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Hospital

MERCYHEALTH HOSPITAL & PHYSICIAN CLINIC-CRYSTAL LA

Crystal Lake, IL · CCN 140308 · Rates published

13,109 distinct procedures filed
11 distinct payers
77,144 rate rows
2026-03-01 last MRF observed
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://res.cloudinary.com/dpmykpsih/raw/upload/fl_attachment/mercyhealth-site-398/media/b4c6946ad680436c8454a3cb9f8ba21c/201673011-crystallakehospital-standardcharges.json
Found on page https://www.mercyhealthsystem.org/cms-hpt.txt
Discovered viaDiscovered by HANK (automated)
Last fetch not_modified · 2026-09-21
Content fingerprint 0fa0f869a52bc852… · 576,249 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
Q2056
HCPCS 		Ciltacabtagene Car-pos T 5 $565,868.94 $1,907,381.77 $908,424.85 nat. median
$599,737
1.5× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 5 $591,726.20 $1,479,315.50 $887,589.30 nat. median
$621,313
1.4× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 5 $557,317.93 $1,855,301.78 $879,658.10 nat. median
$574,037
1.5× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 5 $562,538.19 $1,816,944.04 $873,790.65 nat. median
$579,571
1.5× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 5 $533,230.17 $1,724,394.31 $839,908.27 nat. median
$562,501
1.5× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 5 $489,304.61 $1,223,261.52 $733,956.91 nat. median
$513,770
1.4× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 10 $263,867.42 $1,179,710.91 $337,786.69 nat. median
$168,055
outlier · 2.0×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 10 $194,080.17 $765,584.92 $219,209.97 nat. median
$186,516
1.2× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 1 $214,899.70 $214,899.70 $214,899.70 nat. median
$92,809
outlier · 2.3×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 10 $163,734.28 $583,274.31 $168,646.31 nat. median
$131,925
1.3× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 5 $63,465.35 $242,084.59 $167,519.01 nat. median
$2,106
outlier · 79.6×
222
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 4 $82,806.13 $209,170.66 $167,334.99 nat. median
$2,024
outlier · 82.7×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 10 $152,695.99 $579,851.24 $166,028.84 nat. median
$145,435
1.1× median
224
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 4 $76,669.70 $193,669.85 $154,934.47 nat. median
$2,024
outlier · 76.6×
226
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 4 $69,225.73 $174,866.19 $139,891.67 nat. median
$2,024
outlier · 69.1×
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 5 $47,500.53 $181,187.80 $125,379.32 nat. median
$2,106
outlier · 59.5×
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 5 $43,804.94 $167,091.20 $115,624.68 nat. median
$2,106
outlier · 54.9×
223
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 4 $56,440.24 $142,569.67 $114,054.69 nat. median
$2,024
outlier · 56.4×
225
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 4 $54,699.03 $138,171.31 $110,536.03 nat. median
$2,024
outlier · 54.6×
227
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 4 $54,298.87 $137,160.50 $109,727.40 nat. median
$2,024
outlier · 54.2×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 10 $105,281.40 $378,406.40 $108,349.12 nat. median
$97,418
1.1× median
7
MS_DRG 		Lung Transplant 10 $87,851.96 $353,786.51 $101,299.71 nat. median
$70,649
1.4× median
J9029
HCPCS 		Inj, Adstiladrin, Per Tx Dos 5 $63,342.28 $158,355.70 $95,013.42 nat. median
$66,211
1.4× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 10 $82,082.97 $328,317.01 $94,007.02 nat. median
$72,715
1.3× median
209
MS_DRG 		Complex Aortic Arch Procedures 10 $86,802.44 $309,218.30 $88,972.50 nat. median
$2,110
outlier · 42.2×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 10 $86,902.14 $309,573.44 $88,640.18 nat. median
$65,418
1.4× median
455
MS_DRG 		Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 5 $32,985.31 $125,820.39 $87,065.88 nat. median
$2,106
outlier · 41.3×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 $84,520.19 $301,088.16 $86,633.20 nat. median
$2,736
outlier · 31.7×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 10 $77,139.75 $297,069.54 $85,059.93 nat. median
$74,509
1.1× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 5 $55,272.32 $138,180.81 $82,908.49 nat. median
$63,499
1.3× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 10 $74,126.70 $281,672.55 $80,651.32 nat. median
$69,922
1.2× median
215
MS_DRG 		Other Heart Assist System Implant 10 $73,158.40 $272,015.28 $77,886.15 nat. median
$73,023
