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

SOUTHERN NH MEDICAL CENTER

Nashua, NH · CCN 300020 · Rates published

12,671 distinct procedures filed
16 distinct payers
392,236 rate rows
2026-04-01 last MRF observed
Data quality

329,332 of 392,236 rate rows are consumer-grade (84.0%)

62,904 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 60,264
template filing: same amount across many unrelated codes — excluded 2,310
placeholder amount (≤ $0.02) — excluded from medians 330
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://hospitalpricedisclosure.com/Download.aspx?pxi=06hFExK19Svl3QLOl*_*Dgkw*-*&f=iFd*_*cEPwhQHJy3lVvHy9uQ*-*
Found on page https://hospitalpricedisclosure.com/default.aspx?pi=06hFExK19Svl3QLOl*_*Dgkw*-*
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint 0c4d260204996413… · 42,161,128 bytes · first seen 2026-05-08

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 6 $3,570,000.00 $4,790,846.67 $3,685,266.67 nat. median
$3,710,000
1.0× median
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 1 $3,570,000.00 $3,570,000.00 $3,570,000.00 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 6 $3,264,000.00 $4,311,401.36 $3,316,462.59 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 6 $3,162,000.00 $4,222,979.43 $3,248,445.72 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 6 $2,856,000.00 $4,689,908.50 $2,973,597.46 nat. median
$3,004,655
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 6 $2,146,250.00 $3,908,778.13 $2,478,328.25 nat. median
$2,468,984
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 6 $2,244,000.00 $3,712,773.91 $2,354,053.41 nat. median
$2,448,600
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 6 $565,623.84 $4,072,008.38 $621,312.51 nat. median
$753,246
0.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 6 $551,318.34 $3,894,069.72 $594,162.39 nat. median
$674,867
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 6 $516,485.97 $3,871,148.85 $590,665.09 nat. median
$673,137
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 6 $528,312.43 $3,835,225.30 $585,183.83 nat. median
$625,184
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 6 $489,517.15 $3,669,463.54 $559,891.68 nat. median
$634,303
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 6 $488,051.51 $3,367,186.48 $513,769.84 nat. median
$619,808
0.8× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 12 $348,002.44 $1,132,519.51 $365,402.56 nat. median
$370,174
1.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 12 $226,094.18 $845,898.39 $256,006.44 nat. median
$265,286
1.0× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 12 $171,418.86 $643,595.62 $196,174.18 nat. median
$202,976
1.0× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 12 $172,426.53 $712,447.40 $195,238.56 nat. median
$206,474
0.9× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 3 $81,976.81 $266,127.16 $154,050.96 nat. median
$87,428
1.8× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 12 $107,239.66 $424,327.67 $126,951.86 nat. median
$133,161
1.0× median
7
MS_DRG 		Lung Transplant 12 $104,871.10 $392,457.53 $118,745.55 nat. median
$122,708
1.0× median
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 3 $61,355.41 $199,182.43 $115,299.18 nat. median
$65,393
1.8× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 12 $97,373.52 $393,448.59 $110,256.04 nat. median
$117,357
0.9× median
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 3 $56,581.89 $183,685.82 $106,328.79 nat. median
$62,372
1.7× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 12 $91,855.89 $330,945.61 $101,943.24 nat. median
$108,660
0.9× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 12 $88,175.05 $327,143.54 $99,840.61 nat. median
$102,358
1.0× median
209
MS_DRG 		Complex Aortic Arch Procedures 11 $91,751.34 $162,335.65 $95,421.39 nat. median
$98,047
1.0× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 12 $35,764.31 $314,785.30 $95,395.60 nat. median
$98,894
1.0× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 12 $83,642.57 $319,800.67 $94,708.48 nat. median
$100,136
0.9× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 12 $79,398.79 $289,822.55 $89,275.85 nat. median
$93,672
1.0× median
215
MS_DRG 		Other Heart Assist System Implant 12 $55,160.74 $318,166.92 $89,005.76 nat. median
$99,019
0.9× median
455
MS_DRG 		Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 3 $42,606.41 $138,316.21 $80,066.03 nat. median
$48,483
