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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

CARLE EUREKA HOSPITAL

Eureka, IL · CCN 141309 · Rates published

19,389 distinct procedures filed
14 distinct payers
469,555 rate rows
2026-04-15 last MRF observed
Data quality

449,040 of 469,555 rate rows are consumer-grade (95.6%)

20,515 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 15,391
placeholder amount (≤ $0.02) — excluded from medians 2,947
template filing: same amount across many unrelated codes — excluded 1,914
percent-of-charges filed in the dollar field — excluded from medians 191
per-diem day rate — not a per-procedure price 64
exceeds 10× this hospital's gross charge — excluded from medians 8
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sthpiprd.blob.core.windows.net/machine-readable-files/11404/850688306_carle-eureka-hospital_standardcharges.csv
Found on page https://search.hospitalpriceindex.com/hpi2/machineReadable/CarleEurekaHospital/11404
Discovered viaDiscovered by HANK
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-05-19
Content fingerprint d93afab4f0987a90… · 453,501,524 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
J3391
HCPCS 		Inj, Atidarsagene Autotemcel 1 $4,505,000.00 $4,505,000.00 $4,505,000.00 nat. median
$4,505,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 1 $3,685,266.67 $3,685,266.67 $3,685,266.67 nat. median
$3,710,000
1.0× median
J3389
HCPCS 		Topi Adm Prad Zami Per Treat 1 $3,335,820.00 $3,335,820.00 $3,335,820.00 nat. median
$3,335,820
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 1 $3,327,859.73 $3,327,859.73 $3,327,859.73 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 1 $3,252,508.08 $3,252,508.08 $3,252,508.08 nat. median
$3,286,000
1.0× median
J3387
HCPCS 		Inj Elivaldogene Autotemecel 1 $3,180,000.00 $3,180,000.00 $3,180,000.00 nat. median
$3,180,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 1 $2,939,968.89 $2,939,968.89 $2,939,968.89 nat. median
$3,006,423
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 1 $2,332,000.00 $2,332,000.00 $2,332,000.00 nat. median
$2,448,600
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 2 $104,498.96 $2,588,981.23 $1,346,740.09 nat. median
$2,469,189
0.5× median
Q2057
HCPCS 		Afamitresgene Autoleucel 1 $770,620.00 $770,620.00 $770,620.00 nat. median
$824,563
0.9× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 3 $526,846.12 $587,649.57 $542,651.50 nat. median
$675,122
0.8× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 3 $512,460.88 $558,081.73 $527,834.71 nat. median
$625,184
0.8× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 4 $489,521.37 $566,531.30 $521,406.42 nat. median
$754,974
0.7× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 $364,622.38 $870,565.25 $520,078.40 nat. median
$370,174
1.4× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 3 $501,865.93 $562,201.24 $516,921.91 nat. median
$674,188
0.8× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 3 $476,302.36 $532,192.24 $490,591.43 nat. median
$634,511
0.8× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 3 $476,406.40 $490,698.59 $489,450.20 nat. median
$620,080
0.8× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 7 $237,041.23 $564,961.82 $361,405.42 nat. median
$265,286
1.4× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 7 $180,876.20 $430,426.08 $289,317.20 nat. median
$206,368
1.4× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 1 $278,250.00 $278,250.00 $278,250.00 nat. median
$324,450
0.9× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 7 $179,821.64 $427,900.03 $274,326.52 nat. median
$202,986
1.4× median
J3403
HCPCS 		Revakinagene, Per Implant 1 $265,000.00 $265,000.00 $265,000.00 nat. median
$265,000
1.0× median
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 1 $201,669.02 $201,669.02 $201,669.02 nat. median
$209,753
1.0× median
5834
APR_DRG 		Neonate W Ecmo 4 $185,653.60 $185,653.60 $185,653.60 nat. median
$309,665
0.6× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And… 7 $117,761.87 $279,244.22 $179,912.25 nat. median
$133,176
1.4× median
J7181
HCPCS 		Tretten 2,500 Unit Intravenous Solution 13 $17.10 $310,136.40 $171,682.65 nat. median
$22
outlier · 7922.6×
5833
APR_DRG 		Neonate W Ecmo 4 $168,776.11 $168,776.11 $168,776.11 nat. median
$244,017
0.7× median
7
MS_DRG 		Lung Transplant 7 $110,177.16 $261,076.03 $167,330.45 nat. median
$122,708
1.4× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 7 $102,330.68 $242,280.86 $161,299.53 nat. median
$117,303
1.4× median
J2326
HCPCS 		Spinraza (pf) 12 Mg/5 Ml Intrathecal Solution 13 $1,103.21 $280,191.77 $155,106.15 nat. median
$2,677
outlier · 57.9×
5884
APR_DRG 		Neonate Bwt <1500g W Major Procedure 4 $152,009.25 $152,009.25 $152,009.25 nat. median
$246,434
0.6× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 7 $96,556.29 $228,449.09 $143,850.10 nat. median
