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 WEST

New York, NY · CCN 330046 · Rates published

19,936 distinct procedures filed
21 distinct payers
604,016 rate rows
2026-04-01 last MRF observed
Data quality

470,733 of 604,016 rate rows are consumer-grade (77.9%)

133,283 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 126,662
template filing: same amount across many unrelated codes — excluded 5,243
placeholder amount (≤ $0.02) — excluded from medians 1,378
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.mountsinai.org/files/mrf/132997301_mount-sinai-morningside_standardcharges.json
Found on page https://www.mountsinai.org/about/insurance/price-transparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-16
Content fingerprint 703167f9fa6b2970… · 243,191,709 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 3 $2,312,756.18 $4,333,725.00 $2,383,933.39 nat. median
$2,468,984
1.0× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 16 $554,250.86 $1,852,283.02 $977,485.86 nat. median
$370,174
outlier · 2.6×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 16 $359,968.68 $1,202,057.17 $634,349.00 nat. median
$265,286
outlier · 2.4×
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 3 $439,388.31 $785,687.64 $591,726.20 nat. median
$753,246
0.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 3 $527,123.43 $813,285.00 $546,496.19 nat. median
$674,867
0.8× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 3 $526,587.59 $733,705.50 $541,952.76 nat. median
$625,184
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 3 $516,726.08 $717,614.70 $539,632.14 nat. median
$673,137
0.8× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 16 $274,439.87 $915,808.35 $483,289.92 nat. median
$206,474
outlier · 2.3×
Q2053
HCPCS 		Brexucabtagene Car Pos T 3 $460,530.40 $719,426.80 $474,917.51 nat. median
$619,808
0.8× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 4 $373,000.00 $717,680.75 $464,305.09 nat. median
$634,303
0.7× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 16 $154,120.59 $910,433.73 $463,133.86 nat. median
$202,976
outlier · 2.3×
C9073
HCPCS 		Brexucabtagene Autoleucel Ca 1 $371,508.00 $371,508.00 $371,508.00 nat. median
$29,278
outlier · 12.7×
7
MS_DRG 		Lung Transplant 16 $166,778.46 $555,485.88 $293,140.73 nat. median
$122,708
outlier · 2.4×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 17 $71,074.88 $594,141.95 $290,301.86 nat. median
$133,161
outlier · 2.2×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 16 $154,829.76 $515,495.80 $272,037.18 nat. median
$117,357
outlier · 2.3×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 16 $146,036.44 $486,066.23 $256,506.62 nat. median
$108,660
outlier · 2.4×
209
MS_DRG 		Complex Aortic Arch Procedures 16 $145,869.83 $485,508.61 $256,212.36 nat. median
$98,047
outlier · 2.6×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 $1,575.00 $472,743.35 $249,475.88 nat. median
$98,894
outlier · 2.5×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 16 $95,669.24 $466,433.65 $246,146.13 nat. median
$102,358
outlier · 2.4×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 16 $132,947.07 $442,258.59 $233,388.48 nat. median
$100,136
outlier · 2.3×
162
MS_DRG 		Inguinal & Femoral Hernia Procedures Age >17 Without Cc 1 $227,942.91 $227,942.91 $227,942.91 nat. median
$100,457
outlier · 2.3×
215
MS_DRG 		Other Heart Assist System Implant 16 $100,211.37 $427,095.56 $225,386.65 nat. median
$99,019
outlier · 2.3×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 $83,890.08 $419,623.42 $209,958.45 nat. median
$93,672
outlier · 2.2×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 16 $116,274.25 $386,457.78 $203,941.31 nat. median
$82,711
outlier · 2.5×
850
MS_DRG 		Acute Leukemia With Other Procedures 16 $111,787.24 $371,440.59 $196,016.44 nat. median
$83,470
outlier · 2.3×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 16 $108,844.60 $361,592.13 $190,819.22 nat. median
$79,312
outlier · 2.4×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 16 $108,504.96 $360,455.44 $190,219.36 nat. median
$81,118
outlier · 2.3×
C1833
HCPCS 		Cardiac Monitor Sys 1 $187,725.00 $187,725.00 $187,725.00 nat. median
$9,621
outlier · 19.5×
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 16 $98,463.33 $326,847.99 $176,118.75 nat. median
$72,135
outlier · 2.4×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 16 $1,945.00 $327,933.21 $173,056.75 nat. median
$73,807
outlier · 2.3×
