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

NY EYE AND EAR INFIRMARY OF MOUNT SINAI

New York, NY · CCN 330100 · Rates published

Your selected procedure

You selected 29806 (HCPCS)

Shoulder arthroscopy/surgery

This hospital’s price: $7,536 across 6 payers · range $1,181-$14,174

Source: https://www.mountsinai.org/files/mrf/135562304_new-york-eye-and-ear-infirmary-of-mount-sinai_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.

18,002 distinct procedures filed
20 distinct payers
202,931 rate rows
2026-04-01 last MRF observed
Data quality

156,983 of 202,931 rate rows are consumer-grade (77.4%)

45,948 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 42,516
template filing: same amount across many unrelated codes — excluded 1,626
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 1,594
placeholder amount (≤ $0.02) — excluded from medians 164
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 48
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.mountsinai.org/files/mrf/135562304_new-york-eye-and-ear-infirmary-of-mount-sinai_standardcharges.json
Found on page https://www.mountsinai.org/about/insurance/price-transparency
Discovered viaCMS hospital list
Last fetch success · 2026-11-07
Content fingerprint f9111616af043c5c… · 47,656,623 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
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
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 $3,301,546.67 $3,187,200.00 nat. median
$3,324,572
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 2 $3,087,600.00 $3,235,299.49 $3,087,600.00 nat. median
$3,286,000
0.9× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 2 $2,788,800.00 $2,925,123.30 $2,788,800.00 nat. median
$2,983,626
0.9× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 2 $2,312,756.18 $2,679,817.05 $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 $445,085.12 $1,447,876.10 $993,782.62 nat. median
$360,195
outlier · 2.8×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 16 $288,842.34 $939,613.34 $740,394.40 nat. median
$247,805
outlier · 3.0×
Q2056
HCPCS 		Ciltacabtagene Car-pos T 3 $527,123.43 $689,170.22 $589,953.47 nat. median
$646,415
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 3 $516,726.08 $684,222.25 $585,717.84 nat. median
$637,620
0.9× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 16 $220,059.60 $715,860.91 $579,954.31 nat. median
$197,664
outlier · 2.9×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 16 $218,768.14 $711,659.73 $576,550.72 nat. median
$190,274
outlier · 3.0×
Q2055
HCPCS 		Idecabtagene Vicleucel Car 3 $526,587.59 $667,986.54 $571,819.51 nat. median
$621,967
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 3 $460,530.40 $617,529.18 $528,626.27 nat. median
$589,091
0.9× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 16 $142,766.38 $524,484.83 $376,252.51 nat. median
$126,240
outlier · 3.0×
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 $133,477.71 $510,065.77 $351,772.76 nat. median
$117,943
outlier · 3.0×
783
MS_DRG 		Cesarean Section With Sterilization With Mcc 12 $342,145.81 $342,145.81 $342,145.81 nat. median
$18,817
outlier · 18.2×
786
MS_DRG 		Cesarean Section Without Sterilization With Mcc 12 $329,256.34 $329,256.34 $329,256.34 nat. median
$14,838
outlier · 22.2×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 16 $123,868.50 $495,149.11 $326,448.22 nat. median
$109,875
outlier · 3.0×
796
MS_DRG 		Vaginal Delivery With Sterilization And/Or D&c With Mcc 12 $321,536.42 $321,536.42 $321,536.42 nat. median
$11,337
outlier · 28.4×
787
MS_DRG 		Cesarean Section Without Sterilization With Cc 12 $320,733.22 $320,733.22 $320,733.22 nat. median
$10,903
outlier · 29.4×
