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 29806 (HCPCS)

Shoulder arthroscopy/surgery

This hospital’s price: $7,563 across 6 payers · range $1,181-$14,401

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.

16,840 distinct procedures filed
20 distinct payers
293,591 rate rows
2026-04-01 last MRF observed
Data quality

218,199 of 293,591 rate rows are consumer-grade (74.3%)

75,392 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 70,634
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 3,188
template filing: same amount across many unrelated codes — excluded 1,020
placeholder amount (≤ $0.02) — excluded from medians 510
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 40
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 success · 2026-11-07
Content fingerprint f32a25bf249e424a… · 156,810,787 bytes · first seen 2026-11-07

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
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
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 2 $3,486,000.00 $3,691,450.00 $3,486,000.00 nat. median
$3,691,450
0.9× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 2 $3,187,200.00 $3,316,897.12 $3,187,200.00 nat. median
$3,324,572
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 2 $3,087,600.00 $3,235,303.98 $3,087,600.00 nat. median
$3,286,000
0.9× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 2 $2,788,800.00 $2,930,260.34 $2,788,800.00 nat. median
$2,983,626
0.9× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 2 $2,312,756.18 $2,680,037.38 $2,312,756.18 nat. median
$2,467,989
0.9× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 16 $554,250.86 $1,667,935.65 $952,137.55 nat. median
$360,195
outlier · 2.6×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 16 $359,968.68 $1,082,423.14 $617,898.97 nat. median
$247,805
outlier · 2.5×
Q2056
HCPCS 		Ciltacabtagene Car-pos T 3 $527,123.43 $834,928.41 $587,977.76 nat. median
$646,415
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 3 $516,726.08 $822,990.27 $579,570.61 nat. median
$637,620
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 3 $526,587.59 $806,528.45 $567,977.78 nat. median
$621,967
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 3 $460,530.40 $724,347.56 $510,103.92 nat. median
$589,091
0.9× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 16 $274,439.87 $824,663.06 $470,757.17 nat. median
$197,664
outlier · 2.4×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 16 $154,120.59 $819,823.35 $455,159.00 nat. median
$190,274
outlier · 2.4×
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 $500,201.48 $285,538.96 nat. median
$117,943
outlier · 2.4×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 17 $71,074.88 $535,010.32 $276,196.92 nat. median
$126,240
outlier · 2.2×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 16 $154,829.76 $464,191.39 $264,982.67 nat. median
$109,875
outlier · 2.4×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 16 $146,036.44 $437,690.78 $249,854.85 nat. median
$103,911
outlier · 2.4×
209
MS_DRG 		Complex Aortic Arch Procedures 16 $145,869.83 $437,188.65 $249,568.22 nat. median
$92,760
outlier · 2.7×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 $1,575.00 $425,693.85 $243,006.43 nat. median
$93,094
outlier · 2.6×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 16 $95,669.24 $420,012.11 $239,763.03 nat. median
$97,029
outlier · 2.5×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 16 $132,947.07 $398,243.06 $227,336.22 nat. median
$94,844
outlier · 2.4×
215
MS_DRG 		Other Heart Assist System Implant 16 $100,211.37 $384,589.12 $219,541.89 nat. median
$93,531
outlier · 2.3×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 16 $116,274.25 $347,995.80 $198,652.67 nat. median
$77,933
outlier · 2.5×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 $83,890.08 $377,860.65 $195,069.03 nat. median
$90,525
outlier · 2.2×
850
MS_DRG 		Acute Leukemia With Other Procedures 16 $111,787.24 $334,473.19 $190,933.32 nat. median
$78,028
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×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 16 $108,844.60 $325,604.89 $185,870.86 nat. median
$76,979
outlier · 2.4×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Or Infection Wi… 16 $108,504.96 $324,581.32 $185,286.57 nat. median
$77,595
outlier · 2.4×
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 16 $98,463.33 $294,318.64 $174,301.40 nat. median
$67,850
outlier · 2.6×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 16 $1,945.00 $295,295.85 $169,972.35 nat. median
$71,672
outlier · 2.4×