1.7× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 12 $73,180.69 $250,468.38 $80,007.92 nat. median
$82,711
1.0× median
850
MS_DRG 		Acute Leukemia With Other Procedures 12 $70,365.18 $276,635.42 $79,674.49 nat. median
$83,470
1.0× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 12 $68,518.73 $254,474.67 $77,583.76 nat. median
$79,312
1.0× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 12 $68,305.62 $254,330.52 $77,342.45 nat. median
$81,118
1.0× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 12 $64,006.35 $242,074.39 $72,474.39 nat. median
$77,570
0.9× median
38240
HCPCS 		Transplt Allo Hct/donor 6 $14,055.19 $472,881.08 $72,152.83 nat. median
$15,979
outlier · 4.5×
5094
OTHER 		Level 4 Breast/Lymphatic Surgery And Related Procedures 2 $54,171.80 $89,068.97 $71,620.39 nat. median
$16,303
outlier · 4.4×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 12 $62,474.35 $232,358.98 $70,739.71 nat. median
$74,915
0.9× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 12 $62,208.15 $234,725.51 $70,438.29 nat. median
$73,807
1.0× median
10
MS_DRG 		Pancreas Transplant 12 $58,432.42 $239,434.56 $66,163.03 nat. median
$68,884
1.0× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 6 $56,824.55 $391,042.41 $66,156.06 nat. median
$62,507
1.1× median
J9029
HCPCS 		Inj, Adstiladrin, Per Tx Dos 6 $63,342.28 $435,894.68 $65,875.97 nat. median
$69,774
0.9× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 12 $58,101.90 $238,056.08 $65,788.78 nat. median
$71,271
0.9× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 13 $53,471.90 $224,151.18 $65,104.92 nat. median
$72,135
0.9× median
460
MS_DRG 		Spinal Fusion Except Cervical Without Mcc 3 $33,839.23 $109,854.71 $63,590.74 nat. median
$39,075
1.6× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 12 $54,856.94 $205,056.72 $62,639.71 nat. median
$64,732
1.0× median
33276
HCPCS 		Insj Phrnc Nrv Stim Sys 6 $11,351.00 $331,134.76 $62,554.75 nat. median
$43,787
1.4× median
64568
HCPCS 		Inc For Vagus N Elect Impl 7 $6,067.00 $331,134.76 $62,554.75 nat. median
$27,591
outlier · 2.3×
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 12 $58,408.30 $200,569.91 $61,782.80 nat. median
$64,023
1.0× median

Other procedures at this hospital

Browse this hospital's 12,671 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
             
0408T HCPCS Insj/rplc Cardiac Modulj Sys 30 6 — — $22,533.00 $235,976.74 $44,578.42 2026-04-01
0409T HCPCS Insj/rplc Car Modulj Pls Gn 30 6 — — $22,533.00 $167,223.84 $31,590.30 2026-04-01
0414T HCPCS Rmvl & Rpl Car Modulj Pls Gn 30 6 — — $22,533.00 $167,223.84 $31,590.30 2026-04-01
0515T HCPCS Insj Wcs Lv Compl Sys 30 6 — — $14,929.00 $167,223.84 $31,590.30 2026-04-01
0571T HCPCS Insj/rplcmt Icds Ss Eltrd 30 6 — — $22,533.00 $235,976.74 $44,578.42 2026-04-01
0614T HCPCS Rmvl&rplcmt Ss Impl Dfb Pg 34 7 — — $21,126.00 $167,223.84 $38,688.36 2026-04-01
0620T HCPCS Evasc Ven Artlz Tibl/prnl Vn 34 7 — — $14,929.00 $331,134.76 $52,952.10 2026-04-01
0674T HCPCS Laps Insj Nw/rpcmt Prm Isdss 22 5 — — $11,351.00 $231,983.52 $43,824.06 2026-04-01
0686T HCPCS Histotripsy Mal Hepatcel Tis 22 5 — — $14,929.00 $257,550.07 $48,653.85 2026-04-01
0784T HCPCS Ins/rplmt Eltrd Ra Spi Nstim 30 6 — — $11,351.00 $83,769.10 $32,921.97 2026-04-01
0786T HCPCS Insj/rplcmt Prq Ra Sac Nstim 30 6 — — $11,351.00 $83,769.10 $32,921.97 2026-04-01
0795T HCPCS Tcat Ins 2chmbr Ldls Pm Cmpl 30 6 — — $21,042.64 $144,806.49 $31,112.58 2026-04-01
0796T HCPCS Tcat Ins 2chmbr Ldls Pm Ra 30 6 — — $14,929.00 $144,806.49 $31,112.58 2026-04-01
0797T HCPCS Tcat Ins 2chmbr Ldls Pm Rv 30 6 — — $14,929.00 $144,806.49 $31,112.58 2026-04-01
0801T HCPCS Tcat Rmv&rpl 2chmbr Ldls Pm 30 6 — — $21,042.64 $144,806.49 $31,112.58 2026-04-01
0802T HCPCS Tcat Rmv&rpl2chmb Ldls Pm Ra 30 6 — — $15,774.00 $144,806.49 $31,112.58 2026-04-01
0803T HCPCS Tcat Rmv&rpl2chmb Ldls Pm Rv 30 6 — — $15,774.00 $144,806.49 $31,112.58 2026-04-01
0816T HCPCS Opn Insj/rplcmt Ins Ptn Subq 30 6 — — $6,067.00 $145,847.12 $35,204.24 2026-04-01
0817T HCPCS Opn Insj/rplcmt Ins Ptn Subf 30 6 — — $6,067.00 $145,847.12 $35,204.24 2026-04-01
0823T HCPCS Tcat Ins 1chmbr Ldls Pm Ra 30 6 — — $21,042.64 $144,806.49 $31,112.58 2026-04-01
0825T HCPCS Tcat Rmv&rpl1chmb Ldls Pm Ra 30 6 — — $21,042.64 $144,806.49 $31,112.58 2026-04-01
0908T HCPCS Opn Imp Int Nstm Sys Vgs Nrv 22 5 — — $6,067.00 $231,983.52 $43,824.06 2026-04-01