805
MS_DRG 		Vaginal Delivery Without Sterilization Or D&c With Mcc 12 $320,131.63 $320,131.63 $320,131.63 nat. median
$9,891
outlier · 32.4×
768
MS_DRG 		Vaginal Delivery With O.r. Procedures Except Sterilization And/Or D&c 12 $320,010.03 $320,010.03 $320,010.03 nat. median
$10,153
outlier · 31.5×
784
MS_DRG 		Cesarean Section With Sterilization With Cc 12 $319,826.03 $319,826.03 $319,826.03 nat. median
$10,552
outlier · 30.3×
797
MS_DRG 		Vaginal Delivery With Sterilization And/Or D&c With Cc 12 $318,870.84 $318,870.84 $318,870.84 nat. median
$9,503
outlier · 33.6×
788
MS_DRG 		Cesarean Section Without Sterilization Without Cc/Mcc 12 $318,205.25 $318,205.25 $318,205.25 nat. median
$9,590
outlier · 33.2×
785
MS_DRG 		Cesarean Section With Sterilization Without Cc/Mcc 12 $318,189.25 $318,189.25 $318,189.25 nat. median
$9,456
outlier · 33.6×
798
MS_DRG 		Vaginal Delivery With Sterilization And/Or D&c Without Cc/Mcc 12 $318,178.05 $318,178.05 $318,178.05 nat. median
$9,220
outlier · 34.5×
806
MS_DRG 		Vaginal Delivery Without Sterilization Or D&c With Cc 12 $314,928.48 $314,928.48 $314,928.48 nat. median
$7,619
outlier · 41.3×
807
MS_DRG 		Vaginal Delivery Without Sterilization Or D&c Without Cc/Mcc 12 $313,651.69 $313,651.69 $313,651.69 nat. median
$6,983
outlier · 44.9×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 16 $116,796.86 $484,171.62 $307,811.35 nat. median
$103,911
outlier · 3.0×
209
MS_DRG 		Complex Aortic Arch Procedures 16 $116,662.87 $483,963.62 $307,458.22 nat. median
$92,760
outlier · 3.3×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 $113,595.51 $479,202.07 $299,374.36 nat. median
$93,094
outlier · 3.2×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 16 $112,079.35 $476,848.49 $295,378.62 nat. median
$97,029
outlier · 3.0×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 16 $106,270.32 $467,830.98 $280,069.27 nat. median
$94,844
outlier · 3.0×
215
MS_DRG 		Other Heart Assist System Implant 16 $102,626.80 $462,175.04 $270,466.97 nat. median
$93,531
outlier · 2.9×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 $100,831.32 $459,387.87 $265,735.08 nat. median
$90,525
outlier · 2.9×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 16 $92,861.95 $447,016.79 $244,732.27 nat. median
$77,933
outlier · 3.1×
850
MS_DRG 		Acute Leukemia With Other Procedures 16 $89,253.47 $441,415.24 $235,222.33 nat. median
$78,028
outlier · 3.0×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 16 $86,886.98 $437,741.68 $228,985.59 nat. median
$76,979
outlier · 3.0×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Or Infection Wi… 16 $86,613.84 $437,317.68 $228,265.76 nat. median
$77,595
outlier · 2.9×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 16 $81,103.72 $428,764.17 $213,744.15 nat. median
$74,260
outlier · 2.9×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 16 $79,140.24 $425,716.20 $208,569.50 nat. median
$72,153
outlier · 2.9×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 16 $78,799.08 $425,186.60 $207,670.39 nat. median
$71,672
outlier · 2.9×
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 16 $78,538.31 $424,781.80 $206,983.15 nat. median
$67,850
outlier · 3.1×
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 $74,402.11 $418,361.07 $196,082.44 nat. median
$63,446
outlier · 3.1×
10
MS_DRG 		Pancreas Or Islet Cell Transplant 16 $73,959.94 $417,674.67 $194,917.13 nat. median
$64,615
outlier · 3.0×
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 16 $73,929.02 $417,626.67 $194,835.64 nat. median
$61,444
outlier · 3.2×
19
MS_DRG 		Simultaneous Pancreas, Islet Cell And Kidney Transplant With Hemodialysis 16 $73,536.32 $417,017.08 $193,800.71 nat. median
$66,332
outlier · 2.9×