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 $62,573.92 $392,005.40 $169,741.77 nat. median
$68,090
outlier · 2.5×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 16 $1,945.00 $337,524.31 $168,880.19 nat. median
$77,570
outlier · 2.2×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 16 $2,225.00 $329,353.00 $167,540.51 nat. median
$74,915
outlier · 2.2×
10
MS_DRG 		Pancreas Transplant 16 $92,770.30 $307,794.48 $162,429.15 nat. median
$68,884
outlier · 2.4×
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 16 $92,731.85 $307,665.79 $162,361.24 nat. median
$64,023
outlier · 2.5×
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 16 $92,243.54 $306,031.53 $161,498.81 nat. median
$71,271
outlier · 2.3×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 16 $1,125.00 $305,851.38 $161,403.73 nat. median
$68,886
outlier · 2.3×
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 16 $87,072.13 $288,723.80 $152,365.18 nat. median
$64,732
outlier · 2.4×
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 16 $63,199.69 $295,020.64 $150,075.78 nat. median
$65,950
outlier · 2.3×
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 $85,075.34 $282,040.92 $148,838.49 nat. median
$61,920
outlier · 2.4×
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 16 $58,504.59 $281,015.75 $148,297.49 nat. median
$59,793
outlier · 2.5×
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 16 $63,642.01 $286,600.55 $148,184.52 nat. median
$63,724
outlier · 2.3×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 16 $1,945.00 $364,067.72 $147,957.45 nat. median
$66,526
outlier · 2.2×
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 $54,236.05 $282,040.92 $145,827.00 nat. median
$64,508
outlier · 2.3×
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 17 $1,945.00 $286,810.73 $143,505.66 nat. median
$60,691
outlier · 2.4×

Other procedures at this hospital

Browse this hospital's 19,936 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 3 2 — — $3,486,000.00 $3,685,266.67 $3,486,000.00 2026-04-01
C9172 HCPCS Inj, Beqvez, Per Tx Dose 2 1 — — $3,486,000.00 $3,486,000.00 $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 4 3 — — $2,312,756.18 $4,333,725.00 $2,383,933.39 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 69 16 — — $554,250.86 $1,852,283.02 $977,485.86 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 69 16 — — $359,968.68 $1,202,057.17 $634,349.00 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 3 3 — — $439,388.31 $785,687.64 $591,726.20 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 4 3 — — $527,123.43 $813,285.00 $546,496.19 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 4 3 — — $526,587.59 $733,705.50 $541,952.76 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 4 3 — — $516,726.08 $717,614.70 $539,632.14 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 69 16 — — $274,439.87 $915,808.35 $483,289.92 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 4 3 — — $460,530.40 $719,426.80 $474,917.51 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 4 4 — — $373,000.00 $717,680.75 $464,305.09 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 78 16 — — $154,120.59 $910,433.73 $463,133.86 2026-04-01
C9073 HCPCS Brexucabtagene Autoleucel Ca 2 1 — — $371,508.00 $371,508.00 $371,508.00 2026-04-01
7 MS_DRG Lung Transplant 69 16 — — $166,778.46 $555,485.88 $293,140.73 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 80 17 — — $71,074.88 $594,141.95 $290,301.86 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 69 16 — — $154,829.76 $515,495.80 $272,037.18 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 69 16 — — $146,036.44 $486,066.23 $256,506.62 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 69 16 — — $145,869.83 $485,508.61 $256,212.36 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 73 16 — — $1,575.00 $472,743.35 $249,475.88 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 71 16 — — $95,669.24 $466,433.65 $246,146.13 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 69 16 — — $132,947.07 $442,258.59 $233,388.48 2026-04-01
162 MS_DRG Inguinal & Femoral Hernia Procedures Age >17 Without Cc 1 1 — — $227,942.91 $227,942.91 $227,942.91 2026-04-01
