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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

MONMOUTH MEDICAL CENTER-SOUTHERN CAMPUS

Lakewood, NJ · CCN 310084 · Rates published

21,524 distinct procedures filed
14 distinct payers
609,873 rate rows
2026-03-03 last MRF observed
Data quality

464,531 of 609,873 rate rows are consumer-grade (76.2%)

145,342 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 140,621
per-diem day rate — not a per-procedure price 4,098
template filing: same amount across many unrelated codes — excluded 329
placeholder amount (≤ $0.02) — excluded from medians 217
exceeds 10× this hospital's gross charge — excluded from medians 77
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://mrfs.hyvehealthcare.com/RWJBarnabasHealth/223452412_monmouth-medical-center-southern-campus_standardcharges.json
Found on page https://www.rwjbh.org/monmouth-medical-center-southern-campus/billing/charges/
Discovered viaCMS hospital list
Last fetch not_modified · 2026-05-19
Content fingerprint 35fab4851f731c54… · 444,390,236 bytes · first seen 2026-05-17

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
J1414
HCPCS 		Injection, Fidanacogene Elaparvovec-dzkt, Per Therapeutic Dose 8 $3,301,900.00 $4,135,676.50 $3,598,700.00 nat. median
$3,710,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 8 $3,279,887.34 $4,135,676.50 $3,587,693.67 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 8 $2,957,001.24 $3,702,914.75 $3,222,435.92 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Injection, Lovotibeglogene Autotemcel, Per Treatment 8 $2,924,540.00 $3,559,357.16 $3,138,595.00 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Injection, Betibeglogene Autotemcel, Per Treatment 8 $2,623,909.86 $3,308,541.20 $2,870,154.93 nat. median
$3,004,655
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 9 $2,156,586.79 $4,596,711.00 $2,340,109.24 nat. median
$2,468,984
0.9× median
J3392
HCPCS 		Injection, Exagamglogene Autotemcel, Per Treatment 9 $2,075,480.00 $4,460,043.28 $2,262,040.00 nat. median
$2,448,600
0.9× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 10 $315,061.41 $1,148,480.07 $687,447.94 nat. median
$370,174
1.9× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 14 $511,072.50 $1,230,136.37 $618,158.98 nat. median
$753,246
0.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 14 $325,500.00 $1,199,024.33 $585,221.12 nat. median
$674,867
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 14 $352,380.00 $1,148,990.36 $559,704.14 nat. median
$625,184
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 14 $344,652.00 $1,123,269.81 $547,455.69 nat. median
$673,137
0.8× median
5834
APR_DRG 		3 $529,956.02 $580,428.20 $540,050.46 nat. median
$309,665
1.7× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 14 $435,565.25 $1,061,429.64 $533,381.73 nat. median
$619,808
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 14 $257,664.44 $1,064,617.17 $524,779.54 nat. median
$634,303
0.8× median
5833
APR_DRG 		3 $461,523.47 $505,478.25 $470,314.43 nat. median
$244,017
1.9× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 11 $167,651.00 $790,418.34 $432,475.00 nat. median
$206,474
outlier · 2.1×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 11 $64,859.00 $639,331.84 $415,216.05 nat. median
$202,976
outlier · 2.0×
5884
APR_DRG 		3 $395,278.86 $432,924.60 $402,808.00 nat. median
$246,434
1.6× median
1614
APR_DRG 		3 $364,588.57 $399,311.41 $371,533.14 nat. median
$207,730
1.8× median
5832
APR_DRG 		3 $289,617.10 $317,199.78 $295,133.64 nat. median
$156,126
1.9× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 11 $97,041.00 $440,808.90 $288,478.00 nat. median
$133,161
outlier · 2.2×
1613
APR_DRG 		3 $276,273.51 $302,585.37 $281,535.88 nat. median
$119,796
outlier · 2.4×
6304
APR_DRG 		3 $268,670.43 $294,258.18 $273,787.98 nat. median
$150,721
1.8× median
8414
APR_DRG 		3 $261,853.57 $286,792.09 $266,841.28 nat. median
$160,267
1.7× median
5934
APR_DRG 		3 $259,852.02 $284,599.92 $264,801.60 nat. median
$151,838
1.7× median
5914
APR_DRG 		3 $257,259.62 $281,760.62 $262,159.82 nat. median
$164,289
1.6× median
5883
APR_DRG 		3 $253,520.67 $277,665.58 $258,349.65 nat. median
$182,665
1.4× median
6314
APR_DRG 		3 $252,731.35 $276,801.09 $257,545.30 nat. median
