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

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Hospital

JAVON BEA HOSPITAL

Rockford, IL · CCN 140239 · Rates published

13,286 distinct procedures filed
15 distinct payers
92,472 rate rows
2026-03-01 last MRF observed
Data quality

69,987 of 92,472 rate rows are consumer-grade (75.7%)

22,485 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 21,408
template filing: same amount across many unrelated codes — excluded 1,029
placeholder amount (≤ $0.02) — excluded from medians 48
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://res.cloudinary.com/dpmykpsih/raw/upload/fl_attachment/mercyhealth-site-398/media/746a49b969c0419999927c17b09544a3/362167847-javonbeahospital-standardcharges.json
Found on page https://www.mercyhealthsystem.org/cms-hpt.txt
Discovered viaDiscovered by HANK (automated)
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-05-19
Content fingerprint 74140ef5bb60ffce… · 715,660 bytes · first seen 2026-05-17

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
Q2056
HCPCS 		Ciltacabtagene Car-pos T 6 $565,868.94 $1,907,381.77 $843,583.19 nat. median
$675,122
1.2× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 6 $557,317.93 $1,855,301.78 $804,624.26 nat. median
$625,184
1.3× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 6 $562,538.19 $1,816,944.04 $787,574.49 nat. median
$674,188
1.2× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 6 $533,230.17 $1,724,394.31 $766,832.11 nat. median
$634,511
1.2× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 6 $591,726.20 $1,479,315.50 $752,402.46 nat. median
$754,974
1.0× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 6 $489,304.61 $1,223,261.52 $636,218.90 nat. median
$620,080
1.0× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 11 $289,324.76 $1,179,710.91 $414,111.61 nat. median
$370,174
1.1× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 11 $187,760.13 $765,584.92 $269,019.69 nat. median
$265,286
1.0× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 1 $214,899.70 $214,899.70 $214,899.70 nat. median
$76,377
outlier · 2.8×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 11 $142,208.84 $1,505,580.14 $206,960.59 nat. median
$202,986
1.0× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 11 $143,048.35 $583,274.31 $205,145.89 nat. median
$206,368
1.0× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 5 $59,371.38 $242,084.59 $167,519.01 nat. median
$87,411
1.9× median
222
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 5 $51,299.22 $209,170.66 $144,743.04 nat. median
$63,570
outlier · 2.3×
224
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 5 $47,497.64 $193,669.85 $134,016.72 nat. median
$54,196
outlier · 2.5×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 11 $92,804.38 $378,406.40 $131,398.02 nat. median
$133,176
1.0× median
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 5 $44,436.41 $181,187.80 $125,379.32 nat. median
$65,381
1.9× median
7
MS_DRG 		Lung Transplant 11 $86,766.34 $353,786.51 $124,743.24 nat. median
$122,708
1.0× median
226
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 5 $42,886.03 $174,866.19 $121,004.86 nat. median
$49,935
outlier · 2.4×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 11 $80,519.93 $328,317.01 $115,819.82 nat. median
$117,303
1.0× median
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 5 $40,979.21 $167,091.20 $115,624.68 nat. median
$62,270
1.9× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 11 $75,923.06 $309,573.44 $109,252.89 nat. median
$108,660
1.0× median
209
MS_DRG 		Complex Aortic Arch Procedures 11 $75,835.96 $309,218.30 $109,128.46 nat. median
$98,017
1.1× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 11 $73,842.04 $301,088.16 $107,850.65 nat. median
$98,905
1.1× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 11 $72,856.47 $297,069.54 $104,872.05 nat. median
$102,358
1.0× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 11 $69,080.35 $281,672.55 $99,477.61 nat. median
$100,136
1.0× median
223
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 5 $34,965.29 $142,569.67 $98,656.13 nat. median
$44,728
outlier · 2.2×
225
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 5 $33,886.59 $138,171.31 $95,612.53 nat. median
$48,649
2.0× median
227
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 5 $33,638.69 $137,160.50 $94,913.07 nat. median
$39,020
outlier · 2.4×
215
MS_DRG 		Other Heart Assist System Implant 11 $36,870.05 $272,015.28 $94,674.01 nat. median
$99,019
1.0× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 $65,544.76 $267,256.31 $93,031.31 nat. median
$93,672
1.0× median
455
MS_DRG 		Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 5 $30,857.52 $125,820.39 $87,065.88 nat. median
