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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

MERCY HARVARD HOSPITAL

Harvard, IL · CCN 141335 · Rates published

12,336 distinct procedures filed
12 distinct payers
45,447 rate rows
2026-03-01 last MRF observed
Data quality

30,993 of 45,447 rate rows are consumer-grade (68.2%)

14,454 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 13,441
template filing: same amount across many unrelated codes — excluded 952
placeholder amount (≤ $0.02) — excluded from medians 48
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 13
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://res.cloudinary.com/dpmykpsih/raw/upload/fl_attachment/mercyhealth-site-398/media/2d1cbb17b353441aab7c37d9b22f6c99/311551871-mercyharvardhospital-standardchargers.json
Discovered viaDiscovered by HANK (automated)
Last fetch success · 2026-07-31
Content fingerprint 82ece35ba2804bc1… · 442,984 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
Q2057
HCPCS 		Afamitresgene Autoleucel 1 $1,926,550.00 $1,926,550.00 $1,926,550.00 nat. median
$809,151
outlier · 2.4×
Q2056
HCPCS 		Ciltacabtagene Car-pos T 3 $995,704.75 $1,907,381.77 $1,232,414.34 nat. median
$631,793
2.0× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 3 $949,720.43 $1,855,301.78 $1,172,462.38 nat. median
$610,161
1.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 3 $929,596.12 $1,816,944.04 $1,167,549.61 nat. median
$624,417
1.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 3 $905,113.32 $1,724,394.31 $1,117,796.96 nat. median
$588,565
1.9× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 2 $1,041,788.02 $1,416,328.26 $1,041,788.02 nat. median
$691,418
1.5× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 4 $467,021.98 $1,215,336.72 $972,260.74 nat. median
$370,165
outlier · 2.6×
Q2053
HCPCS 		Brexucabtagene Car Pos T 2 $880,918.49 $1,223,625.51 $880,918.49 nat. median
$577,541
1.5× median
J3403
HCPCS 		Revakinagene, Per Implant 1 $662,500.00 $662,500.00 $662,500.00 nat. median
$265,000
outlier · 2.5×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 4 $303,078.48 $788,704.64 $630,958.11 nat. median
$261,939
outlier · 2.4×
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 1 $504,172.55 $504,172.55 $504,172.55 nat. median
$209,736
outlier · 2.4×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 4 $230,905.66 $600,888.47 $480,706.51 nat. median
$205,166
outlier · 2.3×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 4 $229,550.54 $597,362.03 $477,885.38 nat. median
$199,832
outlier · 2.4×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 4 $149,802.89 $389,833.80 $311,864.27 nat. median
$132,706
outlier · 2.4×
7
MS_DRG 		Lung Transplant 4 $140,056.41 $364,470.43 $291,573.75 nat. median
$122,690
outlier · 2.4×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 4 $129,973.59 $338,231.78 $270,583.02 nat. median
$114,305
outlier · 2.4×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 4 $122,553.42 $318,922.18 $255,135.48 nat. median
$108,240
outlier · 2.4×
209
MS_DRG 		Complex Aortic Arch Procedures 4 $122,412.82 $318,556.31 $254,842.78 nat. median
$96,134
outlier · 2.7×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 4 $119,194.28 $310,180.65 $248,142.32 nat. median
$96,835
outlier · 2.6×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 4 $117,603.39 $306,040.67 $244,830.36 nat. median
$100,978
outlier · 2.4×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 4 $111,508.06 $290,178.71 $232,140.91 nat. median
$99,646
outlier · 2.3×
215
MS_DRG 		Other Heart Assist System Implant 4 $107,684.96 $280,229.81 $224,181.86 nat. median
$98,002
outlier · 2.3×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 4 $105,800.98 $275,327.12 $220,259.74 nat. median
$92,900
outlier · 2.4×
J7330
HCPCS 		Cultured Chondrocytes Implnt 1 $214,899.70 $214,899.70 $214,899.70 nat. median
$75,807
outlier · 2.8×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 4 $97,438.82 $253,566.18 $202,851.14 nat. median
$81,124
outlier · 2.5×
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 4 $95,836.04 $249,395.24 $199,514.42 nat. median
$83,623
outlier · 2.4×
850
MS_DRG 		Acute Leukemia With Other Procedures 4 $93,652.49 $243,712.97 $194,968.64 nat. median
$81,364
outlier · 2.4×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 4 $91,169.37 $237,251.11 $189,799.20 nat. median
$79,040
outlier · 2.4×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 4 $90,882.77 $236,505.29 $189,202.55 nat. median
$80,459
outlier · 2.4×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 4 $85,101.07 $221,459.51 $177,166.03 nat. median
$77,385
outlier · 2.3×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 4 $83,040.81 $216,098.08 $172,876.92 nat. median
$74,472
