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

INGALLS MEMORIAL HOSPITAL

Harvey, IL · CCN 140191 · Rates published

14,582 distinct procedures filed
17 distinct payers
106,623 rate rows
2026-04-01 last MRF observed
Data quality

74,902 of 106,623 rate rows are consumer-grade (70.2%)

31,721 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 31,652
placeholder amount (≤ $0.02) — excluded from medians 69
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://edge.sitecorecloud.io/unichicagomc-81nbqnb3/media/files/pricing-transparency/2026/362170866_ingalls-memorial-hospital_standardcharges.json
Found on page https://www.uchicagomedicine.org/patients-visitors/patient-information/billing/price-transparency
Discovered viaCMS hospital list
Last fetch not_modified · 2026-05-19
Content fingerprint 892e240bb0dbe523… · 31,266,171 bytes · first seen 2026-05-15

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 3 $3,685,266.67 $4,053,793.33 $3,932,600.00 nat. median
$3,710,000
1.1× median
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 1 $3,932,600.00 $3,932,600.00 $3,932,600.00 nat. median
$3,710,000
1.1× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 3 $3,316,462.59 $3,648,108.85 $3,521,088.40 nat. median
$3,325,455
1.1× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 3 $3,248,445.72 $3,573,290.29 $3,384,580.00 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 3 $2,945,740.00 $4,897,200.00 $3,146,080.00 nat. median
$3,006,423
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 3 $2,332,000.00 $3,847,800.00 $2,471,920.00 nat. median
$2,448,600
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 3 $1,912,500.00 $2,700,621.67 $2,455,110.60 nat. median
$2,469,189
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 3 $770,620.00 $1,155,930.00 $886,213.00 nat. median
$824,563
1.1× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 4 $591,726.20 $933,279.34 $665,691.97 nat. median
$754,974
0.9× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 4 $565,868.94 $909,675.26 $636,602.56 nat. median
$675,122
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 4 $547,475.13 $852,201.85 $632,855.46 nat. median
$674,188
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 4 $557,317.93 $871,715.51 $626,982.68 nat. median
$625,184
1.0× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 4 $518,888.18 $807,703.30 $599,883.94 nat. median
$634,511
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 4 $489,304.61 $805,284.99 $550,467.69 nat. median
$620,080
0.9× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 11 $300,681.84 $600,240.92 $354,972.47 nat. median
$370,174
1.0× median
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 3 $205,640.00 $308,460.00 $236,486.00 nat. median
$209,753
1.1× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 11 $195,130.42 $389,532.21 $230,924.34 nat. median
$265,286
0.9× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 11 $148,663.53 $296,771.95 $176,314.66 nat. median
$206,368
0.9× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 11 $119,653.87 $295,030.28 $175,289.30 nat. median
$202,986
0.9× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 2 $110,901.76 $121,991.94 $116,446.85 nat. median
$111,989
1.0× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 13 $56,946.44 $416,543.53 $114,948.11 nat. median
$133,176
0.9× median
7
MS_DRG 		Lung Transplant 11 $90,172.24 $180,007.78 $107,573.42 nat. median
$122,708
0.9× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 11 $83,680.64 $167,048.81 $99,944.24 nat. median
$117,303
0.9× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 11 $78,903.32 $157,512.02 $94,329.75 nat. median
$108,660
0.9× median
209
MS_DRG 		Complex Aortic Arch Procedures 11 $78,812.80 $157,331.32 $94,223.37 nat. median
$98,017
1.0× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 11 $76,740.62 $249,244.47 $91,788.05 nat. median
$98,905
0.9× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 3 $77,165.88 $120,116.70 $90,636.89 nat. median
$76,377
1.2× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 11 $75,716.36 $151,149.99 $90,584.31 nat. median
$102,358
0.9× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 11 $71,792.01 $143,315.95 $85,972.26 nat. median
$100,136
0.9× median
215
MS_DRG 		Other Heart Assist System Implant 13 $31,719.00 $138,402.30 $83,079.50 nat. median
$99,019
0.8× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 13 $31,719.00 $135,980.92 $81,653.99 nat. median