1.1× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 $69,509.36 $267,256.31 $76,523.51 nat. median
$69,822
1.1× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 10 $69,093.48 $246,133.26 $70,820.82 nat. median
$2,596
outlier · 27.3×
460
MS_DRG 		Spinal Fusion Except Cervical Without Mcc 5 $26,197.88 $99,930.17 $69,150.22 nat. median
$2,106
outlier · 32.8×
38240
HCPCS 		Transplt Allo Hct/donor 4 $20,630.00 $101,109.01 $68,080.07 nat. median
$28,331
outlier · 2.4×
850
MS_DRG 		Acute Leukemia With Other Procedures 10 $66,408.61 $236,568.88 $68,068.82 nat. median
$2,633
outlier · 25.9×
J9226
HCPCS 		Supprelin La Implant 5 $45,020.65 $112,551.62 $67,530.98 nat. median
$57,036
1.2× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 10 $58,121.06 $230,296.44 $65,940.79 nat. median
$60,505
1.1× median
248
MS_DRG 		Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 4 $32,550.99 $82,224.73 $65,779.18 nat. median
$2,024
outlier · 32.5×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 10 $60,371.36 $229,572.48 $65,733.50 nat. median
$59,651
1.1× median
246
MS_DRG 		Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 4 $32,395.25 $81,831.33 $65,464.47 nat. median
$2,024
outlier · 32.3×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 10 $60,344.83 $214,967.75 $61,551.73 nat. median
$56,428
1.1× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 10 $55,227.61 $209,763.48 $60,061.59 nat. median
$55,923
1.1× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 10 $55,860.74 $208,859.22 $59,802.67 nat. median
$55,935
1.1× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 10 $51,799.17 $208,168.05 $59,604.77 nat. median
$52,327
1.1× median
338
MS_DRG 		Appendectomy With Complicated Principal Diagnosis With Mcc 4 $28,730.05 $72,572.92 $58,057.81 nat. median
$2,024
outlier · 28.7×
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 $55,358.53 $197,204.93 $56,742.49 nat. median
$9,905
outlier · 5.7×
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 10 $54,714.34 $194,910.14 $56,355.77 nat. median
$45,605
1.2× median
10
MS_DRG 		Pancreas Transplant 10 $34,475.00 $196,032.95 $56,130.12 nat. median
$23,080
outlier · 2.4×

Other procedures at this hospital

Browse this hospital's 13,109 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
0100T OTHER Prosth Retina Receive&Gen 2 1 — — $20,630.00 $24,860.00 $22,745.00 2026-03-01
0266T OTHER Implt/rpl Crtd Sns Dev Total 2 1 — — $20,630.00 $24,860.00 $22,745.00 2026-03-01
0268T OTHER Implt/rpl Crtd Sns Dev Gen 2 1 — — $20,630.00 $24,860.00 $22,745.00 2026-03-01
0408T OTHER Insj/rplc Cardiac Modulj Sys 6 4 — — $20,630.00 $50,455.34 $33,973.26 2026-03-01
0409T OTHER Insj/rplc Car Modulj Pls Gn 6 4 — — $20,630.00 $35,754.95 $24,432.54 2026-03-01
0414T OTHER Rmvl & Rpl Car Modulj Pls Gn 6 4 — — $20,630.00 $35,754.95 $24,432.54 2026-03-01
0515T OTHER Insj Wcs Lv Compl Sys 8 4 — — $1,740.53 $35,754.95 $24,075.00 2026-03-01
0571T OTHER Insj/rplcmt Icds Ss Eltrd 6 4 — — $20,630.00 $50,455.34 $33,973.26 2026-03-01
0614T OTHER Rmvl&rplcmt Ss Impl Dfb Pg 6 4 — — $20,443.00 $35,754.95 $24,432.54 2026-03-01
0620T OTHER Evasc Ven Artlz Tibl/prnl Vn 6 4 — — $20,630.00 $70,801.54 $47,673.03 2026-03-01
0674T OTHER Laps Insj Nw/rpcmt Prm Isdss 6 4 — — $7,875.00 $49,601.53 $33,398.36 2026-03-01
0686T OTHER Histotripsy Mal Hepatcel Tis 6 4 — — $15,900.00 $55,068.04 $37,079.14 2026-03-01
0908T OTHER Opn Imp Int Nstm Sys Vgs Nrv 6 4 — — $20,630.00 $49,601.53 $33,398.36 2026-03-01
0909T OTHER Rplcmt Int Nstim Sys Vgs Nrv 6 4 — — $20,443.00 $49,601.53 $33,398.36 2026-03-01
0915T OTHER Insj Perm Ccm-d Sys Pg&eltrd 6 4 — — $20,630.00 $50,455.34 $33,973.26 2026-03-01
0916T OTHER Insj Perm Ccm-d Sys Pg Only 6 4 — — $20,630.00 $35,754.95 $24,432.54 2026-03-01
0923T OTHER Rmvl&rplcmt Perm Ccm-d Pg 6 4 — — $20,630.00 $35,754.95 $24,432.54 2026-03-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 15 10 — — $194,080.17 $765,584.92 $219,209.97 2026-03-01
10 MS_DRG Pancreas Transplant 15 10 — — $34,475.00 $196,032.95 $56,130.12 2026-03-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 15 10 — — $36,929.42 $149,000.56 $42,663.34 2026-03-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 15 10 — — $28,683.09 $115,176.90 $32,978.61 2026-03-01
14 MS_DRG Allogeneic Bone Marrow Transplant 15 10 — — $82,082.97 $328,317.01 $94,007.02 2026-03-01
140 MS_DRG Major Head And Neck Procedures With Mcc 15 10 — — $27,058.75 $116,523.73 $33,364.24 2026-03-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 15 10 — — $23,817.95 $102,353.37 $29,306.84 2026-03-01
1476 OTHER Obinutuzumab Inj 1 1 — — $37,489.02 $37,489.02 $37,489.02 2026-03-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 15 10 — — $44,239.67 $161,993.47 $46,383.60 2026-03-01
