Price Transparencybeta 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

MOUNT SINAI HOSPITAL

New York, NY · CCN 330024 · Rates published

20,031 distinct procedures filed
19 distinct payers
378,261 rate rows
2026-04-01 last MRF observed
Data quality

270,843 of 378,261 rate rows are consumer-grade (71.6%)

107,418 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 103,699
template filing: same amount across many unrelated codes — excluded 3,589
placeholder amount (≤ $0.02) — excluded from medians 130
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.mountsinai.org/files/mrf/131624096_mount-sinai-hospital_standardcharges.json
Found on page https://www.mountsinai.org/about/insurance/price-transparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint 0e306c408f2544d8… · 171,890,328 bytes · first seen 2026-05-08

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 2 $3,486,000.00 $3,685,266.67 $3,486,000.00 nat. median
$3,710,000
0.9× median
C9172
HCPCS 		Inj, Beqvez, Per Tx Dose 1 $3,486,000.00 $3,486,000.00 $3,486,000.00 nat. median
$3,570,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 2 $3,187,200.00 $3,316,462.59 $3,187,200.00 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 2 $3,087,600.00 $3,248,445.72 $3,087,600.00 nat. median
$3,286,000
0.9× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 2 $2,788,800.00 $2,945,740.00 $2,788,800.00 nat. median
$3,004,655
0.9× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 4 $2,218,341.41 $3,749,793.98 $2,312,756.18 nat. median
$2,468,984
0.9× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 15 $1,945.00 $1,701,359.14 $1,038,589.52 nat. median
$370,174
outlier · 2.8×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 16 $177,690.29 $1,208,819.76 $674,145.00 nat. median
$265,286
outlier · 2.5×
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 4 $3.81 $855,097.12 $647,011.42 nat. median
$753,246
0.9× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 4 $527,123.43 $837,367.66 $565,868.94 nat. median
$674,867
0.8× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 4 $516,726.08 $782,200.02 $562,538.19 nat. median
$673,137
0.8× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 4 $526,587.59 $799,739.00 $557,317.93 nat. median
$625,184
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 4 $1.50 $757,979.39 $556,378.67 nat. median
$634,303
0.9× median
9498
OTHER 		Ciltacabtagene Car-pos T 1 $555,310.44 $555,310.44 $555,310.44 nat. median
$587,650
0.9× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 15 $288,216.44 $841,188.35 $526,973.04 nat. median
$206,474
outlier · 2.6×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 16 $3,469.00 $1,206,903.18 $516,324.22 nat. median
$202,976
outlier · 2.5×
Q2053
HCPCS 		Brexucabtagene Car Pos T 4 $460,530.40 $741,576.00 $489,304.61 nat. median
$619,808
0.8× median
C9073
HCPCS 		Brexucabtagene Autoleucel Ca 1 $371,508.00 $371,508.00 $371,508.00 nat. median
$29,278
outlier · 12.7×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 15 $103,719.36 $545,731.31 $344,201.12 nat. median
$133,161
outlier · 2.6×
7
MS_DRG 		Lung Transplant 15 $124,227.18 $510,224.93 $317,331.71 nat. median
$122,708
outlier · 2.6×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 15 $124,558.91 $473,493.24 $290,694.97 nat. median
$117,357
outlier · 2.5×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 15 $153,351.44 $447,330.39 $284,479.17 nat. median
$108,660
outlier · 2.6×
209
MS_DRG 		Complex Aortic Arch Procedures 15 $153,176.44 $445,949.40 $279,370.62 nat. median
$98,047
outlier · 2.8×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 15 $58,564.52 $584,642.32 $274,927.20 nat. median
$100,136
outlier · 2.7×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 $92,763.39 $434,224.26 $268,101.71 nat. median
$98,894
outlier · 2.7×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 15 $24,565.77 $428,428.67 $266,458.95 nat. median
$102,358
outlier · 2.6×
Q2040
HCPCS 		Tisagenlecleucel Car-pos T 2 $9.54 $503,500.00 $251,754.77 nat. median
$25,594
outlier · 9.8×
215
MS_DRG 		Other Heart Assist System Implant 15 $34,513.50 $424,019.16 $243,986.33 nat. median
$99,019
outlier · 2.5×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 15 $8,814.76 $385,432.54 $236,631.26 nat. median
$93,672
outlier · 2.5×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 15 $79,557.85 $354,969.23 $220,771.24 nat. median
$82,711
outlier · 2.7×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 15 $91,181.68 $331,085.56 $208,750.16 nat. median
$81,118
outlier · 2.6×
850
