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

ELMHURST MEMORIAL HOSPITAL

Elmhurst, IL · CCN 140200 · Rates published

15,025 distinct procedures filed
15 distinct payers
104,729 rate rows
2026-04-01 last MRF observed
Data quality

69,153 of 104,729 rate rows are consumer-grade (66.0%)

35,576 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 35,576
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.endeavorhealth.org/362167784_endeavor-health-elmhurst-hospital_standardcharges.json
Found on page https://www.endeavorhealth.org/patients-visitors/billing-insurance/price-transparency
Discovered viaCMS hospital list
Last fetch not_modified · 2026-05-19
Content fingerprint 47d709d74d34c6d0… · 29,762,025 bytes · first seen 2026-05-14

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
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 13 $334,489.62 $569,914.25 $334,489.62 nat. median
$370,174
0.9× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 13 $217,198.84 $425,678.80 $217,198.84 nat. median
$265,286
0.8× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 2 $110,901.76 $219,999.89 $178,662.74 nat. median
$111,989
1.6× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 13 $165,563.93 $358,522.68 $165,563.93 nat. median
$206,368
0.8× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 13 $124,448.80 $323,874.61 $164,594.43 nat. median
$202,986
0.8× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 1 $115,874.04 $115,874.04 $115,874.04 nat. median
$76,377
1.5× median
9460
OTHER 		Injection, Cangrelor 2 $11,201.18 $122,407.66 $108,356.41 nat. median
$20
outlier · 5423.2×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 13 $66,227.80 $555,295.36 $107,540.24 nat. median
$133,176
0.8× median
1471
OTHER 		Injection, Pertuzumab, 1 Mg 1 $102,986.00 $102,986.00 $102,986.00 nat. median
$17
outlier · 6022.6×
K0606
HCPCS 		Aed Garment W Elec Analysis 1 $101,527.98 $101,527.98 $101,527.98 nat. median
$3,697
outlier · 27.5×
7
MS_DRG 		Lung Transplant 13 $100,567.28 $197,495.17 $100,567.28 nat. median
$122,708
0.8× median
9284
OTHER 		Ipilimumab Injection 1 $45,640.53 $150,028.00 $97,834.26 nat. median
$188
outlier · 521.8×
E0194
HCPCS 		Air Fluidized Bed 1 $94,069.93 $94,069.93 $94,069.93 nat. median
$4,451
outlier · 21.1×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 13 $93,353.68 $197,993.90 $93,353.68 nat. median
$117,303
0.8× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 2 $56,824.55 $163,073.75 $91,544.35 nat. median
$62,507
1.5× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 2 $55,272.32 $133,569.99 $89,043.71 nat. median
$66,682
1.3× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 13 $88,045.03 $166,540.73 $88,045.03 nat. median
$108,660
0.8× median
209
MS_DRG 		Complex Aortic Arch Procedures 13 $87,944.45 $141,062.90 $87,944.45 nat. median
$98,017
0.9× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 13 $85,641.79 $158,408.42 $85,641.79 nat. median
$98,905
0.9× median
9096
OTHER 		Inj Retacrit Esrd On Dialysi 1 $84,619.46 $84,619.46 $84,619.46 nat. median
$1
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 13 $84,503.62 $164,627.42 $84,503.62 nat. median
$102,358
0.8× median
9304
OTHER 		Inj., Cemiplimab-rwlc, 1 Mg 1 $82,255.00 $82,255.00 $82,255.00 nat. median
$30
outlier · 2748.2×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 13 $80,142.81 $160,932.29 $80,142.81 nat. median
$100,136
0.8× median
9198
OTHER 		Inj Andexxa, 10 Mg 2 $13,494.09 $145,547.46 $79,520.77 nat. median
$135
outlier · 590.5×
L7181
HCPCS 		Electronic Elbo Simultaneous 2 $49,338.18 $79,483.81 $77,991.80 nat. median
$50,598
1.5× median
215
MS_DRG 		Other Heart Assist System Implant 13 $77,407.63 $160,110.14 $77,407.63 nat. median
$99,019
0.8× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 13 $76,059.77 $145,846.50 $76,059.77 nat. median
$93,672
0.8× median
L7180
HCPCS 		Electronic Elbow Sequential 2 $47,919.99 $77,199.10 $75,750.00 nat. median
$49,027
1.5× median
J9226
HCPCS 		Supprelin La Implant 2 $45,020.65 $108,441.74 $72,528.27 nat. median
$60,368
1.2× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 13 $70,077.20 $126,042.42 $70,077.20 nat. median
$82,712
0.8× median
850
MS_DRG 		Acute Leukemia With Other Procedures 13 $67,368.32 $139,210.38 $67,368.32 nat. median
$83,442
0.8× median
9377
OTHER 		Inj. Isatuximab-irfc 10 Mg 1 $65,957.00 $65,957.00 $65,957.00 nat. median