$108,660
1.3× median
209
MS_DRG 		Complex Aortic Arch Procedures 6 $96,446.87 $228,187.01 $140,777.58 nat. median
$98,017
1.4× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 7 $92,704.16 $219,221.86 $140,012.16 nat. median
$102,358
1.4× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 7 $93,942.19 $222,187.39 $138,410.82 nat. median
$98,905
1.4× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 7 $87,960.75 $207,859.68 $134,732.82 nat. median
$100,136
1.3× median
215
MS_DRG 		Other Heart Assist System Implant 7 $84,985.61 $200,733.12 $132,031.52 nat. median
$99,019
1.3× median
J0225
HCPCS 		Amvuttra 25 Mg/0.5 Ml Subcutaneous Syringe 13 $4,935.21 $228,581.04 $126,535.93 nat. median
$8,223
outlier · 15.4×
5914
APR_DRG 		Neonate Birthwt 500-749g Without Major Procedure 4 $125,613.29 $125,613.29 $125,613.29 nat. median
$164,279
0.8× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 7 $83,519.49 $197,221.25 $125,037.32 nat. median
$93,672
1.3× median
24
APR_DRG 		Heart &/or Lung Transplant 4 $122,810.80 $122,810.80 $122,810.80 nat. median
$234,738
0.5× median
850
MS_DRG 		Acute Leukemia With Other Procedures 7 $74,065.52 $174,575.52 $114,812.31 nat. median
$83,442
1.4× median
6094
APR_DRG 		Neonate Bwt 1500-2499g W Major Procedure 4 $113,407.27 $113,407.27 $113,407.27 nat. median
$162,982
0.7× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 4 $113,390.46 $113,390.46 $113,390.46 nat. median
$187,294
0.6× median
5891
APR_DRG 		Neonate Bwt < 500g, Or Bwt 500-999g & Gestational Age <24 Wks, Or Bwt 500-749g W… 4 $112,507.37 $112,507.37 $112,507.37 nat. median
$93,260
1.2× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 7 $77,012.05 $181,633.54 $111,911.74 nat. median
$82,712
1.4× median
Q2043
HCPCS 		Provenge 50 Million Cell/250 Ml Intravenous Suspension 13 $28,953.70 $243,211.11 $110,168.84 nat. median
$66,682
1.7× median
5934
APR_DRG 		Neonate Birthwt 750-999g Without Major Procedure 4 $109,693.94 $109,693.94 $109,693.94 nat. median
$151,838
0.7× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 7 $72,133.15 $169,946.78 $108,718.24 nat. median
$79,312
1.4× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 7 $71,910.12 $169,412.54 $108,511.99 nat. median
$81,118
1.3× median

Other procedures at this hospital

Browse this hospital's 19,389 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
             
J3391 HCPCS Inj, Atidarsagene Autotemcel 1 1 — — $4,505,000.00 $4,505,000.00 $4,505,000.00 2026-04-15
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 1 1 — — $3,685,266.67 $3,685,266.67 $3,685,266.67 2026-04-15
J3389 HCPCS Topi Adm Prad Zami Per Treat 1 1 — — $3,335,820.00 $3,335,820.00 $3,335,820.00 2026-04-15
J1413 HCPCS Inj Delandistrogene Mox Rokl 1 1 — — $3,327,859.73 $3,327,859.73 $3,327,859.73 2026-04-15
J3394 HCPCS Inj, Lovotibeglogene Autotem 1 1 — — $3,252,508.08 $3,252,508.08 $3,252,508.08 2026-04-15
J3387 HCPCS Inj Elivaldogene Autotemecel 1 1 — — $3,180,000.00 $3,180,000.00 $3,180,000.00 2026-04-15
J3393 HCPCS Inj, Betibeglogene Autotemce 1 1 — — $2,939,968.89 $2,939,968.89 $2,939,968.89 2026-04-15
J3392 HCPCS Inj, Exagamglogene Autotem 1 1 — — $2,332,000.00 $2,332,000.00 $2,332,000.00 2026-04-15
Q2057 HCPCS Afamitresgene Autoleucel 1 1 — — $770,620.00 $770,620.00 $770,620.00 2026-04-15
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 1 1 — — $278,250.00 $278,250.00 $278,250.00 2026-04-15
J3403 HCPCS Revakinagene, Per Implant 1 1 — — $265,000.00 $265,000.00 $265,000.00 2026-04-15
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 1 1 — — $201,669.02 $201,669.02 $201,669.02 2026-04-15
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 1 1 — — $95,081.03 $95,081.03 $95,081.03 2026-04-15
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 1 1 — — $68,801.71 $68,801.71 $68,801.71 2026-04-15
64654 CPT 1st Opn Implt Bat Modulj Sys 1 1 — — $47,201.02 $47,201.02 $47,201.02 2026-04-15
J3399 HCPCS Inj Onase Abepar-xioi Treat 2 2 — — $104,498.96 $2,588,981.23 $1,346,740.09 2026-04-15
E0766 HCPCS Elec Stim Cancer Treatment 2 2 — — $79,505.09 $81,890.24 $80,697.67 2026-04-15
C9150 HCPCS Outpatient Services 2 2 — — $49,920.00 $51,417.60 $50,668.80 2026-04-15
Q2056 HCPCS Ciltacabtagene Car-pos T 3 3 — — $526,846.12 $587,649.57 $542,651.50 2026-04-15
Q2055 HCPCS Idecabtagene Vicleucel Car 3 3 — — $512,460.88 $558,081.73 $527,834.71 2026-04-15
Q2054 HCPCS Lisocabtagene Mara Car Pos T 3 3 — — $501,865.93 $562,201.24 $516,921.91 2026-04-15
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 3 3 — — $476,302.36 $532,192.24 $490,591.43 2026-04-15
Q2053 HCPCS Brexucabtagene Car Pos T 3 3 — — $476,406.40 $490,698.59 $489,450.20 2026-04-15
J7330 HCPCS Cultured Chondrocytes Implnt 3 3 — — $43,088.81 $55,541.88 $53,924.16 2026-04-15
Q0480 HCPCS Driver Pneumatic Vad, Rep 3 3 — — $50,709.24 $110,901.76 $52,230.52 2026-04-15