MS_DRG 		Acute Leukemia With Other Procedures 15 $81,298.08 $341,175.64 $208,269.63 nat. median
$83,470
outlier · 2.5×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 15 $37,549.46 $332,129.63 $206,566.27 nat. median
$79,312
outlier · 2.6×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 16 $13,337.32 $555,959.19 $192,759.88 nat. median
$74,915
outlier · 2.6×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 15 $14,485.18 $349,956.63 $191,416.43 nat. median
$77,570
outlier · 2.5×
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 15 $103,384.33 $300,216.44 $188,074.37 nat. median
$72,135
outlier · 2.6×
C1833
HCPCS 		Cardiac Monitor Sys 1 $187,725.00 $187,725.00 $187,725.00 nat. median
$9,621
outlier · 19.5×
161
MS_DRG 		Inguinal & Femoral Hernia Procedures Age >17 W Cc 2 $141,260.81 $233,107.13 $187,183.97 nat. median
$289,356
0.6× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 15 $2,250.00 $392,974.54 $185,977.14 nat. median
$73,807
outlier · 2.5×
10
MS_DRG 		Pancreas Transplant 15 $97,404.81 $315,758.40 $180,142.36 nat. median
$68,884
outlier · 2.6×
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 15 $97,364.43 $282,597.21 $177,036.58 nat. median
$64,023
outlier · 2.8×
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 $17,630.06 $284,405.62 $176,884.58 nat. median
$68,090
outlier · 2.6×
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 15 $96,851.55 $281,096.11 $176,096.20 nat. median
$71,271
outlier · 2.5×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 15 $66,749.04 $280,930.63 $175,992.53 nat. median
$68,886
outlier · 2.6×
48
MS_DRG 		Other Disorders Of The Eye Age 0-17 1 $171,986.38 $177,063.23 $174,524.80 nat. median
$8,368
outlier · 20.9×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 15 $1,945.00 $479,818.22 $167,186.08 nat. median
$66,526
outlier · 2.5×
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 15 $91,419.90 $265,198.61 $166,137.01 nat. median
$64,732
outlier · 2.6×
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 15 $59,204.57 $617,255.29 $165,420.37 nat. median
$65,950
outlier · 2.5×
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 15 $89,322.63 $259,060.24 $165,069.61 nat. median
$61,920
outlier · 2.7×
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 15 $62,499.45 $362,420.98 $164,915.25 nat. median
$63,724
outlier · 2.6×

Other procedures at this hospital

Browse this hospital's 20,031 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
             
C9172 HCPCS Inj, Beqvez, Per Tx Dose 2 1 — — $3,486,000.00 $3,486,000.00 $3,486,000.00 2026-04-01
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 3 2 — — $3,486,000.00 $3,685,266.67 $3,486,000.00 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 3 2 — — $3,187,200.00 $3,316,462.59 $3,187,200.00 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 3 2 — — $3,087,600.00 $3,248,445.72 $3,087,600.00 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 3 2 — — $2,788,800.00 $2,945,740.00 $2,788,800.00 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 5 4 — — $2,218,341.41 $3,749,793.98 $2,312,756.18 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 45 15 — — $1,945.00 $1,701,359.14 $1,038,589.52 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 53 16 — — $177,690.29 $1,208,819.76 $674,145.00 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 4 4 — — $3.81 $855,097.12 $647,011.42 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 5 4 — — $527,123.43 $837,367.66 $565,868.94 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 5 4 — — $516,726.08 $782,200.02 $562,538.19 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 5 4 — — $526,587.59 $799,739.00 $557,317.93 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 4 4 — — $1.50 $757,979.39 $556,378.67 2026-04-01
9498 OTHER Ciltacabtagene Car-pos T 1 1 — — $555,310.44 $555,310.44 $555,310.44 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 37 15 — — $288,216.44 $841,188.35 $526,973.04 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 63 16 — — $3,469.00 $1,206,903.18 $516,324.22 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 5 4 — — $460,530.40 $741,576.00 $489,304.61 2026-04-01
C9073 HCPCS Brexucabtagene Autoleucel Ca 2 1 — — $371,508.00 $371,508.00 $371,508.00 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 52 15 — — $103,719.36 $545,731.31 $344,201.12 2026-04-01