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 $62,573.92 $392,005.40 $166,843.50 nat. median
$63,446
outlier · 2.6×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 16 $2,225.00 $296,574.34 $163,939.38 nat. median
$72,153
outlier · 2.3×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 16 $1,945.00 $303,932.40 $162,455.31 nat. median
$74,260
outlier · 2.2×
10
MS_DRG 		Pancreas Or Islet Cell Transplant 16 $92,770.30 $277,161.41 $158,217.01 nat. median
$64,615
outlier · 2.4×
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 16 $92,731.85 $277,045.54 $158,150.86 nat. median
$61,444
outlier · 2.6×
19
MS_DRG 		Simultaneous Pancreas, Islet Cell And Kidney Transplant With Hemodialysis 16 $92,243.54 $275,573.92 $157,310.80 nat. median
$66,332
outlier · 2.4×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 16 $1,125.00 $275,411.70 $157,218.18 nat. median
$66,553
outlier · 2.4×
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 16 $87,072.13 $259,988.74 $148,414.02 nat. median
$61,601
outlier · 2.4×
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 16 $63,199.69 $265,658.89 $146,850.04 nat. median
$63,874
outlier · 2.3×
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 $85,075.34 $253,970.96 $144,978.79 nat. median
$59,554
outlier · 2.4×
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 16 $58,504.59 $253,047.82 $144,451.82 nat. median
$58,210
outlier · 2.5×
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc 16 $63,642.01 $258,076.80 $143,029.67 nat. median
$60,364
outlier · 2.4×
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 $54,236.05 $253,970.96 $140,754.16 nat. median
$61,992
outlier · 2.3×
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 16 $79,256.71 $236,435.21 $138,561.75 nat. median
$58,315
outlier · 2.4×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 16 $3,150.00 $364,067.72 $137,821.29 nat. median
$62,605
outlier · 2.2×
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Or Infection Wi… 16 $54,487.00 $230,324.74 $134,980.73 nat. median
$55,148
outlier · 2.4×
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 17 $15,385.55 $248,540.29 $134,411.77 nat. median
$59,289
outlier · 2.3×
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 16 $48,042.78 $233,954.22 $133,830.00 nat. median
$50,769
outlier · 2.6×

Other procedures at this hospital

Browse this hospital's 16,840 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
             
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 $3,691,450.00 $3,486,000.00 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 3 2 — — $3,187,200.00 $3,316,897.12 $3,187,200.00 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 3 2 — — $3,087,600.00 $3,235,303.98 $3,087,600.00 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 3 2 — — $2,788,800.00 $2,930,260.34 $2,788,800.00 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 3 2 — — $2,312,756.18 $2,680,037.38 $2,312,756.18 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 36 16 — — $554,250.86 $1,667,935.65 $952,137.55 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 36 16 — — $359,968.68 $1,082,423.14 $617,898.97 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 7 3 — — $527,123.43 $834,928.41 $587,977.76 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 7 3 — — $516,726.08 $822,990.27 $579,570.61 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 7 3 — — $526,587.59 $806,528.45 $567,977.78 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 7 3 — — $460,530.40 $724,347.56 $510,103.92 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 36 16 — — $274,439.87 $824,663.06 $470,757.17 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 45 16 — — $154,120.59 $819,823.35 $455,159.00 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 36 16 — — $166,778.46 $500,201.48 $285,538.96 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 47 17 — — $71,074.88 $535,010.32 $276,196.92 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 36 16 — — $154,829.76 $464,191.39 $264,982.67 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 36 16 — — $146,036.44 $437,690.78 $249,854.85 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 36 16 — — $145,869.83 $437,188.65 $249,568.22 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 40 16 — — $1,575.00 $425,693.85 $243,006.43 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 38 16 — — $95,669.24 $420,012.11 $239,763.03 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 36 16 — — $132,947.07 $398,243.06 $227,336.22 2026-04-01