90288 CPT Botulism Ig IV 3 3 — — $27.17 $50,166.15 $48,705.00 2026-04-15
Q2042 HCPCS Tisagenlecleucel Car-pos T 4 4 — — $489,521.37 $566,531.30 $521,406.42 2026-04-15
5834 APR_DRG Neonate W Ecmo 4 4 — — $185,653.60 $185,653.60 $185,653.60 2026-04-15
5833 APR_DRG Neonate W Ecmo 4 4 — — $168,776.11 $168,776.11 $168,776.11 2026-04-15
5884 APR_DRG Neonate Bwt <1500g W Major Procedure 4 4 — — $152,009.25 $152,009.25 $152,009.25 2026-04-15
5914 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 4 4 — — $125,613.29 $125,613.29 $125,613.29 2026-04-15
24 APR_DRG Heart &/or Lung Transplant 4 4 — — $122,810.80 $122,810.80 $122,810.80 2026-04-15
6094 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 4 4 — — $113,407.27 $113,407.27 $113,407.27 2026-04-15
74 APR_DRG Allogeneic Bone Marrow Transplant 4 4 — — $113,390.46 $113,390.46 $113,390.46 2026-04-15
5891 APR_DRG Neonate Bwt < 500g, Or Bwt 500-999g & Gestational Age <24 Wks, Or Bwt 500-749g W… 4 4 — — $112,507.37 $112,507.37 $112,507.37 2026-04-15
5934 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 4 4 — — $109,693.94 $109,693.94 $109,693.94 2026-04-15
5832 APR_DRG Neonate W Ecmo 4 4 — — $99,495.67 $99,495.67 $99,495.67 2026-04-15
5831 APR_DRG Neonate W Ecmo 4 4 — — $99,281.84 $99,281.84 $99,281.84 2026-04-15
5913 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 4 4 — — $97,254.14 $97,254.14 $97,254.14 2026-04-15
1614 APR_DRG Cardiac Defibrillator & Heart Assist Implant 4 4 — — $96,644.31 $96,644.31 $96,644.31 2026-04-15
5883 APR_DRG Neonate Bwt <1500g W Major Procedure 4 4 — — $95,146.70 $95,146.70 $95,146.70 2026-04-15
6024 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 4 4 — — $93,533.39 $93,533.39 $93,533.39 2026-04-15
5912 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 4 4 — — $90,508.46 $90,508.46 $90,508.46 2026-04-15
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 4 4 — — $90,214.49 $90,214.49 $90,214.49 2026-04-15
6304 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure 4 4 — — $90,048.35 $90,048.35 $90,048.35 2026-04-15
14 APR_DRG Liver Transplant &/or Intestinal Transplant 4 4 — — $88,934.24 $88,934.24 $88,934.24 2026-04-15
8414 APR_DRG Extensive 3rd Degree Burns W Skin Graft 4 4 — — $87,524.19 $87,524.19 $87,524.19 2026-04-15
5882 APR_DRG Neonate Bwt <1500g W Major Procedure 4 4 — — $85,767.41 $85,767.41 $85,767.41 2026-04-15
6314 APR_DRG Neonate Birthwt >2499g W Other Major Procedure 4 4 — — $84,713.10 $84,713.10 $84,713.10 2026-04-15
23 APR_DRG Heart &/or Lung Transplant 4 4 — — $84,640.00 $84,640.00 $84,640.00 2026-04-15
44 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure 4 4 — — $82,957.10 $82,957.10 $82,957.10 2026-04-15
6034 APR_DRG Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 4 4 — — $81,364.89 $81,364.89 $81,364.89 2026-04-15
5933 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 4 4 — — $81,138.94 $81,138.94 $81,138.94 2026-04-15
5892 APR_DRG Neonate Bwt < 500g, Or Bwt 500-999g & Gestational Age <24 Wks, Or Bwt 500-749g W… 4 4 — — $78,918.13 $78,918.13 $78,918.13 2026-04-15
5881 APR_DRG Neonate Bwt <1500g W Major Procedure 4 4 — — $77,190.67 $77,190.67 $77,190.67 2026-04-15
64 APR_DRG Pancreas Transplant 4 4 — — $75,605.89 $75,605.89 $75,605.89 2026-04-15
6074 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 4 4 — — $73,367.88 $73,367.88 $73,367.88 2026-04-15
5893 APR_DRG Neonate Bwt < 500g, Or Bwt 500-999g & Gestational Age <24 Wks, Or Bwt 500-749g W… 4 4 — — $71,744.01 $71,744.01 $71,744.01 2026-04-15
6084 APR_DRG Neonate Bwt 1250-1499g W Or Without Other Significant Condition 4 4 — — $69,154.96 $69,154.96 $69,154.96 2026-04-15
73 APR_DRG Allogeneic Bone Marrow Transplant 4 4 — — $68,061.56 $68,061.56 $68,061.56 2026-04-15
5932 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 4 4 — — $67,495.51 $67,495.51 $67,495.51 2026-04-15
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 4 4 — — $66,683.97 $66,683.97 $66,683.97 2026-04-15
6114 APR_DRG Neonate Birthwt 1500-1999g W Major Anomaly 4 4 — — $66,180.85 $66,180.85 $66,180.85 2026-04-15
22 APR_DRG Heart &/or Lung Transplant 4 4 — — $66,012.76 $66,012.76 $66,012.76 2026-04-15
5911 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 4 4 — — $65,236.79 $65,236.79 $65,236.79 2026-04-15
6023 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 4 4 — — $64,513.59 $64,513.59 $64,513.59 2026-04-15
A9543 HCPCS Y90 Ibritumomab, Rx 4 4 — — $56,824.55 $73,587.03 $60,189.04 2026-04-15
84 APR_DRG Autologous Bone Marrow Transplant 4 4 — — $58,674.84 $58,674.84 $58,674.84 2026-04-15
1624 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx 4 4 — — $58,580.24 $58,580.24 $58,580.24 2026-04-15
6214 APR_DRG Neonate Bwt 2000-2499g W Major Anomaly 4 4 — — $56,329.33 $56,329.33 $56,329.33 2026-04-15
43 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure 4 4 — — $55,803.94 $55,803.94 $55,803.94 2026-04-15