Other procedures at this hospital

Browse this hospital's 18,002 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
             
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 3 2 — — $3,486,000.00 $3,691,450.00 $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 $3,301,546.67 $3,187,200.00 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 3 2 — — $3,087,600.00 $3,235,299.49 $3,087,600.00 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 3 2 — — $2,788,800.00 $2,925,123.30 $2,788,800.00 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 3 2 — — $2,312,756.18 $2,679,817.05 $2,312,756.18 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 30 16 — — $445,085.12 $1,447,876.10 $993,782.62 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 30 16 — — $288,842.34 $939,613.34 $740,394.40 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 6 3 — — $527,123.43 $689,170.22 $589,953.47 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 6 3 — — $516,726.08 $684,222.25 $585,717.84 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 30 16 — — $220,059.60 $715,860.91 $579,954.31 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 30 16 — — $218,768.14 $711,659.73 $576,550.72 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 6 3 — — $526,587.59 $667,986.54 $571,819.51 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 6 3 — — $460,530.40 $617,529.18 $528,626.27 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 30 16 — — $142,766.38 $524,484.83 $376,252.51 2026-04-01
C9073 HCPCS Brexucabtagene Autoleucel Ca 1 1 — — $371,508.00 $371,508.00 $371,508.00 2026-04-01
7 MS_DRG Lung Transplant 30 16 — — $133,477.71 $510,065.77 $351,772.76 2026-04-01
783 MS_DRG Cesarean Section With Sterilization With Mcc 12 12 — — $342,145.81 $342,145.81 $342,145.81 2026-04-01
786 MS_DRG Cesarean Section Without Sterilization With Mcc 12 12 — — $329,256.34 $329,256.34 $329,256.34 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 30 16 — — $123,868.50 $495,149.11 $326,448.22 2026-04-01
796 MS_DRG Vaginal Delivery With Sterilization And/Or D&c With Mcc 12 12 — — $321,536.42 $321,536.42 $321,536.42 2026-04-01
787 MS_DRG Cesarean Section Without Sterilization With Cc 12 12 — — $320,733.22 $320,733.22 $320,733.22 2026-04-01
805 MS_DRG Vaginal Delivery Without Sterilization Or D&c With Mcc 12 12 — — $320,131.63 $320,131.63 $320,131.63 2026-04-01
768 MS_DRG Vaginal Delivery With O.r. Procedures Except Sterilization And/Or D&c 12 12 — — $320,010.03 $320,010.03 $320,010.03 2026-04-01
784 MS_DRG Cesarean Section With Sterilization With Cc 12 12 — — $319,826.03 $319,826.03 $319,826.03 2026-04-01
797 MS_DRG Vaginal Delivery With Sterilization And/Or D&c With Cc 12 12 — — $318,870.84 $318,870.84 $318,870.84 2026-04-01
788 MS_DRG Cesarean Section Without Sterilization Without Cc/Mcc 12 12 — — $318,205.25 $318,205.25 $318,205.25 2026-04-01
785 MS_DRG Cesarean Section With Sterilization Without Cc/Mcc 12 12 — — $318,189.25 $318,189.25 $318,189.25 2026-04-01
798 MS_DRG Vaginal Delivery With Sterilization And/Or D&c Without Cc/Mcc 12 12 — — $318,178.05 $318,178.05 $318,178.05 2026-04-01
806 MS_DRG Vaginal Delivery Without Sterilization Or D&c With Cc 12 12 — — $314,928.48 $314,928.48 $314,928.48 2026-04-01
807 MS_DRG Vaginal Delivery Without Sterilization Or D&c Without Cc/Mcc 12 12 — — $313,651.69 $313,651.69 $313,651.69 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 30 16 — — $116,796.86 $484,171.62 $307,811.35 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 30 16 — — $116,662.87 $483,963.62 $307,458.22 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 30 16 — — $113,595.51 $479,202.07 $299,374.36 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 30 16 — — $112,079.35 $476,848.49 $295,378.62 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 30 16 — — $106,270.32 $467,830.98 $280,069.27 2026-04-01
215 MS_DRG Other Heart Assist System Implant 30 16 — — $102,626.80 $462,175.04 $270,466.97 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 30 16 — — $100,831.32 $459,387.87 $265,735.08 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 30 16 — — $92,861.95 $447,016.79 $244,732.27 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 30 16 — — $89,253.47 $441,415.24 $235,222.33 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 30 16 — — $86,886.98 $437,741.68 $228,985.59 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Or Infection Wi… 30 16 — — $86,613.84 $437,317.68 $228,265.76 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 30 16 — — $81,103.72 $428,764.17 $213,744.15 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 30 16 — — $79,140.24 $425,716.20 $208,569.50 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 30 16 — — $78,799.08 $425,186.60 $207,670.39 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 30 16 — — $78,538.31 $424,781.80 $206,983.15 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 30 16 — — $74,402.11 $418,361.07 $196,082.44 2026-04-01
10 MS_DRG Pancreas Or Islet Cell Transplant 30 16 — — $73,959.94 $417,674.67 $194,917.13 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 30 16 — — $73,929.02 $417,626.67 $194,835.64 2026-04-01
