Price Transparency Hospital negotiated rates

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

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Hospital

PARKVIEW LAGRANGE HOSPITAL

Lagrange, IN · CCN 151323 · Rates published

11,623 distinct procedures filed
23 distinct payers
58,612 rate rows
2026-04-01 last MRF observed
Data quality

28,762 of 58,612 rate rows are consumer-grade (49.1%)

29,850 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 29,616
placeholder amount (≤ $0.02) — excluded from medians 166
template filing: same amount across many unrelated codes — excluded 68
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://parkview.com/-/media/parkview-media/file/price-transparency/202401676_parkview-lagrange-hospital_standardcharges.ashx
Found on page https://www.parkview.com/patients-and-visitors/billing-and-insurance/request-an-estimate
Discovered viaCMS hospital list
Last fetch not_modified · 2026-05-17
Content fingerprint dc55390d1552d5a5… · 15,266,172 bytes · first seen 2026-05-09

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 1 $4,984,800.00 $4,984,800.00 $4,984,800.00 nat. median
$3,286,000
1.5× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 2 $4,502,400.00 $4,897,200.00 $4,699,800.00 nat. median
$3,006,423
1.6× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 2 $3,845,862.75 $3,965,706.94 $3,905,784.84 nat. median
$2,469,189
1.6× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 2 $3,537,600.00 $3,847,800.00 $3,692,700.00 nat. median
$2,448,600
1.5× median
Q2057
HCPCS 		Afamitresgene Autoleucel 2 $1,541,240.00 $1,541,240.00 $1,541,240.00 nat. median
$824,563
1.9× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 3 $933,279.34 $1,156,649.16 $1,156,649.16 nat. median
$754,974
1.5× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 3 $909,675.26 $1,106,757.66 $1,106,757.66 nat. median
$675,122
1.6× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 3 $852,201.85 $1,083,271.32 $1,083,271.31 nat. median
$674,188
1.6× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 3 $871,715.51 $1,082,520.90 $1,082,520.89 nat. median
$625,184
1.7× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 3 $807,703.30 $1,066,152.96 $1,066,152.95 nat. median
$634,511
1.7× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 3 $805,284.99 $979,440.00 $979,440.00 nat. median
$620,080
1.6× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 4 $556,108.10 $1,152,030.74 $911,804.82 nat. median
$370,174
outlier · 2.5×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 4 $360,891.78 $747,621.60 $591,724.65 nat. median
$265,286
outlier · 2.2×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 4 $274,951.74 $569,588.64 $450,815.81 nat. median
$206,368
outlier · 2.2×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 4 $273,338.13 $566,245.89 $448,170.10 nat. median
$202,986
outlier · 2.2×
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 1 $422,100.00 $422,100.00 $422,100.00 nat. median
$324,450
1.3× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 4 $178,378.33 $369,527.65 $292,472.31 nat. median
$133,176
outlier · 2.2×
7
MS_DRG 		Lung Transplant 4 $166,772.68 $345,485.44 $273,443.47 nat. median
$122,708
outlier · 2.2×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 4 $154,766.52 $320,613.54 $253,757.96 nat. median
$117,303
outlier · 2.2×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 4 $145,930.92 $302,309.76 $239,270.96 nat. median
$108,660
outlier · 2.2×
209
MS_DRG 		Complex Aortic Arch Procedures 4 $145,763.51 $301,962.95 $238,996.46 nat. median
$98,017
outlier · 2.4×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 4 $141,931.01 $294,023.57 $232,712.64 nat. median
$98,905
outlier · 2.4×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 4 $140,036.66 $290,099.24 $229,606.62 nat. median
$102,358
outlier · 2.2×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 4 $132,778.62 $275,063.52 $217,706.21 nat. median
$100,136
outlier · 2.2×
215
MS_DRG 		Other Heart Assist System Implant 4 $128,226.25 $265,632.85 $210,242.06 nat. median
$99,019
outlier · 2.1×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 4 $125,982.90 $260,985.54 $206,563.82 nat. median
$93,672
outlier · 2.2×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 4 $116,025.63 $240,358.11 $190,237.70 nat. median
$82,712
outlier · 2.3×
850
MS_DRG 		Acute Leukemia With Other Procedures 4 $111,517.04 $231,018.14 $182,845.34 nat. median
$83,442
outlier · 2.2×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 4 $108,560.25 $224,892.87 $177,997.34 nat. median
$79,312