215 MS_DRG Other Heart Assist System Implant 38 16 — — $100,211.37 $384,589.12 $219,541.89 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 36 16 — — $116,274.25 $347,995.80 $198,652.67 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 41 16 — — $83,890.08 $377,860.65 $195,069.03 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 36 16 — — $111,787.24 $334,473.19 $190,933.32 2026-04-01
C1833 HCPCS Cardiac Monitor Sys 1 1 — — $187,725.00 $187,725.00 $187,725.00 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 36 16 — — $108,844.60 $325,604.89 $185,870.86 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Or Infection Wi… 36 16 — — $108,504.96 $324,581.32 $185,286.57 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 38 16 — — $98,463.33 $294,318.64 $174,301.40 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 48 16 — — $1,945.00 $295,295.85 $169,972.35 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 45 16 — — $62,573.92 $392,005.40 $166,843.50 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 45 16 — — $2,225.00 $296,574.34 $163,939.38 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 44 16 — — $1,945.00 $303,932.40 $162,455.31 2026-04-01
10 MS_DRG Pancreas Or Islet Cell Transplant 36 16 — — $92,770.30 $277,161.41 $158,217.01 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 36 16 — — $92,731.85 $277,045.54 $158,150.86 2026-04-01
19 MS_DRG Simultaneous Pancreas, Islet Cell And Kidney Transplant With Hemodialysis 36 16 — — $92,243.54 $275,573.92 $157,310.80 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 40 16 — — $1,125.00 $275,411.70 $157,218.18 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 36 16 — — $87,072.13 $259,988.74 $148,414.02 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 39 16 — — $63,199.69 $265,658.89 $146,850.04 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 36 16 — — $85,075.34 $253,970.96 $144,978.79 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 38 16 — — $58,504.59 $253,047.82 $144,451.82 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc 38 16 — — $63,642.01 $258,076.80 $143,029.67 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 38 16 — — $54,236.05 $253,970.96 $140,754.16 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 37 16 — — $79,256.71 $236,435.21 $138,561.75 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 51 16 — — $3,150.00 $364,067.72 $137,821.29 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Or Infection Wi… 41 16 — — $54,487.00 $230,324.74 $134,980.73 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 45 17 — — $15,385.55 $248,540.29 $134,411.77 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 49 16 — — $48,042.78 $233,954.22 $133,830.00 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 36 16 — — $78,504.39 $234,167.92 $133,674.27 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 40 16 — — $57,679.44 $232,070.59 $132,477.01 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 36 16 — — $76,801.09 $229,034.66 $130,743.96 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 45 16 — — $1,945.00 $258,266.06 $128,654.95 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 41 16 — — $56,930.93 $236,709.45 $127,909.57 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 37 16 — — $42,580.00 $226,527.90 $125,870.34 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 36 16 — — $73,945.60 $220,429.01 $125,831.44 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 57 16 — — $1,980.00 $226,674.68 $125,633.55 2026-04-01
8 MS_DRG Simultaneous Pancreas, Islet Cell And Kidney Transplant 36 16 — — $72,634.49 $216,477.68 $123,575.83 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 45 16 — — $1,810.00 $210,664.61 $123,459.01 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 39 16 — — $48,325.54 $222,754.24 $123,133.35 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 36 16 — — $71,588.67 $213,325.88 $121,776.63 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 51 17 — — $1,785.71 $221,332.84 $121,034.55 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 41 16 — — $43,089.95 $217,149.75 $120,659.36 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 40 16 — — $18,149.13 $211,298.06 $120,619.05 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 36 16 — — $70,815.84 $210,996.79 $120,447.07 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 36 16 — — $70,426.22 $209,822.59 $119,776.78 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 45 16 — — $1,945.00 $232,004.92 $119,771.60 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 37 16 — — $47,360.34 $214,994.48 $119,461.78 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 37 16 — — $48,821.44 $212,047.39 $117,824.23 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 36 16 — — $67,402.84 $200,710.95 $114,575.43 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc 38 16 — — $45,528.60 $205,855.80 $114,088.08 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 39 16 — — $34,306.58 $205,979.40 $113,860.61 2026-04-01