215 MS_DRG Other Heart Assist System Implant 71 16 — — $100,211.37 $427,095.56 $225,386.65 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 74 16 — — $83,890.08 $419,623.42 $209,958.45 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 69 16 — — $116,274.25 $386,457.78 $203,941.31 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 69 16 — — $111,787.24 $371,440.59 $196,016.44 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 69 16 — — $108,844.60 $361,592.13 $190,819.22 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 69 16 — — $108,504.96 $360,455.44 $190,219.36 2026-04-01
C1833 HCPCS Cardiac Monitor Sys 2 1 — — $187,725.00 $187,725.00 $187,725.00 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 71 16 — — $98,463.33 $326,847.99 $176,118.75 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 81 16 — — $1,945.00 $327,933.21 $173,056.75 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 78 16 — — $62,573.92 $392,005.40 $169,741.77 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 78 16 — — $1,945.00 $337,524.31 $168,880.19 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 78 16 — — $2,225.00 $329,353.00 $167,540.51 2026-04-01
10 MS_DRG Pancreas Transplant 69 16 — — $92,770.30 $307,794.48 $162,429.15 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 69 16 — — $92,731.85 $307,665.79 $162,361.24 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 69 16 — — $92,243.54 $306,031.53 $161,498.81 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 73 16 — — $1,125.00 $305,851.38 $161,403.73 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 69 16 — — $87,072.13 $288,723.80 $152,365.18 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 72 16 — — $63,199.69 $295,020.64 $150,075.78 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 69 16 — — $85,075.34 $282,040.92 $148,838.49 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 71 16 — — $58,504.59 $281,015.75 $148,297.49 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 71 16 — — $63,642.01 $286,600.55 $148,184.52 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 86 16 — — $1,945.00 $364,067.72 $147,957.45 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 71 16 — — $54,236.05 $282,040.92 $145,827.00 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 78 17 — — $1,945.00 $286,810.73 $143,505.66 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 70 16 — — $79,256.71 $262,567.04 $140,021.68 2026-04-01
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 1 1 — — $139,326.17 $139,326.17 $139,326.17 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 77 16 — — $29,655.36 $276,010.02 $138,101.53 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 69 16 — — $78,504.39 $260,049.16 $137,233.01 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 74 16 — — $54,487.00 $255,781.21 $136,402.93 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 73 16 — — $57,679.44 $257,720.02 $136,003.88 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 69 16 — — $76,801.09 $254,348.55 $134,224.69 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 82 16 — — $48,042.78 $254,940.49 $134,183.54 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 74 16 — — $56,930.93 $262,871.59 $131,527.72 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 70 16 — — $42,580.00 $251,564.73 $131,412.57 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 69 16 — — $73,945.60 $244,791.77 $129,181.39 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 78 16 — — $1,945.00 $257,647.10 $128,913.65 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 90 16 — — $1,980.00 $251,727.73 $128,052.85 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 69 16 — — $72,634.49 $240,403.71 $126,865.73 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 74 16 — — $43,089.95 $241,150.07 $125,972.15 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 72 16 — — $48,325.54 $247,373.99 $125,838.12 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 69 16 — — $71,588.67 $236,903.56 $125,018.63 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 78 16 — — $1,810.00 $233,948.17 $124,759.81 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 70 16 — — $47,360.34 $238,756.58 $124,721.84 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 73 16 — — $18,149.13 $234,651.63 $123,830.24 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 69 16 — — $70,815.84 $234,317.05 $123,653.68 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 70 16 — — $48,821.44 $235,483.77 $123,012.19 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 84 17 — — $1,785.71 $245,795.49 $122,983.70 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 69 16 — — $70,426.22 $233,013.08 $122,965.54 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 