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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

MONADNOCK COMMUNITY HOSPITAL

Peterborough, NH · CCN 301309 · Rates published

10,549 distinct procedures filed
12 distinct payers
101,972 rate rows
2026-04-01 last MRF observed
Data quality

54,240 of 101,972 rate rows are consumer-grade (53.2%)

47,732 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 42,524
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 3,556
template filing: same amount across many unrelated codes — excluded 964
placeholder amount (≤ $0.02) — excluded from medians 668
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 20
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://hospitalpricedisclosure.com/download.aspx?pi=96OHZrUcIshoMmRv3TQ0Bg*-*
Found on page https://hospitalpricedisclosure.com/default.aspx?pi=96OHZrUcIshoMmRv3TQ0Bg*-*
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-11
Content fingerprint f104028dd95f77d8… · 14,779,638 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
J3392
HCPCS 		Inj, Exagamglogene Autotem 1 $4,179,450.00 $4,179,450.00 $4,179,450.00 nat. median
$2,332,000
1.8× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 1 $3,997,390.63 $3,997,390.63 $3,997,390.63 nat. median
$2,455,111
1.6× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 1 $1,053,474.40 $1,357,497.22 $1,205,485.81 nat. median
$621,313
1.9× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 1 $1,026,830.41 $1,323,164.02 $1,174,997.22 nat. median
$599,737
2.0× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 1 $983,981.90 $1,267,949.83 $1,125,965.86 nat. median
$574,037
2.0× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 1 $961,955.12 $1,239,566.33 $1,100,760.73 nat. median
$579,571
1.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 1 $911,725.69 $1,174,841.16 $1,043,283.42 nat. median
$562,501
1.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 1 $908,995.94 $1,171,323.62 $1,040,159.78 nat. median
$513,770
outlier · 2.0×
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 2 $466,098.07 $651,292.86 $554,641.62 nat. median
$168,055
outlier · 3.3×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 2 $348,136.70 $486,461.89 $414,271.41 nat. median
$186,516
outlier · 2.2×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 2 $293,213.81 $409,716.48 $348,914.94 nat. median
$131,925
outlier · 2.6×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 2 $264,877.27 $370,120.98 $315,195.38 nat. median
$145,435
outlier · 2.2×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 2 $174,635.68 $244,023.69 $207,810.80 nat. median
$97,418
outlier · 2.1×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 2 $161,927.12 $226,265.64 $192,688.04 nat. median
$72,715
outlier · 2.6×
7
MS_DRG 		Lung Transplant 2 $161,519.24 $225,695.70 $192,202.67 nat. median
$70,649
outlier · 2.7×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 2 $136,203.49 $190,321.24 $162,077.75 nat. median
$65,418
outlier · 2.5×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 2 $134,638.72 $188,134.73 $160,215.71 nat. median
$74,509
outlier · 2.2×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 2 $131,616.70 $183,911.97 $156,619.61 nat. median
$69,922
outlier · 2.2×
215
MS_DRG 		Other Heart Assist System Implant 2 $130,944.31 $182,972.43 $155,819.49 nat. median
$73,023
outlier · 2.1×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 2 $129,552.58 $181,027.71 $154,163.37 nat. median
$2,736
outlier · 56.3×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 $119,278.94 $166,672.06 $141,938.08 nat. median
$69,822
outlier · 2.0×
850
MS_DRG 		Acute Leukemia With Other Procedures 2 $113,851.67 $159,088.36 $135,479.80 nat. median
$2,633
outlier · 51.5×
A9543
HCPCS 		Y90 Ibritumomab, Rx 2 $61,770.36 $158,774.54 $126,750.85 nat. median
$65,477
1.9× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 2 $104,731.22 $146,344.09 $124,626.77 nat. median
$60,505
outlier · 2.1×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 2 $104,671.90 $146,261.19 $124,556.17 nat. median
$59,651
outlier · 2.1×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 2 $103,082.40 $144,040.14 $122,664.72 nat. median
$2,596
outlier · 47.3×
J9029
HCPCS 		Inj, Adstiladrin, Per Tx Dos 2 $60,000.00 $152,164.90 $122,319.15 nat. median
$66,211
1.8× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 2 $99,627.78 $139,212.90 $118,553.83 nat. median
$56,428
outlier · 2.1×
10