outlier · 2.3×
222
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 4 $82,806.13 $215,487.35 $172,388.35 nat. median
$58,534
outlier · 2.9×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 4 $82,682.84 $215,166.51 $172,131.68 nat. median
$73,475
outlier · 2.3×
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 4 $82,409.22 $214,454.47 $171,562.05 nat. median
$71,485
outlier · 2.4×
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 4 $78,069.16 $203,160.28 $162,526.78 nat. median
$66,640
outlier · 2.4×
10
MS_DRG 		Pancreas Transplant 4 $77,605.20 $201,952.90 $161,560.89 nat. median
$67,750
outlier · 2.4×
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 4 $77,572.75 $201,868.47 $161,493.34 nat. median
$62,911
outlier · 2.6×
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 4 $77,160.70 $200,796.18 $160,635.52 nat. median
$69,153
outlier · 2.3×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 4 $77,115.28 $200,677.98 $160,540.96 nat. median
$68,581
outlier · 2.3×
224
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 4 $76,669.70 $199,518.44 $159,613.34 nat. median
$51,048
outlier · 3.1×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 4 $74,751.12 $194,525.70 $155,619.18 nat. median
$65,958
outlier · 2.4×
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 4 $74,384.49 $193,571.62 $154,855.92 nat. median
$65,792
outlier · 2.4×
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 4 $72,796.85 $189,440.08 $151,550.72 nat. median
$64,357
outlier · 2.4×
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 4 $72,314.50 $188,184.86 $150,546.55 nat. median
$59,832
outlier · 2.5×
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 4 $72,261.50 $188,046.95 $150,436.22 nat. median
$62,262
outlier · 2.4×
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 4 $71,728.32 $186,659.45 $149,326.23 nat. median
$62,767
outlier · 2.4×
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 4 $71,111.87 $185,055.24 $148,042.88 nat. median
$60,895
outlier · 2.4×
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 4 $71,111.87 $185,055.24 $148,042.88 nat. median
$63,840
outlier · 2.3×
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 4 $70,853.39 $184,382.60 $147,504.77 nat. median
$59,159
outlier · 2.5×
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 4 $69,591.28 $181,098.20 $144,877.27 nat. median
$62,218
outlier · 2.3×

Other procedures at this hospital

Browse this hospital's 12,336 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
             
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 5 4 — — $22,637.96 $58,911.02 $47,128.40 2026-03-01
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 5 4 — — $22,652.02 $58,947.61 $47,157.67 2026-03-01
412 MS_DRG Cholecystectomy With C.d.e. With Cc 5 4 — — $22,738.54 $59,172.76 $47,337.79 2026-03-01
336 MS_DRG Peritoneal Adhesiolysis With Cc 5 4 — — $22,805.59 $59,347.25 $47,477.38 2026-03-01
655 MS_DRG Major Bladder Procedures Without Cc/Mcc 5 4 — — $22,891.03 $59,569.59 $47,655.25 2026-03-01
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 5 4 — — $22,899.68 $59,592.11 $47,673.26 2026-03-01
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 5 4 — — $22,902.93 $59,600.55 $47,680.02 2026-03-01
595 MS_DRG Major Skin Disorders With Mcc 5 4 — — $22,935.37 $59,684.98 $47,747.56 2026-03-01
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 5 4 — — $23,000.26 $59,853.84 $47,882.65 2026-03-01
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/Mcc 5 4 — — $23,035.95 $59,946.72 $47,956.95 2026-03-01
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 5 4 — — $23,045.68 $59,972.05 $47,977.21 2026-03-01
32 MS_DRG Ventricular Shunt Procedures With Cc 5 4 — — $23,046.77 $59,974.86 $47,979.47 2026-03-01
374 MS_DRG Digestive Malignancy With Mcc 5 4 — — $23,130.04 $60,191.57 $48,152.83 2026-03-01
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/Mcc 5 4 — — $23,151.67 $60,247.86 $48,197.86 2026-03-01
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 5 4 — — $23,160.32 $60,270.38 $48,215.87 2026-03-01
J9266 HCPCS Pegaspargase Injection 3 2 — — $48,726.96 $71,060.15 $48,726.96 2026-03-01
135 MS_DRG Sinus And Mastoid Procedures With Cc/Mcc 5 4 — — $23,468.55 $61,072.48 $48,857.55 2026-03-01
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 5 4 — — $23,547.50 $61,277.93 $49,021.91 2026-03-01
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 5 4 — — $23,563.72 $61,320.15 $49,055.68 2026-03-01
141 MS_DRG Major Head And Neck Procedures With Cc 5 4 — — $23,588.60 $61,384.88 $49,107.47 2026-03-01
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 5 4 — — $23,603.74 $61,424.28 $49,138.99 2026-03-01
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 5 4 — — $23,662.14 $61,576.26 $49,260.57 2026-03-01