77 18 — — $2,750.30 $244,474.35 $121,690.02 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 71 16 — — $45,528.60 $228,607.86 $118,199.87 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 69 16 — — $67,402.84 $222,894.38 $117,625.71 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 72 16 — — $34,306.58 $228,745.12 $116,361.70 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 74 17 — — $22,005.84 $227,072.26 $115,510.72 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 76 16 — — $47,389.85 $212,213.78 $113,169.30 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 83 16 — — $1,945.00 $226,321.61 $112,654.28 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 74 17 — — $8,634.77 $223,280.43 $111,718.29 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 69 16 — — $63,619.45 $210,232.07 $110,943.56 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 72 16 — — $46,207.16 $207,122.26 $110,454.10 2026-04-01
A9545 HCPCS I-131 Tositumomab, Rx, Per Dose 39 1 — — $62,283.52 $162,549.20 $109,871.11 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 69 16 — — $62,377.54 $206,075.64 $108,750.13 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 78 16 — — $8,519.32 $216,194.34 $107,893.04 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 87 16 — — $2,225.00 $211,836.31 $106,782.76 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 78 16 — — $1,945.00 $213,929.54 $106,762.78 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 69 16 — — $61,058.73 $201,661.85 $106,420.89 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 71 16 — — $42,320.92 $200,649.55 $105,886.68 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 75 16 — — $1,980.00 $211,111.40 $105,629.53 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 69 16 — — $60,233.36 $198,899.48 $104,963.13 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 74 16 — — $52,699.02 $192,186.57 $103,847.91 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 71 16 — — $45,787.69 $196,660.41 $103,781.53 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 69 16 — — $58,847.91 $194,262.64 $102,516.18 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 78 16 — — $1,810.00 $204,209.76 $101,912.07 2026-04-01
161 MS_DRG Inguinal & Femoral Hernia Procedures Age >17 W Cc 3 2 — — $47,159.48 $240,604.15 $101,047.21 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 69 16 — — $58,002.03 $191,431.63 $101,022.20 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 84 16 — — $2,625.00 $197,162.27 $100,695.80 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 81 16 — — $1,945.00 $201,250.07 $100,695.41 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 77 16 — — $1,894.41 $195,111.94 $100,259.14 2026-04-01
245 MS_DRG Aicd Generator Procedures 74 16 — — $24,518.57 $195,699.59 $99,551.57 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 78 16 — — $375.00 $198,105.94 $99,122.25 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 71 16 — — $40,654.71 $185,619.50 $97,955.03 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 86 16 — — $18,195.55 $195,026.15 $97,581.28 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 79 16 — — $24,752.74 $188,424.76 $97,423.52 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 76 16 — — $36,394.03 $180,841.10 $96,438.90 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 70 16 — — $20,997.48 $184,139.65 $96,191.01 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 77 16 — — $21,507.05 $192,242.33 $96,188.39 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 70 16 — — $54,281.43 $178,979.50 $95,446.14 2026-04-01
2039 OTHER Gen, Neuro, Imp Led, Ex Cntr 1 1 — — $94,884.94 $94,884.94 $94,884.94 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 69 16 — — $54,489.06 $179,674.39 $94,817.68 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 72 16 — — $2,000.00 $180,751.03 $94,420.85 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 75 16 — — $38,943.83 $181,904.88 $94,052.46 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 70 16 — — $41,741.82 $180,008.96 $94,033.21 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 73 16 — — $36,891.63 $181,149.94 $93,662.13 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 80 16 — — $34,722.33 $172,455.33 $91,966.93 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 21 4 — — $47,673.88 $120,718.89 $91,781.13 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 78 16 — — $1,945.00 $180,411.19 $91,678.91 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 77 18 — — $2,225.00 $182,955.78 $91,541.87 2026-04-01