$122,924
outlier · 2.1×
6094
APR_DRG 		3 $249,841.24 $273,635.72 $254,600.13 nat. median
$162,982
1.6× median
5882
APR_DRG 		3 $246,778.68 $270,281.50 $251,479.25 nat. median
$145,336
1.7× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 2 $79,078.00 $282,854.25 $241,987.11 nat. median
$87,428
outlier · 2.8×
94
APR_DRG 		3 $235,337.33 $257,750.49 $239,819.96 nat. median
$164,834
1.5× median
5831
APR_DRG 		3 $234,535.82 $256,872.65 $239,003.19 nat. median
$144,745
1.7× median
44
APR_DRG 		3 $230,984.67 $252,983.29 $235,384.39 nat. median
$105,658
outlier · 2.2×
1612
APR_DRG 		3 $221,555.55 $242,656.16 $225,775.67 nat. median
$85,444
outlier · 2.6×
1611
APR_DRG 		3 $210,731.08 $230,800.78 $214,745.02 nat. median
$76,806
outlier · 2.8×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 10 $91,010.15 $322,980.98 $211,058.48 nat. median
$102,358
outlier · 2.1×
215
MS_DRG 		Other Heart Assist System Implant 11 $58,702.00 $343,288.75 $205,263.43 nat. median
$99,019
outlier · 2.1×
6034
APR_DRG 		3 $194,926.38 $213,490.87 $198,639.28 nat. median
$109,499
1.8× median
6024
APR_DRG 		3 $187,505.00 $205,362.68 $191,076.53 nat. median
$118,620
1.6× median
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 2 $57,600.00 $207,113.45 $181,114.85 nat. median
$65,393
outlier · 2.8×
5933
APR_DRG 		3 $175,027.01 $191,696.31 $178,360.87 nat. median
$108,996
1.6× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 12 $58,158.00 $320,896.94 $174,196.48 nat. median
$93,672
1.9× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 11 $70,753.64 $264,532.84 $172,907.00 nat. median
$81,118
outlier · 2.1×
5913
APR_DRG 		3 $168,428.50 $184,469.37 $171,636.68 nat. median
$102,919
1.7× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 $87,513.90 $279,577.95 $171,230.33 nat. median
$98,894
1.7× median
1604
APR_DRG 		3 $166,242.24 $182,074.89 $169,408.77 nat. median
$97,957
1.7× median
5881
APR_DRG 		3 $164,135.35 $179,767.35 $167,261.75 nat. median
$124,573
1.3× median
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 2 $51,489.00 $187,616.77 $167,023.92 nat. median
$62,372
outlier · 2.7×

Other procedures at this hospital

Browse this hospital's 21,524 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
             
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 25 11 — $2,085.00 $41,559.00 $154,621.97 $109,329.03 2026-03-03
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 26 12 — $2,085.00 $31,726.00 $120,094.94 $79,505.01 2026-03-03
1204 APR_DRG — 3 3 — — $84,411.18 $92,450.37 $86,019.02 2026-03-03
1214 APR_DRG — 3 3 — — $67,656.92 $74,100.45 $68,945.62 2026-03-03
1304 APR_DRG — 3 3 — — $78,730.28 $86,228.43 $80,229.91 2026-03-03
140 MS_DRG Major Head And Neck Procedures With Mcc 25 12 — $2,085.00 $35,331.71 $122,468.85 $80,107.05 2026-03-03
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 25 12 — $2,085.00 $27,584.83 $99,724.77 $67,412.00 2026-03-03
1603 APR_DRG — 3 3 — — $78,522.62 $86,000.99 $80,018.29 2026-03-03
1604 APR_DRG — 3 3 — — $166,242.24 $182,074.89 $169,408.77 2026-03-03
1611 APR_DRG — 3 3 — — $210,731.08 $230,800.78 $214,745.02 2026-03-03
1612 APR_DRG — 3 3 — — $221,555.55 $242,656.16 $225,775.67 2026-03-03
1613 APR_DRG — 3 3 — — $276,273.51 $302,585.37 $281,535.88 2026-03-03
1614 APR_DRG — 3 3 — — $364,588.57 $399,311.41 $371,533.14 2026-03-03
1621 APR_DRG — 3 3 — — $65,328.68 $71,550.48 $66,573.04 2026-03-03
1622 APR_DRG — 3 3 — — $75,232.54 $82,397.57 $76,665.55 2026-03-03
1623 APR_DRG — 3 3 — — $96,290.64 $105,461.21 $98,124.76 2026-03-03
1624 APR_DRG — 3 3 — — $142,167.33 $155,707.12 $144,875.28 2026-03-03
163 MS_DRG Major Chest Procedures With Mcc 25 11 — $2,085.00 $38,506.32 $152,635.34 $94,101.00 2026-03-03
1632 APR_DRG — 3 3 — — $63,186.66 $69,204.45 $64,390.22 2026-03-03
1633 APR_DRG — 3 3 — — $79,237.16 $86,783.58 $80,746.44 2026-03-03
1634 APR_DRG — 3 3 — — $120,284.77 $131,740.50 $122,575.91 2026-03-03
1652 APR_DRG — 3 3 — — $66,513.37 $72,848.00 $67,780.30 2026-03-03
1653 APR_DRG — 3 3 — — $79,963.88 $87,579.51 $81,487.01 2026-03-03
1654 APR_DRG — 3 3 — — $111,414.44 $122,025.38 $113,536.63 2026-03-03
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 26 12 — $2,085.00 $31,361.00 $121,681.25 $74,595.85 2026-03-03
1663 APR_DRG — 3 3 — — $66,691.99 $73,043.63 $67,962.31 2026-03-03