614 MS_DRG Adrenal And Pituitary Procedures With Cc/Mcc 5 4 — — $23,704.32 $61,686.02 $49,348.38 2026-03-01
30 MS_DRG Spinal Procedures Without Cc/Mcc 5 4 — — $23,741.09 $61,781.71 $49,424.93 2026-03-01
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 5 4 — — $23,778.94 $61,880.21 $49,503.73 2026-03-01
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 5 4 — — $23,878.44 $62,139.14 $49,710.87 2026-03-01
934 MS_DRG Full Thickness Burn Without Skin Graft Or Inhalation Injury 5 4 — — $23,907.64 $62,215.13 $49,771.66 2026-03-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 5 4 — — $23,931.43 $62,277.04 $49,821.19 2026-03-01
253 MS_DRG Other Vascular Procedures With Cc 6 5 — — $15,631.02 $73,050.57 $49,924.68 2026-03-01
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/Mcc 5 4 — — $24,004.97 $62,468.42 $49,974.29 2026-03-01
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/Mcc 5 4 — — $24,196.40 $62,966.57 $50,372.81 2026-03-01
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 5 4 — — $24,210.46 $63,003.16 $50,402.08 2026-03-01
341 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Mcc 5 4 — — $24,431.09 $63,577.30 $50,861.39 2026-03-01
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 5 4 — — $24,502.46 $63,763.05 $51,009.98 2026-03-01
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 5 4 — — $24,570.60 $63,940.35 $51,151.83 2026-03-01
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 5 4 — — $24,611.70 $64,047.30 $51,237.39 2026-03-01
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 5 4 — — $24,675.50 $64,213.35 $51,370.22 2026-03-01
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 5 4 — — $24,718.76 $64,325.93 $51,460.28 2026-03-01
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 5 4 — — $24,819.34 $64,587.67 $51,669.67 2026-03-01
347 MS_DRG Anal And Stomal Procedures With Mcc 5 4 — — $24,826.91 $64,607.37 $51,685.43 2026-03-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 5 4 — — $24,995.63 $65,046.41 $52,036.67 2026-03-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 5 4 — — $25,124.33 $65,381.33 $52,304.60 2026-03-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 5 4 — — $25,150.28 $65,448.87 $52,358.63 2026-03-01
709 MS_DRG Penis Procedures With Cc/Mcc 5 4 — — $25,167.59 $65,493.90 $52,394.66 2026-03-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 5 4 — — $25,273.57 $65,769.71 $52,615.30 2026-03-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 5 4 — — $25,291.96 $65,817.56 $52,653.58 2026-03-01
333 MS_DRG Rectal Resection With Cc 5 4 — — $25,330.89 $65,918.88 $52,734.63 2026-03-01
113 MS_DRG Orbital Procedures With Cc/Mcc 5 4 — — $25,427.15 $66,169.36 $52,935.02 2026-03-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 5 4 — — $25,808.92 $67,162.84 $53,729.80 2026-03-01
35 MS_DRG Carotid Artery Stent Procedures With Cc 5 4 — — $25,853.26 $67,278.23 $53,822.11 2026-03-01
397 MS_DRG Appendix Procedures With Mcc 5 4 — — $25,900.84 $67,402.07 $53,921.17 2026-03-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 5 4 — — $26,013.32 $67,694.76 $54,155.33 2026-03-01
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 5 4 — — $26,110.65 $67,948.06 $54,357.96 2026-03-01
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 5 4 — — $26,196.09 $68,170.40 $54,535.83 2026-03-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 5 4 — — $26,402.66 $68,707.95 $54,965.87 2026-03-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 5 4 — — $26,434.02 $68,789.56 $55,031.16 2026-03-01
792 MS_DRG Prematurity Without Major Problems 5 4 — — $26,488.10 $68,930.28 $55,143.74 2026-03-01
783 MS_DRG Cesarean Section With Sterilization With Mcc 5 4 — — $26,551.91 $69,096.33 $55,276.58 2026-03-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 5 4 — — $26,588.68 $69,192.02 $55,353.13 2026-03-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 5 4 — — $26,596.25 $69,211.72 $55,368.89 2026-03-01
545 MS_DRG Connective Tissue Disorders With Mcc 5 4 — — $26,839.59 $69,844.96 $55,875.48 2026-03-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 5 4 — — $26,949.90 $70,132.03 $56,105.13 2026-03-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 5 4 — — $27,285.16 $71,004.50 $56,803.09 2026-03-01