163 MS_DRG Major Chest Procedures With Mcc 15 10 — — $33,758.80 $122,438.29 $35,057.77 2026-03-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 15 10 — — $28,663.95 $102,110.23 $29,237.23 2026-03-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 15 10 — — $41,659.62 $148,405.00 $42,909.41 2026-03-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 15 10 — — $22,023.15 $81,312.27 $23,282.14 2026-03-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 15 10 — — $263,867.42 $1,179,710.91 $337,786.69 2026-03-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 15 10 — — $54,714.34 $194,910.14 $56,355.77 2026-03-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 15 10 — — $86,902.14 $309,573.44 $88,640.18 2026-03-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 15 10 — — $60,344.83 $214,967.75 $61,551.73 2026-03-01
20696 HCPCS Comp Multiplane Ext Fixation 6 4 — — $20,630.00 $43,615.98 $29,368.10 2026-03-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 15 10 — — $49,346.90 $175,789.57 $50,333.84 2026-03-01
209 MS_DRG Complex Aortic Arch Procedures 14 10 — — $86,802.44 $309,218.30 $88,972.50 2026-03-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 15 10 — — $40,597.48 $144,621.32 $41,815.40 2026-03-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 15 10 — — $77,139.75 $297,069.54 $85,059.93 2026-03-01
21243 HCPCS Reconstruction Of Jaw Joint 6 4 — — $20,630.00 $43,615.98 $29,368.10 2026-03-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 14 10 — — $43,765.49 $155,906.80 $44,859.62 2026-03-01
215 MS_DRG Other Heart Assist System Implant 15 10 — — $73,158.40 $272,015.28 $77,886.15 2026-03-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 15 10 — — $69,509.36 $267,256.31 $76,523.51 2026-03-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 15 10 — — $45,588.28 $179,630.62 $51,433.64 2026-03-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 15 10 — — $40,799.77 $179,630.62 $51,433.64 2026-03-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 15 10 — — $55,227.61 $209,763.48 $60,061.59 2026-03-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 15 10 — — $24,367.08 $86,803.39 $25,098.09 2026-03-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 15 10 — — $37,561.83 $145,686.76 $41,714.50 2026-03-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 15 10 — — $33,293.27 $137,693.22 $39,425.70 2026-03-01
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 5 4 — — $82,806.13 $209,170.66 $167,334.99 2026-03-01
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 5 4 — — $56,440.24 $142,569.67 $114,054.69 2026-03-01
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 5 4 — — $76,669.70 $193,669.85 $154,934.47 2026-03-01
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 5 4 — — $54,699.03 $138,171.31 $110,536.03 2026-03-01
22558 HCPCS Lumbar Spine Fusion 6 4 — — $7,875.00 $43,615.98 $29,368.10 2026-03-01
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 5 4 — — $69,225.73 $174,866.19 $139,891.67 2026-03-01
22630 HCPCS Lumbar Spine Fusion 6 4 — — $20,443.00 $43,615.98 $29,368.10 2026-03-01
22633 HCPCS Lumbar Spine Fusion Combined 6 4 — — $20,443.00 $43,615.98 $29,368.10 2026-03-01
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 5 4 — — $54,298.87 $137,160.50 $109,727.40 2026-03-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 15 10 — — $36,087.17 $135,158.02 $38,699.80 2026-03-01
22860 HCPCS Tot Disc Arthrp 2ntrspc Lmbr 2 1 — — $20,630.00 $24,860.00 $22,745.00 2026-03-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 15 10 — — $22,772.30 $86,041.19 $24,636.18 2026-03-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 15 10 — — $40,599.95 $156,546.07 $44,823.84 2026-03-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 15 10 — — $58,121.06 $230,296.44 $65,940.79 2026-03-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 15 10 — — $42,603.87 $165,624.17 $47,423.18 2026-03-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 15 10 — — $55,860.74 $208,859.22 $59,802.67 2026-03-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 15 10 — — $37,227.36 $149,235.50 $42,730.60 2026-03-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 15 10 — — $42,116.86 $160,324.28 $45,905.66 2026-03-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 15 10 — — $28,943.07 $114,433.83 $32,765.85 2026-03-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 15 10 — — $34,426.30 $134,455.92 $38,498.77 2026-03-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 15 10 — — $27,135.39 $106,869.20 $30,599.87 2026-03-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 15 10 — — $24,485.18 $87,224.10 $24,974.88 2026-03-01