1664 APR_DRG — 3 3 — — $98,075.44 $107,415.99 $99,943.55 2026-03-03
1673 APR_DRG — 3 3 — — $67,276.74 $73,684.07 $68,558.20 2026-03-03
1674 APR_DRG — 3 3 — — $111,208.37 $121,799.68 $113,326.63 2026-03-03
1694 APR_DRG — 3 3 — — $87,908.92 $96,281.23 $89,583.38 2026-03-03
1704 APR_DRG — 3 3 — — $65,553.12 $71,796.29 $66,801.75 2026-03-03
1754 APR_DRG — 3 3 — — $63,188.16 $69,206.10 $64,391.75 2026-03-03
1764 APR_DRG — 3 3 — — $73,403.51 $80,394.34 $74,801.68 2026-03-03
1781 APR_DRG — 3 3 — — $71,858.50 $78,702.19 $73,227.24 2026-03-03
1782 APR_DRG — 3 3 — — $78,601.99 $86,087.92 $80,099.18 2026-03-03
1783 APR_DRG — 3 3 — — $88,559.36 $96,993.61 $90,246.21 2026-03-03
1784 APR_DRG — 3 3 — — $115,574.80 $126,581.96 $117,776.23 2026-03-03
1793 APR_DRG — 3 3 — — $69,105.77 $75,687.30 $70,422.08 2026-03-03
1794 APR_DRG — 3 3 — — $99,012.83 $108,442.66 $100,898.79 2026-03-03
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 19 10 — $2,085.00 $315,061.41 $1,148,480.07 $687,447.94 2026-03-03
1814 APR_DRG — 3 3 — — $74,176.05 $81,240.46 $75,588.94 2026-03-03
1824 APR_DRG — 3 3 — — $63,450.82 $69,493.78 $64,659.41 2026-03-03
1833 APR_DRG — 3 3 — — $69,015.71 $75,588.66 $70,330.30 2026-03-03
1834 APR_DRG — 3 3 — — $103,324.34 $113,164.79 $105,292.43 2026-03-03
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 25 11 — $2,085.00 $67,344.28 $317,512.63 $164,575.00 2026-03-03
204 APR_DRG — 3 3 — — $80,834.08 $88,532.59 $82,373.78 2026-03-03
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 25 11 — $2,085.00 $48,215.00 $182,295.21 $128,896.37 2026-03-03
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 25 11 — $2,085.00 $46,176.34 $231,720.44 $109,040.00 2026-03-03
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 22 10 — $2,085.00 $91,010.15 $322,980.98 $211,058.48 2026-03-03
214 APR_DRG — 3 3 — — $86,057.02 $94,252.95 $87,696.20 2026-03-03
215 MS_DRG Other Heart Assist System Implant 26 11 — $2,085.00 $58,702.00 $343,288.75 $205,263.43 2026-03-03
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 28 12 — $2,085.00 $58,158.00 $320,896.94 $174,196.48 2026-03-03
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 28 12 — $2,085.00 $53,950.78 $199,760.28 $133,403.73 2026-03-03
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 28 12 — $2,085.00 $45,405.00 $171,469.00 $121,124.07 2026-03-03
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 28 12 — $2,085.00 $49,843.00 $247,826.67 $154,871.00 2026-03-03
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 28 12 — $2,085.00 $44,249.85 $166,135.65 $109,669.12 2026-03-03
2204 APR_DRG — 3 3 — — $82,892.14 $90,786.65 $84,471.04 2026-03-03
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 28 12 — $2,085.00 $38,367.64 $154,871.00 $96,163.64 2026-03-03
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 5 3 — — $70,147.00 $259,087.18 $82,861.00 2026-03-03
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 5 3 — — $50,462.00 $191,124.14 $82,861.00 2026-03-03
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 5 3 — — $62,174.00 $226,508.61 $82,861.00 2026-03-03
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 5 3 — — $47,486.00 $173,116.55 $82,861.00 2026-03-03
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 5 3 — — $56,218.00 $203,421.48 $82,861.00 2026-03-03
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 3 2 — — $43,958.00 $161,582.21 $128,865.61 2026-03-03
228 MS_DRG Other Cardiothoracic Procedures With Mcc 27 12 — $2,085.00 $41,631.63 $191,222.59 $106,835.56 2026-03-03
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 27 12 — $2,085.00 $25,950.74 $165,931.00 $66,795.00 2026-03-03
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 25 11 — $2,085.00 $47,219.00 $174,208.76 $116,475.00 2026-03-03
2304 APR_DRG — 3 3 — — $69,747.03 $76,389.62 $71,075.55 2026-03-03
231 MS_DRG Coronary Bypass With Ptca With Mcc 28 12 — $2,085.00 $49,843.00 $261,213.14 $156,790.00 2026-03-03
2314 APR_DRG — 3 3 — — $62,061.48 $67,972.11 $63,243.60 2026-03-03
232 MS_DRG Coronary Bypass With Ptca Without Mcc 28 12 — $2,085.00 $49,843.00 $181,469.63 $125,421.58 2026-03-03
2324 APR_DRG — 3 3 — — $67,296.60 $73,705.82 $68,578.44 2026-03-03
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 28 12 — $2,085.00 $49,843.00 $276,562.00 $162,477.46 2026-03-03