$84
outlier · 782.4×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 13 $65,591.81 $128,058.49 $65,591.81 nat. median
$79,312
0.8× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 13 $65,386.77 $127,985.95 $65,386.77 nat. median
$81,118
0.8× median
L2006
HCPCS 		Kaf Sng/dbl Swg/stn Mcpr Cus 2 $39,537.89 $63,695.54 $62,499.91 nat. median
$39,823
1.6× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 13 $61,250.35 $121,818.34 $61,250.35 nat. median
$77,576
0.8× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 13 $59,776.37 $116,929.28 $59,776.37 nat. median
$74,915
0.8× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 13 $59,520.26 $118,120.19 $59,520.26 nat. median
$73,807
0.8× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 13 $59,324.50 $112,798.90 $59,324.50 nat. median
$72,138
0.8× median
9245
OTHER 		Romiplostim Injection 2 $6,677.40 $111,130.00 $58,903.70 nat. median
$104
outlier · 568.7×
9164
OTHER 		Inj, Daptomycin (hospira) 1 $57,899.48 $57,899.48 $57,899.48 nat. median
$0
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 13 $29,293.19 $107,282.65 $56,219.48 nat. median
$68,090
0.8× median
10
MS_DRG 		Pancreas Transplant 13 $55,887.54 $120,489.90 $55,887.54 nat. median
$68,882
0.8× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 13 $55,864.33 $100,932.17 $55,864.33 nat. median
$64,027
0.9× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 13 $55,569.53 $119,796.22 $55,569.53 nat. median
$71,240
0.8× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 13 $55,537.03 $106,796.01 $55,537.03 nat. median
$68,887
0.8× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 13 $53,845.63 $105,133.58 $53,845.63 nat. median
$66,526
0.8× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 13 $53,583.34 $100,761.39 $53,583.34 nat. median
$65,950
0.8× median
9110
OTHER 		Inj, Tremelimumab-actl, 1 Mg 1 $52,464.30 $52,464.30 $52,464.30 nat. median
$143
outlier · 366.3×
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 13 $52,447.48 $103,190.05 $52,447.48 nat. median
$64,732
0.8× median

Other procedures at this hospital

Browse this hospital's 15,025 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
             
253 MS_DRG Other Vascular Procedures With Cc 25 13 — — $19,526.56 $38,581.98 $20,449.38 2026-04-01
L7186 HCPCS Electron Elbow Child Switch 3 2 — — $13,091.11 $21,089.78 $20,693.88 2026-04-01
1232 OTHER Mitomycin Injection 2 2 — — $5,120.71 $36,294.27 $20,707.49 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 23 13 — — $20,772.80 $40,097.81 $20,772.80 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 23 13 — — $20,875.71 $40,239.87 $20,875.71 2026-04-01
509 MS_DRG Arthroscopy 6 3 — — $18,489.08 $26,545.98 $20,882.15 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 23 13 — — $20,947.67 $43,277.59 $20,947.67 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 4 3 — — $8,784.00 $53,272.04 $20,957.34 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 23 13 — — $21,237.05 $39,540.14 $21,237.05 2026-04-01
L8685 HCPCS Implt Nrostm Pls Gen Sng Rec 1 1 — — $21,280.97 $21,280.97 $21,280.97 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 23 13 — — $21,305.14 $41,278.14 $21,305.14 2026-04-01
849 MS_DRG Radiotherapy 23 13 — — $21,330.67 $40,365.31 $21,330.67 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 23 13 — — $21,418.10 $43,022.18 $21,418.10 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 23 13 — — $21,518.69 $41,055.98 $21,518.69 2026-04-01
K0857 HCPCS Pwc Gp3 Std Sing Pow Opt Cap 1 1 — — $21,622.77 $21,622.77 $21,622.77 2026-04-01
K0837 HCPCS Pwc Gp 2 Hd Sing Pow Opt S/b 1 1 — — $21,624.46 $21,624.46 $21,624.46 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 26 13 — — $19,762.24 $165,887.42 $21,628.56 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 25 13 — — $14,470.93 $51,647.43 $21,633.98 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 23 13 — — $21,698.97 $40,853.46 $21,698.97 2026-04-01
L7191 HCPCS Elbow Child Myoelectronic CT 3 2 — — $13,769.77 $22,183.10 $21,766.69 2026-04-01
0408T HCPCS Insj/rplc Cardiac Modulj Sys 4 3 — — $9,827.00 $54,189.03 $21,767.44 2026-04-01
0571T HCPCS Insj/rplcmt Icds Ss Eltrd 4 3 — — $9,827.00 $54,189.03 $21,767.44 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 27 13 — — $19,207.88 $199,946.81 $21,813.49 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 4 3 — — $10,488.00 $53,272.04 $21,815.84 2026-04-01
