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

CHRISTUS OCHSNER LAKE AREA HOSPITAL

Lake Charles, LA · CCN 190201 · Rates published

18,460 distinct procedures filed
34 distinct payers
775,968 rate rows
2026-01-13 last MRF observed
Data quality

593,444 of 775,968 rate rows are consumer-grade (76.5%)

182,524 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 168,881
per-diem day rate — not a per-procedure price 13,470
template filing: same amount across many unrelated codes — excluded 100
placeholder amount (≤ $0.02) — excluded from medians 73
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.christushealth.org/-/media/christus-health/plan-care/files/bill-pay/machine-readable-files/720411322_ochsnerlakeareahospital_standardcharges.json
Found on page https://www.christushealth.org/plan-care/bill-pay/pricing-transparency
Discovered viaCMS hospital list
Last fetch not_modified · 2026-05-17
Content fingerprint a5657bb9c02c8178… · 165,639,180 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
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 34 $3,304,651.34 $4,720,930.48 $4,012,790.91 nat. median
$3,710,000
1.1× median
J1414
HCPCS 		Injection, Fidanacogene Elaparvovec-dzkt, Per Therapeutic Dose 34 $3,304,651.34 $4,720,930.48 $4,012,790.91 nat. median
$3,710,000
1.1× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 34 $2,958,848.98 $4,226,927.11 $3,592,888.04 nat. median
$3,325,455
1.1× median
J3394
HCPCS 		Injection, Lovotibeglogene Autotemcel, Per Treatment 34 $2,844,137.93 $4,063,054.18 $3,453,596.06 nat. median
$3,286,000
1.1× median
J3393
HCPCS 		Injection, Betibeglogene Autotemcel, Per Treatment 34 $2,643,721.07 $3,776,744.38 $3,210,232.73 nat. median
$3,006,423
1.1× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 34 $2,140,860.70 $3,058,372.42 $2,599,616.56 nat. median
$2,469,189
1.1× median
J3392
HCPCS 		Injection, Exagamglogene Autotemcel, Per Treatment 34 $2,077,209.41 $2,967,442.02 $2,522,325.71 nat. median
$2,448,600
1.0× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 34 $491,082.18 $701,545.98 $596,314.08 nat. median
$675,122
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 34 $470,589.86 $672,271.22 $571,430.54 nat. median
$625,184
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 34 $460,055.54 $657,222.20 $558,638.87 nat. median
$674,188
0.8× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 34 $434,727.78 $621,039.69 $527,883.73 nat. median
$620,080
0.9× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 15 $3.14 $719,749.55 $514,106.82 nat. median
$754,974
0.7× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 15 $0.95 $622,904.70 $444,931.93 nat. median
$634,511
0.7× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 18 $221,156.60 $554,491.30 $232,440.10 nat. median
$370,174
0.6× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 17 $165,185.44 $414,158.51 $181,198.32 nat. median
$265,286
0.7× median
Q0480
HCPCS 		Dme Pos 34 $49,999.98 $242,987.07 $146,493.52 nat. median
$111,989
1.3× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 18 $139,116.00 $348,796.33 $146,213.75 nat. median
$206,368
0.7× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 18 $125,679.87 $315,108.81 $132,092.11 nat. median
$202,986
0.7× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 2 $100,673.00 $117,773.17 $109,223.08 nat. median
$87,411
1.2× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 34 $50,615.99 $152,209.98 $101,412.99 nat. median
$62,507
1.6× median
K1007
HCPCS 		Bil Hkaf Pc S/d Micro Sensor 33 $46,608.35 $130,503.38 $88,555.87 nat. median
$96,983
0.9× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 18 $82,861.60 $207,753.39 $87,089.23 nat. median
$133,176
0.7× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 17 $76,831.99 $192,635.77 $84,279.99 nat. median
$117,303
0.7× median
7
MS_DRG 		Lung Transplant 17 $76,638.47 $192,150.57 $84,067.71 nat. median
$122,708
0.7× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 34 $49,468.68 $112,828.07 $81,148.38 nat. median
$66,682
1.2× median
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 2 $71,635.00 $83,802.82 $77,718.91 nat. median
$62,270
1.2× median
215
MS_DRG 		Other Heart Assist System Implant 23 $62,130.36 $192,325.00 $73,646.05 nat. median
$99,019
0.7× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 17 $64,622.07 $162,022.65 $70,886.45 nat. median
$108,660
0.7× median
222
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 3 $69,173.00 $88,596.00 $69,173.00 nat. median
$63,570
1.1× median
J9029
HCPCS 		Instill Adstiladrin, Tx Dose 34 $56,474.83 $80,678.33 $68,576.58 nat. median
$69,774
