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 →

Export CSV
Hospital

CHI HEALTH MISSOURI VALLEY

Missouri Valley, IA · CCN 161309 · Rates published

5,829 distinct procedures filed
20 distinct payers
2,093,246 rate rows
2026-02-28 last MRF observed
Data quality

2,076,066 of 2,093,246 rate rows are consumer-grade (99.2%)

17,180 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
per-diem day rate — not a per-procedure price 12,394
template filing: same amount across many unrelated codes — excluded 4,328
placeholder amount (≤ $0.02) — excluded from medians 294
exceeds 10× this hospital's gross charge — excluded from medians 102
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 62
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.chihealth.com/content/dam/chihealthcom/documents/patients-and-visitors/financial-assistance/price-transparency-standard-charges/420776568_chi-health-missouri-valley_standardcharges.json
Found on page https://www.chihealth.com/patients-visitors/financial-assistance
Discovered viaCMS hospital list
Last fetch not_modified · 2026-05-17
Content fingerprint 65daad8b614af2f2… · 227,005,854 bytes · first seen 2026-05-09

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 15 $614,988.00 $639,587.52 $627,287.76 nat. median
$370,174
1.7× median
J0225
HCPCS 		Vutrisiran 25 Mg/0.5 Ml Subcutaneous Syringe 20 $208,864.25 $584,819.90 $543,047.05 nat. median
$8,223
outlier · 66.0×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 15 $483,304.00 $502,636.16 $492,970.08 nat. median
$265,286
1.9× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 15 $346,480.00 $360,339.20 $353,409.60 nat. median
$206,368
1.7× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 15 $265,799.00 $276,430.96 $271,114.98 nat. median
$100,136
outlier · 2.7×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth… 15 $254,964.00 $265,162.56 $260,063.28 nat. median
$202,986
1.3× median
7
MS_DRG 		Lung Transplant 15 $253,695.00 $263,842.80 $258,768.90 nat. median
$122,708
outlier · 2.1×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 15 $240,248.00 $249,857.92 $245,052.96 nat. median
$108,660
outlier · 2.3×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 15 $230,695.00 $239,922.80 $235,308.90 nat. median
$117,303
outlier · 2.0×
8
MS_DRG 		Simultaneous Pancreas And Kidney Transplant 15 $226,230.00 $235,279.20 $230,754.60 nat. median
$53,171
outlier · 4.3×
652
MS_DRG 		Kidney Transplant 15 $224,379.00 $233,354.16 $228,866.58 nat. median
$31,494
outlier · 7.3×
A9513
HCPCS 		Lutetium Lu 177 Dotatate 10 Mci/ml (370 Mbq/ml) Intravenous Solution 20 $279.48 $232,750.00 $216,125.00 nat. median
$468
outlier · 462.1×
J1823
HCPCS 		Inebilizumab-cdon 10 Mg/ml Intravenous Solution 20 $473.51 $213,966.34 $198,683.03 nat. median
$798
outlier · 248.9×
J2351
HCPCS 		Ocrelizumab 920 Mg-hyaluronidase-ocsq 23000 Unit/23 Ml Subcut Soln 20 $72,243.36 $202,281.40 $187,832.73 nat. median
$78
outlier · 2409.7×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 15 $183,960.00 $191,318.40 $187,639.20 nat. median
$93,672
outlier · 2.0×
C9293
HCPCS 		Glucarpidase 1000 Unit Intravenous Solution 20 $384.80 $201,752.60 $187,341.70 nat. median
$21,340
outlier · 8.8×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck… 15 $167,132.00 $173,817.28 $170,474.64 nat. median
$133,176
1.3× median
650
MS_DRG 		Kidney Transplant With Hemodialysis With Mcc 15 $159,791.00 $166,182.64 $162,986.82 nat. median
$45,278
outlier · 3.6×
6
MS_DRG 		Liver Transplant Without Mcc 15 $149,515.00 $155,495.60 $152,505.30 nat. median
$46,260
outlier · 3.3×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 15 $140,502.00 $146,122.08 $143,312.04 nat. median
$77,576
1.8× median
215
MS_DRG 		Other Heart Assist System Implant 15 $135,554.00 $140,976.16 $138,265.08 nat. median
$99,019
1.4× median
224
MS_DRG 		No Active Code Description 15 $132,766.00 $138,076.64 $135,421.32 nat. median
$54,196
outlier · 2.5×
222
MS_DRG 		No Active Code Description 15 $122,554.00 $127,456.16 $125,005.08 nat. median
$63,570
2.0× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 15 $119,173.00 $123,939.92 $121,556.46 nat. median
$81,118
1.5× median
J1747
HCPCS 		Spesolimab-sbzo 60 Mg/ml Intravenous Solution 20 $44,741.39 $125,275.87 $116,327.60 nat. median
$94
outlier · 1240.4×
21
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 15 $110,648.00 $115,073.92 $112,860.96 nat. median
$54,066
outlier · 2.1×
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 15 $109,753.00 $114,143.12 $111,948.06 nat. median
$71,240
1.6× median
453
MS_DRG 		No Active Code Description 15 $106,563.00 $110,825.52 $108,694.26 nat. median
$87,411
1.2× median
16
MS_DRG 		Autologous Bone Marrow Transplant With Cc/mcc 15 $106,545.00 $110,806.80 $108,675.90 nat. median
$56,920
1.9× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 15 $104,774.00 $108,964.96 $106,869.48 nat. median
$79,312
1.3× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 15 $103,366.00 $107,500.64 $105,433.32 nat. median
$66,526
1.6× median
834
MS_DRG 		Acute Leukemia With Mcc 15 $102,597.00 $106,700.88 $104,648.94 nat. median
$53,173
2.0× median