Q4244 HCPCS Procenta, Per 200 Mg 1 1 — — $21,954.24 $21,954.24 $21,954.24 2026-04-01
503 MS_DRG Foot Procedures With Mcc 23 13 — — $21,962.05 $39,996.55 $21,962.05 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 24 13 — — $22,025.49 $178,030.74 $22,025.49 2026-04-01
K0851 HCPCS Pwc Gp 3 Hd Cap Chair 1 1 — — $22,025.74 $22,025.74 $22,025.74 2026-04-01
800 MS_DRG Splenic Procedures With Cc 23 13 — — $22,103.64 $44,033.24 $22,103.64 2026-04-01
E1036 HCPCS Patient Transfer System >300 1 1 — — $22,305.91 $22,305.91 $22,305.91 2026-04-01
0963 OTHER Albumin (human), 5%, 250 Ml 7 3 — — $5,470.08 $109,586.60 $22,308.00 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 26 13 — — $8,797.05 $70,154.52 $22,421.65 2026-04-01
K0829 HCPCS Pwc Gp 2 Xtra Hd Cap Chair 1 1 — — $22,514.36 $22,514.36 $22,514.36 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 23 13 — — $22,574.08 $44,048.35 $22,574.08 2026-04-01
L6945 HCPCS Elbow Disart Myoelectronic C 3 2 — — $14,312.50 $23,057.44 $22,624.62 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 23 13 — — $22,663.83 $40,046.43 $22,663.83 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 23 13 — — $22,696.33 $45,127.42 $22,696.33 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 23 13 — — $22,707.16 $41,204.08 $22,707.16 2026-04-01
K0843 HCPCS Pwc Gp2 Hd Mult Pow Opt S/b 1 1 — — $22,761.66 $22,761.66 $22,761.66 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 23 13 — — $22,806.20 $42,440.33 $22,806.20 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 23 13 — — $22,820.13 $44,323.41 $22,820.13 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 26 13 — — $12,076.89 $44,447.33 $22,899.82 2026-04-01
K0850 HCPCS Pwc Gp 3 Hd Seat/back 1 1 — — $22,907.35 $22,907.35 $22,907.35 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 23 13 — — $22,959.40 $44,071.02 $22,959.40 2026-04-01
E2402 HCPCS Neg Press Wound Therapy Pump 1 1 — — $22,991.69 $22,991.69 $22,991.69 2026-04-01
570 MS_DRG Skin Debridement With Mcc 23 13 — — $23,122.66 $45,496.18 $23,122.66 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 23 13 — — $23,145.87 $39,954.24 $23,145.87 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 27 13 — — $13,049.73 $120,323.16 $23,161.35 2026-04-01
L5969 HCPCS Ak/ft Power Asst Incl Motors 1 1 — — $23,223.29 $23,223.29 $23,223.29 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 23 13 — — $23,395.79 $46,372.73 $23,395.79 2026-04-01
1490 OTHER Inj Pembrolizumab 11 4 — — $7,764.27 $78,445.00 $23,461.14 2026-04-01
L6955 HCPCS Above Elbow Myoelectronic CT 3 2 — — $14,850.10 $23,923.51 $23,474.46 2026-04-01
K0856 HCPCS Pwc Gp3 Std Sing Pow Opt S/b 1 1 — — $23,707.84 $23,707.84 $23,707.84 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 23 13 — — $23,708.38 $38,155.79 $23,708.38 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 23 13 — — $23,733.91 $43,327.46 $23,733.91 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 23 13 — — $23,737.01 $43,192.95 $23,737.01 2026-04-01
Q0479 HCPCS Power Module Combo Vad, Rep 3 2 — — $14,780.89 $30,344.23 $23,812.01 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 25 13 — — $16,545.43 $49,396.84 $23,835.27 2026-04-01
9295 OTHER Injection, Carfilzomib, 1 Mg 3 2 — — $11.25 $178,950.00 $23,930.59 2026-04-01
K0828 HCPCS Pwc Gp 2 Xtra Hd Seat/back 1 1 — — $24,007.19 $24,007.19 $24,007.19 2026-04-01
263 MS_DRG Vein Ligation And Stripping 23 13 — — $24,022.52 $40,531.55 $24,022.52 2026-04-01
E1008 HCPCS Pwr Seat Combo Pwr Shear 1 1 — — $24,043.25 $24,043.25 $24,043.25 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 23 13 — — $24,054.24 $47,143.49 $24,054.24 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 23 13 — — $24,423.32 $46,221.60 $24,423.32 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 26 13 — — $7,807.04 $177,020.42 $24,465.87 2026-04-01
665 MS_DRG Prostatectomy With Mcc 23 13 — — $24,516.17 $51,888.97 $24,516.17 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 23 13 — — $24,677.88 $42,398.01 $24,677.88 2026-04-01
