-03-31
459 MS_DRG Spinal Fusion Except Cervical With Mcc 9 7 — — $45,544.00 $171,165.45 $76,503.58 2026-03-31
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 8 7 — — $63,235.61 $119,565.08 $71,353.35 2026-03-31
38240 HCPCS Transplt Allo Hct/donor 8 7 — — $2,360.00 $125,375.17 $68,417.10 2026-03-31
A9543 HCPCS Y90 Ibritumomab, Rx 7 7 — — $56,824.55 $105,693.66 $57,961.04 2026-03-31
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 7 7 — — $56,269.19 $104,660.70 $57,394.58 2026-03-31
64568 HCPCS Inc For Vagus N Elect Impl 8 7 — — $1,471.00 $87,793.91 $47,909.04 2026-03-31
0620T HCPCS Evasc Ven Artlz Tibl/prnl Vn 8 7 — — $2,074.00 $87,793.91 $47,909.04 2026-03-31
33276 HCPCS Insj Phrnc Nrv Stim Sys 8 7 — — $1,678.00 $87,793.91 $47,909.04 2026-03-31
J9226 HCPCS Supprelin La Implant 7 7 — — $41,173.43 $76,582.57 $45,212.04 2026-03-31
33249 HCPCS Insj/rplcmt Defib W/lead(s) 8 7 — — $3,274.00 $62,564.62 $37,336.95 2026-03-31
33231 HCPCS Insrt Pulse Gen W/mult Leads 8 7 — — $1,678.00 $62,564.62 $37,336.95 2026-03-31
33270 HCPCS Ins/rep Subq Defibrillator 8 7 — — $1,678.00 $62,564.62 $37,336.95 2026-03-31
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 8 7 — — $1,678.00 $62,564.62 $37,336.95 2026-03-31
0870T HCPCS Imp Subq Prtl Ascts Pmp Sys 8 7 — — $785.00 $68,284.37 $37,262.70 2026-03-31
0571T HCPCS Insj/rplcmt Icds Ss Eltrd 8 7 — — $3,274.00 $62,564.62 $34,141.44 2026-03-31
0915T HCPCS Insj Perm Ccm-d Sys Pg&eltrd 8 7 — — $3,274.00 $62,564.62 $34,141.44 2026-03-31
0408T HCPCS Insj/rplc Cardiac Modulj Sys 8 7 — — $3,274.00 $62,564.62 $34,141.44 2026-03-31
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 8 7 — — $1,678.00 $61,505.89 $33,563.70 2026-03-31
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 8 7 — — $1,678.00 $61,505.89 $33,563.70 2026-03-31
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 8 7 — — $1,471.00 $61,505.89 $33,563.70 2026-03-31
0908T HCPCS Opn Imp Int Nstm Sys Vgs Nrv 8 7 — — $785.00 $61,505.89 $33,563.70 2026-03-31
0674T HCPCS Laps Insj Nw/rpcmt Prm Isdss 8 7 — — $1,678.00 $61,505.89 $33,563.70 2026-03-31
0909T HCPCS Rplcmt Int Nstim Sys Vgs Nrv 8 7 — — $785.00 $61,505.89 $33,563.70 2026-03-31
J9266 HCPCS Pegaspargase Injection 8 7 — — $27,070.53 $52,868.75 $31,550.71 2026-03-31
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 8 7 — — $3,274.00 $57,171.97 $31,198.68 2026-03-31
0956T HCPCS Prt Crn Ch Cr&tun Elt S-sclp 7 7 — — $10,964.00 $54,083.82 $29,658.87 2026-03-31
0960T HCPCS Rpl S-sclp Eltr Ra Rcvr&tlmt 7 7 — — $10,964.00 $54,083.82 $29,658.87 2026-03-31
22633 HCPCS Lumbar Spine Fusion Combined 8 7 — — $2,733.00 $54,083.82 $29,513.49 2026-03-31
27702 HCPCS Reconstruct Ankle Joint 8 7 — — $2,733.00 $54,083.82 $29,513.49 2026-03-31
22630 HCPCS Lumbar Spine Fusion 8 7 — — $2,733.00 $54,083.82 $29,513.49 2026-03-31
22558 HCPCS Lumbar Spine Fusion 8 7 — — $2,733.00 $54,083.82 $29,513.49 2026-03-31
20696 HCPCS Comp Multiplane Ext Fixation 8 7 — — $1,678.00 $54,083.82 $29,513.49 2026-03-31
C9760 HCPCS Non-blind Interatrial Shunt 7 7 — — $12,216.00 $53,652.21 $29,422.18 2026-03-31
0871T HCPCS Rplcmt Subq Prtl Ascites Pmp 8 7 — — $785.00 $53,652.21 $29,277.96 2026-03-31
93653 HCPCS Ep & Ablate Supravent Arrhyt 8 7 — — $3,274.00 $52,098.26 $28,429.96 2026-03-31
93654 HCPCS Ep & Ablate Ventric Tachy 8 7 — — $3,274.00 $52,098.26 $28,429.96 2026-03-31
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 8 7 — — $3,274.00 $52,098.26 $28,429.96 2026-03-31
33263 HCPCS Rmvl & Rplcmt Dfb Gen 2 Lead 8 7 — — $1,678.00 $48,788.00 $26,458.66 2026-03-31
33262 HCPCS Rmvl& Replc Pulse Gen 1 Lead 8 7 — — $1,678.00 $48,788.00 $26,458.66 2026-03-31
33240 HCPCS Insrt Pulse Gen W/singl Lead 8 7 — — $3,274.00 $48,788.00 $26,458.66 2026-03-31
33230 HCPCS Insrt Pulse Gen W/dual Leads 8 7 — — $1,678.00 $48,788.00 $26,458.66 2026-03-31
0614T HCPCS Rmvl&rplcmt Ss Impl Dfb Pg 8 7 — — $2,733.00 $44,336.13 $24,194.18 2026-03-31