164 MS_DRG Major Chest Procedures With Cc 5 4 — — $27,297.06 $71,035.46 $56,827.86 2026-03-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 5 4 — — $27,427.92 $71,376.00 $57,100.29 2026-03-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 5 4 — — $27,479.83 $71,511.09 $57,208.36 2026-03-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 5 4 — — $27,610.70 $71,851.63 $57,480.80 2026-03-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 5 4 — — $27,768.59 $72,262.53 $57,809.51 2026-03-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 5 4 — — $27,894.05 $72,589.00 $58,070.69 2026-03-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 5 4 — — $27,894.05 $72,589.00 $58,070.69 2026-03-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 5 4 — — $27,932.98 $72,690.32 $58,151.74 2026-03-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 5 4 — — $28,037.89 $72,963.32 $58,370.14 2026-03-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 5 4 — — $28,523.48 $74,226.99 $59,381.06 2026-03-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 5 4 — — $28,667.32 $74,601.30 $59,680.51 2026-03-01
338 MS_DRG Appendectomy With Complicated Principal Diagnosis With Mcc 5 4 — — $28,730.05 $74,764.54 $59,811.10 2026-03-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 5 4 — — $28,767.90 $74,863.04 $59,889.90 2026-03-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 5 4 — — $29,172.38 $75,915.63 $60,731.96 2026-03-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 5 4 — — $29,267.55 $76,163.29 $60,930.09 2026-03-01
849 MS_DRG Radiotherapy 5 4 — — $29,303.24 $76,256.17 $61,004.39 2026-03-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 5 4 — — $29,425.45 $76,574.20 $61,258.81 2026-03-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 5 4 — — $29,566.05 $76,940.07 $61,551.51 2026-03-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 5 4 — — $29,719.62 $77,339.71 $61,871.22 2026-03-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 5 4 — — $29,727.19 $77,359.41 $61,886.98 2026-03-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 5 4 — — $29,818.04 $77,595.82 $62,076.11 2026-03-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 5 4 — — $29,978.10 $78,012.35 $62,409.33 2026-03-01
503 MS_DRG Foot Procedures With Mcc 5 4 — — $30,185.75 $78,552.72 $62,841.62 2026-03-01
654 MS_DRG Major Bladder Procedures With Cc 5 4 — — $30,274.43 $78,783.50 $63,026.24 2026-03-01
800 MS_DRG Splenic Procedures With Cc 5 4 — — $30,383.66 $79,067.75 $63,253.64 2026-03-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 5 4 — — $30,828.16 $80,224.47 $64,179.01 2026-03-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 5 4 — — $31,041.21 $80,778.91 $64,622.55 2026-03-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 5 4 — — $31,166.67 $81,105.38 $64,883.73 2026-03-01
974 MS_DRG HIV With Major Related Condition With Mcc 5 4 — — $31,212.09 $81,223.58 $64,978.29 2026-03-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 5 4 — — $31,227.23 $81,262.99 $65,009.81 2026-03-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 5 4 — — $31,365.66 $81,623.23 $65,298.00 2026-03-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 5 4 — — $31,385.13 $81,673.89 $65,338.53 2026-03-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 5 4 — — $31,496.52 $81,963.77 $65,570.43 2026-03-01
668 MS_DRG Transurethral Procedures With Mcc 5 4 — — $31,579.80 $82,180.48 $65,743.80 2026-03-01
570 MS_DRG Skin Debridement With Mcc 5 4 — — $31,808.00 $82,774.32 $66,218.87 2026-03-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 5 4 — — $31,840.44 $82,858.75 $66,286.41 2026-03-01
472 MS_DRG Cervical Spinal Fusion With Cc 5 4 — — $31,862.07 $82,915.04 $66,331.44 2026-03-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 5 4 — — $32,189.77 $83,767.80 $67,013.65 2026-03-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 6 5 — — $37,716.23 $98,149.39 $67,077.87 2026-03-01
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 5 4 — — $32,395.25 $84,302.54 $67,441.43 2026-03-01
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 5 4 — — $32,550.99 $84,707.81 $67,765.65 2026-03-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 5 4 — — $32,626.69 $84,904.82 $67,923.25 2026-03-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 5 4 — — $32,662.38 $84,997.69 $67,997.55 2026-03-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 5 4 — — $32,666.71 $85,008.95 $68,006.56 2026-03-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 5 4 — — $32,804.06 $85,366.38 $68,292.50 2026-03-01
263 MS_DRG Vein Ligation And Stripping 5 4 — — $33,065.78 $86,047.47 $68,837.36 2026-03-01
662 MS_DRG Minor Bladder Procedures With Mcc 5 4 — — $33,110.12 $86,162.86 $68,929.67 2026-03-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 5 4 — — $33,626.00 $87,505.32 $70,003.64 2026-03-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 5 4 — — $33,685.48 $87,660.12 $70,127.47 2026-03-01
665 MS_DRG Prostatectomy With Mcc 5 4 — — $33,755.78 $87,843.05 $70,273.82 2026-03-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 5 4 — — $33,981.81 $88,431.26 $70,744.38 2026-03-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 5 4 — — $34,061.84 $88,639.53 $70,910.99 2026-03-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 5 4 — — $34,078.07 $88,681.74 $70,944.77 2026-03-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 5 4 — — $34,175.40 $88,935.04 $71,147.40 2026-03-01
