Price Transparencybeta 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

ANDERSON HOSPITAL

Maryville, IL · CCN 140289 · Rates published

Your selected procedure

You selected 93350 (HCPCS)

ECHO TRANSTHORACIC

This hospital’s price: $514 across 3 payers

Source: https://andersonhospital.org/wp-content/uploads/2026/04/370662561_anderson_healthcare_standardcharges.csv · observed 2026-02-06

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

18,196 distinct procedures filed
59 distinct payers
490,624 rate rows
2026-04-01 last MRF observed
Data quality

373,171 of 490,624 rate rows are consumer-grade (76.1%)

117,453 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 108,334
per-diem day rate — not a per-procedure price 6,780
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 1,015
template filing: same amount across many unrelated codes — excluded 889
percent-of-charges filed in the dollar field — excluded from medians 131
exceeds 10× this hospital's gross charge — excluded from medians 96
placeholder amount (≤ $0.02) — excluded from medians 95
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 73
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 40
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.mercy.com/-/media/mercy/patient-resources/hospital-pricing-transparency/310537085_mercy-health-anderson-hospital-llc_standardcharges.ashx
Found on page https://www.mercy.com/pay-a-bill/estimate-your-cost
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-22
Content fingerprint 72b78e3ffed28b35… · 13,581,045 bytes · first seen 2026-05-09

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell Immunotherapy 14 $244,302.50 $406,043.40 $267,009.77 nat. median
$359,454
0.7× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 14 $185,625.54 $290,499.23 $208,233.73 nat. median
$198,418
1.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 39 $190,820.31 $549,016.22 $206,423.36 nat. median
$249,036
0.8× median
'583-4
OTHER 		Neonate With Ecmo 3 $190,753.52 $190,753.52 $190,753.52 nat. median
$221,551
0.9× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 39 $149,053.98 $415,822.89 $156,506.68 nat. median
$190,559
0.8× median
'588-4
OTHER 		Neonate Birth Weight < 1500 Grams With Major Procedure 3 $156,469.62 $156,469.62 $156,469.62 nat. median
$202,324
0.8× median
'583-3
OTHER 		Neonate With Ecmo 3 $151,080.42 $151,080.42 $151,080.42 nat. median
$195,630
0.8× median
'630-4
OTHER 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 3 $113,571.45 $113,571.45 $113,571.45 nat. median
$127,072
0.9× median
'583-2
OTHER 		Neonate With Ecmo 3 $111,407.32 $111,407.32 $111,407.32 nat. median
$119,004
0.9× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 48 $85,172.05 $271,362.78 $105,846.23 nat. median
$126,695
0.8× median
'841-4
OTHER 		Extensive Third Degree Burns With Skin Graft 3 $105,500.94 $105,500.94 $105,500.94 nat. median
$138,284
0.8× median
'593-4
OTHER 		Neonate Birth Weight 750-999 Grams Without Major Procedure 3 $102,047.97 $102,047.97 $102,047.97 nat. median
$115,906
0.9× median
'588-3
OTHER 		Neonate Birth Weight < 1500 Grams With Major Procedure 3 $100,803.67 $100,803.67 $100,803.67 nat. median
$131,074
0.8× median
'588-2
OTHER 		Neonate Birth Weight < 1500 Grams With Major Procedure 3 $98,706.40 $98,706.40 $98,706.40 nat. median
$110,776
0.9× median
'591-4
OTHER 		Neonate Birth Weight 500-749 Grams Without Major Procedure 3 $98,544.17 $98,544.17 $98,544.17 nat. median
$119,104
0.8× median
'609-4
OTHER 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 3 $97,915.57 $97,915.57 $97,915.57 nat. median
$130,670
0.7× median
7
MS_DRG 		Lung Transplant 14 $86,551.72 $135,187.99 $96,904.56 nat. median
$117,974
0.8× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 14 $86,394.37 $134,942.23 $96,728.39 nat. median
$104,013
0.9× median
'583-1
OTHER 		Neonate With Ecmo 3 $96,276.06 $96,276.06 $96,276.06 nat. median
$105,798
0.9× median
'631-4
OTHER 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 3 $94,003.26 $94,003.26 $94,003.26 nat. median
$112,354
0.8× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 14 $80,868.11 $129,559.64 $90,541.11 nat. median
$110,307
0.8× median
'603-4
OTHER 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 3 $82,029.45 $82,029.45 $82,029.45 nat. median
$102,933
0.8× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 14 $73,029.60 $114,067.35 $81,765.00 nat. median
$95,038
0.9× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 14 $7,534.42 $118,703.88 $78,469.05 nat. median
$97,323
0.8× median
215
MS_DRG 		Other Heart Assist System Implant 40 $70,261.42 $195,067.59 $74,449.03 nat. median
$93,901
0.8× median
'602-4
OTHER 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 3 $73,148.18 $73,148.18 $73,148.18 nat. median
$66,108
1.1× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 40 $68,480.60 $191,654.83 $72,495.51 nat. median
$90,551
0.8× median
C9293
HCPCS 		Glucarpidase 1000 Units Vial 16 $46,788.59 $126,455.65 $70,253.14 nat. median
$30,297
outlier · 2.3×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 14 $59,640.13 $95,176.52 $66,773.96 nat. median
$74,370
0.9× median
'593-3
OTHER 		Neonate Birth Weight 750-999 Grams Without Major Procedure 3 $65,623.40 $65,623.40 $65,623.40 nat. median
$82,229
0.8× median
'588-1
OTHER 		Neonate Birth Weight < 1500 Grams With Major Procedure 3 $64,972.13 $64,972.13 $64,972.13 nat. median
$98,245
0.7× median
453
MS_DRG 		Combined Anterior/posterior Spinal Fusion W Mcc 14 $15,600.00 $97,661.49 $64,661.87 nat. median
$70,732
0.9× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 14 $56,402.14 $88,096.36 $63,148.65 nat. median
$66,715
0.9× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 40 $57,260.85 $165,150.17 $62,562.38 nat. median
$77,028
0.8× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 14 $15,600.00 $92,900.42 $61,537.83 nat. median
$77,632
0.8× median
'591-3
OTHER 		Neonate Birth Weight 500-749 Grams Without Major Procedure 3 $57,731.94 $57,731.94 $57,731.94 nat. median
$84,666
0.7× median
'602-3
OTHER 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 3 $57,679.16 $57,679.16 $57,679.16 nat. median
$53,573
1.1× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 14 $51,032.52 $79,709.38 $57,136.75 nat. median
$67,976
0.8× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 40 $54,327.69 $150,425.58 $57,044.07 nat. median
$72,398
0.8× median
'303-4
OTHER 		Dorsal And Lumbar Fusion Procedure For Curvature Of Back 3 $57,039.23 $57,039.23 $57,039.23 nat. median
$65,112
0.9× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 40 $54,096.24 $149,777.11 $56,983.41 nat. median
$71,748
0.8× median
'607-4
OTHER 		Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 3 $56,184.29 $56,184.29 $56,184.29 nat. median
$64,930
0.9× median
'630-3
OTHER 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 3 $54,875.11 $54,875.11 $54,875.11 nat. median
$57,119
1.0× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 14 $48,493.07 $75,742.92 $54,293.54 nat. median
$58,251
0.9× median
'440-4
OTHER 		Kidney Transplant 3 $54,225.79 $54,225.79 $54,225.79 nat. median
$63,941
0.8× median
'842-4
OTHER 		Burns With Skin Graft Except Extensive Third Degree Burns 3 $53,317.30 $53,317.30 $53,317.30 nat. median
$80,075
0.7× median
Q2040
HCPCS 		Tisagenlecleucel Car-pos T 3 $53,249.57 $53,249.57 $53,249.57 nat. median
$10,345
outlier · 5.1×
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 3 $53,249.57 $53,249.57 $53,249.57 nat. median
$608,239
outlier · 0.1×
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 3 $53,249.57 $53,249.57 $53,249.57 nat. median
$640,950
outlier · 0.1×
C9081
HCPCS 		Idecabtagene Car Pos T 3 $53,249.57 $53,249.57 $53,249.57 nat. median
$27,427
1.9× median