0796T HCPCS Tcat Ins 2chmbr Ldls Pm Ra 8 7 — — $2,074.00 $44,336.13 $24,194.18 2026-03-31
0409T HCPCS Insj/rplc Car Modulj Pls Gn 8 7 — — $3,274.00 $44,336.13 $24,194.18 2026-03-31
0916T HCPCS Insj Perm Ccm-d Sys Pg Only 8 7 — — $1,678.00 $44,336.13 $24,194.18 2026-03-31
0823T HCPCS Tcat Ins 1chmbr Ldls Pm Ra 8 7 — — $2,733.00 $44,336.13 $24,194.18 2026-03-31
0515T HCPCS Insj Wcs Lv Compl Sys 8 7 — — $2,074.00 $44,336.13 $24,194.18 2026-03-31
0414T HCPCS Rmvl & Rpl Car Modulj Pls Gn 8 7 — — $3,274.00 $44,336.13 $24,194.18 2026-03-31
0923T HCPCS Rmvl&rplcmt Perm Ccm-d Pg 8 7 — — $1,678.00 $44,336.13 $24,194.18 2026-03-31
33229 HCPCS Remv&replc Pm Gen Mult Leads 8 7 — — $1,678.00 $38,392.61 $22,911.72 2026-03-31
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 11 8 — — $25,118.80 $169,579.15 $42,193.88 2026-03-31
69930 HCPCS Implant Cochlear Device 9 8 — — $3,274.00 $65,720.38 $35,686.87 2026-03-31
61885 HCPCS Insrt/redo Neurostim 1 Array 9 8 — — $1,471.00 $61,505.89 $33,398.36 2026-03-31
61886 HCPCS Implant Neurostim Arrays 9 8 — — $1,678.00 $61,505.89 $33,398.36 2026-03-31
63685 HCPCS Insrt/redo Spine N Generator 9 8 — — $1,471.00 $61,505.89 $33,398.36 2026-03-31
21243 HCPCS Reconstruction Of Jaw Joint 9 8 — — $2,360.00 $54,083.82 $29,368.10 2026-03-31
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 20 13 — — $296,536.29 $699,345.45 $387,506.62 2026-03-31
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 20 13 — — $192,440.12 $453,847.06 $251,567.59 2026-03-31
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 20 13 — — $146,613.88 $345,771.35 $191,723.17 2026-03-31
7 MS_DRG Lung Transplant 20 13 — — $88,929.02 $209,728.49 $116,392.58 2026-03-31
14 MS_DRG Allogeneic Bone Marrow Transplant 20 13 — — $82,526.92 $194,629.89 $108,032.09 2026-03-31
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 20 13 — — $77,815.47 $183,518.50 $101,879.42 2026-03-31
209 MS_DRG Complex Aortic Arch Procedures 20 13 — — $77,726.20 $183,307.97 $101,762.84 2026-03-31
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 20 13 — — $75,682.58 $178,488.33 $99,094.08 2026-03-31
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 20 13 — — $74,672.44 $176,106.05 $97,774.94 2026-03-31
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 20 13 — — $70,802.20 $166,978.55 $92,720.80 2026-03-31
215 MS_DRG Other Heart Assist System Implant 20 13 — — $68,374.72 $161,253.62 $89,550.76 2026-03-31
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 20 13 — — $67,178.49 $158,432.45 $87,988.60 2026-03-31
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 20 13 — — $61,868.92 $145,910.47 $81,054.84 2026-03-31
850 MS_DRG Acute Leukemia With Other Procedures 20 13 — — $59,464.79 $140,240.60 $77,915.29 2026-03-31
231 MS_DRG Coronary Bypass With Ptca With Mcc 20 13 — — $57,888.12 $136,522.23 $75,856.32 2026-03-31
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 20 13 — — $57,706.15 $136,093.06 $75,618.68 2026-03-31
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 20 13 — — $54,035.05 $127,435.22 $70,824.60 2026-03-31
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 20 13 — — $52,726.89 $124,350.07 $69,116.26 2026-03-31
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 20 13 — — $52,499.59 $123,814.01 $68,819.44 2026-03-31
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 20 13 — — $52,325.85 $123,404.28 $68,592.56 2026-03-31
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 20 13 — — $49,570.13 $116,905.23 $64,993.86 2026-03-31
10 MS_DRG Pancreas Transplant 20 13 — — $49,275.53 $116,210.46 $64,609.15 2026-03-31
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 20 13 — — $49,254.93 $116,161.88 $64,582.24 2026-03-31
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 20 13 — — $48,993.30 $115,544.85 $64,240.58 2026-03-31
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 22 13 — — $48,964.46 $115,476.83 $64,202.92 2026-03-31