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 15 $102,111.00 $106,195.44 $104,153.22 nat. median
$59,899
1.7× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 15 $102,109.00 $106,193.36 $104,151.18 nat. median
$60,726
1.7× median
461
MS_DRG 		Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 15 $100,078.00 $104,081.12 $102,079.56 nat. median
$55,736
1.8× median
226
MS_DRG 		No Active Code Description 15 $98,463.00 $102,401.52 $100,432.26 nat. median
$49,935
outlier · 2.0×
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 15 $97,494.00 $101,393.76 $99,443.88 nat. median
$72,138
1.4× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 15 $96,621.00 $100,485.84 $98,553.42 nat. median
$74,915
1.3× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 15 $95,346.00 $99,159.84 $97,252.92 nat. median
$60,185
1.6× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 15 $95,086.00 $98,889.44 $96,987.72 nat. median
$64,510
1.5× median
820
MS_DRG 		Lymphoma And Leukemia With Major O.r. Procedures With Mcc 15 $93,698.00 $97,445.92 $95,571.96 nat. median
$56,697
1.7× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 15 $91,593.00 $95,256.72 $93,424.86 nat. median
$64,732
1.4× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 15 $91,226.00 $94,875.04 $93,050.52 nat. median
$59,793
1.6× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 15 $90,374.00 $93,988.96 $92,181.48 nat. median
$62,134
1.5× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 15 $89,121.00 $92,685.84 $90,903.42 nat. median
$73,807
1.2× median
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 15 $88,445.00 $91,982.80 $90,213.90 nat. median
$55,929
1.6× median
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 15 $88,047.00 $91,568.88 $89,807.94 nat. median
$58,024
1.5× median
J2350
HCPCS 		Ocrelizumab 30 Mg/ml Intravenous Solution 20 $58.76 $96,600.07 $89,700.07 nat. median
$712
outlier · 126.0×
228
MS_DRG 		Other Cardiothoracic Procedures With Mcc 15 $87,057.00 $90,539.28 $88,798.14 nat. median
$50,673
1.8× median
458
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 15 $86,548.00 $90,009.92 $88,278.96 nat. median
$42,730
outlier · 2.1×

Other procedures at this hospital

Browse this hospital's 5,829 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 50 15 — — $483,304.00 $502,636.16 $492,970.08 2026-02-28
10 MS_DRG Pancreas Transplant 50 15 — — $59,600.00 $61,984.00 $60,792.00 2026-02-28
11 MS_DRG Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy With Mcc 50 15 — — $58,116.00 $60,440.64 $59,278.32 2026-02-28
113 MS_DRG Orbital Procedures With Cc/mcc 50 15 — — $36,110.00 $37,554.40 $36,832.20 2026-02-28
12 MS_DRG Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy With Cc 50 15 — — $42,978.00 $44,697.12 $43,837.56 2026-02-28
13 MS_DRG Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 50 15 — — $38,958.00 $40,516.32 $39,737.16 2026-02-28
135 MS_DRG Sinus And Mastoid Procedures With Cc/mcc 50 15 — — $35,267.00 $36,677.68 $35,972.34 2026-02-28
14 MS_DRG Allogeneic Bone Marrow Transplant 50 15 — — $230,695.00 $239,922.80 $235,308.90 2026-02-28
140 MS_DRG Major Head And Neck Procedures With Mcc 50 15 — — $52,617.00 $54,721.68 $53,669.34 2026-02-28
143 MS_DRG Other Ear Nose Mouth And Throat O.r. Procedures With Mcc 50 15 — — $40,819.00 $42,451.76 $41,635.38 2026-02-28
146 MS_DRG Ear Nose Mouth And Throat Malignancy With Mcc 50 15 — — $33,495.00 $34,834.80 $34,164.90 2026-02-28
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 50 15 — — $106,545.00 $110,806.80 $108,675.90 2026-02-28
163 MS_DRG Major Chest Procedures With Mcc 50 15 — — $67,131.00 $69,816.24 $68,473.62 2026-02-28
164 MS_DRG Major Chest Procedures With Cc 50 15 — — $36,952.00 $38,430.08 $37,691.04 2026-02-28
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 50 15 — — $51,204.00 $53,252.16 $52,228.08 2026-02-28
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 50 15 — — $64,990.00 $67,589.60 $66,289.80 2026-02-28
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 50 15 — — $614,988.00 $639,587.52 $627,287.76 2026-02-28
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 50 15 — — $109,753.00 $114,143.12 $111,948.06 2026-02-28
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 50 15 — — $240,248.00 $249,857.92 $245,052.96 2026-02-28
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 50 15 — — $140,502.00 $146,122.08 $143,312.04 2026-02-28
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 50 15 — — $90,374.00 $93,988.96 $92,181.48 2026-02-28
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 50 15 — — $30,785.00 $32,016.40 $31,400.70 2026-02-28
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 50 15 — — $110,648.00 $115,073.92 $112,860.96 2026-02-28
215 MS_DRG Other Heart Assist System Implant 50 15 — — $135,554.00 $140,976.16 $138,265.08 2026-02-28
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 50 15 — — $183,960.00 $191,318.40 $187,639.20 2026-02-28
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 50 15 — — $95,086.00 $98,889.44 $96,987.72 2026-02-28
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 50 15 — — $86,368.00 $89,822.72 $88,095.36 2026-02-28