7 MS_DRG Lung Transplant 42 15 — — $124,227.18 $510,224.93 $317,331.71 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 42 15 — — $124,558.91 $473,493.24 $290,694.97 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 38 15 — — $153,351.44 $447,330.39 $284,479.17 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 37 15 — — $153,176.44 $445,949.40 $279,370.62 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 47 15 — — $58,564.52 $584,642.32 $274,927.20 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 43 15 — — $92,763.39 $434,224.26 $268,101.71 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 48 15 — — $24,565.77 $428,428.67 $266,458.95 2026-04-01
Q2040 HCPCS Tisagenlecleucel Car-pos T 2 2 — — $9.54 $503,500.00 $251,754.77 2026-04-01
215 MS_DRG Other Heart Assist System Implant 42 15 — — $34,513.50 $424,019.16 $243,986.33 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 56 15 — — $8,814.76 $385,432.54 $236,631.26 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 40 15 — — $79,557.85 $354,969.23 $220,771.24 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 42 15 — — $91,181.68 $331,085.56 $208,750.16 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 45 15 — — $81,298.08 $341,175.64 $208,269.63 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 38 15 — — $37,549.46 $332,129.63 $206,566.27 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 60 16 — — $13,337.32 $555,959.19 $192,759.88 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 49 15 — — $14,485.18 $349,956.63 $191,416.43 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 37 15 — — $103,384.33 $300,216.44 $188,074.37 2026-04-01
C1833 HCPCS Cardiac Monitor Sys 1 1 — — $187,725.00 $187,725.00 $187,725.00 2026-04-01
161 MS_DRG Inguinal & Femoral Hernia Procedures Age >17 W Cc 2 2 — — $141,260.81 $233,107.13 $187,183.97 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 51 15 — — $2,250.00 $392,974.54 $185,977.14 2026-04-01
10 MS_DRG Pancreas Transplant 38 15 — — $97,404.81 $315,758.40 $180,142.36 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 37 15 — — $97,364.43 $282,597.21 $177,036.58 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 48 15 — — $17,630.06 $284,405.62 $176,884.58 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 37 15 — — $96,851.55 $281,096.11 $176,096.20 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 39 15 — — $66,749.04 $280,930.63 $175,992.53 2026-04-01
48 MS_DRG Other Disorders Of The Eye Age 0-17 2 1 — — $171,986.38 $177,063.23 $174,524.80 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 52 15 — — $1,945.00 $479,818.22 $167,186.08 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 37 15 — — $91,419.90 $265,198.61 $166,137.01 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 45 15 — — $59,204.57 $617,255.29 $165,420.37 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 38 15 — — $89,322.63 $259,060.24 $165,069.61 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 41 15 — — $62,499.45 $362,420.98 $164,915.25 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 45 15 — — $9,440.91 $259,060.24 $162,291.55 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 37 15 — — $89,000.90 $258,118.61 $161,701.65 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 49 16 — — $18,895.88 $263,441.41 $160,817.01 2026-04-01
9468 OTHER Factor Ix Recomb Gly Rebinyn 1 1 — — $160,090.62 $160,090.62 $160,090.62 2026-04-01
162 MS_DRG Inguinal & Femoral Hernia Procedures Age >17 Without Cc 4 2 — — $98,985.80 $222,647.47 $158,002.99 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 52 16 — — $6,819.49 $378,559.82 $155,645.74 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 45 15 — — $11,069.29 $236,654.03 $153,330.48 2026-04-01
2045 OTHER Grft, Trnsmurl/trnsvens Byps 1 1 — — $152,393.37 $152,393.37 $152,393.37 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 51 15 — — $51,037.03 $234,940.18 $152,220.05 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 37 15 — — $82,421.01 $238,860.38 $149,637.09 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 45 15 — — $80,817.76 $234,167.96 $149,605.13 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 39 15 — — $50,754.49 $241,173.10 $148,906.74 2026-04-01