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 20 13 — — $47,230.54 $111,387.59 $61,938.60 2026-03-31
955 MS_DRG Craniotomy For Multiple Significant Trauma 20 13 — — $46,222.46 $109,010.16 $60,622.15 2026-03-31
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 20 13 — — $45,916.20 $108,287.87 $60,222.19 2026-03-31
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 20 13 — — $45,882.55 $108,208.51 $60,178.25 2026-03-31
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 20 13 — — $45,152.59 $106,486.98 $59,225.00 2026-03-31
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 20 13 — — $45,152.59 $106,486.98 $59,225.00 2026-03-31
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 20 13 — — $44,988.46 $106,099.92 $59,010.68 2026-03-31
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 20 13 — — $42,083.72 $99,249.44 $55,217.38 2026-03-31
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 20 13 — — $42,034.97 $99,134.45 $55,153.71 2026-03-31
232 MS_DRG Coronary Bypass With Ptca Without Mcc 20 13 — — $41,631.87 $98,183.81 $54,627.31 2026-03-31
28 MS_DRG Spinal Procedures With Mcc 20 13 — — $41,259.00 $97,304.42 $54,140.37 2026-03-31
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 20 13 — — $40,948.61 $96,572.40 $53,735.03 2026-03-31
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 20 13 — — $40,719.25 $96,031.49 $53,435.51 2026-03-31
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 20 13 — — $40,299.68 $95,041.98 $52,887.59 2026-03-31
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 20 13 — — $40,273.58 $94,980.44 $52,853.51 2026-03-31
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 20 13 — — $39,602.68 $93,398.18 $51,977.38 2026-03-31
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 20 13 — — $39,349.97 $92,802.21 $51,647.38 2026-03-31
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 20 13 — — $39,189.28 $92,423.25 $51,437.53 2026-03-31
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 23 13 — — $27,768.93 $97,276.89 $50,690.57 2026-03-31
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 20 13 — — $38,606.27 $91,048.29 $50,676.18 2026-03-31
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 20 13 — — $38,486.79 $90,766.50 $50,520.14 2026-03-31
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 20 13 — — $38,223.10 $90,144.61 $50,175.79 2026-03-31
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 20 13 — — $37,926.44 $89,444.99 $49,788.39 2026-03-31
834 MS_DRG Acute Leukemia With Mcc 20 13 — — $37,699.14 $88,908.93 $49,491.56 2026-03-31
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 20 13 — — $37,565.92 $88,594.75 $49,317.59 2026-03-31
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 20 13 — — $37,512.36 $88,468.43 $49,247.64 2026-03-31
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 20 13 — — $37,453.30 $88,329.15 $49,170.52 2026-03-31
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 20 13 — — $37,303.60 $87,976.10 $48,975.02 2026-03-31
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 21 13 — — $31,824.15 $92,303.40 $48,597.09 2026-03-31
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 20 13 — — $36,620.34 $86,364.70 $48,082.75 2026-03-31
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 20 13 — — $36,598.36 $86,312.87 $48,054.06 2026-03-31
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 20 13 — — $36,352.52 $85,733.09 $47,733.01 2026-03-31
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 20 13 — — $35,745.48 $84,301.45 $46,940.28 2026-03-31
653 MS_DRG Major Bladder Procedures With Mcc 20 13 — — $35,683.68 $84,155.70 $46,859.57 2026-03-31
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 20 13 — — $34,611.05 $81,626.04 $45,458.83 2026-03-31
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 20 13 — — $33,656.54 $79,374.93 $44,212.33 2026-03-31