$93,672
0.9× median
J9029
HCPCS 		Inj, Adstiladrin, Per Tx Dos 4 $63,342.28 $104,613.37 $76,066.21 nat. median
$69,774
1.1× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 11 $62,733.84 $125,233.44 $75,326.75 nat. median
$82,712
0.9× median
850
MS_DRG 		Acute Leukemia With Other Procedures 11 $60,296.10 $120,367.05 $72,461.82 nat. median
$83,442
0.9× median
L8702
HCPCS 		Pow Ue Rom Dev Ewhf Uprt Cus 2 $68,801.71 $75,681.88 $72,241.80 nat. median
$70,825
1.0× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 13 $33,304.00 $117,175.61 $70,582.96 nat. median
$79,312
0.9× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 11 $58,512.87 $116,807.26 $70,366.10 nat. median
$81,118
0.9× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 11 $54,790.45 $109,376.32 $65,991.37 nat. median
$77,576
0.9× median
90288
HCPCS 		Botulism Ig IV 1 $65,751.75 $65,751.75 $65,751.75 nat. median
$55,037
1.2× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 13 $30,132.00 $106,728.37 $64,432.47 nat. median
$74,915
0.9× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 13 $26,960.00 $106,268.28 $64,161.61 nat. median
$73,807
0.9× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 11 $53,057.36 $105,916.61 $63,954.57 nat. median
$72,138
0.9× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 4 $55,272.32 $91,635.23 $63,563.17 nat. median
$66,682
1.0× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 4 $56,824.55 $93,760.51 $61,370.51 nat. median
$62,507
1.0× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 12 $35,170.73 $298,770.69 $60,670.66 nat. median
$68,090
0.9× median
10
MS_DRG 		Pancreas Transplant 11 $49,964.40 $99,742.23 $60,319.60 nat. median
$68,882
0.9× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 11 $49,943.51 $99,700.53 $60,295.05 nat. median
$64,027
0.9× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 11 $49,678.22 $99,170.94 $59,983.27 nat. median
$71,240
0.8× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 12 $49,648.98 $240,688.55 $59,948.90 nat. median
$68,887
0.9× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 12 $16,322.24 $166,383.34 $58,160.06 nat. median
$66,526
0.9× median

Other procedures at this hospital

Browse this hospital's 14,582 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
             
0100T HCPCS Prosth Retina Receive&Gen 2 2 — — $18,963.00 $36,828.00 $27,895.50 2026-04-01
0204U HCPCS Onc Thyr Mrna Xprsn Alys 593 1 1 — — $24,128.57 $24,128.57 $24,128.57 2026-04-01
0266T HCPCS Implt/rpl Crtd Sns Dev Total 1 1 — — $35,512.00 $35,512.00 $35,512.00 2026-04-01
0268T HCPCS Implt/rpl Crtd Sns Dev Gen 1 1 — — $35,512.00 $35,512.00 $35,512.00 2026-04-01
0408T HCPCS Insj/rplc Cardiac Modulj Sys 4 3 — — $7,653.00 $37,000.58 $35,232.44 2026-04-01
0409T HCPCS Insj/rplc Car Modulj Pls Gn 4 3 — — $18,963.00 $36,828.00 $25,028.46 2026-04-01
0414T HCPCS Rmvl & Rpl Car Modulj Pls Gn 4 3 — — $18,963.00 $36,828.00 $25,028.46 2026-04-01
0515T HCPCS Insj Wcs Lv Compl Sys 4 3 — — $10,694.00 $36,828.00 $25,028.46 2026-04-01
0571T HCPCS Insj/rplcmt Icds Ss Eltrd 4 3 — — $18,963.00 $37,000.58 $35,232.44 2026-04-01
0614T HCPCS Rmvl&rplcmt Ss Impl Dfb Pg 4 3 — — $17,750.00 $36,828.00 $25,028.46 2026-04-01
0620T HCPCS Evasc Ven Artlz Tibl/prnl Vn 4 3 — — $10,694.00 $51,921.13 $32,215.51 2026-04-01
0686T HCPCS Histotripsy Mal Hepatcel Tis 4 3 — — $10,694.00 $40,383.23 $37,106.76 2026-04-01
0908T HCPCS Opn Imp Int Nstm Sys Vgs Nrv 3 2 — — $4,961.00 $36,374.45 $33,067.68 2026-04-01
0909T HCPCS Rplcmt Int Nstim Sys Vgs Nrv 3 2 — — $4,961.00 $36,374.45 $33,067.68 2026-04-01
0915T HCPCS Insj Perm Ccm-d Sys Pg&eltrd 3 2 — — $18,963.00 $37,000.58 $33,636.89 2026-04-01
0916T HCPCS Insj Perm Ccm-d Sys Pg Only 3 2 — — $8,985.00 $26,220.29 $23,836.63 2026-04-01
0923T HCPCS Rmvl&rplcmt Perm Ccm-d Pg 3 2 — — $8,985.00 $26,220.29 $23,836.63 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 18 11 — — $195,130.42 $389,532.21 $230,924.34 2026-04-01
10 MS_DRG Pancreas Transplant 18 11 — — $49,964.40 $99,742.23 $60,319.60 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 18 11 — — $37,976.90 $75,811.99 $46,231.43 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 18 11 — — $29,356.01 $58,602.40 $36,099.82 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 18 11 — — $20,065.97 $40,057.02 $25,181.81 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 18 11 — — $83,680.64 $167,048.81 $99,944.24 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 18 11 — — $29,699.28 $59,287.67 $36,503.25 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 18 11 — — $26,087.58 $52,077.74 $32,258.63 2026-04-01