L6960 HCPCS Shldr Disartic Switch Contro 3 2 — — $15,621.74 $25,166.62 $24,694.21 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 23 13 — — $24,735.14 $46,942.49 $24,735.14 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 23 13 — — $24,746.74 $48,286.04 $24,746.74 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 34 13 — — $326.53 $135,477.82 $24,816.38 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 24 13 — — $24,486.60 $47,885.54 $24,853.52 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 23 13 — — $24,951.01 $53,354.94 $24,951.01 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 23 13 — — $25,000.53 $49,233.62 $25,000.53 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 23 13 — — $25,024.52 $46,732.42 $25,024.52 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 23 13 — — $25,070.17 $51,263.30 $25,070.17 2026-04-01
K0859 HCPCS Pwc Gp3 Hd Sing Pow Opt Cap 1 1 — — $25,082.46 $25,082.46 $25,082.46 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 23 13 — — $25,206.35 $43,253.41 $25,206.35 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 23 13 — — $25,286.81 $48,062.36 $25,286.81 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 23 13 — — $25,335.56 $48,718.27 $25,335.56 2026-04-01
652 MS_DRG Kidney Transplant 23 13 — — $25,354.13 $46,415.05 $25,354.13 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 26 13 — — $23,199.66 $185,262.79 $25,361.09 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 23 13 — — $25,395.91 $48,201.40 $25,395.91 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 23 13 — — $25,423.77 $49,254.78 $25,423.77 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 24 13 — — $25,534.41 $52,817.33 $25,534.41 2026-04-01
K0861 HCPCS Pwc Gp3 Std Mult Pow Opt S/b 1 1 — — $25,701.57 $25,701.57 $25,701.57 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 24 13 — — $25,835.40 $47,164.65 $25,835.40 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 23 13 — — $25,838.49 $50,185.74 $25,838.49 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 23 13 — — $25,925.15 $41,583.94 $25,925.15 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 27 13 — — $12,769.11 $115,557.18 $26,213.76 2026-04-01
E0636 HCPCS Pt Support & Positioning Sys 1 1 — — $26,278.38 $26,278.38 $26,278.38 2026-04-01
K0858 HCPCS Pwc Gp3 Hd Sing Pow Opt S/b 1 1 — — $26,300.34 $26,300.34 $26,300.34 2026-04-01
K0852 HCPCS Pwc Gp 3 Vhd Seat/back 1 1 — — $26,468.13 $26,468.13 $26,468.13 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 23 13 — — $26,728.30 $53,336.80 $26,728.30 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 25 13 — — $22,558.59 $175,735.45 $26,763.11 2026-04-01
E1007 HCPCS Pwr Seat Combo W/shear 1 1 — — $26,815.65 $26,815.65 $26,815.65 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 29 13 — — $9,864.62 $153,277.82 $26,893.10 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 17 13 — — $26,972.02 $43,263.12 $26,972.02 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 23 13 — — $27,095.82 $51,970.58 $27,095.82 2026-04-01
K0853 HCPCS Pwc Gp 3 Vhd Cap Chair 1 1 — — $27,189.78 $27,189.78 $27,189.78 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 23 13 — — $27,225.81 $52,362.01 $27,225.81 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 23 13 — — $27,349.61 $58,410.23 $27,349.61 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 23 13 — — $27,356.57 $51,840.61 $27,356.57 2026-04-01
S2068 HCPCS Breast Reconstruct, Deip 1 1 — — $27,500.00 $27,500.00 $27,500.00 2026-04-01
S2066 HCPCS Breast Reconstruct, Gap 1 1 — — $27,500.00 $27,500.00 $27,500.00 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 23 13 — — $27,597.21 $55,138.27 $27,597.21 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 30 13 — — $21,057.03 $155,243.22 $27,652.92 2026-04-01
L8687 HCPCS Implt Nrostm Pls Gen Dua Rec 1 1 — — $27,695.03 $27,695.03 $27,695.03 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 24 13 — — $26,072.29 $52,055.22 $27,882.72 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 24 13 — — $27,905.16 $60,292.92 $27,905.16 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 23 13 — — $27,931.47 $52,949.91 $27,931.47 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 23 13 — — $27,954.68 $52,912.12 $27,954.68 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 23 13 — — $27,995.69 $54,768.00 $27,995.69 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 23 13 — — $28,023.54 $59,504.41 $28,023.54 2026-04-01
0620T HCPCS Evasc Ven Artlz Tibl/prnl Vn 4 3 — — $8,784.00 $76,040.85 $28,024.01 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 23 13 — — $28,087.76 $60,160.32 $28,087.76 2026-04-01