0909T HCPCS Rplcmt Int Nstim Sys Vgs Nrv 22 5 — — $6,067.00 $231,983.52 $43,824.06 2026-04-01
0915T HCPCS Insj Perm Ccm-d Sys Pg&eltrd 30 6 — — $22,533.00 $235,976.74 $44,578.42 2026-04-01
0916T HCPCS Insj Perm Ccm-d Sys Pg Only 30 6 — — $11,351.00 $167,223.84 $31,590.30 2026-04-01
0923T HCPCS Rmvl&rplcmt Perm Ccm-d Pg 30 6 — — $11,351.00 $167,223.84 $31,590.30 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 42 12 — — $226,094.18 $845,898.39 $256,006.44 2026-04-01
10 MS_DRG Pancreas Transplant 42 12 — — $58,432.42 $239,434.56 $66,163.03 2026-04-01
1013T HCPCS Lap Srg Imp/rpl Eso Nea&pg/r 20 5 — — $21,193.86 $145,847.12 $30,647.36 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 42 12 — — $44,587.27 $162,041.63 $49,914.70 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 42 12 — — $34,630.44 $123,234.05 $37,960.55 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 42 12 — — $97,373.52 $393,448.59 $110,256.04 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 42 12 — — $35,026.91 $127,006.09 $39,122.48 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 42 12 — — $30,544.03 $99,157.25 $32,398.29 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 42 12 — — $48,412.06 $181,259.22 $54,816.98 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 46 14 — — $33,005.12 $138,415.31 $38,606.41 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 50 12 — — $551.92 $115,653.93 $32,323.14 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 42 12 — — $44,411.96 $181,259.22 $50,287.66 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 42 12 — — $348,002.44 $1,132,519.51 $365,402.56 2026-04-01
1848 OTHER Artiss Fibrin Sealant 2 1 — — $37,314.90 $37,314.90 $37,314.90 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 42 12 — — $58,101.90 $238,056.08 $65,788.78 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 42 12 — — $91,855.89 $330,945.61 $101,943.24 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 42 12 — — $64,006.35 $242,074.39 $72,474.39 2026-04-01
20696 HCPCS Comp Multiplane Ext Fixation 34 7 — — $10,617.93 $203,989.47 $31,124.99 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 56 13 — — $46,401.63 $194,239.13 $55,096.94 2026-04-01
20802 HCPCS Replantation Arm Complete 26 6 — — $9,859.00 $131,816.59 $30,496.65 2026-04-01
20805 HCPCS Replant Forearm Complete 26 6 — — $9,859.00 $131,816.59 $30,496.65 2026-04-01
20808 HCPCS Replantation Hand Complete 26 6 — — $9,859.00 $131,816.59 $30,496.65 2026-04-01
20838 HCPCS Replantation Foot Complete 26 6 — — $9,859.00 $131,816.59 $30,496.65 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 26 11 — — $91,751.34 $162,335.65 $95,421.39 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 42 12 — — $43,298.14 $165,996.87 $49,026.48 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 42 12 — — $88,175.05 $327,143.54 $99,840.61 2026-04-01
21243 HCPCS Reconstruction Of Jaw Joint 34 7 — — $14,055.19 $203,989.47 $31,124.99 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 26 11 — — $46,620.30 $82,485.30 $48,485.11 2026-04-01
215 MS_DRG Other Heart Assist System Implant 50 12 — — $55,160.74 $318,166.92 $89,005.76 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 42 12 — — $79,398.79 $289,822.55 $89,275.85 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 42 12 — — $53,603.99 $193,929.80 $59,737.41 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 42 12 — — $53,603.99 $178,664.44 $56,284.19 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 42 12 — — $62,474.35 $232,358.98 $70,739.71 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 42 12 — — $43,611.77 $159,059.43 $48,996.07 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 42 12 — — $41,258.68 $137,916.78 $43,321.61 2026-04-01
22558 HCPCS Lumbar Spine Fusion 34 7 — — $14,055.19 $203,989.47 $31,124.99 2026-04-01
22586 HCPCS Prescrl Fuse With Instr L5-s1 34 7 — — $19,155.00 $131,816.59 $30,496.65 2026-04-01
22630 HCPCS Lumbar Spine Fusion 34 7 — — $15,165.51 $203,989.47 $31,124.99 2026-04-01
22633 HCPCS Lumbar Spine Fusion Combined 34 7 — — $21,126.00 $203,989.47 $38,535.70 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 44 13 — — $36,041.02 $149,647.35 $44,205.08 2026-04-01
22800 HCPCS Post Fusion <=6 Vert Seg 26 6 — — $19,155.00 $131,816.59 $30,496.65 2026-04-01
22804 HCPCS Post Fusion 13/> Vert Seg 26 6 — — $19,155.00 $131,816.59 $30,496.65 2026-04-01
22808 HCPCS Ant Fusion 2-3 Vert Seg 26 6 — — $19,155.00 $131,816.59 $30,496.65 2026-04-01