A9545 HCPCS I-131 Tositumomab, Rx, Per Dose 16 1 — — $62,283.52 $162,549.20 $113,789.25 2026-04-01
463 MS_DRG Wound Debridement Or Skin Graft Except Hand For Musculoskeletal And Connective T… 44 18 — — $8,383.14 $220,143.19 $109,498.79 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 39 16 — — $46,207.16 $186,508.54 $109,302.45 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 44 16 — — $44,321.79 $191,093.32 $109,085.23 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 36 16 — — $63,619.45 $189,308.85 $108,066.55 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 36 16 — — $62,377.54 $185,566.09 $105,930.01 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 54 16 — — $2,225.00 $190,753.42 $105,718.14 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 43 18 — — $22,005.84 $204,473.02 $105,558.37 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 41 17 — — $8,634.77 $201,058.58 $103,795.68 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 36 16 — — $61,058.73 $181,591.58 $103,661.17 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 41 16 — — $52,699.02 $173,059.31 $103,557.80 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 38 16 — — $42,320.92 $180,680.02 $103,140.81 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 36 16 — — $60,233.36 $179,104.12 $102,241.21 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 42 16 — — $1,980.00 $190,100.66 $101,610.96 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 50 16 — — $1,945.00 $203,797.09 $101,368.27 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 38 16 — — $45,787.69 $177,087.90 $101,090.26 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 36 16 — — $58,847.91 $174,928.76 $99,857.71 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 51 16 — — $2,625.00 $177,539.81 $98,650.08 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 36 16 — — $58,002.03 $172,379.51 $98,402.48 2026-04-01
245 MS_DRG Aicd Generator Procedures 41 16 — — $24,518.57 $176,222.70 $97,411.80 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 44 16 — — $1,894.41 $175,693.54 $97,371.74 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 47 17 — — $8,519.32 $194,677.72 $96,686.16 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 48 16 — — $1,945.00 $181,220.78 $96,654.76 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 45 16 — — $1,945.00 $192,638.32 $95,962.56 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 43 16 — — $36,394.03 $162,843.00 $95,433.38 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 38 16 — — $40,654.71 $167,145.83 $95,414.85 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
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Or Infection Wi… 37 16 — — $54,281.43 $161,166.67 $94,450.97 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 46 16 — — $24,752.74 $169,671.90 $94,034.47 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 18 3 — — $47,673.88 $120,718.89 $92,808.84 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 46 16 — — $21,507.05 $173,441.90 $92,639.26 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 36 16 — — $54,489.06 $161,792.40 $92,358.85 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc O… 37 16 — — $20,997.48 $165,813.26 $92,134.22 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 45 16 — — $375.00 $178,389.56 $92,092.89 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 45 16 — — $1,810.00 $183,885.90 $91,602.55 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 47 16 — — $34,722.33 $155,291.81 $91,008.04 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 42 16 — — $38,943.83 $163,800.90 $90,780.68 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 53 16 — — $18,195.55 $175,616.29 $90,661.20 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 39 16 — — $2,000.00 $162,761.89 $90,438.72 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 40 16 — — $36,891.63 $163,121.10 $90,403.93 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 37 16 — — $41,741.82 $162,093.67 $90,067.43 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 45 16 — — $1,945.00 $180,411.19 $89,708.36 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 36 16 — — $51,865.55 $153,885.86 $87,845.42 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 36 16 — — $50,713.35 $150,413.48 $85,863.21 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 40 16 — — $150.00 $160,409.62 $85,740.76 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 36 16 — — $50,412.17 $149,505.79 $85,345.07 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 46 16 — — $34,705.74 $159,347.44 $85,173.01 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 45 18 — — $2,225.00 $164,747.21 $85,050.08 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 41 16 — — $31,772.58 $144,353.21 $84,597.52 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc Or In… 44 16 — — $31,617.39 $141,815.55 $83,986.01 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 52 16 — — $2,028.00 $149,281.76 $82,733.98 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 44 16 — — $1,575.00 $148,292.96 $82,185.98 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 37 16 — — $47,308.04 $140,150.81 $82,134.73 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 50 16 — — $11,279.38 $149,138.85 $81,489.29 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 54 16 — — $15,202.00 $161,050.80 $81,171.58 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 37 16 — — $46,569.82 $137,926.01 $80,830.89 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 41 16 — — $33,570.10 $147,785.08 $80,761.51 2026-04-01
332 MS_DRG Rectal Resection With Mcc 36 16 — — $47,208.08 $139,849.54 $79,832.82 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc Or Insertion… 38 16 — — $31,643.23 $143,947.65 $79,777.74 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 36 16 — — $47,094.01 $139,505.78 $79,636.57 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 37 16 — — $48,298.75 $143,136.52 $79,533.88 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 40 16 — — $375.00 $139,297.20 $79,517.51 2026-04-01
791 MS_DRG Prematurity With Major Problems 48 16 — — $15,202.00 $156,778.88 $79,009.86 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 36 16 — — $46,722.34 $138,385.65 $78,997.15 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 37 16 — — $24,654.26 $141,873.49 $78,832.07 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 36 16 — — $46,615.96 $138,065.06 $78,814.15 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 36 16 — — $46,501.89 $137,721.30 $78,617.92 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 43 16 — — $32,764.64 $149,560.82 $78,127.60 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 40 16 — — $32,121.65 $131,773.05 $78,038.64 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 37 16 — — $33,636.85 $140,042.66 $77,814.77 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 36 16 — — $45,909.78 $135,936.83 $77,599.25 2026-04-01
265 MS_DRG Aicd Lead Procedures 40 16 — — $20,434.05 $139,752.98 $77,453.00 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 46 17 — — $10,544.74 $144,368.66 $77,166.68 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 38 16 — — $36,892.87 $134,700.83 $76,893.68 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 48 17 — — $1,720.00 $166,718.46 $76,636.08 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 37 16 — — $35,758.35 $137,605.42 $76,460.52 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 38 16 — — $35,738.31 $137,474.10 $76,190.01 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc Or Insertion O… 38 16 — — $30,591.51 $143,677.06 $76,170.48 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 38 16 — — $33,137.29 $134,082.83 $74,310.52 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 44 16 — — $25,755.62 $132,421.95 $74,183.24 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 44 16 — — $29,580.65 $124,774.20 $73,893.79 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 38 16 — — $34,541.72 $132,815.92 $73,608.39 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 36 16 — — $43,140.16 $127,589.96 $72,834.46 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 36 16 — — $42,996.61 $127,157.36 $72,587.51 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 43 18 — — $11,050.92 $144,712.42 $72,088.33 2026-04-01
652 MS_DRG Kidney Transplant 36 16 — — $42,194.31 $124,739.44 $71,207.24 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 36 16 — — $42,163.55 $124,646.74 $71,154.33 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 36 16 — — $42,082.81 $124,403.40 $71,015.42 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 37 16 — — $41,608.60 $122,974.28 $70,525.94 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 57 16 — — $1,945.00 $127,141.91 $70,281.09 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 36 16 — — $41,648.33 $123,094.01 $70,267.96 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 36 16 — — $41,365.09 $122,240.40 $69,780.68 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 36 16 — — $41,303.57 $122,055.00 $69,674.84 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 54 16 — — $1,810.00 $137,362.09 $69,669.70 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 39 16 — — $32,586.29 $125,639.40 $69,450.53 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 40 16 — — $29,023.71 $125,087.06 $69,324.95 2026-04-01