245 MS_DRG Aicd Generator Procedures 15 10 — — $32,453.89 $124,640.21 $35,688.24 2026-03-01
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 5 4 — — $32,395.25 $81,831.33 $65,464.47 2026-03-01
247 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent Without Mcc 5 4 — — $20,651.24 $52,165.63 $41,732.12 2026-03-01
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 5 4 — — $32,550.99 $82,224.73 $65,779.18 2026-03-01
249 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent Without Mcc 5 4 — — $19,647.61 $49,630.43 $39,703.98 2026-03-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 15 10 — — $31,627.39 $124,211.30 $35,565.43 2026-03-01
252 MS_DRG Other Vascular Procedures With Mcc 15 10 — — $24,019.92 $95,296.87 $27,286.36 2026-03-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 15 10 — — $19,398.99 $85,839.03 $24,578.30 2026-03-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 15 10 — — $21,150.10 $84,940.23 $24,320.94 2026-03-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 15 10 — — $23,743.46 $88,863.24 $25,444.22 2026-03-01
263 MS_DRG Vein Ligation And Stripping 15 10 — — $20,234.08 $83,525.11 $23,915.75 2026-03-01
264 MS_DRG Other Circulatory System O.r. Procedures 15 10 — — $23,391.09 $91,261.85 $26,131.01 2026-03-01
265 MS_DRG Aicd Lead Procedures 15 10 — — $25,311.22 $98,845.61 $28,302.47 2026-03-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 15 10 — — $44,734.57 $167,421.76 $47,937.88 2026-03-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 15 10 — — $34,951.99 $130,060.30 $37,240.17 2026-03-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 15 10 — — $49,093.36 $187,897.35 $53,800.65 2026-03-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 15 10 — — $29,783.89 $115,373.60 $33,034.93 2026-03-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 15 10 — — $36,217.52 $144,143.24 $41,272.55 2026-03-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 15 10 — — $24,753.30 $97,154.56 $27,818.27 2026-03-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 15 10 — — $27,910.31 $112,704.53 $32,270.70 2026-03-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 15 10 — — $23,210.61 $89,925.95 $25,748.50 2026-03-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 15 10 — — $50,390.40 $194,795.40 $55,775.77 2026-03-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 15 10 — — $44,477.45 $164,094.31 $46,985.13 2026-03-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 15 10 — — $34,251.55 $126,172.80 $36,127.06 2026-03-01
27702 HCPCS Reconstruct Ankle Joint 6 4 — — $7,875.00 $43,615.98 $29,368.10 2026-03-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 15 10 — — $31,945.38 $152,063.02 $43,540.21 2026-03-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 15 10 — — $22,922.70 $98,523.24 $28,210.16 2026-03-01
28 MS_DRG Spinal Procedures With Mcc 15 10 — — $43,158.93 $164,140.75 $46,998.43 2026-03-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 15 10 — — $24,552.77 $93,201.50 $26,686.39 2026-03-01
294 MS_DRG Deep Vein Thrombophlebitis With Cc/Mcc 6 5 — — $7,833.08 $33,545.00 $23,212.65 2026-03-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 15 10 — — $152,695.99 $579,851.24 $166,028.84 2026-03-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 15 10 — — $29,483.09 $122,402.78 $35,047.60 2026-03-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 14 10 — — $51,277.92 $182,668.49 $52,559.87 2026-03-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 15 10 — — $31,239.93 $121,921.97 $34,909.92 2026-03-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 15 10 — — $29,650.68 $118,220.24 $33,850.01 2026-03-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 15 10 — — $21,261.11 $86,082.17 $24,647.91 2026-03-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 15 10 — — $18,938.48 $87,704.92 $25,112.55 2026-03-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 15 10 — — $36,375.80 $136,250.78 $39,012.69 2026-03-01
32851 HCPCS Lung Transplant Single 2 1 — — $20,630.00 $24,860.00 $22,745.00 2026-03-01
32852 HCPCS Lung Transplant With Bypass 2 1 — — $20,630.00 $24,860.00 $22,745.00 2026-03-01
32853 HCPCS Lung Transplant Double 2 1 — — $20,630.00 $24,860.00 $22,745.00 2026-03-01
32854 HCPCS Lung Transplant With Bypass 2 1 — — $20,630.00 $24,860.00 $22,745.00 2026-03-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 16 10 — — $31,234.90 $125,571.78 $35,602.48 2026-03-01
332 MS_DRG Rectal Resection With Mcc 15 10 — — $26,172.10 $98,913.90 $28,322.02 2026-03-01