L5859 HCPCS Knee-shin Pro Flex/ext Cont 3 2 — — $17,866.14 $28,782.35 $28,242.06 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 23 13 — — $28,270.36 $48,425.07 $28,270.36 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 23 13 — — $28,312.15 $54,177.08 $28,312.15 2026-04-01
265 MS_DRG Aicd Lead Procedures 23 13 — — $28,361.67 $53,906.56 $28,361.67 2026-04-01
332 MS_DRG Rectal Resection With Mcc 23 13 — — $28,381.01 $52,419.44 $28,381.01 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 24 13 — — $26,400.99 $53,202.29 $28,419.70 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 49 14 — — $254.34 $81,899.04 $28,441.36 2026-04-01
K0839 HCPCS Pwc Gp2 Vhd Sing Pow Opt S/b 1 1 — — $28,474.16 $28,474.16 $28,474.16 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 4 3 — — $9,827.00 $76,040.85 $28,549.51 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 23 13 — — $28,774.84 $53,666.26 $28,774.84 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 23 13 — — $28,786.45 $58,349.78 $28,786.45 2026-04-01
Q0481 HCPCS Microprcsr Cu Elec Vad, Rep 3 2 — — $17,892.75 $36,732.65 $28,825.22 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 23 13 — — $29,039.46 $52,475.36 $29,039.46 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 25 13 — — $29,201.95 $96,427.00 $29,201.95 2026-04-01
L6965 HCPCS Shldr Disartic Myoelectronic 3 2 — — $18,506.37 $29,813.76 $29,254.13 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 23 13 — — $29,283.19 $54,161.97 $29,283.19 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 23 13 — — $29,286.29 $58,200.16 $29,286.29 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 23 13 — — $29,355.15 $49,898.59 $29,355.15 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 23 13 — — $29,482.04 $57,764.91 $29,482.04 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 23 13 — — $30,072.41 $60,202.64 $30,072.41 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 23 13 — — $30,241.86 $57,003.21 $30,241.86 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 23 13 — — $30,270.49 $59,385.02 $30,270.49 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 23 13 — — $30,315.36 $58,766.90 $30,315.36 2026-04-01
E0483 HCPCS Chest Compression Gen System 1 1 — — $30,326.87 $30,326.87 $30,326.87 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 23 13 — — $30,497.19 $65,389.42 $30,497.19 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 23 13 — — $30,634.15 $57,450.56 $30,634.15 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 24 13 — — $31,192.79 $81,327.98 $31,192.79 2026-04-01
9490 OTHER Inj, Bezlotoxumab, 10 Mg 1 1 — — $31,204.00 $31,204.00 $31,204.00 2026-04-01
L6970 HCPCS Interscapular-thor Switch CT 3 2 — — $19,809.02 $31,912.33 $31,313.30 2026-04-01
9494 OTHER Injection, Ocrelizumab 2 2 — — $27,472.52 $35,453.71 $31,463.11 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 34 13 — — $18,777.96 $194,351.08 $31,474.43 2026-04-01
791 MS_DRG Prematurity With Major Problems 29 13 — — $7,423.14 $61,360.29 $31,772.32 2026-04-01
E0764 HCPCS Functional Neuromuscularstim 1 1 — — $31,989.30 $31,989.30 $31,989.30 2026-04-01
Q0489 HCPCS Pwr Pck Base Combo Vad, Rep 3 2 — — $20,015.46 $41,090.46 $32,244.91 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 23 13 — — $32,286.86 $59,091.83 $32,286.86 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 23 13 — — $32,499.64 $61,466.08 $32,499.64 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 32 14 — — $2,813.14 $63,030.28 $32,628.08 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 23 13 — — $32,651.29 $65,253.40 $32,651.29 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 23 13 — — $32,776.64 $62,141.63 $32,776.64 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 23 13 — — $32,836.99 $66,953.61 $32,836.99 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 23 13 — — $32,875.68 $63,323.47 $32,875.68 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 24 13 — — $32,970.85 $156,534.99 $32,970.85 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 23 13 — — $32,987.10 $62,014.68 $32,987.10 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 23 13 — — $33,042.81 $62,876.13 $33,042.81 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 27 13 — — $29,001.29 $276,118.72 $33,178.98 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 23 13 — — $33,368.55 $63,912.88 $33,368.55 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 23 13 — — $33,582.10 $67,772.74 $33,582.10 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 23 13 — — $33,849.04 $64,369.29 $33,849.04 2026-04-01