Other procedures at this hospital

Browse this hospital's 18,196 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
             
18 MS_DRG Chimeric Antigen Receptor (car) T-cell Immunotherapy 31 14 — — $244,302.50 $406,043.40 $267,009.77 2025-01-21
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 31 14 — — $185,625.54 $290,499.23 $208,233.73 2025-01-21
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 65 39 — — $190,820.31 $549,016.22 $206,423.36 2026-04-01
'583-4 OTHER Neonate With Ecmo 3 3 — — $190,753.52 $190,753.52 $190,753.52 2025-01-21
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 65 39 — — $149,053.98 $415,822.89 $156,506.68 2026-04-01
'588-4 OTHER Neonate Birth Weight < 1500 Grams With Major Procedure 3 3 — — $156,469.62 $156,469.62 $156,469.62 2025-01-21
'583-3 OTHER Neonate With Ecmo 3 3 — — $151,080.42 $151,080.42 $151,080.42 2025-01-21
'630-4 OTHER Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 3 3 — — $113,571.45 $113,571.45 $113,571.45 2025-01-21
'583-2 OTHER Neonate With Ecmo 3 3 — — $111,407.32 $111,407.32 $111,407.32 2025-01-21
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 79 48 — — $85,172.05 $271,362.78 $105,846.23 2026-04-01
'841-4 OTHER Extensive Third Degree Burns With Skin Graft 3 3 — — $105,500.94 $105,500.94 $105,500.94 2025-01-21
'593-4 OTHER Neonate Birth Weight 750-999 Grams Without Major Procedure 3 3 — — $102,047.97 $102,047.97 $102,047.97 2025-01-21
'588-3 OTHER Neonate Birth Weight < 1500 Grams With Major Procedure 3 3 — — $100,803.67 $100,803.67 $100,803.67 2025-01-21
'588-2 OTHER Neonate Birth Weight < 1500 Grams With Major Procedure 3 3 — — $98,706.40 $98,706.40 $98,706.40 2025-01-21
'591-4 OTHER Neonate Birth Weight 500-749 Grams Without Major Procedure 3 3 — — $98,544.17 $98,544.17 $98,544.17 2025-01-21
'609-4 OTHER Neonate Birth Weight 1500-2499 Grams With Major Procedure 3 3 — — $97,915.57 $97,915.57 $97,915.57 2025-01-21
7 MS_DRG Lung Transplant 31 14 — — $86,551.72 $135,187.99 $96,904.56 2025-01-21
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 31 14 — — $86,394.37 $134,942.23 $96,728.39 2025-01-21
'583-1 OTHER Neonate With Ecmo 3 3 — — $96,276.06 $96,276.06 $96,276.06 2025-01-21
'631-4 OTHER Neonate Birth Weight > 2499 Grams With Other Major Procedure 3 3 — — $94,003.26 $94,003.26 $94,003.26 2025-01-21
14 MS_DRG Allogeneic Bone Marrow Transplant 31 14 — — $80,868.11 $129,559.64 $90,541.11 2025-01-21
'603-4 OTHER Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 3 3 — — $82,029.45 $82,029.45 $82,029.45 2025-01-21
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 31 14 — — $73,029.60 $114,067.35 $81,765.00 2025-01-21
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 31 14 — — $7,534.42 $118,703.88 $78,469.05 2025-01-21
215 MS_DRG Other Heart Assist System Implant 69 40 — — $70,261.42 $195,067.59 $74,449.03 2026-04-01
'602-4 OTHER Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $73,148.18 $73,148.18 $73,148.18 2025-01-21
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 69 40 — — $68,480.60 $191,654.83 $72,495.51 2026-04-01
C9293 HCPCS Glucarpidase 1000 Units Vial 33 16 $140,506.28 $70,253.14 50% off $46,788.59 $126,455.65 $70,253.14 2025-01-21
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 31 14 — — $59,640.13 $95,176.52 $66,773.96 2025-01-21
'593-3 OTHER Neonate Birth Weight 750-999 Grams Without Major Procedure 3 3 — — $65,623.40 $65,623.40 $65,623.40 2025-01-21
'588-1 OTHER Neonate Birth Weight < 1500 Grams With Major Procedure 3 3 — — $64,972.13 $64,972.13 $64,972.13 2025-01-21
453 MS_DRG Combined Anterior/posterior Spinal Fusion W Mcc 31 14 — — $15,600.00 $97,661.49 $64,661.87 2025-01-21
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 31 14 — — $56,402.14 $88,096.36 $63,148.65 2025-01-21
231 MS_DRG Coronary Bypass With Ptca With Mcc 69 40 — — $57,260.85 $165,150.17 $62,562.38 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 31 14 — — $15,600.00 $92,900.42 $61,537.83 2025-01-21
'591-3 OTHER Neonate Birth Weight 500-749 Grams Without Major Procedure 3 3 — — $57,731.94 $57,731.94 $57,731.94 2025-01-21
'602-3 OTHER Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $57,679.16 $57,679.16 $57,679.16 2025-01-21
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 31 14 — — $51,032.52 $79,709.38 $57,136.75 2025-01-21
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 69 40 — — $54,327.69 $150,425.58 $57,044.07 2026-04-01
'303-4 OTHER Dorsal And Lumbar Fusion Procedure For Curvature Of Back 3 3 — — $57,039.23 $57,039.23 $57,039.23 2025-01-21