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 50 15 — — $96,621.00 $100,485.84 $98,553.42 2026-02-28
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 50 15 — — $80,062.00 $83,264.48 $81,663.24 2026-02-28
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 50 15 — — $77,899.00 $81,014.96 $79,456.98 2026-02-28
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 50 15 — — $66,515.00 $69,175.60 $67,845.30 2026-02-28
222 MS_DRG No Active Code Description 50 15 — — $122,554.00 $127,456.16 $125,005.08 2026-02-28
223 MS_DRG No Active Code Description 50 15 — — $76,476.00 $79,535.04 $78,005.52 2026-02-28
224 MS_DRG No Active Code Description 50 15 — — $132,766.00 $138,076.64 $135,421.32 2026-02-28
225 MS_DRG No Active Code Description 50 15 — — $83,106.00 $86,430.24 $84,768.12 2026-02-28
226 MS_DRG No Active Code Description 50 15 — — $98,463.00 $102,401.52 $100,432.26 2026-02-28
227 MS_DRG No Active Code Description 50 15 — — $68,068.00 $70,790.72 $69,429.36 2026-02-28
228 MS_DRG Other Cardiothoracic Procedures With Mcc 50 15 — — $87,057.00 $90,539.28 $88,798.14 2026-02-28
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 50 15 — — $50,771.00 $52,801.84 $51,786.42 2026-02-28
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 50 15 — — $88,445.00 $91,982.80 $90,213.90 2026-02-28
231 MS_DRG Coronary Bypass With Ptca With Mcc 50 15 — — $104,774.00 $108,964.96 $106,869.48 2026-02-28
232 MS_DRG Coronary Bypass With Ptca Without Mcc 50 15 — — $102,111.00 $106,195.44 $104,153.22 2026-02-28
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 50 15 — — $89,121.00 $92,685.84 $90,903.42 2026-02-28
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 50 15 — — $78,454.00 $81,592.16 $80,023.08 2026-02-28
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 50 15 — — $73,671.00 $76,617.84 $75,144.42 2026-02-28
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 50 15 — — $60,888.00 $63,323.52 $62,105.76 2026-02-28
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 50 15 — — $74,052.00 $77,014.08 $75,533.04 2026-02-28
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 50 15 — — $56,441.00 $58,698.64 $57,569.82 2026-02-28
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 50 15 — — $43,299.00 $45,030.96 $44,164.98 2026-02-28
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 50 15 — — $48,307.00 $50,239.28 $49,273.14 2026-02-28
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 50 15 — — $38,449.00 $39,986.96 $39,217.98 2026-02-28
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/mcc 50 15 — — $29,530.00 $30,711.20 $30,120.60 2026-02-28
245 MS_DRG Aicd Generator Procedures 50 15 — — $74,053.00 $77,015.12 $75,534.06 2026-02-28
246 MS_DRG No Active Code Description 50 15 — — $42,194.00 $43,881.76 $43,037.88 2026-02-28
248 MS_DRG No Active Code Description 50 15 — — $48,773.00 $50,723.92 $49,748.46 2026-02-28
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 50 15 — — $62,053.00 $64,535.12 $63,294.06 2026-02-28
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 50 15 — — $29,715.00 $30,903.60 $30,309.30 2026-02-28
252 MS_DRG Other Vascular Procedures With Mcc 50 15 — — $54,661.00 $56,847.44 $55,754.22 2026-02-28
253 MS_DRG Other Vascular Procedures With Cc 50 15 — — $40,460.00 $42,078.40 $41,269.20 2026-02-28
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 50 15 — — $52,740.00 $54,849.60 $53,794.80 2026-02-28
259 MS_DRG Cardiac Pacemaker Device Replacement Without Mcc 50 15 — — $29,780.00 $30,971.20 $30,375.60 2026-02-28
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 50 15 — — $45,353.00 $47,167.12 $46,260.06 2026-02-28
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 50 15 — — $45,961.00 $47,799.44 $46,880.22 2026-02-28
263 MS_DRG Vein Ligation And Stripping 50 15 — — $37,970.00 $39,488.80 $38,729.40 2026-02-28
264 MS_DRG Other Circulatory System O.r. Procedures 50 15 — — $40,175.00 $41,782.00 $40,978.50 2026-02-28
265 MS_DRG Aicd Lead Procedures 50 15 — — $49,822.00 $51,814.88 $50,818.44 2026-02-28
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 50 15 — — $102,109.00 $106,193.36 $104,151.18 2026-02-28
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 50 15 — — $85,856.00 $89,290.24 $87,573.12 2026-02-28
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 50 15 — — $85,966.00 $89,404.64 $87,685.32 2026-02-28
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 50 15 — — $48,909.00 $50,865.36 $49,887.18 2026-02-28
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 50 15 — — $33,677.00 $35,024.08 $34,350.54 2026-02-28
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 50 15 — — $78,194.00 $81,321.76 $79,757.88 2026-02-28
271 MS_DRG Other Major Cardiovascular Procedures With Cc 50 15 — — $56,069.00 $58,311.76 $57,190.38 2026-02-28
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 50 15 — — $36,823.00 $38,295.92 $37,559.46 2026-02-28
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 50 15 — — $41,931.00 $43,608.24 $42,769.62 2026-02-28
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 50 15 — — $41,931.00 $43,608.24 $42,769.62 2026-02-28