22810 HCPCS Ant Fusion 4-7 Vert Seg 26 6 — — $19,155.00 $131,816.59 $30,496.65 2026-04-01
22812 HCPCS Ant Fusion 8/> Vert Seg 26 6 — — $19,155.00 $131,816.59 $30,496.65 2026-04-01
22819 HCPCS Kyphectomy 3 Or More 26 6 — — $19,155.00 $131,816.59 $30,496.65 2026-04-01
22867 HCPCS Insj Stablj Dev W/dcmprn 34 7 — — $15,774.00 $131,816.59 $30,496.65 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 42 12 — — $46,808.48 $171,324.58 $52,774.18 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 42 12 — — $68,518.73 $254,474.67 $77,583.76 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 42 12 — — $49,480.84 $183,445.57 $56,027.16 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 42 12 — — $62,208.15 $234,725.51 $70,438.29 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 42 12 — — $44,656.43 $159,768.19 $49,214.39 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 42 12 — — $47,920.69 $176,703.34 $54,260.60 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 42 12 — — $34,411.70 $123,486.32 $38,038.26 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 42 12 — — $40,305.70 $151,257.07 $45,638.14 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 44 12 — — $23,537.05 $114,164.33 $34,480.43 2026-04-01
245 MS_DRG Aicd Generator Procedures 42 12 — — $37,416.20 $146,752.25 $42,366.36 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 64 12 — — $8,460.37 $134,741.38 $45,350.16 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 46 12 — — $27,590.45 $104,959.47 $31,240.67 2026-04-01
265 MS_DRG Aicd Lead Procedures 42 12 — — $29,822.92 $107,121.78 $32,997.39 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 42 12 — — $50,010.01 $179,904.77 $55,417.19 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 42 12 — — $39,011.74 $141,283.39 $43,520.40 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 42 12 — — $56,037.51 $200,230.55 $61,678.27 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 42 12 — — $34,688.34 $124,945.88 $38,487.86 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 48 13 — — $14,077.35 $154,149.17 $46,399.40 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 42 12 — — $29,325.12 $103,442.84 $31,864.14 2026-04-01
27278 HCPCS Arthrd Si Jt Prq Wo Tfxj Dev 34 7 — — $15,774.00 $131,816.59 $30,496.65 2026-04-01
27279 HCPCS Arthrodesis Sacroiliac Joint 34 7 — — $15,774.00 $131,816.59 $30,496.65 2026-04-01
27290 HCPCS Amputation Of Leg At Hip 26 6 — — $9,859.00 $131,816.59 $30,496.65 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 42 12 — — $33,902.64 $117,425.82 $36,171.41 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 50 13 — — $459.07 $212,222.40 $60,971.53 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 46 12 — — $44,772.98 $186,019.32 $51,482.01 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 44 12 — — $37,867.36 $139,715.71 $42,957.35 2026-04-01
27702 HCPCS Reconstruct Ankle Joint 34 7 — — $12,601.67 $203,989.47 $30,828.56 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 42 12 — — $45,488.78 $150,247.99 $47,763.22 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 42 12 — — $29,642.05 $96,229.11 $31,214.42 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 46 12 — — $715.56 $182,568.63 $55,532.70 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 48 13 — — $24,312.00 $100,803.01 $31,469.08 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 44 12 — — $171,418.86 $643,595.62 $196,174.18 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 42 12 — — $36,757.56 $125,843.84 $38,764.47 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 42 12 — — $54,498.26 $185,779.07 $57,226.69 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 42 12 — — $36,616.02 $131,916.35 $40,635.02 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 42 12 — — $35,526.32 $127,913.06 $39,401.86 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 48 12 — — $152.42 $152,524.43 $44,556.09 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 70 14 — — $32,793.66 $137,898.76 $42,676.87 2026-04-01
332 MS_DRG Rectal Resection With Mcc 42 12 — — $29,843.02 $104,166.62 $32,087.09 2026-04-01
33221 HCPCS Insert Pulse Gen Mult Leads 34 7 — — $11,351.00 $144,806.49 $33,501.95 2026-04-01
33229 HCPCS Remv&replc Pm Gen Mult Leads 34 7 — — $11,351.00 $144,806.49 $33,501.95 2026-04-01
33230 HCPCS Insrt Pulse Gen W/dual Leads 34 7 — — $11,351.00 $167,223.84 $38,688.36 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 34 7 — — $11,351.00 $235,976.74 $52,952.10 2026-04-01