500 MS_DRG Soft Tissue Procedures With Mcc 5 4 — — $34,227.31 $89,070.13 $71,255.47 2026-03-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 5 4 — — $34,363.58 $89,424.75 $71,539.16 2026-03-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 5 4 — — $34,432.80 $89,604.87 $71,683.26 2026-03-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 5 4 — — $34,466.32 $89,692.11 $71,753.05 2026-03-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 5 4 — — $34,530.13 $89,858.16 $71,885.89 2026-03-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 5 4 — — $34,720.48 $90,353.50 $72,282.16 2026-03-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 5 4 — — $34,832.95 $90,646.20 $72,516.31 2026-03-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 5 4 — — $34,901.09 $90,823.50 $72,658.16 2026-03-01
652 MS_DRG Kidney Transplant 5 4 — — $34,927.04 $90,891.05 $72,712.19 2026-03-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 5 4 — — $34,936.78 $90,916.38 $72,732.46 2026-03-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 5 4 — — $34,985.44 $91,043.03 $72,833.77 2026-03-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 5 4 — — $35,024.38 $91,144.34 $72,914.83 2026-03-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 5 4 — — $35,179.03 $91,546.80 $73,236.79 2026-03-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 5 4 — — $35,599.74 $92,641.60 $74,112.63 2026-03-01
37 MS_DRG Extracranial Procedures With Mcc 5 4 — — $35,604.06 $92,652.86 $74,121.63 2026-03-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 5 4 — — $35,725.19 $92,968.08 $74,373.80 2026-03-01
264 MS_DRG Other Circulatory System O.r. Procedures 5 4 — — $36,128.59 $94,017.85 $75,213.61 2026-03-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 6 5 — — $6,782.99 $110,096.51 $75,242.85 2026-03-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 5 4 — — $36,847.79 $95,889.42 $76,710.86 2026-03-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 5 4 — — $36,896.45 $96,016.07 $76,812.17 2026-03-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 5 4 — — $37,078.15 $96,488.89 $77,190.43 2026-03-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 5 4 — — $37,188.46 $96,775.96 $77,420.08 2026-03-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 5 4 — — $37,361.50 $97,226.26 $77,780.32 2026-03-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 5 4 — — $37,543.19 $97,699.08 $78,158.57 2026-03-01
252 MS_DRG Other Vascular Procedures With Mcc 5 4 — — $37,725.96 $98,174.72 $78,539.07 2026-03-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 5 4 — — $38,062.31 $99,049.99 $79,239.29 2026-03-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 5 4 — — $38,140.18 $99,252.63 $79,401.40 2026-03-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 5 4 — — $38,461.38 $100,088.51 $80,070.09 2026-03-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 5 4 — — $38,492.75 $100,170.12 $80,135.39 2026-03-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 5 4 — — $38,529.52 $100,265.81 $80,211.94 2026-03-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 5 4 — — $38,561.96 $100,350.25 $80,279.48 2026-03-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 5 4 — — $38,619.28 $100,499.41 $80,398.81 2026-03-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 5 4 — — $38,658.22 $100,600.73 $80,479.87 2026-03-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 5 4 — — $38,747.98 $100,834.32 $80,666.74 2026-03-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 5 4 — — $39,003.22 $101,498.52 $81,198.10 2026-03-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 5 4 — — $39,061.62 $101,650.50 $81,319.68 2026-03-01
J9226 HCPCS Supprelin La Implant 3 2 — — $81,381.67 $107,963.35 $81,381.67 2026-03-01
265 MS_DRG Aicd Lead Procedures 5 4 — — $39,130.83 $101,830.62 $81,463.77 2026-03-01
332 MS_DRG Rectal Resection With Mcc 5 4 — — $39,157.87 $101,900.98 $81,520.06 2026-03-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 5 4 — — $39,211.95 $102,041.70 $81,632.64 2026-03-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 5 4 — — $39,242.23 $102,120.50 $81,695.68 2026-03-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 5 4 — — $39,560.19 $102,947.94 $82,357.62 2026-03-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 5 4 — — $39,708.35 $103,333.51 $82,666.07 2026-03-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 5 4 — — $39,724.58 $103,375.73 $82,699.85 2026-03-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 5 4 — — $40,078.23 $104,296.04 $83,436.09 2026-03-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 