28 MS_DRG Spinal Procedures With Mcc 50 15 — — $60,974.00 $63,412.96 $62,193.48 2026-02-28
286 MS_DRG Circulatory Disorders Except Ami With Cardiac Catheterization With Mcc 50 15 — — $30,416.00 $31,632.64 $31,024.32 2026-02-28
288 MS_DRG Acute And Subacute Endocarditis With Mcc 50 15 — — $31,238.00 $32,487.52 $31,862.76 2026-02-28
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 50 15 — — $35,978.00 $37,417.12 $36,697.56 2026-02-28
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth … 50 15 — — $254,964.00 $265,162.56 $260,063.28 2026-02-28
30 MS_DRG Spinal Procedures Without Cc/mcc 50 15 — — $30,571.00 $31,793.84 $31,182.42 2026-02-28
306 MS_DRG Cardiac Congenital And Valvular Disorders With Mcc 50 15 — — $30,719.00 $31,947.76 $31,333.38 2026-02-28
31 MS_DRG Ventricular Shunt Procedures With Mcc 50 15 — — $38,976.00 $40,535.04 $39,755.52 2026-02-28
314 MS_DRG Other Circulatory System Diagnoses With Mcc 50 15 — — $28,889.00 $30,044.56 $29,466.78 2026-02-28
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 50 15 — — $71,102.00 $73,946.08 $72,524.04 2026-02-28
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 50 15 — — $40,259.00 $41,869.36 $41,064.18 2026-02-28
326 MS_DRG Stomach Esophageal And Duodenal Procedures With Mcc 50 15 — — $55,229.00 $57,438.16 $56,333.58 2026-02-28
327 MS_DRG Stomach Esophageal And Duodenal Procedures With Cc 50 15 — — $28,845.00 $29,998.80 $29,421.90 2026-02-28
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 50 15 — — $55,580.00 $57,803.20 $56,691.60 2026-02-28
330 MS_DRG Major Small And Large Bowel Procedures With Cc 50 15 — — $33,893.00 $35,248.72 $34,570.86 2026-02-28
332 MS_DRG Rectal Resection With Mcc 50 15 — — $68,531.00 $71,272.24 $69,901.62 2026-02-28
333 MS_DRG Rectal Resection With Cc 50 15 — — $35,051.00 $36,453.04 $35,752.02 2026-02-28
335 MS_DRG Peritoneal Adhesiolysis With Mcc 50 15 — — $46,580.00 $48,443.20 $47,511.60 2026-02-28
336 MS_DRG Peritoneal Adhesiolysis With Cc 50 15 — — $31,490.00 $32,749.60 $32,119.80 2026-02-28
34 MS_DRG Carotid Artery Stent Procedures With Mcc 50 15 — — $40,387.00 $42,002.48 $41,194.74 2026-02-28
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 50 15 — — $46,144.00 $47,989.76 $47,066.88 2026-02-28
347 MS_DRG Anal And Stomal Procedures With Mcc 50 15 — — $40,554.00 $42,176.16 $41,365.08 2026-02-28
35 MS_DRG Carotid Artery Stent Procedures With Cc 50 15 — — $32,312.00 $33,604.48 $32,958.24 2026-02-28
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 50 15 — — $29,049.00 $30,210.96 $29,629.98 2026-02-28
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 50 15 — — $33,175.00 $34,502.00 $33,838.50 2026-02-28
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 50 15 — — $52,630.00 $54,735.20 $53,682.60 2026-02-28
357 MS_DRG Other Digestive System O.r. Procedures With Cc 50 15 — — $34,320.00 $35,692.80 $35,006.40 2026-02-28
37 MS_DRG Extracranial Procedures With Mcc 50 15 — — $34,305.00 $35,677.20 $34,991.10 2026-02-28
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck… 50 15 — — $167,132.00 $173,817.28 $170,474.64 2026-02-28
40 MS_DRG Peripheral Cranial Nerve And Other Nervous System Procedures With Mcc 50 15 — — $44,856.00 $46,650.24 $45,753.12 2026-02-28
405 MS_DRG Pancreas Liver And Shunt Procedures With Mcc 50 15 — — $67,401.00 $70,097.04 $68,749.02 2026-02-28
406 MS_DRG Pancreas Liver And Shunt Procedures With Cc 50 15 — — $40,905.00 $42,541.20 $41,723.10 2026-02-28
407 MS_DRG Pancreas Liver And Shunt Procedures Without Cc/mcc 50 15 — — $28,904.00 $30,060.16 $29,482.08 2026-02-28
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 50 15 — — $46,628.00 $48,493.12 $47,560.56 2026-02-28
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 50 15 — — $46,628.00 $48,493.12 $47,560.56 2026-02-28
41 MS_DRG Peripheral Cranial Nerve And Other Nervous System Procedures With Cc Or Peripher… 50 15 — — $32,495.00 $33,794.80 $33,144.90 2026-02-28
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 50 15 — — $61,821.00 $64,293.84 $63,057.42 2026-02-28
412 MS_DRG Cholecystectomy With C.d.e. With Cc 50 15 — — $37,492.00 $38,991.68 $38,241.84 2026-02-28
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 50 15 — — $36,612.00 $38,076.48 $37,344.24 2026-02-28
415 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 50 15 — — $29,673.00 $30,859.92 $30,266.46 2026-02-28
416 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. Without Cc/mcc 50 15 — — $28,422.00 $29,558.88 $28,990.44 2026-02-28
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 50 15 — — $57,894.00 $60,209.76 $59,051.88 2026-02-28
421 MS_DRG Hepatobiliary Diagnostic Procedures With Cc 50 15 — — $31,449.00 $32,706.96 $32,077.98 2026-02-28
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 50 15 — — $58,095.00 $60,418.80 $59,256.90 2026-02-28
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 50 15 — — $37,589.00 $39,092.56 $38,340.78 2026-02-28
453 MS_DRG No Active Code Description 50 15 — — $106,563.00 $110,825.52 $108,694.26 2026-02-28
454 MS_DRG No Active Code Description 50 15 — — $71,579.00 $74,442.16 $73,010.58 2026-02-28
455 MS_DRG No Active Code Description 50 15 — — $58,515.00 $60,855.60 $59,685.30 2026-02-28