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 28 12 — $2,085.00 $43,766.00 $276,562.00 $109,414.04 2026-03-03
234 APR_DRG — 3 3 — — $85,591.37 $93,742.96 $87,221.69 2026-03-03
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 28 12 — $2,085.00 $49,157.96 $204,650.00 $122,409.18 2026-03-03
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 28 12 — $2,085.00 $33,870.00 $138,276.00 $84,819.28 2026-03-03
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 25 11 — $2,085.00 $39,255.00 $147,946.53 $101,918.58 2026-03-03
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 25 11 — $2,085.00 $31,760.28 $120,988.99 $77,616.00 2026-03-03
245 MS_DRG Aicd Generator Procedures 29 12 — $2,085.00 $26,530.00 $166,569.45 $89,584.82 2026-03-03
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 3 2 — — $26,030.00 $97,649.57 $77,877.83 2026-03-03
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 25 11 — $2,085.00 $36,942.00 $138,193.57 $91,306.00 2026-03-03
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 26 11 — $2,085.00 $4,463.00 $110,273.04 $65,991.73 2026-03-03
2604 APR_DRG — 3 3 — — $82,270.75 $90,106.08 $83,837.81 2026-03-03
2614 APR_DRG — 3 3 — — $74,849.36 $81,977.90 $76,275.07 2026-03-03
264 MS_DRG Other Circulatory System O.r. Procedures 26 12 — $2,085.00 $27,219.00 $99,923.21 $66,660.58 2026-03-03
264 APR_DRG — 3 3 — — $62,429.39 $68,375.06 $63,618.52 2026-03-03
2644 APR_DRG — 3 3 — — $64,945.41 $71,130.71 $66,182.47 2026-03-03
265 MS_DRG Aicd Lead Procedures 26 12 — $2,085.00 $26,239.00 $105,977.06 $69,110.96 2026-03-03
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 25 11 — $2,085.00 $50,048.52 $218,355.51 $122,308.00 2026-03-03
266T CPT Implt/rpl Crtd Sns Dev Total 34 14 — — $8,991.00 $97,868.50 $73,524.32 2026-03-03
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 25 11 — $2,085.00 $39,304.15 $172,319.70 $96,051.00 2026-03-03
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 28 12 — $2,085.00 $31,049.00 $213,968.21 $116,539.36 2026-03-03
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 28 12 — $2,085.00 $19,976.00 $132,744.84 $72,722.62 2026-03-03
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 28 12 — $2,085.00 $31,049.00 $159,419.33 $89,716.93 2026-03-03
271 MS_DRG Other Major Cardiovascular Procedures With Cc 29 13 — $2,085.00 $19,976.00 $109,670.02 $66,373.00 2026-03-03
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 28 12 — $2,085.00 $16,823.00 $118,056.95 $68,346.02 2026-03-03
274 APR_DRG — 3 3 — — $76,295.13 $83,561.35 $77,748.37 2026-03-03
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 22 10 — $2,085.00 $59,039.34 $210,982.53 $136,916.12 2026-03-03
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 22 10 — $2,085.00 $51,749.44 $186,225.27 $120,010.37 2026-03-03
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 22 10 — $2,085.00 $38,863.04 $143,409.83 $90,125.82 2026-03-03
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 22 10 — $2,085.00 $41,798.72 $133,754.01 $93,147.18 2026-03-03
28 MS_DRG Spinal Procedures With Mcc 25 11 — $2,085.00 $46,994.00 $180,704.66 $124,119.00 2026-03-03
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 26 12 — $2,085.00 $26,959.00 $102,801.43 $65,032.51 2026-03-03
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 26 11 — $2,085.00 $64,859.00 $639,331.84 $415,216.05 2026-03-03
3032 APR_DRG — 3 3 — — $71,643.17 $78,466.35 $73,007.80 2026-03-03
3033 APR_DRG — 3 3 — — $98,728.88 $108,131.67 $100,609.44 2026-03-03
3034 APR_DRG — 3 3 — — $144,405.50 $158,158.46 $147,156.09 2026-03-03
304 APR_DRG — 3 3 — — $65,950.07 $72,231.05 $67,206.27 2026-03-03
3043 APR_DRG — 3 3 — — $68,243.17 $74,742.54 $69,543.04 2026-03-03
3044 APR_DRG — 3 3 — — $104,887.71 $114,877.05 $106,885.58 2026-03-03
31 MS_DRG Ventricular Shunt Procedures With Mcc 25 11 — $2,085.00 $35,009.24 $134,329.31 $85,555.00 2026-03-03
3124 APR_DRG — 3 3 — — $80,899.76 $88,604.53 $82,440.72 2026-03-03
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 18 10 — $2,085.00 $51,682.61 $165,108.83 $101,122.70 2026-03-03
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 26 12 — $2,085.00 $34,472.00 $132,781.76 $85,105.90 2026-03-03
3214 APR_DRG — 3 3 — — $69,302.75 $75,903.03 $70,622.80 2026-03-03