outlier · 2.2×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 4 $108,218.99 $224,185.91 $177,437.79 nat. median
$81,118
outlier · 2.2×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 4 $101,334.41 $209,923.85 $166,149.71 nat. median
$77,576
outlier · 2.1×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 4 $98,881.15 $204,841.69 $162,127.30 nat. median
$74,915
outlier · 2.2×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 4 $98,454.89 $203,958.65 $161,428.40 nat. median
$73,807
outlier · 2.2×
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 4 $98,129.07 $203,283.69 $160,894.19 nat. median
$72,138
outlier · 2.2×
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 4 $92,961.13 $192,577.81 $152,420.74 nat. median
$68,090
outlier · 2.2×
10
MS_DRG 		Pancreas Transplant 4 $92,408.66 $191,433.32 $151,514.91 nat. median
$68,882
outlier · 2.2×
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 4 $92,370.03 $191,353.29 $151,451.56 nat. median
$64,027
outlier · 2.4×
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 4 $91,879.38 $190,336.86 $150,647.08 nat. median
$71,240
outlier · 2.1×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 4 $91,825.29 $190,224.81 $150,558.40 nat. median
$68,887
outlier · 2.2×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 4 $89,010.16 $184,393.00 $145,942.66 nat. median
$66,526
outlier · 2.2×
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 4 $88,573.60 $183,488.62 $145,226.86 nat. median
$65,950
outlier · 2.2×
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 4 $86,683.11 $179,572.29 $142,127.18 nat. median
$64,732
outlier · 2.2×
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 4 $86,108.75 $178,382.45 $141,185.45 nat. median
$60,691
outlier · 2.3×
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 4 $86,045.64 $178,251.72 $141,081.98 nat. median
$63,738
outlier · 2.2×
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 4 $84,676.71 $175,415.85 $138,837.46 nat. median
$61,920
outlier · 2.2×
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 4 $84,676.71 $175,415.85 $138,837.46 nat. median
$64,510
outlier · 2.2×
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 4 $84,368.93 $174,778.25 $138,332.81 nat. median
$59,793
outlier · 2.3×
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 4 $82,866.07 $171,664.93 $135,868.69 nat. median
$62,134
outlier · 2.2×
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 4 $78,921.54 $163,493.46 $129,401.17 nat. median
$60,726
outlier · 2.1×
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 4 $78,830.10 $163,304.04 $129,251.25 nat. median
$60,185
outlier · 2.1×

Other procedures at this hospital

Browse this hospital's 11,623 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
             
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 6 5 — — $10,936.00 $133,053.86 $86,975.27 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 6 4 — — $5,798.96 $131,751.97 $86,124.24 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 6 5 — — $4,949.64 $99,714.36 $65,181.75 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 6 5 — — $11,402.30 $72,196.00 $47,193.42 2026-04-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 6 5 — — $4,780.44 $65,587.86 $42,873.79 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 5 4 — — $556,108.10 $1,152,030.74 $911,804.82 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 5 4 — — $360,891.78 $747,621.60 $591,724.65 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 5 4 — — $274,951.74 $569,588.64 $450,815.81 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 5 4 — — $273,338.13 $566,245.89 $448,170.10 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 5 4 — — $178,378.33 $369,527.65 $292,472.31 2026-04-01
7 MS_DRG Lung Transplant 5 4 — — $166,772.68 $345,485.44 $273,443.47 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 5 4 — — $154,766.52 $320,613.54 $253,757.96 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 5 4 — — $145,930.92 $302,309.76 $239,270.96 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 5 4 — — $145,763.51 $301,962.95 $238,996.46 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 5 4 — — $141,931.01 $294,023.57 $232,712.64 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 5 4 — — $140,036.66 $290,099.24 $229,606.62 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 5 4 — — $132,778.62 $275,063.52 $217,706.21 2026-04-01
