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

CHILTON MEDICAL CENTER

Pompton Plains, NJ · CCN 310017 · Rates published

11,551 distinct procedures filed
189 distinct payers
4,559,927 rate rows
2026-04-01 last MRF observed
Data quality

3,588,157 of 4,559,927 rate rows are consumer-grade (78.7%)

971,770 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 865,619
per-diem day rate — not a per-procedure price 87,151
exceeds 10× this hospital's gross charge — excluded from medians 8,528
template filing: same amount across many unrelated codes — excluded 7,735
placeholder amount (≤ $0.02) — excluded from medians 1,530
percent-of-charges filed in the dollar field — excluded from medians 1,169
exceeds 3× this hospital's gross charge for a DRG stay — excluded 38
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.atlantichealth.org/content/dam/atlantichealth-v2/insurance/price-transparency/52-1958352_chilton-medical-center_standardcharges.csv
Found on page https://www.atlantichealth.org/patients-visitors/financial-information/insurance/out-network-insurance.html
Discovered viaCMS hospital list
Last fetch success · 2026-05-17
Content fingerprint f938af03bd2d6a58… · 20,140,236 bytes · first seen 2026-05-15

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 89 $8,230.00 $1,384,793.23 $863,483.27 nat. median
$370,174
outlier · 2.3×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 99 $8,500.00 $1,015,208.93 $560,365.90 nat. median
$265,286
outlier · 2.1×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 99 $8,500.00 $769,544.95 $424,419.10 nat. median
$202,986
outlier · 2.1×
161
MS_DRG 		Implantable Heart Assist Systems,extreme 10 $205,948.01 $289,356.32 $289,356.32 nat. median
$289,356
1.0× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 109 $8,500.00 $581,513.02 $276,972.59 nat. median
$133,176
outlier · 2.1×
SUP-232376
CDM 		Sh Matrix Autologous Chondrocyte 126 $46,645.97 $406,678.04 $223,672.92 nat. median
$217,943
1.0× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 92 $8,500.00 $281,878.42 $217,438.50 nat. median
$102,358
outlier · 2.1×
591
MS_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure,extreme 9 $196,676.27 $204,174.52 $204,174.52 nat. median
$204,175
1.0× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 6 $186,968.00 $277,017.41 $203,227.00 nat. median
$87,411
outlier · 2.3×
588
MS_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure,major 9 $201,207.10 $313,713.72 $201,207.10 nat. median
$313,714
0.6× median
215
MS_DRG 		Other Heart Assist System Implant 99 $8,500.00 $385,895.55 $199,100.17 nat. median
$99,019
outlier · 2.0×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 99 $8,500.00 $341,869.31 $195,616.87 nat. median
$93,672
outlier · 2.1×
A9543
HCPCS 		Yttrium 90 Ibritumomab Injection 187 $39,946.83 $348,272.24 $194,109.54 nat. median
$62,507
outlier · 3.1×
9
MS_DRG 		Extracorporeal Membrane Oxygenation (ecmo),extreme 10 $179,916.57 $186,775.86 $186,775.86 nat. median
$186,776
1.0× median
850
MS_DRG 		Acute Leukemia With Other Procedures 102 $8,500.00 $224,471.56 $173,155.36 nat. median
$83,442
outlier · 2.1×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 99 $8,500.00 $217,832.93 $168,034.39 nat. median
$81,118
outlier · 2.1×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 109 $8,500.00 $321,138.05 $157,344.52 nat. median
$77,576
outlier · 2.0×
J1823
CPT 		Inj. Inebilizumab-cdon, 1 Mg 185 $494.43 $210,387.00 $156,722.53 nat. median
$798
outlier · 196.3×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 99 $8,500.00 $327,608.62 $153,535.29 nat. median
$74,915
outlier · 2.0×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 108 $8,500.00 $286,574.93 $152,873.42 nat. median
$73,807
outlier · 2.1×
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 99 $8,500.00 $251,925.33 $152,367.52 nat. median
$72,138
outlier · 2.1×
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 6 $135,466.00 $373,375.10 $147,246.00 nat. median
$65,381
outlier · 2.3×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 93 $8,500.00 $184,834.23 $142,579.48 nat. median
$68,887
outlier · 2.1×
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 99 $8,500.00 $243,517.29 $137,530.49 nat. median
$65,950
outlier · 2.1×
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 6 $124,394.00 $223,647.39 $135,212.00 nat. median
$62,270
outlier · 2.2×
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 99 $8,500.00 $346,508.97 $134,595.08 nat. median
$64,732
outlier · 2.1×
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 103 $8,500.00 $187,564.00 $133,605.27 nat. median
$63,738
outlier · 2.1×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 99 $8,293.00 $210,444.73 $132,984.58 nat. median
$66,526
2.0× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 111 $8,500.00 $217,678.71 $131,479.70 nat. median
$61,920
outlier · 2.1×
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 99 $8,500.00 $236,619.10 $131,479.70 nat. median
$64,510
outlier · 2.0×
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 108 $2,511.41 $216,754.15 $128,116.64 nat. median
$62,134
outlier · 2.1×
J0225
CPT 		Inj, Vutrisiran, 1 Mg 106 $24.46 $340,315.50 $124,596.38 nat. median
$8,223
outlier · 15.2×
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 99 $8,500.00 $304,326.49 $122,543.49 nat. median
$60,726
outlier · 2.0×
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 103 $5,165.96 $187,120.55 $121,763.51 nat. median
$68,090
1.8× median
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 99 $8,500.00 $238,979.61 $121,227.75 nat. median
$59,899
outlier · 2.0×
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 93 $8,500.00 $157,373.00 $120,107.97 nat. median
$59,099
outlier · 2.0×