9149 OTHER Inj Ublituximab-xiiy, 1 Mg 1 1 — — $90,778.23 $90,778.23 $90,778.23 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 69 16 — — $51,865.55 $170,893.99 $90,184.09 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 73 16 — — $13,700.48 $178,138.78 $89,131.69 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 79 16 — — $34,705.74 $176,959.20 $88,541.48 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 69 16 — — $50,713.35 $167,037.81 $88,149.11 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 69 16 — — $50,412.17 $166,029.81 $87,617.17 2026-04-01
791 MS_DRG Prematurity With Major Problems 81 16 — — $15,202.00 $174,106.75 $86,663.71 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 80 16 — — $11,279.38 $165,622.31 $86,517.90 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 85 16 — — $2,028.00 $165,781.02 $85,715.75 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 74 16 — — $31,772.58 $160,307.75 $85,488.87 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 77 16 — — $1,575.00 $164,682.93 $85,148.00 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 77 16 — — $31,617.39 $157,489.61 $84,861.69 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 88 17 — — $15,202.00 $178,850.82 $84,515.71 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 74 16 — — $33,570.10 $161,410.12 $84,317.54 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 79 17 — — $1,720.00 $167,797.04 $83,957.20 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 70 16 — — $48,298.75 $158,956.59 $83,035.86 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 70 16 — — $47,308.04 $155,640.88 $83,000.12 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 71 16 — — $31,643.23 $159,857.36 $82,652.97 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 70 16 — — $24,654.26 $157,553.95 $82,303.15 2026-04-01
332 MS_DRG Rectal Resection With Mcc 69 16 — — $47,208.08 $155,306.31 $81,958.17 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 69 16 — — $47,094.01 $154,924.55 $81,756.70 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 70 16 — — $46,569.82 $153,170.18 $81,682.55 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 73 16 — — $375.00 $154,692.92 $81,634.47 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 78 16 — — $10,544.74 $160,324.90 $81,556.62 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 70 16 — — $33,636.85 $155,520.78 $81,241.06 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 69 16 — — $46,722.34 $153,680.62 $81,100.26 2026-04-01
9331 OTHER Inj, Polatuzumab Vedotin 1mg 1 1 — — $81,003.12 $81,003.12 $81,003.12 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 69 16 — — $46,615.96 $153,324.60 $80,912.38 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 69 16 — — $46,501.89 $152,942.85 $80,710.92 2026-04-01
265 MS_DRG Aicd Lead Procedures 73 16 — — $20,434.05 $155,199.07 $80,244.44 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 7 2 — — $80,060.50 $108,243.35 $80,060.50 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 77 17 — — $3,330.86 $160,706.66 $79,993.66 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 70 16 — — $35,758.35 $152,814.16 $79,827.17 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 70 16 — — $35,738.31 $152,668.32 $79,750.99 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 69 16 — — $45,909.78 $150,961.14 $79,665.14 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 76 16 — — $32,764.64 $151,269.98 $79,020.52 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 71 16 — — $36,892.87 $149,588.54 $78,940.79 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 73 16 — — $32,121.65 $146,337.17 $78,852.31 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 71 16 — — $30,591.51 $148,181.61 $78,198.33 2026-04-01
169 MS_DRG Mouth Procedures Without Cc 1 1 — — $78,185.45 $78,185.45 $78,185.45 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 71 16 — — $33,137.29 $148,902.23 $76,988.71 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 71 16 — — $34,541.72 $147,495.31 $76,261.27 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 77 16 — — $25,755.62 $147,057.79 $76,035.06 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 87 16 — — $1,810.00 $152,543.93 $75,930.56 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 69 16 — — $43,140.16 $141,691.75 $74,773.50 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 82 16 — — $1,945.00 $149,627.14 $74,672.29 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 77 16 — — $29,580.65 $138,564.78 $74,664.24 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 69 16 — — $42,996.61 $141,211.34 $74,519.98 2026-04-01