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 69 40 — — $54,096.24 $149,777.11 $56,983.41 2026-04-01
'607-4 OTHER Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $56,184.29 $56,184.29 $56,184.29 2025-01-21
'630-3 OTHER Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 3 3 — — $54,875.11 $54,875.11 $54,875.11 2025-01-21
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 31 14 — — $48,493.07 $75,742.92 $54,293.54 2025-01-21
'440-4 OTHER Kidney Transplant 3 3 — — $54,225.79 $54,225.79 $54,225.79 2025-01-21
'842-4 OTHER Burns With Skin Graft Except Extensive Third Degree Burns 3 3 — — $53,317.30 $53,317.30 $53,317.30 2025-01-21
C9098 HCPCS Ciltacabtagene Car Pos T 3 3 — — $53,249.57 $53,249.57 $53,249.57 2025-01-21
C9073 HCPCS Brexucabtagene Autoleucel Ca 3 3 — — $53,249.57 $53,249.57 $53,249.57 2025-01-21
Q2054 HCPCS Lisocabtagene Mara Car Pos T 3 3 — — $53,249.57 $53,249.57 $53,249.57 2025-01-21
Q2056 HCPCS Ciltacabtagene Car-pos T 3 3 — — $53,249.57 $53,249.57 $53,249.57 2025-01-21
J3394 HCPCS Inj, Lovotibeglogene Autotem 3 3 — — $53,249.57 $53,249.57 $53,249.57 2025-01-21
Q2040 HCPCS Tisagenlecleucel Car-pos T 3 3 — — $53,249.57 $53,249.57 $53,249.57 2025-01-21
J3393 HCPCS Inj, Betibeglogene Autotemce 3 3 — — $53,249.57 $53,249.57 $53,249.57 2025-01-21
Q2055 HCPCS Idecabtagene Vicleucel Car 3 3 — — $53,249.57 $53,249.57 $53,249.57 2025-01-21
Q2042 HCPCS Tisagenlecleucel Car-pos T 3 3 — — $53,249.57 $53,249.57 $53,249.57 2025-01-21
C9081 HCPCS Idecabtagene Car Pos T 3 3 — — $53,249.57 $53,249.57 $53,249.57 2025-01-21
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 3 3 — — $53,249.57 $53,249.57 $53,249.57 2025-01-21
Q2053 HCPCS Brexucabtagene Car Pos T 3 3 — — $53,249.57 $53,249.57 $53,249.57 2025-01-21
C9076 HCPCS Lisocabtagene Car Pos T 3 3 — — $53,249.57 $53,249.57 $53,249.57 2025-01-21
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 70 41 — — $42,799.30 $139,691.67 $53,021.35 2026-04-01
'593-2 OTHER Neonate Birth Weight 750-999 Grams Without Major Procedure 3 3 — — $52,012.81 $52,012.81 $52,012.81 2025-01-21
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 70 41 — — $48,967.95 $135,409.07 $51,584.26 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 69 40 — — $13,670.65 $134,744.94 $51,167.46 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 31 14 — — $38,910.17 $76,262.01 $50,620.38 2025-01-21
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 39 27 — — $46,457.00 $126,703.18 $49,726.22 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 31 14 — — $43,874.91 $68,529.68 $49,122.99 2025-01-21
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 89 48 — — $3,303.34 $126,062.21 $49,063.86 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 69 40 — — $44,913.56 $128,816.70 $48,945.74 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 31 14 — — $43,584.91 $68,076.72 $48,798.30 2025-01-21
'609-3 OTHER Neonate Birth Weight 1500-2499 Grams With Major Procedure 3 3 — — $48,781.87 $48,781.87 $48,781.87 2025-01-21
459 MS_DRG Spinal Fusion Except Cervical With Mcc 31 14 — — $15,600.00 $73,094.58 $48,542.04 2025-01-21
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 31 14 — — $43,333.72 $74,681.62 $48,517.06 2025-01-21
461 MS_DRG Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc 38 21 — — $6,314.60 $75,146.69 $48,435.48 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 31 14 — — $42,972.45 $103,269.23 $48,112.58 2025-01-21
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 31 14 — — $42,665.52 $66,640.68 $47,768.93 2025-01-21
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 53 34 — — $5,873.24 $130,995.22 $47,392.55 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement W Mcc 31 14 — — $42,494.71 $68,838.27 $45,749.21 2025-01-21
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 70 41 — — $32,881.49 $117,675.30 $45,274.19 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 31 14 — — $43,584.91 $68,076.72 $45,249.52 2025-01-21
232 MS_DRG Coronary Bypass With Ptca Without Mcc 69 40 — — $41,973.32 $118,772.40 $45,181.45 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 31 14 — — $40,195.92 $62,783.33 $45,003.93 2025-01-21
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 31 14 — — $40,099.95 $62,633.45 $44,896.49 2025-01-21
454 MS_DRG Combined Anterior/posterior Spinal Fusion W Cc 31 14 — — $15,600.00 $67,407.74 $44,810.56 2025-01-21