1.0× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 17 $62,450.55 $156,578.13 $68,504.43 nat. median
$100,136
0.7× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 27 $41,233.32 $93,204.50 $67,218.91 nat. median
$76,377
0.9× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 18 $63,884.36 $160,173.01 $67,143.76 nat. median
$102,358
0.7× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 23 $56,596.28 $158,459.00 $67,086.24 nat. median
$93,672
0.7× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 19 $61,430.17 $154,240.00 $65,191.21 nat. median
$98,905
0.7× median
L8702
HCPCS 		Ewhf S/d Uprt Micro Sensor 34 $33,726.33 $94,433.72 $64,080.03 nat. median
$70,825
0.9× median
224
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 3 $63,616.00 $81,479.00 $63,616.00 nat. median
$54,196
1.2× median
J9226
HCPCS 		Supprelin La Implant 34 $40,316.57 $80,920.24 $60,618.40 nat. median
$60,368
1.0× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 23 $49,692.91 $124,591.75 $58,463.88 nat. median
$79,312
0.7× median
455
MS_DRG 		Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 2 $52,744.00 $61,703.02 $57,223.51 nat. median
$48,483
1.2× median
850
MS_DRG 		Acute Leukemia With Other Procedures 18 $54,020.72 $135,442.57 $56,776.88 nat. median
$83,442
0.7× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 21 $49,665.35 $133,293.00 $54,479.85 nat. median
$81,118
0.7× median
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 4 $47,669.00 $71,424.54 $54,361.50 nat. median
$65,381
0.8× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 23 $45,374.49 $126,102.00 $53,784.53 nat. median
$74,915
0.7× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 23 $45,837.18 $114,924.53 $53,781.94 nat. median
$73,807
0.7× median
38240
CPT 		Transplt Allo Hct/donor 17 $3,060.00 $75,257.91 $53,755.65 nat. median
$15,912
outlier · 3.4×
226
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 3 $53,693.00 $68,770.00 $53,693.00 nat. median
$49,935
1.1× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 18 $48,911.21 $122,631.84 $51,406.68 nat. median
$82,712
0.6× median
10
MS_DRG 		Pancreas Transplant 17 $46,755.52 $117,227.02 $51,287.94 nat. median
$68,882
0.7× median
223
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 3 $50,292.00 $64,413.00 $50,292.00 nat. median
$44,728
1.1× median

Other procedures at this hospital

Browse this hospital's 18,460 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
             
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 47 34 — — $3,304,651.34 $4,720,930.48 $4,012,790.91 2026-01-13
J1414 HCPCS Injection, Fidanacogene Elaparvovec-dzkt, Per Therapeutic Dose 47 34 — — $3,304,651.34 $4,720,930.48 $4,012,790.91 2026-01-13
J1413 HCPCS Inj Delandistrogene Mox Rokl 47 34 — — $2,958,848.98 $4,226,927.11 $3,592,888.04 2026-01-13
J3394 HCPCS Injection, Lovotibeglogene Autotemcel, Per Treatment 47 34 — — $2,844,137.93 $4,063,054.18 $3,453,596.06 2026-01-13
J3393 HCPCS Injection, Betibeglogene Autotemcel, Per Treatment 47 34 — — $2,643,721.07 $3,776,744.38 $3,210,232.73 2026-01-13
J3392 HCPCS Injection, Exagamglogene Autotemcel, Per Treatment 47 34 — — $2,077,209.41 $2,967,442.02 $2,522,325.71 2026-01-13
Q2056 HCPCS Ciltacabtagene Car-pos T 47 34 — — $491,082.18 $701,545.98 $596,314.08 2026-01-13
Q2055 HCPCS Idecabtagene Vicleucel Car 47 34 — — $470,589.86 $672,271.22 $571,430.54 2026-01-13
Q2054 HCPCS Lisocabtagene Mara Car Pos T 47 34 — — $460,055.54 $657,222.20 $558,638.87 2026-01-13
Q2053 HCPCS Brexucabtagene Car Pos T 47 34 — — $434,727.78 $621,039.69 $527,883.73 2026-01-13
Q0480 HCPCS Dme Pos 47 34 — — $49,999.98 $242,987.07 $146,493.52 2026-01-13
A9543 HCPCS Y90 Ibritumomab, Rx 47 34 — — $50,615.99 $152,209.98 $101,412.99 2026-01-13
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 47 34 — — $49,468.68 $112,828.07 $81,148.38 2026-01-13
J9029 HCPCS Instill Adstiladrin, Tx Dose 47 34 — — $56,474.83 $80,678.33 $68,576.58 2026-01-13
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 47 34 — — $33,726.33 $94,433.72 $64,080.03 2026-01-13
J9226 HCPCS Supprelin La Implant 47 34 — — $40,316.57 $80,920.24 $60,618.40 2026-01-13
L7180 HCPCS Dme Pos 47 34 — — $24,513.31 $68,637.27 $46,575.29 2026-01-13
L7181 HCPCS Dme Pos 47 34 — — $24,314.13 $68,079.56 $46,196.85 2026-01-13
81416 CPT Exome Sequence Analysis 47 34 — — $11,760.00 $70,200.00 $40,980.00 2026-01-13
J9600 HCPCS Porfimer Sodium Injection 47 34 — — $21,581.27 $58,701.07 $40,141.17 2026-01-13
L2006 HCPCS Dme Pos 47 34 — — $19,375.30 $54,250.84 $36,813.07 2026-01-13
33249 CPT Insj/rplcmt Defib W/lead(s) 47 34 — — $3,886.00 $67,798.15 $35,842.07 2026-01-13
C9760 HCPCS Non-blind Interatrial Shunt 47 34 — — $9,350.00 $61,447.12 $35,398.56 2026-01-13