9277 OTHER Altuviiio Per Factor Viii Iu 3 2 — — $137,898.72 $147,869.55 $147,869.40 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 43 15 — — $18,649.69 $227,217.97 $147,216.76 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 45 15 — — $53,705.76 $1,750,352.44 $146,356.86 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 44 15 — — $405.17 $231,067.26 $145,907.72 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 42 15 — — $62,846.11 $236,721.01 $145,331.77 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 57 15 — — $3,011.60 $231,216.97 $144,848.79 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 52 16 — — $2,250.00 $763,158.77 $144,296.54 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 40 15 — — $46,569.59 $224,846.15 $139,841.88 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 45 15 — — $48,976.73 $221,501.18 $138,762.20 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 57 15 — — $27,282.74 $241,452.83 $137,547.53 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 38 15 — — $52,056.09 $220,815.64 $137,335.12 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 52 16 — — $1,945.00 $215,532.23 $137,334.17 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 48 15 — — $6,206.52 $224,554.60 $136,612.27 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 41 15 — — $45,851.54 $209,980.91 $136,048.70 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 43 15 — — $7,551.56 $219,302.71 $135,403.38 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 38 15 — — $41,488.90 $217,600.68 $135,335.60 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 37 15 — — $73,936.33 $214,027.19 $134,080.03 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 52 15 — — $1,960.00 $325,418.28 $133,215.96 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 41 15 — — $50,908.65 $215,224.92 $132,885.64 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 59 15 — — $19,292.91 $258,170.86 $129,725.69 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 43 15 — — $21,170.84 $204,732.96 $126,407.63 2026-04-01
9257 OTHER Inj., Emicizumab-kxwh 0.5 Mg 2 2 — — $113,022.24 $135,762.48 $124,392.36 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 45 15 — — $44,594.06 $189,284.62 $122,639.37 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 58 15 — — $2,625.00 $456,789.84 $122,129.80 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 60 15 — — $6,115.64 $381,594.52 $121,566.88 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 52 15 — — $3,505.78 $196,498.57 $121,248.74 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 50 15 — — $22,191.88 $194,922.61 $121,231.09 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 46 15 — — $104.14 $214,886.09 $120,678.18 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 53 15 — — $1,980.17 $696,653.73 $119,767.58 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 41 15 — — $24,004.57 $193,102.38 $119,226.59 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 42 15 — — $34,315.62 $193,910.06 $119,048.54 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 51 15 — — $37,221.85 $181,964.28 $117,896.45 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 54 16 — — $17,674.71 $208,570.43 $117,131.36 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 38 15 — — $63,230.54 $228,337.91 $116,409.57 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 47 15 — — $4,427.74 $184,300.64 $115,457.46 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 56 15 — — $40,458.82 $187,570.76 $115,156.61 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 44 15 — — $2,610.90 $180,636.54 $115,099.11 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 50 15 — — $9,094.37 $179,214.23 $114,192.83 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 39 15 — — $61,775.37 $178,434.13 $111,782.31 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 51 16 — — $14,621.40 $205,087.55 $111,718.29 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 61 15 — — $1,875.00 $181,097.50 $111,677.00 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 44 15 — — $17,566.87 $176,527.22 $111,596.54 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 51 16 — — $18,416.21 $198,578.84 $109,916.68 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 42 15 — — $41,429.60 $164,396.27 $109,672.62 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 47 15 — — $36,477.19 $167,083.28 $108,254.90 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 60 16 — — $1,995.92 $176,578.44 $105,931.24 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 49 15 — — $5,060.81 $190,245.95 $105,928.00 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 45 15 — — $400.86 $185,230.46 $105,519.54 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 40 15 — — $43,433.98 $169,135.97 $105,193.23 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 43 15 — — $19,461.94 $170,495.23 $104,078.30 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 37 15 — — $57,535.05 $166,023.45 $104,007.48 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 46 15 — — $4,262.10 $175,833.80 $103,751.90 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 46 15 — — $3,071.08 $166,106.18 $103,308.86 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 43 16 — — $6,607.54 $168,048.55 $102,584.73 2026-04-01