19 MS_DRG Simultaneous Pancreas, Islet Cell And Kidney Transplant With Hemodialysis 30 16 — — $73,536.32 $417,017.08 $193,800.71 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 30 16 — — $73,493.03 $416,949.88 $193,686.62 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 30 16 — — $71,239.92 $413,452.32 $187,748.68 2026-04-01
C1833 HCPCS Cardiac Monitor Sys 1 1 — — $187,725.00 $187,725.00 $187,725.00 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 30 16 — — $70,890.52 $412,909.92 $186,827.83 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 30 16 — — $69,377.45 $410,561.14 $182,840.23 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 30 16 — — $68,917.76 $409,847.55 $181,628.74 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc 30 16 — — $68,867.25 $409,769.15 $181,495.64 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 30 16 — — $67,771.62 $408,068.37 $178,608.16 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 30 16 — — $67,771.62 $408,068.37 $178,608.16 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 30 16 — — $67,525.28 $407,685.97 $177,958.96 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 30 16 — — $66,322.45 $405,818.79 $174,788.97 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 30 16 — — $63,165.42 $400,918.04 $166,468.80 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 30 16 — — $63,092.24 $400,804.44 $166,275.93 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 30 16 — — $62,487.22 $399,865.25 $164,681.43 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 30 16 — — $61,927.55 $398,996.46 $163,206.46 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 30 16 — — $61,910.03 $398,969.26 $163,160.28 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Or Infection Wi… 30 16 — — $61,461.67 $398,273.26 $161,978.67 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 30 16 — — $61,259.65 $397,959.67 $161,446.27 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 30 16 — — $61,117.42 $397,738.87 $161,071.40 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 30 16 — — $60,487.66 $396,761.28 $159,411.72 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 30 16 — — $60,448.49 $396,700.48 $159,308.49 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 30 16 — — $59,441.50 $395,137.30 $156,654.62 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 30 16 — — $59,062.20 $394,548.50 $155,655.01 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 30 16 — — $58,821.02 $394,174.10 $155,019.38 2026-04-01
463 MS_DRG Wound Debridement Or Skin Graft Except Hand For Musculoskeletal And Connective T… 30 16 — — $58,744.75 $394,055.71 $154,818.36 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 30 16 — — $57,945.95 $392,815.72 $152,713.20 2026-04-01
8 MS_DRG Simultaneous Pancreas, Islet Cell And Kidney Transplant 30 16 — — $57,766.61 $392,537.32 $152,240.55 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 30 16 — — $57,370.82 $391,922.93 $151,197.47 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 30 16 — — $56,925.56 $391,231.73 $150,024.01 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 30 16 — — $56,584.40 $390,702.14 $149,124.90 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 30 16 — — $56,384.44 $390,391.74 $148,597.93 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 30 16 — — $56,304.05 $390,266.94 $148,386.05 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 30 16 — — $56,215.41 $390,129.34 $148,152.45 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 30 16 — — $55,990.72 $389,780.55 $147,560.29 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 30 16 — — $54,965.17 $388,188.56 $144,857.51 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc 30 16 — — $54,932.19 $388,137.36 $144,770.59 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 30 16 — — $54,563.20 $387,564.57 $143,798.14 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 30 16 — — $54,382.82 $387,284.57 $143,322.78 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 30 16 — — $53,652.06 $386,150.18 $141,396.89 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 30 16 — — $53,559.29 $386,006.18 $141,152.41 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 30 16 — — $51,949.34 $383,507.01 $136,909.48 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 30 16 — — $51,405.13 $382,662.22 $135,475.24 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 30 16 — — $50,992.85 $382,022.22 $134,388.70 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 30 16 — — $50,902.15 $381,881.43 $134,149.66 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 30 16 — — $50,727.96 $381,611.03 $133,690.60 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 30 16 — — $50,516.67 $381,283.03 $133,133.74 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 30 16 — — $49,769.41 $380,123.04 $131,164.39 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 30 16 — — $49,517.92 $379,732.65 $130,501.60 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 30 16 — — $49,069.57 $379,036.65 $129,319.99 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 30 16 — — $48,457.33 $378,086.26 $127,706.48 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 30 16 — — $48,358.38 $377,932.66 $127,445.71 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 30 16 — — $48,214.08 $377,708.67 $127,065.42 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 30 16 — — $47,793.56 $377,055.87 $125,957.15 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 30 16 — — $47,602.88 $376,759.88 $125,454.62 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 30 16 — — $47,376.13 $376,407.88 $124,857.02 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 30 16 — — $47,255.53 $376,220.68 $124,539.21 2026-04-01