471 MS_DRG Cervical Spinal Fusion With Mcc 20 13 — — $33,158.68 $78,200.80 $43,562.18 2026-03-31
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 20 13 — — $32,991.13 $77,805.64 $43,343.37 2026-03-31
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 20 13 — — $32,692.41 $77,101.16 $42,953.27 2026-03-31
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 21 13 — — $34,248.48 $80,770.94 $42,590.38 2026-03-31
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 20 13 — — $32,284.51 $76,139.17 $42,420.61 2026-03-31
228 MS_DRG Other Cardiothoracic Procedures With Mcc 21 13 — — $33,973.80 $80,123.14 $42,252.97 2026-03-31
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 20 13 — — $32,122.45 $75,756.97 $42,208.96 2026-03-31
6 MS_DRG Liver Transplant Without Mcc 20 13 — — $31,842.28 $75,096.22 $41,843.09 2026-03-31
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 20 13 — — $31,715.24 $74,796.61 $41,677.18 2026-03-31
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 20 13 — — $31,483.82 $74,250.84 $41,374.98 2026-03-31
245 MS_DRG Aicd Generator Procedures 20 13 — — $31,330.00 $73,888.07 $41,174.11 2026-03-31
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 20 13 — — $31,222.19 $73,633.81 $41,033.32 2026-03-31
799 MS_DRG Splenic Procedures With Mcc 20 13 — — $31,099.96 $73,345.54 $40,873.69 2026-03-31
31 MS_DRG Ventricular Shunt Procedures With Mcc 20 13 — — $30,767.59 $72,561.70 $40,439.66 2026-03-31
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 20 13 — — $30,646.73 $72,276.67 $40,281.82 2026-03-31
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 23 13 — — $30,217.36 $86,466.30 $38,889.84 2026-03-31
140 MS_DRG Major Head And Neck Procedures With Mcc 20 13 — — $29,289.82 $69,076.53 $38,509.83 2026-03-31
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 20 13 — — $29,121.57 $68,679.76 $38,290.12 2026-03-31
163 MS_DRG Major Chest Procedures With Mcc 24 13 — — $12,387.00 $137,823.25 $38,139.49 2026-03-31
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 20 13 — — $29,000.71 $68,394.72 $38,132.29 2026-03-31
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 20 13 — — $28,951.27 $68,278.12 $38,067.72 2026-03-31
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 20 13 — — $28,936.85 $68,244.11 $38,048.90 2026-03-31
901 MS_DRG Wound Debridements For Injuries With Mcc 20 13 — — $28,818.05 $67,963.94 $37,893.75 2026-03-31
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 20 13 — — $28,764.49 $67,837.62 $37,823.81 2026-03-31
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 20 13 — — $28,653.24 $67,575.26 $37,678.53 2026-03-31
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 23 13 — — $23,106.88 $160,678.95 $37,574.80 2026-03-31
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 23 13 — — $29,716.26 $70,082.24 $36,663.69 2026-03-31
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 20 13 — — $27,608.77 $65,112.00 $36,314.56 2026-03-31
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 20 13 — — $27,358.81 $64,522.50 $35,988.14 2026-03-31
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 26 13 — — $7,504.72 $71,250.63 $35,612.84 2026-03-31
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 20 13 — — $26,863.02 $63,353.22 $35,340.68 2026-03-31
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 20 13 — — $26,741.47 $63,066.57 $35,181.95 2026-03-31
34 MS_DRG Carotid Artery Stent Procedures With Mcc 20 13 — — $26,580.10 $62,685.99 $34,971.21 2026-03-31
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 20 13 — — $26,514.86 $62,532.13 $34,886.03 2026-03-31
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 23 13 — — $14,855.55 $238,498.50 $34,880.20 2026-03-31
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 20 13 — — $25,727.90 $60,676.19 $33,858.33 2026-03-31
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 23 13 — — $24,441.03 $57,641.24 $33,812.40 2026-03-31