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 50 15 — — $119,173.00 $123,939.92 $121,556.46 2026-02-28
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 50 15 — — $88,047.00 $91,568.88 $89,807.94 2026-02-28
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 50 15 — — $86,548.00 $90,009.92 $88,278.96 2026-02-28
459 MS_DRG No Active Code Description 50 15 — — $77,917.00 $81,033.68 $79,475.34 2026-02-28
460 MS_DRG No Active Code Description 50 15 — — $51,706.00 $53,774.24 $52,740.12 2026-02-28
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 50 15 — — $100,078.00 $104,081.12 $102,079.56 2026-02-28
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 50 15 — — $54,336.00 $56,509.44 $55,422.72 2026-02-28
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 50 15 — — $55,186.00 $57,393.44 $56,289.72 2026-02-28
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 50 15 — — $40,885.00 $42,520.40 $41,702.70 2026-02-28
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 50 15 — — $57,102.00 $59,386.08 $58,244.04 2026-02-28
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 50 15 — — $55,908.00 $58,144.32 $57,026.16 2026-02-28
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 50 15 — — $45,482.00 $47,301.28 $46,391.64 2026-02-28
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 50 15 — — $42,764.00 $44,474.56 $43,619.28 2026-02-28
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 50 15 — — $32,248.00 $33,537.92 $32,892.96 2026-02-28
471 MS_DRG Cervical Spinal Fusion With Mcc 50 15 — — $67,187.00 $69,874.48 $68,530.74 2026-02-28
472 MS_DRG Cervical Spinal Fusion With Cc 50 15 — — $39,445.00 $41,022.80 $40,233.90 2026-02-28
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 50 15 — — $30,744.00 $31,973.76 $31,358.88 2026-02-28
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 50 15 — — $40,638.00 $42,263.52 $41,450.76 2026-02-28
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 50 15 — — $34,720.00 $36,108.80 $35,414.40 2026-02-28
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 50 15 — — $32,681.00 $33,988.24 $33,334.62 2026-02-28
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 50 15 — — $45,961.00 $47,799.44 $46,880.22 2026-02-28
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 50 15 — — $33,643.00 $34,988.72 $34,315.86 2026-02-28
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 50 15 — — $38,283.00 $39,814.32 $39,048.66 2026-02-28
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 50 15 — — $39,814.00 $41,406.56 $40,610.28 2026-02-28
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 50 15 — — $32,719.00 $34,027.76 $33,373.38 2026-02-28
488 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection With Cc/mcc 50 15 — — $31,699.00 $32,966.96 $32,332.98 2026-02-28
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip Foot And Femur With Mcc 50 15 — — $59,614.00 $61,998.56 $60,806.28 2026-02-28
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip Foot And Femur With Cc 50 15 — — $35,519.00 $36,939.76 $36,229.38 2026-02-28
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 50 15 — — $59,872.00 $62,266.88 $61,069.44 2026-02-28
496 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 50 15 — — $29,262.00 $30,432.48 $29,847.24 2026-02-28
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 50 15 — — $42,576.00 $44,279.04 $43,427.52 2026-02-28
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 50 15 — — $265,799.00 $276,430.96 $271,114.98 2026-02-28
500 MS_DRG Soft Tissue Procedures With Mcc 50 15 — — $32,398.00 $33,693.92 $33,045.96 2026-02-28
503 MS_DRG Foot Procedures With Mcc 50 15 — — $43,308.00 $45,040.32 $44,174.16 2026-02-28
507 MS_DRG Major Shoulder Or Elbow Joint Procedures With Cc/mcc 50 15 — — $33,317.00 $34,649.68 $33,983.34 2026-02-28
510 MS_DRG Shoulder Elbow Or Forearm Procedures Except Major Joint Procedures With Mcc 50 15 — — $37,948.00 $39,465.92 $38,706.96 2026-02-28
511 MS_DRG Shoulder Elbow Or Forearm Procedures Except Major Joint Procedures With Cc 50 15 — — $33,544.00 $34,885.76 $34,214.88 2026-02-28
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 50 15 — — $43,514.00 $45,254.56 $44,384.28 2026-02-28
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 50 15 — — $30,067.00 $31,269.68 $30,668.34 2026-02-28
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 50 15 — — $48,573.00 $50,515.92 $49,544.46 2026-02-28
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 50 15 — — $37,988.00 $39,507.52 $38,747.76 2026-02-28
548 MS_DRG Septic Arthritis With Mcc 50 15 — — $33,437.00 $34,774.48 $34,105.74 2026-02-28
56 MS_DRG Degenerative Nervous System Disorders With Mcc 50 15 — — $34,359.00 $35,733.36 $35,046.18 2026-02-28
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 50 15 — — $91,226.00 $94,875.04 $93,050.52 2026-02-28
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 50 15 — — $34,675.00 $36,062.00 $35,368.50 2026-02-28
575 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis Without Cc/mcc 50 15 — — $29,013.00 $30,173.52 $29,593.26 2026-02-28
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 50 15 — — $83,364.00 $86,698.56 $85,031.28 2026-02-28