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 22 10 — $2,085.00 $35,584.01 $124,146.18 $82,521.66 2026-03-03
3254 APR_DRG — 3 3 — — $65,371.41 $71,597.29 $66,616.59 2026-03-03
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 25 11 — $2,085.00 $42,431.13 $165,452.63 $103,693.00 2026-03-03
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 26 11 — $2,085.00 $10,611.00 $149,226.42 $88,963.36 2026-03-03
332 MS_DRG Rectal Resection With Mcc 26 12 — $2,085.00 $28,978.32 $127,979.12 $69,075.78 2026-03-03
335 MS_DRG Peritoneal Adhesiolysis With Mcc 26 12 — $2,085.00 $30,270.72 $119,693.72 $70,199.58 2026-03-03
338 MS_DRG Appendectomy With Complicated Principal Diagnosis With Mcc 3 2 — — $24,463.00 $86,109.08 $68,674.02 2026-03-03
34 MS_DRG Carotid Artery Stent Procedures With Mcc 26 12 — $2,085.00 $31,554.00 $122,284.25 $75,339.82 2026-03-03
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 26 12 — $2,085.00 $34,274.00 $132,031.06 $82,643.90 2026-03-03
3614 APR_DRG — 3 3 — — $79,837.18 $87,440.75 $81,357.89 2026-03-03
37 MS_DRG Extracranial Procedures With Mcc 25 11 — $2,085.00 $27,264.00 $101,224.12 $67,799.00 2026-03-03
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 25 11 — $2,085.00 $97,041.00 $440,808.90 $288,478.00 2026-03-03
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 25 11 — $2,085.00 $31,512.99 $121,767.38 $77,011.00 2026-03-03
4014 APR_DRG — 3 3 — — $73,159.21 $80,126.78 $74,552.72 2026-03-03
4034 APR_DRG — 3 3 — — $62,594.31 $68,555.69 $63,786.59 2026-03-03
4044 APR_DRG — 3 3 — — $64,018.71 $70,115.75 $65,238.12 2026-03-03
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 25 11 — $2,085.00 $45,352.61 $176,307.03 $110,832.00 2026-03-03
4054 APR_DRG — 3 3 — — $64,255.33 $70,374.91 $65,479.25 2026-03-03
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 26 12 — $2,085.00 $29,250.67 $115,358.73 $67,834.42 2026-03-03
41 APR_DRG — 3 3 — — $71,940.88 $78,792.42 $73,311.19 2026-03-03
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 26 12 — $2,085.00 $28,720.00 $111,543.69 $67,882.83 2026-03-03
42 APR_DRG — 3 3 — — $99,394.51 $108,860.69 $101,287.75 2026-03-03
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 26 12 — $2,085.00 $28,874.00 $108,116.31 $66,284.68 2026-03-03
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 26 12 — $2,085.00 $33,980.00 $128,572.91 $78,743.20 2026-03-03
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 18 10 — $2,085.00 $87,513.90 $279,577.95 $171,230.33 2026-03-03
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 18 10 — $2,085.00 $59,337.59 $189,563.96 $116,100.40 2026-03-03
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 18 10 — $2,085.00 $45,982.52 $146,898.92 $89,969.61 2026-03-03
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 18 10 — $2,085.00 $69,679.29 $222,602.27 $136,334.90 2026-03-03
43 APR_DRG — 3 3 — — $152,666.62 $167,206.35 $155,574.57 2026-03-03
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 18 10 — $2,085.00 $45,701.82 $146,002.17 $89,420.81 2026-03-03
44 APR_DRG — 3 3 — — $230,984.67 $252,983.29 $235,384.39 2026-03-03
4414 APR_DRG — 3 3 — — $79,605.07 $87,186.53 $81,121.36 2026-03-03
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 18 10 — $2,085.00 $56,012.61 $178,941.74 $109,594.54 2026-03-03
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 19 11 — $2,085.00 $34,114.50 $108,984.53 $65,610.00 2026-03-03
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 18 10 — $2,085.00 $43,025.12 $137,451.02 $84,183.49 2026-03-03
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 7 2 — — $79,078.00 $282,854.25 $241,987.11 2026-03-03
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 7 2 — — $51,489.00 $187,616.77 $167,023.92 2026-03-03
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 7 2 — — $40,462.00 $147,401.97 $125,769.72 2026-03-03
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 25 11 — $2,085.00 $70,753.64 $264,532.84 $172,907.00 2026-03-03
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 25 11 — $2,085.00 $47,948.27 $200,043.33 $117,176.00 2026-03-03
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 25 11 — $2,085.00 $36,073.57 $154,367.49 $88,156.00 2026-03-03
459 MS_DRG Spinal Fusion Except Cervical With Mcc 7 2 — — $57,600.00 $207,113.45 $181,114.85 2026-03-03