215 MS_DRG Other Heart Assist System Implant 5 4 — — $128,226.25 $265,632.85 $210,242.06 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 5 4 — — $125,982.90 $260,985.54 $206,563.82 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 5 4 — — $116,025.63 $240,358.11 $190,237.70 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 5 4 — — $111,517.04 $231,018.14 $182,845.34 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 5 4 — — $108,560.25 $224,892.87 $177,997.34 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 5 4 — — $108,218.99 $224,185.91 $177,437.79 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 5 4 — — $101,334.41 $209,923.85 $166,149.71 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 5 4 — — $98,881.15 $204,841.69 $162,127.30 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 5 4 — — $98,454.89 $203,958.65 $161,428.40 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 5 4 — — $98,129.07 $203,283.69 $160,894.19 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 5 4 — — $92,961.13 $192,577.81 $152,420.74 2026-04-01
10 MS_DRG Pancreas Transplant 5 4 — — $92,408.66 $191,433.32 $151,514.91 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 5 4 — — $92,370.03 $191,353.29 $151,451.56 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 5 4 — — $91,879.38 $190,336.86 $150,647.08 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 5 4 — — $91,825.29 $190,224.81 $150,558.40 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 5 4 — — $89,010.16 $184,393.00 $145,942.66 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 5 4 — — $88,573.60 $183,488.62 $145,226.86 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 5 4 — — $86,683.11 $179,572.29 $142,127.18 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 5 4 — — $86,108.75 $178,382.45 $141,185.45 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 5 4 — — $86,045.64 $178,251.72 $141,081.98 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 5 4 — — $84,676.71 $175,415.85 $138,837.46 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 5 4 — — $84,676.71 $175,415.85 $138,837.46 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 5 4 — — $84,368.93 $174,778.25 $138,332.81 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 5 4 — — $82,866.07 $171,664.93 $135,868.69 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 5 4 — — $78,921.54 $163,493.46 $129,401.17 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 5 4 — — $78,830.10 $163,304.04 $129,251.25 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 5 4 — — $78,074.16 $161,738.04 $128,011.80 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 5 4 — — $77,374.89 $160,289.43 $126,865.25 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 5 4 — — $99,085.64 $126,862.11 $126,862.10 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 5 4 — — $77,352.99 $160,244.07 $126,829.36 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 5 4 — — $76,792.80 $159,083.58 $125,910.86 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 5 4 — — $76,540.39 $158,560.69 $125,497.00 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 5 4 — — $76,362.68 $158,192.54 $125,205.62 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 5 4 — — $75,575.83 $156,562.51 $123,915.49 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 5 4 — — $75,526.89 $156,461.13 $123,835.25 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 5 4 — — $74,268.71 $153,854.69 $121,772.32 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 5 4 — — $73,794.80 $152,872.94 $120,995.28 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 5 4 — — $73,493.46 $152,248.68 $120,501.19 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 5 4 — — $73,398.16 $152,051.26 $120,344.94 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 5 4 — — $72,400.12 $149,983.72 $118,708.53 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 5 4 — — $72,176.04 $149,519.52 $118,341.13 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 5 4 — — $71,681.52 $148,495.08 $117,530.31 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 5 4 — — $71,125.19 $147,342.59 $116,618.15 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 5 4 — — $70,698.93 $146,459.55 $115,919.24 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 5 4 — — $70,449.10 $145,942.00 $115,509.61 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 5 4 — — $70,348.65 $145,733.91 $115,344.91 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 5 4 — — $70,237.90 $145,504.48 $115,163.32 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 5 4 — — $69,957.16 $144,922.90 $114,703.01 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 5 4 — — $68,675.80 $142,268.44 $112,602.07 