8634 APR_DRG Neonatal Aftercare 4 4 — — $55,723.80 $55,723.80 $55,723.80 2026-04-15
54 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 4 4 — — $55,669.46 $55,669.46 $55,669.46 2026-04-15
4404 APR_DRG Kidney Transplant 4 4 — — $55,099.11 $55,099.11 $55,099.11 2026-04-15
72 APR_DRG Allogeneic Bone Marrow Transplant 4 4 — — $54,673.40 $54,673.40 $54,673.40 2026-04-15
8424 APR_DRG Burns With Skin Graft Except Extensive 3rd Degree Burns 4 4 — — $54,603.82 $54,603.82 $54,603.82 2026-04-15
63 APR_DRG Pancreas Transplant 4 4 — — $54,372.78 $54,372.78 $54,372.78 2026-04-15
6134 APR_DRG Neonate Birthwt 1500-1999g W Congenital/perinatal Infection 4 4 — — $54,300.07 $54,300.07 $54,300.07 2026-04-15
6093 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 4 4 — — $53,471.33 $53,471.33 $53,471.33 2026-04-15
3034 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 4 4 — — $53,104.65 $53,104.65 $53,104.65 2026-04-15
6033 APR_DRG Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 4 4 — — $52,027.28 $52,027.28 $52,027.28 2026-04-15
21 APR_DRG Heart &/or Lung Transplant 4 4 — — $51,875.21 $51,875.21 $51,875.21 2026-04-15
6144 APR_DRG Neonate Bwt 1500-1999g W Or Without Other Significant Condition 4 4 — — $51,582.02 $51,582.02 $51,582.02 2026-04-15
62 APR_DRG Pancreas Transplant 4 4 — — $51,218.47 $51,218.47 $51,218.47 2026-04-15
6334 APR_DRG Neonate Birthwt >2499g W Major Anomaly 4 4 — — $51,014.80 $51,014.80 $51,014.80 2026-04-15
6303 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure 4 4 — — $50,634.44 $50,634.44 $50,634.44 2026-04-15
6022 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 4 4 — — $49,010.56 $49,010.56 $49,010.56 2026-04-15
6124 APR_DRG Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond 4 4 — — $48,243.58 $48,243.58 $48,243.58 2026-04-15
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Pdx 4 4 — — $48,110.67 $48,110.67 $48,110.67 2026-04-15
13 APR_DRG Liver Transplant &/or Intestinal Transplant 4 4 — — $47,840.94 $47,840.94 $47,840.94 2026-04-15
6073 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 4 4 — — $47,361.67 $47,361.67 $47,361.67 2026-04-15
61 APR_DRG Pancreas Transplant 4 4 — — $46,096.66 $46,096.66 $46,096.66 2026-04-15
12 APR_DRG Liver Transplant &/or Intestinal Transplant 4 4 — — $45,825.36 $45,825.36 $45,825.36 2026-04-15
1674 APR_DRG Other Cardiothoracic & Thoracic Vascular Procedures 4 4 — — $45,009.52 $45,009.52 $45,009.52 2026-04-15
71 APR_DRG Allogeneic Bone Marrow Transplant 4 4 — — $43,724.57 $43,724.57 $43,724.57 2026-04-15
11 APR_DRG Liver Transplant &/or Intestinal Transplant 4 4 — — $43,278.92 $43,278.92 $43,278.92 2026-04-15
42 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure 4 4 — — $43,025.61 $43,025.61 $43,025.61 2026-04-15
5931 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 4 4 — — $42,981.04 $42,981.04 $42,981.04 2026-04-15
104 APR_DRG Head Trauma With Deep Coma 4 4 — — $42,756.66 $42,756.66 $42,756.66 2026-04-15
3044 APR_DRG Dorsal & Lumbar Fusion Proc Except For Curvature Of Back 4 4 — — $42,686.29 $42,686.29 $42,686.29 2026-04-15
1654 APR_DRG Coronary Bypass W Ami Or Complex Pdx 4 4 — — $42,563.15 $42,563.15 $42,563.15 2026-04-15
1613 APR_DRG Cardiac Defibrillator & Heart Assist Implant 4 4 — — $42,284.43 $42,284.43 $42,284.43 2026-04-15
3033 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 4 4 — — $41,480.31 $41,480.31 $41,480.31 2026-04-15
9104 APR_DRG Craniotomy For Multiple Significant Trauma 4 4 — — $41,474.45 $41,474.45 $41,474.45 2026-04-15
6021 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 4 4 — — $41,372.42 $41,372.42 $41,372.42 2026-04-15
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 4 4 — — $41,362.64 $41,362.64 $41,362.64 2026-04-15
53 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 4 4 — — $41,179.69 $41,179.69 $41,179.69 2026-04-15
8413 APR_DRG Extensive 3rd Degree Burns W Skin Graft 4 4 — — $40,357.59 $40,357.59 $40,357.59 2026-04-15
6804 APR_DRG Major O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms 4 4 — — $39,788.42 $39,788.42 $39,788.42 2026-04-15
6083 APR_DRG Neonate Bwt 1250-1499g W Or Without Other Significant Condition 4 4 — — $39,414.31 $39,414.31 $39,414.31 2026-04-15
2604 APR_DRG Major Pancreas, Liver & Shunt Procedures 4 4 — — $39,048.02 $39,048.02 $39,048.02 2026-04-15
1694 APR_DRG Major Abdominal Vascular Procedures 4 4 — — $38,573.44 $38,573.44 $38,573.44 2026-04-15
6313 APR_DRG Neonate Birthwt >2499g W Other Major Procedure 4 4 — — $38,410.82 $38,410.82 $38,410.82 2026-04-15
6514 APR_DRG Other Procedures Of Blood & Blood-forming Organs 4 4 — — $38,153.99 $38,153.99 $38,153.99 2026-04-15
1664 APR_DRG Coronary Bypass Without Ami Or Complex Pdx 4 4 — — $38,114.90 $38,114.90 $38,114.90 2026-04-15
6904 APR_DRG Acute Leukemia 4 4 — — $38,105.51 $38,105.51 $38,105.51 2026-04-15
209 MS_DRG Complex Aortic Arch Procedures 6 6 — — $96,446.87 $228,187.01 $140,777.58 2026-04-15