245 MS_DRG Aicd Generator Procedures 47 15 — — $24,693.03 $179,754.00 $102,399.78 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 52 15 — — $8,562.78 $173,071.93 $102,122.23 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 39 15 — — $42,491.15 $165,341.84 $102,086.49 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 61 15 — — $3,959.61 $221,929.46 $102,047.41 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 49 15 — — $20,501.79 $164,278.07 $101,429.69 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 50 15 — — $2,795.30 $165,034.53 $101,320.79 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 49 15 — — $39,539.31 $165,538.84 $101,052.68 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 38 15 — — $54,441.64 $156,969.56 $100,018.84 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 49 15 — — $17,531.59 $162,540.57 $99,222.40 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 54 15 — — $13,573.76 $158,403.68 $98,518.33 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 46 15 — — $9,077.58 $201,528.11 $98,477.74 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 48 15 — — $31,126.70 $166,389.86 $98,179.43 2026-04-01
791 MS_DRG Prematurity With Major Problems 53 15 — — $22,853.63 $159,920.54 $97,623.01 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 37 15 — — $53,231.46 $153,427.59 $96,116.64 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 46 16 — — $33,986.40 $497,596.10 $95,857.20 2026-04-01
343 MS_DRG Appendectomy Without Complicated Principal Diagnosis Without Cc/Mcc 1 1 — — $95,427.52 $95,427.52 $95,427.52 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 48 15 — — $11,860.60 $152,501.71 $94,847.63 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 50 15 — — $7,806.75 $152,127.42 $93,396.64 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 47 15 — — $1,026.19 $151,264.58 $93,394.81 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 45 15 — — $565.87 $163,624.05 $93,211.09 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 37 15 — — $51,465.34 $148,258.44 $92,878.37 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 39 15 — — $49,654.79 $142,959.27 $92,624.72 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 55 15 — — $448.72 $321,145.45 $92,253.91 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 46 15 — — $6,162.07 $147,245.88 $91,578.80 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 51 16 — — $8,341.35 $220,008.64 $91,139.79 2026-04-01
265 MS_DRG Aicd Lead Procedures 38 15 — — $49,516.14 $142,553.46 $90,833.10 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 41 15 — — $34,533.91 $144,716.47 $90,659.45 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 42 15 — — $35,253.55 $146,832.19 $90,145.71 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 49 15 — — $30,698.53 $163,204.32 $90,023.52 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 38 15 — — $34,857.89 $144,657.37 $89,968.88 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 44 15 — — $19,013.76 $134,413.63 $89,670.49 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 40 15 — — $2,022.29 $146,004.81 $89,637.74 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 38 15 — — $33,884.86 $142,848.95 $88,844.15 2026-04-01
332 MS_DRG Rectal Resection With Mcc 40 15 — — $31,056.24 $142,651.96 $88,721.63 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 41 15 — — $36,053.27 $140,831.73 $88,225.81 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 39 15 — — $33,412.77 $140,481.07 $88,006.14 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 37 15 — — $48,767.69 $140,362.88 $87,932.09 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 43 16 — — $3,289.28 $142,301.31 $87,860.65 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 53 15 — — $2,663.45 $468,595.18 $87,516.77 2026-04-01
404 MS_DRG Lymphoma & Non-acute Leukemia Without Cc 3 3 — — $23,043.82 $181,444.80 $87,108.65 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 39 15 — — $35,445.45 $138,660.84 $86,865.83 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 47 15 — — $166.77 $140,703.87 $86,865.71 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 44 15 — — $1,945.00 $141,158.74 $86,662.55 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 41 15 — — $22,342.83 $140,228.92 $85,602.32 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 40 15 — — $34,543.40 $240,192.00 $85,455.25 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 38 15 — — $36,023.17 $136,769.69 $85,063.18 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 55 15 — — $10,317.58 $127,274.53 $84,235.00 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 52 16 — — $13,408.92 $144,595.94 $83,864.10 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 44 15 — — $9,295.37 $141,170.35 $83,561.59 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 41 15 — — $7,761.74 $135,477.40 $82,701.77 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 58 15 — — $12,099.25 $140,114.66 $82,675.58 2026-04-01