MS_DRG 		Pancreas Transplant 2 $98,541.34 $137,694.77 $117,261.00 nat. median
$23,080
outlier · 5.1×
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 2 $97,974.01 $136,902.04 $116,585.90 nat. median
$45,605
outlier · 2.6×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 2 $96,603.29 $134,986.68 $114,954.79 nat. median
$55,935
outlier · 2.1×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 2 $95,629.32 $133,625.73 $113,795.80 nat. median
$55,923
outlier · 2.0×
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 2 $92,251.33 $128,905.56 $109,776.10 nat. median
$52,327
outlier · 2.1×
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 2 $53,472.87 $133,287.60 $108,110.85 nat. median
$63,499
1.7× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 2 $87,739.93 $122,601.65 $104,407.68 nat. median
$9,905
outlier · 10.5×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 2 $87,341.94 $122,045.52 $103,934.08 nat. median
$51,518
outlier · 2.0×
90288
HCPCS 		Botulism Ig IV 1 $90,713.06 $116,892.00 $103,802.53 nat. median
$43,548
outlier · 2.4×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 2 $85,982.34 $120,145.71 $102,316.20 nat. median
$48,611
outlier · 2.1×
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 2 $84,392.84 $117,924.66 $100,424.75 nat. median
$47,340
outlier · 2.1×
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 2 $82,863.91 $115,788.24 $98,605.37 nat. median
$2,958
outlier · 33.3×
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 2 $82,546.26 $115,344.37 $98,227.38 nat. median
$37,013
outlier · 2.7×
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 2 $82,406.59 $115,149.21 $98,061.18 nat. median
$49,569
2.0× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 2 $79,940.77 $111,703.65 $95,126.93 nat. median
$47,121
outlier · 2.0×
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 $79,813.46 $111,525.76 $94,975.44 nat. median
$47,458
outlier · 2.0×
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 2 $78,163.40 $109,220.08 $93,011.92 nat. median
$41,943
outlier · 2.2×
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 2 $76,557.84 $106,976.57 $91,101.35 nat. median
$43,533
outlier · 2.1×
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 2 $76,458.96 $106,838.41 $90,983.69 nat. median
$2,633
outlier · 34.6×
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 2 $76,110.41 $106,351.36 $90,568.92 nat. median
$43,299
outlier · 2.1×
461
MS_DRG 		Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 2 $75,849.61 $105,986.95 $90,258.58 nat. median
$38,844
outlier · 2.3×
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 2 $75,498.59 $105,496.45 $89,840.88 nat. median
$43,803
outlier · 2.1×

Other procedures at this hospital

Browse this hospital's 10,549 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
J3392 HCPCS Inj, Exagamglogene Autotem 2 1 — — $4,179,450.00 $4,179,450.00 $4,179,450.00 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 2 1 — — $3,997,390.63 $3,997,390.63 $3,997,390.63 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 4 1 — — $1,053,474.40 $1,357,497.22 $1,205,485.81 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 4 1 — — $1,026,830.41 $1,323,164.02 $1,174,997.22 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 4 1 — — $983,981.90 $1,267,949.83 $1,125,965.86 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 4 1 — — $961,955.12 $1,239,566.33 $1,100,760.73 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 4 1 — — $911,725.69 $1,174,841.16 $1,043,283.42 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 4 1 — — $908,995.94 $1,171,323.62 $1,040,159.78 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 6 2 — — $466,098.07 $651,292.86 $554,641.62 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 6 2 — — $348,136.70 $486,461.89 $414,271.41 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 6 2 — — $293,213.81 $409,716.48 $348,914.94 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 6 2 — — $264,877.27 $370,120.98 $315,195.38 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 6 2 — — $174,635.68 $244,023.69 $207,810.80 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 6 2 — — $161,927.12 $226,265.64 $192,688.04 2026-04-01
7 MS_DRG Lung Transplant 6 2 — — $161,519.24 $225,695.70 $192,202.67 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 6 2 — — $136,203.49 $190,321.24 $162,077.75 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 6 2 — — $134,638.72 $188,134.73 $160,215.71 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 6 2 — — $131,616.70 $183,911.97 $156,619.61 2026-04-01