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 99 $8,500.00 $199,986.78 $119,238.15 nat. median
$58,024
outlier · 2.1×
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 99 $8,500.00 $202,163.20 $117,348.53 nat. median
$57,424
outlier · 2.0×
820
MS_DRG 		Lymphoma And Leukemia With Major O.r. Procedures With Mcc 99 $8,500.00 $192,507.65 $117,272.54 nat. median
$56,697
outlier · 2.1×
430
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 93 $8,500.00 $149,494.77 $115,318.93 nat. median
$54,596
outlier · 2.1×
5
MS_DRG 		Tracheostomy With Mv >96 Hours Without Extensive Procedure,extreme 10 $56,954.20 $125,870.31 $114,136.51 nat. median
$100,136
1.1× median
162
MS_DRG 		Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis,extreme 10 $108,687.63 $112,831.33 $112,831.33 nat. median
$100,457
1.1× median
428
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 93 $8,500.00 $145,733.48 $112,417.51 nat. median
$54,211
outlier · 2.1×
225
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 6 $103,293.00 $186,737.11 $112,276.00 nat. median
$48,649
outlier · 2.3×
278
MS_DRG 		Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures… 105 $8,500.00 $144,287.04 $110,347.41 nat. median
$50,270
outlier · 2.2×
834
MS_DRG 		Acute Leukemia With Mcc 99 $8,500.00 $191,305.02 $109,776.04 nat. median
$53,173
outlier · 2.1×
J2351
HCPCS 		Ocrelizumab 920 Mg-hyaluronidase-ocsq 23,000 Unit/23 Ml Subcut Soln 127 $35,930.87 $313,259.59 $109,640.86 nat. median
$78
outlier · 1406.6×
405
MS_DRG 		Pancreas, Liver And Shunt Procedures With Mcc 99 $8,500.00 $149,877.80 $109,388.12 nat. median
$52,836
outlier · 2.1×
234
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 108 $8,500.00 $202,635.33 $109,232.15 nat. median
$53,268
outlier · 2.1×
11
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 109 $8,500.00 $190,980.33 $109,060.18 nat. median
$52,857
outlier · 2.1×

Other procedures at this hospital

Browse this hospital's 11,551 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
             
288 MS_DRG Acute And Subacute Endocarditis With Mcc 185 99 $150,484.21 $32,578.39 78% off $5,276.00 $102,241.40 $54,113.18 2026-04-01
835 MS_DRG Acute Leukemia With Cc 176 99 $87,214.38 $25,413.03 71% off $8,500.00 $123,830.97 $41,707.66 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 185 99 $269,671.04 $65,285.53 76% off $8,500.00 $191,305.02 $109,776.04 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 183 102 $416,899.98 $108,605.15 74% off $8,500.00 $224,471.56 $173,155.36 2026-04-01
614 MS_DRG Adrenal And Pituitary Procedures With Cc/mcc 209 108 $99,360.35 $27,095.43 73% off $8,500.00 $74,439.54 $43,827.23 2026-04-01
245 MS_DRG Aicd Generator Procedures 245 120 $126,079.32 $54,050.98 57% off $5,785.02 $118,266.53 $90,447.53 2026-04-01
265 MS_DRG Aicd Lead Procedures 197 111 $126,956.34 $42,209.00 67% off $8,500.00 $93,790.98 $72,349.53 2026-04-01
J0202 HCPCS Alemtuzumab 12 Mg/1.2 Ml Intravenous Solution 350 188 $213,216.12 $213,216.12 $24,455.89 $213,216.12 $74,625.64 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 185 99 $269,621.33 $52,837.26 80% off $8,500.00 $182,295.17 $98,414.31 2026-04-01
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 185 99 $169,002.29 $25,645.41 85% off $8,500.00 $94,293.07 $45,504.90 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 185 99 $143,072.83 $52,987.84 63% off $6,087.00 $113,371.91 $83,671.00 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 185 99 $182,891.67 $38,405.71 79% off $5,439.00 $129,886.84 $69,734.05 2026-04-01
347 MS_DRG Anal And Stomal Procedures With Mcc 234 109 $121,346.87 $28,127.69 77% off $6,786.07 $91,051.58 $45,902.82 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 185 99 $345,691.57 $78,691.98 77% off $8,500.00 $243,517.29 $137,530.49 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 185 99 $180,954.68 $49,218.49 73% off $6,271.02 $134,518.68 $84,447.11 2026-04-01
338 MS_DRG Appendectomy With Complicated Principal Diagnosis With Mcc 18 6 $164,184.89 — $54,254.00 $109,216.90 $58,972.00 2026-04-01
397 MS_DRG Appendix Procedures With Mcc 177 105 $102,232.30 $29,410.66 71% off $8,500.00 $62,080.60 $47,888.42 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 194 109 $179,790.75 $42,438.24 76% off $8,500.00 $151,085.91 $74,731.05 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 197 111 $192,968.61 $25,146.73 87% off $8,500.00 $113,397.15 $51,573.68 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 183 98 $197,012.85 $43,416.60 78% off $6,862.00 $123,331.00 $69,770.52 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 195 110 $135,349.57 $31,093.24 77% off $8,500.00 $89,868.76 $51,573.68 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 204 109 $138,577.17 $63,336.64 54% off $8,500.00 $143,167.21 $62,277.74 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 245 120 $109,496.20 $33,945.43 69% off $4,892.86 $85,246.09 $52,733.30 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 185 99 $135,819.66 $36,728.75 73% off $8,500.00 $118,476.65 $71,297.74 2026-04-01
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 185 99 $116,327.12 $20,891.60 82% off $8,500.00 $79,928.56 $43,537.29 2026-04-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 185 99 $109,873.80 $24,532.00 78% off $8,500.00 $78,922.90 $49,174.16 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 185 99 $189,193.55 $40,733.49 78% off $8,500.00 $129,344.27 $69,078.18 2026-04-01
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/mcc 185 99 $85,568.33 $24,406.11 71% off $8,500.00 $64,593.67 $42,805.44 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 165 93 $369,160.73 $83,324.84 77% off $8,500.00 $184,834.23 $142,579.48 2026-04-01