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 6 6 — — $49,215.69 $115,051.10 $70,979.57 2026-04-15
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 6 6 — — $30,125.10 $69,322.18 $42,767.59 2026-04-15
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 8 7 — — $364,622.38 $870,565.25 $520,078.40 2026-04-15
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 8 7 — — $237,041.23 $564,961.82 $361,405.42 2026-04-15
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours With Skin Graft 8 7 — — $180,876.20 $430,426.08 $289,317.20 2026-04-15
3 MS_DRG Ecmo Or Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mo… 8 7 — — $179,821.64 $427,900.03 $274,326.52 2026-04-15
4 MS_DRG Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mouth And … 8 7 — — $117,761.87 $279,244.22 $179,912.25 2026-04-15
7 MS_DRG Lung Transplant 8 7 — — $110,177.16 $261,076.03 $167,330.45 2026-04-15
14 MS_DRG Allogeneic Bone Marrow Transplant 8 7 — — $102,330.68 $242,280.86 $161,299.53 2026-04-15
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 8 7 — — $96,556.29 $228,449.09 $143,850.10 2026-04-15
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 8 7 — — $92,704.16 $219,221.86 $140,012.16 2026-04-15
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 8 7 — — $93,942.19 $222,187.39 $138,410.82 2026-04-15
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 8 7 — — $87,960.75 $207,859.68 $134,732.82 2026-04-15
215 MS_DRG Other Heart Assist System Implant 8 7 — — $84,985.61 $200,733.12 $132,031.52 2026-04-15
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 8 7 — — $83,519.49 $197,221.25 $125,037.32 2026-04-15
850 MS_DRG Acute Leukemia With Other Procedures 8 7 — — $74,065.52 $174,575.52 $114,812.31 2026-04-15
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 8 7 — — $77,012.05 $181,633.54 $111,911.74 2026-04-15
231 MS_DRG Coronary Bypass With Ptca With Mcc 8 7 — — $72,133.15 $169,946.78 $108,718.24 2026-04-15
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 8 7 — — $71,910.12 $169,412.54 $108,511.99 2026-04-15
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 8 7 — — $67,410.78 $158,635.01 $102,416.01 2026-04-15
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 8 7 — — $65,528.90 $154,127.23 $99,409.18 2026-04-15
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 8 7 — — $65,807.49 $154,794.53 $99,143.17 2026-04-15
10 MS_DRG Pancreas Transplant 8 7 — — $61,577.50 $144,662.11 $97,236.71 2026-04-15
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 8 7 — — $65,315.98 $153,617.18 $97,064.45 2026-04-15
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 8 7 — — $61,231.58 $143,833.54 $96,679.57 2026-04-15
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 8 7 — — $61,938.54 $145,526.98 $92,147.77 2026-04-15
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 8 7 — — $61,196.22 $143,748.86 $91,337.41 2026-04-15
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 8 7 — — $61,552.24 $144,601.63 $89,222.99 2026-04-15
870 MS_DRG Septicemia Or Severe Sepsis With Mv &gt;96 Hours 8 7 — — $59,356.44 $139,341.89 $89,192.96 2026-04-15
955 MS_DRG Craniotomy For Multiple Significant Trauma 8 7 — — $57,835.62 $135,698.98 $87,192.64 2026-04-15
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 8 7 — — $59,071.13 $138,658.46 $87,181.72 2026-04-15
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 8 7 — — $57,419.01 $134,701.06 $86,098.13 2026-04-15
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 8 7 — — $56,524.37 $132,558.05 $83,862.77 2026-04-15
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 8 7 — — $57,460.26 $134,799.84 $83,029.67 2026-04-15
207 MS_DRG Respiratory System Diagnosis With Ventilator Support &gt;96 Hours 8 7 — — $55,341.03 $129,723.55 $82,979.95 2026-04-15
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 8 7 — — $56,323.22 $132,076.22 $81,851.69 2026-04-15
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 8 7 — — $56,524.37 $132,558.05 $80,681.60 2026-04-15
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 8 7 — — $52,703.38 $123,405.41 $80,001.39 2026-04-15
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 8 7 — — $51,738.05 $121,093.06 $78,431.95 2026-04-15
232 MS_DRG Coronary Bypass With Ptca Without Mcc 8 7 — — $52,209.34 $122,222.02 $78,277.08 2026-04-15
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 8 7 — — $52,763.15 $123,548.54 $77,988.85 2026-04-15
28 MS_DRG Spinal Procedures With Mcc 8 7 — — $51,752.34 $121,127.33 $77,733.57 2026-04-15
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 8 7 — — $51,090.82 $119,542.75 $76,938.62 2026-04-15
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 8 7 — — $51,206.96 $119,820.96 $76,468.18 2026-04-15
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 8 7 — — $50,576.60 $118,310.98 $75,592.97 2026-04-15
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 8 7 — — $51,371.92 $120,216.10 $75,330.51 2026-04-15