1471 OTHER Injection, Pertuzumab, 1 Mg 1 1 — — $48,108.19 $48,108.19 $48,108.19 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 18 11 — — $41,288.50 $82,422.83 $50,123.35 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 20 13 — — $7,358.13 $62,297.02 $38,274.91 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 20 11 — — $26,025.61 $51,954.03 $32,185.80 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 18 11 — — $37,825.10 $75,508.97 $46,053.03 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 19 11 — — $11,610.52 $41,371.96 $25,955.94 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 18 11 — — $300,681.84 $600,240.92 $354,972.47 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 18 11 — — $49,678.22 $99,170.94 $59,983.27 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 18 11 — — $78,903.32 $157,512.02 $94,329.75 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 18 11 — — $54,790.45 $109,376.32 $65,991.37 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 23 13 — — $509.16 $89,442.33 $54,255.86 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 30 14 — — $8,970.46 $88,059.99 $24,092.63 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 18 11 — — $78,812.80 $157,331.32 $94,223.37 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 18 11 — — $36,860.73 $73,583.82 $44,919.66 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 18 11 — — $75,716.36 $151,149.99 $90,584.31 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 18 11 — — $39,737.14 $79,325.91 $48,300.14 2026-04-01
215 MS_DRG Other Heart Assist System Implant 20 13 — — $31,719.00 $138,402.30 $83,079.50 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 20 13 — — $31,719.00 $135,980.92 $81,653.99 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 20 13 — — $31,719.00 $91,396.67 $55,406.42 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 20 13 — — $31,719.00 $91,396.67 $55,406.42 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 20 13 — — $30,132.00 $106,728.37 $64,432.47 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 18 11 — — $22,124.24 $44,165.86 $27,600.76 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 20 13 — — $30,132.00 $74,125.92 $45,238.81 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 21 13 — — $21,877.59 $70,058.78 $42,844.40 2026-04-01
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 2 2 — — $31,719.00 $41,730.00 $36,724.50 2026-04-01
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 2 2 — — $31,719.00 $41,730.00 $36,724.50 2026-04-01
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 2 2 — — $31,719.00 $41,730.00 $36,724.50 2026-04-01
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 2 2 — — $31,719.00 $41,730.00 $36,724.50 2026-04-01
22558 HCPCS Lumbar Spine Fusion 4 3 — — $17,230.00 $31,985.05 $23,413.66 2026-04-01
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 2 2 — — $30,132.00 $41,730.00 $35,931.00 2026-04-01
22630 HCPCS Lumbar Spine Fusion 4 3 — — $17,230.00 $31,985.05 $23,413.66 2026-04-01
22633 HCPCS Lumbar Spine Fusion Combined 4 3 — — $17,750.00 $31,985.05 $27,691.16 2026-04-01
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 2 2 — — $30,132.00 $41,730.00 $35,931.00 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 20 13 — — $34,448.75 $68,768.86 $42,085.00 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 20 13 — — $21,929.97 $43,778.05 $27,372.45 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 19 12 — — $39,900.08 $79,651.17 $48,491.62 2026-04-01
230 MS_DRG Other Cardiothoracic Procedures Without Cc/mcc 2 2 — — $35,683.00 $41,730.00 $38,706.50 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 20 13 — — $33,304.00 $117,175.61 $70,582.96 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 20 13 — — $33,304.00 $84,270.14 $51,210.90 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 20 13 — — $26,960.00 $106,268.28 $64,161.61 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 20 13 — — $26,960.00 $75,931.53 $46,301.80 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 20 13 — — $26,167.00 $81,573.54 $49,623.36 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 20 13 — — $26,167.00 $58,224.32 $35,877.24 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 22 11 — — $31,905.83 $68,411.63 $41,874.70 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 18 11 — — $27,238.56 $54,375.41 $33,611.31 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 24 12 — — $16,112.08 $97,571.90 $24,925.68 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 21 13 — — $16,524.00 $44,379.92 $27,726.78 2026-04-01
