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

TUFTS MEDICAL CENTER

Boston, MA · CCN 220116 · Rates published

14,263 distinct procedures filed
210 distinct payers
3,165,506 rate rows
2026-04-01 last MRF observed
Data quality

3,134,129 of 3,165,506 rate rows are consumer-grade (99.0%)

31,377 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 19,559
percent-of-charges filed in the dollar field — excluded from medians 5,203
placeholder amount (≤ $0.02) — excluded from medians 3,911
per-diem day rate — not a per-procedure price 2,082
exceeds 10× this hospital's gross charge — excluded from medians 315
exceeds 3× this hospital's gross charge for a DRG stay — excluded 307
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.tuftsmedicine.org/sites/default/files/2026-03/043400617_tuftsmedicalcenter_standardcharges.csv.zip
Found on page https://www.tuftsmedicine.org/get-care/cost-estimate
Discovered viaCMS hospital list
Last fetch not_modified · 2026-05-17
Content fingerprint d16771049bc4c998… · 176,859,458 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
588
MS_DRG 		Neonate Bwt <1500g W Major Procedure Extreme 15 $431,908.72 $803,985.13 $524,927.82 nat. median
$313,714
1.7× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other I 42 $7,049.50 $872,638.02 $403,560.49 nat. median
$370,174
1.1× median
161
MS_DRG 		Cardiac Defibrillator & Heart Assist Implant Extre 15 $89,149.57 $619,250.65 $360,238.89 nat. median
$289,356
1.2× median
609
MS_DRG 		Neonate Bwt 1500-2499g W Major Procedure Major 18 $111,263.72 $519,240.05 $298,413.82 nat. median
$224,255
1.3× median
7
MS_DRG 		Allogeneic Bone Marrow Transplant Extreme 12 $275,284.14 $473,213.44 $275,284.14 nat. median
$122,708
outlier · 2.2×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System 48 $7,049.50 $1,412,788.39 $262,092.54 nat. median
$265,286
1.0× median
9
MS_DRG 		Extracorporeal Membrane Oxygenation (ecmo) Extreme 15 $216,030.16 $401,387.26 $252,755.28 nat. median
$186,776
1.4× median
591
MS_DRG 		Neonate Birthwt 500-749g Without Major Procedure Extre 12 $140,148.96 $386,427.78 $222,084.93 nat. median
$204,175
1.1× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principa 47 $7,049.50 $645,215.26 $198,644.78 nat. median
$202,986
1.0× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagno 60 $7,049.50 $441,483.33 $169,298.20 nat. median
$133,176
1.3× median
611
MS_DRG 		Neonate Birthwt 1500-1999g W Major Anomaly Moderat 18 $40,269.78 $233,219.80 $117,825.05 nat. median
$52,639
outlier · 2.2×
PX-2000003197
CDM 		Hc Liver Transplant Recipient Deceased Donor 128 $63,024.00 $240,000.00 $116,376.00 nat. median
$116,376
1.0× median
PX-2000002881
CDM 		Hc Liver Transplant Recipient Cadaver Donor 128 $63,024.00 $240,000.00 $116,376.00 nat. median
$116,376
1.0× median
33945
CPT 		Hc Heart Transplant Recipient 128 $5,059.00 $240,000.00 $116,376.00 nat. median
$5,401
outlier · 21.5×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 42 $7,049.50 $249,335.37 $112,719.16 nat. median
$117,303
1.0× median
J9043
HCPCS 		Cabazitaxel 10 Mg/ml (first Dilution) Intravenous 135 $10,890.60 $220,797.74 $107,064.82 nat. median
$739
outlier · 144.9×
209
MS_DRG 		Complex Aortic Arch Procedures 43 $7,049.50 $250,588.56 $106,194.93 nat. median
$98,017
1.1× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 57 $2,727.00 $270,188.67 $102,933.16 nat. median
$100,136
1.0× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 45 $7,049.50 $240,783.40 $102,044.84 nat. median
$102,358
1.0× median
215
MS_DRG 		Other Heart Assist System Implant 43 $7,049.50 $220,562.31 $93,486.15 nat. median
$99,019
0.9× median
162
MS_DRG 		Cardiac Valve Procedures W Ami Or Complex Pdx Majo 18 $61,317.82 $260,918.17 $93,460.20 nat. median
$100,457
0.9× median
910
MS_DRG 		Craniotomy For Multiple Significant Trauma Extreme 12 $91,978.63 $158,111.26 $91,978.63 nat. median
$52,917
1.7× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Proce 45 $7,049.50 $237,482.40 $91,860.45 nat. median
$93,672
1.0× median
631
MS_DRG 		Neonate Birthwt >2499g W Other Major Procedure Maj 12 $87,951.41 $153,035.45 $87,951.41 nat. median
$65,780
1.3× median
589
MS_DRG 		Neonate Bwt <500g Or Ga <24 Weeks Minor 17 $1,831.54 $227,570.69 $86,360.86 nat. median
$76,787
1.1× median
J1823
HCPCS 		Inebilizumab-cdon 10 Mg/ml Intravenous Solution 135 $45,095.11 $175,310.63 $85,008.12 nat. median
$798
outlier · 106.5×
50329
CPT 		Hc Kidney Transplant Recipient (Neob) 128 $5,059.00 $175,000.00 $84,857.50 nat. median
$2,513
outlier · 33.8×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fu 44 $7,049.50 $199,673.14 $84,644.69 nat. median
$82,712
1.0× median
911
MS_DRG 		Extensive Abdominal/thoracic Procedures For Mult S 18 $68,551.37 $158,551.54 $80,386.55 nat. median
$67,356
1.2× median
850
MS_DRG 		Acute Leukemia With Other Procedures 63 $7,049.50 $191,953.79 $79,831.27 nat. median
$83,442
1.0× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvatur 44 $7,049.50 $186,307.06 $78,987.43 nat. median
$81,118
1.0× median
J9347
HCPCS 		Tremelimumab-actl 20 Mg/ml Intravenous Solution 135 $41,774.85 $159,081.69 $77,138.71 nat. median
$3,461
outlier · 22.3×
SUP-966962
CDM 		Set Blood Pum Evaheart 130 $39,390.00 $150,000.00 $72,735.00 nat. median
$80,865
0.9× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Di 58 $7,049.50 $660,271.59 $72,592.40 nat. median
$77,576
0.9× median
612
MS_DRG 		Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Re 17 $27,321.81 $156,164.08 $72,361.21 nat. median
$50,031
1.4× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Proce 45 $7,049.50 $208,869.55 $72,220.56 nat. median
$74,915
1.0× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Tra 44 $7,049.50 $169,031.72 $71,675.54 nat. median
$72,138
1.0× median
16
MS_DRG 		Autologous Bone Marrow Transplant With Cc/mcc 166 $7,049.50 $131,764.56 $69,407.03 nat. median