215 MS_DRG Other Heart Assist System Implant 6 2 — — $130,944.31 $182,972.43 $155,819.49 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 6 2 — — $129,552.58 $181,027.71 $154,163.37 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 6 2 — — $119,278.94 $166,672.06 $141,938.08 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 6 2 — — $113,851.67 $159,088.36 $135,479.80 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 12 2 — — $61,770.36 $158,774.54 $126,750.85 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 6 2 — — $104,731.22 $146,344.09 $124,626.77 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 6 2 — — $104,671.90 $146,261.19 $124,556.17 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 6 2 — — $103,082.40 $144,040.14 $122,664.72 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 12 2 — — $60,000.00 $152,164.90 $122,319.15 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 6 2 — — $99,627.78 $139,212.90 $118,553.83 2026-04-01
10 MS_DRG Pancreas Transplant 6 2 — — $98,541.34 $137,694.77 $117,261.00 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 6 2 — — $97,974.01 $136,902.04 $116,585.90 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 6 2 — — $96,603.29 $134,986.68 $114,954.79 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 6 2 — — $95,629.32 $133,625.73 $113,795.80 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 6 2 — — $92,251.33 $128,905.56 $109,776.10 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 12 2 — — $53,472.87 $133,287.60 $108,110.85 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 6 2 — — $87,739.93 $122,601.65 $104,407.68 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 6 2 — — $87,341.94 $122,045.52 $103,934.08 2026-04-01
90288 HCPCS Botulism Ig IV 4 1 — — $90,713.06 $116,892.00 $103,802.53 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 6 2 — — $85,982.34 $120,145.71 $102,316.20 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 6 2 — — $84,392.84 $117,924.66 $100,424.75 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 6 2 — — $82,863.91 $115,788.24 $98,605.37 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 6 2 — — $82,546.26 $115,344.37 $98,227.38 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 6 2 — — $82,406.59 $115,149.21 $98,061.18 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 6 2 — — $79,940.77 $111,703.65 $95,126.93 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 6 2 — — $79,813.46 $111,525.76 $94,975.44 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 6 2 — — $78,163.40 $109,220.08 $93,011.92 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 6 2 — — $76,557.84 $106,976.57 $91,101.35 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 6 2 — — $76,458.96 $106,838.41 $90,983.69 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 6 2 — — $76,110.41 $106,351.36 $90,568.92 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 6 2 — — $75,849.61 $105,986.95 $90,258.58 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 6 2 — — $75,498.59 $105,496.45 $89,840.88 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 6 2 — — $75,137.68 $104,992.14 $89,411.40 2026-04-01
J9226 HCPCS Supprelin La Implant 12 2 — — $44,695.10 $108,628.32 $89,285.50 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 6 2 — — $74,598.78 $104,239.12 $88,770.13 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 6 2 — — $74,598.78 $104,239.12 $88,770.13 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 6 2 — — $74,041.34 $103,460.20 $88,106.80 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 6 2 — — $73,530.88 $102,746.91 $87,499.36 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 6 2 — — $72,723.77 $101,619.11 $86,538.93 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 6 2 — — $71,958.68 $100,550.03 $85,628.51 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 6 2 — — $70,934.04 $99,118.27 $84,409.21 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 6 2 — — $70,510.09 $98,525.87 $83,904.73 2026-04-01
39503 HCPCS Repair Of Diaphragm Hernia 4 1 — — $82,942.39 $82,942.39 $82,942.39 2026-04-01
47135 HCPCS Transplantation Of Liver 4 1 — — $82,942.39 $82,942.39 $82,942.39 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 6 2 — — $68,897.11 $96,272.01 $81,985.33 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 6 2 — — $68,317.43 $95,462.00 $81,295.53 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 6 2 — — $68,312.48 $95,455.09 $81,289.65 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 6 2 — — $68,044.27 $95,080.31 $80,970.48 2026-04-01