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 20 13 — — $25,447.73 $60,015.43 $33,492.46 2026-03-31
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 20 13 — — $25,223.18 $59,485.85 $33,199.21 2026-03-31
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 21 13 — — $23,707.65 $62,592.06 $33,121.85 2026-03-31
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 20 13 — — $24,916.91 $58,763.56 $32,799.25 2026-03-31
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 20 13 — — $24,897.68 $58,718.21 $32,774.15 2026-03-31
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 22 13 — — $15,827.24 $62,177.46 $32,746.18 2026-03-31
332 MS_DRG Rectal Resection With Mcc 20 13 — — $24,863.35 $58,637.24 $32,729.32 2026-03-31
265 MS_DRG Aicd Lead Procedures 20 13 — — $24,846.18 $58,596.75 $32,706.89 2026-03-31
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 20 13 — — $24,765.15 $58,405.65 $32,601.08 2026-03-31
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 20 13 — — $24,603.09 $58,023.45 $32,389.44 2026-03-31
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 20 13 — — $24,546.09 $57,889.03 $32,315.01 2026-03-31
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 21 13 — — $25,840.52 $60,941.79 $32,262.30 2026-03-31
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 20 13 — — $24,484.98 $57,744.89 $32,235.19 2026-03-31
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 20 13 — — $24,464.37 $57,696.31 $32,208.29 2026-03-31
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 20 13 — — $24,167.72 $56,996.68 $31,820.90 2026-03-31
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 23 13 — — $25,666.79 $60,532.05 $31,737.74 2026-03-31
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 20 13 — — $23,838.10 $56,219.32 $31,390.45 2026-03-31
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 23 13 — — $22,604.10 $65,180.65 $31,271.15 2026-03-31
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 20 13 — — $23,612.87 $55,688.13 $31,096.31 2026-03-31
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 21 13 — — $20,268.44 $58,493.10 $30,986.90 2026-03-31
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 20 13 — — $23,427.46 $55,250.86 $30,854.18 2026-03-31
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 20 13 — — $23,396.56 $55,177.98 $30,813.83 2026-03-31
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 21 13 — — $282.87 $57,113.29 $30,268.22 2026-03-31
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 23 13 — — $21,863.15 $154,968.57 $30,246.10 2026-03-31
264 MS_DRG Other Circulatory System O.r. Procedures 22 13 — — $22,939.90 $54,101.02 $29,918.63 2026-03-31
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 20 13 — — $22,683.76 $53,496.94 $29,882.99 2026-03-31
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 21 13 — — $23,722.74 $55,947.25 $29,660.89 2026-03-31
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 21 13 — — $22,856.03 $55,522.94 $29,439.88 2026-03-31
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 20 13 — — $22,336.98 $52,679.10 $29,430.13 2026-03-31
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 20 13 — — $22,183.16 $52,316.33 $29,229.25 2026-03-31
652 MS_DRG Kidney Transplant 20 13 — — $22,176.98 $52,301.75 $29,221.18 2026-03-31
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 20 13 — — $22,160.50 $52,262.88 $29,199.67 2026-03-31
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 20 13 — — $22,117.23 $52,160.86 $29,143.17 2026-03-31
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 20 13 — — $22,045.82 $51,992.43 $29,049.90 2026-03-31
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 20 13 — — $21,884.44 $51,611.85 $28,839.17 2026-03-31
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 20 13 — — $21,819.21 $51,457.99 $28,753.97 2026-03-31
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 20 13 — — $21,699.72 $51,176.20 $28,597.93 2026-03-31