$48,483
1.8× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 11 $60,364.32 $246,133.26 $87,026.17 nat. median
$82,712
1.1× median
850
MS_DRG 		Acute Leukemia With Other Procedures 11 $58,018.65 $236,568.88 $83,675.23 nat. median
$83,442
1.0× median
J9029
HCPCS 		Inj, Adstiladrin, Per Tx Dos 6 $63,342.28 $158,355.70 $82,206.29 nat. median
$69,774
1.2× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 11 $56,480.33 $230,296.44 $81,477.64 nat. median
$79,312
1.0× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 11 $56,302.78 $229,572.48 $81,223.99 nat. median
$81,118
1.0× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 11 $52,720.96 $760,705.47 $76,107.12 nat. median
$77,576
1.0× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 6 $55,272.32 $138,180.81 $74,122.23 nat. median
$66,682
1.1× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 11 $51,053.33 $208,168.05 $73,724.80 nat. median
$72,138
1.0× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 11 $10,368.32 $209,763.48 $73,185.98 nat. median
$74,915
1.0× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 11 $51,222.84 $208,859.22 $72,873.85 nat. median
$73,807
1.0× median
9453
OTHER 		Injection, Nivolumab 1 $72,745.32 $72,745.32 $72,745.32 nat. median
$34
outlier · 2156.1×
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 11 $250.00 $197,204.93 $70,916.56 nat. median
$68,090
1.0× median
10
MS_DRG 		Pancreas Transplant 11 $48,077.19 $196,032.95 $69,473.17 nat. median
$68,882
1.0× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 11 $48,057.09 $195,950.99 $69,444.46 nat. median
$64,027
1.1× median
460
MS_DRG 		Spinal Fusion Except Cervical Without Mcc 5 $24,507.93 $99,930.17 $69,150.22 nat. median
$39,075
1.8× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 11 $47,801.82 $194,910.14 $69,079.79 nat. median
$71,240
1.0× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 11 $47,773.68 $194,795.40 $69,039.60 nat. median
$68,887
1.0× median
38240
HCPCS 		Transplt Allo Hct/donor 4 $20,630.00 $70,102.25 $67,406.01 nat. median
$15,912
outlier · 4.2×
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 11 $46,081.93 $187,897.35 $66,622.82 nat. median
$65,950
1.0× median

Other procedures at this hospital

Browse this hospital's 13,286 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
             
0408T HCPCS Insj/rplc Cardiac Modulj Sys 5 4 — — $20,630.00 $34,982.37 $33,636.89 2026-03-01
0409T HCPCS Insj/rplc Car Modulj Pls Gn 5 4 — — $20,630.00 $24,860.00 $24,551.73 2026-03-01
0414T HCPCS Rmvl & Rpl Car Modulj Pls Gn 5 4 — — $20,630.00 $24,860.00 $24,551.73 2026-03-01
0571T HCPCS Insj/rplcmt Icds Ss Eltrd 5 4 — — $20,630.00 $34,982.37 $33,636.89 2026-03-01
0614T HCPCS Rmvl&rplcmt Ss Impl Dfb Pg 5 4 — — $20,443.00 $24,790.10 $24,551.73 2026-03-01
0620T HCPCS Evasc Ven Artlz Tibl/prnl Vn 5 4 — — $20,630.00 $49,089.07 $47,201.02 2026-03-01
0674T HCPCS Laps Insj Nw/rpcmt Prm Isdss 5 4 — — $7,875.00 $34,390.39 $33,067.68 2026-03-01
0686T HCPCS Histotripsy Mal Hepatcel Tis 5 4 — — $15,900.00 $38,180.51 $36,712.02 2026-03-01
0908T HCPCS Opn Imp Int Nstm Sys Vgs Nrv 5 4 — — $20,630.00 $34,390.39 $33,067.68 2026-03-01
0909T HCPCS Rplcmt Int Nstim Sys Vgs Nrv 5 4 — — $20,443.00 $34,390.39 $33,067.68 2026-03-01
0915T HCPCS Insj Perm Ccm-d Sys Pg&eltrd 5 4 — — $20,630.00 $34,982.37 $33,636.89 2026-03-01
0916T HCPCS Insj Perm Ccm-d Sys Pg Only 5 4 — — $20,630.00 $24,860.00 $24,551.73 2026-03-01
0923T HCPCS Rmvl&rplcmt Perm Ccm-d Pg 5 4 — — $20,630.00 $24,860.00 $24,551.73 2026-03-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 14 11 — — $187,760.13 $765,584.92 $269,019.69 2026-03-01
10 MS_DRG Pancreas Transplant 14 11 — — $48,077.19 $196,032.95 $69,473.17 2026-03-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 14 11 — — $36,542.47 $149,000.56 $52,995.06 2026-03-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 14 11 — — $28,247.20 $115,176.90 $41,144.70 2026-03-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 14 11 — — $19,308.06 $78,727.89 $28,374.54 2026-03-01
14 MS_DRG Allogeneic Bone Marrow Transplant 14 11 — — $80,519.93 $328,317.01 $115,819.82 2026-03-01
140 MS_DRG Major Head And Neck Procedures With Mcc 14 11 — — $28,577.51 $116,523.73 $41,616.57 2026-03-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 14 11 — — $25,102.22 $102,353.37 $36,651.89 2026-03-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 14 11 — — $39,728.99 $161,993.47 $57,547.21 2026-03-01
163 MS_DRG Major Chest Procedures With Mcc 19 11 — — $30,028.06 $262,088.96 $43,043.13 2026-03-01