C9150 HCPCS Xe129 Xenon, Diagnostic 8 1 — — $52,000.00 $109,678.40 $80,839.20 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 6 2 — — $67,610.44 $94,474.10 $80,454.23 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 6 2 — — $67,248.29 $93,968.06 $80,023.29 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 6 2 — — $67,095.02 $93,753.90 $79,840.91 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 6 2 — — $66,752.65 $93,275.49 $79,433.50 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 6 2 — — $66,689.62 $93,187.41 $79,358.48 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 6 2 — — $66,680.96 $93,175.32 $79,348.19 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 6 2 — — $65,753.96 $91,879.99 $78,245.09 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 6 2 — — $65,462.27 $91,472.40 $77,897.98 2026-04-01
81416 HCPCS Exome Sequence Analysis 4 1 — — $77,526.00 $77,526.00 $77,526.00 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 6 2 — — $63,650.29 $88,940.47 $75,741.79 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 6 2 — — $63,441.41 $88,648.59 $75,493.22 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 6 2 — — $62,965.55 $87,983.66 $74,926.96 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 6 2 — — $62,772.73 $87,714.23 $74,697.52 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 6 2 — — $62,251.14 $86,985.39 $74,076.84 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 6 2 — — $61,884.05 $86,472.44 $73,640.01 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 6 2 — — $61,835.84 $86,405.09 $73,582.65 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 6 2 — — $61,818.54 $86,380.91 $73,562.06 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 10 3 — — $1,286.00 $102,676.10 $73,480.20 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 6 2 — — $61,588.64 $86,059.67 $73,288.49 2026-04-01
245 MS_DRG Aicd Generator Procedures 6 2 — — $60,397.14 $84,394.74 $71,870.64 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 6 2 — — $60,032.52 $83,885.25 $71,436.76 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 6 2 — — $59,932.40 $83,745.35 $71,317.62 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 6 2 — — $59,021.47 $82,472.48 $70,233.64 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 6 2 — — $58,765.62 $82,114.97 $69,929.19 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 6 2 — — $58,146.38 $81,249.69 $69,192.32 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 6 2 — — $57,834.91 $80,814.46 $68,821.67 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 6 2 — — $57,501.19 $80,348.15 $68,424.56 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 12 2 — — $56,171.00 $118,475.87 $67,998.68 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 6 2 — — $56,966.00 $79,600.31 $67,787.70 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 6 2 — — $56,942.52 $79,567.50 $67,759.76 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 6 2 — — $56,760.83 $79,313.61 $67,543.55 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 6 2 — — $55,759.67 $77,914.66 $66,352.20 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 6 2 — — $55,427.18 $77,450.07 $65,956.56 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 6 2 — — $55,273.92 $77,235.91 $65,774.18 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 6 2 — — $54,757.27 $76,513.98 $65,159.38 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 6 2 — — $54,291.30 $75,862.87 $64,604.89 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 8 3 — — $12,616.80 $82,111.52 $64,344.70 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 6 2 — — $53,478.01 $74,726.44 $63,637.10 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 6 2 — — $53,366.77 $74,571.00 $63,504.73 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 6 2 — — $52,720.34 $73,667.72 $62,735.50 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 6 2 — — $52,643.71 $73,560.64 $62,644.31 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 6 2 — — $52,270.44 $73,039.06 $62,200.13 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 6 2 — — $51,792.11 $72,370.67 $61,630.93 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 6 2 — — $51,788.40 $72,365.49 $61,626.52 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 6 2 — — $51,422.54 $71,854.27 $61,191.16 2026-04-01