33240 HCPCS Insrt Pulse Gen W/singl Lead 34 7 — — $22,533.00 $167,223.84 $38,688.36 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 34 7 — — $22,533.00 $235,976.74 $52,952.10 2026-04-01
33262 HCPCS Rmvl& Replc Pulse Gen 1 Lead 34 7 — — $11,351.00 $167,223.84 $38,688.36 2026-04-01
33263 HCPCS Rmvl & Rplcmt Dfb Gen 2 Lead 34 7 — — $11,351.00 $167,223.84 $38,688.36 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 34 7 — — $11,351.00 $235,976.74 $52,952.10 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 34 7 — — $11,351.00 $235,976.74 $52,952.10 2026-04-01
33274 HCPCS Tcat Insj/rpl Perm Ldls Pm 34 7 — — $14,929.00 $144,806.49 $33,501.95 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 26 6 — — $11,351.00 $331,134.76 $62,554.75 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 34 7 — — $11,351.00 $231,983.52 $44,775.48 2026-04-01
33288 HCPCS Rmv&rplcmt Phrnc Nrv Stim Ld 34 7 — — $6,067.00 $83,769.10 $32,921.97 2026-04-01
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 34 7 — — $22,533.00 $215,637.12 $49,889.09 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 44 12 — — $24,906.90 $108,833.62 $32,126.22 2026-04-01
33902 HCPCS Perq P-art Revsc 1 Abnor Uni 34 7 — — $10,670.00 $137,814.47 $31,884.30 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 42 12 — — $31,853.53 $116,780.13 $35,972.51 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 46 12 — — $34,508.83 $128,099.26 $39,459.22 2026-04-01
36836 HCPCS Prq Av Fstl Crtj Uxtr 1 Acs 34 7 — — $20,026.59 $137,814.47 $31,884.30 2026-04-01
36837 HCPCS Prq Av Fstl Crt Uxtr Sep Acs 34 7 — — $20,026.59 $137,814.47 $31,884.30 2026-04-01
36906 HCPCS Thrmbc/nfs Dialysis Circuit 34 7 — — $20,026.59 $137,814.47 $31,884.30 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 42 12 — — $27,200.41 $99,727.86 $30,719.80 2026-04-01
37221 HCPCS Iliac Revasc W/stent 14 3 — — $14,929.00 $41,076.27 $32,043.89 2026-04-01
37227 HCPCS Fem/popl Revasc Stnt & Ather 14 3 — — $14,929.00 $64,872.49 $50,885.89 2026-04-01
37228 HCPCS Tib/per Revasc W/tla 14 3 — — $14,929.00 $41,076.27 $32,043.89 2026-04-01
37229 HCPCS Tib/per Revasc W/ather 14 3 — — $14,929.00 $64,872.49 $50,885.89 2026-04-01
37230 HCPCS Tib/per Revasc W/stent 14 3 — — $14,929.00 $64,872.49 $50,885.89 2026-04-01
37231 HCPCS Tib/per Revasc Stent & Ather 14 3 — — $14,929.00 $64,872.49 $50,885.89 2026-04-01
37242 HCPCS Vasc Embolize/occlude Artery 34 7 — — $11,351.00 $137,814.47 $31,884.30 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 26 6 — — $14,055.19 $472,881.08 $72,152.83 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 46 12 — — $107,239.66 $424,327.67 $126,951.86 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 42 12 — — $31,777.13 $113,275.38 $34,892.92 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 66 13 — — $27,939.49 $118,002.44 $37,431.82 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 42 12 — — $44,719.16 $163,026.69 $50,218.13 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 42 12 — — $29,399.91 $105,145.67 $32,388.68 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 42 12 — — $29,375.78 $105,220.75 $32,411.80 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 44 12 — — $28,125.25 $105,989.57 $32,247.43 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 42 12 — — $34,123.79 $122,143.88 $37,624.74 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 44 12 — — $35,764.31 $314,785.30 $95,395.60 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 50 12 — — $639.50 $213,189.44 $61,716.30 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 52 12 — — $39,308.26 $165,333.16 $51,471.84 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 44 12 — — $73,180.69 $250,468.38 $80,007.92 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 46 12 — — $47,104.43 $176,913.90 $53,336.35 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 42 12 — — $54,458.86 $201,341.74 $61,663.77 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 56 12 — — $29,116.06 $122,627.40 $36,571.37 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 44 12 — — $43,586.04 $154,656.72 $48,496.17 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 16 3 — — $81,976.81 $266,127.16 $154,050.96 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 16 3 — — $56,581.89 $183,685.82 $106,328.79 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 16 3 — — $42,606.41 $138,316.21 $80,066.03 