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 8 7 — — $50,544.63 $118,234.37 $75,185.20 2026-04-15
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 8 7 — — $47,667.94 $111,343.68 $74,841.46 2026-04-15
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 8 7 — — $46,904.58 $109,515.17 $73,612.26 2026-04-15
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 8 7 — — $49,412.63 $115,522.85 $73,561.79 2026-04-15
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 8 7 — — $49,722.35 $116,264.74 $72,358.76 2026-04-15
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 8 7 — — $48,501.15 $113,339.52 $71,595.95 2026-04-15
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 8 7 — — $49,153.41 $114,901.92 $71,477.38 2026-04-15
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 8 7 — — $48,354.71 $112,988.74 $71,090.44 2026-04-15
834 MS_DRG Acute Leukemia With Mcc 8 7 — — $47,389.37 $110,676.38 $70,855.83 2026-04-15
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 8 7 — — $47,226.09 $110,285.28 $70,117.05 2026-04-15
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 8 7 — — $47,088.07 $109,954.66 $69,804.77 2026-04-15
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 8 7 — — $45,738.94 $106,723.01 $69,544.42 2026-04-15
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 8 7 — — $47,160.44 $110,128.03 $69,394.68 2026-04-15
653 MS_DRG Major Bladder Procedures With Mcc 8 7 — — $44,919.20 $104,759.42 $69,185.23 2026-04-15
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 8 7 — — $46,067.18 $107,509.25 $68,380.82 2026-04-15
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 8 7 — — $48,031.53 $112,214.59 $68,061.93 2026-04-15
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 8 7 — — $46,040.23 $107,444.74 $67,453.87 2026-04-15
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 8 7 — — $45,591.65 $106,370.21 $66,991.79 2026-04-15
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 8 7 — — $44,994.94 $104,940.86 $66,280.46 2026-04-15
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 8 7 — — $42,434.72 $98,808.19 $66,103.54 2026-04-15
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 8 7 — — $43,160.18 $100,545.98 $64,726.22 2026-04-15
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 8 7 — — $42,607.25 $99,221.47 $64,026.80 2026-04-15
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 8 7 — — $42,749.47 $99,562.18 $63,919.92 2026-04-15
228 MS_DRG Other Cardiothoracic Procedures With Mcc 8 7 — — $42,823.56 $99,739.58 $63,867.58 2026-04-15
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 8 7 — — $41,619.18 $96,854.69 $63,058.23 2026-04-15
471 MS_DRG Cervical Spinal Fusion With Mcc 8 7 — — $41,824.54 $97,346.59 $62,295.47 2026-04-15
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 8 7 — — $43,604.57 $101,610.43 $62,077.72 2026-04-15
6 MS_DRG Liver Transplant Without Mcc 8 7 — — $40,211.15 $93,481.92 $60,963.45 2026-04-15
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 8 7 — — $41,253.08 $95,977.73 $60,898.78 2026-04-15
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 8 7 — — $40,554.52 $94,304.45 $60,781.06 2026-04-15
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 8 7 — — $40,672.35 $94,586.69 $60,741.26 2026-04-15
245 MS_DRG Aicd Generator Procedures 8 7 — — $39,583.29 $91,977.98 $60,696.82 2026-04-15
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 8 7 — — $40,753.16 $94,780.22 $59,899.90 2026-04-15
799 MS_DRG Splenic Procedures With Mcc 8 7 — — $39,301.34 $91,302.62 $59,657.42 2026-04-15
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 8 7 — — $40,055.44 $93,108.96 $59,621.01 2026-04-15
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 8 7 — — $39,771.81 $92,429.57 $59,566.12 2026-04-15
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 8 7 — — $39,870.27 $92,665.44 $59,103.26 2026-04-15
163 MS_DRG Major Chest Procedures With Mcc 8 7 — — $38,904.95 $90,353.09 $58,443.07 2026-04-15
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 8 7 — — $39,467.98 $91,701.79 $58,287.58 2026-04-15
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 8 7 — — $39,451.16 $91,661.47 $58,031.45 2026-04-15
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 8 7 — — $38,745.88 $89,972.06 $56,979.97 2026-04-15
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 8 7 — — $37,315.10 $86,544.86 $56,410.76 2026-04-15
31 MS_DRG Ventricular Shunt Procedures With Mcc 8 7 — — $38,894.00 $90,326.88 $55,848.68 2026-04-15
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 8 7 — — $38,155.88 $88,558.85 $55,726.08 2026-04-15
901 MS_DRG Wound Debridements For Injuries With Mcc 8 7 — — $36,504.63 $84,603.46 $55,431.96 2026-04-15
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 8 7 — — $37,605.47 $87,240.38 $55,249.81 2026-04-15
140 MS_DRG Major Head And Neck Procedures With Mcc 8 7 — — $37,082.82 $85,988.45 $54,647.96 2026-04-15