43123 HCPCS Partial Removal Of Esophagus 4 1 — — $60,742.06 $60,742.06 $60,742.06 2026-04-01
49605 HCPCS Repair Umbilical Lesion 4 1 — — $60,742.06 $60,742.06 $60,742.06 2026-04-01
47141 HCPCS Partial Removal Donor Liver 4 1 — — $60,742.06 $60,742.06 $60,742.06 2026-04-01
47122 HCPCS Extensive Removal Of Liver 4 1 — — $60,742.06 $60,742.06 $60,742.06 2026-04-01
47140 HCPCS Partial Removal Donor Liver 4 1 — — $60,742.06 $60,742.06 $60,742.06 2026-04-01
46744 HCPCS Repair Of Cloacal Anomaly 4 1 — — $60,742.06 $60,742.06 $60,742.06 2026-04-01
46746 HCPCS Repair Of Cloacal Anomaly 4 1 — — $60,742.06 $60,742.06 $60,742.06 2026-04-01
26556 HCPCS Toe Joint Transfer 4 1 — — $60,742.06 $60,742.06 $60,742.06 2026-04-01
47142 HCPCS Partial Removal Donor Liver 4 1 — — $60,742.06 $60,742.06 $60,742.06 2026-04-01
46748 HCPCS Repair Of Cloacal Anomaly 4 1 — — $60,742.06 $60,742.06 $60,742.06 2026-04-01
26554 HCPCS Double Transfer Toe-hand 4 1 — — $60,742.06 $60,742.06 $60,742.06 2026-04-01
43112 HCPCS Removal Of Esophagus 4 1 — — $60,742.06 $60,742.06 $60,742.06 2026-04-01
43113 HCPCS Removal Of Esophagus 4 1 — — $60,742.06 $60,742.06 $60,742.06 2026-04-01
20808 HCPCS Replantation Hand Complete 4 1 — — $60,742.06 $60,742.06 $60,742.06 2026-04-01
32854 HCPCS Lung Transplant With Bypass 4 1 — — $60,742.06 $60,742.06 $60,742.06 2026-04-01
43287 HCPCS Esphg Dstl 2/3 W/laps Moblj 4 1 — — $60,742.06 $60,742.06 $60,742.06 2026-04-01
43288 HCPCS Esphg Thrsc Moblj 4 1 — — $60,742.06 $60,742.06 $60,742.06 2026-04-01
43124 HCPCS Removal Of Esophagus 4 1 — — $60,742.06 $60,742.06 $60,742.06 2026-04-01
43116 HCPCS Partial Removal Of Esophagus 4 1 — — $60,742.06 $60,742.06 $60,742.06 2026-04-01
43118 HCPCS Partial Removal Of Esophagus 4 1 — — $60,742.06 $60,742.06 $60,742.06 2026-04-01
43108 HCPCS Removal Of Esophagus 4 1 — — $60,742.06 $60,742.06 $60,742.06 2026-04-01
32853 HCPCS Lung Transplant Double 4 1 — — $60,742.06 $60,742.06 $60,742.06 2026-04-01
32852 HCPCS Lung Transplant With Bypass 4 1 — — $60,742.06 $60,742.06 $60,742.06 2026-04-01
32445 HCPCS Removal Of Lung Extrapleural 4 1 — — $60,742.06 $60,742.06 $60,742.06 2026-04-01
33622 HCPCS Redo Compl Cardiac Anomaly 4 1 — — $60,742.06 $60,742.06 $60,742.06 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 6 2 — — $50,821.85 $71,014.90 $60,476.35 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 6 2 — — $50,793.42 $70,975.17 $60,442.53 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 6 2 — — $50,718.02 $70,869.82 $60,352.81 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 6 2 — — $50,269.36 $70,242.88 $59,818.91 2026-04-01
791 MS_DRG Prematurity With Major Problems 6 2 — — $50,182.84 $70,121.99 $59,715.95 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 6 2 — — $49,201.45 $68,750.67 $58,548.14 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 6 2 — — $48,776.27 $68,156.55 $58,042.18 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 6 2 — — $48,665.03 $68,001.11 $57,909.81 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 6 2 — — $48,567.38 $67,864.67 $57,793.62 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 6 2 — — $48,564.91 $67,861.21 $57,790.67 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 6 2 — — $48,327.60 $67,529.61 $57,508.28 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 6 2 — — $48,061.86 $67,158.28 $57,192.06 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 6 2 — — $47,770.16 $66,750.69 $56,844.95 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 6 2 — — $47,720.72 $66,681.60 $56,786.12 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 14 5 — — $11,650.63 $79,303.25 $56,753.41 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 6 2 — — $47,598.36 $66,510.62 $56,640.51 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 6 2 — — $47,242.39 $66,013.22 $56,216.92 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 6 2 — — $46,985.30 $65,653.98 $55,910.99 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 6 2 — — $46,619.45 $65,142.76 $55,475.63 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 8 3 — — $10,010.00 $70,520.95 $55,262.03 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 6 2 — — $46,275.84 $64,662.62 $55,066.75 2026-04-01
0315U OTHER Onc Cutan Sq Cll Ca Mrna 40 4 1 — — $54,914.25 $54,914.25 $54,914.25 2026-04-01