$56,920
1.2× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation 45 $7,049.50 $159,171.44 $67,502.13 nat. median
$64,027
1.1× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Cathete 44 $7,049.50 $158,238.74 $67,107.36 nat. median
$68,887
1.0× median
PX-2000002864
CDM 		Hc Procurement Kidney - Cadaver Donor 128 $35,871.16 $136,600.00 $66,237.34 nat. median
$66,237
1.0× median
50547
CPT 		Hc Kidney Transplant Recipient Living Relative 128 $5,059.00 $136,600.00 $66,237.34 nat. median
$4,267
outlier · 15.5×
130
MS_DRG 		Respiratory System Diagnosis W Ventilator Support 15 $51,474.79 $139,310.63 $65,730.96 nat. median
$12,579
outlier · 5.2×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 46 $7,049.50 $733,246.66 $65,067.31 nat. median
$66,526
1.0× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsatio 44 $7,049.50 $152,671.40 $64,750.95 nat. median
$65,950
1.0× median
912
MS_DRG 		Musculoskeletal & Other Procedures For Multiple Si 18 $32,062.80 $185,088.76 $63,908.36 nat. median
$41,682
1.5× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 43 $7,049.50 $149,434.61 $63,380.96 nat. median
$64,732
1.0× median
SUP-965804
CDM 		Set Ocs Heart Perfusion 130 $34,138.00 $130,000.00 $63,037.00 nat. median
$63,037
1.0× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Proce 44 $7,049.50 $145,999.40 $61,926.99 nat. median
$64,510
1.0× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Proce 43 $7,049.50 $145,999.40 $61,926.99 nat. median
$61,920
1.0× median

Other procedures at this hospital

Browse this hospital's 14,263 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
             
0540T HCPCS (Ia) Hc Car-t Therapy Autologous Cell Administrati 139 131 $90,028.00 $63,019.60 30% off $1,106.52 $90,028.00 $43,654.58 2026-04-01
0571T HCPCS Hc Insj/Rplcmt Icds W/Substernal Electrode 144 135 $70,522.00 $49,365.40 30% off $18,519.08 $70,522.00 $34,196.12 2026-04-01
0823T CPT Hc Tcat Ins 1chmbr Ldls Pm Ra 145 136 $63,800.00 $44,660.00 30% off $16,753.88 $63,800.00 $30,936.62 2026-04-01
0825T CPT Hc Tcat Rmv&Rpl1chmb Ldls Pm Ra 138 132 $63,800.00 $44,660.00 30% off $16,753.88 $63,800.00 $30,936.62 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System 52 48 $720,425.70 $504,297.99 30% off $7,049.50 $1,412,788.39 $262,092.54 2026-04-01
11 MS_DRG Tracheostomy For Face Mouth And Neck Diagnoses Or 47 43 $149,449.12 $104,614.38 30% off $7,049.50 $121,278.11 $51,463.57 2026-04-01
113 MS_DRG Orbital Procedures With Cc/mcc 256 183 $29,593.74 $20,715.62 30% off $3,616.14 $52,860.25 $28,572.12 2026-04-01
12 MS_DRG Tracheostomy For Face Mouth And Neck Diagnoses Or 171 166 $150,658.59 $105,461.01 30% off $7,049.50 $93,979.31 $49,743.65 2026-04-01
120 MS_DRG Major Respiratory & Chest Procedures Minor 68 18 $65,566.25 $45,896.38 30% off $17,103.11 $148,792.15 $36,666.66 2026-04-01
13 MS_DRG Tracheostomy For Face Mouth And Neck Diagnoses Or 171 166 $95,471.03 $66,829.72 30% off $7,049.50 $64,561.61 $35,034.81 2026-04-01
130 MS_DRG Respiratory System Diagnosis W Ventilator Support 38 15 $68,548.99 $47,984.29 30% off $51,474.79 $139,310.63 $65,730.96 2026-04-01
132 MS_DRG Bpd & Oth Chronic Respiratory Diseases Arising In 38 15 $70,182.01 $49,127.41 30% off $24,574.50 $51,285.93 $29,474.67 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 46 42 $256,724.50 $179,707.15 30% off $7,049.50 $249,335.37 $112,719.16 2026-04-01
143 MS_DRG Other Ear Nose Mouth And Throat O.r. Procedures 245 182 $49,299.30 $34,509.51 30% off $6,003.38 $83,629.53 $43,956.76 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 171 166 $134,441.71 $94,109.20 30% off $7,049.50 $131,764.56 $69,407.03 2026-04-01
160 MS_DRG Major Cardiothoracic Repair Of Heart Anomaly Moder 16 12 $116,460.48 $81,522.34 30% off $48,759.21 $83,817.08 $48,759.21 2026-04-01
161 MS_DRG Cardiac Defibrillator & Heart Assist Implant Extre 45 15 $761,733.65 $533,213.56 30% off $89,149.57 $619,250.65 $360,238.89 2026-04-01
162 MS_DRG Cardiac Valve Procedures W Ami Or Complex Pdx Majo 39 18 $323,649.93 $226,554.95 30% off $61,317.82 $260,918.17 $93,460.20 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 241 183 $102,871.96 $72,010.37 30% off $7,049.50 $222,025.35 $52,673.96 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 171 166 $61,909.37 $43,336.56 30% off $7,049.50 $56,672.51 $30,478.26 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 241 182 $103,748.69 $72,624.08 30% off $7,049.50 $183,020.06 $44,470.65 2026-04-01
169 MS_DRG Major Abdominal Vascular Procedures Minor 85 18 $169,329.98 $118,530.99 30% off $26,160.52 $171,300.48 $50,820.79 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With 171 166 $67,449.22 $47,214.45 30% off $7,049.50 $66,647.46 $36,077.73 2026-04-01
174 MS_DRG Percutaneous Coronary Intervention W Ami Minor 80 18 $64,242.73 $44,969.91 30% off $14,031.34 $102,273.60 $33,397.71 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other I 46 42 $2,048,011.14 $1,433,607.80 30% off $7,049.50 $872,638.02 $403,560.49 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Di 85 58 $282,206.11 $197,544.28 30% off $7,049.50 $660,271.59 $72,592.40 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Suppo 170 165 $54,358.48 $38,050.94 30% off $7,049.50 $61,626.90 $33,567.45 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 47 43 $309,671.18 $216,769.83 30% off $7,049.50 $250,588.56 $106,194.93 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Di 141 61 $208,625.86 $146,038.10 30% off $7,049.50 $176,900.16 $49,967.60 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 49 45 $188,801.91 $132,161.34 30% off $7,049.50 $240,783.40 $102,044.84 2026-04-01