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 18 6 $333,618.35 — $103,293.00 $186,737.11 $112,276.00 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 165 93 $298,556.98 $72,011.45 76% off $8,500.00 $157,373.00 $120,107.97 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 165 93 $225,476.51 $54,993.49 76% off $8,500.00 $119,720.76 $92,351.53 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 197 111 $72,254.46 $29,538.43 59% off $8,500.00 $81,449.52 $60,764.00 2026-04-01
259 MS_DRG Cardiac Pacemaker Device Replacement Without Mcc 185 99 $72,305.56 $20,950.90 71% off $8,500.00 $56,506.47 $40,433.91 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 212 109 $155,602.25 $40,317.58 74% off $8,500.00 $151,283.24 $65,042.99 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 185 99 $484,791.68 $113,768.80 77% off $8,500.00 $341,869.31 $195,616.87 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 185 99 $373,453.04 $76,169.10 80% off $8,500.00 $236,619.10 $131,479.70 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 197 111 $369,543.01 $70,246.95 81% off $8,500.00 $217,678.71 $131,479.70 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 185 99 $489,213.24 $91,270.71 81% off $8,500.00 $327,608.62 $153,535.29 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 234 109 $294,515.66 $62,574.36 79% off $8,500.00 $202,758.33 $106,634.67 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 197 111 $216,948.77 $59,372.55 73% off $8,500.00 $175,191.14 $100,783.84 2026-04-01
162 MS_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis,extreme 17 10 $910,235.63 — $108,687.63 $112,831.33 $112,831.33 2026-04-01
35 MS_DRG Carotid Artery Stent Procedures With Cc 185 99 $103,905.57 $27,046.05 74% off $8,500.00 $75,273.79 $47,800.44 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 185 99 $189,848.94 $45,962.34 76% off $8,500.00 $162,319.05 $77,398.52 2026-04-01
SUP-167608 CDM Cath Impella Cp 144 126 $134,750.00 $134,750.00 $15,455.83 $134,750.00 $43,659.00 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 185 99 $135,228.38 $34,364.85 75% off $8,500.00 $96,360.63 $58,910.22 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 185 99 $207,294.08 $57,318.69 72% off $8,500.00 $160,414.10 $95,726.80 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 185 99 $98,878.82 $28,113.69 72% off $8,500.00 $74,883.88 $48,816.23 2026-04-01
783 MS_DRG Cesarean Section With Sterilization With Mcc 185 110 $47,706.36 $22,005.57 54% off $8,500.00 $63,641.10 $49,092.18 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 185 99 $398,462.68 $59,170.73 85% off $8,500.00 $151,291.49 $96,066.78 2026-04-01
838 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Che… 196 111 $58,381.02 $24,938.13 57% off $8,500.00 $54,109.58 $41,739.65 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 185 99 $95,043.37 $30,334.60 68% off $8,500.00 $70,592.97 $51,839.63 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 150 89 $4,331,502.01 $783,254.09 82% off $8,230.00 $1,384,793.23 $863,483.27 2026-04-01
415 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 185 99 $121,114.71 $21,364.59 82% off $8,500.00 $80,980.35 $41,325.73 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 197 111 $151,766.12 $42,055.05 72% off $8,500.00 $113,646.62 $71,237.75 2026-04-01
412 MS_DRG Cholecystectomy With C.d.e. With Cc 185 99 $87,370.83 $25,343.50 71% off $8,500.00 $67,127.91 $42,041.59 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 197 111 $77,105.68 $32,473.06 58% off $8,500.00 $85,628.14 $66,052.79 2026-04-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 183 98 $161,709.18 $23,217.61 86% off $5,753.00 $102,513.09 $44,247.15 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 177 105 $143,709.36 $98,379.98 32% off $8,500.00 $233,546.85 $84,644.59 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 165 93 $248,228.12 $64,617.73 74% off $8,500.00 $149,494.77 $115,318.93 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 18 6 $284,237.36 — $124,394.00 $223,647.39 $135,212.00 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 18 6 $363,524.64 — $186,968.00 $277,017.41 $203,227.00 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 18 6 $213,473.69 — $97,785.00 $158,660.35 $106,289.00 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 163 92 $524,715.69 $128,380.34 76% off $8,500.00 $281,878.42 $217,438.50 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 218 101 $362,601.35 $75,897.59 79% off $3,661.48 $173,327.45 $79,861.47 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 218 108 $412,767.68 $92,198.34 78% off $8,500.00 $286,574.93 $152,873.42 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 218 108 $299,350.65 $62,081.29 79% off $8,500.00 $202,635.33 $109,232.15 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 259 121 $487,910.17 $99,099.90 80% off $8,500.00 $571,777.16 $100,596.10 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 185 99 $358,325.22 $72,066.66 80% off $8,500.00 $238,979.61 $121,227.75 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 185 99 $283,535.49 $69,481.58 75% off $8,500.00 $202,163.20 $117,348.53 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 185 99 $216,105.00 $48,647.09 77% off $8,500.00 $149,699.00 $83,759.24 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 212 102 $257,265.61 $50,340.99 80% off $8,500.00 $112,174.86 $48,356.06 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 197 102 $190,623.83 $37,837.54 80% off $8,500.00 $81,680.22 $63,007.40 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 195 102 $213,514.39 $33,950.91 84% off $8,500.00 $83,219.99 $64,195.16 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 216 108 $126,721.07 $36,261.15 71% off $8,500.00 $103,454.09 $62,171.56 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 186 100 $273,600.46 $46,914.59 83% off $8,500.00 $183,165.73 $90,915.81 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 195 109 $112,340.48 $29,315.13 74% off $8,500.00 $81,652.24 $50,447.91 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 185 99 $555,448.94 $80,581.29 85% off $8,500.00 $346,508.97 $134,595.08 2026-04-01