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 31 14 — — $39,999.05 $62,475.84 $44,783.52 2025-01-21
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 31 14 — — $15,600.00 $66,955.88 $44,514.07 2025-01-21
834 MS_DRG Acute Leukemia With Mcc 73 42 — — $39,025.35 $107,552.63 $44,232.10 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 31 14 — — $34,995.59 $66,413.65 $44,158.27 2025-01-21
'602-2 OTHER Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $44,011.11 $44,011.11 $44,011.11 2025-01-21
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 70 41 — — $41,493.51 $114,971.74 $43,897.71 2026-04-01
'304-4 OTHER Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 3 3 — — $43,780.47 $43,780.47 $43,780.47 2025-01-21
999 MS_DRG Ungroupable 38 26 — — $41,673.40 $114,971.74 $43,757.07 2026-04-01
'607-3 OTHER Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $43,708.15 $43,708.15 $43,708.15 2025-01-21
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 31 14 — — $38,844.69 $60,672.81 $43,491.08 2025-01-21
'303-3 OTHER Dorsal And Lumbar Fusion Procedure For Curvature Of Back 3 3 — — $43,188.22 $43,188.22 $43,188.22 2025-01-21
18014709 CDM Catheter Impella Cp 32 16 $75,000.00 $37,500.00 50% off $33,750.00 $67,500.00 $43,125.00 2025-01-21
653 MS_DRG Major Bladder Procedures With Mcc 31 14 — — $38,198.36 $59,663.29 $42,767.44 2025-01-21
A9543 HCPCS Y90 Ibritumomab, Rx 3 3 — — $42,723.36 $42,723.36 $42,723.36 2025-01-21
C9031 HCPCS Lutetium Lu 177 Dotatate, Tx 3 3 — — $42,723.36 $42,723.36 $42,723.36 2025-01-21
A9513 HCPCS Lutetium Lu 177 Dotatat Ther 3 3 — — $42,723.36 $42,723.36 $42,723.36 2025-01-21
A9607 HCPCS Lutetium Lu 177 Vipivotide 3 3 — — $42,723.36 $42,723.36 $42,723.36 2025-01-21
'611-4 OTHER Neonate Birth Weight 1500-1999 Grams With Major Anomaly 3 3 — — $42,695.67 $42,695.67 $42,695.67 2025-01-21
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 66 42 — — $2,528.00 $75,056.21 $42,336.71 2026-04-01
'863-4 OTHER Neonatal Aftercare 3 3 — — $41,857.15 $41,857.15 $41,857.15 2025-01-21
8 MS_DRG Simultaneous Pancreas/kidney Transplant 31 14 — — $37,126.56 $57,989.20 $41,567.43 2025-01-21
'910-4 OTHER Craniotomy For Multiple Significant Trauma 3 3 — — $41,343.48 $41,343.48 $41,343.48 2025-01-21
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 94 49 — — $3,267.45 $111,658.90 $41,217.54 2026-04-01
'680-4 OTHER Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 3 3 — — $40,916.60 $40,916.60 $40,916.60 2025-01-21
'612-4 OTHER Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $40,827.86 $40,827.86 $40,827.86 2025-01-21
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 69 40 — — $36,676.38 $107,019.76 $40,776.92 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 67 37 — — $36,382.85 $106,851.27 $40,713.78 2026-04-01
'613-4 OTHER Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 3 3 — — $40,056.97 $40,056.97 $40,056.97 2025-01-21
'603-3 OTHER Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 3 3 — — $39,918.20 $39,918.20 $39,918.20 2025-01-21
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 73 42 — — $30,748.50 $109,047.42 $39,558.89 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 72 42 — — $33,503.00 $103,367.99 $39,533.53 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 73 42 — — $35,170.41 $96,752.11 $39,494.47 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 31 14 — — $34,959.66 $54,604.65 $39,141.34 2025-01-21
'911-4 OTHER Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 3 3 — — $39,058.96 $39,058.96 $39,058.96 2025-01-21
'312-4 OTHER Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 3 3 — — $38,888.52 $38,888.52 $38,888.52 2025-01-21
'841-3 OTHER Extensive Third Degree Burns With Skin Graft 3 3 — — $38,717.69 $38,717.69 $38,717.69 2025-01-21
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 84 48 — — $12,184.97 $104,474.88 $38,596.11 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 31 14 — — $34,129.17 $59,845.13 $38,211.51 2025-01-21
10 MS_DRG Pancreas Transplant 31 14 — — $33,964.76 $53,050.69 $38,027.44 2025-01-21
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 31 14 — — $33,959.06 $53,385.72 $37,974.22 2025-01-21
'912-4 OTHER Musculoskeletal And Other Procedures For Multiple Significant Trauma 3 3 — — $37,949.14 $37,949.14 $37,949.14 2025-01-21
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 73 42 — — $33,444.68 $91,917.05 $37,449.16 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 94 51 — — $3,273.20 $101,978.99 $37,376.81 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 80 49 — — $10,657.81 $97,708.15 $37,287.23 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement Without Mcc 30 13 — — $34,434.69 $53,784.68 $37,212.62 2025-01-21