33230 HCPCS Insrt Pulse Gen W/dual Leads 6 4 — — $20,630.00 $35,754.95 $24,432.54 2026-03-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 6 4 — — $20,630.00 $50,455.34 $33,973.26 2026-03-01
33240 HCPCS Insrt Pulse Gen W/singl Lead 6 4 — — $20,630.00 $35,754.95 $24,432.54 2026-03-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 6 4 — — $20,630.00 $50,455.34 $33,973.26 2026-03-01
33262 HCPCS Rmvl& Replc Pulse Gen 1 Lead 6 4 — — $20,630.00 $35,754.95 $24,432.54 2026-03-01
33263 HCPCS Rmvl & Rplcmt Dfb Gen 2 Lead 6 4 — — $20,630.00 $35,754.95 $24,432.54 2026-03-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 6 4 — — $20,630.00 $50,455.34 $33,973.26 2026-03-01
33267 HCPCS Excl Laa Open Any Method 2 1 — — $20,630.00 $24,860.00 $22,745.00 2026-03-01
33270 HCPCS Ins/rep Subq Defibrillator 6 4 — — $20,630.00 $50,455.34 $33,973.26 2026-03-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 6 4 — — $20,630.00 $70,801.54 $47,673.03 2026-03-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 6 4 — — $20,630.00 $49,601.53 $33,398.36 2026-03-01
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 6 4 — — $20,630.00 $46,106.42 $31,044.99 2026-03-01
33391 HCPCS Valvuloplasty Aortic Valve 2 1 — — $20,630.00 $24,860.00 $22,745.00 2026-03-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 15 10 — — $25,604.15 $97,553.42 $27,932.48 2026-03-01
33736 HCPCS Revision Of Heart Chamber 2 1 — — $20,630.00 $24,860.00 $22,745.00 2026-03-01
33737 HCPCS Revision Of Heart Chamber 2 1 — — $20,630.00 $24,860.00 $22,745.00 2026-03-01
338 MS_DRG Appendectomy With Complicated Principal Diagnosis With Mcc 5 4 — — $28,730.05 $72,572.92 $58,057.81 2026-03-01
339 MS_DRG Appendectomy With Complicated Principal Diagnosis With Cc 5 4 — — $17,611.15 $44,486.26 $35,588.68 2026-03-01
33927 HCPCS Impltj Tot Rplcmt Hrt Sys 2 1 — — $20,630.00 $24,860.00 $22,745.00 2026-03-01
33928 HCPCS Rmvl & Rplcmt Tot Hrt Sys 2 1 — — $20,630.00 $24,860.00 $22,745.00 2026-03-01
33935 HCPCS Transplantation Heart/lung 2 1 — — $20,630.00 $24,860.00 $22,745.00 2026-03-01
33945 HCPCS Transplantation Of Heart 2 1 — — $20,630.00 $24,860.00 $22,745.00 2026-03-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 15 10 — — $27,941.83 $105,743.65 $30,277.59 2026-03-01
340 MS_DRG Appendectomy With Complicated Principal Diagnosis Without Cc/Mcc 5 4 — — $12,976.92 $32,780.07 $26,223.81 2026-03-01
341 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Mcc 5 4 — — $24,431.09 $61,713.62 $49,370.45 2026-03-01
342 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Cc 5 4 — — $15,716.36 $39,699.97 $31,759.69 2026-03-01
343 MS_DRG Appendectomy Without Complicated Principal Diagnosis Without Cc/Mcc 5 4 — — $11,817.55 $29,851.47 $23,880.96 2026-03-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 15 10 — — $30,644.05 $120,006.90 $34,361.59 2026-03-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 14 10 — — $26,370.19 $93,939.11 $27,029.44 2026-03-01
37 MS_DRG Extracranial Procedures With Mcc 15 10 — — $24,176.05 $89,936.88 $25,751.63 2026-03-01
38240 HCPCS Transplt Allo Hct/donor 6 4 — — $20,630.00 $101,109.01 $68,080.07 2026-03-01
39499 HCPCS Chest Procedure 2 1 — — $20,768.00 $25,220.00 $22,994.00 2026-03-01
39599 HCPCS Diaphragm Surgery Procedure 2 1 — — $20,768.00 $25,220.00 $22,994.00 2026-03-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 15 10 — — $105,281.40 $378,406.40 $108,349.12 2026-03-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 15 10 — — $27,577.28 $105,484.12 $30,203.27 2026-03-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 14 10 — — $30,832.70 $109,836.04 $31,603.51 2026-03-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 15 10 — — $39,428.24 $149,448.59 $42,791.62 2026-03-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 15 10 — — $26,658.40 $97,408.63 $27,891.01 2026-03-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 15 10 — — $21,775.34 $90,242.85 $25,839.24 2026-03-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 15 10 — — $25,247.48 $97,326.67 $27,867.55 2026-03-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 15 10 — — $22,924.13 $93,078.56 $26,651.19 2026-03-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 15 10 — — $28,009.87 $113,455.81 $32,485.81 2026-03-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 10 — — $84,520.19 $301,088.16 $86,633.20 2026-03-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 10 — — $55,358.53 $197,204.93 $56,742.49 2026-03-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 10 — — $43,114.41 $153,587.42 $44,192.27 2026-03-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 14 10 — — $69,093.48 $246,133.26 $70,820.82 2026-03-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 14 10 — — $44,227.16 $157,551.40 $45,332.83 2026-03-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 14 10 — — $51,240.34 $182,534.63 $52,521.35 2026-03-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 14 10 — — $32,522.16 $115,854.42 $33,335.21 2026-03-01