L8701 HCPCS Ewh S/d Uprt Micro Sensor 47 34 — — $17,142.22 $47,998.22 $32,570.22 2026-01-13
915T CPT Insertion Of Permanent Cardiac Contractility Modulation-defibrillation System Co… 47 34 — — $22,209.00 $40,797.97 $31,503.49 2026-01-13
J9266 HCPCS Pegaspargase Injection 47 34 — — $23,717.16 $38,802.15 $31,259.65 2026-01-13
Q0483 HCPCS Dme Pos 47 34 — — $11,377.57 $50,584.60 $30,981.08 2026-01-13
266T CPT Implt/rpl Crtd Sns Dev Total 47 34 — — $3,443.00 $57,262.59 $30,352.79 2026-01-13
315U CPT Onc Cutan Sq Cll Ca Mrna 40 47 34 — — $8,330.00 $49,725.05 $29,027.53 2026-01-13
L5856 HCPCS Dme Pos 47 34 — — $14,567.26 $40,788.31 $27,677.78 2026-01-13
L6880 HCPCS Dme Pos 47 34 — — $14,498.45 $40,595.66 $27,547.06 2026-01-13
614T CPT Rmvl&rplcmt Ss Impl Dfb Pg 47 34 — — $3,485.00 $51,480.93 $27,482.97 2026-01-13
408T CPT Insj/rplc Cardiac Modulj Sys 47 34 — — $5,221.00 $49,403.75 $27,312.38 2026-01-13
515T CPT Insj Wcs Lv Compl Sys 47 34 — — $5,221.00 $49,148.89 $27,184.94 2026-01-13
520T CPT Rmv&rplcmt Pg Wcs Lv Battery 47 34 — — $5,221.00 $49,148.89 $27,184.94 2026-01-13
Q0489 HCPCS Dme Pos 47 34 — — $9,863.74 $43,854.14 $26,858.94 2026-01-13
409T CPT Insj/rplc Car Modulj Pls Gn 47 34 — — $3,886.00 $49,403.75 $26,644.88 2026-01-13
33240 CPT Insrt Pulse Gen W/singl Lead 47 34 — — $3,886.00 $49,403.75 $26,644.88 2026-01-13
414T CPT Rmvl & Rpl Car Modulj Pls Gn 47 34 — — $3,886.00 $49,403.75 $26,644.88 2026-01-13
211U CPT Onc Pan-tum Dna&rna Gnrj Seq 47 34 — — $3,675.00 $49,461.75 $26,568.38 2026-01-13
C2616 HCPCS Brachytx, Non-str,yttrium-90 47 34 — — $15,574.71 $37,353.78 $26,464.24 2026-01-13
81529 CPT Onc Cutan Mlnma Mrna 31 Gene 47 34 — — $7,049.14 $42,079.05 $24,564.10 2026-01-13
916T CPT Insertion Of Permanent Cardiac Contractility Modulation-defibrillation System Co… 47 34 — — $19,993.75 $28,562.51 $24,278.13 2026-01-13
923T CPT Removal And Replacement Of Permanent Cardiac Contractility Modulation-defibrilla… 47 34 — — $19,993.75 $28,562.51 $24,278.13 2026-01-13
Q0481 HCPCS Dme Pos 47 34 — — $8,817.64 $39,203.18 $24,010.41 2026-01-13
620T CPT Evasc Ven Artlz Tibl/prnl Vn 47 34 — — $2,614.00 $44,537.71 $23,575.85 2026-01-13
267U CPT Rare Do Id Opt Gen Mapg&seq 47 34 — — $6,604.54 $39,425.09 $23,014.81 2026-01-13
93656 CPT Compre Ep Eval Abltj Atr Fib 47 34 — — $3,129.38 $41,372.44 $22,250.91 2026-01-13
268T CPT Implt/rpl Crtd Sns Dev Gen 47 34 — — $3,443.00 $41,043.45 $22,243.22 2026-01-13
L8614 HCPCS Dme Pos 47 34 — — $11,615.42 $32,523.16 $22,069.29 2026-01-13
L6975 HCPCS Dme Pos 47 34 — — $11,588.60 $32,448.07 $22,018.33 2026-01-13
L6970 HCPCS Dme Pos 47 34 — — $11,526.73 $32,274.84 $21,900.78 2026-01-13
93653 CPT Compre Ep Eval Tx Svt 47 34 — — $2,329.06 $41,372.44 $21,850.75 2026-01-13
93654 CPT Compre Ep Eval Tx Vt 47 34 — — $3,119.00 $40,545.00 $21,832.00 2026-01-13
L6965 HCPCS Dme Pos 47 34 — — $11,340.39 $31,753.08 $21,546.74 2026-01-13
L5858 HCPCS Dme Pos 47 34 — — $11,277.90 $31,578.11 $21,428.01 2026-01-13
A9604 HCPCS Sm 153 Lexidronam 47 34 — — $3,843.47 $38,279.11 $21,061.29 2026-01-13
33221 CPT Insert Pulse Gen Mult Leads 47 34 — — $2,125.00 $39,293.13 $20,709.06 2026-01-13
33229 CPT Remv&replc Pm Gen Mult Leads 47 34 — — $2,125.00 $39,293.13 $20,709.06 2026-01-13
93590 CPT Perq Transcath Cls Mitral 47 34 — — $5,221.00 $35,795.96 $20,508.48 2026-01-13
93591 CPT Perq Transcath Cls Aortic 47 34 — — $5,221.00 $35,795.96 $20,508.48 2026-01-13
Q0479 HCPCS Dme Pos 47 34 — — $7,266.43 $32,584.77 $19,925.60 2026-01-13
L5973 HCPCS Dme Pos 47 34 — — $10,440.17 $29,232.48 $19,836.33 2026-01-13
C9767 HCPCS Revasc Lithotrip-stent-ather 47 34 — — $3,060.00 $35,893.40 $19,476.70 2026-01-13
92933 CPT Prq Card Stent/ath/angio 47 34 — — $3,810.00 $35,080.04 $19,445.02 2026-01-13
C9773 HCPCS Revasc Lithotr-stent Tib/per 47 34 — — $2,614.00 $35,893.40 $19,253.70 2026-01-13
C9774 HCPCS Revasc Lithotr-ather Tib/per 47 34 — — $2,614.00 $35,893.40 $19,253.70 2026-01-13
C9775 HCPCS Revasc Lith-sten-ath Tib/per 47 34 — — $2,614.00 $35,893.40 $19,253.70 2026-01-13
37231 CPT Tib/per Revasc Stent & Ather 47 34 — — $2,614.00 $35,795.96 $19,204.98 2026-01-13
93581 CPT Transcath Closure Of Vsd 47 34 — — $2,458.00 $35,795.96 $19,126.98 2026-01-13
93580 CPT Transcath Closure Of Asd 47 34 — — $2,458.00 $35,795.96 $19,126.98 2026-01-13
93582 CPT Perq Transcath Closure Pda 47 34 — — $2,458.00 $35,080.04 $18,769.02 2026-01-13
81554 CPT Pulm Ds Ipf Mrna 190 Gen Alg 47 34 — — $5,336.10 $32,175.00 $18,755.55 2026-01-13
C9607 HCPCS Perc D-e Cor Revasc Chro Sin 47 34 — — $3,810.00 $33,648.21 $18,729.10 2026-01-13
265U CPT Rar Do Whl Gn&mtcdrl DNA Als 47 34 — — $5,366.28 $32,033.43 $18,699.85 2026-01-13