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 5 4 — — $68,634.59 $142,183.07 $112,534.50 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 5 4 — — $87,393.20 $111,891.94 $111,891.94 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 5 4 — — $68,173.56 $141,228.00 $111,778.59 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 5 4 — — $67,948.19 $140,761.13 $111,409.07 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 5 4 — — $67,035.14 $138,869.66 $109,912.02 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 5 4 — — $66,919.24 $138,629.56 $109,721.99 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 5 4 — — $64,907.70 $134,462.46 $106,423.82 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 5 4 — — $63,712.62 $131,986.74 $104,464.35 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 5 4 — — $63,381.65 $131,301.11 $103,921.70 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 5 4 — — $63,117.65 $130,754.21 $103,488.84 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 5 4 — — $62,184.00 $128,820.06 $101,958.00 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 5 4 — — $61,869.78 $128,169.12 $101,442.79 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 5 4 — — $61,309.58 $127,008.62 $100,524.29 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 5 4 — — $60,544.63 $125,423.95 $99,270.06 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 5 4 — — $60,421.00 $125,167.84 $99,067.36 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 5 4 — — $60,240.71 $124,794.35 $98,771.75 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 5 4 — — $59,715.29 $123,705.89 $97,910.26 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 5 4 — — $59,477.04 $123,212.34 $97,519.63 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 5 4 — — $59,193.73 $122,625.43 $97,055.10 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 5 4 — — $59,043.05 $122,313.29 $96,808.05 2026-04-01
245 MS_DRG Aicd Generator Procedures 5 4 — — $58,754.59 $121,715.71 $96,335.08 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 5 4 — — $58,578.16 $121,350.22 $96,045.80 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 5 4 — — $58,552.40 $121,296.86 $96,003.57 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 5 4 — — $58,323.17 $120,821.99 $95,627.72 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 5 4 — — $57,716.62 $119,565.46 $94,633.21 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 5 4 — — $57,699.88 $119,530.78 $94,605.76 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 5 4 — — $57,473.23 $119,061.25 $94,234.13 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 5 4 — — $56,570.48 $117,191.12 $92,753.97 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 5 4 — — $55,728.26 $115,446.38 $91,373.05 2026-04-01
J9226 HCPCS Supprelin La Implant 5 4 — — $71,169.89 $91,120.78 $91,120.78 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 5 4 — — $55,283.97 $114,525.99 $90,644.58 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 5 4 — — $54,928.53 $113,789.67 $90,061.81 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 5 4 — — $54,613.02 $113,136.06 $89,544.49 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 5 4 — — $54,386.37 $112,666.53 $89,172.87 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 5 4 — — $54,293.65 $112,474.45 $89,020.84 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 5 4 — — $54,266.60 $112,418.42 $88,976.50 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 5 4 — — $54,108.20 $112,090.28 $88,716.78 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 5 4 — — $54,043.81 $111,956.89 $88,611.21 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 5 4 — — $53,943.37 $111,748.81 $88,446.51 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 5 4 — — $53,734.74 $111,316.62 $88,104.45 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 5 4 — — $53,696.11 $111,236.59 $88,041.10 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 5 4 — — $53,482.33 $110,793.73 $87,690.60 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 5 4 — — $53,128.19 $110,060.09 $87,109.93 2026-04-01