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 7 2 — — $33,292.00 $120,995.14 $99,889.93 2026-03-03
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 25 11 — $2,085.00 $45,216.00 $204,466.36 $122,308.00 2026-03-03
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 25 11 — $2,085.00 $43,946.00 $169,837.37 $110,267.00 2026-03-03
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 25 11 — $2,085.00 $42,561.46 $164,446.57 $104,011.00 2026-03-03
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 26 12 — $2,085.00 $28,614.91 $110,026.91 $66,359.88 2026-03-03
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 26 12 — $2,085.00 $26,395.00 $99,850.71 $63,327.90 2026-03-03
471 MS_DRG Cervical Spinal Fusion With Mcc 25 11 — $2,085.00 $40,579.00 $154,349.03 $99,167.00 2026-03-03
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 26 12 — $2,085.00 $32,574.00 $129,028.06 $86,722.90 2026-03-03
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 26 12 — $2,085.00 $27,364.00 $103,279.83 $66,627.38 2026-03-03
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 26 12 — $2,085.00 $28,962.00 $106,704.13 $68,800.80 2026-03-03
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 26 12 — $2,085.00 $28,855.00 $111,811.36 $68,208.32 2026-03-03
51 APR_DRG — 3 3 — — $62,878.26 $68,866.68 $64,075.94 2026-03-03
5104 APR_DRG — 3 3 — — $72,003.48 $78,860.98 $73,374.98 2026-03-03
5114 APR_DRG — 3 3 — — $69,035.58 $75,610.42 $70,350.54 2026-03-03
5124 APR_DRG — 3 3 — — $63,898.10 $69,983.66 $65,115.22 2026-03-03
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 26 12 — $2,085.00 $28,654.00 $110,276.12 $69,436.45 2026-03-03
52 APR_DRG — 3 3 — — $74,498.14 $81,593.23 $75,917.16 2026-03-03
53 APR_DRG — 3 3 — — $112,306.09 $123,001.95 $114,445.26 2026-03-03
54 APR_DRG — 3 3 — — $158,596.42 $173,700.89 $161,617.31 2026-03-03
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 25 11 — $2,085.00 $44,682.00 $186,462.16 $125,726.00 2026-03-03
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 26 12 — $2,085.00 $26,243.00 $102,129.72 $67,128.77 2026-03-03
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 25 11 — $2,085.00 $40,764.00 $170,419.12 $110,150.00 2026-03-03
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 26 12 — $2,085.00 $25,102.00 $100,222.55 $63,147.66 2026-03-03
5831 APR_DRG — 3 3 — — $234,535.82 $256,872.65 $239,003.19 2026-03-03
5832 APR_DRG — 3 3 — — $289,617.10 $317,199.78 $295,133.64 2026-03-03
5833 APR_DRG — 3 3 — — $461,523.47 $505,478.25 $470,314.43 2026-03-03
5834 APR_DRG — 3 3 — — $529,956.02 $580,428.20 $540,050.46 2026-03-03
5881 APR_DRG — 3 3 — — $164,135.35 $179,767.35 $167,261.75 2026-03-03
5882 APR_DRG — 3 3 — — $246,778.68 $270,281.50 $251,479.25 2026-03-03
5883 APR_DRG — 3 3 — — $253,520.67 $277,665.58 $258,349.65 2026-03-03
5884 APR_DRG — 3 3 — — $395,278.86 $432,924.60 $402,808.00 2026-03-03
5891 APR_DRG — 3 3 — — $94,049.46 $103,006.59 $95,840.89 2026-03-03
5892 APR_DRG — 3 3 — — $68,495.06 $75,018.43 $69,799.74 2026-03-03
5912 APR_DRG — 3 3 — — $99,559.44 $109,041.32 $101,455.81 2026-03-03
5913 APR_DRG — 3 3 — — $168,428.50 $184,469.37 $171,636.68 2026-03-03
5914 APR_DRG — 3 3 — — $257,259.62 $281,760.62 $262,159.82 2026-03-03
5932 APR_DRG — 3 3 — — $136,087.88 $149,048.67 $138,680.04 2026-03-03
5933 APR_DRG — 3 3 — — $175,027.01 $191,696.31 $178,360.87 2026-03-03
5934 APR_DRG — 3 3 — — $259,852.02 $284,599.92 $264,801.60 2026-03-03
6022 APR_DRG — 3 3 — — $109,887.71 $120,353.25 $111,980.82 2026-03-03
6023 APR_DRG — 3 3 — — $141,646.68 $155,136.88 $144,344.72 2026-03-03
6024 APR_DRG — 3 3 — — $187,505.00 $205,362.68 $191,076.53 2026-03-03
6033 APR_DRG — 3 3 — — $94,124.25 $103,088.49 $95,917.10 2026-03-03
6034 APR_DRG — 3 3 — — $194,926.38 $213,490.87 $198,639.28 2026-03-03
6072 APR_DRG — 3 3 — — $79,798.95 $87,398.88 $81,318.94 2026-03-03
6073 APR_DRG — 3 3 — — $109,684.65 $120,130.84 $111,773.88 2026-03-03
6074 APR_DRG — 3 3 — — $145,758.21 $159,639.99 $148,534.56 2026-03-03
6083 APR_DRG — 3 3 — — $77,827.95 $85,240.16 $79,310.39 2026-03-03
6084 APR_DRG — 3 3 — — $79,603.56 $87,184.88 $81,119.83 2026-03-03
6093 APR_DRG — 3 3 — — $108,973.20 $119,351.63 $111,048.88 2026-03-03
6094 APR_DRG — 3 3 — — $249,841.24 $273,635.72 $254,600.13 2026-03-03
6113 APR_DRG — 3 3 — — $66,325.58 $72,642.32 $67,588.93 2026-03-03