212U CPT Rare Ds Gen DNA Alys Proband 47 34 — — $5,365.70 $32,029.92 $18,697.81 2026-01-13
54400 CPT Insert Semi-rigid Prosthesis 47 34 — — $1,989.00 $35,075.21 $18,532.10 2026-01-13
20696 CPT App Mltpln Uni Xtrnl Fix 1st 47 34 — — $2,125.00 $34,344.96 $18,234.98 2026-01-13
54405 CPT Insert Multi-comp Penis Pros 47 34 — — $1,989.00 $34,373.70 $18,181.35 2026-01-13
54401 CPT Insert Self-contd Prosthesis 47 34 — — $1,989.00 $34,373.70 $18,181.35 2026-01-13
J3399 HCPCS Inj Onase Abepar-xioi Treat 46 34 — — $2,140,860.70 $3,058,372.42 $2,599,616.56 2026-01-13
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 44 33 — — $46,608.35 $130,503.38 $88,555.87 2026-01-13
J7330 HCPCS Cultured Chondrocytes Implnt 37 27 — — $41,233.32 $93,204.50 $67,218.91 2026-01-13
J7310 HCPCS Ganciclovir Long Act Implant 37 27 — — $4,477.63 $47,318.40 $25,898.01 2026-01-13
398T CPT Mrgfus Strtctc Les Abltj 37 27 — — $2,458.00 $39,103.12 $20,780.56 2026-01-13
C9606 HCPCS Perc D-e Cor Revasc W Ami S 37 27 — — $3,443.00 $33,648.21 $18,545.60 2026-01-13
27280 CPT Arthr Si Jt Opn B1grf Instrm 37 27 — — $2,458.00 $34,344.96 $18,401.48 2026-01-13
A9699 HCPCS Radiopharm Rx Agent Noc 36 27 — — $49,328.79 $49,328.79 $49,328.79 2026-01-13
215 MS_DRG Other Heart Assist System Implant 32 23 — — $62,130.36 $192,325.00 $73,646.05 2026-01-13
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 32 23 — — $56,596.28 $158,459.00 $67,086.24 2026-01-13
231 MS_DRG Coronary Bypass With Ptca With Mcc 32 23 — — $49,692.91 $124,591.75 $58,463.88 2026-01-13
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 32 23 — — $45,374.49 $126,102.00 $53,784.53 2026-01-13
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 32 23 — — $45,837.18 $114,924.53 $53,781.94 2026-01-13
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 32 23 — — $37,870.62 $109,729.00 $44,889.83 2026-01-13
232 MS_DRG Coronary Bypass With Ptca Without Mcc 32 23 — — $35,822.83 $89,816.22 $42,220.65 2026-01-13
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 32 23 — — $34,888.08 $92,377.00 $41,264.04 2026-01-13
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 32 23 — — $34,506.31 $89,025.00 $40,901.96 2026-01-13
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 32 23 — — $31,061.08 $82,885.00 $36,818.16 2026-01-13
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 32 23 — — $31,198.89 $78,222.90 $35,939.08 2026-01-13
228 MS_DRG Other Cardiothoracic Procedures With Mcc 32 23 — — $29,223.23 $122,228.00 $34,639.67 2026-01-13
245 MS_DRG Aicd Generator Procedures 32 23 — — $28,657.33 $71,850.62 $32,019.69 2026-01-13
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 32 23 — — $26,932.08 $70,695.00 $31,923.86 2026-01-13
69930 CPT Implant Cochlear Device 32 20 — — $1,078.18 $72,841.40 $28,910.76 2026-01-13
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 32 23 — — $24,114.31 $60,460.21 $27,911.04 2026-01-13
61886 CPT Implant Neurostim Arrays 32 20 — — $552.64 $61,074.98 $27,698.06 2026-01-13
64568 CPT Opn Impltj Crnl Nrv Nea&pg 32 20 — — $552.64 $62,321.42 $27,698.06 2026-01-13
63685 CPT Ins/rplc Spi Npg/rcvr Pocket 32 20 — — $483.29 $52,973.20 $27,698.06 2026-01-13
33289 CPT Tcat Impl Wrls P-art Prs Snr 32 20 — — $483.29 $65,558.93 $25,839.08 2026-01-13
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 32 23 — — $19,974.74 $53,534.00 $23,599.32 2026-01-13
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 32 23 — — $19,891.47 $58,129.00 $23,578.30 2026-01-13
252 MS_DRG Other Vascular Procedures With Mcc 32 23 — — $20,116.66 $50,437.17 $23,109.96 2026-01-13
264 MS_DRG Other Circulatory System O.r. Procedures 32 23 — — $19,502.00 $51,388.46 $21,750.94 2026-01-13
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 32 23 — — $18,216.06 $78,827.00 $21,592.36 2026-01-13
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 32 23 — — $16,452.10 $44,466.00 $19,501.46 2026-01-13
61885 CPT Insrt/redo Neurostim 1 Array 32 20 — — $483.29 $41,043.45 $19,491.24 2026-01-13
64590 CPT Ins/rpl Prph Sac/gstr Npg/r 32 20 — — $483.29 $38,580.85 $19,491.24 2026-01-13
54410 CPT Remove/replace Penis Prosth 32 20 — — $552.64 $35,075.21 $18,295.25 2026-01-13
54416 CPT Remv/repl Penis Contain Pros 32 20 — — $552.64 $35,075.21 $18,295.25 2026-01-13
53445 CPT Insert Uro/ves Nck Sphincter 32 20 — — $360.84 $35,075.21 $18,295.25 2026-01-13
53447 CPT Remove/replace Ur Sphincter 32 20 — — $360.84 $34,373.70 $18,295.25 2026-01-13
53444 CPT Insert Tandem Cuff 32 20 — — $483.29 $35,075.21 $18,295.25 2026-01-13
28 MS_DRG Spinal Procedures With Mcc 30 23 — — $35,651.60 $89,386.89 $40,017.10 2026-01-13