791 MS_DRG Prematurity With Major Problems 5 4 — — $52,271.80 $108,286.00 $85,705.79 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 5 4 — — $51,776.00 $107,258.90 $84,892.86 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 5 4 — — $51,307.24 $106,287.82 $84,124.27 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 5 4 — — $50,377.45 $104,361.67 $82,599.77 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 5 4 — — $50,149.51 $103,889.47 $82,226.03 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 5 4 — — $49,846.87 $103,262.53 $81,729.83 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 5 4 — — $49,772.18 $103,107.80 $81,607.36 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 5 4 — — $49,724.53 $103,009.09 $81,529.24 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 5 4 — — $49,442.51 $102,424.85 $81,066.82 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 5 4 — — $48,459.91 $100,389.31 $79,455.75 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 5 4 — — $48,248.71 $99,951.79 $79,109.46 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 5 4 — — $48,128.95 $99,703.69 $78,913.09 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 5 4 — — $47,993.73 $99,423.57 $78,691.38 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 5 4 — — $47,723.29 $98,863.33 $78,247.97 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 5 4 — — $47,302.18 $97,990.96 $77,557.51 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 5 4 — — $47,282.86 $97,950.94 $77,525.83 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 5 4 — — $46,727.82 $96,801.12 $76,615.78 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 5 4 — — $46,691.76 $96,726.42 $76,556.66 2026-04-01
332 MS_DRG Rectal Resection With Mcc 5 4 — — $46,627.37 $96,593.03 $76,451.08 2026-04-01
265 MS_DRG Aicd Lead Procedures 5 4 — — $46,595.18 $96,526.34 $76,398.29 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 5 4 — — $46,512.76 $96,355.60 $76,263.16 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 5 4 — — $46,443.22 $96,211.54 $76,149.14 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 5 4 — — $46,139.30 $95,581.94 $75,650.82 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 5 4 — — $46,032.41 $95,360.51 $75,475.57 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 5 4 — — $45,986.05 $95,264.47 $75,399.55 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 5 4 — — $45,917.80 $95,123.08 $75,287.64 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 5 4 — — $45,879.16 $95,043.04 $75,224.30 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 5 4 — — $45,835.38 $94,952.34 $75,152.51 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 5 4 — — $45,798.03 $94,874.97 $75,091.27 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 5 4 — — $45,415.55 $94,082.63 $74,464.16 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 5 4 — — $45,322.83 $93,890.55 $74,312.13 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 5 4 — — $44,922.33 $93,060.87 $73,655.45 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 5 4 — — $44,910.74 $93,036.86 $73,636.45 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 5 4 — — $44,704.69 $92,610.01 $73,298.61 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 5 4 — — $44,488.34 $92,161.82 $72,943.88 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 5 4 — — $44,282.29 $91,734.97 $72,606.04 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 5 4 — — $44,150.94 $91,462.86 $72,390.67 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 5 4 — — $43,934.58 $91,014.66 $72,035.93 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 5 4 — — $43,876.63 $90,894.61 $71,940.92 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 5 4 — — $43,020.25 $89,120.53 $70,536.77 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 5 4 — — $42,539.90 $88,125.44 $69,749.18 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 5 4 — — $42,395.66 $87,826.64 $69,512.69 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 5 4 — — $42,390.51 $87,815.97 $69,504.25 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 5 4 — — $41,889.56 $86,778.20 $68,682.87 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 5 4 — — $41,705.40 $86,396.70 $68,380.93 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 5 4 — — $41,659.04 $86,300.66 $68,304.91 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 5 4 — — $41,601.09 $86,180.61 $68,209.90 2026-04-01