245 MS_DRG Aicd Generator Procedures 30 16 — — $47,024.66 $375,862.28 $123,930.76 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 30 16 — — $46,883.45 $375,643.09 $123,558.61 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 30 16 — — $46,862.84 $375,611.09 $123,504.29 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 30 16 — — $46,679.37 $375,326.29 $123,020.77 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 30 16 — — $46,193.91 $374,572.70 $121,741.38 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 30 16 — — $46,180.51 $374,551.90 $121,706.07 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 30 16 — — $45,999.11 $374,270.30 $121,227.98 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 30 16 — — $45,276.59 $373,148.71 $119,323.82 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 30 16 — — $44,602.51 $372,102.32 $117,547.33 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc O… 30 16 — — $44,246.92 $371,550.33 $116,610.19 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 30 16 — — $43,962.45 $371,108.73 $115,860.48 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 30 16 — — $43,709.93 $370,716.73 $115,194.98 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 30 16 — — $43,528.52 $370,435.14 $114,716.90 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 30 16 — — $43,454.31 $370,319.94 $114,521.32 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 30 16 — — $43,432.67 $370,286.34 $114,464.27 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 30 16 — — $43,305.89 $370,089.54 $114,130.16 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 30 16 — — $43,254.36 $370,009.54 $113,994.35 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 30 16 — — $43,173.96 $369,884.74 $113,782.47 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Or Infection Wi… 30 16 — — $43,006.99 $369,625.55 $113,342.42 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 30 16 — — $42,976.07 $369,577.55 $113,260.93 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 30 16 — — $42,804.97 $369,311.95 $112,810.01 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 30 16 — — $42,521.53 $368,871.95 $112,063.02 2026-04-01
A9545 HCPCS I-131 Tositumomab, Rx, Per Dose 7 1 — — $90,813.09 $130,174.99 $111,302.96 2026-04-01
791 MS_DRG Prematurity With Major Problems 30 16 — — $41,836.11 $367,807.96 $110,256.65 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 30 16 — — $41,439.29 $367,191.97 $109,210.85 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 30 16 — — $41,064.12 $366,609.57 $108,222.11 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 30 16 — — $40,319.95 $365,454.39 $106,260.90 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 30 16 — — $40,137.52 $365,171.19 $105,780.10 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 30 16 — — $39,895.30 $364,795.19 $105,141.76 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 30 16 — — $39,797.39 $364,643.19 $104,883.70 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 30 16 — — $39,571.67 $364,292.80 $104,288.82 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 30 16 — — $38,785.24 $363,072.01 $102,216.25 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 30 16 — — $38,616.21 $362,809.61 $101,770.77 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 30 16 — — $38,524.47 $362,667.21 $101,529.01 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 30 16 — — $38,520.35 $362,660.81 $101,518.15 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc Or Insertion… 30 16 — — $38,412.13 $362,492.82 $101,232.93 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 30 16 — — $38,195.68 $362,156.82 $100,662.50 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 30 16 — — $37,858.64 $361,633.62 $99,774.25 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc Or In… 30 16 — — $37,843.18 $361,609.62 $99,733.51 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 30 16 — — $37,398.95 $360,920.03 $98,562.76 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 30 16 — — $37,370.09 $360,875.23 $98,486.71 2026-04-01
332 MS_DRG Rectal Resection With Mcc 30 16 — — $37,318.55 $360,795.23 $98,350.88 2026-04-01