0211U OTHER Onc Pan-tum Dna&rna Gnrj Seq 4 1 — — $54,623.53 $54,623.53 $54,623.53 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 8 3 — — $10,174.20 $68,799.03 $53,912.69 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 6 2 — — $45,094.22 $63,011.52 $53,660.67 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 6 2 — — $44,791.40 $62,588.38 $53,300.32 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 6 2 — — $44,308.13 $61,913.08 $52,725.24 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 6 2 — — $44,305.66 $61,909.63 $52,722.30 2026-04-01
265 MS_DRG Aicd Lead Procedures 6 2 — — $44,086.88 $61,603.93 $52,461.97 2026-04-01
J9266 HCPCS Pegaspargase Injection 12 2 — — $25,781.46 $64,969.27 $52,398.56 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 6 2 — — $43,890.36 $61,329.32 $52,228.11 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 6 2 — — $43,635.74 $60,973.54 $51,925.12 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 6 2 — — $43,620.91 $60,952.81 $51,907.47 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 6 2 — — $43,510.91 $60,799.10 $51,776.57 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 6 2 — — $43,304.50 $60,510.68 $51,530.95 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 6 2 — — $43,297.08 $60,500.31 $51,522.12 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 6 2 — — $43,273.60 $60,467.50 $51,494.18 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 6 2 — — $42,916.39 $59,968.37 $51,069.12 2026-04-01
332 MS_DRG Rectal Resection With Mcc 6 2 — — $42,870.66 $59,904.46 $51,014.70 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 6 2 — — $42,823.69 $59,838.83 $50,958.81 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 6 2 — — $42,572.78 $59,488.23 $50,660.24 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 6 2 — — $42,503.57 $59,391.51 $50,577.87 2026-04-01
665 MS_DRG Prostatectomy With Mcc 6 2 — — $42,436.82 $59,298.25 $50,498.45 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 6 2 — — $42,397.27 $59,242.98 $50,451.38 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 6 2 — — $42,331.76 $59,151.45 $50,373.43 2026-04-01
81552 HCPCS Onc Uveal Mlnma Mrna 15 Gene 4 1 — — $50,236.85 $50,236.85 $50,236.85 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 6 2 — — $42,108.05 $58,838.84 $50,107.21 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 6 2 — — $41,925.12 $58,583.23 $49,889.54 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 6 2 — — $41,486.34 $57,970.11 $49,367.40 2026-04-01
0094U OTHER Genome Rapid Sequence Alys 4 1 — — $48,984.80 $48,984.80 $48,984.80 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 6 2 — — $41,043.85 $57,351.81 $48,840.86 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 6 2 — — $40,809.01 $57,023.66 $48,561.40 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 8 3 — — $3,529.00 $61,895.81 $48,503.15 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 6 2 — — $40,282.48 $56,287.92 $47,934.84 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 6 2 — — $40,265.17 $56,263.74 $47,914.25 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 6 2 — — $39,843.70 $55,674.80 $47,412.71 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 8 3 — — $27,654.86 $60,360.42 $47,299.97 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 6 2 — — $39,603.91 $55,339.74 $47,127.37 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 6 2 — — $39,490.20 $55,180.85 $46,992.06 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 6 2 — — $39,420.98 $55,084.13 $46,909.70 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 6 2 — — $39,307.27 $54,925.23 $46,774.38 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 6 2 — — $39,162.66 $54,723.16 $46,602.30 2026-04-01
81529 HCPCS Onc Cutan Mlnma Mrna 31 Gene 4 1 — — $46,470.38 $46,470.38 $46,470.38 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 6 2 — — $38,573.09 $53,899.34 $45,900.73 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 6 2 — — $38,555.78 $53,875.16 $45,880.14 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 6 2 — — $38,391.40 $53,645.45 $45,684.52 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 6 2 — — $38,219.59 $53,405.39 $45,480.08 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 6 2 — — $38,140.49 $53,294.85 $45,385.95 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 6 2 — — $38,113.30 $53,256.86 $45,353.59 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 12 2 — — $21,975.00 $57,094.70 $45,328.77 2026-04-01