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 8 7 — — $36,302.62 $84,119.62 $54,576.55 2026-04-15
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 8 7 — — $36,546.69 $84,704.26 $53,977.36 2026-04-15
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 8 7 — — $36,728.50 $85,139.71 $53,943.29 2026-04-15
793 MS_DRG Full Term Neonate With Major Problems 8 7 — — $36,277.38 $84,059.14 $53,645.38 2026-04-15
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 8 7 — — $36,876.61 $85,494.53 $53,584.13 2026-04-15
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 8 7 — — $36,650.23 $84,952.22 $53,566.69 2026-04-15
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 8 7 — — $36,667.89 $84,994.56 $53,543.06 2026-04-15
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 8 7 — — $36,438.97 $84,446.21 $53,413.04 2026-04-15
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 8 7 — — $36,137.67 $83,724.48 $52,897.52 2026-04-15
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours Without Skin Graft 8 7 — — $33,959.56 $78,507.07 $52,769.72 2026-04-15
791 MS_DRG Prematurity With Major Problems 8 7 — — $35,346.54 $81,829.44 $52,222.57 2026-04-15
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 8 7 — — $35,906.22 $83,170.08 $51,743.21 2026-04-15
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 8 7 — — $35,022.53 $81,053.28 $51,052.76 2026-04-15
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 8 7 — — $33,497.51 $77,400.29 $50,282.63 2026-04-15
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 8 7 — — $33,712.95 $77,916.38 $50,119.66 2026-04-15
34 MS_DRG Carotid Artery Stent Procedures With Mcc 8 7 — — $33,761.76 $78,033.31 $49,905.81 2026-04-15
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 8 7 — — $34,108.51 $78,863.90 $49,643.93 2026-04-15
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 8 7 — — $32,550.67 $75,132.29 $49,295.57 2026-04-15
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 8 7 — — $33,681.80 $77,841.79 $49,122.04 2026-04-15
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 8 7 — — $32,642.40 $75,352.03 $48,779.18 2026-04-15
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 8 7 — — $32,855.34 $75,862.08 $48,776.03 2026-04-15
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 8 7 — — $34,716.17 $80,319.46 $48,742.43 2026-04-15
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 8 7 — — $31,338.74 $72,229.25 $48,549.99 2026-04-15
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 8 7 — — $32,098.71 $74,049.70 $48,413.87 2026-04-15
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 8 7 — — $31,268.88 $72,061.92 $48,227.03 2026-04-15
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 8 7 — — $30,535.82 $70,305.98 $47,196.10 2026-04-15
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 8 7 — — $32,639.03 $75,343.97 $47,131.57 2026-04-15
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 8 7 — — $31,140.10 $71,753.47 $46,916.49 2026-04-15
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 8 7 — — $32,086.07 $74,019.46 $46,489.58 2026-04-15
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 8 7 — — $31,582.80 $72,813.89 $46,295.99 2026-04-15
335 MS_DRG Peritoneal Adhesiolysis With Mcc 8 7 — — $31,238.57 $71,989.34 $46,262.14 2026-04-15
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 8 7 — — $32,373.91 $74,708.93 $46,232.18 2026-04-15
265 MS_DRG Aicd Lead Procedures 8 7 — — $31,636.66 $72,942.91 $46,231.31 2026-04-15
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 8 7 — — $30,805.12 $70,951.10 $46,074.01 2026-04-15
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 8 7 — — $31,699.78 $73,094.11 $45,993.61 2026-04-15
332 MS_DRG Rectal Resection With Mcc 8 7 — — $31,657.72 $72,993.31 $45,639.59 2026-04-15
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 8 7 — — $31,193.96 $71,882.50 $45,472.48 2026-04-15
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 8 7 — — $31,168.71 $71,822.02 $45,467.86 2026-04-15
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 8 7 — — $32,717.30 $75,531.46 $45,338.09 2026-04-15
271 MS_DRG Other Major Cardiovascular Procedures With Cc 8 7 — — $31,115.70 $71,695.01 $45,058.82 2026-04-15
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 8 7 — — $30,865.75 $71,096.26 $44,741.60 2026-04-15
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 8 7 — — $30,401.14 $69,983.42 $44,617.68 2026-04-15
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 8 7 — — $29,859.98 $68,687.14 $44,586.70 2026-04-15
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 8 7 — — $30,039.27 $69,116.54 $44,563.60 2026-04-15
252 MS_DRG Other Vascular Procedures With Mcc 8 7 — — $30,543.40 $70,324.13 $44,517.59 2026-04-15
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 8 7 — — $30,259.76 $69,644.74 $44,345.35 2026-04-15