'850-4 OTHER Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 3 3 — — $37,156.75 $37,156.75 $37,156.75 2025-01-21
228 MS_DRG Other Cardiothoracic Procedures With Mcc 77 48 — — $6,699.98 $96,924.51 $36,993.55 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 42 28 — — $28,750.61 $76,240.74 $36,988.68 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 70 41 — — $33,916.78 $96,421.02 $36,804.86 2026-04-01
'441-4 OTHER Major Bladder Procedures 3 3 — — $36,546.92 $36,546.92 $36,546.92 2025-01-21
'631-3 OTHER Neonate Birth Weight > 2499 Grams With Other Major Procedure 3 3 — — $36,099.71 $36,099.71 $36,099.71 2025-01-21
'260-4 OTHER Major Pancreas, Liver And Shunt Procedures 3 3 — — $36,088.76 $36,088.76 $36,088.76 2025-01-21
'440-3 OTHER Kidney Transplant 3 3 — — $35,743.19 $35,743.19 $35,743.19 2025-01-21
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 73 42 — — $31,870.54 $90,050.03 $35,682.72 2026-04-01
'740-4 OTHER Mental Illness Diagnosis With O.r. Procedure 3 3 — — $35,626.31 $35,626.31 $35,626.31 2025-01-21
'608-4 OTHER Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 3 3 — — $35,573.53 $35,573.53 $35,573.53 2025-01-21
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 73 42 — — $31,765.41 $89,820.82 $35,565.01 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 34 16 — — $15,600.00 $54,212.30 $35,450.26 2025-01-21
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 70 41 — — $32,932.13 $90,481.03 $35,164.41 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 70 41 — — $31,376.77 $91,642.78 $35,123.63 2026-04-01
0452T CPT Insj/rplcmt Dev Vasc Seal 3 3 — — $35,036.66 $35,036.66 $35,036.66 2025-01-21
33975 HCPCS Implant Ventricular Device 3 3 — — $35,036.66 $35,036.66 $35,036.66 2025-01-21
33982 HCPCS Replace Vad Intra Without Bp 3 3 — — $35,036.66 $35,036.66 $35,036.66 2025-01-21
0451T CPT Insj/rplcmt Aortic Ventr Sys 3 3 — — $35,036.66 $35,036.66 $35,036.66 2025-01-21
0459T CPT Relocaj Rplcmt Aortic Ventr 3 3 — — $35,036.66 $35,036.66 $35,036.66 2025-01-21
0453T CPT Insj/rplcmt Mech-elec Ntrfce 3 3 — — $35,036.66 $35,036.66 $35,036.66 2025-01-21
0454T CPT Insj/rplcmt Subq Electrode 3 3 — — $35,036.66 $35,036.66 $35,036.66 2025-01-21
33981 HCPCS Replace Vad Pump Ext 3 3 — — $35,036.66 $35,036.66 $35,036.66 2025-01-21
33983 HCPCS Replace Vad Intra W/bp 3 3 — — $35,036.66 $35,036.66 $35,036.66 2025-01-21
33979 HCPCS Insert Intracorporeal Device 3 3 — — $35,036.66 $35,036.66 $35,036.66 2025-01-21
33991 HCPCS Insj Perq Vad L Hrt Artl&ven 3 3 — — $35,036.66 $35,036.66 $35,036.66 2025-01-21
33976 HCPCS Implant Ventricular Device 3 3 — — $35,036.66 $35,036.66 $35,036.66 2025-01-21
33995 HCPCS Insj Perq Vad R Hrt Venous 3 3 — — $35,036.66 $35,036.66 $35,036.66 2025-01-21
'681-4 OTHER Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 3 3 — — $34,890.21 $34,890.21 $34,890.21 2025-01-21
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 73 42 — — $31,159.30 $89,074.40 $34,886.40 2026-04-01
'630-2 OTHER Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 3 3 — — $34,816.32 $34,816.32 $34,816.32 2025-01-21
163 MS_DRG Major Chest Procedures With Mcc 70 41 — — $30,697.60 $87,802.94 $34,498.59 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 31 14 — — $30,777.57 $48,072.50 $34,459.01 2025-01-21
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 73 42 — — $26,046.57 $89,113.58 $34,278.54 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 31 14 — — $32,800.52 $51,232.22 $34,196.82 2025-01-21
901 MS_DRG Wound Debridements For Injuries With Mcc 73 42 — — $29,982.00 $82,215.59 $34,189.62 2026-04-01
'950-4 OTHER Extensive O.r. Procedure Unrelated To Principal Diagnosis 3 3 — — $34,050.52 $34,050.52 $34,050.52 2025-01-21
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 73 42 — — $30,360.56 $84,102.20 $33,992.12 2026-04-01
455 MS_DRG Combined Anterior/posterior Spinal Fusion Without Cc/mcc 31 14 — — $15,600.00 $50,758.32 $33,885.87 2025-01-21
'608-3 OTHER Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 3 3 — — $33,879.29 $33,879.29 $33,879.29 2025-01-21
'607-2 OTHER Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $33,844.50 $33,844.50 $33,844.50 2025-01-21
'621-4 OTHER Neonate Birth Weight 2000-2499 Grams With Major Anomaly 3 3 — — $33,495.41 $33,495.41 $33,495.41 2025-01-21