910 MS_DRG Craniotomy For Multiple Significant Trauma,major 17 10 $555,241.95 — $47,126.50 $48,923.19 $48,923.19 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 217 108 $190,526.30 $45,034.74 76% off $8,500.00 $135,586.15 $77,551.66 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 220 110 $299,439.58 $67,375.89 77% off $1,777.35 $215,771.82 $67,028.79 2026-04-01
744 MS_DRG D&c, Conization, Laparoscopy And Tubal Interruption With Cc/mcc 197 111 $102,219.14 $20,524.65 80% off $8,500.00 $62,195.14 $40,973.80 2026-04-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 199 107 $100,973.41 $24,312.01 76% off $8,500.00 $73,266.71 $46,452.71 2026-04-01
374 MS_DRG Digestive Malignancy With Mcc 185 99 $235,486.50 $22,148.81 91% off $8,500.00 $138,097.75 $42,765.45 2026-04-01
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 183 98 $96,020.88 $27,252.58 72% off $8,500.00 $68,578.44 $42,339.53 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 185 99 $978,667.17 $230,324.90 76% off $8,500.00 $769,544.95 $424,419.10 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 184 99 $470,785.61 $70,734.86 85% off $8,500.00 $304,326.49 $122,543.49 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 185 99 $291,743.64 $55,614.25 81% off $3,700.07 $198,569.32 $95,196.96 2026-04-01
34702 CPT Evasc Rpr Dplmnt Aorto-aortic Ndgft Rupt 262 135 $94,411.00 $94,411.00 $1,826.62 $94,411.00 $51,926.05 2026-04-01
911 MS_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma,extre… 17 10 $1,063,631.86 — $67,356.25 $69,924.20 $69,924.20 2026-04-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 185 99 $113,704.02 $29,108.00 74% off $8,500.00 $84,498.90 $49,160.17 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 185 99 $311,134.50 $49,868.59 84% off $8,131.00 $202,340.25 $81,070.73 2026-04-01
9 MS_DRG Extracorporeal Membrane Oxygenation (ecmo),extreme 10 10 $1,405,064.21 — $179,916.57 $186,775.86 $186,775.86 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 185 99 $116,950.25 $39,315.46 66% off $8,500.00 $92,918.62 $65,828.83 2026-04-01
503 MS_DRG Foot Procedures With Mcc 189 111 $107,381.29 $33,013.09 69% off $5,442.00 $108,872.04 $54,405.57 2026-04-01
934 MS_DRG Full Thickness Burn Without Skin Graft Or Inhalation Injury 197 111 $255,589.73 $25,529.40 90% off $3,327.96 $146,900.70 $41,645.00 2026-04-01
C1825 CPT Gen, Neuro, Carot Sinus Baro 63 61 $190,888.24 $56,986.54 70% off $2,016.00 $68,840.86 $49,172.05 2026-04-01
906 MS_DRG Hand Procedures For Injuries 197 111 $52,637.72 $23,490.11 55% off $8,500.00 $56,574.77 $43,641.27 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 185 99 $1,455,589.85 $325,679.00 78% off $8,500.00 $1,015,208.93 $560,365.90 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 241 108 $144,427.12 $41,766.09 71% off $4,596.61 $105,949.60 $66,603.00 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 185 99 $120,020.80 $34,784.08 71% off $8,500.00 $86,213.96 $58,028.39 2026-04-01
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 188 102 $106,946.05 $21,765.76 80% off $6,534.00 $129,844.72 $41,881.62 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 185 99 $132,090.30 $30,851.20 77% off $6,489.00 $96,294.43 $54,544.92 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 183 99 $133,753.01 $27,615.83 79% off $6,395.00 $97,707.01 $56,900.42 2026-04-01
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 183 99 $112,354.85 $22,114.04 80% off $8,257.00 $78,365.93 $41,982.45 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 197 111 $223,652.87 $58,300.93 74% off $7,344.00 $185,825.54 $64,182.18 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 177 99 $169,519.76 $29,609.13 83% off $8,500.00 $169,519.76 $57,708.46 2026-04-01
0266T CPT Im/Repl Cartd Sinus Baroreflx Activ Dev Tot Syst 63 61 $190,888.24 $56,986.54 70% off $2,016.00 $68,840.86 $49,172.05 2026-04-01
161 MS_DRG Implantable Heart Assist Systems,extreme 17 10 $1,735,526.18 — $205,948.01 $289,356.32 $289,356.32 2026-04-01
C1824 HCPCS Implnt Pulse Generator Optimizer Smart 287 127 $123,970.00 $123,970.00 $14,219.36 $140,140.00 $41,201.16 2026-04-01
A9507 HCPCS Indium In111 Capromab Pendetide Injection 196 92 $129,892.84 $129,892.84 $1,160.92 $129,892.84 $71,441.06 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 185 99 $223,576.43 $52,463.83 77% off $8,500.00 $159,493.07 $98,752.25 2026-04-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 185 99 $131,074.87 $25,504.99 81% off $8,500.00 $70,840.46 $49,828.03 2026-04-01
J1305 CPT Inj, Evinacumab-dgnb, 5mg 324 184 $361,656.45 $56,580.56 84% off $189.75 $208,868.62 $57,961.50 2026-04-01
J2267 CPT Inj, Mirikizumab-mrkz, 1 Mg 204 95 $224,092.05 $50,405.16 78% off $48.27 $86,292.00 $43,445.70 2026-04-01
J9347 CPT Inj, Tremelimumab-actl, 1 Mg 204 96 $422,446.46 $63,945.13 85% off $141.17 $112,245.00 $42,349.50 2026-04-01
J0225 CPT Inj, Vutrisiran, 1 Mg 232 106 $926,580.76 $143,380.80 85% off $24.46 $340,315.50 $124,596.38 2026-04-01
J1823 CPT Inj. Inebilizumab-cdon, 1 Mg 326 185 $281,192.31 $171,158.70 39% off $494.43 $210,387.00 $156,722.53 2026-04-01
J9210 CPT Inj., Emapalumab-lzsg, 1 Mg 325 184 $571,070.55 $95,310.42 83% off $381.64 $318,159.91 $107,622.48 2026-04-01
J1303 CPT Inj., Ravulizumab-cwvz 10 Mg 326 185 $560,264.91 $85,927.81 85% off $225.19 $312,263.65 $96,360.00 2026-04-01