245 MS_DRG Aicd Generator Procedures 19 12 — — $18,360.00 $63,417.36 $38,934.48 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 18 11 — — $31,658.67 $63,199.13 $38,806.00 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 26 14 — — $18,180.17 $54,630.14 $30,144.91 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 23 13 — — $17,013.04 $130,499.46 $22,839.78 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 20 12 — — $18,782.00 $87,365.90 $23,672.83 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 20 13 — — $8,024.00 $43,675.19 $27,311.90 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 18 11 — — $21,649.36 $43,217.88 $27,042.67 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 20 13 — — $5,767.00 $45,213.92 $28,217.77 2026-04-01
263 MS_DRG Vein Ligation And Stripping 18 11 — — $21,288.68 $42,497.86 $26,618.78 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 26 14 — — $5,788.53 $74,634.37 $28,936.26 2026-04-01
265 MS_DRG Aicd Lead Procedures 18 11 — — $25,193.53 $50,292.98 $31,207.91 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 18 11 — — $42,672.05 $85,184.76 $51,749.35 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 18 11 — — $33,149.45 $66,175.12 $40,558.02 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 18 11 — — $47,890.82 $95,602.81 $57,882.65 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 19 11 — — $29,406.14 $58,702.48 $36,158.74 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 22 11 — — $36,738.88 $127,187.41 $44,776.46 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 22 13 — — $17,903.55 $49,432.57 $30,701.37 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 19 11 — — $28,725.86 $106,520.75 $35,359.24 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 19 11 — — $19,856.40 $45,754.63 $28,536.10 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 20 12 — — $49,648.98 $240,688.55 $59,948.90 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 20 11 — — $41,823.96 $162,416.35 $50,752.64 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 20 11 — — $32,158.62 $183,734.62 $39,393.55 2026-04-01
27702 HCPCS Reconstruct Ankle Joint 4 3 — — $14,468.00 $31,985.05 $23,413.66 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 18 11 — — $38,757.45 $77,370.18 $47,148.76 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 19 11 — — $15,318.60 $50,128.96 $31,111.35 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 18 11 — — $41,835.79 $83,515.37 $50,766.55 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 19 11 — — $13,116.64 $37,616.18 $23,744.84 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 18 11 — — $23,754.97 $47,421.24 $29,517.26 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 19 11 — — $119,653.87 $295,030.28 $175,289.30 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 18 11 — — $31,197.72 $62,278.95 $38,264.27 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 18 11 — — $46,558.10 $92,942.35 $56,316.39 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 18 11 — — $31,075.17 $62,034.31 $38,120.25 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 24 12 — — $17,886.65 $113,450.57 $23,864.32 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 19 11 — — $30,131.69 $60,150.86 $37,011.43 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 18 11 — — $21,940.41 $43,798.90 $27,384.73 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 18 11 — — $22,354.02 $44,624.56 $27,870.81 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 21 12 — — $17,282.86 $226,736.93 $42,412.33 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 25 12 — — $20,229.25 $267,255.43 $39,213.52 2026-04-01
332 MS_DRG Rectal Resection With Mcc 18 11 — — $25,210.93 $50,327.73 $31,228.37 2026-04-01
33230 HCPCS Insrt Pulse Gen W/dual Leads 4 3 — — $8,985.00 $36,828.00 $25,028.46 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 4 3 — — $8,985.00 $37,000.58 $35,232.44 2026-04-01
33240 HCPCS Insrt Pulse Gen W/singl Lead 4 3 — — $18,963.00 $36,828.00 $25,028.46 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 4 3 — — $18,963.00 $37,000.58 $35,232.44 2026-04-01