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 50 15 — — $29,924.00 $31,120.96 $30,522.48 2026-02-28
579 MS_DRG Other Skin Subcutaneous Tissue And Breast Procedures With Mcc 50 15 — — $29,064.00 $30,226.56 $29,645.28 2026-02-28
58 MS_DRG Multiple Sclerosis And Cerebellar Ataxia With Mcc 50 15 — — $28,611.00 $29,755.44 $29,183.22 2026-02-28
595 MS_DRG Major Skin Disorders With Mcc 50 15 — — $33,149.00 $34,474.96 $33,811.98 2026-02-28
6 MS_DRG Liver Transplant Without Mcc 50 15 — — $149,515.00 $155,495.60 $152,505.30 2026-02-28
61 MS_DRG Ischemic Stroke Precerebral Occlusion Or Transient Ischemia With Thrombolytic Ag… 50 15 — — $40,142.00 $41,747.68 $40,944.84 2026-02-28
614 MS_DRG Adrenal And Pituitary Procedures With Cc/mcc 50 15 — — $42,306.00 $43,998.24 $43,152.12 2026-02-28
616 MS_DRG Amputation Of Lower Limb For Endocrine Nutritional And Metabolic Disorders With … 50 15 — — $34,236.00 $35,605.44 $34,920.72 2026-02-28
619 MS_DRG O.r. Procedures For Obesity With Mcc 50 15 — — $41,542.00 $43,203.68 $42,372.84 2026-02-28
62 MS_DRG Ischemic Stroke Precerebral Occlusion Or Transient Ischemia With Thrombolytic Ag… 50 15 — — $33,345.00 $34,678.80 $34,011.90 2026-02-28
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine Nutritional And Metabolic Disord… 50 15 — — $59,520.00 $61,900.80 $60,710.40 2026-02-28
625 MS_DRG Thyroid Parathyroid And Thyroglossal Procedures With Mcc 50 15 — — $46,808.00 $48,680.32 $47,744.16 2026-02-28
628 MS_DRG Other Endocrine Nutritional And Metabolic O.r. Procedures With Mcc 50 15 — — $34,512.00 $35,892.48 $35,202.24 2026-02-28
63 MS_DRG Ischemic Stroke Precerebral Occlusion Or Transient Ischemia With Thrombolytic Ag… 50 15 — — $29,611.00 $30,795.44 $30,203.22 2026-02-28
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 50 15 — — $28,389.00 $29,524.56 $28,956.78 2026-02-28
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 50 15 — — $159,791.00 $166,182.64 $162,986.82 2026-02-28
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 50 15 — — $60,836.00 $63,269.44 $62,052.72 2026-02-28
652 MS_DRG Kidney Transplant 50 15 — — $224,379.00 $233,354.16 $228,866.58 2026-02-28
653 MS_DRG Major Bladder Procedures With Mcc 50 15 — — $55,386.00 $57,601.44 $56,493.72 2026-02-28
654 MS_DRG Major Bladder Procedures With Cc 50 15 — — $34,913.00 $36,309.52 $35,611.26 2026-02-28
655 MS_DRG Major Bladder Procedures Without Cc/mcc 50 15 — — $34,913.00 $36,309.52 $35,611.26 2026-02-28
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 50 15 — — $40,440.00 $42,057.60 $41,248.80 2026-02-28
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 50 15 — — $28,647.00 $29,792.88 $29,219.94 2026-02-28
662 MS_DRG Minor Bladder Procedures With Mcc 50 15 — — $48,269.00 $50,199.76 $49,234.38 2026-02-28
665 MS_DRG Prostatectomy With Mcc 50 15 — — $50,029.00 $52,030.16 $51,029.58 2026-02-28
671 MS_DRG Urethral Procedures With Cc/mcc 50 15 — — $29,271.00 $30,441.84 $29,856.42 2026-02-28
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 50 15 — — $41,987.00 $43,666.48 $42,826.74 2026-02-28
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 50 15 — — $36,332.00 $37,785.28 $37,058.64 2026-02-28
675 MS_DRG Other Kidney And Urinary Tract Procedures Without Cc/mcc 50 15 — — $28,865.00 $30,019.60 $29,442.30 2026-02-28
7 MS_DRG Lung Transplant 50 15 — — $253,695.00 $263,842.80 $258,768.90 2026-02-28
709 MS_DRG Penis Procedures With Cc/mcc 50 15 — — $38,088.00 $39,611.52 $38,849.76 2026-02-28
711 MS_DRG Testes Procedures With Cc/mcc 50 15 — — $35,095.00 $36,498.80 $35,796.90 2026-02-28
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/mcc 50 15 — — $33,261.00 $34,591.44 $33,926.22 2026-02-28
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 50 15 — — $70,153.00 $72,959.12 $71,556.06 2026-02-28
737 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 50 15 — — $29,267.00 $30,437.68 $29,852.34 2026-02-28
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 50 15 — — $62,962.00 $65,480.48 $64,221.24 2026-02-28
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 50 15 — — $35,955.00 $37,393.20 $36,674.10 2026-02-28
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome Neonate 50 15 — — $63,333.00 $65,866.32 $64,599.66 2026-02-28
799 MS_DRG Splenic Procedures With Mcc 50 15 — — $55,196.00 $57,403.84 $56,299.92 2026-02-28
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 50 15 — — $226,230.00 $235,279.20 $230,754.60 2026-02-28
80 MS_DRG Nontraumatic Stupor And Coma With Mcc 50 15 — — $34,465.00 $35,843.60 $35,154.30 2026-02-28
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 50 15 — — $61,101.00 $63,545.04 $62,323.02 2026-02-28
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 50 15 — — $31,149.00 $32,394.96 $31,771.98 2026-02-28
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 50 15 — — $39,450.00 $41,028.00 $40,239.00 2026-02-28
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 50 15 — — $93,698.00 $97,445.92 $95,571.96 2026-02-28
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 50 15 — — $30,711.00 $31,939.44 $31,325.22 2026-02-28
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 50 15 — — $68,625.00 $71,370.00 $69,997.50 2026-02-28