6114 APR_DRG — 3 3 — — $110,548.75 $121,077.24 $112,654.45 2026-03-03
6123 APR_DRG — 3 3 — — $66,827.87 $73,192.45 $68,100.78 2026-03-03
6124 APR_DRG — 3 3 — — $106,258.69 $116,378.60 $108,282.67 2026-03-03
6133 APR_DRG — 3 3 — — $64,620.24 $70,774.57 $65,851.10 2026-03-03
6134 APR_DRG — 3 3 — — $90,066.22 $98,643.98 $91,781.77 2026-03-03
6144 APR_DRG — 3 3 — — $75,427.93 $82,611.57 $76,864.66 2026-03-03
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 26 12 — $2,085.00 $32,289.10 $122,721.14 $74,880.59 2026-03-03
6214 APR_DRG — 3 3 — — $86,345.55 $94,568.97 $87,990.23 2026-03-03
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 26 12 — $2,085.00 $31,261.53 $114,718.27 $72,497.67 2026-03-03
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 26 12 — $2,085.00 $31,013.00 $120,382.81 $76,443.79 2026-03-03
6302 APR_DRG — 3 3 — — $71,006.58 $77,769.14 $72,359.10 2026-03-03
6303 APR_DRG — 3 3 — — $145,538.28 $159,399.12 $148,310.45 2026-03-03
6304 APR_DRG — 3 3 — — $268,670.43 $294,258.18 $273,787.98 2026-03-03
6313 APR_DRG — 3 3 — — $82,882.96 $90,776.60 $84,461.68 2026-03-03
6314 APR_DRG — 3 3 — — $252,731.35 $276,801.09 $257,545.30 2026-03-03
6334 APR_DRG — 3 3 — — $81,253.98 $88,992.49 $82,801.69 2026-03-03
6514 APR_DRG — 3 3 — — $63,722.50 $69,791.33 $64,936.26 2026-03-03
653 MS_DRG Major Bladder Procedures With Mcc 25 11 — $2,085.00 $46,542.00 $167,652.43 $113,811.00 2026-03-03
665 MS_DRG Prostatectomy With Mcc 26 12 — $2,085.00 $24,954.00 $93,428.42 $64,221.48 2026-03-03
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 26 12 — $2,085.00 $30,049.00 $111,816.23 $77,606.22 2026-03-03
6804 APR_DRG — 3 3 — — $96,760.88 $105,976.24 $98,603.95 2026-03-03
6814 APR_DRG — 3 3 — — $82,918.09 $90,815.08 $84,497.49 2026-03-03
6904 APR_DRG — 3 3 — — $82,286.02 $90,122.81 $83,853.38 2026-03-03
6954 APR_DRG — 3 3 — — $70,776.06 $77,516.66 $72,124.18 2026-03-03
7104 APR_DRG — 3 3 — — $63,927.15 $70,015.47 $65,144.81 2026-03-03
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 26 12 — $2,085.00 $32,895.62 $131,009.61 $76,287.04 2026-03-03
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 27 12 — $2,085.00 $9,453.00 $117,580.07 $72,977.86 2026-03-03
7404 APR_DRG — 2 2 — — $75,437.96 $81,078.21 $78,258.09 2026-03-03
7924 APR_DRG — 3 3 — — $70,417.24 $77,123.67 $71,758.53 2026-03-03
799 MS_DRG Splenic Procedures With Mcc 25 11 — $2,085.00 $39,722.69 $158,259.44 $97,074.00 2026-03-03
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 26 12 — $2,085.00 $26,500.00 $114,103.46 $69,229.90 2026-03-03
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 25 11 — $2,085.00 $48,056.00 $181,322.39 $118,868.00 2026-03-03
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 25 11 — $2,085.00 $35,560.00 $138,359.71 $95,453.79 2026-03-03
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 25 11 — $2,085.00 $39,895.63 $154,964.35 $97,497.00 2026-03-03
834 MS_DRG Acute Leukemia With Mcc 25 11 — $2,085.00 $46,176.34 $186,139.98 $104,471.74 2026-03-03
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 25 11 — $2,085.00 $41,831.30 $175,340.96 $91,791.99 2026-03-03
8413 APR_DRG — 3 3 — — $86,076.88 $94,274.71 $87,716.45 2026-03-03
8414 APR_DRG — 3 3 — — $261,853.57 $286,792.09 $266,841.28 2026-03-03
8424 APR_DRG — 3 3 — — $142,929.10 $156,541.45 $145,651.57 2026-03-03
850 MS_DRG Acute Leukemia With Other Procedures 18 10 — $2,085.00 $76,958.33 $245,856.40 $150,577.54 2026-03-03
8504 APR_DRG — 3 3 — — $92,344.12 $101,138.83 $94,103.07 2026-03-03
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 25 11 — $2,085.00 $41,782.01 $152,127.69 $102,107.00 2026-03-03
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 25 11 — $2,085.00 $37,204.00 $139,854.96 $92,109.00 2026-03-03
8634 APR_DRG — 3 3 — — $116,104.54 $127,162.16 $118,316.07 2026-03-03
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 25 11 — $2,085.00 $53,164.00 $197,668.16 $129,958.07 2026-03-03
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 23 11 — $2,085.00 $30,599.00 $111,896.49 $72,037.43 2026-03-03
894 APR_DRG — 3 3 — — $81,150.16 $88,878.77 $82,695.88 2026-03-03
901 MS_DRG Wound Debridements For Injuries With Mcc 26 12 — $2,085.00 $36,376.00 $131,132.68 $85,836.46 2026-03-03