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 30 23 — — $29,537.55 $74,057.54 $33,154.40 2026-01-13
471 MS_DRG Cervical Spinal Fusion With Mcc 30 23 — — $28,484.34 $71,416.88 $31,972.22 2026-01-13
265 MS_DRG Aicd Lead Procedures 30 21 — — $20,918.88 $52,448.54 $23,059.69 2026-01-13
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 30 23 — — $19,684.47 $49,353.56 $22,094.81 2026-01-13
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 30 21 — — $10,115.00 $52,695.55 $21,982.49 2026-01-13
37 MS_DRG Extracranial Procedures With Mcc 30 21 — — $19,474.53 $48,827.19 $21,859.17 2026-01-13
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 30 23 — — $17,077.81 $42,818.08 $19,168.97 2026-01-13
472 MS_DRG Cervical Spinal Fusion With Cc 30 23 — — $16,989.85 $42,597.53 $19,070.24 2026-01-13
33276 CPT Insj Phrnc Nrv Stim Sys 29 19 — — $483.29 $57,262.59 $40,901.85 2026-01-13
64582 CPT Opn Mpltj Hpglsl Nstm Ary Pg 29 19 — — $552.64 $38,777.28 $27,698.06 2026-01-13
33287 CPT Rmv&rplcmt Phrnc Nrv Stim Pg 29 19 — — $483.29 $38,777.28 $27,698.06 2026-01-13
61891 CPT Rev/rplcmt Sk-mnt Crnl Nstm 29 19 — — $552.64 $27,287.74 $19,491.24 2026-01-13
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 28 21 — — $49,665.35 $133,293.00 $54,479.85 2026-01-13
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 28 19 — — $39,100.35 $98,033.72 $42,890.69 2026-01-13
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 28 21 — — $35,987.03 $90,227.90 $39,475.57 2026-01-13
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 28 21 — — $33,657.17 $88,631.00 $36,919.85 2026-01-13
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 28 19 — — $30,201.38 $93,541.00 $33,129.06 2026-01-13
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 28 21 — — $29,875.92 $74,905.90 $32,772.05 2026-01-13
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 28 21 — — $25,321.75 $73,408.00 $27,776.41 2026-01-13
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 28 19 — — $24,399.31 $61,174.77 $26,764.54 2026-01-13
34 MS_DRG Carotid Artery Stent Procedures With Mcc 28 21 — — $22,804.24 $57,175.56 $25,014.85 2026-01-13
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 28 21 — — $20,086.17 $50,360.72 $22,033.29 2026-01-13
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 28 21 — — $19,168.42 $51,647.00 $21,026.58 2026-01-13
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 28 19 — — $18,097.02 $55,896.00 $19,851.33 2026-01-13
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 28 21 — — $16,793.99 $49,352.00 $18,421.97 2026-01-13
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 27 18 — — $41,442.52 $103,906.10 $44,402.70 2026-01-13
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 27 18 — — $39,317.91 $98,579.20 $42,126.34 2026-01-13
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 27 18 — — $36,325.40 $91,076.26 $38,920.07 2026-01-13
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 27 18 — — $30,101.10 $75,470.50 $32,251.18 2026-01-13
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 27 18 — — $27,279.82 $68,396.89 $29,228.38 2026-01-13
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 27 18 — — $24,978.11 $62,625.96 $26,762.26 2026-01-13
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 27 18 — — $23,946.59 $60,039.70 $25,657.07 2026-01-13
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 27 18 — — $22,930.90 $57,493.14 $24,568.82 2026-01-13
271 MS_DRG Other Major Cardiovascular Procedures With Cc 27 18 — — $20,198.76 $50,643.01 $21,641.53 2026-01-13
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 27 18 — — $18,736.81 $46,977.56 $20,075.15 2026-01-13
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 27 18 — — $13,722.00 $45,888.06 $19,236.05 2026-01-13
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 26 19 — — $61,430.17 $154,240.00 $65,191.21 2026-01-13
38240 CPT Transplt Allo Hct/donor 26 17 — — $3,060.00 $75,257.91 $53,755.65 2026-01-13
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 26 19 — — $41,651.88 $109,750.00 $44,202.00 2026-01-13
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 26 19 — — $32,277.32 $80,926.78 $34,253.48 2026-01-13
33264 CPT Rmvl & Rplcmt Dfb Gen Mlt Ld 26 17 — — $2,125.00 $69,181.78 $29,141.41 2026-01-13
33270 CPT Ins/rep Subq Defibrillator 26 17 — — $2,125.00 $67,798.15 $29,141.41 2026-01-13
33231 CPT Insrt Pulse Gen W/mult Leads 26 17 — — $2,125.00 $69,181.78 $29,141.41 2026-01-13
33262 CPT Rmvl& Replc Pulse Gen 1 Lead 26 17 — — $2,125.00 $49,403.75 $20,401.79 2026-01-13
33263 CPT Rmvl & Rplcmt Dfb Gen 2 Lead 26 17 — — $2,125.00 $49,403.75 $20,401.79 2026-01-13
33230 CPT Insrt Pulse Gen W/dual Leads 26 17 — — $2,125.00 $49,403.75 $20,401.79 2026-01-13