164 MS_DRG Major Chest Procedures With Cc 19 11 — — $13,499.06 $68,953.16 $24,581.17 2026-03-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 18 11 — — $14,795.87 $102,110.23 $36,026.31 2026-03-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 14 11 — — $36,396.41 $148,405.00 $52,786.40 2026-03-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 14 11 — — $19,941.88 $81,312.27 $29,279.99 2026-03-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 14 11 — — $289,324.76 $1,179,710.91 $414,111.61 2026-03-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 14 11 — — $47,801.82 $194,910.14 $69,079.79 2026-03-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 14 11 — — $75,923.06 $309,573.44 $109,252.89 2026-03-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 18 11 — — $52,720.96 $760,705.47 $76,107.12 2026-03-01
20696 HCPCS Comp Multiplane Ext Fixation 5 4 — — $20,630.00 $30,240.42 $29,077.32 2026-03-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 19 11 — — $43,112.49 $301,323.99 $61,458.89 2026-03-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 18 11 — — $18,416.29 $75,091.74 $26,700.08 2026-03-01
209 MS_DRG Complex Aortic Arch Procedures 14 11 — — $75,835.96 $309,218.30 $109,128.46 2026-03-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 18 11 — — $35,468.46 $335,750.01 $50,700.26 2026-03-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 14 11 — — $72,856.47 $297,069.54 $104,872.05 2026-03-01
21243 HCPCS Reconstruction Of Jaw Joint 5 4 — — $20,630.00 $30,240.42 $29,077.32 2026-03-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 14 11 — — $38,236.23 $155,906.80 $55,414.71 2026-03-01
215 MS_DRG Other Heart Assist System Implant 15 11 — — $36,870.05 $272,015.28 $94,674.01 2026-03-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 15 11 — — $65,544.76 $267,256.31 $93,031.31 2026-03-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 14 11 — — $44,054.51 $179,630.62 $63,726.51 2026-03-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 14 11 — — $44,054.51 $179,630.62 $63,726.51 2026-03-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 17 11 — — $10,368.32 $209,763.48 $73,185.98 2026-03-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 15 11 — — $21,288.58 $86,803.39 $31,664.98 2026-03-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 18 11 — — $35,729.76 $232,167.19 $51,068.02 2026-03-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 17 11 — — $6,805.98 $137,693.22 $48,308.82 2026-03-01
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 6 5 — — $51,299.22 $209,170.66 $144,743.04 2026-03-01
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 6 5 — — $34,965.29 $142,569.67 $98,656.13 2026-03-01
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 6 5 — — $47,497.64 $193,669.85 $134,016.72 2026-03-01
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 6 5 — — $33,886.59 $138,171.31 $95,612.53 2026-03-01
22558 HCPCS Lumbar Spine Fusion 5 4 — — $7,875.00 $30,240.42 $29,077.32 2026-03-01
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 6 5 — — $42,886.03 $174,866.19 $121,004.86 2026-03-01
22630 HCPCS Lumbar Spine Fusion 5 4 — — $20,443.00 $30,240.42 $29,077.32 2026-03-01
22633 HCPCS Lumbar Spine Fusion Combined 5 4 — — $20,443.00 $30,240.42 $29,077.32 2026-03-01
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 6 5 — — $33,638.69 $137,160.50 $94,913.07 2026-03-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 14 11 — — $33,147.58 $135,158.02 $48,145.23 2026-03-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 15 11 — — $4,091.50 $86,041.19 $30,479.61 2026-03-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 22 11 — — $7,624.54 $257,186.53 $55,638.68 2026-03-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 14 11 — — $56,480.33 $230,296.44 $81,477.64 2026-03-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 15 11 — — $140.00 $165,624.17 $57,950.00 2026-03-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 17 11 — — $51,222.84 $208,859.22 $72,873.85 2026-03-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 20 11 — — $36,600.09 $279,858.29 $54,123.23 2026-03-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 17 11 — — $28,873.07 $160,324.28 $56,120.59 2026-03-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 20 11 — — $28,064.96 $203,133.88 $40,280.16 2026-03-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 14 11 — — $32,975.39 $134,455.92 $47,899.24 2026-03-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 19 11 — — $4,320.00 $106,869.20 $37,669.00 2026-03-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 16 11 — — $3,281.44 $77,872.81 $28,074.95 2026-03-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 17 11 — — $21,391.76 $87,224.10 $30,887.92 2026-03-01
245 MS_DRG Aicd Generator Procedures 14 11 — — $30,568.08 $124,640.21 $44,460.24 2026-03-01