44899 HCPCS Bowel Surgery Procedure 2 1 — — $20,768.00 $25,220.00 $22,994.00 2026-03-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 14 10 — — $40,872.03 $145,599.34 $41,893.83 2026-03-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 14 10 — — $24,773.53 $88,251.30 $25,392.87 2026-03-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 6 5 — — $63,465.35 $242,084.59 $167,519.01 2026-03-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 6 5 — — $43,804.94 $167,091.20 $115,624.68 2026-03-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 6 5 — — $32,985.31 $125,820.39 $87,065.88 2026-03-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 15 10 — — $60,371.36 $229,572.48 $65,733.50 2026-03-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 15 10 — — $43,511.30 $162,905.93 $46,644.87 2026-03-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 15 10 — — $31,999.14 $113,991.26 $32,639.12 2026-03-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 6 5 — — $47,500.53 $181,187.80 $125,379.32 2026-03-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 6 5 — — $26,197.88 $99,930.17 $69,150.22 2026-03-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 15 10 — — $42,355.19 $150,882.84 $43,625.85 2026-03-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 15 10 — — $40,563.42 $155,704.64 $44,582.91 2026-03-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 15 10 — — $21,496.03 $85,090.49 $24,363.96 2026-03-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 15 10 — — $37,146.43 $142,206.32 $40,717.94 2026-03-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 15 10 — — $24,968.88 $96,343.19 $27,585.95 2026-03-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 15 10 — — $23,261.23 $82,863.99 $23,848.03 2026-03-01
471 MS_DRG Cervical Spinal Fusion With Mcc 15 10 — — $35,229.88 $131,915.26 $37,771.30 2026-03-01
47135 HCPCS Transplantation Of Liver 2 1 — — $20,630.00 $24,860.00 $22,745.00 2026-03-01
472 MS_DRG Cervical Spinal Fusion With Cc 15 10 — — $21,166.57 $80,484.51 $23,045.14 2026-03-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 15 10 — — $30,816.65 $117,277.74 $33,580.14 2026-03-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 15 10 — — $24,128.78 $94,376.22 $27,022.75 2026-03-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 15 10 — — $23,591.63 $88,161.14 $25,243.18 2026-03-01
48554 HCPCS Transpl Allograft Pancreas 2 1 — — $20,630.00 $24,860.00 $22,745.00 2026-03-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 15 10 — — $24,795.56 $100,304.44 $28,720.17 2026-03-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 15 10 — — $25,648.55 $99,050.50 $28,361.13 2026-03-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 15 10 — — $18,699.98 $82,415.96 $23,598.17 2026-03-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 15 10 — — $74,126.70 $281,672.55 $80,651.32 2026-03-01
500 MS_DRG Soft Tissue Procedures With Mcc 15 10 — — $23,224.93 $86,459.17 $24,755.86 2026-03-01
50360 HCPCS Transplantation Of Kidney 2 1 — — $20,630.00 $24,860.00 $22,745.00 2026-03-01
50365 HCPCS Transplantation Of Kidney 2 1 — — $20,630.00 $24,860.00 $22,745.00 2026-03-01
50380 HCPCS Reimplantation Of Kidney 2 1 — — $20,630.00 $24,860.00 $22,745.00 2026-03-01
509 MS_DRG Arthroscopy 6 5 — — $9,784.01 $47,985.82 $33,205.49 2026-03-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 15 10 — — $19,484.94 $82,517.04 $23,627.11 2026-03-01
5115 OTHER Level 5 Musculoskeletal Procedures 9 5 — — $13,285.94 $76,630.00 $25,518.07 2026-03-01
5116 OTHER Level 6 Musculoskeletal Procedures 5 3 — — $18,794.26 $108,525.63 $22,945.89 2026-03-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 15 10 — — $22,642.66 $87,062.92 $24,928.73 2026-03-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 15 10 — — $26,154.19 $102,099.30 $29,234.10 2026-03-01
5313 OTHER Level 3 Lower Gi Procedures 1 1 — — $49,347.85 $49,347.85 $49,347.85 2026-03-01
53444 HCPCS Insert Tandem Cuff 6 4 — — $20,630.00 $33,315.75 $22,765.76 2026-03-01
53445 HCPCS Insert Uro/ves Nck Sphincter 6 4 — — $20,630.00 $33,315.75 $22,765.76 2026-03-01
53447 HCPCS Remove/replace Ur Sphincter 6 4 — — $20,630.00 $33,315.75 $22,765.76 2026-03-01
54401 HCPCS Insert Self-contd Prosthesis 6 4 — — $20,630.00 $33,315.75 $22,765.76 2026-03-01