'690-4 OTHER Acute Leukemia 3 3 — — $33,397.29 $33,397.29 $33,397.29 2025-01-21
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 31 14 — — $15,600.00 $49,936.15 $33,346.39 2025-01-21
'759-4 OTHER Eating Disorders 3 3 — — $33,337.48 $33,337.48 $33,337.48 2025-01-21
245 MS_DRG Aicd Generator Procedures 90 51 — — $5,276.16 $89,381.98 $33,269.97 2026-04-01
J0202 HCPCS Alemtuzumab 12 Mg/1.2 Ml Vial 44 21 $99,502.22 $49,751.11 50% off $2,129.15 $89,552.00 $33,134.24 2025-01-21
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 31 14 — — $17,545.83 $49,566.95 $33,104.14 2025-01-21
'361-4 OTHER Skin Graft For Skin And Subcutaneous Tissue Diagnoses 3 3 — — $32,933.66 $32,933.66 $32,933.66 2025-01-21
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 70 41 — — $30,190.51 $86,059.34 $32,921.62 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 77 48 — — $13,158.81 $84,778.09 $32,441.44 2026-04-01
'614-4 OTHER Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 3 3 — — $32,190.53 $32,190.53 $32,190.53 2025-01-21
448 MS_DRG Other Kidney, Urinary Tract And Related Percutaneous Procedures,extreme 7 7 — — $31,605.99 $33,590.91 $32,064.05 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 31 14 — — $28,540.11 $44,577.74 $31,953.92 2025-01-21
'261-4 OTHER Major Biliary Tract Procedures 3 3 — — $31,721.04 $31,721.04 $31,721.04 2025-01-21
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 73 42 — — $26,696.95 $73,011.74 $31,714.55 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 69 40 — — $29,343.08 $82,736.71 $31,676.40 2026-04-01
J3357 HCPCS Ustekinumab 90 Mg/ml Syringe 47 23 $95,013.73 $47,506.87 50% off $170.82 $85,512.36 $31,639.57 2025-01-21
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 73 42 — — $28,258.57 $82,595.66 $31,638.71 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 70 41 — — $28,514.71 $82,062.78 $31,520.57 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 73 42 — — $1,619.00 $72,382.48 $31,454.73 2026-04-01
'695-4 OTHER Chemotherapy For Acute Leukemia 3 3 — — $31,431.76 $31,431.76 $31,431.76 2025-01-21
'303-2 OTHER Dorsal And Lumbar Fusion Procedure For Curvature Of Back 3 3 — — $31,378.20 $31,378.20 $31,378.20 2025-01-21
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 73 42 — — $27,595.31 $81,361.42 $31,352.59 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 73 42 — — $25,022.95 $68,321.65 $31,265.83 2026-04-01
'230-4 OTHER Major Small Bowel Procedures 3 3 — — $31,032.24 $31,032.24 $31,032.24 2025-01-21
'510-4 OTHER Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced… 3 3 — — $31,020.90 $31,020.90 $31,020.90 2025-01-21
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 70 41 — — $26,093.09 $82,313.55 $31,012.08 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 31 14 — — $24,972.99 $43,232.08 $30,989.33 2025-01-21
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 73 43 — — $16,106.00 $80,822.67 $30,959.08 2026-04-01
'591-2 OTHER Neonate Birth Weight 500-749 Grams Without Major Procedure 3 3 — — $30,720.68 $30,720.68 $30,720.68 2025-01-21
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 31 14 — — $27,428.08 $42,840.83 $30,708.88 2025-01-21
'440-2 OTHER Kidney Transplant 3 3 — — $30,655.78 $30,655.78 $30,655.78 2025-01-21
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 73 42 — — $26,950.06 $73,720.93 $30,637.78 2026-04-01
00534 CPT Anesth,Cardioverter/Defib 3 2 — — $30,589.08 $30,589.08 $30,589.08 2026-04-01
'589-1 OTHER Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 3 3 — — $30,570.56 $30,570.56 $30,570.56 2025-01-21
'792-4 OTHER Extensive O.r. Procedures For Other Complications Of Treatment 3 3 — — $30,454.85 $30,454.85 $30,454.85 2025-01-21
'633-4 OTHER Neonate Birth Weight > 2499 Grams With Major Anomaly 3 3 — — $30,443.91 $30,443.91 $30,443.91 2025-01-21
'401-4 OTHER Adrenal Procedures 3 3 — — $30,391.91 $30,391.91 $30,391.91 2025-01-21
31 MS_DRG Ventricular Shunt Procedures With Mcc 31 14 — — $19,870.93 $45,369.05 $30,349.65 2025-01-21
'651-4 OTHER Other Procedures Of Blood And Blood-forming Organs 3 3 — — $30,199.58 $30,199.58 $30,199.58 2025-01-21
63650 CPT Hc Perc Implnt Neuro Stim,Epidurl 8 4 — — $30,071.45 $30,672.88 $30,071.45 2026-04-01
63685 CPT Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj 7 4 — — $30,071.45 $30,672.88 $30,071.45 2026-04-01
64582 CPT Open Impltj Hpglsl Nrv Nstim Ra Pg&Respir Sensor 17 4 — — $30,071.45 $30,672.88 $30,071.45 2026-04-01