652 MS_DRG Kidney Transplant 69 16 — — $42,194.31 $138,526.17 $73,102.96 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 69 16 — — $42,163.55 $138,423.23 $73,048.64 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 69 16 — — $42,082.81 $138,153.00 $72,906.03 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 69 16 — — $41,648.33 $136,698.89 $72,138.67 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 90 16 — — $1,945.00 $141,194.18 $71,824.90 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 73 16 — — $29,023.71 $138,912.22 $71,823.45 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 69 16 — — $41,365.09 $135,750.93 $71,638.41 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 69 16 — — $41,303.57 $135,545.04 $71,529.76 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 78 16 — — $1,945.00 $143,291.70 $71,510.55 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 70 16 — — $41,608.60 $136,565.92 $71,339.41 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 80 17 — — $3,047.56 $146,144.15 $71,264.61 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 71 16 — — $25,555.45 $137,706.90 $71,200.25 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 70 16 — — $41,526.58 $136,291.40 $71,196.01 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 72 16 — — $32,586.29 $139,525.60 $70,976.10 2026-04-01
665 MS_DRG Prostatectomy With Mcc 69 16 — — $40,806.30 $133,880.75 $70,651.48 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 70 16 — — $13,655.71 $134,777.24 $70,405.04 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 77 16 — — $9,270.15 $138,757.80 $69,427.42 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 71 16 — — $18,933.01 $131,319.98 $69,300.11 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 80 16 — — $1,945.00 $126,370.01 $69,276.07 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 73 16 — — $1,125.00 $133,601.94 $69,077.82 2026-04-01
L8702 HCPCS Pow Ue Rom Dev Ewhf Uprt Cus 1 1 — — $68,801.71 $68,801.71 $68,801.71 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 69 16 — — $39,468.27 $129,402.62 $68,288.28 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 81 16 — — $890.00 $136,951.96 $68,169.47 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 80 16 — — $1,945.00 $133,366.02 $67,992.05 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 70 16 — — $25,520.54 $129,561.33 $67,680.35 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 80 16 — — $1,945.00 $135,158.99 $67,626.76 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 75 16 — — $1,945.00 $135,094.65 $67,594.57 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 69 16 — — $38,950.48 $127,669.70 $67,373.79 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 69 16 — — $38,536.52 $126,284.23 $66,642.65 2026-04-01
570 MS_DRG Skin Debridement With Mcc 69 16 — — $38,498.07 $126,155.54 $66,574.74 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 69 16 — — $38,227.64 $125,250.48 $66,097.12 2026-04-01
263 MS_DRG Vein Ligation And Stripping 73 16 — — $3,609.07 $131,144.12 $65,617.92 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 69 16 — — $37,809.83 $123,852.14 $65,359.19 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 69 16 — — $37,738.05 $123,611.93 $65,232.42 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 72 16 — — $5,860.65 $124,401.18 $64,984.78 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 74 16 — — $22,413.09 $129,544.17 $64,817.39 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 71 16 — — $28,144.56 $124,478.39 $64,360.56 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 78 17 — — $1,123.44 $130,106.08 $63,443.93 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 5 3 — — $63,235.61 $63,354.77 $63,342.28 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 72 16 — — $24,205.42 $118,263.05 $63,067.29 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 80 17 — — $20,436.05 $122,269.35 $62,698.38 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 76 16 — — $3,279.69 $114,098.04 $62,548.57 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 76 16 — — $20,896.44 $124,920.20 $62,503.78 2026-04-01