652 MS_DRG Kidney Transplant 6 2 — — $37,960.03 $53,042.70 $45,171.21 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 6 2 — — $37,925.42 $52,994.34 $45,130.03 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 6 2 — — $37,801.82 $52,821.63 $44,982.95 2026-04-01
570 MS_DRG Skin Debridement With Mcc 6 2 — — $37,208.54 $51,992.62 $44,276.96 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 8 3 — — $14,687.36 $56,450.26 $44,235.88 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 6 2 — — $36,906.96 $51,571.21 $43,918.09 2026-04-01
0267U OTHER Rare Do Id Opt Gen Mapg&seq 4 1 — — $43,539.44 $43,539.44 $43,539.44 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 6 2 — — $36,444.70 $50,925.27 $43,368.01 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 6 2 — — $36,350.76 $50,794.01 $43,256.23 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 6 2 — — $36,249.41 $50,652.39 $43,135.62 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 8 3 — — $2,584.35 $54,814.70 $42,954.21 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 6 2 — — $36,043.00 $50,363.96 $42,890.00 2026-04-01
800 MS_DRG Splenic Procedures With Cc 6 2 — — $36,012.10 $50,320.79 $42,853.23 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 6 2 — — $35,992.32 $50,293.15 $42,829.70 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 6 2 — — $35,806.92 $50,034.09 $42,609.08 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 6 2 — — $35,434.88 $49,514.23 $42,166.37 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 6 2 — — $35,394.10 $49,457.24 $42,117.83 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 6 2 — — $35,374.32 $49,429.60 $42,094.30 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 6 2 — — $35,324.88 $49,360.52 $42,035.46 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 6 2 — — $35,185.21 $49,165.36 $41,869.26 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 6 2 — — $34,878.68 $48,737.03 $41,504.51 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 6 2 — — $34,709.35 $48,500.42 $41,303.01 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 6 2 — — $34,674.74 $48,452.06 $41,261.82 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 6 2 — — $33,821.90 $47,260.36 $40,246.97 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 6 2 — — $33,758.87 $47,172.28 $40,171.96 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 6 2 — — $33,698.30 $47,087.65 $40,099.89 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 6 2 — — $33,577.18 $46,918.40 $39,955.75 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 6 2 — — $33,411.55 $46,686.97 $39,758.67 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 6 2 — — $33,302.78 $46,534.98 $39,629.24 2026-04-01
263 MS_DRG Vein Ligation And Stripping 6 2 — — $33,148.28 $46,319.09 $39,445.39 2026-04-01
849 MS_DRG Radiotherapy 6 2 — — $33,012.32 $46,129.11 $39,283.60 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 6 2 — — $32,909.74 $45,985.76 $39,161.52 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 6 2 — — $32,793.55 $45,823.42 $39,023.27 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 6 2 — — $32,751.53 $45,764.70 $38,973.26 2026-04-01
503 MS_DRG Foot Procedures With Mcc 6 2 — — $32,710.74 $45,707.70 $38,924.72 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 6 2 — — $32,676.13 $45,659.34 $38,883.54 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 6 2 — — $32,422.75 $45,305.29 $38,582.03 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 6 2 — — $32,337.47 $45,186.12 $38,480.54 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 6 2 — — $31,992.62 $44,704.26 $38,070.19 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 6 2 — — $31,940.71 $44,631.72 $38,008.41 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 6 2 — — $31,562.50 $44,103.23 $37,558.35 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 6 2 — — $31,553.84 $44,091.14 $37,548.05 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 6 2 — — $31,494.52 $44,008.24 $37,477.45 2026-04-01
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 6 2 — — $31,333.84 $43,783.71 $37,286.25 2026-04-01
545 MS_DRG Connective Tissue Disorders With Mcc 6 2 — — $31,230.01 $43,638.64 $37,162.70 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 6 2 — — $31,205.29 $43,604.09 $37,133.29 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 6 2 — — $31,107.65 $43,467.65 $37,017.09 2026-04-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 6 2 — — $30,949.44 $43,246.58 $36,828.83 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 6 2 — — $30,924.72 $43,212.04 $36,799.42 2026-04-01