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 50 15 — — $33,544.00 $34,885.76 $34,214.88 2026-02-28
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 50 15 — — $82,980.00 $86,299.20 $84,639.60 2026-02-28
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 50 15 — — $34,453.00 $35,831.12 $35,142.06 2026-02-28
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 50 15 — — $33,149.00 $34,474.96 $33,811.98 2026-02-28
834 MS_DRG Acute Leukemia With Mcc 50 15 — — $102,597.00 $106,700.88 $104,648.94 2026-02-28
835 MS_DRG Acute Leukemia With Cc 50 15 — — $45,180.00 $46,987.20 $46,083.60 2026-02-28
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 50 15 — — $50,644.00 $52,669.76 $51,656.88 2026-02-28
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 50 15 — — $37,123.00 $38,607.92 $37,865.46 2026-02-28
849 MS_DRG Radiotherapy 50 15 — — $40,980.00 $42,619.20 $41,799.60 2026-02-28
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 50 15 — — $60,538.00 $62,959.52 $61,748.76 2026-02-28
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 50 15 — — $42,033.00 $43,714.32 $42,873.66 2026-02-28
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 50 15 — — $103,366.00 $107,500.64 $105,433.32 2026-02-28
901 MS_DRG Wound Debridements For Injuries With Mcc 50 15 — — $70,219.00 $73,027.76 $71,623.38 2026-02-28
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 50 15 — — $45,259.00 $47,069.36 $46,164.18 2026-02-28
906 MS_DRG Hand Procedures For Injuries 50 15 — — $29,721.00 $30,909.84 $30,315.42 2026-02-28
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 50 15 — — $47,725.00 $49,634.00 $48,679.50 2026-02-28
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 50 15 — — $346,480.00 $360,339.20 $353,409.60 2026-02-28
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 50 15 — — $53,508.00 $55,648.32 $54,578.16 2026-02-28
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 50 15 — — $32,053.00 $33,335.12 $32,694.06 2026-02-28
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 50 15 — — $37,194.00 $38,681.76 $37,937.88 2026-02-28
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 50 15 — — $55,787.00 $58,018.48 $56,902.74 2026-02-28
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 50 15 — — $58,177.00 $60,504.08 $59,340.54 2026-02-28
945 MS_DRG Rehabilitation With Cc/mcc 50 15 — — $36,884.00 $38,359.36 $37,621.68 2026-02-28
949 MS_DRG Aftercare With Cc/mcc 50 15 — — $36,346.00 $37,799.84 $37,072.92 2026-02-28
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 50 15 — — $31,610.00 $32,874.40 $32,242.20 2026-02-28
955 MS_DRG Craniotomy For Multiple Significant Trauma 50 15 — — $91,593.00 $95,256.72 $93,424.86 2026-02-28
956 MS_DRG Limb Reattachment Hip And Femur Procedures For Multiple Significant Trauma 50 15 — — $80,070.00 $83,272.80 $81,671.40 2026-02-28
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 50 15 — — $97,494.00 $101,393.76 $99,443.88 2026-02-28
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 50 15 — — $53,707.00 $55,855.28 $54,781.14 2026-02-28
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 50 15 — — $36,499.00 $37,958.96 $37,228.98 2026-02-28
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 50 15 — — $31,610.00 $32,874.40 $32,242.20 2026-02-28
963 MS_DRG Other Multiple Significant Trauma With Mcc 50 15 — — $32,002.00 $33,282.08 $32,642.04 2026-02-28
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 50 15 — — $95,346.00 $99,159.84 $97,252.92 2026-02-28
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 50 15 — — $34,483.00 $35,862.32 $35,172.66 2026-02-28
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 50 15 — — $48,507.00 $50,447.28 $49,477.14 2026-02-28
974 MS_DRG HIV With Major Related Condition With Mcc 50 15 — — $33,191.00 $34,518.64 $33,854.82 2026-02-28
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 50 15 — — $68,308.00 $71,040.32 $69,674.16 2026-02-28
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 50 15 — — $39,067.00 $40,629.68 $39,848.34 2026-02-28
988 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 50 15 — — $28,395.00 $29,530.80 $28,962.90 2026-02-28
A9513 HCPCS Lutetium Lu 177 Dotatate 10 Mci/ml (370 Mbq/ml) Intravenous Solution 70 20 $237,500.00 $116,375.00 51% off $279.48 $232,750.00 $216,125.00 2026-02-28
A9604 HCPCS Hc Rp Sm 153 Tx Ds Upto 150mci 70 20 $42,326.00 $20,739.74 51% off $14,814.10 $41,479.48 $38,516.66 2026-02-28
C2624 HCPCS Sys Del Pa Sens Cardiomems Cm2000 132 20 $39,165.00 $19,190.85 51% off $12,862.50 $40,748.40 $35,280.00 2026-02-28
C9047 HCPCS Caplacizumab-yhdp 11 Mg Injection Kit 70 20 $39,625.00 $19,416.25 51% off $749.27 $38,832.50 $36,058.75 2026-02-28
C9293 HCPCS Glucarpidase 1000 Unit Intravenous Solution 70 20 $205,870.00 $100,876.30 51% off $384.80 $201,752.60 $187,341.70 2026-02-28
J0222 HCPCS Patisiran (lipid Complex) 2 Mg/ml Intravenous Solution 70 20 $47,500.00 $23,275.00 51% off $99.20 $46,550.00 $43,225.00 2026-02-28
J0225 HCPCS Vutrisiran 25 Mg/0.5 Ml Subcutaneous Syringe 66 20 $596,755.00 $292,409.95 51% off $208,864.25 $584,819.90 $543,047.05 2026-02-28