800 MS_DRG Splenic Procedures With Cc 71 16 — — $27,964.35 $120,506.40 $62,306.87 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 71 16 — — $12,427.65 $120,073.17 $62,082.88 2026-04-01
849 MS_DRG Radiotherapy 70 16 — — $35,529.79 $116,221.29 $61,978.46 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 78 16 — — $1,945.00 $123,792.08 $61,939.33 2026-04-01
503 MS_DRG Foot Procedures With Mcc 71 16 — — $25,493.40 $119,721.44 $61,901.02 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 75 16 — — $1,945.00 $123,114.36 $61,600.23 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 69 16 — — $35,487.50 $116,079.74 $61,257.54 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 71 16 — — $14,647.30 $115,702.28 $61,058.35 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 80 16 — — $445.00 $141,490.00 $60,881.92 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 71 16 — — $25,556.37 $113,128.64 $59,700.19 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 72 16 — — $26,152.37 $117,263.62 $59,651.52 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 79 16 — — $1,945.00 $118,897.88 $59,490.52 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 72 16 — — $1,575.00 $111,202.70 $59,302.14 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 70 16 — — $33,859.82 $110,632.20 $58,997.91 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 81 16 — — $11,978.01 $154,207.74 $58,992.60 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 80 16 — — $3,259.76 $117,872.71 $58,825.07 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 85 16 — — $1,945.00 $116,706.00 $58,393.81 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 77 16 — — $22,835.51 $104,717.12 $58,386.13 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 71 16 — — $23,168.00 $110,134.63 $58,120.19 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 70 16 — — $33,859.82 $110,632.20 $57,850.88 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 88 16 — — $50.00 $108,217.27 $57,331.18 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 86 16 — — $1,480.00 $108,783.47 $56,826.40 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 82 16 — — $375.00 $161,031.58 $55,706.46 2026-04-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 69 16 — — $32,321.85 $105,484.92 $55,666.45 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 73 16 — — $14,827.91 $110,786.62 $55,432.05 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 87 16 — — $1,575.00 $111,335.67 $55,418.66 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 80 16 — — $1,125.00 $108,264.46 $55,073.68 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 6 5 — — $45,027.55 $89,069.41 $55,015.23 2026-04-01
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 69 16 — — $31,847.65 $103,897.85 $54,828.92 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 81 16 — — $196.95 $108,989.36 $54,723.88 2026-04-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 72 16 — — $30,608.30 $99,750.00 $54,682.97 2026-04-01
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 69 16 — — $31,746.40 $103,558.98 $54,650.09 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 76 16 — — $6,566.44 $102,362.24 $54,587.71 2026-04-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 77 16 — — $21,943.18 $105,454.90 $54,524.61 2026-04-01
545 MS_DRG Connective Tissue Disorders With Mcc 78 16 — — $12,439.66 $106,450.04 $54,495.49 2026-04-01
397 MS_DRG Appendix Procedures With Mcc 71 16 — — $31,497.76 $102,726.84 $54,210.96 2026-04-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 70 16 — — $31,631.05 $103,172.94 $53,895.56 2026-04-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 73 16 — — $1,945.00 $106,887.56 $53,481.16 2026-04-01
333 MS_DRG Rectal Resection With Cc 69 16 — — $30,822.34 $100,466.33 $53,018.04 2026-04-01
35 MS_DRG Carotid Artery Stent Procedures With Cc 73 16 — — $21,966.32 $102,538.11 $53,016.51 2026-04-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 71 16 — — $20,462.18 $100,238.99 $52,898.07 2026-04-01
792 MS_DRG Prematurity Without Major Problems 80 16 — — $6,060.00 $105,055.98 $52,564.73 2026-04-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 81 16 — — $1,808.78 $104,841.51 $52,457.42 2026-04-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 75 16 — — $2,081.17 $99,136.61 $52,316.32 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 85 16 — — $21,204.65 $102,825.50 $52,122.92 2026-04-01
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 72 16 — — $21,289.44 $97,180.65 $51,824.46 2026-04-01
