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

Your selected procedure

You selected 27447 (HCPCS)

Total knee arthroplasty

This hospital’s price: $9,566 across 6 payers · range $1,679-$50,966

Source: https://www.mountsinai.org/files/mrf/132997301_mount-sinai-morningside_standardcharges.json · observed 2026-04-01

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

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

470,611 of 604,016 rate rows are consumer-grade (77.9%)

133,405 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 124,005
template filing: same amount across many unrelated codes — excluded 5,243
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 2,667
placeholder amount (≤ $0.02) — excluded from medians 1,378
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 112
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 Latest re-check couldn't be parsed — showing last good data · 2026-08-04
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
$3,605,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 2 $3,187,200.00 $3,316,462.59 $3,187,200.00 nat. median
$3,324,572
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
$2,997,086
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
$2,460,273
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
$370,165
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
$261,939
outlier · 2.4×
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 3 $439,388.31 $785,687.64 $591,726.20 nat. median
$691,418
0.9× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 3 $527,123.43 $813,285.00 $546,496.19 nat. median
$631,793
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 3 $526,587.59 $733,705.50 $541,952.76 nat. median
$610,161
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 3 $516,726.08 $717,614.70 $539,632.14 nat. median
$624,417
0.9× 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
$205,166
outlier · 2.4×
Q2053
HCPCS 		Brexucabtagene Car Pos T 3 $460,530.40 $719,426.80 $474,917.51 nat. median
$577,541
0.8× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 4 $373,000.00 $717,680.75 $464,305.09 nat. median
$588,565
0.8× 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
$199,832
outlier · 2.3×
C9073
HCPCS 		Brexucabtagene Autoleucel Ca 1 $371,508.00 $371,508.00 $371,508.00 nat. median
$27,071
outlier · 13.7×
7
MS_DRG 		Lung Transplant 16 $166,778.46 $555,485.88 $293,140.73 nat. median
$122,690
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
$132,706
outlier · 2.2×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 16 $154,829.76 $515,495.80 $272,037.18 nat. median
$114,305
outlier · 2.4×
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
$108,240
outlier · 2.4×
209
MS_DRG 		Complex Aortic Arch Procedures 16 $145,869.83 $485,508.61 $256,212.36 nat. median
$96,134
outlier · 2.7×
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
$96,835
outlier · 2.6×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 16 $95,669.24 $466,433.65 $246,146.13 nat. median
$100,978
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
$99,646
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
$46,736
outlier · 4.9×
215
MS_DRG 		Other Heart Assist System Implant 16 $100,211.37 $427,095.56 $225,386.65 nat. median
$98,002
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
$92,900
outlier · 2.3×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 16 $116,274.25 $386,457.78 $203,941.31 nat. median
$81,124
outlier · 2.5×
850
MS_DRG 		Acute Leukemia With Other Procedures 16 $111,787.24 $371,440.59 $196,016.44 nat. median
$81,364
outlier · 2.4×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 16 $108,844.60 $361,592.13 $190,819.22 nat. median
$79,040
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
$80,459
outlier · 2.4×
C1833
HCPCS 		Cardiac Monitor Sys 1 $187,725.00 $187,725.00 $187,725.00 nat. median
$10,762
outlier · 17.4×
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
$71,485
outlier · 2.5×
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
$73,475
outlier · 2.4×
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
$66,640
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
$77,385
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
$74,472
outlier · 2.2×
10
MS_DRG 		Pancreas Transplant 16 $92,770.30 $307,794.48 $162,429.15 nat. median
$67,750
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
$62,911
outlier · 2.6×
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 16 $92,243.54 $306,031.53 $161,498.81 nat. median
$69,153
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
$68,581
outlier · 2.4×
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 16 $87,072.13 $288,723.80 $152,365.18 nat. median
$64,357
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
$65,792
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
$60,895
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
$59,159
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
$62,262
outlier · 2.4×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 16 $1,945.00 $364,067.72 $147,957.45 nat. median
$65,958
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
$63,840
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
$59,832
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.

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 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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