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 6 5 — — $20,069.18 $81,831.33 $56,626.09 2026-03-01
247 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent Without Mcc 6 5 — — $12,793.65 $52,165.63 $36,097.86 2026-03-01
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 6 5 — — $20,165.66 $82,224.73 $56,898.31 2026-03-01
249 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent Without Mcc 6 5 — — $12,171.89 $49,630.43 $34,343.54 2026-03-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 19 11 — — $30,462.89 $220,206.03 $43,655.14 2026-03-01
252 MS_DRG Other Vascular Procedures With Mcc 17 11 — — $23,371.61 $315,625.56 $33,674.47 2026-03-01
253 MS_DRG Other Vascular Procedures With Cc 21 11 — — $17,390.52 $175,108.97 $25,256.36 2026-03-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 14 11 — — $18,072.58 $73,690.27 $26,609.58 2026-03-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 14 11 — — $21,052.07 $85,839.03 $30,865.97 2026-03-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 17 11 — — $20,831.64 $84,940.23 $30,099.58 2026-03-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 14 11 — — $21,793.76 $88,863.24 $31,925.53 2026-03-01
2616 OTHER Brachytx, Non-str,yttrium-90 2 2 — — $28,726.11 $52,440.38 $40,583.24 2026-03-01
263 MS_DRG Vein Ligation And Stripping 15 11 — — $20,484.58 $83,525.11 $29,611.11 2026-03-01
264 MS_DRG Other Circulatory System O.r. Procedures 14 11 — — $22,382.02 $91,261.85 $32,765.90 2026-03-01
265 MS_DRG Aicd Lead Procedures 14 11 — — $24,241.94 $98,845.61 $35,422.92 2026-03-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 14 11 — — $41,060.28 $167,421.76 $59,449.04 2026-03-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 14 11 — — $31,897.36 $130,060.30 $46,359.20 2026-03-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 14 11 — — $46,081.93 $187,897.35 $66,622.82 2026-03-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 17 11 — — $28,295.44 $134,256.81 $40,604.55 2026-03-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 21 11 — — $16,903.43 $239,315.92 $24,570.80 2026-03-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 20 11 — — $26,747.62 $297,713.43 $50,535.23 2026-03-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 20 12 — — $23,827.21 $160,447.49 $34,830.44 2026-03-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 18 11 — — $17,105.10 $145,507.00 $25,227.46 2026-03-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 15 11 — — $27,640.85 $112,704.53 $39,683.24 2026-03-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 20 11 — — $22,054.39 $118,879.02 $31,820.55 2026-03-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 16 11 — — $47,773.68 $194,795.40 $69,039.60 2026-03-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 15 11 — — $40,244.22 $164,094.31 $57,421.93 2026-03-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 15 11 — — $30,943.95 $126,172.80 $44,332.21 2026-03-01
27702 HCPCS Reconstruct Ankle Joint 5 4 — — $7,875.00 $30,240.42 $29,077.32 2026-03-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 16 11 — — $37,293.54 $152,063.02 $53,268.97 2026-03-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 18 11 — — $24,162.88 $98,523.24 $34,788.15 2026-03-01
28 MS_DRG Spinal Procedures With Mcc 17 11 — — $24,382.00 $317,064.80 $59,161.10 2026-03-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 14 11 — — $18,131.54 $73,930.68 $26,693.80 2026-03-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 17 11 — — $22,857.72 $93,201.50 $33,939.74 2026-03-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 19 11 — — $142,208.84 $1,505,580.14 $206,960.59 2026-03-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 14 11 — — $30,019.35 $122,402.78 $43,676.34 2026-03-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 16 11 — — $44,799.55 $182,668.49 $63,833.35 2026-03-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 14 11 — — $29,901.43 $121,921.97 $43,507.89 2026-03-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 19 11 — — $18,229.36 $139,589.13 $26,436.99 2026-03-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 16 11 — — $28,993.58 $118,220.24 $41,587.15 2026-03-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 15 11 — — $21,111.70 $86,082.17 $30,493.75 2026-03-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 14 11 — — $21,509.68 $87,704.92 $31,519.70 2026-03-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 14 11 — — $33,415.58 $136,250.78 $48,528.08 2026-03-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 15 11 — — $16,376.14 $66,773.10 $24,543.52 2026-03-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 20 11 — — $300.00 $125,571.78 $44,124.75 2026-03-01