215 MS_DRG Other Heart Assist System Implant 47 43 $311,110.82 $217,777.57 30% off $7,049.50 $220,562.31 $93,486.15 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Proce 49 45 $296,095.33 $207,266.73 30% off $7,049.50 $237,482.40 $91,860.45 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Proce 48 44 $182,374.66 $127,662.26 30% off $7,049.50 $145,999.40 $61,926.99 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Proce 47 43 $192,438.81 $134,707.17 30% off $7,049.50 $145,999.40 $61,926.99 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Proce 49 45 $176,341.48 $123,439.04 30% off $7,049.50 $208,869.55 $72,220.56 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Di 227 181 $107,841.29 $75,488.90 30% off $7,049.50 $122,158.65 $38,293.64 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Proce 142 64 $148,397.53 $103,878.27 30% off $7,049.50 $241,248.49 $49,375.26 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Proce 70 48 $57,699.10 $40,389.37 30% off $7,049.50 $161,434.16 $47,600.90 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 233 183 $129,439.57 $90,607.70 30% off $7,049.50 $110,105.90 $57,806.95 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 242 183 $94,286.98 $66,000.89 30% off $7,049.50 $141,365.74 $37,374.06 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Comp 129 62 $174,331.52 $122,032.06 30% off $7,049.50 $138,928.44 $53,014.37 2026-04-01
230 MS_DRG Major Small Bowel Procedures Extreme 74 15 $72,126.59 $50,488.61 30% off $12,923.64 $135,711.53 $31,222.89 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 123 59 $234,104.47 $163,873.13 30% off $7,049.50 $207,669.87 $50,949.82 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 65 56 $192,694.99 $134,886.49 30% off $7,049.50 $122,513.02 $56,056.59 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Op 104 59 $235,032.09 $164,522.46 30% off $7,049.50 $169,589.58 $36,334.08 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Op 102 61 $159,146.33 $111,402.43 30% off $7,049.50 $128,597.58 $28,829.96 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization Wi 48 44 $164,619.01 $115,233.31 30% off $7,049.50 $294,226.33 $55,331.81 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Wi 171 166 $127,897.39 $89,528.17 30% off $7,049.50 $105,178.91 $49,443.79 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except 47 43 $173,965.81 $121,776.07 30% off $7,049.50 $109,539.25 $46,495.03 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Comp 238 183 $76,794.72 $53,756.30 30% off $7,049.50 $90,150.34 $46,391.12 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except 246 183 $48,261.89 $33,783.32 30% off $7,049.50 $63,871.48 $34,077.74 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 252 183 $77,096.21 $53,967.35 30% off $4,756.69 $71,418.84 $37,851.42 2026-04-01
245 MS_DRG Aicd Generator Procedures 265 183 $114,872.23 $80,410.56 30% off $7,049.50 $101,617.06 $53,562.53 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedure 55 50 $103,966.12 $72,776.28 30% off $7,049.50 $116,381.21 $42,995.40 2026-04-01
251 MS_DRG Percutaneous Cardiovascular Procedures Without Int 228 183 $64,125.20 $44,887.64 30% off $5,106.56 $66,094.89 $35,189.44 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 261 183 $78,569.51 $54,998.66 30% off $7,049.50 $77,934.27 $41,109.14 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 255 183 $72,827.20 $50,979.04 30% off $5,733.03 $58,251.21 $31,267.60 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory Syst 171 166 $61,556.31 $43,089.42 30% off $7,049.50 $60,495.79 $32,389.90 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 171 166 $56,550.12 $39,585.08 30% off $7,049.50 $70,300.94 $37,904.47 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedure 219 183 $95,771.93 $67,040.35 30% off $7,049.50 $69,575.55 $37,541.78 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replaceme 264 182 $95,901.57 $67,131.10 30% off $7,049.50 $181,421.97 $38,512.89 2026-04-01
263 MS_DRG Vein Ligation And Stripping 256 183 $39,399.50 $27,579.65 30% off $7,049.50 $68,433.42 $36,358.71 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 222 182 $121,409.73 $84,986.81 30% off $7,049.50 $123,221.51 $39,480.83 2026-04-01
265 MS_DRG Aicd Lead Procedures 170 165 $30,073.23 $21,051.26 30% off $7,049.50 $80,798.44 $42,541.22 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplem 50 46 $154,085.78 $107,860.05 30% off $7,049.50 $785,719.89 $57,756.36 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplem 51 46 $109,164.13 $76,414.89 30% off $7,049.50 $105,991.59 $44,993.46 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsatio 48 44 $155,749.89 $109,024.92 30% off $7,049.50 $152,671.40 $64,750.95 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsatio 51 46 $105,799.56 $74,059.69 30% off $7,049.50 $94,138.06 $39,976.39 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedure 237 181 $96,841.08 $67,788.76 30% off $7,049.50 $119,281.50 $31,078.13 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 50 46 $137,895.19 $96,526.63 30% off $7,049.50 $221,698.64 $49,804.27 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 171 166 $95,779.70 $67,045.79 30% off $7,049.50 $79,433.62 $41,858.81 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/m 169 164 $81,301.32 $56,910.92 30% off $7,049.50 $57,311.93 $36,021.58 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures Wit 47 43 $153,589.73 $107,512.81 30% off $7,049.50 $91,983.87 $39,064.62 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Wit 171 166 $104,720.73 $73,304.51 30% off $7,049.50 $76,486.35 $38,941.74 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Cathete 48 44 $230,965.05 $161,675.54 30% off $7,049.50 $158,238.74 $67,107.36 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid 47 43 $197,022.64 $137,915.85 30% off $7,049.50 $133,460.15 $56,619.68 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 48 44 $164,950.19 $115,465.13 30% off $7,049.50 $155,558.50 $43,665.47 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of P 50 45 $114,374.07 $80,061.85 30% off $7,049.50 $123,749.81 $52,509.73 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of P 237 183 $61,437.67 $43,006.37 30% off $7,049.50 $90,509.45 $42,411.14 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 52 47 $104,010.52 $72,807.36 30% off $7,049.50 $148,990.31 $56,635.55 2026-04-01