5 4 — — $40,305.34 $104,887.06 $83,908.90 2026-03-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 5 4 — — $40,418.90 $105,182.57 $84,145.31 2026-03-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 5 4 — — $40,423.23 $105,193.83 $84,154.32 2026-03-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 5 4 — — $40,519.48 $105,444.31 $84,354.70 2026-03-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 5 4 — — $40,696.85 $105,905.87 $84,723.95 2026-03-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 5 4 — — $41,522.03 $108,053.26 $86,441.84 2026-03-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 5 4 — — $41,758.88 $108,669.61 $86,934.92 2026-03-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 5 4 — — $41,798.89 $108,773.75 $87,018.22 2026-03-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 5 4 — — $41,861.62 $108,936.98 $87,148.81 2026-03-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 5 4 — — $42,115.77 $109,598.36 $87,677.91 2026-03-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 5 4 — — $43,088.04 $112,128.51 $89,702.01 2026-03-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 5 4 — — $43,481.71 $113,152.95 $90,521.56 2026-03-01
791 MS_DRG Prematurity With Major Problems 5 4 — — $43,898.09 $114,236.50 $91,388.39 2026-03-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 5 4 — — $44,617.28 $116,108.07 $92,885.63 2026-03-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 5 4 — — $44,914.70 $116,882.03 $93,504.80 2026-03-01
793 MS_DRG Full Term Neonate With Major Problems 5 4 — — $45,094.22 $117,349.22 $93,878.54 2026-03-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 5 4 — — $45,126.67 $117,433.65 $93,946.09 2026-03-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 5 4 — — $45,301.87 $117,889.59 $94,310.83 2026-03-01
901 MS_DRG Wound Debridements For Injuries With Mcc 5 4 — — $45,386.23 $118,109.11 $94,486.45 2026-03-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 5 4 — — $45,440.30 $118,249.83 $94,599.02 2026-03-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 5 4 — — $45,573.33 $118,596.00 $94,875.96 2026-03-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 5 4 — — $45,596.04 $118,655.10 $94,923.24 2026-03-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 5 4 — — $45,673.91 $118,857.74 $95,085.35 2026-03-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 5 4 — — $45,864.25 $119,353.08 $95,481.61 2026-03-01
140 MS_DRG Major Head And Neck Procedures With Mcc 5 4 — — $46,129.22 $120,042.60 $96,033.23 2026-03-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 5 4 — — $46,427.71 $120,819.38 $96,654.64 2026-03-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 5 4 — — $46,800.83 $121,790.35 $97,431.41 2026-03-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 5 4 — — $47,508.13 $123,630.96 $98,903.89 2026-03-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 5 4 — — $48,266.26 $125,603.86 $100,482.19 2026-03-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 5 4 — — $48,456.61 $126,099.19 $100,878.46 2026-03-01
163 MS_DRG Major Chest Procedures With Mcc 5 4 — — $48,470.67 $126,135.78 $100,907.73 2026-03-01
799 MS_DRG Splenic Procedures With Mcc 5 4 — — $48,980.05 $127,461.36 $101,968.18 2026-03-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 5 4 — — $49,172.56 $127,962.32 $102,368.95 2026-03-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 5 4 — — $49,194.19 $128,018.61 $102,413.98 2026-03-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 3 2 — — $102,630.79 $136,010.27 $102,630.79 2026-03-01
245 MS_DRG Aicd Generator Procedures 5 4 — — $49,342.36 $128,404.19 $102,722.44 2026-03-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 5 4 — — $49,584.61 $129,034.61 $103,226.77 2026-03-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 5 4 — — $49,711.15 $129,363.90 $103,490.20 2026-03-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 5 4 — — $49,809.56 $129,620.01 $103,695.08 2026-03-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 5 4 — — $49,949.08 $129,983.06 $103,985.53 2026-03-01
6 MS_DRG Liver Transplant Without Mcc 5 4 — — $50,149.16 $130,503.73 $104,402.06 2026-03-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 5 4 — — $50,590.41 $131,652.00 $105,320.67 2026-03-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 5 4 — — $50,741.82 $132,046.02 $105,635.88 2026-03-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 5 4 — — $50,845.64 $132,316.20 $105,852.02 2026-03-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 5 4 — — $51,488.05 $133,987.96 $107,189.41 2026-03-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 5 4 — — $51,958.50 $135,212.22 $108,168.81 2026-03-01