332 MS_DRG Rectal Resection With Mcc 14 11 — — $24,258.69 $98,913.90 $35,446.85 2026-03-01
33230 HCPCS Insrt Pulse Gen W/dual Leads 5 4 — — $20,630.00 $24,860.00 $24,551.73 2026-03-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 5 4 — — $20,630.00 $34,982.37 $33,636.89 2026-03-01
33240 HCPCS Insrt Pulse Gen W/singl Lead 5 4 — — $20,630.00 $24,860.00 $24,551.73 2026-03-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 5 4 — — $20,630.00 $34,982.37 $33,636.89 2026-03-01
33262 HCPCS Rmvl& Replc Pulse Gen 1 Lead 5 4 — — $20,630.00 $24,860.00 $24,551.73 2026-03-01
33263 HCPCS Rmvl & Rplcmt Dfb Gen 2 Lead 5 4 — — $20,630.00 $24,860.00 $24,551.73 2026-03-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 5 4 — — $20,630.00 $34,982.37 $33,636.89 2026-03-01
33270 HCPCS Ins/rep Subq Defibrillator 5 4 — — $20,630.00 $34,982.37 $33,636.89 2026-03-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 5 4 — — $20,630.00 $49,089.07 $47,201.02 2026-03-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 5 4 — — $20,630.00 $34,390.39 $33,067.68 2026-03-01
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 5 4 — — $20,630.00 $31,967.12 $30,737.62 2026-03-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 14 11 — — $23,925.03 $97,553.42 $34,970.19 2026-03-01
338 MS_DRG Appendectomy With Complicated Principal Diagnosis With Mcc 6 5 — — $17,798.55 $72,572.92 $50,219.40 2026-03-01
339 MS_DRG Appendectomy With Complicated Principal Diagnosis With Cc 6 5 — — $10,910.28 $44,486.26 $30,783.85 2026-03-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 16 11 — — $20,878.24 $105,743.65 $37,280.49 2026-03-01
341 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Mcc 6 5 — — $15,135.30 $61,713.62 $42,704.93 2026-03-01
342 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Cc 6 5 — — $9,736.44 $39,699.97 $27,471.81 2026-03-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 14 11 — — $17,304.76 $70,559.51 $25,512.69 2026-03-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 14 11 — — $16,695.73 $68,076.22 $24,642.65 2026-03-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 14 11 — — $19,443.40 $79,279.74 $28,567.88 2026-03-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 15 11 — — $29,431.76 $120,006.90 $42,203.87 2026-03-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 14 11 — — $23,038.62 $93,939.11 $33,703.90 2026-03-01
37 MS_DRG Extracranial Procedures With Mcc 16 11 — — $22,057.07 $89,936.88 $32,301.69 2026-03-01
38240 HCPCS Transplt Allo Hct/donor 5 4 — — $20,630.00 $70,102.25 $67,406.01 2026-03-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 15 11 — — $92,804.38 $378,406.40 $131,398.02 2026-03-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 15 11 — — $25,870.04 $105,484.12 $37,190.90 2026-03-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 16 11 — — $26,937.35 $314,098.31 $39,273.49 2026-03-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 15 11 — — $36,652.35 $149,448.59 $52,366.53 2026-03-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 15 11 — — $19,431.34 $79,230.56 $28,128.72 2026-03-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 14 11 — — $23,889.52 $97,408.63 $34,919.46 2026-03-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 14 11 — — $22,132.11 $90,242.85 $32,408.88 2026-03-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 15 11 — — $23,869.42 $97,326.67 $34,375.12 2026-03-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 14 11 — — $22,827.57 $93,078.56 $33,402.39 2026-03-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 14 11 — — $27,825.10 $113,455.81 $40,541.70 2026-03-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 11 — — $73,842.04 $301,088.16 $107,850.65 2026-03-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 17 11 — — $250.00 $197,204.93 $70,916.56 2026-03-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 11 — — $37,667.40 $153,587.42 $54,602.10 2026-03-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 14 11 — — $60,364.32 $246,133.26 $87,026.17 2026-03-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 14 11 — — $38,639.57 $157,551.40 $55,990.90 2026-03-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 15 11 — — $44,766.72 $182,534.63 $65,700.75 2026-03-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 22 12 — — $5,726.52 $307,283.61 $42,197.48 2026-03-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 15 11 — — $35,708.32 $145,599.34 $51,037.85 2026-03-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 17 11 — — $4,458.63 $104,843.20 $31,242.49 2026-03-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 6 5 — — $59,371.38 $242,084.59 $167,519.01 2026-03-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 6 5 — — $40,979.21 $167,091.20 $115,624.68 