264 MS_DRG Other Circulatory System O.r. Procedures 8 7 — — $29,300.31 $67,346.50 $43,929.50 2026-04-15
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 8 7 — — $31,537.36 $72,705.02 $43,829.31 2026-04-15
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 8 7 — — $31,723.35 $73,150.56 $43,737.31 2026-04-15
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 8 7 — — $29,897.86 $68,777.86 $43,549.41 2026-04-15
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 8 7 — — $27,926.80 $64,056.38 $43,056.15 2026-04-15
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 8 7 — — $28,561.36 $65,576.45 $42,793.19 2026-04-15
37 MS_DRG Extracranial Procedures With Mcc 8 7 — — $28,892.11 $66,368.74 $42,529.12 2026-04-15
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 8 7 — — $28,056.38 $64,366.85 $42,304.24 2026-04-15
665 MS_DRG Prostatectomy With Mcc 8 7 — — $27,453.79 $62,923.39 $42,082.37 2026-04-15
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 8 7 — — $28,441.01 $65,288.16 $41,790.79 2026-04-15
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 8 7 — — $28,345.05 $65,058.34 $41,466.85 2026-04-15
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 8 7 — — $27,980.65 $64,185.41 $41,416.33 2026-04-15
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 8 7 — — $28,410.71 $65,215.58 $41,331.85 2026-04-15
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 8 7 — — $28,888.76 $66,360.67 $41,291.66 2026-04-15
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 8 7 — — $28,292.05 $64,931.33 $41,184.43 2026-04-15
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 8 7 — — $27,704.59 $63,524.16 $40,808.45 2026-04-15
500 MS_DRG Soft Tissue Procedures With Mcc 8 7 — — $27,820.73 $63,802.37 $40,737.66 2026-04-15
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 8 7 — — $28,372.84 $65,124.86 $40,665.52 2026-04-15
652 MS_DRG Kidney Transplant 8 7 — — $28,365.26 $65,106.72 $40,569.32 2026-04-15
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 8 7 — — $26,713.14 $61,149.31 $40,475.29 2026-04-15
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 8 7 — — $28,006.74 $64,247.90 $40,414.15 2026-04-15
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 8 7 — — $27,691.97 $63,493.92 $40,249.90 2026-04-15
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 8 7 — — $27,780.33 $63,705.60 $40,181.13 2026-04-15
662 MS_DRG Minor Bladder Procedures With Mcc 8 7 — — $26,951.33 $61,719.84 $39,743.55 2026-04-15
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 8 7 — — $27,352.78 $62,681.47 $39,685.75 2026-04-15
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 8 7 — — $28,204.52 $64,721.66 $39,085.52 2026-04-15
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 8 7 — — $27,399.07 $62,792.35 $39,043.06 2026-04-15
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 8 7 — — $26,235.10 $60,004.22 $38,859.42 2026-04-15
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 8 7 — — $28,986.38 $66,594.53 $38,713.84 2026-04-15
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 8 7 — — $27,629.69 $63,344.74 $38,284.91 2026-04-15
570 MS_DRG Skin Debridement With Mcc 8 7 — — $25,938.02 $59,292.58 $38,262.61 2026-04-15
J7181 HCPCS Tretten 2,500 Unit Intravenous Solution 20 13 $369,210.00 $369,210.00 $17.10 $310,136.40 $171,682.65 2026-04-15
J2326 HCPCS Spinraza (pf) 12 Mg/5 Ml Intrathecal Solution 20 13 $333,561.63 $333,561.63 $1,103.21 $280,191.77 $155,106.15 2026-04-15
J0225 HCPCS Amvuttra 25 Mg/0.5 Ml Subcutaneous Syringe 20 13 $272,120.28 $272,120.28 $4,935.21 $228,581.04 $126,535.93 2026-04-15
Q2043 HCPCS Provenge 50 Million Cell/250 Ml Intravenous Suspension 36 13 $289,537.03 $289,537.03 $28,953.70 $243,211.11 $110,168.84 2026-04-15
J2351 HCPCS Ocrevus Zunovo 920 Mg-23,000 Unit/23 Ml Subcutaneous Solution 35 13 $193,199.36 $193,199.36 $47.05 $162,287.46 $73,512.36 2026-04-15
J1823 HCPCS Uplizna 10 Mg/ml Intravenous Solution 20 13 $150,671.77 $150,671.77 $473.51 $126,564.29 $70,062.38 2026-04-15
J9999 HCPCS Gliadel Wafer 7.7 Mg Implant 34 13 $131,788.68 $131,788.68 $13,178.87 $110,702.49 $61,281.74 2026-04-15
J2350 HCPCS Ocrevus 30 Mg/ml Intravenous Solution 20 13 $131,276.50 $131,276.50 $58.76 $110,272.26 $61,043.57 2026-04-15
J9029 HCPCS Adstiladrin 3x10exp11 Vp/ml Intravesical Suspension 52 13 $138,852.00 $138,852.00 $3,471.30 $116,635.68 $52,833.18 2026-04-15
J9226 HCPCS Supprelin La 50 Mg (65 Mcg/day) Implant Kit 35 13 $114,414.09 $114,414.09 $11,441.41 $96,107.84 $51,486.34 2026-04-15
C9293 HCPCS Voraxaze 1,000 Unit Intravenous Solution 21 13 $98,571.24 $98,571.24 $369.41 $82,799.84 $47,314.20 2026-04-15
0915T CPT Insj Perm Ccm-d Sys Pg&Eltrd 36 13 $100,994.00 $100,994.00 $10,099.40 $84,834.96 $45,447.30 2026-04-15
33231 CPT Insrt Icd Genrtr W/Exst Mult Leads 22 13 $96,185.00 $96,185.00 $437.51 $80,795.40 $44,726.03 2026-04-15
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