63663 CPT Revj Incl Rplcmt Nstim Eltrd Prq Ra Incl Fluor 7 4 — — $30,071.45 $30,672.88 $30,071.45 2026-04-01
01941 CPT Anes Perq Img Neuromd/Ntrvrt Px Spi/Sp Crv/Thrc 4 3 — — $30,071.45 $30,071.45 $30,071.45 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 31 14 — — $26,733.77 $41,756.36 $29,931.52 2025-01-21
'404-4 OTHER Thyroid, Parathyroid And Thyroglossal Procedures 3 3 — — $29,866.52 $29,866.52 $29,866.52 2025-01-21
793 MS_DRG Full Term Neonate With Major Problems 66 42 — — $1,717.00 $52,978.32 $29,793.22 2026-04-01
'304-3 OTHER Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 3 3 — — $29,587.01 $29,587.01 $29,587.01 2025-01-21
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 31 14 — — $26,329.46 $41,124.86 $29,478.85 2025-01-21
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 31 14 — — $26,263.84 $48,440.47 $29,405.38 2025-01-21
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 73 42 — — $26,244.79 $75,215.73 $29,384.05 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 80 49 — — $19,452.61 $73,225.28 $29,343.38 2026-04-01
791 MS_DRG Prematurity With Major Problems 66 42 — — $2,482.74 $51,601.77 $29,019.83 2026-04-01
332 MS_DRG Rectal Resection With Mcc 31 14 — — $25,784.74 $40,274.04 $28,868.97 2025-01-21
34 MS_DRG Carotid Artery Stent Procedures With Mcc 31 14 — — $27,528.28 $42,997.33 $28,793.42 2025-01-21
'321-4 OTHER Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 3 3 — — $28,730.12 $28,730.12 $28,730.12 2025-01-21
'612-3 OTHER Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $28,713.31 $28,713.31 $28,713.31 2025-01-21
739 MS_DRG Uterine,adnexa Proc For Non-ovarian/adnexal Malig W Mcc 31 14 — — $25,516.61 $39,855.24 $28,568.77 2025-01-21
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 31 14 — — $25,268.95 $39,468.41 $28,291.48 2025-01-21
S2235 HCPCS Implant Auditory Brain Imp 3 3 — — $28,249.20 $28,249.20 $28,249.20 2025-01-21
69930 HCPCS Implant Cochlear Device 3 3 — — $28,249.20 $28,249.20 $28,249.20 2025-01-21
'264-4 OTHER Other Hepatobiliary, Pancreas And Abdominal Procedures 3 3 — — $28,176.19 $28,176.19 $28,176.19 2025-01-21
'710-4 OTHER Infectious And Parasitic Diseases Including HIV With O.r. Procedure 3 3 — — $28,085.89 $28,085.89 $28,085.89 2025-01-21
'511-4 OTHER Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 3 3 — — $28,003.41 $28,003.41 $28,003.41 2025-01-21
'325-4 OTHER Non-elective Or Complex Knee Joint Replacement 3 3 — — $27,991.29 $27,991.29 $27,991.29 2025-01-21
265 MS_DRG Aicd Lead Procedures 31 14 — — $24,936.61 $38,949.32 $27,919.39 2025-01-21
'405-4 OTHER Other Procedures For Endocrine, Nutritional And Metabolic Disorders 3 3 — — $27,870.88 $27,870.88 $27,870.88 2025-01-21
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 31 14 — — $24,873.81 $38,851.23 $27,849.08 2025-01-21
'611-3 OTHER Neonate Birth Weight 1500-1999 Grams With Major Anomaly 3 3 — — $27,809.12 $27,809.12 $27,809.12 2025-01-21
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 73 42 — — $24,428.58 $71,930.32 $27,792.95 2026-04-01
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 3 2 — — $27,461.00 $30,206.00 $27,461.00 2025-01-21
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 87 49 — — $13,828.39 $69,728.29 $27,422.59 2026-04-01
'650-4 OTHER Splenectomy 3 3 — — $27,406.87 $27,406.87 $27,406.87 2025-01-21
'440-1 OTHER Kidney Transplant 3 3 — — $27,373.25 $27,373.25 $27,373.25 2025-01-21
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 31 14 — — $24,402.47 $126,172.15 $27,321.36 2025-01-21
'231-4 OTHER Major Large Bowel Procedures 3 3 — — $27,304.44 $27,304.44 $27,304.44 2025-01-21
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 67 37 — — $25,661.97 $70,758.77 $27,187.45 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 72 41 — — $24,386.95 $69,671.47 $27,122.18 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 31 14 — — $24,207.72 $45,687.62 $27,103.32 2025-01-21
335 MS_DRG Peritoneal Adhesiolysis With Mcc 73 42 — — $23,203.41 $69,957.50 $27,048.33 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 31 14 — — $15,600.00 $40,313.72 $27,032.54 2025-01-21
'447-4 OTHER Other Kidney, Urinary Tract And Related Procedures 3 3 — — $26,990.93 $26,990.93 $26,990.93 2025-01-21
140 MS_DRG Major Head And Neck Procedures With Mcc 52 21 — — $4,084.14 $41,638.44 $26,873.68 2026-04-01
'863-3 OTHER Neonatal Aftercare 3 3 — — $26,856.84 $26,856.84 $26,856.84 2025-01-21