33262 HCPCS Rmvl& Replc Pulse Gen 1 Lead 4 3 — — $8,985.00 $36,828.00 $25,028.46 2026-04-01
33263 HCPCS Rmvl & Rplcmt Dfb Gen 2 Lead 4 3 — — $8,985.00 $36,828.00 $25,028.46 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 4 3 — — $8,985.00 $37,000.58 $35,232.44 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 4 3 — — $8,985.00 $37,000.58 $35,232.44 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 4 3 — — $8,985.00 $51,921.13 $42,014.51 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 4 3 — — $8,985.00 $36,374.45 $34,289.84 2026-04-01
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 4 3 — — $7,653.00 $36,828.00 $32,274.50 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 20 11 — — $18,061.54 $49,635.51 $30,820.85 2026-04-01
33820 HCPCS Revise Major Vessel 1 1 — — $26,305.00 $26,305.00 $26,305.00 2026-04-01
33824 HCPCS Revise Major Vessel 1 1 — — $26,305.00 $26,305.00 $26,305.00 2026-04-01
33967 HCPCS Hc Insertion Of Intra-aortic Balloon Assist Device, Percutaneous 1 1 — — $35,512.00 $35,512.00 $35,512.00 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 18 11 — — $26,951.68 $53,802.73 $33,274.17 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 18 11 — — $17,984.04 $35,900.92 $22,735.04 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 19 11 — — $14,501.56 $40,337.80 $25,347.11 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 20 12 — — $30,329.97 $61,059.92 $37,546.61 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 18 11 — — $23,942.97 $47,796.54 $29,738.21 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 18 11 — — $22,922.89 $45,760.19 $28,539.37 2026-04-01
37227 HCPCS Fem/popl Revasc Stnt & Ather 2 2 — — $10,694.00 $35,512.00 $23,103.00 2026-04-01
37231 HCPCS Tib/per Revasc Stent & Ather 2 2 — — $10,694.00 $35,512.00 $23,103.00 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 4 3 — — $10,852.00 $74,146.61 $40,180.00 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 26 13 — — $56,946.44 $416,543.53 $114,948.11 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 20 12 — — $24,701.34 $53,670.68 $33,196.43 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 24 12 — — $19,321.05 $131,376.40 $34,500.01 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 18 11 — — $38,091.09 $76,039.95 $46,365.63 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 18 11 — — $20,194.09 $40,312.78 $25,332.38 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 18 11 — — $24,827.27 $49,561.84 $30,777.48 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 18 11 — — $23,000.88 $45,915.87 $28,631.03 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 19 11 — — $24,806.38 $49,520.14 $30,752.93 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 19 11 — — $23,723.64 $77,102.09 $29,480.44 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 18 11 — — $28,917.34 $57,726.70 $35,584.28 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 22 11 — — $76,740.62 $249,244.47 $91,788.05 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 24 12 — — $35,170.73 $298,770.69 $60,670.66 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 23 12 — — $21,603.41 $181,042.31 $47,605.38 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 18 11 — — $62,733.84 $125,233.44 $75,326.75 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 18 11 — — $40,156.32 $80,162.69 $48,792.76 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 19 11 — — $46,523.98 $92,874.24 $56,276.29 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 21 11 — — $27,186.62 $218,913.28 $36,302.76 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 18 11 — — $37,110.00 $74,081.44 $45,212.62 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 20 11 — — $22,064.87 $118,726.01 $28,034.47 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 18 11 — — $58,512.87 $116,807.26 $70,366.10 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 19 11 — — $41,521.07 $243,606.48 $50,396.67 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 18 11 — — $29,053.81 $57,999.14 $35,744.67 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 18 11 — — $38,456.65 $76,769.70 $46,795.25 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 18 11 — — $18,521.58 $36,974.00 $23,366.78 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 20 12 — — $14,982.75 $79,223.05 $48,239.58 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 21 13 — — $8,675.23 $43,294.33 $27,087.68 