54405 HCPCS Insert Multi-comp Penis Pros 6 4 — — $20,630.00 $33,315.75 $22,765.76 2026-03-01
54410 HCPCS Remove/replace Penis Prosth 6 4 — — $20,630.00 $33,315.75 $22,765.76 2026-03-01
54411 HCPCS Remov/replc Penis Pros Comp 6 4 — — $20,630.00 $33,315.75 $22,765.76 2026-03-01
54416 HCPCS Remv/repl Penis Contain Pros 6 4 — — $20,630.00 $33,315.75 $22,765.76 2026-03-01
54417 HCPCS Remv/replc Penis Pros Compl 6 4 — — $20,630.00 $33,315.75 $22,765.76 2026-03-01
54438 HCPCS Replantation Of Penis 2 1 — — $20,630.00 $24,860.00 $22,745.00 2026-03-01
570 MS_DRG Skin Debridement With Mcc 15 10 — — $20,928.80 $80,347.91 $23,006.02 2026-03-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 15 10 — — $44,534.03 $178,977.70 $51,246.70 2026-03-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 15 10 — — $24,392.34 $94,835.18 $27,154.16 2026-03-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 15 10 — — $37,586.68 $133,895.88 $38,714.28 2026-03-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 16 10 — — $23,936.84 $88,472.58 $25,456.54 2026-03-01
6 MS_DRG Liver Transplant Without Mcc 15 10 — — $34,641.88 $126,678.20 $36,271.78 2026-03-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 16 10 — — $9,851.96 $95,272.28 $27,413.04 2026-03-01
61799 HCPCS Srs Cran Les Complex Addl 2 1 — — $20,768.00 $25,220.00 $22,994.00 2026-03-01
61885 HCPCS Insrt/redo Neurostim 1 Array 6 4 — — $20,630.00 $49,601.53 $33,398.36 2026-03-01
61886 HCPCS Implant Neurostim Arrays 6 4 — — $20,630.00 $49,601.53 $33,398.36 2026-03-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 6 4 — — $20,630.00 $49,601.53 $33,398.36 2026-03-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 15 10 — — $27,295.05 $97,233.78 $27,840.95 2026-03-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 15 10 — — $20,921.63 $82,506.11 $23,623.98 2026-03-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 15 10 — — $28,580.36 $101,812.45 $29,151.97 2026-03-01
63685 HCPCS Insrt/redo Spine N Generator 6 4 — — $20,630.00 $49,601.53 $33,398.36 2026-03-01
64568 HCPCS Inc For Vagus N Elect Impl 6 4 — — $20,630.00 $70,801.54 $47,673.03 2026-03-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 6 4 — — $20,630.00 $49,601.53 $33,398.36 2026-03-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 15 10 — — $32,211.10 $128,437.55 $36,775.53 2026-03-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 15 10 — — $24,769.06 $101,238.75 $28,987.70 2026-03-01
652 MS_DRG Kidney Transplant 15 10 — — $21,517.51 $88,226.71 $25,261.96 2026-03-01
653 MS_DRG Major Bladder Procedures With Mcc 15 10 — — $38,772.20 $141,960.45 $40,647.54 2026-03-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 15 10 — — $22,471.49 $86,978.23 $24,904.48 2026-03-01
662 MS_DRG Minor Bladder Procedures With Mcc 15 10 — — $21,462.37 $83,637.12 $23,947.83 2026-03-01
665 MS_DRG Prostatectomy With Mcc 15 10 — — $22,124.13 $85,268.06 $24,414.81 2026-03-01
668 MS_DRG Transurethral Procedures With Mcc 15 10 — — $20,182.52 $79,771.48 $22,840.97 2026-03-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 15 10 — — $26,485.08 $114,783.51 $32,865.97 2026-03-01
69930 HCPCS Implant Cochlear Device 6 4 — — $20,630.00 $53,000.31 $35,686.88 2026-03-01
7 MS_DRG Lung Transplant 15 10 — — $87,851.96 $353,786.51 $101,299.71 2026-03-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 15 10 — — $27,412.39 $97,651.77 $27,960.64 2026-03-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 15 10 — — $25,899.94 $97,878.51 $28,025.56 2026-03-01
77 MS_DRG Hypertensive Encephalopathy With Mcc 6 5 — — $10,821.07 $42,240.64 $29,229.90 2026-03-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 15 10 — — $42,972.72 $162,370.48 $46,491.55 2026-03-01
791 MS_DRG Prematurity With Major Problems 15 10 — — $29,347.73 $110,887.82 $31,750.52 2026-03-01
793 MS_DRG Full Term Neonate With Major Problems 15 10 — — $30,147.01 $113,909.30 $32,615.65 2026-03-01
799 MS_DRG Splenic Procedures With Mcc 15 10 — — $34,731.56 $123,725.02 $35,484.85 2026-03-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 15 10 — — $37,684.30 $153,112.07 $43,840.59 2026-03-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 15 10 — — $24,571.39 $108,841.63 $31,164.63 2026-03-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 15 10 — — $43,306.47 $160,220.47 $45,875.94 2026-03-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 15 10 — — $32,242.61 $125,252.15 $35,863.46 2026-03-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 15 10 — — $33,143.59 $127,792.82 $36,590.93 2026-03-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 15 10 — — $22,587.52 $86,328.04 $24,718.31 2026-03-01