286 MS_DRG Circulatory Disorders Except Ami With Cardiac Cat 172 167 $62,384.38 $43,669.07 30% off $7,049.50 $58,571.13 $31,427.56 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 171 165 $69,104.99 $48,373.49 30% off $7,049.50 $60,689.82 $33,098.91 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulato 223 181 $59,628.79 $41,740.15 30% off $7,049.50 $76,243.14 $40,263.57 2026-04-01
291 MS_DRG Heart Failure And Shock With Mcc 171 166 $27,358.51 $19,150.96 30% off $7,049.50 $62,932.74 $33,608.37 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principa 51 47 $645,215.26 $451,650.68 30% off $7,049.50 $645,215.26 $198,644.78 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 171 166 $74,055.03 $51,838.52 30% off $7,049.50 $99,811.26 $52,659.63 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Card 110 61 $184,750.29 $129,325.20 30% off $7,049.50 $151,610.10 $57,181.30 2026-04-01
318 MS_DRG Percutaneous Coronary Atherectomy Without Intralum 170 165 $54,223.23 $37,956.26 30% off $7,049.50 $54,427.93 $29,967.97 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With M 46 42 $162,635.36 $113,844.75 30% off $7,049.50 $99,423.19 $42,213.35 2026-04-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Withou 219 183 $75,675.82 $52,973.07 30% off $7,049.50 $54,055.29 $29,169.65 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intral 123 65 $95,428.55 $66,799.99 30% off $7,049.50 $101,682.68 $30,893.21 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intralumin 227 181 $86,437.72 $60,506.40 30% off $7,049.50 $96,435.57 $50,971.79 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intralumin 223 181 $64,800.58 $45,360.41 30% off $7,049.50 $70,497.20 $37,390.60 2026-04-01
324 OTHER Coronary Intravascular Lithotripsy With Intralumin 2 2 $59,974.93 $41,982.45 30% off $28,847.43 $28,847.43 $28,847.43 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intralu 223 181 $50,104.90 $35,073.43 30% off $7,049.50 $71,806.88 $38,045.44 2026-04-01
326 MS_DRG Stomach Esophageal And Duodenal Procedures With M 102 61 $142,870.45 $100,009.32 30% off $7,049.50 $142,976.48 $46,213.11 2026-04-01
327 MS_DRG Stomach Esophageal And Duodenal Procedures With C 170 165 $68,637.61 $48,046.33 30% off $7,049.50 $59,505.45 $29,598.48 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 51 46 $98,047.10 $68,632.97 30% off $7,049.50 $102,368.95 $43,460.16 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 171 166 $66,730.91 $46,711.64 30% off $7,049.50 $53,876.70 $29,080.35 2026-04-01
332 MS_DRG Rectal Resection With Mcc 171 166 $39,731.41 $27,811.99 30% off $7,049.50 $80,853.57 $42,568.79 2026-04-01
33230 CPT Hc Ep Insj Implntbl Defib Pulse Gen W/Exist Dual L 139 131 $68,608.00 $48,025.60 30% off $18,016.46 $68,608.00 $33,268.02 2026-04-01
33231 CPT Hc Ep Insj Implntbl Defib Pulse Gen W/Exist Multil 145 135 $68,608.00 $48,025.60 30% off $18,016.46 $68,608.00 $33,268.02 2026-04-01
33240 CPT Hc Ep Insj Implntbl Defib Pulse Gen W/1 Existing L 146 136 $68,608.00 $48,025.60 30% off $18,016.46 $68,608.00 $33,268.02 2026-04-01
33249 CPT Hc Ep Insj/Rplcmt Perm Dfb W/Trnsvns Lds 1/Dual Ch 154 141 $74,930.00 $52,451.00 30% off $19,676.62 $74,930.00 $36,333.56 2026-04-01
33264 CPT Hc Ep Rmvl Impltbl Dfb Pls Gen W/Rplcmt Pls Gen Ml 149 138 $73,738.00 $51,616.60 30% off $19,363.60 $73,738.00 $35,755.56 2026-04-01
33270 CPT Hc Ep Ins/Rplcmnt Perm Subq Impltbl Dfb W/Subq Elt 149 139 $70,394.00 $49,275.80 30% off $18,485.46 $70,394.00 $34,134.05 2026-04-01
333 MS_DRG Rectal Resection With Cc 171 166 $31,361.88 $21,953.32 30% off $7,049.50 $52,664.03 $28,474.01 2026-04-01
33477 CPT Hc Cath Tcat Pulmonary Valve Implantation Prq Appr 144 135 $68,542.00 $47,979.40 30% off $5,059.00 $68,542.00 $33,236.02 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 169 164 $75,846.03 $53,092.22 30% off $7,049.50 $79,755.55 $50,141.63 2026-04-01
33945 CPT Hc Heart Transplant Recipient 134 128 $240,000.00 $168,000.00 30% off $5,059.00 $240,000.00 $116,376.00 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 171 166 $52,543.99 $36,780.79 30% off $7,049.50 $86,365.82 $45,936.91 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 249 182 $37,275.79 $26,093.05 30% off $7,049.50 $57,968.98 $31,126.49 2026-04-01
347 MS_DRG Anal And Stomal Procedures With Mcc 236 182 $25,415.40 $17,790.78 30% off $5,549.89 $51,636.53 $28,572.26 2026-04-01
34846 CPT Hc Visc & Infraren Abd 2 Prosth 144 135 $62,038.00 $43,426.60 30% off $5,059.00 $62,038.00 $30,082.23 2026-04-01
35 MS_DRG Carotid Artery Stent Procedures With Cc 171 166 $81,287.76 $56,901.43 30% off $7,049.50 $53,728.95 $29,006.47 2026-04-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 171 166 $52,169.05 $36,518.34 30% off $7,049.50 $55,964.71 $30,736.35 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With 171 166 $39,373.64 $27,561.55 30% off $7,049.50 $65,007.00 $34,645.50 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 171 166 $122,836.55 $85,985.59 30% off $7,049.50 $97,877.60 $51,692.80 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intralumina 171 166 $127,048.58 $88,934.01 30% off $7,049.50 $76,838.48 $40,561.24 2026-04-01
360 MS_DRG Percutaneous Coronary Atherectomy With Intralumina 171 166 $55,192.16 $38,634.51 30% off $7,049.50 $54,253.72 $29,880.86 2026-04-01
362 MS_DRG Mastectomy Procedures Moderate 4 3 $48,469.17 $33,928.42 30% off $48,088.23 $50,263.74 $50,263.74 2026-04-01