2026-03-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 6 5 — — $30,857.52 $125,820.39 $87,065.88 2026-03-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 14 11 — — $56,302.78 $229,572.48 $81,223.99 2026-03-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 16 11 — — $8,052.21 $162,905.93 $57,011.72 2026-03-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 14 11 — — $27,956.42 $113,991.26 $40,729.30 2026-03-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 6 5 — — $44,436.41 $181,187.80 $125,379.32 2026-03-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 6 5 — — $24,507.93 $99,930.17 $69,150.22 2026-03-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 14 11 — — $37,004.10 $150,882.84 $53,654.52 2026-03-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 14 11 — — $17,822.00 $72,668.54 $26,251.60 2026-03-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 16 11 — — $34,333.50 $155,704.64 $54,525.99 2026-03-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 15 11 — — $20,868.49 $85,090.49 $30,151.44 2026-03-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 14 11 — — $34,876.18 $142,206.32 $50,614.65 2026-03-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 16 11 — — $4,762.11 $96,343.19 $34,546.18 2026-03-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 15 11 — — $18,411.60 $75,072.61 $26,693.48 2026-03-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 15 11 — — $20,322.44 $82,863.99 $30,264.39 2026-03-01
471 MS_DRG Cervical Spinal Fusion With Mcc 15 11 — — $32,352.29 $131,915.26 $46,314.38 2026-03-01
472 MS_DRG Cervical Spinal Fusion With Cc 18 11 — — $19,738.87 $88,357.80 $28,989.97 2026-03-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 16 11 — — $16,356.71 $179,046.37 $24,634.35 2026-03-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 15 11 — — $28,762.43 $117,277.74 $41,261.82 2026-03-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 15 11 — — $23,145.82 $94,376.22 $33,356.69 2026-03-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 17 11 — — $19,512.41 $79,561.12 $28,242.82 2026-03-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 16 11 — — $18,571.73 $75,725.54 $26,918.86 2026-03-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 14 11 — — $21,621.57 $88,161.14 $31,679.54 2026-03-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 16 11 — — $24,599.72 $100,304.44 $35,402.99 2026-03-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 19 11 — — $16,991.87 $116,571.45 $24,695.27 2026-03-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 14 11 — — $24,292.19 $99,050.50 $35,494.70 2026-03-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 14 11 — — $20,212.56 $82,415.96 $29,666.67 2026-03-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 14 11 — — $69,080.35 $281,672.55 $99,477.61 2026-03-01
500 MS_DRG Soft Tissue Procedures With Mcc 14 11 — — $21,204.16 $86,459.17 $31,083.25 2026-03-01
503 MS_DRG Foot Procedures With Mcc 15 11 — — $18,700.37 $76,250.06 $27,099.91 2026-03-01
509 MS_DRG Arthroscopy 6 5 — — $11,768.55 $47,985.82 $33,205.49 2026-03-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 14 11 — — $20,237.35 $82,517.04 $29,702.08 2026-03-01
5114 OTHER Level 4 Musculoskeletal Procedures 11 8 — — $6,787.15 $50,582.92 $25,444.72 2026-03-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 19 11 — — $19,391.54 $179,196.44 $30,832.29 2026-03-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 15 11 — — $5,329.50 $102,099.30 $36,022.53 2026-03-01
5193 OTHER Level 3 Endovascular Procedures 11 8 — — $2,780.06 $126,432.92 $39,291.00 2026-03-01
5194 OTHER Level 4 Endovascular Procedures 9 6 — — $14,467.11 $179,303.65 $35,649.31 2026-03-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 16 11 — — $19,230.34 $78,410.99 $28,263.50 2026-03-01
5213 OTHER Level 3 Electrophysiologic Procedures 8 5 — — $24,719.41 $144,848.68 $43,413.96 2026-03-01
5231 OTHER Level 1 Icd And Similar Procedures 2 1 — — $22,936.29 $27,167.76 $25,052.03 2026-03-01
5232 OTHER Level 2 Icd And Similar Procedures 5 4 — — $30,280.40 $102,442.27 $32,761.20 2026-03-01
545 MS_DRG Connective Tissue Disorders With Mcc 14 11 — — $16,627.39 $67,797.56 $24,545.01 2026-03-01
5465 OTHER Level 5 Neurostimulator And Related Procedures 7 5 — — $0.54 $121,201.24 $30,936.55 2026-03-01
570 MS_DRG Skin Debridement With Mcc 15 11 — — $19,705.37 $80,347.91 $29,369.83 2026-03-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 15 11 — — $43,894.38 $178,977.70 $62,559.36 2026-03-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 15 11 — — $23,258.38 $94,835.18 $33,515.11 2026-03-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 14 11 — — $32,838.04 $133,895.88 $47,703.03 2026-03-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 15 11 — — $17,759.69 $72,414.47 $25,775.95 2026-03-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 15 11 — — $21,697.95 $88,472.58 $31,318.87 2026-03-01