J0584 HCPCS Burosumab-twza 20 Mg/ml Subcutaneous Solution 334 20 $42,394.80 $20,773.46 51% off $447.86 $62,320.16 $29,768.25 2026-02-28
J0638 HCPCS Canakinumab (pf) 150 Mg/ml Subcutaneous Solution 70 20 $85,618.60 $41,953.12 51% off $124.48 $83,906.23 $77,912.93 2026-02-28
J0741 HCPCS Cabotegravir ER 600 Mg/3 Ml-rilpivirine ER 900 Mg/3ml IM Suspensioner 66 20 $32,146.71 $15,751.89 51% off $11,251.35 $31,503.78 $29,253.51 2026-02-28
J1303 HCPCS Ravulizumab-cwvz 100 Mg/ml Intravenous Solution 136 20 $32,020.01 $15,689.81 51% off $221.75 $117,359.71 $31,379.61 2026-02-28
J1440 HCPCS Fecal Microbiota Live-jslm 150 Ml Rectal Suspension Enema 66 20 $36,000.00 $17,640.00 51% off $12,600.00 $35,280.00 $32,760.00 2026-02-28
J1628 HCPCS Guselkumab 200 Mg/2 Ml Subcutaneous Syringe 136 20 $70,283.05 $34,438.70 51% off $138.73 $68,877.39 $63,694.02 2026-02-28
J1640 HCPCS Hemin 350 Mg Intravenous Powder For Solution 70 20 $54,702.45 $26,804.21 51% off $31.35 $53,608.41 $49,779.23 2026-02-28
J1747 HCPCS Spesolimab-sbzo 60 Mg/ml Intravenous Solution 66 20 $127,832.52 $62,637.94 51% off $44,741.39 $125,275.87 $116,327.60 2026-02-28
J1823 HCPCS Inebilizumab-cdon 10 Mg/ml Intravenous Solution 70 20 $218,333.00 $106,983.17 51% off $473.51 $213,966.34 $198,683.03 2026-02-28
J1932 HCPCS Lanreotide 120 Mg/0.5 Ml Subcutaneous Syringe 66 20 $34,068.85 $16,693.74 51% off $11,924.10 $33,387.48 $31,002.66 2026-02-28
J2267 HCPCS Mirikizumab-mrkz 300 Mg/15 Ml (20 Mg/ml) Intravenous Solution 66 20 $47,966.10 $23,503.39 51% off $16,788.14 $47,006.78 $43,649.16 2026-02-28
J2327 HCPCS Risankizumab-rzaa 150 Mg/ml Subcutaneous Syringe 132 20 $79,024.33 $38,721.93 51% off $17,516.91 $105,840.35 $48,046.37 2026-02-28
J2329 HCPCS Ublituximab-xiiy 25 Mg/ml Intravenous Solution 66 20 $52,362.51 $25,657.63 51% off $18,326.88 $51,315.26 $47,649.89 2026-02-28
J2350 HCPCS Ocrelizumab 30 Mg/ml Intravenous Solution 70 20 $98,571.50 $48,300.04 51% off $58.76 $96,600.07 $89,700.07 2026-02-28
J2351 HCPCS Ocrelizumab 920 Mg-hyaluronidase-ocsq 23000 Unit/23 Ml Subcut Soln 66 20 $206,409.59 $101,140.70 51% off $72,243.36 $202,281.40 $187,832.73 2026-02-28
J2507 HCPCS Pegloticase 8 Mg/ml Intravenous Solution 136 20 $76,930.00 $37,695.70 51% off $3,391.91 $110,749.80 $73,852.80 2026-02-28
J3101 HCPCS Tenecteplase 50 Mg Intravenous Kit 136 20 $30,316.95 $14,855.31 51% off $153.11 $39,233.62 $29,104.28 2026-02-28
J3241 HCPCS Teprotumumab-trbw 500 Mg Intravenous Solution 70 20 $77,358.00 $37,905.42 51% off $333.40 $75,810.84 $70,395.78 2026-02-28
J3245 HCPCS Tildrakizumab-asmn 100 Mg/ml Subcutaneous Syringe 70 20 $66,589.00 $32,628.61 51% off $140.23 $65,257.22 $60,595.99 2026-02-28
J3357 HCPCS Ustekinumab 45 Mg/0.5 Ml Subcutaneous Solution 136 20 $60,477.05 $29,633.76 51% off $152.57 $68,921.40 $57,755.58 2026-02-28
J3380 HCPCS Vedolizumab 300 Mg Intravenous Solution 70 20 $46,799.55 $22,931.78 51% off $21.85 $45,863.56 $42,587.60 2026-02-28
J9022 HCPCS Atezolizumab 1200 Mg/20 Ml (60 Mg/ml) Intravenous Solution 136 20 $56,259.10 $27,566.96 51% off $91.86 $55,133.92 $29,697.43 2026-02-28
J9042 HCPCS Brentuximab Vedotin 50 Mg Intravenous Solution 70 20 $58,710.00 $28,767.90 51% off $252.51 $57,535.80 $53,426.10 2026-02-28
J9043 HCPCS Cabazitaxel 10 Mg/ml (first Dilution) Intravenous Solution 136 20 $56,456.48 $27,663.68 51% off $231.74 $55,446.15 $51,430.56 2026-02-28
J9063 HCPCS Mirvetuximab Soravtansine-gynx 5 Mg/ml Intravenous Solution 66 20 $32,435.80 $15,893.55 51% off $11,352.53 $31,787.09 $29,516.58 2026-02-28
J9119 HCPCS Cemiplimab-rwlc 50 Mg/ml Intravenous Solution 70 20 $51,489.10 $25,229.66 51% off $30.18 $50,459.32 $46,855.09 2026-02-28
J9144 HCPCS Daratumumab 1800 Mg-hyaluronidase-fihj 30000 Unit/15 Ml Subcut Soln 70 20 $52,595.03 $25,771.57 51% off $53.40 $51,543.13 $47,861.48 2026-02-28
J9223 HCPCS Lurbinectedin 4 Mg Intravenous Solution 70 20 $34,491.60 $16,900.89 51% off $218.34 $33,801.77 $31,387.36 2026-02-28
J9228 HCPCS Ipilimumab 200 Mg/40 Ml (5 Mg/ml) Intravenous Solution 136 20 $177,543.60 $86,996.37 51% off $189.00 $173,992.73 $43,498.28 2026-02-28
J9272 HCPCS Dostarlimab-gxly 50 Mg/ml Intravenous Solution 66 20 $56,681.95 $27,774.16 51% off $19,838.69 $55,548.32 $51,580.58 2026-02-28
J9273 HCPCS Tisotumab Vedotin-tftv 40 Mg Intravenous Solution 66 20 $31,760.00 $15,562.40 51% off $11,116.00 $31,124.80 $28,901.60 2026-02-28
J9298 HCPCS Nivolumab 240 Mg-relatlimab-rmbw 80 Mg/20 Ml Intravenous Solution 66 20 $72,662.40 $35,604.58 51% off $25,431.84 $71,209.16 $66,122.79 2026-02-28
J9301 HCPCS Obinutuzumab 1000 Mg/40 Ml Intravenous Solution 70 20 $43,063.60 $21,101.17 51% off $76.84 $42,202.33 $39,187.88 2026-02-28
J9306 HCPCS Pertuzumab 420 Mg/14 Ml (30 Mg/ml) Intravenous Solution 70 20 $33,983.11 $16,651.73 51% off $16.87 $33,303.45 $30,924.64 2026-02-28
J9334 HCPCS Efgartigimod Alfa 1008 Mg-hyaluron-qvfc 11200 Unit/5.6 Ml Subcut Soln 66 20 $78,865.00 $38,643.85 51% off $27,602.75 $77,287.70 $71,767.15 2026-02-28
J9381 HCPCS Teplizumab-mzwv 1 Mg/ml Intravenous Solution 132 20 $52,806.65 $25,875.26 51% off $18,009.83 $53,073.52 $49,083.19 2026-02-28
See an error in this hospital's data? Submit a correction