363 MS_DRG Breast Procedures Except Mastectomy Moderate 28 15 $84,931.52 $59,452.06 30% off $22,558.27 $67,294.81 $29,516.08 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 171 166 $60,235.56 $42,164.89 30% off $7,049.50 $73,608.27 $38,946.14 2026-04-01
38228 CPT Hc Car-t Admn Autologous 138 131 $90,028.00 $63,019.60 30% off $23,641.35 $90,028.00 $43,654.58 2026-04-01
38240 CPT Hc Transplt Allo Hct/Donor 139 131 $107,229.00 $75,060.30 30% off $8,163.74 $107,229.00 $51,995.34 2026-04-01
397 MS_DRG Appendix Procedures With Mcc 171 166 $43,206.37 $30,244.46 30% off $7,049.50 $53,825.98 $29,054.99 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagno 80 60 $555,968.44 $389,177.91 30% off $7,049.50 $441,483.33 $169,298.20 2026-04-01
40 MS_DRG Peripheral Cranial Nerve And Other Nervous System 89 63 $59,631.59 $41,742.11 30% off $7,049.50 $86,156.34 $35,902.73 2026-04-01
401 MS_DRG Pituitary & Adrenal Procedures Minor 48 18 $46,595.00 $32,616.50 30% off $12,371.68 $79,275.97 $37,593.70 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spina 57 52 $61,762.38 $43,233.67 30% off $7,049.50 $89,668.76 $38,084.74 2026-04-01
405 MS_DRG Pancreas Liver And Shunt Procedures With Mcc 87 62 $150,109.60 $105,076.72 30% off $7,049.50 $121,885.91 $50,635.90 2026-04-01
406 MS_DRG Pancreas Liver And Shunt Procedures With Cc 171 166 $97,856.74 $68,499.72 30% off $7,049.50 $64,967.33 $34,625.67 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystecto 171 166 $107,458.35 $75,220.85 30% off $7,049.50 $79,638.71 $42,573.36 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 171 166 $37,481.20 $26,236.84 30% off $7,049.50 $73,855.26 $39,069.63 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d. 171 166 $60,275.84 $42,193.09 30% off $7,049.50 $79,572.51 $42,540.25 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With M 170 165 $45,374.54 $31,762.18 30% off $7,049.50 $53,638.55 $28,961.28 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 251 183 $79,423.95 $55,596.77 30% off $5,565.05 $76,143.91 $40,213.96 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures Wi 71 61 $108,519.94 $75,963.96 30% off $7,049.50 $92,590.26 $38,574.18 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spi 103 61 $90,089.82 $63,062.87 30% off $6,722.01 $160,183.48 $34,165.27 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spi 52 47 $79,602.19 $55,721.53 30% off $7,049.50 $124,980.14 $53,030.47 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fu 48 44 $188,231.76 $131,762.23 30% off $7,049.50 $199,673.14 $84,644.69 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fu 49 45 $134,053.70 $93,837.59 30% off $7,049.50 $149,505.07 $54,384.58 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With 95 62 $133,969.95 $93,778.97 30% off $7,049.50 $148,343.18 $61,723.55 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Witho 52 47 $51,774.01 $36,241.81 30% off $7,049.50 $94,526.16 $40,140.66 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mc 51 46 $111,675.20 $78,172.64 30% off $7,049.50 $118,533.01 $50,301.69 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without 171 166 $54,023.44 $37,816.41 30% off $7,049.50 $72,247.87 $38,265.93 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvatur 48 44 $162,202.86 $113,542.00 30% off $7,049.50 $186,307.06 $78,987.43 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvatur 49 45 $116,170.24 $81,319.17 30% off $7,049.50 $145,287.18 $56,213.73 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvatur 51 46 $36,411.07 $25,487.75 30% off $7,049.50 $93,022.40 $39,504.18 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lo 67 58 $231,290.40 $161,903.28 30% off $7,049.50 $122,797.30 $51,116.55 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lo 205 181 $59,988.28 $41,991.80 30% off $6,616.57 $59,671.16 $31,977.58 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For M 170 165 $53,349.62 $37,344.73 30% off $5,058.00 $69,696.80 $36,990.40 2026-04-01
464 OTHER Wound Debridement And Skin Graft Except Hand For M 3 3 $20,280.86 $14,196.60 30% off $31,700.44 $31,700.44 $31,700.44 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 110 62 $134,248.56 $93,973.99 30% off $6,034.91 $115,794.53 $28,423.14 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 171 166 $94,934.86 $66,454.40 30% off $7,049.50 $78,778.78 $41,531.39 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 227 181 $89,616.24 $62,731.37 30% off $5,182.34 $61,611.50 $32,947.75 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachme 241 181 $65,501.64 $45,851.15 30% off $4,530.60 $67,899.82 $36,703.91 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 52 47 $87,193.85 $61,035.70 30% off $7,049.50 $107,488.68 $45,627.11 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 171 166 $48,989.61 $34,292.73 30% off $7,049.50 $65,979.39 $35,131.69 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 171 166 $41,204.00 $28,842.80 30% off $7,049.50 $56,796.28 $29,566.53 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connecti 171 166 $114,182.69 $79,927.88 30% off $7,049.50 $101,578.46 $50,591.43 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective 171 166 $77,263.20 $54,084.24 30% off $7,049.50 $77,191.27 $40,737.64 2026-04-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective 171 166 $53,039.95 $37,127.97 30% off $7,049.50 $55,243.75 $29,763.88 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With M 210 183 $74,792.47 $52,354.73 30% off $7,049.50 $65,234.10 $35,371.05 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upp 190 181 $62,983.05 $44,088.14 30% off $7,049.50 $62,138.42 $33,211.21 2026-04-01