6 MS_DRG Liver Transplant Without Mcc 14 11 — — $31,067.90 $126,678.20 $45,174.26 2026-03-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 16 11 — — $18,472.57 $75,321.21 $26,779.29 2026-03-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 17 11 — — $23,365.58 $335,626.31 $34,493.38 2026-03-01
61885 HCPCS Insrt/redo Neurostim 1 Array 5 4 — — $20,630.00 $34,390.39 $33,067.68 2026-03-01
61886 HCPCS Implant Neurostim Arrays 5 4 — — $20,630.00 $34,390.39 $33,067.68 2026-03-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 5 4 — — $20,630.00 $34,390.39 $33,067.68 2026-03-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 14 11 — — $19,345.58 $78,880.88 $28,428.14 2026-03-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 14 11 — — $23,846.64 $97,233.78 $34,858.21 2026-03-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 14 11 — — $20,234.67 $82,506.11 $29,698.26 2026-03-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 15 11 — — $24,969.56 $101,812.45 $35,923.52 2026-03-01
63685 HCPCS Insrt/redo Spine N Generator 5 4 — — $20,630.00 $34,390.39 $33,067.68 2026-03-01
64568 HCPCS Inc For Vagus N Elect Impl 5 4 — — $20,630.00 $49,089.07 $47,201.02 2026-03-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 5 4 — — $20,630.00 $34,390.39 $33,067.68 2026-03-01
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 3 3 — — $33,067.68 $34,390.39 $34,059.71 2026-03-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 14 11 — — $31,499.38 $128,437.55 $45,790.66 2026-03-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 14 11 — — $24,828.86 $101,238.75 $36,261.37 2026-03-01
652 MS_DRG Kidney Transplant 14 11 — — $21,637.65 $88,226.71 $31,702.51 2026-03-01
653 MS_DRG Major Bladder Procedures With Mcc 14 11 — — $34,815.88 $141,960.45 $50,528.51 2026-03-01
654 MS_DRG Major Bladder Procedures With Cc 14 11 — — $18,755.31 $76,474.08 $27,584.90 2026-03-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 16 11 — — $21,331.46 $103,678.07 $31,881.15 2026-03-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 16 11 — — $17,024.03 $69,414.85 $25,111.65 2026-03-01
662 MS_DRG Minor Bladder Procedures With Mcc 14 11 — — $20,512.05 $83,637.12 $30,094.51 2026-03-01
665 MS_DRG Prostatectomy With Mcc 14 11 — — $20,912.04 $85,268.06 $30,665.93 2026-03-01
668 MS_DRG Transurethral Procedures With Mcc 14 11 — — $19,564.00 $79,771.48 $28,740.16 2026-03-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 17 11 — — $28,150.72 $114,783.51 $40,400.86 2026-03-01
69930 HCPCS Implant Cochlear Device 5 4 — — $20,630.00 $36,746.88 $35,333.54 2026-03-01
7 MS_DRG Lung Transplant 14 11 — — $86,766.34 $353,786.51 $124,743.24 2026-03-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 14 11 — — $23,949.15 $97,651.77 $35,004.65 2026-03-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 14 11 — — $24,004.76 $97,878.51 $35,084.10 2026-03-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 14 11 — — $17,202.92 $70,144.26 $25,367.21 2026-03-01
77 MS_DRG Hypertensive Encephalopathy With Mcc 7 5 — — $10,359.54 $42,240.64 $24,667.61 2026-03-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 18 11 — — $39,821.45 $184,088.44 $61,689.46 2026-03-01
791 MS_DRG Prematurity With Major Problems 19 11 — — $27,195.30 $251,689.00 $40,618.40 2026-03-01
793 MS_DRG Full Term Neonate With Major Problems 20 11 — — $27,936.32 $153,948.85 $40,700.58 2026-03-01
799 MS_DRG Splenic Procedures With Mcc 15 11 — — $30,343.63 $123,725.02 $43,487.28 2026-03-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 14 11 — — $37,550.82 $153,112.07 $54,435.54 2026-03-01
800 MS_DRG Splenic Procedures With Cc 14 11 — — $18,822.98 $76,750.00 $27,681.57 2026-03-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 14 11 — — $26,693.47 $108,841.63 $38,925.10 2026-03-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 15 11 — — $39,294.16 $160,220.47 $57,767.30 2026-03-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 15 11 — — $30,718.16 $125,252.15 $44,014.42 2026-03-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 15 11 — — $31,341.26 $190,091.82 $46,238.14 2026-03-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 14 11 — — $21,172.00 $86,328.04 $31,037.30 2026-03-01
834 MS_DRG Acute Leukemia With Mcc 14 11 — — $36,782.33 $149,978.58 $53,337.71 2026-03-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 14 11 — — $32,188.81 $131,248.67 $46,775.56 2026-03-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 16 11 — — $21,673.83 $88,374.23 $31,284.92 2026-03-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 14 11 — — $17,369.75 $70,824.51 $25,605.53 2026-03-01