K0855 HCPCS Pwc Gp 3 Xhd Cap Chair 1 1 — — $34,026.41 $34,026.41 $34,026.41 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 23 13 — — $34,355.07 $64,462.99 $34,355.07 2026-04-01
L5973 HCPCS Ank-foot Sys Dors-plant Flex 3 2 — — $21,739.52 $35,022.37 $34,364.97 2026-04-01
L6975 HCPCS Interscap-thor Myoelectronic 3 2 — — $21,834.21 $35,174.91 $34,514.63 2026-04-01
K0862 HCPCS Pwc Gp3 Hd Mult Pow Opt S/b 1 1 — — $34,605.71 $34,605.71 $34,605.71 2026-04-01
1847 OTHER Injection, Inflectra 1 1 — — $34,730.00 $34,730.00 $34,730.00 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 23 13 — — $34,897.47 $66,383.85 $34,897.47 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 23 13 — — $35,033.64 $63,328.00 $35,033.64 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 23 13 — — $35,043.70 $69,654.31 $35,043.70 2026-04-01
9353 OTHER Inj Fam-trastu Deru-nxki 1mg 2 2 — — $7,625.62 $63,048.00 $35,336.81 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 23 13 — — $35,408.13 $71,854.76 $35,408.13 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 23 13 — — $35,545.86 $67,585.34 $35,545.86 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 23 13 — — $35,561.34 $68,179.28 $35,561.34 2026-04-01
245 MS_DRG Aicd Generator Procedures 23 13 — — $35,667.34 $73,849.67 $35,667.34 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 23 13 — — $35,840.66 $70,716.75 $35,840.66 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 23 13 — — $35,931.18 $69,394.36 $35,931.18 2026-04-01
K0854 HCPCS Pwc Gp 3 Xhd Seat/back 1 1 — — $36,020.25 $36,020.25 $36,020.25 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 23 13 — — $36,101.41 $70,308.70 $36,101.41 2026-04-01
L5858 HCPCS Stance Phase Only 3 2 — — $22,885.05 $36,867.82 $36,175.77 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 23 13 — — $36,244.55 $73,281.43 $36,244.55 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 24 13 — — $36,560.24 $196,943.98 $36,560.24 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 36 13 — — $13,316.08 $754,808.98 $36,668.56 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 23 13 — — $36,742.84 $69,625.59 $36,742.84 2026-04-01
Q0483 HCPCS Monitor Elec Vad, Rep 3 2 — — $23,087.32 $47,396.78 $37,193.67 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 23 13 — — $37,202.44 $71,097.60 $37,202.44 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 23 13 — — $37,539.02 $75,667.77 $37,539.02 2026-04-01
K0863 HCPCS Pwc Gp3 Vhd Mult Pow Opt S/b 1 1 — — $37,573.49 $37,573.49 $37,573.49 2026-04-01
K0860 HCPCS Pwc Gp3 Vhd Sing Pow Opt S/b 1 1 — — $37,573.49 $37,573.49 $37,573.49 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 23 13 — — $37,727.81 $73,403.84 $37,727.81 2026-04-01
L8614 HCPCS Cochlear Device 1 1 — — $38,111.83 $38,111.83 $38,111.83 2026-04-01
9048 OTHER Inj, Alymsys, 10 Mg 2 1 — — $22,198.80 $54,112.00 $38,155.40 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 23 13 — — $38,288.78 $81,533.12 $38,288.78 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 23 13 — — $38,447.39 $76,116.62 $38,447.39 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 26 14 — — $121.28 $87,222.55 $38,578.16 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 23 13 — — $38,646.25 $75,306.57 $38,646.25 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 23 13 — — $38,955.74 $76,754.39 $38,955.74 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 3 2 — — $24,228.42 $48,011.04 $39,031.98 2026-04-01
0738 OTHER Rasburicase 1 1 — — $39,146.11 $39,146.11 $39,146.11 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 23 13 — — $39,364.28 $69,403.43 $39,364.28 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 23 13 — — $40,572.86 $84,242.88 $40,572.86 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 24 13 — — $40,642.50 $105,438.87 $40,642.50 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 29 14 — — $3,648.37 $179,040.00 $41,191.08 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 23 13 — — $41,326.49 $83,534.08 $41,326.49 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 24 13 — — $38,433.41 $77,827.42 $41,603.49 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 23 13 — — $41,628.25 $80,042.98 $41,628.25 2026-04-01