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 18 11 — — $36,245.20 $72,355.06 $44,196.27 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 19 12 — — $19,706.99 $49,019.74 $30,458.33 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 18 11 — — $19,134.32 $38,197.20 $24,086.90 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 18 11 — — $21,120.17 $42,161.48 $26,420.75 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 19 11 — — $21,953.96 $67,118.93 $41,113.66 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 24 12 — — $19,180.63 $321,048.12 $25,707.99 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 18 11 — — $29,891.46 $59,671.31 $36,729.11 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 20 11 — — $19,565.86 $51,176.68 $29,869.14 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 19 11 — — $20,278.34 $40,480.97 $25,431.40 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 19 11 — — $19,300.74 $38,529.41 $24,282.48 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 19 11 — — $22,470.30 $71,051.61 $28,007.47 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 20 12 — — $11,559.26 $51,035.24 $31,644.89 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 18 11 — — $25,245.75 $50,397.23 $31,269.28 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 18 11 — — $21,005.98 $41,933.52 $26,286.54 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 18 11 — — $71,792.01 $143,315.95 $85,972.26 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 20 11 — — $22,036.50 $59,444.20 $27,497.65 2026-04-01
503 MS_DRG Foot Procedures With Mcc 18 11 — — $19,434.43 $38,796.29 $24,439.60 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 19 11 — — $21,031.74 $41,984.95 $26,316.82 2026-04-01
5116 OTHER Level 6 Musculoskeletal Procedures 8 5 — — $16,550.96 $107,077.37 $23,518.08 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 21 11 — — $22,190.38 $114,585.84 $27,678.50 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 19 11 — — $18,021.94 $51,948.47 $32,182.53 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 18 11 — — $19,985.20 $39,895.78 $25,086.89 2026-04-01
5213 OTHER Level 3 Electrophysiologic Procedures 7 5 — — $2,866.00 $118,415.65 $25,572.96 2026-04-01
5231 OTHER Level 1 Icd And Similar Procedures 1 1 — — $23,023.99 $23,023.99 $23,023.99 2026-04-01
5232 OTHER Level 2 Icd And Similar Procedures 6 4 — — $31,107.96 $199,168.79 $52,186.96 2026-04-01
5303 OTHER Level 3 Upper Gi Procedures 1 1 — — $42,269.91 $42,269.91 $42,269.91 2026-04-01
5481 OTHER Laser Eye Procedures 1 1 — — $24,182.79 $24,182.79 $24,182.79 2026-04-01
570 MS_DRG Skin Debridement With Mcc 19 12 — — $9,959.78 $40,881.29 $25,667.07 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 19 11 — — $45,617.40 $91,064.46 $55,210.84 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 20 11 — — $14,251.76 $48,252.46 $30,006.62 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 20 11 — — $34,127.06 $68,126.68 $41,706.94 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 21 13 — — $13,826.42 $36,844.73 $23,290.68 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 19 12 — — $2,245.04 $45,015.15 $28,100.75 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 18 11 — — $32,287.43 $64,454.30 $39,544.94 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 19 12 — — $19,197.69 $49,079.14 $24,161.37 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 20 12 — — $24,282.77 $48,474.86 $30,137.55 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 4 3 — — $8,985.00 $36,374.45 $25,148.84 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 18 11 — — $20,104.97 $40,134.86 $25,227.64 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 22 13 — — $13,891.75 $315,981.68 $30,725.10 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 18 11 — — $21,028.96 $41,979.39 $26,313.55 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 20 11 — — $25,949.71 $53,040.99 $32,096.61 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 4 3 — — $4,961.00 $51,921.13 $42,014.51 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 4 3 — — $4,961.00 $36,374.45 $34,289.84 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 18 11 — — $32,735.85 $65,349.46 $40,071.94 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 18 11 — — $25,803.49 $51,510.62 $31,924.76 2026-04-01