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 42 12 — — $68,305.62 $254,330.52 $77,342.45 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 42 12 — — $48,680.66 $172,354.68 $53,091.49 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 42 12 — — $34,281.42 $129,669.94 $38,816.85 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 16 3 — — $61,355.41 $199,182.43 $115,299.18 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 16 3 — — $33,839.23 $109,854.71 $63,590.74 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 42 12 — — $45,141.37 $184,298.48 $51,113.57 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 46 12 — — $46,560.78 $341,360.81 $52,720.77 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 46 12 — — $37,049.39 $152,992.93 $44,716.58 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 46 12 — — $27,021.22 $102,857.21 $31,683.75 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 48 12 — — $39,557.79 $145,866.30 $44,861.70 2026-04-01
47140 HCPCS Partial Removal Donor Liver 6 2 — — $9,859.00 $64,872.49 $52,952.10 2026-04-01
47141 HCPCS Partial Removal Donor Liver 6 2 — — $9,859.00 $64,872.49 $52,952.10 2026-04-01
47142 HCPCS Partial Removal Donor Liver 6 2 — — $9,859.00 $64,872.49 $52,952.10 2026-04-01
47144 HCPCS Prep Donor Liver 3-segment 6 2 — — $9,859.00 $64,872.49 $52,952.10 2026-04-01
47145 HCPCS Prep Donor Liver Lobe Split 6 2 — — $9,859.00 $64,872.49 $52,952.10 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 44 13 — — $32,025.93 $134,676.31 $38,461.81 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 46 12 — — $26,125.86 $103,274.66 $31,812.34 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 46 12 — — $25,466.43 $106,644.27 $32,850.30 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 42 12 — — $29,883.23 $105,722.28 $32,566.30 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 42 12 — — $83,642.57 $319,800.67 $94,708.48 2026-04-01
509 MS_DRG Arthroscopy 16 3 — — $16,249.38 $52,751.52 $30,535.87 2026-04-01
5094 OTHER Level 4 Breast/Lymphatic Surgery And Related Procedures 4 2 — — $54,171.80 $89,068.97 $71,620.39 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 48 12 — — $10,859.08 $107,629.33 $34,003.37 2026-04-01
5231 OTHER Level 1 Icd And Similar Procedures 4 1 — — $23,516.39 $65,354.49 $44,435.44 2026-04-01
5232 OTHER Level 2 Icd And Similar Procedures 24 7 — — $14,567.32 $112,690.70 $34,428.40 2026-04-01
53445 HCPCS Insert Uro/ves Nck Sphincter 34 7 — — $8,965.00 $155,815.86 $36,049.04 2026-04-01
53447 HCPCS Remove/replace Ur Sphincter 34 7 — — $8,965.00 $155,815.86 $36,049.04 2026-04-01
54401 HCPCS Insert Self-contd Prosthesis 34 7 — — $11,351.00 $155,815.86 $36,049.04 2026-04-01
54405 HCPCS Insert Multi-comp Penis Pros 34 7 — — $11,351.00 $155,815.86 $36,049.04 2026-04-01
54410 HCPCS Remove/replace Penis Prosth 34 7 — — $11,351.00 $155,815.86 $36,049.04 2026-04-01
54411 HCPCS Remov/replc Penis Pros Comp 34 7 — — $15,774.00 $155,815.86 $36,049.04 2026-04-01
54416 HCPCS Remv/repl Penis Contain Pros 34 7 — — $11,351.00 $155,815.86 $36,049.04 2026-04-01
54417 HCPCS Remv/replc Penis Pros Compl 34 7 — — $14,929.00 $155,815.86 $36,049.04 2026-04-01
5465 OTHER Level 5 Neurostimulator And Related Procedures 24 8 — — $14,121.26 $109,899.05 $32,947.71 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 42 12 — — $53,411.79 $184,932.16 $56,965.81 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 44 12 — — $11,809.80 $104,052.49 $31,063.21 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 42 12 — — $40,140.84 $162,020.61 $45,451.47 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 42 12 — — $38,016.13 $145,623.04 $43,045.66 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 46 12 — — $13,158.37 $116,071.37 $32,577.43 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 34 7 — — $6,067.00 $231,983.52 $44,775.48 2026-04-01
61886 HCPCS Implant Neurostim Arrays 34 7 — — $11,351.00 $231,983.52 $52,952.10 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 34 7 — — $11,351.00 $231,983.52 $52,952.10 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 46 12 — — $29,348.44 $385,176.22 $33,231.24 2026-04-01
62361 HCPCS Implant Spine Infusion Pump 34 7 — — $6,067.00 $135,500.60 $31,348.97 2026-04-01
62362 HCPCS Implant Spine Infusion Pump 34 7 — — $6,067.00 $135,500.60 $31,348.97 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 46 12 — — $20,215.89 $118,515.99 $32,231.09 2026-04-01