J7310 HCPCS Ganciclovir Long Act Implant 1 1 — — $42,240.00 $42,240.00 $42,240.00 2026-04-01
9331 OTHER Inj, Polatuzumab Vedotin 1mg 5 3 — — $49.79 $148,555.00 $42,287.81 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 23 13 — — $42,398.12 $91,214.51 $42,398.12 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 23 13 — — $42,566.80 $81,543.70 $42,566.80 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 23 13 — — $42,633.34 $80,399.65 $42,633.34 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 23 13 — — $42,693.69 $82,039.41 $42,693.69 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 23 13 — — $42,843.80 $83,528.04 $42,843.80 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 23 13 — — $43,099.90 $92,743.95 $43,099.90 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 23 13 — — $43,434.16 $75,608.83 $43,434.16 2026-04-01
K0840 HCPCS Pwc Gp2 Xhd Sing Pow Opt S/b 1 1 — — $43,520.62 $43,520.62 $43,520.62 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 23 13 — — $43,731.28 $82,226.81 $43,731.28 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 30 13 — — $40,073.99 $284,750.58 $43,865.91 2026-04-01
9411 OTHER Inj. Riabni, 10 Mg 2 2 — — $6,288.18 $82,202.00 $44,245.09 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 23 13 — — $44,465.56 $81,620.78 $44,465.56 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 17 13 — — $44,522.82 $71,414.60 $44,522.82 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 23 13 — — $44,703.87 $86,215.13 $44,703.87 2026-04-01
K0864 HCPCS Pwc Gp3 Xhd Mult Pow Opt S/b 1 1 — — $44,712.47 $44,712.47 $44,712.47 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 24 13 — — $44,988.61 $205,867.77 $44,988.61 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 23 13 — — $45,744.56 $87,986.37 $45,744.56 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 23 13 — — $45,773.96 $88,921.87 $45,773.96 2026-04-01
J9266 HCPCS Pegaspargase Injection 3 2 — — $28,424.06 $58,720.09 $45,791.16 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 23 13 — — $46,246.71 $91,214.51 $46,246.71 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 31 14 — — $20,647.07 $104,920.00 $46,353.49 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 23 13 — — $46,505.14 $86,733.51 $46,505.14 2026-04-01
L6880 HCPCS Elec Hand Ind Art Digits 3 2 — — $29,420.21 $47,395.96 $46,506.28 2026-04-01
L5856 HCPCS Elec Knee-shin Swing/stance 3 2 — — $29,559.78 $47,620.81 $46,726.92 2026-04-01
9346 OTHER Mometasone Sinus Sinuva 2 2 — — $10,182.79 $83,418.32 $46,800.56 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 23 13 — — $46,841.72 $93,609.92 $46,841.72 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 23 13 — — $46,854.88 $91,873.44 $46,854.88 2026-04-01
9487 OTHER Ustekinumab, IV Inject,1 Mg 2 1 — — $46,258.16 $47,655.85 $46,957.01 2026-04-01
9013 OTHER Inj Risankizumab-rzaa?1 Mg 3 1 — — $7,016.70 $95,174.00 $47,053.69 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 23 13 — — $47,275.02 $92,314.74 $47,275.02 2026-04-01
9054 OTHER Lutetium Lu 177 Vipivotide 1 1 — — $47,315.03 $47,315.03 $47,315.03 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 23 13 — — $47,729.20 $95,573.10 $47,729.20 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 23 13 — — $47,784.14 $90,532.92 $47,784.14 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 23 13 — — $50,154.11 $97,746.35 $50,154.11 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 23 13 — — $51,057.07 $93,062.83 $51,057.07 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 23 13 — — $51,241.99 $89,908.75 $51,241.99 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 23 13 — — $51,241.99 $97,590.69 $51,241.99 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 23 13 — — $52,064.48 $101,320.57 $52,064.48 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 23 13 — — $52,102.39 $93,489.02 $52,102.39 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 23 13 — — $52,447.48 $103,190.05 $52,447.48 2026-04-01
9110 OTHER Inj, Tremelimumab-actl, 1 Mg 1 1 — — $52,464.30 $52,464.30 $52,464.30 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 23 13 — — $53,583.34 $100,761.39 $53,583.34 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 23 13 — — $53,845.63 $105,133.58 $53,845.63 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 23 13 — — $55,537.03 $106,796.01 $55,537.03 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 23 13 — — $55,569.53 $119,796.22 $55,569.53 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 23 13 — — $55,864.33 $100,932.17 $55,864.33 2026-04-01