64580 CPT Opn Impltj Nea Neuromuscular 26 17 — — $1,299.00 $41,043.45 $19,491.24 2026-01-13
54411 CPT Remov/replc Penis Pros Comp 26 17 — — $390.00 $35,075.21 $18,295.25 2026-01-13
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 25 18 — — $139,116.00 $348,796.33 $146,213.75 2026-01-13
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 25 18 — — $125,679.87 $315,108.81 $132,092.11 2026-01-13
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 25 18 — — $82,861.60 $207,753.39 $87,089.23 2026-01-13
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 25 18 — — $63,884.36 $160,173.01 $67,143.76 2026-01-13
850 MS_DRG Acute Leukemia With Other Procedures 25 18 — — $54,020.72 $135,442.57 $56,776.88 2026-01-13
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 25 18 — — $48,911.21 $122,631.84 $51,406.68 2026-01-13
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 25 18 — — $47,272.16 $118,522.35 $49,684.01 2026-01-13
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 25 18 — — $43,771.80 $109,746.13 $46,005.05 2026-01-13
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 25 18 — — $40,794.53 $102,281.42 $42,875.88 2026-01-13
955 MS_DRG Craniotomy For Multiple Significant Trauma 25 18 — — $40,042.73 $100,396.49 $42,085.73 2026-01-13
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 25 18 — — $39,166.62 $98,199.87 $41,164.92 2026-01-13
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 25 18 — — $37,925.16 $95,087.24 $39,860.11 2026-01-13
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 25 18 — — $37,087.16 $92,986.18 $38,979.36 2026-01-13
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 25 18 — — $36,278.48 $90,958.64 $38,129.43 2026-01-13
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 25 18 — — $36,113.11 $90,544.01 $37,955.61 2026-01-13
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 25 18 — — $35,131.44 $88,082.73 $36,923.86 2026-01-13
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 25 18 — — $34,143.32 $85,605.28 $35,885.32 2026-01-13
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 25 18 — — $33,456.02 $83,882.09 $35,162.96 2026-01-13
653 MS_DRG Major Bladder Procedures With Mcc 25 18 — — $32,690.74 $81,963.34 $34,358.64 2026-01-13
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 25 18 — — $32,413.37 $81,267.89 $34,067.12 2026-01-13
834 MS_DRG Acute Leukemia With Mcc 25 18 — — $32,413.37 $81,267.89 $34,067.12 2026-01-13
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 25 18 — — $32,080.28 $80,432.76 $33,717.03 2026-01-13
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 25 18 — — $31,835.15 $79,818.18 $33,459.40 2026-01-13
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 25 18 — — $31,672.72 $79,410.90 $33,288.67 2026-01-13
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 25 18 — — $31,642.81 $79,335.92 $33,257.24 2026-01-13
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 25 18 — — $31,639.29 $79,327.10 $33,253.54 2026-01-13
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 25 18 — — $29,784.43 $74,676.54 $31,304.05 2026-01-13
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 25 18 — — $29,363.38 $73,620.86 $30,861.51 2026-01-13
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 25 18 — — $29,340.51 $73,563.52 $30,837.48 2026-01-13
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 25 18 — — $29,328.78 $73,534.11 $30,825.15 2026-01-13
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 25 18 — — $28,004.64 $70,214.18 $29,433.44 2026-01-13
799 MS_DRG Splenic Procedures With Mcc 25 18 — — $11,887.00 $69,909.82 $29,305.87 2026-01-13
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 25 18 — — $27,877.97 $69,896.59 $29,300.32 2026-01-13
571T CPT Insj/rplcmt Icds Ss Eltrd 25 16 — — $2,458.00 $67,798.15 $29,141.41 2026-01-13
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 25 18 — — $27,589.45 $69,173.20 $28,997.08 2026-01-13
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 25 18 — — $27,441.68 $68,802.69 $28,841.76 2026-01-13
163 MS_DRG Major Chest Procedures With Mcc 25 18 — — $27,029.42 $67,769.07 $28,408.47 2026-01-13
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 25 18 — — $26,927.97 $67,514.71 $28,301.85 2026-01-13
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 25 18 — — $26,457.07 $66,334.05 $27,806.92 2026-01-13
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 25 18 — — $26,299.32 $65,938.54 $27,641.12 2026-01-13
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 25 18 — — $26,226.60 $65,756.23 $27,564.70 2026-01-13
901 MS_DRG Wound Debridements For Injuries With Mcc 25 18 — — $11,887.00 $65,141.64 $27,307.06 2026-01-13