J2350 CPT Injection, Ocrelizumab, 1 Mg 326 185 $301,713.05 $41,863.92 86% off $59.70 $168,159.77 $47,718.00 2026-04-01
J9029 CPT Instill Adstiladrin, Tx Dose 308 184 $467,129.52 $73,836.36 84% off $84.98 $175,258.15 $89,437.78 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 249 109 $379,931.55 $63,417.76 83% off $8,500.00 $259,293.77 $96,902.34 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 211 109 $452,275.11 $94,836.91 79% off $8,500.00 $321,138.05 $157,344.52 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 214 121 $326,498.53 $41,779.98 87% off $8,500.00 $207,756.27 $63,687.54 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 183 98 $189,015.06 $32,095.36 83% off $8,500.00 $124,453.53 $54,658.27 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 185 99 $115,464.11 $38,605.49 67% off $8,276.00 $91,484.05 $63,663.26 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 185 99 $145,988.82 $27,109.60 81% off $6,605.00 $100,361.90 $50,807.84 2026-04-01
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 185 99 $138,073.09 $22,248.46 84% off $8,500.00 $90,305.54 $41,813.64 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 185 99 $159,862.52 $38,828.24 76% off $8,500.00 $113,149.83 $64,529.09 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 185 99 $136,195.41 $24,929.56 82% off $8,500.00 $92,377.71 $47,718.45 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 193 107 $146,387.17 $45,241.10 69% off $8,008.22 $112,040.09 $64,967.54 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 197 111 $274,586.91 $37,944.15 86% off $8,500.00 $124,150.13 $72,499.50 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 185 99 $156,153.27 $35,658.29 77% off $7,842.00 $110,381.39 $42,442.00 2026-04-01
499 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Without… 197 111 $30,480.97 $24,250.09 20% off $8,500.00 $52,227.65 $40,287.94 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 187 100 $118,657.71 $25,186.58 79% off $7,911.00 $83,589.35 $45,807.89 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 185 99 $150,466.52 $42,052.61 72% off $8,500.00 $114,754.73 $73,417.31 2026-04-01
A9513 CPT Lutetium Lu 177 Dotatat Ther 187 88 $516,154.43 $79,545.15 85% off $312.69 $86,015.64 $62,537.40 2026-04-01
A9607 CPT Lutetium Lu 177 Vipivotide 206 94 $381,928.05 $60,272.23 84% off $253.18 $100,728.04 $40,761.82 2026-04-01
A9607 HCPCS Lutetium Lu-177 Vipivotide Tetraxetan 27 Mci/ml (1,000 Mbq/ml) IV Soln 409 189 $348,700.20 $64,927.75 81% off $253.18 $348,700.20 $78,101.27 2026-04-01
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 184 99 $98,144.28 $26,547.55 73% off $8,500.00 $78,590.25 $44,763.05 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 185 99 $228,955.24 $68,753.83 70% off $8,500.00 $192,507.65 $117,272.54 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 196 111 $215,717.90 $34,134.60 84% off $8,500.00 $83,855.08 $64,685.06 2026-04-01
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 185 99 $193,830.03 $23,218.18 88% off $8,500.00 $120,061.16 $45,302.94 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 185 99 $225,142.45 $55,317.99 75% off $8,500.00 $156,750.23 $91,677.66 2026-04-01
169 MS_DRG Major Abdominal Vascular Procedures,major 32 10 $314,768.15 — $33,235.77 $44,439.90 $40,297.15 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 185 99 $141,405.60 $33,455.54 76% off $8,500.00 $99,728.80 $55,974.80 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 185 99 $275,690.22 $55,130.48 80% off $8,500.00 $183,026.79 $103,907.21 2026-04-01
655 MS_DRG Major Bladder Procedures Without Cc/mcc 185 99 $72,967.77 $21,944.94 70% off $8,500.00 $59,342.94 $42,323.53 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 185 99 $91,124.97 $29,893.59 67% off $8,500.00 $71,935.49 $50,469.90 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 240 109 $186,074.19 $54,413.30 71% off $8,500.00 $142,498.60 $89,618.07 2026-04-01
165 MS_DRG Major Chest Procedures Without Cc/mcc 209 109 $72,556.33 $22,199.71 69% off $8,500.00 $63,463.46 $41,064.00 2026-04-01
141 MS_DRG Major Head And Neck Procedures With Cc 246 108 $94,284.30 $25,561.15 73% off $3,406.87 $69,940.15 $42,931.50 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 224 108 $207,056.13 $50,023.81 76% off $4,766.12 $145,970.07 $85,288.94 2026-04-01
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 185 99 $105,478.80 $23,537.20 78% off $8,500.00 $74,602.40 $44,149.17 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 250 109 $122,671.14 $38,731.29 68% off $5,267.54 $94,333.07 $59,782.12 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 210 109 $139,472.18 $30,237.74 78% off $8,500.00 $93,810.59 $51,840.00 2026-04-01
680 MS_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms,extreme 26 10 $660,635.93 — $38,396.02 $223,570.24 $76,794.43 2026-04-01
595 MS_DRG Major Skin Disorders With Mcc 195 110 $52,338.76 $22,193.81 58% off $5,513.00 $76,995.12 $42,405.52 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 185 99 $138,008.93 $24,795.30 82% off $8,500.00 $94,077.96 $47,934.41 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 185 99 $258,366.80 $48,169.19 81% off $8,500.00 $148,399.58 $91,911.61 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 240 108 $99,385.80 $32,724.73 67% off $5,743.75 $98,192.12 $61,217.75 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 225 108 $87,055.41 $28,265.41 68% off $8,500.00 $66,951.34 $51,645.67 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 214 103 $293,592.64 $74,507.58 75% off $5,165.96 $187,120.55 $121,763.51 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 165 93 $256,362.28 $64,969.53 75% off $8,500.00 $145,733.48 $112,417.51 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 221 102 $381,935.93 $131,878.49 65% off $4,815.19 $285,691.55 $98,468.56 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 191 103 $331,342.49 $79,620.38 76% off $8,500.00 $187,564.00 $133,605.27 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 165 93 $192,859.36 $50,930.34 74% off $8,500.00 $109,930.02 $84,799.04 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 185 99 $185,425.20 $56,360.75 70% off $8,500.00 $168,984.37 $93,537.29 2026-04-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 185 99 $100,799.72 $28,046.58 72% off $8,500.00 $75,261.86 $46,214.76 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 185 99 $139,188.53 $36,530.01 74% off $8,500.00 $104,952.99 $63,187.36 2026-04-01