265 MS_DRG Aicd Lead Procedures 30 16 — — $37,292.79 $360,755.23 $98,282.98 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 30 16 — — $37,226.82 $360,652.83 $98,109.13 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 30 16 — — $37,171.16 $360,566.43 $97,962.45 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 30 16 — — $36,927.92 $360,188.84 $97,321.39 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 30 16 — — $36,842.37 $360,056.04 $97,095.93 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 30 16 — — $36,805.27 $359,998.44 $96,998.14 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 30 16 — — $36,750.64 $359,913.64 $96,854.17 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 30 16 — — $36,719.72 $359,865.64 $96,772.68 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 30 16 — — $36,684.67 $359,811.24 $96,680.32 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 30 16 — — $36,654.78 $359,764.84 $96,601.55 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 30 16 — — $36,348.67 $359,289.65 $95,794.80 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 30 16 — — $36,274.46 $359,174.45 $95,599.22 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 37 16 — — $28,000.00 $364,702.39 $95,021.51 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 30 16 — — $35,953.91 $358,676.85 $94,754.43 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 30 16 — — $35,944.63 $358,662.45 $94,729.99 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 30 16 — — $35,779.72 $358,406.46 $94,295.38 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 2 2 — — $80,060.50 $108,243.35 $94,151.93 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc Or Insertion O… 30 16 — — $35,606.56 $358,137.66 $93,839.02 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 30 16 — — $35,441.65 $357,881.66 $93,404.41 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 30 16 — — $35,336.52 $357,718.46 $93,127.35 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 30 16 — — $35,163.36 $357,449.66 $92,670.99 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 30 16 — — $35,116.98 $357,377.67 $92,548.76 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 30 16 — — $34,431.56 $356,313.68 $90,742.39 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 30 16 — — $34,047.11 $355,716.88 $89,729.19 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 30 16 — — $33,931.67 $355,537.68 $89,424.96 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 30 16 — — $33,927.55 $355,531.28 $89,414.10 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 30 16 — — $33,526.61 $354,908.89 $88,357.43 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 30 16 — — $33,379.22 $354,680.09 $87,968.99 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 30 16 — — $33,342.11 $354,622.49 $87,871.20 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 30 16 — — $33,295.73 $354,550.49 $87,748.97 2026-04-01
652 MS_DRG Kidney Transplant 30 16 — — $33,286.46 $354,536.09 $87,724.52 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 30 16 — — $33,261.72 $354,497.69 $87,659.33 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 30 16 — — $33,196.79 $354,396.89 $87,488.21 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 30 16 — — $33,089.59 $354,230.50 $87,205.70 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 30 16 — — $32,908.19 $353,948.90 $86,727.62 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 30 16 — — $32,847.38 $353,854.50 $86,567.36 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 30 16 — — $32,815.43 $353,804.90 $86,483.15 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 30 16 — — $32,749.46 $353,702.50 $86,309.30 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 30 16 — — $32,619.59 $353,500.90 $85,967.05 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 30 16 — — $32,570.12 $353,424.10 $85,836.66 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 30 16 — — $32,477.36 $353,280.11 $85,592.18 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 30 16 — — $32,461.90 $353,256.11 $85,551.44 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 30 16 — — $32,385.62 $353,137.71 $85,350.43 2026-04-01
665 MS_DRG Prostatectomy With Mcc 30 16 — — $32,170.21 $352,803.31 $84,782.71 2026-04-01
464 MS_DRG Wound Debridement Or Skin Graft Except Hand For Musculoskeletal And Connective T… 30 16 — — $32,103.21 $352,699.31 $84,606.15 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 30 16 — — $32,046.52 $352,611.31 $84,456.75 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 30 16 — — $31,554.88 $351,848.12 $83,161.05 2026-04-01
263 MS_DRG Vein Ligation And Stripping 30 16 — — $31,512.62 $351,782.52 $83,049.68 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 30 16 — — $31,263.19 $351,395.32 $82,392.33 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 30 16 — — $31,132.29 $351,192.13 $82,047.35 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 30 16 — — $31,128.17 $351,185.73 $82,036.49 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 30 16 — — $31,094.16 $351,132.93 $81,946.85 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 30 16 — — $30,677.75 $350,486.53 $80,849.44 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 30 16 — — $30,365.45 $350,001.74 $80,026.39 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 30 16 — — $30,344.84 $349,969.74 $79,972.07 2026-04-01