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 25 18 — — $25,760.40 $64,587.34 $27,074.70 2026-01-13
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 25 18 — — $25,373.94 $63,618.41 $26,668.53 2026-01-13
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 25 18 — — $25,015.05 $62,718.59 $26,291.33 2026-01-13
140 MS_DRG Major Head And Neck Procedures With Mcc 25 18 — — $24,801.01 $62,181.93 $26,066.36 2026-01-13
31 MS_DRG Ventricular Shunt Procedures With Mcc 25 18 — — $24,574.65 $61,614.39 $25,828.46 2026-01-13
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 25 18 — — $24,568.79 $61,599.69 $25,822.30 2026-01-13
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 25 18 — — $11,887.00 $60,426.39 $25,330.45 2026-01-13
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 25 18 — — $24,065.05 $60,336.70 $25,292.86 2026-01-13
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 25 18 — — $23,852.18 $59,802.98 $25,069.13 2026-01-13
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 25 18 — — $11,887.00 $58,572.34 $24,553.24 2026-01-13
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 25 18 — — $23,344.92 $58,531.17 $24,535.99 2026-01-13
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 25 18 — — $23,138.50 $58,013.63 $24,319.03 2026-01-13
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 25 18 — — $23,091.00 $57,894.53 $24,269.11 2026-01-13
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 25 18 — — $22,942.05 $57,521.08 $24,112.56 2026-01-13
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 25 18 — — $22,665.25 $56,827.10 $23,821.64 2026-01-13
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 25 18 — — $11,887.00 $56,769.75 $23,797.60 2026-01-13
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 25 18 — — $22,579.05 $56,610.96 $23,731.05 2026-01-13
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 25 18 — — $22,415.44 $56,200.75 $23,559.09 2026-01-13
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 25 18 — — $22,294.05 $55,896.40 $23,431.50 2026-01-13
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 25 18 — — $22,120.47 $55,461.19 $23,249.07 2026-01-13
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 25 18 — — $21,943.95 $55,018.63 $23,063.54 2026-01-13
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 25 18 — — $21,396.82 $53,646.84 $22,488.49 2026-01-13
335 MS_DRG Peritoneal Adhesiolysis With Mcc 25 18 — — $21,248.46 $53,274.85 $22,332.56 2026-01-13
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 25 18 — — $11,887.00 $52,707.31 $22,094.65 2026-01-13
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 25 18 — — $21,020.92 $52,704.37 $22,093.42 2026-01-13
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 25 18 — — $20,825.06 $52,213.29 $21,887.56 2026-01-13
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 25 18 — — $20,703.09 $51,907.47 $21,759.37 2026-01-13
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 25 18 — — $20,697.81 $51,894.24 $21,753.82 2026-01-13
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 25 18 — — $20,645.61 $51,763.38 $21,698.96 2026-01-13
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 25 18 — — $20,547.09 $51,516.37 $21,595.41 2026-01-13
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 25 18 — — $20,540.64 $51,500.20 $21,588.64 2026-01-13
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 25 18 — — $20,532.43 $51,479.61 $21,580.00 2026-01-13
332 MS_DRG Rectal Resection With Mcc 25 18 — — $20,341.26 $51,000.30 $21,379.08 2026-01-13
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 25 18 — — $20,318.98 $50,944.42 $21,355.66 2026-01-13
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 25 18 — — $20,167.10 $50,563.62 $21,196.03 2026-01-13
665 MS_DRG Prostatectomy With Mcc 25 18 — — $20,135.42 $50,484.22 $21,162.74 2026-01-13
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 25 18 — — $19,363.10 $48,547.84 $20,351.02 2026-01-13
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 25 18 — — $19,113.88 $47,922.96 $20,089.08 2026-01-13
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 25 18 — — $19,105.67 $47,902.37 $20,080.45 2026-01-13
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 25 18 — — $18,878.72 $47,333.37 $19,841.92 2026-01-13
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 25 18 — — $18,791.34 $47,114.29 $19,750.09 2026-01-13
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 25 18 — — $18,701.04 $46,887.87 $19,655.17 2026-01-13
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 25 18 — — $18,650.61 $46,761.42 $19,602.17 2026-01-13
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 25 18 — — $18,613.07 $46,667.32 $19,562.72 2026-01-13