63655 HCPCS Implant Neuroelectrodes 34 7 — — $21,126.00 $145,847.12 $33,742.71 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 34 7 — — $6,067.00 $231,983.52 $52,952.10 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 34 7 — — $6,067.00 $331,134.76 $62,554.75 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 34 7 — — $6,067.00 $231,983.52 $52,952.10 2026-04-01
64590 HCPCS Insrt/redo Pn/gastr Stimul 34 7 — — $6,067.00 $145,847.12 $33,742.71 2026-04-01
64596 HCPCS Ins/rplcmt Prq Eltrd Ra Pn 1 34 7 — — $6,067.00 $83,769.10 $32,921.97 2026-04-01
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 20 5 — — $33,710.82 $231,983.52 $48,747.50 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 42 12 — — $38,534.04 $138,358.25 $42,619.36 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 42 12 — — $30,527.40 $104,277.74 $32,121.32 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 42 12 — — $42,514.84 $167,405.38 $48,139.55 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 50 13 — — $30,096.33 $137,716.14 $36,240.36 2026-04-01
69930 HCPCS Implant Cochlear Device 34 7 — — $22,533.00 $247,879.43 $52,952.10 2026-04-01
7 MS_DRG Lung Transplant 42 12 — — $104,871.10 $392,457.53 $118,745.55 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 42 12 — — $29,471.48 $118,245.70 $33,370.56 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 42 12 — — $29,538.23 $119,549.10 $33,446.14 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 54 13 — — $20,810.41 $178,541.31 $50,949.19 2026-04-01
791 MS_DRG Prematurity With Major Problems 54 14 — — $28,995.73 $121,933.65 $37,559.99 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 64 14 — — $6,108.51 $125,252.21 $35,798.87 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 42 12 — — $37,146.79 $142,788.00 $42,061.31 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 42 12 — — $45,797.60 $163,399.08 $50,332.84 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 42 12 — — $32,765.49 $107,653.35 $34,403.76 2026-04-01
81416 HCPCS Exome Sequence Analysis 38 6 — — $12,000.00 $82,578.90 $38,858.40 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 44 12 — — $47,890.13 $174,844.35 $54,042.19 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 44 12 — — $36,645.14 $140,526.58 $41,023.25 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 42 12 — — $38,344.25 $143,409.67 $43,417.19 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 42 12 — — $44,875.18 $165,984.86 $50,812.17 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 42 12 — — $39,361.56 $150,365.12 $44,569.09 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 42 12 — — $70,365.18 $276,635.42 $79,674.49 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 70 14 — — $20,338.85 $150,205.95 $42,463.69 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 48 12 — — $32,325.26 $135,484.17 $41,987.82 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 52 14 — — $49,770.81 $208,918.86 $59,125.64 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 44 12 — — $1,304.70 $118,008.45 $34,706.07 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 42 12 — — $34,474.42 $133,048.56 $39,035.39 2026-04-01
90288 HCPCS Botulism Ig IV 8 1 — — $48,705.00 $48,705.00 $48,705.00 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 46 12 — — $29,779.75 $115,951.24 $34,268.40 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 44 12 — — $14,190.74 $119,633.19 $34,481.44 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 42 12 — — $172,426.53 $712,447.40 $195,238.56 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 42 12 — — $58,408.30 $200,569.91 $61,782.80 2026-04-01
92933 HCPCS Prq Card Stent/ath/angio 34 7 — — $10,670.00 $137,814.47 $31,884.30 2026-04-01
92941 HCPCS Prq Card Revasc Mi 1 Vsl 14 3 — — $9,859.00 $41,076.27 $32,043.89 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 42 12 — — $32,042.52 $129,940.23 $36,281.75 2026-04-01
93580 HCPCS Transcath Closure Of Asd 34 7 — — $10,670.00 $137,814.47 $31,884.30 2026-04-01
93581 HCPCS Transcath Closure Of Vsd 34 7 — — $10,670.00 $137,814.47 $31,884.30 2026-04-01
93582 HCPCS Perq Transcath Closure Pda 34 7 — — $10,670.00 $137,814.47 $31,884.30 2026-04-01
93590 HCPCS Perq Transcath Cls Mitral 34 7 — — $10,670.00 $137,814.47 $31,884.30 2026-04-01
93591 HCPCS Perq Transcath Cls Aortic 34 7 — — $10,670.00 $137,814.47 $31,884.30 2026-04-01
93653 HCPCS Ep & Ablate Supravent Arrhyt 34 7 — — $22,533.00 $196,500.47 $45,461.70 2026-04-01