J9029 HCPCS Nadofaragene Firadenovec-vncg 3x10exp11 Vp/ml Intravesical Suspension 410 189 $434,400.00 $72,945.71 83% off $49,825.68 $434,400.00 $89,437.78 2026-04-01
611 MS_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly,major 24 9 $468,821.79 — $28,618.37 $52,639.40 $52,639.40 2026-04-01
612 MS_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 41 9 $227,629.35 — $25,958.31 $73,416.90 $41,560.98 2026-04-01
591 MS_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure,extreme 16 9 $227,947.66 — $196,676.27 $204,174.52 $204,174.52 2026-04-01
588 MS_DRG Neonate Birth Weight < 1500 Grams With Major Procedure,major 24 9 $1,165,932.55 — $201,207.10 $313,713.72 $201,207.10 2026-04-01
631 MS_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure,major 16 9 $350,577.40 — $63,364.44 $65,780.19 $65,780.19 2026-04-01
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 217 108 $138,256.84 $25,840.76 81% off $8,500.00 $108,091.53 $45,888.82 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 183 98 $149,356.44 $42,414.68 72% off $6,259.00 $114,382.72 $71,602.31 2026-04-01
935 MS_DRG Non-extensive Burns 183 98 $50,107.49 $26,158.11 48% off $8,500.00 $56,935.08 $43,919.21 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 184 99 $126,665.86 $22,854.43 82% off $8,500.00 $97,218.93 $68,554.29 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 187 100 $58,592.76 $28,601.29 51% off $8,500.00 $74,847.18 $57,736.45 2026-04-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 196 111 $102,114.43 $25,727.59 75% off $8,500.00 $77,912.73 $46,728.65 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 197 111 $177,814.46 $42,827.41 76% off $8,500.00 $148,552.39 $72,555.49 2026-04-01
941 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/… 197 111 $75,452.45 $23,322.99 69% off $8,500.00 $52,562.04 $40,222.00 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 197 111 $114,253.02 $46,441.16 59% off $8,500.00 $100,185.94 $77,282.54 2026-04-01
J2351 HCPCS Ocrelizumab 920 Mg-hyaluronidase-ocsq 23,000 Unit/23 Ml Subcut Soln 144 127 $313,259.59 $313,259.59 $35,930.87 $313,259.59 $109,640.86 2026-04-01
113 MS_DRG Orbital Procedures With Cc/mcc 245 120 $122,503.13 $26,812.01 78% off $3,724.52 $84,755.10 $45,856.00 2026-04-01
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 243 120 $89,275.83 $28,583.11 68% off $3,328.26 $83,194.72 $45,231.69 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 210 108 $215,470.19 $58,889.75 73% off $4,688.38 $158,060.60 $98,079.98 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 235 109 $165,814.94 $36,821.95 78% off $8,500.00 $118,142.23 $62,977.40 2026-04-01
314 MS_DRG Other Circulatory System Diagnoses With Mcc 227 109 $108,446.22 $22,590.29 79% off $8,500.00 $229,539.58 $41,695.66 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 225 109 $154,971.83 $36,663.71 76% off $8,500.00 $111,282.91 $53,139.92 2026-04-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 185 99 $115,293.76 $26,778.00 77% off $8,500.00 $80,583.88 $46,500.70 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 184 99 $193,279.24 $44,747.36 77% off $8,500.00 $139,757.62 $87,838.43 2026-04-01
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 185 99 $104,514.79 $26,775.25 74% off $4,855.00 $75,169.90 $40,313.67 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 185 99 $183,566.05 $46,643.35 75% off $8,500.00 $133,136.65 $74,521.09 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 182 99 $293,923.42 $51,947.26 82% off $8,500.00 $188,415.71 $89,240.15 2026-04-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 213 108 $136,665.12 $27,516.33 80% off $8,500.00 $93,569.06 $48,096.38 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 185 99 $149,093.38 $30,735.38 79% off $8,500.00 $100,343.19 $51,341.73 2026-04-01
215 MS_DRG Other Heart Assist System Implant 185 99 $561,369.10 $124,863.84 78% off $8,500.00 $385,895.55 $199,100.17 2026-04-01
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 234 109 $98,516.07 $27,175.75 72% off $5,119.25 $118,240.23 $43,749.25 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 218 108 $193,096.36 $48,941.23 75% off $7,668.41 $136,698.68 $80,301.00 2026-04-01
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 183 98 $102,511.78 $25,548.00 75% off $8,500.00 $72,836.89 $41,855.63 2026-04-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 185 99 $162,177.29 $24,215.21 85% off $8,500.00 $116,767.65 $46,762.65 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 185 99 $244,907.08 $43,949.05 82% off $8,500.00 $158,132.54 $84,015.19 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 185 99 $176,270.89 $33,700.46 81% off $4,187.38 $115,044.51 $71,111.77 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 185 99 $172,136.70 $17,531.78 90% off $3,338.94 $138,275.85 $105,504.89 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 185 99 $112,129.23 $29,697.34 74% off $8,500.00 $79,177.99 $51,049.79 2026-04-01