652 MS_DRG Kidney Transplant 5 4 — — $41,589.50 $86,156.60 $68,190.89 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 5 4 — — $41,558.59 $86,092.57 $68,140.22 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 5 4 — — $41,477.46 $85,924.50 $68,007.19 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 5 4 — — $41,343.53 $85,647.05 $67,787.60 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 5 4 — — $41,116.88 $85,177.52 $67,415.97 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 5 4 — — $41,040.90 $85,020.12 $67,291.39 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 5 4 — — $41,000.98 $84,937.42 $67,225.94 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 5 4 — — $40,918.56 $84,766.68 $67,090.80 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 5 4 — — $40,756.29 $84,430.53 $66,824.75 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 5 4 — — $40,694.48 $84,302.48 $66,723.40 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 5 4 — — $40,578.58 $84,062.38 $66,533.37 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 5 4 — — $40,559.26 $84,022.36 $66,501.69 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 5 4 — — $40,463.96 $83,824.94 $66,345.44 2026-04-01
665 MS_DRG Prostatectomy With Mcc 5 4 — — $40,194.81 $83,267.37 $65,904.14 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 5 4 — — $40,111.11 $83,093.97 $65,766.89 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 5 4 — — $40,040.28 $82,947.24 $65,650.76 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 5 4 — — $39,426.00 $81,674.70 $64,643.57 2026-04-01
263 MS_DRG Vein Ligation And Stripping 5 4 — — $39,373.20 $81,565.32 $64,557.00 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 5 4 — — $39,061.55 $80,919.71 $64,046.02 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 5 4 — — $38,898.00 $80,580.90 $63,777.86 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 5 4 — — $38,892.85 $80,570.23 $63,769.41 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 5 4 — — $38,850.35 $80,482.19 $63,699.73 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 5 4 — — $38,330.08 $79,404.40 $62,846.69 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 5 4 — — $37,939.88 $78,596.06 $62,206.90 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 5 4 — — $37,914.12 $78,542.70 $62,164.67 2026-04-01
570 MS_DRG Skin Debridement With Mcc 5 4 — — $37,875.49 $78,462.67 $62,101.33 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 5 4 — — $37,603.76 $77,899.76 $61,655.80 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 5 4 — — $37,504.60 $77,694.34 $61,493.21 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 5 4 — — $37,371.96 $77,419.56 $61,275.73 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 5 4 — — $37,348.78 $77,371.54 $61,237.72 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 5 4 — — $37,183.94 $77,030.06 $60,967.45 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 5 4 — — $37,165.91 $76,992.71 $60,937.89 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 5 4 — — $37,111.82 $76,880.66 $60,849.21 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 5 4 — — $36,962.44 $76,571.20 $60,604.27 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 5 4 — — $36,708.74 $76,045.64 $60,188.31 2026-04-01
800 MS_DRG Splenic Procedures With Cc 5 4 — — $36,179.45 $74,949.17 $59,320.48 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 5 4 — — $36,049.39 $74,679.73 $59,107.22 2026-04-01
503 MS_DRG Foot Procedures With Mcc 5 4 — — $35,943.79 $74,460.97 $58,934.08 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 5 4 — — $35,696.53 $73,948.75 $58,528.67 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 5 4 — — $35,505.93 $73,553.91 $58,216.17 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 5 4 — — $35,397.76 $73,329.82 $58,038.80 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 5 4 — — $35,388.74 $73,311.14 $58,024.02 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 5 4 — — $35,205.88 $72,932.32 $57,724.19 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 5 4 — — $35,038.46 $72,585.50 $57,449.69 2026-04-01
849 MS_DRG Radiotherapy 5 4 — — $34,892.94 $72,284.04 $57,211.09 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 5 4 — — $34,737.12 $71,961.24 $56,955.60 2026-04-01
J9266 HCPCS Pegaspargase Injection 5 4 — — $44,401.22 $56,848.12 $56,848.12 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 5 4 — — $34,255.48 $70,963.48 $56,165.90 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 5 4 — — $34,135.71 $70,715.37 $55,969.53 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 5 4 — — $33,964.44 $70,360.56 $55,688.70 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 5 4 — — $33,426.14 $69,245.42 $54,806.09 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 5 4 — — $33,386.22 $69,162.72 $54,740.64 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 5 4 — — $33,261.30 $68,903.94 $54,535.82 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 5 4 — — $33,214.94 $68,807.90 $54,459.81 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 5 4 — — $33,214.94 $68,807.90 $54,459.81 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 5 4 — — $33,065.55 $68,498.43 $54,214.87 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 5 4 — — $32,877.53 $68,108.93 $53,906.60 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 5 4 — — $32,721.71 $67,786.13 $53,651.10 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 5 4 — — $32,659.90 $67,658.08 $53,549.75 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 5 4 — — $32,504.07 $67,335.27 $53,294.26 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 5 4 — — $32,489.91 $67,305.93 $53,271.03 2026-04-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 5 4 — — $32,090.69 $66,478.91 $52,616.47 2026-04-01