93654 HCPCS Ep & Ablate Ventric Tachy 34 7 — — $22,533.00 $196,500.47 $45,461.70 2026-04-01
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 34 7 — — $22,533.00 $196,500.47 $45,461.70 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 42 12 — — $29,360.82 $95,316.13 $31,401.04 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 46 12 — — $147.43 $109,569.41 $32,868.81 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 44 12 — — $54,856.94 $205,056.72 $62,639.71 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 48 12 — — $27,659.88 $114,789.00 $32,536.77 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 46 13 — — $53,471.90 $224,151.18 $65,104.92 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 42 12 — — $34,613.55 $123,417.24 $38,016.98 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 42 12 — — $49,952.91 $189,920.50 $56,561.68 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 44 12 — — $27,042.89 $107,659.36 $32,211.50 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 54 12 — — $18,292.19 $142,781.99 $40,379.68 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 52 12 — — $24,665.43 $105,202.73 $32,223.21 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 38 6 — — $56,824.55 $391,042.41 $66,156.06 2026-04-01
C9602 HCPCS Perc D-e Cor Stent Ather S 34 7 — — $10,670.00 $137,814.47 $31,884.30 2026-04-01
C9606 HCPCS Perc D-e Cor Revasc W Ami S 14 3 — — $9,859.00 $64,872.49 $32,043.89 2026-04-01
C9607 HCPCS Perc D-e Cor Revasc Chro Sin 34 7 — — $10,670.00 $137,814.47 $31,884.30 2026-04-01
C9746 HCPCS Trans Imp Balloon Cont 4 1 — — $52,952.10 $64,872.49 $58,912.29 2026-04-01
C9754 HCPCS Perc Av Fistula, Direct 4 1 — — $33,528.46 $41,076.27 $37,302.36 2026-04-01
C9755 HCPCS Rf Magnetic-guide Av Fistula 4 1 — — $33,528.46 $41,076.27 $37,302.36 2026-04-01
C9760 HCPCS Non-blind Interatrial Shunt 30 6 — — $9,859.00 $202,361.56 $38,228.17 2026-04-01
C9765 HCPCS Revasc Intra Lithotrip-stent 34 7 — — $14,929.00 $137,814.47 $31,884.30 2026-04-01
C9766 HCPCS Revasc Intra Lithotrip-ather 34 7 — — $15,774.00 $137,814.47 $31,884.30 2026-04-01
C9767 HCPCS Revasc Lithotrip-stent-ather 34 7 — — $15,774.00 $137,814.47 $31,884.30 2026-04-01
C9773 HCPCS Revasc Lithotr-stent Tib/per 34 7 — — $14,929.00 $137,814.47 $31,884.30 2026-04-01
C9774 HCPCS Revasc Lithotr-ather Tib/per 34 7 — — $14,929.00 $137,814.47 $31,884.30 2026-04-01
C9775 HCPCS Revasc Lith-sten-ath Tib/per 34 7 — — $14,929.00 $137,814.47 $31,884.30 2026-04-01
C9782 HCPCS Blind Myocar Trpl Bon Marrow 30 6 — — $9,859.00 $128,776.88 $34,220.48 2026-04-01
G0448 HCPCS Place Perm Pacing Cardiovert 14 3 — — $11,351.00 $84,548.78 $52,952.10 2026-04-01
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 18 6 — — $3,570,000.00 $4,790,846.67 $3,685,266.67 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 18 6 — — $3,264,000.00 $4,311,401.36 $3,316,462.59 2026-04-01
J1414 HCPCS Inj, Beqvez, Per Tx Dose 8 1 — — $3,570,000.00 $3,570,000.00 $3,570,000.00 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 20 6 — — $2,244,000.00 $3,712,773.91 $2,354,053.41 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 20 6 — — $2,856,000.00 $4,689,908.50 $2,973,597.46 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 18 6 — — $3,162,000.00 $4,222,979.43 $3,248,445.72 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 20 6 — — $2,146,250.00 $3,908,778.13 $2,478,328.25 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 8 1 — — $31,905.54 $31,905.54 $31,905.54 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 38 6 — — $63,342.28 $435,894.68 $65,875.97 2026-04-01
J9226 HCPCS Supprelin La Implant 42 6 — — $45,020.65 $309,812.99 $47,046.32 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 30 6 — — $489,517.15 $3,669,463.54 $559,891.68 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 30 6 — — $565,623.84 $4,072,008.38 $621,312.51 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 38 6 — — $55,015.23 $380,360.66 $57,483.22 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 30 6 — — $488,051.51 $3,367,186.48 $513,769.84 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 30 6 — — $516,485.97 $3,871,148.85 $590,665.09 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 30 6 — — $528,312.43 $3,835,225.30 $585,183.83 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 30 6 — — $551,318.34 $3,894,069.72 $594,162.39 2026-04-01
See an error in this hospital's data? Submit a correction