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/mcc 177 99 $106,351.63 $26,852.05 75% off $8,500.00 $106,351.63 $44,737.05 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 184 99 $132,343.80 $28,612.43 78% off $8,500.00 $81,948.46 $54,665.06 2026-04-01
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 197 111 $84,986.66 $21,928.06 74% off $8,500.00 $67,436.14 $41,553.69 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 185 99 $127,766.34 $36,631.03 71% off $8,500.00 $91,865.79 $63,725.25 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 185 99 $201,738.51 $39,709.56 80% off $8,500.00 $117,804.76 $76,770.64 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 185 99 $250,612.19 $48,583.50 81% off $8,500.00 $167,893.10 $84,261.14 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 185 99 $352,505.65 $89,606.70 75% off $8,500.00 $251,925.33 $152,367.52 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 195 110 $284,723.63 $30,814.30 89% off $8,500.00 $168,562.77 $58,870.22 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 185 99 $184,748.09 $37,664.74 80% off $8,500.00 $120,435.92 $79,666.06 2026-04-01
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 209 109 $72,832.66 $19,336.95 73% off $8,500.00 $88,260.70 $40,514.00 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 224 109 $184,285.51 $45,569.13 75% off $8,500.00 $120,654.40 $74,739.05 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 185 99 $118,504.29 $32,302.84 73% off $6,314.00 $94,788.52 $64,757.05 2026-04-01
222 MS_DRG Other Stomach, Esophageal And Duodenal Procedures,minor 45 16 $698,241.03 — $8,411.91 $460,927.45 $43,843.79 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 185 99 $128,517.63 $34,925.54 73% off $8,500.00 $94,175.32 $56,156.77 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 185 99 $210,807.53 $64,010.10 70% off $8,500.00 $149,877.80 $109,388.12 2026-04-01
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/mcc 185 99 $84,229.44 $25,411.83 70% off $8,500.00 $68,179.27 $44,383.12 2026-04-01
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/mcc 197 111 $79,021.83 $25,439.20 68% off $8,500.00 $55,877.28 $42,591.48 2026-04-01
709 MS_DRG Penis Procedures With Cc/mcc 184 99 $1,063,584.14 $135,256.18 87% off $8,500.00 $60,323.09 $46,532.69 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 183 98 $272,613.97 $49,553.83 82% off $8,500.00 $181,670.93 $82,493.50 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 183 98 $186,328.91 $36,994.78 80% off $8,500.00 $127,469.96 $65,820.83 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 205 102 $211,091.20 $29,844.88 86% off $8,500.00 $70,528.58 $53,938.64 2026-04-01
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 183 98 $153,268.11 $27,469.89 82% off $8,500.00 $101,343.05 $43,641.27 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 185 99 $201,969.47 $44,610.41 78% off $8,500.00 $99,060.24 $75,426.91 2026-04-01
336 MS_DRG Peritoneal Adhesiolysis With Cc 185 99 $125,285.33 $22,158.10 82% off $8,500.00 $84,362.66 $42,165.57 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 185 99 $172,558.28 $42,869.04 75% off $6,188.00 $95,740.35 $67,201.44 2026-04-01
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 241 108 $153,331.72 $22,300.58 85% off $6,247.50 $104,565.73 $42,244.13 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 225 108 $163,378.90 $35,582.19 78% off $8,434.60 $156,794.46 $51,735.77 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 185 99 $224,598.59 $53,303.85 76% off $8,500.00 $157,359.80 $90,955.81 2026-04-01
665 MS_DRG Prostatectomy With Mcc 185 99 $199,539.39 $40,639.44 80% off $8,500.00 $131,020.20 $62,411.52 2026-04-01
333 MS_DRG Rectal Resection With Cc 185 99 $76,649.38 $22,299.11 71% off $8,500.00 $61,128.19 $46,834.63 2026-04-01
332 MS_DRG Rectal Resection With Mcc 197 111 $149,159.14 $41,045.38 72% off $8,500.00 $119,098.36 $72,399.52 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 183 98 $168,115.80 $28,153.35 83% off $8,500.00 $110,608.90 $53,102.00 2026-04-01
130 MS_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours,extreme 23 9 $280,173.32 — $47,797.55 $62,484.41 $62,484.41 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 240 108 $298,917.05 $67,841.16 77% off $2,511.41 $216,754.15 $128,116.64 2026-04-01
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 183 98 $142,369.75 $21,309.86 85% off $8,500.00 $79,533.93 $42,525.49 2026-04-01
C9773 HCPCS Revasc Art(S) Tib/Pernl W Litho Stent Tlang 351 188 $75,792.00 $75,792.00 $5,082.00 $75,792.00 $40,927.68 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 185 99 $137,427.55 $27,128.99 80% off $8,500.00 $106,569.57 $70,517.89 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 249 109 $224,796.72 $60,097.60 73% off $4,476.71 $165,958.86 $48,158.64 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 234 109 $125,813.70 $31,157.35 75% off $4,788.68 $91,389.85 $52,455.51 2026-04-01
33264 CPT Rmvl Impltbl Dfb Pls Gen W/Rplcmt Pls Gen Mlt Ld 362 188 $111,020.00 $42,781.95 61% off $812.57 $111,020.00 $50,403.08 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 184 99 $329,592.80 $62,648.70 81% off $8,293.00 $210,444.73 $132,984.58 2026-04-01
SUP-232376 CDM Sh Matrix Autologous Chondrocyte 143 126 $406,678.04 $406,678.04 $46,645.97 $406,678.04 $223,672.92 2026-04-01
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 205 110 $95,715.24 $24,723.03 74% off $8,500.00 $72,371.26 $41,579.68 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 165 93 $160,306.23 $41,039.13 74% off $8,500.00 $104,219.40 $80,393.92 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 165 93 $245,385.43 $60,850.79 75% off $8,500.00 $147,246.00 $106,570.68 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 165 93 $145,466.50 $36,575.81 75% off $8,500.00 $83,738.43 $64,595.08 2026-04-01