652 MS_DRG Kidney Transplant 18 11 — — $22,487.01 $44,890.05 $28,027.11 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 18 11 — — $36,182.53 $72,229.96 $44,122.62 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 19 11 — — $19,491.53 $88,724.90 $24,506.70 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 19 11 — — $22,168.80 $44,254.82 $27,653.13 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 18 11 — — $21,317.22 $42,554.85 $26,652.33 2026-04-01
665 MS_DRG Prostatectomy With Mcc 18 11 — — $21,732.92 $43,384.68 $27,140.87 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 18 11 — — $20,331.96 $40,588.00 $25,494.41 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 26 13 — — $10,324.41 $95,297.96 $35,981.98 2026-04-01
69930 HCPCS Implant Cochlear Device 6 5 — — $3,026.00 $38,866.89 $27,148.27 2026-04-01
7 MS_DRG Lung Transplant 18 11 — — $90,172.24 $180,007.78 $107,573.42 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 18 11 — — $24,889.24 $49,685.55 $30,850.31 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 18 11 — — $24,947.04 $49,800.92 $30,918.23 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 21 12 — — $7,229.84 $82,614.65 $50,236.28 2026-04-01
791 MS_DRG Prematurity With Major Problems 21 13 — — $8,174.89 $56,420.10 $34,815.06 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 21 13 — — $2,688.96 $57,957.44 $35,720.12 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 18 11 — — $31,534.73 $62,951.71 $38,660.34 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 18 11 — — $39,024.83 $77,903.94 $47,463.00 2026-04-01
800 MS_DRG Splenic Procedures With Cc 18 11 — — $19,561.85 $39,050.66 $24,589.35 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 18 11 — — $27,741.29 $55,378.99 $34,202.14 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 18 11 — — $40,836.60 $81,520.72 $49,592.26 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 18 11 — — $31,923.96 $63,728.72 $39,117.78 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 18 11 — — $32,571.52 $65,021.42 $39,878.82 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 18 11 — — $22,003.08 $43,924.00 $27,458.37 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 18 11 — — $38,226.17 $76,309.61 $46,524.38 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 18 11 — — $33,452.34 $66,779.77 $40,913.99 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 19 11 — — $22,524.61 $44,965.11 $28,071.29 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 19 11 — — $16,290.47 $36,035.75 $22,814.41 2026-04-01
849 MS_DRG Radiotherapy 18 11 — — $18,866.25 $37,662.05 $23,771.85 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 18 11 — — $60,296.10 $120,367.05 $72,461.82 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 33 14 — — $16,979.15 $118,402.01 $42,012.99 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 21 11 — — $17,538.56 $68,719.35 $38,822.37 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 25 12 — — $16,322.24 $166,383.34 $58,160.06 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 19 12 — — $2,599.28 $53,722.11 $33,226.70 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 18 11 — — $29,220.93 $58,332.74 $35,941.07 2026-04-01
90288 HCPCS Botulism Ig IV 1 1 — — $65,751.75 $65,751.75 $65,751.75 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 18 11 — — $25,575.80 $51,056.09 $31,657.17 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 25 13 — — $4,690.79 $53,366.27 $33,017.21 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 18 11 — — $148,663.53 $296,771.95 $176,314.66 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 18 11 — — $49,943.51 $99,700.53 $60,295.05 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 18 11 — — $22,426.43 $44,769.12 $27,955.91 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 18 11 — — $27,115.31 $54,129.38 $33,466.47 2026-04-01
93654 HCPCS Ep & Ablate Ventric Tachy 4 3 — — $18,963.00 $30,810.80 $24,597.41 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 21 11 — — $25,265.25 $119,936.73 $31,292.20 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 20 11 — — $24,505.58 $65,556.61 $30,399.41 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 19 12 — — $17,958.97 $40,984.03 $22,705.58 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 18 11 — — $46,868.65 $93,562.29 $56,681.36 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 19 11 — — $25,969.69 $52,305.70 $32,392.84 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 18 11 — — $53,057.36 $105,916.61 $63,954.57 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 