10 MS_DRG Pancreas Transplant 23 13 — — $55,887.54 $120,489.90 $55,887.54 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 24 13 — — $29,293.19 $107,282.65 $56,219.48 2026-04-01
9164 OTHER Inj, Daptomycin (hospira) 1 1 — — $57,899.48 $57,899.48 $57,899.48 2026-04-01
9245 OTHER Romiplostim Injection 2 2 — — $6,677.40 $111,130.00 $58,903.70 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 23 13 — — $59,324.50 $112,798.90 $59,324.50 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 23 13 — — $59,520.26 $118,120.19 $59,520.26 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 23 13 — — $59,776.37 $116,929.28 $59,776.37 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 23 13 — — $61,250.35 $121,818.34 $61,250.35 2026-04-01
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 3 2 — — $39,537.89 $63,695.54 $62,499.91 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 23 13 — — $65,386.77 $127,985.95 $65,386.77 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 23 13 — — $65,591.81 $128,058.49 $65,591.81 2026-04-01
9377 OTHER Inj. Isatuximab-irfc 10 Mg 1 1 — — $65,957.00 $65,957.00 $65,957.00 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 23 13 — — $67,368.32 $139,210.38 $67,368.32 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 23 13 — — $70,077.20 $126,042.42 $70,077.20 2026-04-01
J9226 HCPCS Supprelin La Implant 3 2 — — $45,020.65 $108,441.74 $72,528.27 2026-04-01
L7180 HCPCS Electronic Elbow Sequential 3 2 — — $47,919.99 $77,199.10 $75,750.00 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 23 13 — — $76,059.77 $145,846.50 $76,059.77 2026-04-01
215 MS_DRG Other Heart Assist System Implant 23 13 — — $77,407.63 $160,110.14 $77,407.63 2026-04-01
L7181 HCPCS Electronic Elbo Simultaneous 3 2 — — $49,338.18 $79,483.81 $77,991.80 2026-04-01
9198 OTHER Inj Andexxa, 10 Mg 2 2 — — $13,494.09 $145,547.46 $79,520.77 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 23 13 — — $80,142.81 $160,932.29 $80,142.81 2026-04-01
9304 OTHER Inj., Cemiplimab-rwlc, 1 Mg 1 1 — — $82,255.00 $82,255.00 $82,255.00 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 23 13 — — $84,503.62 $164,627.42 $84,503.62 2026-04-01
9096 OTHER Inj Retacrit Esrd On Dialysi 1 1 — — $84,619.46 $84,619.46 $84,619.46 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 23 13 — — $85,641.79 $158,408.42 $85,641.79 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 17 13 — — $87,944.45 $141,062.90 $87,944.45 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 23 13 — — $88,045.03 $166,540.73 $88,045.03 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 3 2 — — $55,272.32 $133,569.99 $89,043.71 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 3 2 — — $56,824.55 $163,073.75 $91,544.35 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 23 13 — — $93,353.68 $197,993.90 $93,353.68 2026-04-01
E0194 HCPCS Air Fluidized Bed 1 1 — — $94,069.93 $94,069.93 $94,069.93 2026-04-01
9284 OTHER Ipilimumab Injection 2 1 — — $45,640.53 $150,028.00 $97,834.26 2026-04-01
7 MS_DRG Lung Transplant 23 13 — — $100,567.28 $197,495.17 $100,567.28 2026-04-01
K0606 HCPCS Aed Garment W Elec Analysis 1 1 — — $101,527.98 $101,527.98 $101,527.98 2026-04-01
1471 OTHER Injection, Pertuzumab, 1 Mg 1 1 — — $102,986.00 $102,986.00 $102,986.00 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 26 13 — — $66,227.80 $555,295.36 $107,540.24 2026-04-01
9460 OTHER Injection, Cangrelor 3 2 — — $11,201.18 $122,407.66 $108,356.41 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 1 1 — — $115,874.04 $115,874.04 $115,874.04 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 24 13 — — $124,448.80 $323,874.61 $164,594.43 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 23 13 — — $165,563.93 $358,522.68 $165,563.93 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 3 2 — — $110,901.76 $219,999.89 $178,662.74 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 23 13 — — $217,198.84 $425,678.80 $217,198.84 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 23 13 — — $334,489.62 $569,914.25 $334,489.62 2026-04-01
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