484 MS_DRG Other Male Reproductive System & Related Procedure 39 18 $39,547.51 $27,683.26 30% off $10,789.07 $104,185.12 $38,726.92 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infect 171 166 $48,440.98 $33,908.69 30% off $7,049.50 $72,175.11 $38,229.56 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip 169 164 $79,150.60 $55,405.42 30% off $7,049.50 $81,975.88 $43,129.94 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip 171 166 $64,693.38 $45,285.37 30% off $7,049.50 $56,939.31 $30,611.65 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation De 170 165 $55,071.11 $38,549.78 30% off $7,049.50 $80,963.83 $43,235.92 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation De 170 165 $42,446.31 $29,712.42 30% off $7,049.50 $67,538.23 $35,911.11 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 81 57 $402,938.94 $282,057.26 30% off $2,727.00 $270,188.67 $102,933.16 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 170 165 $56,897.39 $39,828.17 30% off $7,049.50 $70,801.44 $38,154.72 2026-04-01
503 MS_DRG Foot Procedures With Mcc 171 166 $29,231.73 $20,462.21 30% off $7,049.50 $62,561.78 $33,422.89 2026-04-01
50329 CPT Hc Kidney Transplant Recipient (Neob) 134 128 $175,000.00 $122,500.00 30% off $5,059.00 $175,000.00 $84,857.50 2026-04-01
50547 CPT Hc Kidney Transplant Recipient Living Relative 134 128 $136,600.00 $95,620.00 30% off $5,059.00 $136,600.00 $66,237.34 2026-04-01
510 MS_DRG Shoulder Elbow Or Forearm Procedures Except Majo 187 178 $55,606.79 $38,924.75 30% off $7,049.50 $67,619.79 $36,563.89 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue 170 165 $57,065.16 $39,945.61 30% off $7,049.50 $71,288.73 $37,786.36 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With 228 183 $61,374.19 $42,961.93 30% off $7,049.50 $94,123.78 $43,854.25 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fr 171 166 $79,426.62 $55,598.63 30% off $7,049.50 $64,305.82 $34,294.91 2026-04-01
545 MS_DRG Connective Tissue Disorders With Mcc 175 167 $71,341.47 $49,939.03 30% off $7,049.50 $55,739.82 $30,011.91 2026-04-01
570 MS_DRG Skin Debridement With Mcc 170 165 $23,320.21 $16,324.15 30% off $7,049.50 $65,869.12 $35,076.56 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 47 42 $45,216.11 $31,651.28 30% off $7,049.50 $106,872.99 $61,703.94 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 170 165 $98,685.69 $69,079.98 30% off $7,049.50 $77,561.67 $40,922.83 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis Wit 171 166 $96,224.00 $67,356.80 30% off $7,049.50 $109,087.25 $57,297.62 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis Wit 171 166 $63,372.07 $44,360.45 30% off $7,049.50 $59,466.10 $31,875.05 2026-04-01
579 MS_DRG Other Skin Subcutaneous Tissue And Breast Procedu 170 165 $94,399.01 $66,079.31 30% off $7,049.50 $72,426.46 $38,967.23 2026-04-01
588 MS_DRG Neonate Bwt <1500g W Major Procedure Extreme 20 15 $1,712,727.05 $1,198,908.94 30% off $431,908.72 $803,985.13 $524,927.82 2026-04-01
589 MS_DRG Neonate Bwt <500g Or Ga <24 Weeks Minor 51 17 $759,970.00 $531,979.00 30% off $1,831.54 $227,570.69 $86,360.86 2026-04-01
591 MS_DRG Neonate Birthwt 500-749g Without Major Procedure Extre 30 12 $737,120.71 $515,984.50 30% off $140,148.96 $386,427.78 $222,084.93 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 171 166 $444,239.80 $310,967.86 30% off $7,049.50 $103,261.93 $54,384.96 2026-04-01
608 MS_DRG Neonate Bwt 1250-1499g W Or Without Other Significant 39 18 $59,945.82 $41,962.07 30% off $16,637.83 $193,749.30 $41,259.19 2026-04-01
609 MS_DRG Neonate Bwt 1500-2499g W Major Procedure Major 39 18 $273,489.04 $191,442.33 30% off $111,263.72 $519,240.05 $298,413.82 2026-04-01
61 MS_DRG Ischemic Stroke Precerebral Occlusion Or Transien 171 166 $75,943.16 $53,160.21 30% off $7,049.50 $61,812.10 $33,660.05 2026-04-01
611 MS_DRG Neonate Birthwt 1500-1999g W Major Anomaly Moderat 58 18 $183,036.01 $128,125.21 30% off $40,269.78 $233,219.80 $117,825.05 2026-04-01
612 MS_DRG Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Re 68 17 $98,362.56 $68,853.79 30% off $27,321.81 $156,164.08 $72,361.21 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine Nutritiona 171 166 $75,163.85 $52,614.70 30% off $7,049.50 $77,914.44 $41,099.22 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 170 165 $109,370.94 $76,559.66 30% off $7,049.50 $64,685.07 $34,484.54 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine N 245 182 $31,570.51 $22,099.36 30% off $7,049.50 $124,607.46 $41,890.79 2026-04-01
625 MS_DRG Thyroid Parathyroid And Thyroglossal Procedures W 227 182 $76,167.12 $53,316.98 30% off $7,049.50 $86,595.54 $35,947.49 2026-04-01
628 MS_DRG Other Endocrine Nutritional And Metabolic O.r. Pr 170 165 $58,850.88 $41,195.62 30% off $7,049.50 $83,192.96 $43,738.48 2026-04-01
631 MS_DRG Neonate Birthwt >2499g W Other Major Procedure Maj 16 12 $219,390.97 $153,573.68 30% off $87,951.41 $153,035.45 $87,951.41 2026-04-01
633 MS_DRG Neonate Birth Weight > 2499 Grams With Major Anoma 82 17 $29,306.60 $20,514.62 30% off $3,684.50 $177,386.65 $38,623.90 2026-04-01
634 MS_DRG Neonate Birthwt >2499g W Resp Dist Synd/oth Maj R 89 18 $47,674.28 $33,372.00 30% off $10,942.38 $119,891.27 $33,549.83 2026-04-01
636 MS_DRG Neonate Birthwt >2499g W Congenital/perinatal Infe 16 12 $286,604.30 $200,623.01 30% off $55,176.48 $96,007.08 $55,176.48 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 51 46 $338,736.76 $237,115.73 30% off $7,049.50 $119,855.79 $44,439.11 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 169 164 $346,482.46 $242,537.72 30% off $7,049.50 $74,886.81 $39,585.40 2026-04-01
652 MS_DRG Kidney Transplant 170 165 $261,185.01 $182,829.51 30% off $7,049.50 $236,603.90 $36,155.62 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 47 42 $34,217.88 $23,952.52 30% off $7,049.50 $84,768.87 $49,058.63 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 171 166 $116,334.33 $81,434.03 30% off $7,049.50 $62,742.58 $33,513.29 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 171 166 $66,692.10 $46,684.47 30% off $7,049.50 $71,220.40 $38,364.20 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With 171 166 $33,619.50 $23,533.65 30% off $7,049.50 $57,045.12 $31,276.56 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 227 182 $94,258.39 $65,980.87 30% off $7,049.50 $68,523.83 $36,403.92 2026-04-01