849 MS_DRG Radiotherapy 14 11 — — $18,153.65 $74,020.83 $26,725.39 2026-03-01
850 MS_DRG Acute Leukemia With Other Procedures 14 11 — — $58,018.65 $236,568.88 $83,675.23 2026-03-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 21 11 — — $33,088.62 $134,917.61 $47,350.74 2026-03-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 15 11 — — $6,142.30 $124,265.94 $43,674.00 2026-03-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 17 11 — — $46,309.06 $188,823.46 $65,957.92 2026-03-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 14 11 — — $25,894.83 $105,585.20 $37,784.18 2026-03-01
901 MS_DRG Wound Debridements For Injuries With Mcc 14 11 — — $28,117.22 $114,646.92 $40,959.01 2026-03-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 15 11 — — $24,609.77 $100,345.42 $36,479.64 2026-03-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 18 11 — — $25,723.31 $106,679.46 $38,278.85 2026-03-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 14 11 — — $143,048.35 $583,274.31 $205,145.89 2026-03-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 14 11 — — $48,057.09 $195,950.99 $69,444.46 2026-03-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 14 11 — — $21,579.36 $87,989.04 $31,619.24 2026-03-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 14 11 — — $26,091.14 $106,385.65 $38,064.62 2026-03-01
93653 HCPCS Ep & Ablate Supravent Arrhyt 5 4 — — $20,630.00 $29,130.21 $28,009.82 2026-03-01
93654 HCPCS Ep & Ablate Ventric Tachy 5 4 — — $20,630.00 $29,130.21 $28,009.82 2026-03-01
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 5 4 — — $20,630.00 $29,130.21 $28,009.82 2026-03-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 14 11 — — $24,310.95 $99,126.99 $35,521.50 2026-03-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 15 11 — — $23,579.98 $96,146.49 $33,967.75 2026-03-01
9453 OTHER Injection, Nivolumab 1 1 — — $72,745.32 $72,745.32 $72,745.32 2026-03-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 15 11 — — $17,280.64 $76,817.11 $25,854.75 2026-03-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 15 11 — — $45,098.37 $183,886.92 $66,181.55 2026-03-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 18 11 — — $17,779.93 $270,818.40 $36,808.85 2026-03-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 16 11 — — $51,053.33 $208,168.05 $73,724.80 2026-03-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 16 11 — — $28,233.13 $115,119.53 $41,934.94 2026-03-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 14 11 — — $19,725.47 $80,429.87 $28,970.83 2026-03-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 14 11 — — $17,280.64 $70,461.16 $25,478.22 2026-03-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 14 11 — — $18,316.46 $74,684.68 $26,957.97 2026-03-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 14 11 — — $41,012.71 $167,227.79 $59,381.10 2026-03-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 15 11 — — $24,199.06 $98,670.76 $34,839.07 2026-03-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 14 11 — — $17,670.58 $72,051.13 $26,035.29 2026-03-01
974 MS_DRG HIV With Major Related Condition With Mcc 15 11 — — $19,336.20 $78,842.63 $27,994.81 2026-03-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 22 11 — — $31,435.06 $294,208.96 $45,698.77 2026-03-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 18 11 — — $200.00 $174,761.20 $33,109.62 2026-03-01
C9760 HCPCS Non-blind Interatrial Shunt 5 4 — — $20,443.00 $29,999.09 $28,845.27 2026-03-01
J7330 HCPCS Cultured Chondrocytes Implnt 1 1 — — $214,899.70 $214,899.70 $214,899.70 2026-03-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 7 6 — — $63,342.28 $158,355.70 $82,206.29 2026-03-01
J9226 HCPCS Supprelin La Implant 7 6 — — $45,020.65 $112,551.62 $58,775.65 2026-03-01
J9266 HCPCS Pegaspargase Injection 7 6 — — $28,424.06 $71,060.15 $35,191.69 2026-03-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 8 6 — — $533,230.17 $1,724,394.31 $766,832.11 2026-03-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 7 6 — — $591,726.20 $1,479,315.50 $752,402.46 2026-03-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 7 6 — — $55,272.32 $138,180.81 $74,122.23 2026-03-01
Q2053 HCPCS Brexucabtagene Car Pos T 7 6 — — $489,304.61 $1,223,261.52 $636,218.90 2026-03-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 8 6 — — $562,538.19 $1,816,944.04 $787,574.49 2026-03-01
Q2055 HCPCS Idecabtagene Vicleucel Car 8 6 — — $557,317.93 $1,855,301.78 $804,624.26 2026-03-01
Q2056 HCPCS Ciltacabtagene Car-pos T 8 6 — — $565,868.94 $1,907,381.77 $843,583.19 2026-03-01
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