545 MS_DRG Connective Tissue Disorders With Mcc 5 4 — — $31,959.33 $66,206.79 $52,401.10 2026-04-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 5 4 — — $31,669.58 $65,606.54 $51,926.01 2026-04-01
783 MS_DRG Cesarean Section With Sterilization With Mcc 5 4 — — $31,616.78 $65,497.16 $51,839.44 2026-04-01
792 MS_DRG Prematurity Without Major Problems 5 4 — — $31,540.80 $65,339.76 $51,714.86 2026-04-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 5 4 — — $31,476.41 $65,206.37 $51,609.28 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 5 4 — — $31,439.06 $65,129.00 $51,548.05 2026-04-01
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 5 4 — — $31,193.09 $64,619.45 $51,144.75 2026-04-01
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 5 4 — — $31,091.36 $64,408.70 $50,977.94 2026-04-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 5 4 — — $30,975.45 $64,168.59 $50,787.91 2026-04-01
397 MS_DRG Appendix Procedures With Mcc 5 4 — — $30,841.52 $63,891.14 $50,568.31 2026-04-01
35 MS_DRG Carotid Artery Stent Procedures With Cc 5 4 — — $30,784.86 $63,773.76 $50,475.41 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 5 4 — — $30,732.06 $63,664.38 $50,388.84 2026-04-01
113 MS_DRG Orbital Procedures With Cc/Mcc 5 4 — — $30,277.47 $62,722.65 $49,643.48 2026-04-01
333 MS_DRG Rectal Resection With Cc 5 4 — — $30,162.85 $62,485.21 $49,455.55 2026-04-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 5 4 — — $30,116.49 $62,389.17 $49,379.54 2026-04-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 5 4 — — $30,094.60 $62,343.82 $49,343.64 2026-04-01
709 MS_DRG Penis Procedures With Cc/Mcc 5 4 — — $29,968.39 $62,082.37 $49,136.72 2026-04-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 5 4 — — $29,947.79 $62,039.69 $49,102.93 2026-04-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 5 4 — — $29,916.88 $61,975.66 $49,052.26 2026-04-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 5 4 — — $29,763.63 $61,658.19 $48,800.99 2026-04-01
347 MS_DRG Anal And Stomal Procedures With Mcc 5 4 — — $29,562.74 $61,242.02 $48,471.59 2026-04-01
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 5 4 — — $29,553.72 $61,223.34 $48,456.81 2026-04-01
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 5 4 — — $29,433.96 $60,975.24 $48,260.44 2026-04-01
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 5 4 — — $29,382.44 $60,868.52 $48,175.98 2026-04-01
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 5 4 — — $29,306.46 $60,711.12 $48,051.41 2026-04-01
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 5 4 — — $29,176.40 $60,441.68 $47,838.14 2026-04-01
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 5 4 — — $28,828.69 $59,721.37 $47,268.04 2026-04-01
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/Mcc 5 4 — — $28,811.95 $59,686.69 $47,240.59 2026-04-01
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/Mcc 5 4 — — $28,584.01 $59,214.49 $46,866.85 2026-04-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 5 4 — — $28,496.44 $59,033.08 $46,723.27 2026-04-01
934 MS_DRG Full Thickness Burn Without Skin Graft Or Inhalation Injury 5 4 — — $28,468.11 $58,974.39 $46,676.82 2026-04-01
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 5 4 — — $28,433.34 $58,902.36 $46,619.81 2026-04-01
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 5 4 — — $28,314.86 $58,656.92 $46,425.55 2026-04-01
30 MS_DRG Spinal Procedures Without Cc/Mcc 5 4 — — $28,269.79 $58,563.55 $46,351.65 2026-04-01
614 MS_DRG Adrenal And Pituitary Procedures With Cc/Mcc 5 4 — — $28,226.00 $58,472.84 $46,279.86 2026-04-01
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 5 4 — — $28,175.78 $58,368.80 $46,197.51 2026-04-01
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 5 4 — — $28,106.24 $58,224.74 $46,083.49 2026-04-01
141 MS_DRG Major Head And Neck Procedures With Cc 5 4 — — $28,088.21 $58,187.39 $46,053.93 2026-04-01