49 MS_DRG Major Head & Neck Procedures 2 2 — — $48,200.11 $115,259.65 $81,729.88 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 37 15 — — $45,277.16 $130,146.72 $81,532.05 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 4 2 — — $80,060.50 $108,243.35 $80,060.50 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 50 15 — — $19,351.00 $142,088.55 $79,795.71 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 37 15 — — $44,251.41 $127,144.51 $79,651.28 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 37 15 — — $44,166.61 $126,896.30 $79,495.79 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 51 15 — — $27,447.56 $122,499.37 $79,368.55 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 48 15 — — $14,606.26 $127,593.66 $79,356.21 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 52 15 — — $1,810.00 $253,173.13 $79,267.99 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 41 15 — — $25,721.31 $126,486.55 $79,239.09 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 45 15 — — $29,831.32 $395,949.46 $78,659.07 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 47 15 — — $1,945.00 $126,514.66 $78,582.55 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 43 15 — — $29,749.97 $124,500.84 $77,995.12 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 39 15 — — $27,661.17 $123,795.60 $77,553.31 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 41 15 — — $31,599.15 $125,186.38 $77,293.43 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 58 15 — — $27,869.96 $374,958.35 $77,175.35 2026-04-01
665 MS_DRG Prostatectomy With Mcc 37 15 — — $42,825.86 $122,972.16 $77,037.46 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 47 15 — — $14,389.84 $122,716.07 $76,877.03 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 42 15 — — $29,726.38 $129,705.45 $76,533.55 2026-04-01
0925 OTHER Factor Viii 2 1 — — $74,976.00 $77,106.00 $76,041.00 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 38 15 — — $41,420.49 $118,858.90 $75,618.83 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 58 16 — — $1,504.18 $283,838.15 $75,469.37 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 46 15 — — $4,511.98 $166,333.99 $75,385.98 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 57 15 — — $14,293.84 $116,073.39 $75,205.09 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 37 15 — — $41,470.30 $119,004.68 $74,551.98 2026-04-01
263 MS_DRG Vein Ligation And Stripping 41 16 — — $27,201.62 $120,458.50 $74,374.31 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 42 15 — — $8,780.75 $123,576.47 $74,053.10 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 42 15 — — $28,452.64 $124,689.96 $73,574.13 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 41 16 — — $1,945.00 $118,988.92 $73,466.95 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 37 15 — — $40,876.66 $117,267.18 $73,463.50 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 48 15 — — $4,624.99 $119,505.05 $73,368.55 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 45 15 — — $16,916.47 $128,157.07 $73,006.75 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 60 15 — — $13,865.93 $129,689.69 $72,832.61 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 37 15 — — $40,441.86 $115,994.60 $72,666.28 2026-04-01
652 MS_DRG Kidney Transplant 47 15 — — $502.87 $211,481.67 $72,483.80 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 39 15 — — $40,117.44 $115,045.08 $72,071.44 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 43 15 — — $1,886.74 $125,793.13 $71,660.10 2026-04-01
570 MS_DRG Skin Debridement With Mcc 39 15 — — $1,945.00 $115,876.40 $71,545.20 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 47 15 — — $1,945.00 $115,960.12 $71,232.25 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 41 15 — — $29,223.55 $113,540.04 $71,128.59 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 44 15 — — $1,314.45 $114,701.25 $71,110.61 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 57 15 — — $1,575.00 $161,916.68 $70,790.49 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 40 15 — — $3,611.56 $113,760.67 $70,752.85 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 51 15 — — $8,298.63 $124,146.25 $70,721.93 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 47 15 — — $24,149.60 $108,296.03 $70,166.06 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 40 15 — — $24,473.61 $109,210.09 $69,587.16 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 40 15 — — $8,494.28 $113,083.01 $69,425.83 2026-04-01