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 26 12 — $2,085.00 $29,737.00 $114,494.19 $69,911.45 2026-03-03
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 26 12 — $2,085.00 $33,280.75 $121,745.84 $75,946.88 2026-03-03
9104 APR_DRG — 3 3 — — $98,864.76 $108,280.49 $100,747.91 2026-03-03
9114 APR_DRG — 3 3 — — $88,104.39 $96,495.32 $89,782.58 2026-03-03
9124 APR_DRG — 3 3 — — $88,209.72 $96,610.68 $89,889.92 2026-03-03
914 APR_DRG — 3 3 — — $95,649.47 $104,758.98 $97,471.37 2026-03-03
92 APR_DRG — 3 3 — — $62,221.73 $68,147.63 $63,406.91 2026-03-03
924 APR_DRG — 3 3 — — $68,820.24 $75,374.57 $70,131.11 2026-03-03
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 25 11 — $2,085.00 $167,651.00 $790,418.34 $432,475.00 2026-03-03
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 25 11 — $2,085.00 $52,076.00 $207,501.04 $136,356.00 2026-03-03
93 APR_DRG — 3 3 — — $106,571.68 $116,721.40 $108,601.63 2026-03-03
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 25 11 — $2,085.00 $26,397.00 $115,480.63 $69,520.00 2026-03-03
94 APR_DRG — 3 3 — — $235,337.33 $257,750.49 $239,819.96 2026-03-03
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 25 11 — $2,085.00 $30,135.00 $111,777.52 $67,595.96 2026-03-03
9504 APR_DRG — 3 3 — — $80,846.35 $88,546.02 $82,386.28 2026-03-03
955 MS_DRG Craniotomy For Multiple Significant Trauma 25 11 — $2,085.00 $51,114.00 $193,459.31 $129,130.51 2026-03-03
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 26 12 — $2,085.00 $31,933.21 $118,413.84 $74,055.12 2026-03-03
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 25 11 — $2,085.00 $62,357.64 $228,311.52 $152,389.00 2026-03-03
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 26 12 — $2,085.00 $34,334.21 $129,385.14 $79,623.43 2026-03-03
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 25 11 — $2,085.00 $48,779.00 $206,088.66 $129,117.00 2026-03-03
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 25 11 — $2,085.00 $29,946.57 $115,454.11 $67,860.92 2026-03-03
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 25 11 — $2,085.00 $37,750.00 $142,150.37 $97,056.00 2026-03-03
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 26 12 — $2,085.00 $28,025.00 $101,257.10 $67,861.25 2026-03-03
A9543 HCPCS Y90 Ibritumomab, Rx 35 14 — — $50,573.85 $123,583.80 $71,547.78 2026-03-03
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 21 8 — — $3,279,887.34 $4,135,676.50 $3,587,693.67 2026-03-03
J1413 HCPCS Inj Delandistrogene Mox Rokl 21 8 — — $2,957,001.24 $3,702,914.75 $3,222,435.92 2026-03-03
J1414 HCPCS Injection, Fidanacogene Elaparvovec-dzkt, Per Therapeutic Dose 20 8 — — $3,301,900.00 $4,135,676.50 $3,598,700.00 2026-03-03
J3392 HCPCS Injection, Exagamglogene Autotemcel, Per Treatment 21 9 — — $2,075,480.00 $4,460,043.28 $2,262,040.00 2026-03-03
J3393 HCPCS Injection, Betibeglogene Autotemcel, Per Treatment 20 8 — — $2,623,909.86 $3,308,541.20 $2,870,154.93 2026-03-03
J3394 HCPCS Injection, Lovotibeglogene Autotemcel, Per Treatment 20 8 — — $2,924,540.00 $3,559,357.16 $3,138,595.00 2026-03-03
J3399 HCPCS Inj Onase Abepar-xioi Treat 22 9 — — $2,156,586.79 $4,596,711.00 $2,340,109.24 2026-03-03
J7330 HCPCS Cultured Chondrocytes Implnt 22 9 $129,076.53 $30,681.49 76% off $24,318.01 $125,346.21 $76,110.31 2026-03-03
J9029 HCPCS Instill Adstiladrin, Tx Dose 35 14 — — $56,279.69 $137,888.73 $69,290.82 2026-03-03
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 34 14 — — $93,216.70 $185,501.23 $139,358.96 2026-03-03
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 15 11 — — $67,452.66 $134,707.71 $101,080.18 2026-03-03
Q0480 HCPCS Dme Pos 34 14 — — $49,635.12 $198,999.82 $149,499.86 2026-03-03
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 35 14 — — $257,664.44 $1,064,617.17 $524,779.54 2026-03-03
Q2042 HCPCS Tisagenlecleucel Car-pos T 35 14 — — $511,072.50 $1,230,136.37 $618,158.98 2026-03-03
Q2053 HCPCS Brexucabtagene Car Pos T 35 14 — — $435,565.25 $1,061,429.64 $533,381.73 2026-03-03
Q2054 HCPCS Lisocabtagene Mara Car Pos T 35 14 — — $344,652.00 $1,123,269.81 $547,455.69 2026-03-03
Q2055 HCPCS Idecabtagene Vicleucel Car 35 14 — — $352,380.00 $1,148,990.36 $559,704.14 2026-03-03
Q2056 HCPCS Ciltacabtagene Car-pos T 35 14 — — $325,500.00 $1,199,024.33 $585,221.12 2026-03-03
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