471 MS_DRG Cervical Spinal Fusion With Mcc 5 4 — — $52,222.39 $135,898.93 $108,718.18 2026-03-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 5 4 — — $53,006.48 $137,939.37 $110,350.52 2026-03-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 5 4 — — $53,228.19 $138,516.32 $110,812.08 2026-03-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 5 4 — — $53,410.96 $138,991.96 $111,192.58 2026-03-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 5 4 — — $53,506.13 $139,239.63 $111,390.71 2026-03-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 5 4 — — $53,938.73 $140,365.39 $112,291.31 2026-03-01
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 5 4 — — $54,298.87 $141,302.58 $113,041.06 2026-03-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 5 4 — — $54,509.76 $141,851.39 $113,480.10 2026-03-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 3 2 — — $113,824.10 $160,686.98 $113,824.10 2026-03-01
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 5 4 — — $54,699.03 $142,343.91 $113,874.12 2026-03-01
653 MS_DRG Major Bladder Procedures With Mcc 5 4 — — $56,199.07 $146,247.48 $116,996.95 2026-03-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 5 4 — — $56,296.40 $146,500.78 $117,199.58 2026-03-01
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 5 4 — — $56,440.24 $146,875.09 $117,499.03 2026-03-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 5 4 — — $57,063.18 $148,496.19 $118,795.89 2026-03-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 5 4 — — $57,252.45 $148,988.71 $119,189.91 2026-03-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 5 4 — — $57,639.62 $149,996.26 $119,995.94 2026-03-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 5 4 — — $57,674.23 $150,086.32 $120,067.99 2026-03-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 5 4 — — $58,750.32 $152,886.65 $122,308.23 2026-03-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 5 4 — — $58,986.09 $153,500.19 $122,799.06 2026-03-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 5 4 — — $59,079.10 $153,742.23 $122,992.69 2026-03-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 5 4 — — $59,163.46 $153,961.75 $123,168.31 2026-03-01
834 MS_DRG Acute Leukemia With Mcc 5 4 — — $59,373.27 $154,507.75 $123,605.10 2026-03-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 5 4 — — $59,731.25 $155,439.31 $124,350.35 2026-03-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 5 4 — — $60,198.45 $156,655.13 $125,322.99 2026-03-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 5 4 — — $60,613.75 $157,735.86 $126,187.57 2026-03-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 5 4 — — $60,801.93 $158,225.57 $126,579.33 2026-03-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 5 4 — — $61,640.09 $160,406.73 $128,324.24 2026-03-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 5 4 — — $61,720.12 $160,614.99 $128,490.85 2026-03-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 5 4 — — $61,973.19 $161,273.56 $129,017.70 2026-03-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 5 4 — — $62,371.19 $162,309.26 $129,846.26 2026-03-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 5 4 — — $63,427.81 $165,058.93 $132,045.97 2026-03-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 5 4 — — $63,468.91 $165,165.88 $132,131.53 2026-03-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 5 4 — — $64,129.71 $166,885.48 $133,507.20 2026-03-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 5 4 — — $64,278.95 $167,273.86 $133,817.90 2026-03-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 5 4 — — $64,490.93 $167,825.49 $134,259.20 2026-03-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 5 4 — — $64,961.38 $169,049.75 $135,238.60 2026-03-01
28 MS_DRG Spinal Procedures With Mcc 5 4 — — $64,979.76 $169,097.60 $135,276.87 2026-03-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 5 4 — — $65,567.02 $170,625.81 $136,499.44 2026-03-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 5 4 — — $66,147.78 $172,137.15 $137,708.49 2026-03-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 5 4 — — $66,201.86 $172,277.87 $137,821.07 2026-03-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 5 4 — — $66,278.65 $172,477.69 $137,980.93 2026-03-01