800 MS_DRG Splenic Procedures With Cc 37 15 — — $38,628.61 $110,687.55 $69,341.61 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 38 15 — — $37,610.94 $107,708.99 $68,630.68 2026-04-01
503 MS_DRG Foot Procedures With Mcc 40 15 — — $23,822.25 $109,966.55 $68,393.11 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 48 15 — — $3,890.00 $110,289.62 $67,710.87 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 42 15 — — $13,206.37 $114,741.71 $67,704.10 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 53 15 — — $22,256.46 $107,635.56 $67,016.00 2026-04-01
849 MS_DRG Radiotherapy 39 15 — — $27,524.76 $106,751.59 $66,875.88 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 40 15 — — $24,352.10 $108,626.98 $66,690.11 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 42 15 — — $23,301.27 $99,919.80 $66,658.85 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 44 15 — — $25,064.61 $104,434.93 $66,544.50 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 40 15 — — $1,945.00 $106,274.86 $66,097.09 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 41 15 — — $17,368.41 $108,268.45 $66,092.15 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 41 15 — — $23,254.00 $101,617.90 $65,839.24 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 39 15 — — $35,529.82 $101,617.90 $65,839.24 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 37 15 — — $36,617.49 $104,801.34 $65,654.12 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 40 15 — — $23,268.96 $106,621.57 $65,458.92 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 37 15 — — $36,313.27 $103,910.92 $65,096.31 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 42 15 — — $25,041.98 $101,160.87 $64,458.32 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 5 4 — — $63,235.61 $104,783.91 $63,354.77 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 54 15 — — $2,625.00 $102,141.91 $62,708.69 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 45 15 — — $10,759.29 $96,184.78 $62,319.07 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 47 15 — — $319.25 $112,306.85 $62,163.70 2026-04-01
5211 OTHER Level 1 Electrophysiologic Procedures 1 1 — — $62,127.41 $62,127.41 $62,127.41 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 41 16 — — $7,552.44 $101,759.74 $62,118.92 2026-04-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 39 15 — — $23,458.95 $98,178.37 $61,505.08 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 51 15 — — $10,567.93 $100,585.65 $61,402.20 2026-04-01
545 MS_DRG Connective Tissue Disorders With Mcc 45 15 — — $22,768.93 $97,776.50 $61,253.32 2026-04-01
709 MS_DRG Penis Procedures With Cc/Mcc 40 15 — — $32,136.22 $91,685.41 $61,165.49 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 58 15 — — $1,810.00 $99,443.08 $61,051.77 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 54 15 — — $1,945.00 $102,264.04 $60,341.57 2026-04-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 46 15 — — $3,347.18 $96,862.44 $60,243.08 2026-04-01
792 MS_DRG Prematurity Without Major Problems 46 15 — — $7,501.98 $96,496.03 $60,015.19 2026-04-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 50 15 — — $2,066.27 $96,299.04 $59,892.68 2026-04-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 49 15 — — $8,653.46 $96,890.02 $59,822.50 2026-04-01
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 38 15 — — $33,416.39 $95,432.26 $59,353.59 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 46 15 — — $5,344.33 $100,108.92 $59,069.93 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 58 15 — — $890.00 $94,447.28 $58,740.99 2026-04-01
397 MS_DRG Appendix Procedures With Mcc 40 15 — — $285.13 $94,356.67 $58,684.63 2026-04-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 38 15 — — $32,268.14 $92,071.52 $58,666.71 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 46 15 — — $2,358.09 $94,021.77 $58,476.35 2026-04-01
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 48 15 — — $8,824.83 $95,121.01 $58,398.29 2026-04-01
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 39 15 — — $31,523.73 $89,892.76 $58,242.40 2026-04-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 47 15 — — $13,907.10 $94,766.41 $57,849.87 2026-04-01