500 MS_DRG Soft Tissue Procedures With Mcc 25 18 — — $18,582.00 $46,589.40 $19,530.06 2026-01-13
662 MS_DRG Minor Bladder Procedures With Mcc 25 18 — — $18,294.06 $45,867.48 $19,227.43 2026-01-13
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 25 18 — — $18,134.55 $45,467.56 $19,059.78 2026-01-13
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 25 18 — — $18,084.12 $45,341.11 $19,006.78 2026-01-13
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 25 18 — — $17,994.99 $45,117.63 $18,913.10 2026-01-13
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 25 18 — — $17,936.34 $44,970.60 $18,851.46 2026-01-13
570 MS_DRG Skin Debridement With Mcc 25 18 — — $17,652.51 $44,258.97 $18,553.15 2026-01-13
974 MS_DRG HIV With Major Related Condition With Mcc 25 18 — — $17,511.77 $43,906.10 $18,405.22 2026-01-13
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 23 18 — — $221,156.60 $554,491.30 $232,440.10 2026-01-13
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 23 18 — — $46,487.53 $116,555.09 $48,859.34 2026-01-13
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 23 18 — — $27,018.28 $67,741.13 $28,396.76 2026-01-13
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 23 18 — — $20,363.55 $51,056.17 $21,402.50 2026-01-13
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 22 15 — — $0.95 $622,904.70 $444,931.93 2026-01-13
674T CPT Laps Insj Nw/rpcmt Prm Isdss 22 15 — — $1,508.00 $38,777.28 $27,698.06 2026-01-13
Q2042 HCPCS Tisagenlecleucel Car-pos T 21 15 — — $3.14 $719,749.55 $514,106.82 2026-01-13
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 21 16 — — $34,861.69 $79,606.82 $36,284.61 2026-01-13
793 MS_DRG Full Term Neonate With Major Problems 21 16 — — $24,456.78 $55,847.17 $25,455.02 2026-01-13
791 MS_DRG Prematurity With Major Problems 21 16 — — $23,808.20 $54,366.12 $24,779.96 2026-01-13
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 20 17 — — $165,185.44 $414,158.51 $181,198.32 2026-01-13
14 MS_DRG Allogeneic Bone Marrow Transplant 20 17 — — $76,831.99 $192,635.77 $84,279.99 2026-01-13
7 MS_DRG Lung Transplant 20 17 — — $76,638.47 $192,150.57 $84,067.71 2026-01-13
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 20 17 — — $64,622.07 $162,022.65 $70,886.45 2026-01-13
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 20 17 — — $62,450.55 $156,578.13 $68,504.43 2026-01-13
10 MS_DRG Pancreas Transplant 20 17 — — $46,755.52 $117,227.02 $51,287.94 2026-01-13
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 20 17 — — $35,395.91 $88,745.84 $38,827.15 2026-01-13
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 20 17 — — $35,395.91 $88,745.84 $38,827.15 2026-01-13
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 20 17 — — $31,907.87 $80,000.49 $35,000.98 2026-01-13
6 MS_DRG Liver Transplant Without Mcc 20 17 — — $28,436.84 $71,297.79 $31,193.47 2026-01-13
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 20 17 — — $23,044.08 $57,776.91 $24,219.80 2026-01-13
652 MS_DRG Kidney Transplant 20 17 — — $18,011.40 $45,158.79 $19,757.40 2026-01-13
459 MS_DRG Spinal Fusion Except Cervical With Mcc 4 4 — — $47,669.00 $71,424.54 $54,361.50 2026-01-13
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 4 4 — — $28,485.00 $42,679.95 $32,484.00 2026-01-13
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 3 3 — — $69,173.00 $88,596.00 $69,173.00 2026-01-13
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 3 3 — — $63,616.00 $81,479.00 $63,616.00 2026-01-13
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 3 3 — — $53,693.00 $68,770.00 $53,693.00 2026-01-13
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 3 3 — — $50,292.00 $64,413.00 $50,292.00 2026-01-13
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 3 3 — — $47,204.00 $60,459.00 $47,204.00 2026-01-13
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 3 3 — — $39,969.00 $51,192.00 $39,969.00 2026-01-13
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 3 3 — — $25,174.00 $32,243.00 $25,174.00 2026-01-13
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 3 3 — — $22,437.00 $28,737.00 $22,437.00 2026-01-13
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 2 2 — — $100,673.00 $117,773.17 $109,223.08 2026-01-13
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 2 2 — — $71,635.00 $83,802.82 $77,718.91 2026-01-13
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 2 2 — — $52,744.00 $61,703.02 $57,223.51 2026-01-13
339 MS_DRG Appendectomy With Complicated Principal Diagnosis With Cc 2 1 — — $22,437.00 $26,396.00 $24,416.50 2026-01-13
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