665 MS_DRG Prostatectomy With Mcc 36 16 — — $40,806.30 $120,556.35 $68,819.33 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 38 16 — — $25,555.45 $124,001.70 $68,723.43 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 37 16 — — $41,526.58 $122,727.08 $68,193.36 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 47 16 — — $1,945.00 $113,793.11 $68,093.21 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 37 16 — — $13,655.71 $121,363.61 $67,435.75 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 49 16 — — $1,945.00 $134,735.59 $67,118.38 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 46 16 — — $1,945.00 $120,092.85 $66,878.96 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 44 17 — — $9,380.71 $131,599.24 $66,746.79 2026-04-01
464 MS_DRG Wound Debridement Or Skin Graft Except Hand For Musculoskeletal And Connective T… 40 16 — — $1,125.00 $120,305.29 $66,674.83 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 36 16 — — $39,468.27 $116,523.90 $66,517.42 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 39 16 — — $10,103.67 $118,250.44 $65,705.91 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 36 16 — — $38,950.48 $114,963.45 $65,626.64 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 46 16 — — $1,945.00 $121,707.38 $65,053.97 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 36 16 — — $38,536.52 $113,715.86 $64,914.46 2026-04-01
570 MS_DRG Skin Debridement With Mcc 36 16 — — $38,498.07 $113,599.99 $64,848.32 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 37 16 — — $25,520.54 $116,666.81 $64,825.97 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 36 16 — — $38,227.64 $112,785.00 $64,383.08 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 47 16 — — $150.00 $129,030.68 $64,276.48 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 8 4 — — $63,235.61 $91,350.89 $63,881.29 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 36 16 — — $37,809.83 $111,525.82 $63,664.29 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 44 16 — — $9,270.15 $124,948.01 $63,647.18 2026-04-01
9494 OTHER Injection, Ocrelizumab 2 2 — — $18,956.93 $108,326.88 $63,641.91 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 36 16 — — $37,738.05 $111,309.52 $63,540.81 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 43 16 — — $150.00 $121,649.44 $62,801.03 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 42 16 — — $34,895.38 $102,742.50 $62,548.57 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 38 16 — — $28,144.56 $112,089.75 $62,452.60 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 39 16 — — $24,205.42 $106,492.99 $62,409.72 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 39 16 — — $5,860.65 $112,020.22 $62,244.09 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 48 16 — — $890.00 $123,321.90 $61,340.07 2026-04-01
849 MS_DRG Radiotherapy 37 16 — — $35,529.79 $104,654.44 $61,332.24 2026-04-01
263 MS_DRG Vein Ligation And Stripping 41 17 — — $8,939.68 $118,092.08 $60,964.56 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 49 18 — — $19,708.47 $110,100.56 $60,861.03 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 47 16 — — $445.00 $141,490.00 $60,849.33 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 3 2 — — $31,905.54 $60,422.34 $60,422.34 2026-04-01
800 MS_DRG Splenic Procedures With Cc 38 16 — — $27,964.35 $108,513.08 $60,139.42 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 38 16 — — $12,427.65 $108,122.96 $59,923.21 2026-04-01