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 20 13 — — $21,576.80 $50,886.31 $28,437.42 2026-03-31
665 MS_DRG Prostatectomy With Mcc 20 13 — — $21,433.28 $50,547.83 $28,250.00 2026-03-31
37 MS_DRG Extracranial Procedures With Mcc 22 13 — — $1,975.00 $53,315.56 $28,152.83 2026-03-31
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 20 13 — — $21,350.88 $50,353.49 $28,142.38 2026-03-31
263 MS_DRG Vein Ligation And Stripping 20 13 — — $20,995.17 $49,514.59 $27,677.86 2026-03-31
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 23 13 — — $100.00 $52,447.51 $27,567.76 2026-03-31
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 24 13 — — $13,067.20 $52,389.21 $27,537.69 2026-03-31
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 20 13 — — $20,741.77 $48,917.00 $27,346.96 2026-03-31
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 20 13 — — $20,739.03 $48,910.52 $27,343.37 2026-03-31
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 20 13 — — $20,716.37 $48,857.08 $27,313.78 2026-03-31
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 24 13 — — $21,924.96 $51,707.40 $27,186.02 2026-03-31
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 21 13 — — $21,627.62 $51,006.15 $27,087.30 2026-03-31
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 20 13 — — $20,438.94 $48,202.80 $26,951.48 2026-03-31
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 20 13 — — $20,217.13 $47,679.70 $26,661.83 2026-03-31
654 MS_DRG Major Bladder Procedures With Cc 21 13 — — $19,222.79 $75,617.71 $26,593.35 2026-03-31
662 MS_DRG Minor Bladder Procedures With Mcc 23 13 — — $21,023.32 $99,896.80 $26,345.00 2026-03-31
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 20 13 — — $19,915.67 $46,968.74 $26,268.15 2026-03-31
619 MS_DRG O.r. Procedures For Obesity With Mcc 20 13 — — $19,827.78 $46,761.44 $26,153.37 2026-03-31
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 20 13 — — $19,789.32 $46,670.75 $26,103.14 2026-03-31
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 22 13 — — $20,828.98 $49,122.67 $25,979.56 2026-03-31
800 MS_DRG Splenic Procedures With Cc 20 13 — — $19,292.15 $45,498.23 $25,453.89 2026-03-31
570 MS_DRG Skin Debridement With Mcc 21 13 — — $11,845.26 $47,631.11 $25,329.40 2026-03-31
503 MS_DRG Foot Procedures With Mcc 20 13 — — $19,166.48 $45,201.86 $25,289.78 2026-03-31
472 MS_DRG Cervical Spinal Fusion With Cc 22 13 — — $20,230.87 $47,712.09 $25,248.42 2026-03-31
668 MS_DRG Transurethral Procedures With Mcc 21 13 — — $20,051.64 $47,289.40 $25,151.42 2026-03-31
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 20 13 — — $19,034.64 $44,890.92 $25,117.61 2026-03-31
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 21 13 — — $13,469.79 $46,997.89 $24,999.58 2026-03-31
963 MS_DRG Other Multiple Significant Trauma With Mcc 20 13 — — $18,773.00 $44,273.89 $24,775.94 2026-03-31
849 MS_DRG Radiotherapy 20 13 — — $18,606.14 $43,880.35 $24,558.03 2026-03-31
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 21 13 — — $17,736.09 $121,660.00 $24,536.60 2026-03-31
288 MS_DRG Acute And Subacute Endocarditis With Mcc 20 13 — — $18,583.48 $43,826.91 $24,528.44 2026-03-31
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 20 13 — — $18,523.05 $43,684.39 $24,449.53 2026-03-31
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 20 13 — — $18,266.22 $43,078.70 $24,114.14 2026-03-31
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 20 13 — — $18,202.36 $42,928.09 $24,030.74 2026-03-31
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 22 13 — — $16,784.32 $136,524.10 $23,923.32 2026-03-31
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 21 13 — — $17,639.97 $44,651.23 $23,777.32 2026-03-31
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 21 13 — — $18,870.52 $44,503.86 $23,700.57 2026-03-31