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 70 41 — — $25,246.70 $68,948.57 $26,722.76 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 70 41 — — $21,574.53 $70,652.98 $26,706.29 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 73 42 — — $23,826.00 $67,165.78 $26,675.93 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 73 42 — — $23,657.30 $64,495.53 $26,667.24 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 76 44 — — $11,250.00 $69,089.62 $26,561.90 2026-04-01
'711-4 OTHER Post-operative, Post-trauma, Other Device Infections With O.r. Procedure 3 3 — — $26,493.68 $26,493.68 $26,493.68 2025-01-21
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 72 42 — — $22,039.22 $66,836.66 $26,476.60 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 38 21 — — $12,431.13 $40,246.49 $26,464.39 2026-04-01
01486 CPT Anesth,Ankle Replacement 5 4 — — $26,442.65 $26,971.50 $26,442.65 2026-04-01
27702 CPT Arthroplasty Ankle W/Implant|LEFT Side 6 4 — — $26,442.65 $26,971.50 $26,442.65 2026-04-01
'622-4 OTHER Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $26,437.78 $26,437.78 $26,437.78 2025-01-21
252 MS_DRG Other Vascular Procedures With Mcc 75 44 — — $6,028.90 $68,339.29 $26,437.56 2026-04-01
C9741 HCPCS Impl Pressure Sensor W/angio 3 3 — — $26,319.32 $26,319.32 $26,319.32 2025-01-21
0614T CPT Rmvl&rplcmt Ss Impl Dfb Pg 3 3 — — $26,319.32 $26,319.32 $26,319.32 2025-01-21
0414T CPT Rmvl & Rpl Car Modulj Pls Gn 3 3 — — $26,319.32 $26,319.32 $26,319.32 2025-01-21
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 3 3 — — $26,319.32 $26,319.32 $26,319.32 2025-01-21
0409T CPT Insj/rplc Car Modulj Pls Gn 3 3 — — $26,319.32 $26,319.32 $26,319.32 2025-01-21
G0448 HCPCS Place Perm Pacing Cardiovert 3 3 — — $26,319.32 $26,319.32 $26,319.32 2025-01-21
0571T CPT Insj/rplcmt Icds Ss Eltrd 3 3 — — $26,319.32 $26,319.32 $26,319.32 2025-01-21
0520T CPT Rmv&rplcmt Pg Wcs Lv Battery 3 3 — — $26,319.32 $26,319.32 $26,319.32 2025-01-21
33270 HCPCS Ins/rep Subq Defibrillator 3 3 — — $26,319.32 $26,319.32 $26,319.32 2025-01-21
33230 HCPCS Insrt Pulse Gen W/dual Leads 3 3 — — $26,319.32 $26,319.32 $26,319.32 2025-01-21
33240 HCPCS Insrt Pulse Gen W/singl Lead 3 3 — — $26,319.32 $26,319.32 $26,319.32 2025-01-21
33231 HCPCS Insrt Pulse Gen W/mult Leads 3 3 — — $26,319.32 $26,319.32 $26,319.32 2025-01-21
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 31 14 — — $23,771.66 $37,129.75 $26,276.46 2025-01-21
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 73 42 — — $23,382.50 $63,725.60 $26,190.08 2026-04-01
'303-1 OTHER Dorsal And Lumbar Fusion Procedure For Curvature Of Back 3 3 — — $26,124.65 $26,124.65 $26,124.65 2025-01-21
'613-3 OTHER Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 3 3 — — $26,120.74 $26,120.74 $26,120.74 2025-01-21
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 31 14 — — $23,242.46 $36,303.17 $26,022.60 2025-01-21
'309-4 OTHER Other Significant Hip And Femur Surgery 3 3 — — $25,914.34 $25,914.34 $25,914.34 2025-01-21
264 MS_DRG Other Circulatory System O.r. Procedures 73 42 — — $23,044.90 $65,445.69 $25,801.40 2026-04-01
'442-4 OTHER Kidney And Urinary Tract Procedures For Malignancy 3 3 — — $25,773.61 $25,773.61 $25,773.61 2025-01-21
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 31 14 — — $22,975.75 $35,886.58 $25,723.98 2025-01-21
Q9995 HCPCS Inj. Emicizumab-kxwh, 0.5 Mg 3 3 — — $25,499.31 $25,499.31 $25,499.31 2025-01-21
C9146 HCPCS Inj, Elahere, 1 Mg 3 3 — — $25,499.31 $25,499.31 $25,499.31 2025-01-21
C9149 HCPCS Inj, Teplizumab-mzwv, 5 Mcg 3 3 — — $25,499.31 $25,499.31 $25,499.31 2025-01-21
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 3 3 — — $25,499.31 $25,499.31 $25,499.31 2025-01-21
C9085 HCPCS Inj Avalglucosid Alfa-ngpt 3 3 — — $25,499.31 $25,499.31 $25,499.31 2025-01-21
J0217 HCPCS Inj Velmanase Alfa-tycv 1 Mg 3 3 — — $25,499.31 $25,499.31 $25,499.31 2025-01-21
J0219 HCPCS Inj Aval Alfa-nqpt 4mg 3 3 — — $25,499.31 $25,499.31 $25,499.31 2025-01-21
C9052 HCPCS Injection, Ravulizumab-cwv 3 3 — — $25,499.31 $25,499.31 $25,499.31 2025-01-21
J9376 HCPCS Inj Pozelimab-bbfg, 1 Mg 3 3 — — $25,499.31 $25,499.31 $25,499.31 2025-01-21
J9298 HCPCS Inj Nivol Relatlimab 3mg/1mg 3 3 — — $25,499.31 $25,499.31 $25,499.31 2025-01-21
J9350 HCPCS Inj Mosunetuzumab-axgb, 1 Mg 3 3 — — $25,499.31 $25,499.31 $25,499.31 2025-01-21
J9269 HCPCS Inj. Tagraxofusp-erzs 10 Mcg 3 3 — — $25,499.31 $25,499.31 $25,499.31 2025-01-21
J9029 HCPCS Instill Adstiladrin, Tx Dose 3 3 — — $25,499.31 $25,499.31 $25,499.31 2025-01-21
See an error in this hospital's data? Submit a correction