503 MS_DRG Foot Procedures With Mcc 38 16 — — $25,493.40 $107,806.24 $59,747.68 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 36 16 — — $35,487.50 $104,526.98 $59,669.00 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 38 16 — — $14,647.30 $104,187.08 $59,474.97 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 42 16 — — $22,413.09 $116,651.36 $59,165.26 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 39 16 — — $1,575.00 $100,135.31 $58,683.83 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 37 16 — — $33,859.82 $99,621.60 $58,382.77 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 39 16 — — $26,152.37 $105,593.02 $58,369.36 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 45 16 — — $1,123.44 $117,157.35 $58,185.88 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 38 16 — — $25,556.37 $101,869.58 $58,152.04 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc Or Insertion Of Antibiotic-… 43 16 — — $20,896.44 $112,487.59 $58,071.26 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 45 16 — — $1,945.00 $111,471.75 $57,546.84 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 44 16 — — $22,835.51 $94,295.21 $57,405.95 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 37 16 — — $33,859.82 $99,621.60 $57,319.00 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 46 16 — — $1,945.00 $107,064.64 $57,227.26 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 55 16 — — $50.00 $105,333.99 $57,108.36 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 48 16 — — $11,978.01 $154,207.74 $56,748.29 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 38 16 — — $23,168.00 $99,173.55 $56,613.01 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 42 16 — — $1,945.00 $110,861.48 $56,228.65 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 52 16 — — $1,945.00 $105,090.90 $55,958.16 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 7 3 — — $55,015.23 $79,424.05 $55,932.43 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 52 16 — — $1,480.00 $97,956.86 $55,918.47 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 46 16 — — $10,740.38 $106,141.50 $55,402.60 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 49 16 — — $375.00 $161,031.58 $54,509.10 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 48 16 — — $196.95 $98,142.26 $54,391.78 2026-04-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 36 16 — — $32,321.85 $94,986.60 $54,222.90 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 43 16 — — $6,566.44 $92,174.70 $54,018.55 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 47 16 — — $1,125.00 $97,489.50 $53,889.92 2026-04-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 39 16 — — $30,608.30 $89,822.44 $53,749.28 2026-04-01
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 36 16 — — $31,847.65 $93,557.48 $53,407.09 2026-04-01
545 MS_DRG Connective Tissue Disorders With Mcc 45 16 — — $12,439.66 $95,855.66 $53,262.25 2026-04-01
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 36 16 — — $31,746.40 $93,252.34 $53,232.90 2026-04-01
397 MS_DRG Appendix Procedures With Mcc 38 16 — — $31,497.76 $92,503.01 $52,805.15 2026-04-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 44 16 — — $21,943.18 $94,959.56 $52,627.88 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 53 16 — — $1,575.00 $100,255.05 $51,756.26 2026-04-01
333 MS_DRG Rectal Resection With Cc 36 16 — — $30,822.34 $90,467.48 $51,643.17 2026-04-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 37 16 — — $31,631.05 $92,904.71 $51,622.55 2026-04-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 38 16 — — $20,462.18 $90,262.76 $51,526.31 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 41 16 — — $11,703.37 $99,760.65 $51,501.03 2026-04-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 40 16 — — $1,945.00 $96,249.64 $51,446.52 2026-04-01
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 41 16 — — $30,045.67 $88,126.80 $51,363.00 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 52 16 — — $21,204.65 $92,591.85 $51,315.67 2026-04-01
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 39 16 — — $21,289.44 $87,508.80 $51,284.12 2026-04-01
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 40 16 — — $29,494.56 $86,465.92 $51,206.85 2026-04-01
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/Mcc 43 16 — — $19,831.81 $82,684.54 $51,196.98 2026-04-01
35 MS_DRG Carotid Artery Stent Procedures With Cc 40 16 — — $21,966.32 $92,333.06 $51,172.24 2026-04-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 42 16 — — $2,081.17 $89,270.10 $50,959.65 2026-04-01
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/Mcc 38 16 — — $29,251.05 $85,732.05 $50,772.24 2026-04-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 48 16 — — $1,808.78 $94,407.22 $50,289.85 2026-04-01
30 MS_DRG Spinal Procedures Without Cc/Mcc 38 16 — — $28,938.33 $84,789.60 $50,214.11 2026-04-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 49 16 — — $1,945.00 $133,058.00 $49,858.37 2026-04-01
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 45 16 — — $1,945.00 $84,924.79 $49,769.77 2026-04-01
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 40 16 — — $1,810.00 $88,640.51 $49,737.51 2026-04-01