C2616 HCPCS Brachytx, Non-str,yttrium-90 4 1 — — $31,992.18 $41,224.82 $36,608.50 2026-04-01
397 MS_DRG Appendix Procedures With Mcc 10 3 — — $30,623.14 $42,790.63 $36,440.54 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 8 3 — — $14,419.00 $46,357.09 $36,326.61 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 6 2 — — $30,499.54 $42,617.92 $36,293.46 2026-04-01
J7310 HCPCS Ganciclovir Long Act Implant 4 1 — — $31,588.00 $40,704.00 $36,146.00 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 10 4 — — $12,089.29 $50,338.06 $36,024.46 2026-04-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 6 2 — — $30,263.46 $42,288.04 $36,012.54 2026-04-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 6 2 — — $30,011.32 $41,935.72 $35,712.49 2026-04-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 6 2 — — $29,908.73 $41,792.37 $35,590.42 2026-04-01
81554 HCPCS Pulm Ds Ipf Mrna 190 Gen Alg 4 1 — — $35,532.75 $35,532.75 $35,532.75 2026-04-01
135 MS_DRG Sinus And Mastoid Procedures With Cc/Mcc 6 2 — — $29,798.72 $41,638.65 $35,459.52 2026-04-01
0265U OTHER Rar Do Whl Gn&mtcdrl DNA Als 4 1 — — $35,376.41 $35,376.41 $35,376.41 2026-04-01
0212U OTHER Rare Ds Gen DNA Alys Proband 4 1 — — $35,372.53 $35,372.53 $35,372.53 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 6 2 — — $29,626.92 $41,398.59 $35,255.08 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 6 2 — — $29,626.92 $41,398.59 $35,255.08 2026-04-01
0295U OTHER Onc Brst Dux Carc 7 Proteins 4 1 — — $35,112.82 $35,112.82 $35,112.82 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 6 2 — — $29,258.59 $40,883.91 $34,816.78 2026-04-01
347 MS_DRG Anal And Stomal Procedures With Mcc 6 2 — — $29,251.18 $40,873.55 $34,807.95 2026-04-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 6 2 — — $29,165.89 $40,754.38 $34,706.47 2026-04-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 6 2 — — $28,902.62 $40,386.51 $34,393.19 2026-04-01
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 6 2 — — $28,676.44 $40,070.45 $34,124.03 2026-04-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 6 2 — — $28,608.46 $39,975.46 $34,043.14 2026-04-01
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 6 2 — — $28,584.97 $39,942.64 $34,015.19 2026-04-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 6 2 — — $28,530.59 $39,866.65 $33,950.48 2026-04-01
0335U OTHER Rare Ds Whl Gen Seq Fetal 4 1 — — $33,753.53 $33,753.53 $33,753.53 2026-04-01
0214U OTHER Rare Ds Xom DNA Alys Proband 4 1 — — $33,753.53 $33,753.53 $33,753.53 2026-04-01
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 6 2 — — $28,352.60 $39,617.95 $33,738.68 2026-04-01
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 6 2 — — $28,309.34 $39,557.50 $33,687.20 2026-04-01
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 6 2 — — $28,219.12 $39,431.42 $33,579.83 2026-04-01
614 MS_DRG Adrenal And Pituitary Procedures With Cc/Mcc 6 2 — — $28,165.97 $39,357.15 $33,516.59 2026-04-01
35 MS_DRG Carotid Artery Stent Procedures With Cc 6 2 — — $28,114.06 $39,284.62 $33,454.82 2026-04-01
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 6 2 — — $27,916.30 $39,008.28 $33,219.49 2026-04-01
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/Mcc 6 2 — — $27,911.35 $39,001.37 $33,213.61 2026-04-01
113 MS_DRG Orbital Procedures With Cc/Mcc 6 2 — — $27,891.58 $38,973.74 $33,190.07 2026-04-01
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 6 2 — — $27,843.37 $38,906.38 $33,132.71 2026-04-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 6 2 — — $27,833.48 $38,892.56 $33,120.95 2026-04-01
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 6 2 — — $27,811.24 $38,861.48 $33,094.47 2026-04-01
709 MS_DRG Penis Procedures With Cc/Mcc 6 2 — — $27,772.92 $38,807.94 $33,048.88 2026-04-01
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 6 2 — — $27,589.99 $38,552.33 $32,831.20 2026-04-01
30 MS_DRG Spinal Procedures Without Cc/Mcc 6 2 — — $27,503.47 $38,431.43 $32,728.24 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 8 2 — — $29,373.54 $41,044.53 $32,678.06 2026-04-01
A9604 HCPCS Sm 153 Lexidronam 12 2 — — $16,282.88 $39,860.50 $32,638.63 2026-04-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 6 2 — — $27,356.39 $38,225.90 $32,553.22 2026-04-01
81425 HCPCS Genome Sequence Analysis 4 1 — — $32,504.07 $32,504.07 $32,504.07 2026-04-01
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