665 MS_DRG Prostatectomy With Mcc 170 165 $54,489.49 $38,142.64 30% off $7,049.50 $69,840.14 $37,674.07 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 170 165 $40,695.93 $28,487.15 30% off $7,049.50 $65,403.88 $34,843.94 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 51 46 $57,118.12 $39,982.68 30% off $7,049.50 $93,661.83 $39,774.83 2026-04-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 171 166 $37,937.48 $26,556.24 30% off $7,049.50 $52,584.63 $28,434.31 2026-04-01
680 MS_DRG Major O.r. Procedures For Lymphatic/hematopoietic/ 76 18 $68,335.51 $47,834.85 30% off $15,406.82 $218,549.16 $48,451.19 2026-04-01
691 MS_DRG Lymphoma Myeloma & Non-acute Leukemia Minor 83 18 $30,191.18 $21,133.83 30% off $11,892.98 $85,827.38 $29,461.98 2026-04-01
7 MS_DRG Allogeneic Bone Marrow Transplant Extreme 16 12 $2,987,250.10 $2,091,075.07 30% off $275,284.14 $473,213.44 $275,284.14 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnex 171 166 $147,469.00 $103,228.30 30% off $7,049.50 $79,834.92 $42,059.46 2026-04-01
736 OTHER Uterine And Adnexa Procedures For Ovarian Or Adnex 2 2 $70,262.69 $49,183.88 30% off $36,901.03 $36,901.03 $36,901.03 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And 171 166 $52,338.59 $36,637.01 30% off $7,049.50 $80,017.93 $42,150.96 2026-04-01
77371 CPT Hc Radiation Delivery Stereotactic Cranial Cobalt 165 149 $75,448.00 $52,813.60 30% off $15,324.08 $75,448.00 $36,584.74 2026-04-01
783 MS_DRG Cesarean Section With Sterilization With Mcc 171 166 $68,781.70 $48,147.19 30% off $7,049.50 $55,153.32 $29,718.66 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrom 49 45 $206,360.60 $144,452.42 30% off $7,049.50 $254,443.74 $56,030.81 2026-04-01
791 MS_DRG Prematurity With Major Problems 61 48 $31,019.38 $21,713.57 30% off $7,049.50 $99,495.97 $38,444.02 2026-04-01
792 MS_DRG Prematurity Without Major Problems 193 177 $12,451.91 $8,716.34 30% off $7,049.50 $133,186.53 $29,653.61 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 114 58 $26,349.79 $18,444.85 30% off $7,049.50 $104,871.70 $38,726.13 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 171 166 $130,345.24 $91,241.67 30% off $7,049.50 $100,878.43 $53,193.21 2026-04-01
800 MS_DRG Splenic Procedures With Cc 170 165 $72,810.11 $50,967.08 30% off $7,049.50 $62,965.28 $34,236.64 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Formi 50 45 $89,325.53 $62,527.87 30% off $7,049.50 $88,866.17 $37,745.03 2026-04-01
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 223 182 $49,178.08 $34,424.66 30% off $7,049.50 $51,416.05 $28,462.03 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures W 48 44 $147,823.09 $103,476.16 30% off $7,049.50 $130,333.61 $55,296.36 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedu 48 44 $219,848.07 $153,893.65 30% off $7,049.50 $270,264.29 $43,350.96 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentia 171 166 $82,473.32 $57,731.32 30% off $7,049.50 $104,161.50 $54,834.75 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentia 170 165 $42,418.27 $29,692.79 30% off $7,049.50 $70,695.65 $37,489.82 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 49 45 $140,520.72 $98,364.50 30% off $7,049.50 $135,457.54 $51,797.66 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diag 47 42 $29,925.77 $20,948.04 30% off $7,049.50 $78,372.55 $45,399.43 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 170 165 $65,699.36 $45,989.55 30% off $7,049.50 $72,347.11 $38,927.56 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary D 170 165 $26,640.64 $18,648.45 30% off $7,049.50 $58,182.87 $31,233.44 2026-04-01
849 MS_DRG Radiotherapy 170 165 $101,459.94 $71,021.96 30% off $7,049.50 $60,762.61 $32,523.31 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 89 63 $98,254.94 $68,778.46 30% off $7,049.50 $191,953.79 $79,831.27 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Proced 171 166 $159,588.41 $111,711.89 30% off $7,049.50 $903,585.28 $57,709.94 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O. 51 46 $61,346.85 $42,942.80 30% off $7,049.50 $324,174.14 $43,014.07 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 50 46 $227,426.52 $159,198.56 30% off $7,049.50 $733,246.66 $65,067.31 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental 53 48 $77,454.76 $54,218.33 30% off $1.27 $86,237.94 $36,632.62 2026-04-01
890 MS_DRG HIV W Multiple Major HIV Related Conditions Modera 43 18 $49,972.60 $34,980.82 30% off $954.59 $92,500.41 $32,564.24 2026-04-01
9 MS_DRG Extracorporeal Membrane Oxygenation (ecmo) Extreme 20 15 $473,843.58 $331,690.51 30% off $216,030.16 $401,387.26 $252,755.28 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 170 165 $45,762.43 $32,033.70 30% off $7,049.50 $93,551.57 $49,529.79 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 171 166 $67,753.37 $47,427.36 30% off $7,049.50 $82,008.93 $43,758.46 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 171 166 $106,309.64 $74,416.75 30% off $7,049.50 $85,673.47 $45,590.74 2026-04-01
910 MS_DRG Craniotomy For Multiple Significant Trauma Extreme 16 12 $497,285.55 $348,099.89 30% off $91,978.63 $158,111.26 $91,978.63 2026-04-01
911 MS_DRG Extensive Abdominal/thoracic Procedures For Mult S 25 18 $220,538.79 $154,377.15 30% off $68,551.37 $158,551.54 $80,386.55 2026-04-01
912 MS_DRG Musculoskeletal & Other Procedures For Multiple Si 39 18 $130,054.89 $91,038.42 30% off $32,062.80 $185,088.76 $63,908.36 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation 50 45 $87,888.76 $61,522.13 30% off $7,049.50 $159,171.44 $67,502.13 2026-04-01