35 MS_DRG Carotid Artery Stent Procedures With Cc 46 15 — — $6,246.36 $94,183.31 $57,822.61 2026-04-01
333 MS_DRG Rectal Resection With Cc 41 15 — — $32,339.48 $92,280.34 $57,810.18 2026-04-01
30 MS_DRG Spinal Procedures Without Cc/Mcc 40 15 — — $30,360.67 $86,488.68 $57,698.64 2026-04-01
A9604 HCPCS Sm 153 Lexidronam 15 5 — — $3,159.80 $70,163.69 $57,500.35 2026-04-01
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 38 15 — — $31,444.30 $89,660.30 $57,130.31 2026-04-01
113 MS_DRG Orbital Procedures With Cc/Mcc 45 16 — — $2,865.02 $92,630.99 $56,546.31 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 67 15 — — $3,243.09 $107,218.00 $56,301.23 2026-04-01
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 44 15 — — $8,828.96 $90,416.77 $56,234.23 2026-04-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 55 15 — — $21,299.47 $158,292.30 $56,222.25 2026-04-01
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 42 15 — — $20,176.19 $103,065.00 $56,198.93 2026-04-01
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/Mcc 38 15 — — $30,927.39 $88,147.38 $56,166.30 2026-04-01
9115 OTHER Inj, Spesolimab-sbzo, 1 Mg 1 1 — — $56,072.41 $56,072.41 $56,072.41 2026-04-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 47 15 — — $20,348.64 $91,622.37 $55,930.60 2026-04-01
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 41 15 — — $22,685.15 $89,262.37 $55,919.54 2026-04-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 49 15 — — $2,625.00 $91,527.82 $55,872.88 2026-04-01
120 MS_DRG Other Circulatory System O.r. Procedures 3 2 — — $6,408.67 $84,218.24 $55,795.80 2026-04-01
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 42 15 — — $7,869.00 $89,510.59 $55,670.64 2026-04-01
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 43 15 — — $18,980.43 $85,783.44 $55,579.94 2026-04-01
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 40 15 — — $11,612.54 $90,050.35 $55,285.24 2026-04-01
347 MS_DRG Anal And Stomal Procedures With Mcc 41 15 — — $610.00 $90,444.34 $55,211.48 2026-04-01
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 40 15 — — $28,987.61 $82,469.99 $55,017.67 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 10 7 — — $39,556.88 $91,498.39 $55,015.23 2026-04-01
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 51 15 — — $11,326.47 $84,611.04 $54,666.07 2026-04-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 59 15 — — $2,057.95 $87,182.11 $54,616.33 2026-04-01
934 MS_DRG Full Thickness Burn Without Skin Graft Or Inhalation Injury 37 15 — — $30,567.97 $87,095.43 $54,562.03 2026-04-01
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 48 15 — — $20,686.99 $86,989.05 $54,417.19 2026-04-01
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/Mcc 39 15 — — $29,482.99 $83,919.87 $54,372.51 2026-04-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 46 15 — — $374.85 $153,087.10 $54,366.93 2026-04-01
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 47 15 — — $3,675.34 $400,818.65 $54,268.31 2026-04-01
614 MS_DRG Adrenal And Pituitary Procedures With Cc/Mcc 49 15 — — $3,581.82 $86,408.95 $54,098.01 2026-04-01
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/Mcc 47 15 — — $724.00 $87,450.02 $53,993.99 2026-04-01
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 45 15 — — $20,324.46 $85,842.54 $53,777.14 2026-04-01
32 MS_DRG Ventricular Shunt Procedures With Cc 44 15 — — $19,342.58 $100,121.00 $53,497.69 2026-04-01
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 42 15 — — $10,589.45 $83,789.85 $53,389.74 2026-04-01
838 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Che… 43 15 — — $19,922.45 $82,241.47 $53,285.06 2026-04-01
835 MS_DRG Acute Leukemia With Cc 41 15 — — $16,864.00 $82,178.43 $53,244.22 2026-04-01
0927 OTHER Factor Viii Recombinant 3 1 — — $37,965.96 $112,791.85 $53,133.60 2026-04-01
336 MS_DRG Peritoneal Adhesiolysis With Cc 48 15 — — $2,129.29 $84,879.33 $52,937.85 2026-04-01
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 42 16 — — $4,375.64 $86,201.07 $52,922.02 2026-04-01
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/Mcc 43 15 — — $2,375.51 $84,341.44 $52,836.76 2026-04-01
374 MS_DRG Digestive Malignancy With Mcc 51 15 — — $9,556.39 $205,301.13 $52,787.39 2026-04-01
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 43 15 — — $7,332.30 $85,988.32 $52,491.31 2026-04-01
135 MS_DRG Sinus And Mastoid Procedures With Cc/Mcc 40 15 — — $19,301.92 $85,495.83 $52,489.04 2026-04-01
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