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 5 4 — — $28,058.59 $58,126.03 $46,005.36 2026-04-01
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 5 4 — — $28,039.27 $58,086.01 $45,973.69 2026-04-01
135 MS_DRG Sinus And Mastoid Procedures With Cc/Mcc 5 4 — — $27,945.26 $57,891.26 $45,819.55 2026-04-01
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 5 4 — — $27,578.24 $57,130.94 $45,217.77 2026-04-01
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/Mcc 5 4 — — $27,567.93 $57,109.59 $45,200.88 2026-04-01
32 MS_DRG Ventricular Shunt Procedures With Cc 5 4 — — $27,443.02 $56,850.82 $44,996.07 2026-04-01
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 5 4 — — $27,441.73 $56,848.15 $44,993.95 2026-04-01
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/Mcc 5 4 — — $27,430.14 $56,824.14 $44,974.95 2026-04-01
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 5 4 — — $27,387.64 $56,736.10 $44,905.27 2026-04-01
595 MS_DRG Major Skin Disorders With Mcc 5 4 — — $27,310.37 $56,576.03 $44,778.58 2026-04-01
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 5 4 — — $27,267.88 $56,488.00 $44,708.90 2026-04-01
655 MS_DRG Major Bladder Procedures Without Cc/Mcc 5 4 — — $27,257.57 $56,466.65 $44,692.01 2026-04-01
336 MS_DRG Peritoneal Adhesiolysis With Cc 5 4 — — $27,155.84 $56,255.90 $44,525.20 2026-04-01
412 MS_DRG Cholecystectomy With C.d.e. With Cc 5 4 — — $27,076.00 $56,090.50 $44,394.29 2026-04-01
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 5 4 — — $26,972.97 $55,877.07 $44,225.37 2026-04-01
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 5 4 — — $26,956.23 $55,842.39 $44,197.92 2026-04-01
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 5 4 — — $26,929.19 $55,786.37 $44,153.58 2026-04-01
838 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Che… 5 4 — — $26,881.54 $55,687.66 $44,075.45 2026-04-01
835 MS_DRG Acute Leukemia With Cc 5 4 — — $26,860.93 $55,644.97 $44,041.67 2026-04-01
711 MS_DRG Testes Procedures With Cc/Mcc 5 4 — — $26,835.18 $55,591.62 $43,999.44 2026-04-01
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 5 4 — — $26,778.51 $55,474.23 $43,906.53 2026-04-01
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 5 4 — — $26,761.77 $55,439.55 $43,879.08 2026-04-01
886 MS_DRG Behavioral And Developmental Disorders 5 4 — — $26,725.71 $55,364.85 $43,819.96 2026-04-01
415 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 5 4 — — $26,614.96 $55,135.42 $43,638.37 2026-04-01
737 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 5 4 — — $26,536.41 $54,972.69 $43,509.57 2026-04-01
935 MS_DRG Non-extensive Burns 5 4 — — $26,528.68 $54,956.68 $43,496.90 2026-04-01
744 MS_DRG D&c, Conization, Laparoscopy And Tubal Interruption With Cc/Mcc 5 4 — — $26,388.31 $54,665.89 $43,266.75 2026-04-01
941 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/… 5 4 — — $26,112.72 $54,094.98 $42,814.89 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 4 3 — — $933,279.34 $1,156,649.16 $1,156,649.16 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 4 3 — — $909,675.26 $1,106,757.66 $1,106,757.66 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 4 3 — — $852,201.85 $1,083,271.32 $1,083,271.31 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 4 3 — — $871,715.51 $1,082,520.90 $1,082,520.89 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 4 3 — — $807,703.30 $1,066,152.96 $1,066,152.95 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 4 3 — — $805,284.99 $979,440.00 $979,440.00 2026-04-01
Q2057 HCPCS Afamitresgene Autoleucel 3 2 — — $1,541,240.00 $1,541,240.00 $1,541,240.00 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 3 3 — — $102,820.55 $120,116.70 $105,841.78 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 3 3 — — $93,760.51 $107,421.88 $104,355.54 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 2 2 — — $4,502,400.00 $4,897,200.00 $4,699,800.00 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 2 2 — — $3,845,862.75 $3,965,706.94 $3,905,784.84 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 2 2 — — $3,537,600.00 $3,847,800.00 $3,692,700.00 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 1 1 — — $4,984,800.00 $4,984,800.00 $4,984,800.00 2026-04-01
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 1 1 — — $422,100.00 $422,100.00 $422,100.00 2026-04-01
90288 HCPCS Botulism Ig IV 1 1 — — $76,782.00 $76,782.00 $76,782.00 2026-04-01
A9699 HCPCS Radiopharm Rx Agent Noc 1 1 — — $74,614.73 $74,614.73 $74,614.73 2026-04-01
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