834 MS_DRG Acute Leukemia With Mcc 15 10 — — $40,100.04 $149,978.58 $42,943.38 2026-03-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 15 10 — — $34,692.73 $131,248.67 $37,580.44 2026-03-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 15 10 — — $22,382.68 $88,374.23 $25,304.20 2026-03-01
850 MS_DRG Acute Leukemia With Other Procedures 14 10 — — $66,408.61 $236,568.88 $68,068.82 2026-03-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 17 10 — — $31,743.70 $134,917.61 $37,873.50 2026-03-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 15 10 — — $31,716.20 $124,265.94 $35,581.07 2026-03-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 15 10 — — $49,882.61 $188,823.46 $54,065.83 2026-03-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 15 10 — — $26,725.00 $105,585.20 $30,232.22 2026-03-01
901 MS_DRG Wound Debridements For Injuries With Mcc 15 10 — — $30,995.70 $114,646.92 $32,826.85 2026-03-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 15 10 — — $23,320.90 $100,345.42 $28,731.91 2026-03-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 15 10 — — $26,639.06 $104,885.84 $30,031.96 2026-03-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 15 10 — — $163,734.28 $583,274.31 $168,646.31 2026-03-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 15 10 — — $49,558.89 $195,950.99 $56,106.66 2026-03-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 15 10 — — $23,029.41 $87,989.04 $25,193.91 2026-03-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 15 10 — — $21,715.18 $106,385.65 $30,461.41 2026-03-01
93653 HCPCS Ep & Ablate Supravent Arrhyt 6 4 — — $20,630.00 $42,014.72 $28,289.92 2026-03-01
93654 HCPCS Ep & Ablate Ventric Tachy 6 4 — — $20,630.00 $42,014.72 $28,289.92 2026-03-01
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 6 4 — — $20,630.00 $42,014.72 $28,289.92 2026-03-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 15 10 — — $23,027.98 $99,126.99 $28,383.04 2026-03-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 15 10 — — $25,945.78 $96,146.49 $27,529.63 2026-03-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 15 10 — — $43,618.01 $183,886.92 $52,652.35 2026-03-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 15 10 — — $27,775.67 $102,801.40 $29,435.13 2026-03-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 15 10 — — $51,799.17 $208,168.05 $59,604.77 2026-03-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 15 10 — — $28,968.86 $115,119.53 $32,962.18 2026-03-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 15 10 — — $18,137.05 $80,429.87 $23,029.49 2026-03-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 15 10 — — $46,943.47 $167,227.79 $48,351.77 2026-03-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 15 10 — — $26,047.48 $98,670.76 $28,252.41 2026-03-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 15 10 — — $33,950.74 $128,175.28 $36,700.44 2026-03-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 15 10 — — $24,183.93 $93,660.46 $26,817.80 2026-03-01
C7534 HCPCS Fem/pop Revasc W/arthr & US 2 1 — — $20,630.00 $24,860.00 $22,745.00 2026-03-01
C7539 HCPCS Insrt A & V Pm W/l Vent Lead 2 1 — — $20,630.00 $24,860.00 $22,745.00 2026-03-01
C9606 HCPCS Perc D-e Cor Revasc W Ami S 2 1 — — $20,630.00 $24,860.00 $22,745.00 2026-03-01
C9760 HCPCS Non-blind Interatrial Shunt 6 4 — — $20,443.00 $43,267.91 $29,133.72 2026-03-01
G0342 HCPCS Laparoscopy Islet Cell Trans 2 1 — — $20,630.00 $24,860.00 $22,745.00 2026-03-01
G0343 HCPCS Laparotomy Islet Cell Transp 2 1 — — $20,630.00 $24,860.00 $22,745.00 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 5 — — $63,342.28 $158,355.70 $95,013.42 2026-03-01
J9226 HCPCS Supprelin La Implant 7 5 — — $45,020.65 $112,551.62 $67,530.98 2026-03-01
J9266 HCPCS Pegaspargase Injection 7 5 — — $28,424.06 $71,060.15 $42,636.09 2026-03-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 8 5 — — $533,230.17 $1,724,394.31 $839,908.27 2026-03-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 7 5 — — $591,726.20 $1,479,315.50 $887,589.30 2026-03-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 7 5 — — $55,272.32 $138,180.81 $82,908.49 2026-03-01
Q2053 HCPCS Brexucabtagene Car Pos T 7 5 — — $489,304.61 $1,223,261.52 $733,956.91 2026-03-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 8 5 — — $562,538.19 $1,816,944.04 $873,790.65 2026-03-01
Q2055 HCPCS Idecabtagene Vicleucel Car 8 5 — — $557,317.93 $1,855,301.78 $879,658.10 2026-03-01
Q2056 HCPCS Ciltacabtagene Car-pos T 8 5 — — $565,868.94 $1,907,381.77 $908,424.85 2026-03-01
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