709 MS_DRG Penis Procedures With Cc/Mcc 41 16 — — $1,945.00 $89,884.24 $49,685.91 2026-04-01
614 MS_DRG Adrenal And Pituitary Procedures With Cc/Mcc 42 16 — — $23,667.57 $84,658.28 $49,671.89 2026-04-01
715 MS_DRG Male Reproductive System And Other O.r. Procedures For Malignancy With Cc/Mcc 36 16 — — $29,477.90 $86,415.71 $49,330.22 2026-04-01
347 MS_DRG Anal And Stomal Procedures With Mcc 40 18 — — $150.00 $88,667.55 $49,140.76 2026-04-01
9149 OTHER Inj Ublituximab-xiiy, 1 Mg 2 2 — — $11,449.29 $86,634.45 $49,041.87 2026-04-01
792 MS_DRG Prematurity Without Major Problems 47 16 — — $6,060.00 $94,600.35 $48,837.05 2026-04-01
934 MS_DRG Full Thickness Burn Without Skin Graft Or Inhalation Injury 36 16 — — $29,135.70 $85,384.42 $48,741.52 2026-04-01
336 MS_DRG Peritoneal Adhesiolysis With Cc 41 16 — — $27,829.71 $81,448.54 $48,738.38 2026-04-01
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 38 16 — — $20,893.67 $87,898.91 $48,714.77 2026-04-01
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 43 16 — — $2,988.34 $345,672.87 $48,474.99 2026-04-01
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 39 16 — — $11,351.09 $82,143.79 $48,139.98 2026-04-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 52 16 — — $1,945.00 $85,469.40 $47,368.30 2026-04-01
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 42 16 — — $11,351.09 $85,280.14 $47,263.41 2026-04-01
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 48 16 — — $1,960.00 $88,281.30 $47,241.94 2026-04-01
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/Mcc 50 16 — — $1,788.00 $77,501.06 $47,181.84 2026-04-01
711 MS_DRG Testes Procedures With Cc/Mcc 39 16 — — $27,510.59 $168,113.84 $47,168.90 2026-04-01
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/Mcc 36 16 — — $28,102.70 $82,271.25 $46,964.37 2026-04-01
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 46 16 — — $11,313.39 $87,752.14 $46,904.51 2026-04-01
113 MS_DRG Orbital Procedures With Cc/Mcc 41 17 — — $8,388.81 $90,811.24 $46,880.93 2026-04-01
744 MS_DRG D&c, Conization, Laparoscopy And Tubal Interruption With Cc/Mcc 38 16 — — $27,065.86 $79,146.49 $46,872.14 2026-04-01
595 MS_DRG Major Skin Disorders With Mcc 36 16 — — $27,983.51 $81,912.04 $46,759.32 2026-04-01
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 37 16 — — $18,872.20 $84,098.21 $46,729.21 2026-04-01
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 41 18 — — $3,331.75 $91,273.34 $46,713.85 2026-04-01
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 36 16 — — $27,941.22 $81,784.58 $46,686.56 2026-04-01
655 MS_DRG Major Bladder Procedures Without Cc/Mcc 40 16 — — $20,112.46 $81,753.68 $46,668.92 2026-04-01
737 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 39 16 — — $21,021.45 $79,590.68 $46,643.74 2026-04-01
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 42 16 — — $7,434.43 $84,156.15 $46,640.49 2026-04-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 43 16 — — $1,945.00 $90,328.42 $46,631.68 2026-04-01
135 MS_DRG Sinus And Mastoid Procedures With Cc/Mcc 39 17 — — $21,618.50 $83,816.25 $46,572.54 2026-04-01
412 MS_DRG Cholecystectomy With C.d.e. With Cc 36 16 — — $27,750.25 $81,209.06 $46,358.03 2026-04-01
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 46 16 — — $17,672.78 $76,021.73 $46,281.24 2026-04-01
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 43 16 — — $18,013.15 $77,176.61 $46,182.09 2026-04-01
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 38 16 — — $20,771.45 $80,849.85 $46,152.97 2026-04-01
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 41 16 — — $19,050.20 $80,316.82 $46,119.15 2026-04-01
838 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Che… 36 16 — — $27,556.73 $80,625.82 $46,025.08 2026-04-01
835 MS_DRG Acute Leukemia With Cc 38 16 — — $20,692.50 $80,564.02 $45,989.81 2026-04-01
32 MS_DRG Ventricular Shunt Procedures With Cc 39 16 — — $19,213.54 $82,309.88 $45,735.52 2026-04-01
374 MS_DRG Digestive Malignancy With Mcc 49 16 — — $1,980.00 $97,166.17 $45,663.38 2026-04-01
499 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Without… 37 16 — — $26,626.26 $77,821.65 $45,607.01 2026-04-01
935 MS_DRG Non-extensive Burns 36 16 — — $27,205.56 $79,567.50 $45,420.94 2026-04-01
941 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/… 41 16 — — $17,630.87 $78,319.91 $45,325.79 2026-04-01
843 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 37 16 — — $26,369.93 $77,049.15 $45,154.29 2026-04-01
141 MS_DRG Major Head And Neck Procedures With Cc 52 18 — — $11,468.16 $84,244.99 $45,029.90 2026-04-01
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