18 11 — — $29,341.39 $58,573.21 $36,082.64 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 18 11 — — $20,499.77 $40,922.99 $25,691.62 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 19 11 — — $17,958.97 $35,850.88 $22,705.58 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 18 11 — — $19,035.45 $37,999.82 $23,970.70 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 18 11 — — $42,622.61 $85,086.07 $51,691.25 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 19 11 — — $25,148.96 $50,204.02 $31,155.54 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 18 11 — — $18,364.22 $36,659.86 $23,181.84 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 24 13 — — $12,249.96 $40,115.40 $25,216.18 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 24 13 — — $16,003.08 $65,216.02 $39,993.38 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 21 11 — — $23,871.95 $124,512.06 $29,654.74 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 6 4 — — $56,824.55 $93,760.51 $61,370.51 2026-04-01
A9699 HCPCS Radiopharm Rx Agent Noc 3 1 — — $47,934.31 $74,614.73 $47,934.31 2026-04-01
C9760 HCPCS Non-blind Interatrial Shunt 4 3 — — $7,653.00 $36,828.00 $30,287.53 2026-04-01
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 4 3 — — $3,685,266.67 $4,053,793.33 $3,932,600.00 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 4 3 — — $3,316,462.59 $3,648,108.85 $3,521,088.40 2026-04-01
J1414 HCPCS Inj, Beqvez, Per Tx Dose 2 1 — — $3,932,600.00 $3,932,600.00 $3,932,600.00 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 5 3 — — $2,332,000.00 $3,847,800.00 $2,471,920.00 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 5 3 — — $2,945,740.00 $4,897,200.00 $3,146,080.00 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 4 3 — — $3,248,445.72 $3,573,290.29 $3,384,580.00 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 3 3 — — $1,912,500.00 $2,700,621.67 $2,455,110.60 2026-04-01
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 5 3 — — $205,640.00 $308,460.00 $236,486.00 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 5 3 — — $77,165.88 $120,116.70 $90,636.89 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 10 4 — — $63,342.28 $104,613.37 $76,066.21 2026-04-01
J9226 HCPCS Supprelin La Implant 10 4 — — $45,020.65 $74,681.97 $54,362.12 2026-04-01
J9266 HCPCS Pegaspargase Injection 10 4 — — $28,424.06 $51,163.31 $34,108.88 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 7 4 — — $24,228.42 $42,821.03 $26,651.26 2026-04-01
L5856 HCPCS Elec Knee-shin Swing/stance 2 2 — — $29,559.78 $32,515.76 $31,037.77 2026-04-01
L5858 HCPCS Stance Phase Only 2 2 — — $22,885.05 $25,173.56 $24,029.31 2026-04-01
L5973 HCPCS Ank-foot Sys Dors-plant Flex 2 2 — — $21,739.52 $23,913.47 $22,826.50 2026-04-01
L6700 HCPCS Ue Add Ext Power Myoel 2 2 — — $29,510.19 $32,461.21 $30,985.70 2026-04-01
L6880 HCPCS Elec Hand Ind Art Digits 2 2 — — $29,420.21 $32,362.23 $30,891.22 2026-04-01
L6975 HCPCS Interscap-thor Myoelectronic 2 2 — — $21,834.21 $24,017.63 $22,925.92 2026-04-01
L7180 HCPCS Electronic Elbow Sequential 2 2 — — $47,919.99 $52,711.99 $50,315.99 2026-04-01
L7181 HCPCS Electronic Elbo Simultaneous 2 2 — — $49,338.18 $54,272.00 $51,805.09 2026-04-01
L8701 HCPCS Pow Ue Rom Dev Ewh Uprt Cust 2 2 — — $34,970.13 $38,467.14 $36,718.63 2026-04-01
L8702 HCPCS Pow Ue Rom Dev Ewhf Uprt Cus 2 2 — — $68,801.71 $75,681.88 $72,241.80 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 2 2 — — $110,901.76 $121,991.94 $116,446.85 2026-04-01
Q0483 HCPCS Monitor Elec Vad, Rep 2 2 — — $23,087.32 $25,396.05 $24,241.68 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 8 4 — — $518,888.18 $807,703.30 $599,883.94 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 8 4 — — $591,726.20 $933,279.34 $665,691.97 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 9 4 — — $55,272.32 $91,635.23 $63,563.17 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 8 4 — — $489,304.61 $805,284.99 $550,467.69 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 8 4 — — $547,475.13 $852,201.85 $632,855.46 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 8 4 — — $557,317.93 $871,715.51 $626,982.68 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 8 4 — — $565,868.94 $909,675.26 $636,602.56 2026-04-01
Q2057 HCPCS Afamitresgene Autoleucel 5 3 — — $770,620.00 $1,155,930.00 $886,213.00 2026-04-01
See an error in this hospital's data? Submit a correction