92930 CPT Hc Prq Tcat Plmt Ntrac St 2+Les 143 135 $65,909.00 $46,136.30 30% off $17,307.70 $65,909.00 $31,959.27 2026-04-01
935 MS_DRG Non-extensive Burns 165 161 $9,791.22 $6,853.85 30% off $7,049.50 $29,479.23 $29,479.23 2026-04-01
93591 CPT Hc Perq Transcath Cls Paravalvr Leak 1 Aortic Valv 144 135 $63,974.00 $44,781.80 30% off $16,799.57 $63,974.00 $31,020.99 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact Wi 171 166 $30,955.28 $21,668.70 30% off $7,049.50 $81,025.54 $43,266.77 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous Sy 170 165 $30,505.77 $21,354.04 30% off $7,049.50 $78,620.01 $41,452.00 2026-04-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact Wi 170 165 $38,262.70 $26,783.89 30% off $7,049.50 $52,547.12 $28,415.56 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous Sy 191 181 $20,961.48 $14,673.04 30% off $7,049.50 $57,889.59 $31,086.79 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 47 43 $367,966.07 $257,576.25 30% off $7,049.50 $149,434.61 $63,380.96 2026-04-01
956 MS_DRG Limb Reattachment Hip And Femur Procedures For Mu 171 166 $110,735.43 $77,514.80 30% off $7,049.50 $83,991.13 $44,749.57 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Tra 48 44 $185,766.89 $130,036.82 30% off $7,049.50 $169,031.72 $71,675.54 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Tra 51 46 $82,434.12 $57,703.88 30% off $7,049.50 $93,933.05 $39,889.62 2026-04-01
958 OTHER Other O.r. Procedures For Multiple Significant Tra 2 2 $98,574.03 $69,001.82 30% off $39,393.14 $39,393.14 $39,393.14 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Tra 171 166 $96,528.19 $67,569.73 30% off $7,049.50 $65,935.26 $35,721.63 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous Sy 167 162 $18,718.09 $13,102.66 30% off $7,049.50 $42,074.49 $36,369.28 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 170 165 $42,851.82 $29,996.27 30% off $7,049.50 $61,298.35 $33,403.18 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 50 45 $62,352.02 $43,646.41 30% off $7,049.50 $135,989.16 $57,690.10 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except V 177 169 $84,906.02 $59,434.21 30% off $7,049.50 $80,657.35 $50,684.39 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 171 166 $78,027.52 $54,619.26 30% off $7,049.50 $59,172.86 $32,340.43 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 170 165 $69,978.46 $48,984.92 30% off $7,049.50 $64,654.23 $34,469.11 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal D 49 45 $125,105.00 $87,573.50 30% off $7,049.50 $136,265.63 $44,349.53 2026-04-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal D 171 166 $67,607.49 $47,325.24 30% off $7,049.50 $55,228.29 $29,756.15 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Princip 170 165 $78,720.74 $55,104.52 30% off $7,049.50 $76,613.55 $41,060.78 2026-04-01
J0202 HCPCS Alemtuzumab 12 Mg/1.2 Ml Intravenous Solution 145 135 $104,058.45 $72,840.92 30% off $23,811.84 $104,058.45 $50,457.94 2026-04-01
J1290 HCPCS Ecallantide 10 Mg/ml (1 Ml) Subcutaneous Solution 139 131 $64,198.99 $44,939.29 30% off $14,840.70 $64,198.99 $31,130.09 2026-04-01
J1823 HCPCS Inebilizumab-cdon 10 Mg/ml Intravenous Solution 146 135 $175,310.63 $122,717.44 30% off $45,095.11 $175,310.63 $85,008.12 2026-04-01
J2350 HCPCS Ocrelizumab 30 Mg/ml Intravenous Solution 146 135 $81,428.59 $57,000.01 30% off $17,214.00 $81,428.59 $39,484.72 2026-04-01
J9043 HCPCS Cabazitaxel 10 Mg/ml (first Dilution) Intravenous 145 135 $220,797.74 $154,558.42 30% off $10,890.60 $220,797.74 $107,064.82 2026-04-01
J9228 HCPCS Ipilimumab 50 Mg/10 Ml (5 Mg/ml) Intravenous Solut 291 136 $34,634.36 $24,244.05 30% off $7,869.00 $138,537.30 $31,780.04 2026-04-01
J9281 HCPCS Mitomycin 40 Mg X 2 Intra-pyelocalyceal Kit 145 135 $95,418.75 $66,793.13 30% off $11,110.35 $95,418.75 $46,268.55 2026-04-01
J9347 HCPCS Tremelimumab-actl 20 Mg/ml Intravenous Solution 144 135 $159,081.69 $111,357.18 30% off $41,774.85 $159,081.69 $77,138.71 2026-04-01
L8688 HCPCS Stimulator Neuro Rns System 130 127 $70,500.00 $49,350.00 30% off $18,513.30 $70,500.00 $34,185.45 2026-04-01
PX-2000002864 CDM Hc Procurement Kidney - Cadaver Donor 133 128 $136,600.00 $95,620.00 30% off $35,871.16 $136,600.00 $66,237.34 2026-04-01
PX-2000002881 CDM Hc Liver Transplant Recipient Cadaver Donor 133 128 $240,000.00 $168,000.00 30% off $63,024.00 $240,000.00 $116,376.00 2026-04-01
PX-2000003197 CDM Hc Liver Transplant Recipient Deceased Donor 133 128 $240,000.00 $168,000.00 30% off $63,024.00 $240,000.00 $116,376.00 2026-04-01
SUP-917771 CDM No Longer Used 135 130 $60,000.00 $42,000.00 30% off $15,756.00 $60,000.00 $29,094.00 2026-04-01
SUP-917894 CDM No Longer Used 135 130 $60,000.00 $42,000.00 30% off $15,756.00 $60,000.00 $29,094.00 2026-04-01
SUP-918152 CDM No Longer Used 135 130 $60,000.00 $42,000.00 30% off $15,756.00 $60,000.00 $29,094.00 2026-04-01
SUP-965387 CDM No Longer Used 135 130 $60,000.00 $42,000.00 30% off $15,756.00 $60,000.00 $29,094.00 2026-04-01
SUP-965388 CDM No Longer Used 135 130 $60,000.00 $42,000.00 30% off $15,756.00 $60,000.00 $29,094.00 2026-04-01
SUP-965389 CDM No Longer Used 135 130 $60,000.00 $42,000.00 30% off $15,756.00 $60,000.00 $29,094.00 2026-04-01
SUP-965390 CDM No Longer Used 135 130 $60,000.00 $42,000.00 30% off $15,756.00 $60,000.00 $29,094.00 2026-04-01
SUP-965391 CDM No Longer Used 135 130 $60,000.00 $42,000.00 30% off $15,756.00 $60,000.00 $29,094.00 2026-04-01
SUP-965804 CDM Set Ocs Heart Perfusion 135 130 $130,000.00 $91,000.00 30% off $34,138.00 $130,000.00 $63,037.00 2026-04-01
SUP-966962 CDM Set Blood Pum Evaheart 135 130 $150,000.00 $105,000.00 30% off $39,390.00 $150,000.00 $72,735.00 2026-04-01
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