135 MS_DRG Sinus And Mastoid Procedures With Cc/mcc 239 121 $913,079.70 $109,192.60 88% off $1,777.35 $481,570.85 $50,051.00 2026-04-01
570 MS_DRG Skin Debridement With Mcc 184 99 $126,803.85 $27,914.04 78% off $5,734.00 $76,239.19 $55,655.95 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 185 99 $114,542.07 $31,607.75 72% off $8,500.00 $84,015.03 $53,003.40 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 197 111 $46,954.28 $46,954.28 $8,500.00 $127,048.91 $98,004.40 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 185 99 $153,495.62 $41,012.93 73% off $6,016.00 $146,818.49 $69,414.11 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 185 99 $161,897.39 $72,702.98 55% off $7,860.00 $186,870.08 $102,182.19 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 215 108 $134,987.24 $44,295.84 67% off $8,500.00 $115,452.29 $71,169.76 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 185 99 $100,461.40 $45,696.09 55% off $8,184.00 $95,214.10 $73,447.31 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 203 108 $145,029.27 $33,239.78 77% off $8,500.00 $118,982.29 $63,283.34 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 18 6 $508,572.11 — $135,466.00 $373,375.10 $147,246.00 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 185 99 $160,424.33 $88,597.95 45% off $8,500.00 $217,832.93 $168,034.39 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 185 99 $276,683.56 $67,779.16 76% off $8,500.00 $199,986.78 $119,238.15 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 197 111 $261,416.17 $51,067.84 80% off $8,500.00 $181,570.45 $83,435.31 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 18 6 $161,979.74 — $76,913.00 $117,312.18 $83,601.00 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 204 109 $204,310.84 $41,600.89 80% off $8,500.00 $137,054.42 $68,218.35 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 185 99 $230,621.62 $71,777.70 69% off $8,500.00 $175,328.81 $95,818.24 2026-04-01
800 MS_DRG Splenic Procedures With Cc 185 99 $119,280.08 $34,549.10 71% off $8,500.00 $86,787.54 $56,176.76 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 185 99 $284,048.37 $56,203.29 80% off $8,500.00 $153,823.05 $90,559.88 2026-04-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 185 99 $115,063.55 $28,826.80 75% off $8,500.00 $83,686.27 $48,874.22 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 185 99 $191,087.41 $53,278.89 72% off $8,500.00 $147,814.20 $99,728.05 2026-04-01
J9226 CPT Supprelin La Implant 221 114 $6,986.78 $6,986.78 $182.27 $64,240.15 $45,560.39 2026-04-01
711 MS_DRG Testes Procedures With Cc/mcc 234 109 $131,381.95 $22,804.60 83% off $8,500.00 $86,556.98 $41,667.66 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 210 108 $71,261.55 $34,012.38 52% off $8,500.00 $78,287.03 $60,389.92 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 185 99 $242,393.45 $48,548.31 80% off $8,500.00 $165,179.73 $84,303.14 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 202 109 $276,471.66 $63,740.66 77% off $8,500.00 $190,980.33 $109,060.18 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 197 111 $179,955.67 $32,660.25 82% off $8,500.00 $118,788.56 $57,624.47 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 202 109 $1,016,008.18 $165,907.00 84% off $8,500.00 $581,513.02 $276,972.59 2026-04-01
5 MS_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure,extreme 32 10 $1,035,351.27 — $56,954.20 $125,870.31 $114,136.51 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 185 99 $128,540.74 $34,588.53 73% off $8,500.00 $93,096.37 $58,388.32 2026-04-01
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 183 98 $129,193.70 $24,264.53 81% off $8,500.00 $99,256.51 $45,428.91 2026-04-01
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 209 107 $139,653.42 $24,339.15 83% off $6,201.26 $96,618.76 $45,702.86 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 177 105 $289,543.60 $65,537.29 77% off $8,500.00 $144,287.04 $110,347.41 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 197 102 $181,057.67 $39,549.91 78% off $5,804.01 $93,485.10 $72,113.57 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 175 104 $178,979.82 $35,768.12 80% off $8,500.00 $77,154.24 $59,516.09 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 197 111 $48,932.40 $15,642.75 68% off $6,010.00 $104,534.45 $53,937.21 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 185 99 $88,341.96 $47,104.58 47% off $8,500.00 $92,873.34 $71,641.67 2026-04-01
737 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 185 99 $74,522.01 $23,778.68 68% off $8,500.00 $57,924.00 $41,203.76 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 185 99 $346,884.02 $46,595.51 87% off $8,500.00 $216,996.01 $71,475.70 2026-04-01
263 MS_DRG Vein Ligation And Stripping 233 108 $115,925.84 $36,802.26 68% off $8,500.00 $85,268.42 $59,360.00 2026-04-01
32 MS_DRG Ventricular Shunt Procedures With Cc 185 99 $84,590.32 $25,409.49 70% off $8,500.00 $63,274.66 $42,611.48 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 185 99 $214,407.24 $49,570.00 77% off $8,500.00 $128,427.88 $89,592.08 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 185 99 $111,488.55 $34,966.78 69% off $8,500.00 $91,906.07 $62,281.54 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 247 109 $190,963.17 $53,959.81 72% off $4,936.13 $149,006.08 $56,282.75 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 185 99 $115,587.79 $52,305.24 55% off $8,500.00 $108,784.27 $83,915.21 2026-04-01
A9543 HCPCS Yttrium 90 Ibritumomab Injection 348 187 $348,272.24 $348,272.24 $39,946.83 $348,272.24 $194,109.54 2026-04-01
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