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 73 16 — — $29,494.56 $96,022.51 $51,740.76 2026-04-01
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 75 16 — — $6,134.70 $97,866.95 $51,646.30 2026-04-01
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/Mcc 76 16 — — $19,831.81 $91,823.19 $51,619.77 2026-04-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 83 16 — — $1,945.00 $133,058.00 $51,521.71 2026-04-01
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/Mcc 71 16 — — $29,251.05 $95,207.52 $51,301.61 2026-04-01
347 MS_DRG Anal And Stomal Procedures With Mcc 73 18 — — $8,519.57 $98,467.47 $50,911.82 2026-04-01
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 73 16 — — $1,810.00 $98,437.44 $50,896.29 2026-04-01
709 MS_DRG Penis Procedures With Cc/Mcc 74 16 — — $1,945.00 $99,818.63 $50,777.32 2026-04-01
30 MS_DRG Spinal Procedures Without Cc/Mcc 71 16 — — $28,938.33 $94,160.91 $50,737.66 2026-04-01
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/Mcc 69 16 — — $29,477.90 $95,966.75 $50,643.52 2026-04-01
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 71 16 — — $20,893.67 $97,613.88 $50,470.47 2026-04-01
113 MS_DRG Orbital Procedures With Cc/Mcc 73 17 — — $8,388.81 $100,848.08 $50,459.31 2026-04-01
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 78 16 — — $1,945.00 $94,311.04 $50,294.16 2026-04-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 77 16 — — $1,945.00 $100,311.91 $50,191.03 2026-04-01
934 MS_DRG Full Thickness Burn Without Skin Graft Or Inhalation Injury 69 16 — — $29,135.70 $94,821.48 $50,039.14 2026-04-01
614 MS_DRG Adrenal And Pituitary Procedures With Cc/Mcc 75 16 — — $23,667.57 $94,015.07 $49,730.19 2026-04-01
336 MS_DRG Peritoneal Adhesiolysis With Cc 74 16 — — $27,829.71 $90,450.58 $49,585.02 2026-04-01
48 MS_DRG Other Disorders Of The Eye Age 0-17 1 1 — — $49,489.45 $49,489.45 $49,489.45 2026-04-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 85 16 — — $1,945.00 $94,915.84 $49,075.48 2026-04-01
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 81 16 — — $1,960.00 $98,038.53 $49,053.55 2026-04-01
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 76 16 — — $2,988.34 $345,672.87 $48,985.74 2026-04-01
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 75 16 — — $11,351.09 $94,705.66 $48,966.81 2026-04-01
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 70 16 — — $18,872.20 $93,393.11 $48,786.76 2026-04-01
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 79 16 — — $11,313.39 $97,450.88 $48,759.52 2026-04-01
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 72 16 — — $11,351.09 $91,222.67 $48,647.20 2026-04-01
135 MS_DRG Sinus And Mastoid Procedures With Cc/Mcc 72 17 — — $21,618.50 $93,079.98 $48,623.19 2026-04-01
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 73 18 — — $3,331.75 $93,847.78 $48,523.25 2026-04-01
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 75 16 — — $7,434.43 $93,457.45 $48,321.43 2026-04-01
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/Mcc 69 16 — — $28,102.70 $91,364.22 $48,214.68 2026-04-01
595 MS_DRG Major Skin Disorders With Mcc 69 16 — — $27,983.51 $90,965.31 $48,004.17 2026-04-01
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 69 16 — — $27,941.22 $90,823.76 $47,929.47 2026-04-01
655 MS_DRG Major Bladder Procedures Without Cc/Mcc 73 16 — — $20,112.46 $90,789.44 $47,911.36 2026-04-01
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 77 16 — — $18,013.15 $85,706.50 $47,777.00 2026-04-01
32 MS_DRG Ventricular Shunt Procedures With Cc 72 16 — — $19,213.54 $91,407.11 $47,749.32 2026-04-01
174 MS_DRG G.i. Hemorrhage W Cc 6 4 — — $32,559.06 $96,658.14 $47,688.71 2026-04-01
412 MS_DRG Cholecystectomy With C.d.e. With Cc 69 16 — — $27,750.25 $90,184.64 $47,592.19 2026-04-01
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 71 16 — — $20,771.45 $89,785.72 $47,381.68 2026-04-01
744 MS_DRG D&c, Conization, Laparoscopy And Tubal Interruption With Cc/Mcc 71 16 — — $27,065.86 $87,894.10 $47,360.85 2026-04-01
171 MS_DRG Other Digestive System O.r. Procedures Without Cc 1 1 — — $47,303.73 $47,303.73 $47,303.73 2026-04-01
838 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Che… 69 16 — — $27,556.73 $89,536.94 $47,250.39 2026-04-01
835 MS_DRG Acute Leukemia With Cc 71 16 — — $20,692.50 $89,468.31 $47,214.17 2026-04-01
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/Mcc 84 17 — — $1,788.00 $86,066.81 $47,181.84 2026-04-01
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