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 5 4 — — $69,225.73 $180,146.93 $144,116.26 2026-03-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 5 4 — — $69,591.28 $181,098.20 $144,877.27 2026-03-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 5 4 — — $70,853.39 $184,382.60 $147,504.77 2026-03-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 5 4 — — $71,111.87 $185,055.24 $148,042.88 2026-03-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 5 4 — — $71,111.87 $185,055.24 $148,042.88 2026-03-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 5 4 — — $71,728.32 $186,659.45 $149,326.23 2026-03-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 5 4 — — $72,261.50 $188,046.95 $150,436.22 2026-03-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 5 4 — — $72,314.50 $188,184.86 $150,546.55 2026-03-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 5 4 — — $72,796.85 $189,440.08 $151,550.72 2026-03-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 5 4 — — $74,384.49 $193,571.62 $154,855.92 2026-03-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 5 4 — — $74,751.12 $194,525.70 $155,619.18 2026-03-01
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 5 4 — — $76,669.70 $199,518.44 $159,613.34 2026-03-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 5 4 — — $77,115.28 $200,677.98 $160,540.96 2026-03-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 5 4 — — $77,160.70 $200,796.18 $160,635.52 2026-03-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 5 4 — — $77,572.75 $201,868.47 $161,493.34 2026-03-01
10 MS_DRG Pancreas Transplant 5 4 — — $77,605.20 $201,952.90 $161,560.89 2026-03-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 5 4 — — $78,069.16 $203,160.28 $162,526.78 2026-03-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 5 4 — — $82,409.22 $214,454.47 $171,562.05 2026-03-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 5 4 — — $82,682.84 $215,166.51 $172,131.68 2026-03-01
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 5 4 — — $82,806.13 $215,487.35 $172,388.35 2026-03-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 5 4 — — $83,040.81 $216,098.08 $172,876.92 2026-03-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 5 4 — — $85,101.07 $221,459.51 $177,166.03 2026-03-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 5 4 — — $90,882.77 $236,505.29 $189,202.55 2026-03-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 5 4 — — $91,169.37 $237,251.11 $189,799.20 2026-03-01
850 MS_DRG Acute Leukemia With Other Procedures 5 4 — — $93,652.49 $243,712.97 $194,968.64 2026-03-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 5 4 — — $95,836.04 $249,395.24 $199,514.42 2026-03-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 5 4 — — $97,438.82 $253,566.18 $202,851.14 2026-03-01
J7330 HCPCS Cultured Chondrocytes Implnt 1 1 — — $214,899.70 $214,899.70 $214,899.70 2026-03-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 5 4 — — $105,800.98 $275,327.12 $220,259.74 2026-03-01
215 MS_DRG Other Heart Assist System Implant 5 4 — — $107,684.96 $280,229.81 $224,181.86 2026-03-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 5 4 — — $111,508.06 $290,178.71 $232,140.91 2026-03-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 5 4 — — $117,603.39 $306,040.67 $244,830.36 2026-03-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 5 4 — — $119,194.28 $310,180.65 $248,142.32 2026-03-01
209 MS_DRG Complex Aortic Arch Procedures 5 4 — — $122,412.82 $318,556.31 $254,842.78 2026-03-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 5 4 — — $122,553.42 $318,922.18 $255,135.48 2026-03-01
14 MS_DRG Allogeneic Bone Marrow Transplant 5 4 — — $129,973.59 $338,231.78 $270,583.02 2026-03-01
7 MS_DRG Lung Transplant 5 4 — — $140,056.41 $364,470.43 $291,573.75 2026-03-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 5 4 — — $149,802.89 $389,833.80 $311,864.27 2026-03-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 5 4 — — $229,550.54 $597,362.03 $477,885.38 2026-03-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 5 4 — — $230,905.66 $600,888.47 $480,706.51 2026-03-01
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 1 1 — — $504,172.55 $504,172.55 $504,172.55 2026-03-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 5 4 — — $303,078.48 $788,704.64 $630,958.11 2026-03-01
J3403 HCPCS Revakinagene, Per Implant 1 1 — — $662,500.00 $662,500.00 $662,500.00 2026-03-01
Q2053 HCPCS Brexucabtagene Car Pos T 3 2 — — $880,918.49 $1,223,625.51 $880,918.49 2026-03-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 5 4 — — $467,021.98 $1,215,336.72 $972,260.74 2026-03-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 3 2 — — $1,041,788.02 $1,416,328.26 $1,041,788.02 2026-03-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 4 3 — — $905,113.32 $1,724,394.31 $1,117,796.96 2026-03-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 4 3 — — $929,596.12 $1,816,944.04 $1,167,549.61 2026-03-01
Q2055 HCPCS Idecabtagene Vicleucel Car 4 3 — — $949,720.43 $1,855,301.78 $1,172,462.38 2026-03-01
Q2056 HCPCS Ciltacabtagene Car-pos T 4 3 — — $995,704.75 $1,907,381.77 $1,232,414.34 2026-03-01
Q2057 HCPCS Afamitresgene Autoleucel 1 1 — — $1,926,550.00 $1,926,550.00 $1,926,550.00 2026-03-01
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