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 20 13 — — $17,802.70 $41,985.54 $23,508.82 2026-03-31
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 20 13 — — $17,711.37 $41,770.14 $23,389.55 2026-03-31
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 20 13 — — $17,711.37 $41,770.14 $23,389.55 2026-03-31
783 MS_DRG Cesarean Section With Sterilization With Mcc 21 13 — — $16,859.17 $159,104.15 $23,323.45 2026-03-31
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 20 13 — — $17,631.71 $41,582.28 $23,285.53 2026-03-31
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 20 13 — — $17,531.45 $41,345.84 $23,154.60 2026-03-31
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 23 14 — — $145,753.45 $675,482.05 $179,559.65 2026-03-31
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 26 14 — — $34,286.21 $111,936.60 $58,252.00 2026-03-31
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 23 14 — — $30,980.51 $104,209.97 $54,266.63 2026-03-31
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 28 14 — — $3,752.58 $157,841.45 $47,576.07 2026-03-31
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 23 14 — — $33,797.31 $171,984.80 $42,036.18 2026-03-31
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 30 14 — — $9,172.00 $133,579.65 $41,479.90 2026-03-31
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 21 14 — — $28,518.65 $67,257.84 $38,021.16 2026-03-31
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 24 14 — — $28,329.81 $66,812.47 $37,256.16 2026-03-31
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 22 14 — — $16,883.59 $69,523.52 $36,553.81 2026-03-31
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 21 14 — — $23,947.98 $56,478.44 $33,130.30 2026-03-31
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 21 14 — — $7,332.77 $60,525.57 $32,045.51 2026-03-31
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 23 14 — — $14,934.72 $60,355.53 $31,646.68 2026-03-31
271 MS_DRG Other Major Cardiovascular Procedures With Cc 27 14 — — $24,421.11 $146,120.80 $30,518.75 2026-03-31
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 21 14 — — $21,637.92 $51,030.45 $29,934.50 2026-03-31
252 MS_DRG Other Vascular Procedures With Mcc 25 14 — — $21,342.11 $102,076.05 $29,654.42 2026-03-31
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 23 14 — — $13,996.73 $50,442.57 $26,533.63 2026-03-31
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 26 14 — — $19,046.39 $57,850.20 $24,842.92 2026-03-31
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 22 14 — — $19,709.66 $46,482.89 $24,611.29 2026-03-31
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 26 15 — — $59,847.27 $373,365.08 $116,790.38 2026-03-31
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 23 15 — — $18,650.97 $96,254.98 $50,655.29 2026-03-31
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 36 15 — — $18,344.00 $124,699.80 $41,564.48 2026-03-31
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 27 15 — — $9,986.42 $75,983.70 $39,707.64 2026-03-31
793 MS_DRG Full Term Neonate With Major Problems 24 15 — — $4,019.78 $67,526.67 $35,345.54 2026-03-31
791 MS_DRG Prematurity With Major Problems 23 15 — — $8,536.90 $65,735.51 $34,421.65 2026-03-31
500 MS_DRG Soft Tissue Procedures With Mcc 22 15 — — $21,732.68 $51,253.94 $30,886.99 2026-03-31
335 MS_DRG Peritoneal Adhesiolysis With Mcc 25 15 — — $24,521.37 $119,797.65 $30,641.90 2026-03-31
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 24 15 — — $11,501.61 $165,701.10 $27,048.63 2026-03-31
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 34 15 — — $15,579.02 $196,426.35 $24,850.46 2026-03-31
974 MS_DRG HIV With Major Related Condition With Mcc 26 15 — — $1,860.00 $132,343.50 $24,623.22 2026-03-31
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 29 15 — — $10,944.75 $52,143.30 $23,246.15 2026-03-31
See an error in this hospital's data? Submit a correction