570 MS_DRG Skin Debridement With Mcc 30 16 — — $30,313.92 $349,921.74 $79,890.57 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 30 16 — — $30,096.44 $349,584.14 $79,317.42 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc Or Insertion Of Antibiotic-… 30 16 — — $30,017.08 $349,460.94 $79,108.26 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 30 16 — — $29,910.91 $349,296.14 $78,828.48 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 30 16 — — $29,892.36 $349,267.34 $78,779.58 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 30 16 — — $29,760.43 $349,062.55 $78,431.89 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 30 16 — — $29,746.00 $349,040.15 $78,393.86 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 30 16 — — $29,702.71 $348,972.95 $78,279.77 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 30 16 — — $29,583.15 $348,787.35 $77,964.68 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 30 16 — — $29,380.10 $348,472.15 $77,429.56 2026-04-01
800 MS_DRG Splenic Procedures With Cc 30 16 — — $28,956.49 $347,814.56 $76,313.14 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 30 16 — — $28,852.39 $347,652.96 $76,038.79 2026-04-01
503 MS_DRG Foot Procedures With Mcc 30 16 — — $28,767.87 $347,521.76 $75,816.05 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 30 16 — — $28,569.97 $347,214.57 $75,294.51 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 30 16 — — $28,417.43 $346,977.77 $74,892.49 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 30 16 — — $28,330.85 $346,843.37 $74,664.32 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 30 16 — — $28,323.64 $346,832.17 $74,645.29 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 30 16 — — $28,177.28 $346,604.97 $74,259.58 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 30 16 — — $28,043.29 $346,396.97 $73,906.46 2026-04-01
849 MS_DRG Radiotherapy 30 16 — — $27,926.82 $346,216.17 $73,599.50 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 30 16 — — $27,892.80 $346,163.38 $73,509.86 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 30 16 — — $27,802.10 $346,022.58 $73,270.83 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 30 16 — — $27,416.62 $345,424.18 $72,254.91 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 30 16 — — $27,320.76 $345,275.38 $72,002.29 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 30 16 — — $27,183.68 $345,062.59 $71,641.01 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 30 16 — — $26,752.85 $344,393.79 $70,505.58 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 30 16 — — $26,720.90 $344,344.19 $70,421.38 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 30 16 — — $26,620.92 $344,188.99 $70,157.89 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 30 16 — — $26,583.81 $344,131.40 $70,060.10 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 30 16 — — $26,583.81 $344,131.40 $70,060.10 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 30 16 — — $26,464.25 $343,945.80 $69,745.00 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 30 16 — — $26,313.77 $343,712.20 $69,348.42 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 30 16 — — $26,189.06 $343,518.60 $69,019.74 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 30 16 — — $26,139.58 $343,441.80 $68,889.35 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 30 16 — — $26,014.87 $343,248.20 $68,560.67 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 30 16 — — $26,003.53 $343,230.60 $68,530.79 2026-04-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 30 16 — — $25,684.01 $342,734.61 $67,688.73 2026-04-01
545 MS_DRG Connective Tissue Disorders With Mcc 30 16 — — $25,578.88 $342,571.41 $67,411.66 2026-04-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 30 16 — — $25,346.97 $342,211.41 $66,800.48 2026-04-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 30 16 — — $25,339.76 $342,200.21 $66,781.46 2026-04-01
792 MS_DRG Prematurity Without Major Problems 30 16 — — $25,243.90 $342,051.42 $66,528.84 2026-04-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 30 16 — — $25,192.37 $341,971.42 $66,393.02 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 30 16 — — $25,162.48 $341,925.02 $66,314.25 2026-04-01
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 30 16 — — $24,965.62 $341,619.42 $65,795.43 2026-04-01
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 30 16 — — $24,884.19 $341,493.02 $65,580.83 2026-04-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 30 16 — — $24,791.43 $341,349.02 $65,336.36 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 30 16 — — $24,707.94 $341,219.42 $65,116.35 2026-04-01
397 MS_DRG Appendix Procedures With Mcc 30 16 — — $24,684.23 $341,182.62 $65,053.87 2026-04-01
35 MS_DRG Carotid Artery Stent Procedures With Cc 30 16 — — $24,638.88 $341,112.22 $64,934.35 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 30 16 — — $24,596.62 $341,046.63 $64,822.98 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 7 4 — — $63,235.61 $75,632.65 $64,287.76 2026-04-01
113 MS_DRG Orbital Procedures With Cc/Mcc 30 16 — — $24,232.79 $340,481.83 $63,864.11 2026-04-01
333 MS_DRG Rectal Resection With Cc 30 16 — — $24,141.06 $340,339.43 $63,622.35 2026-04-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 30 16 — — $24,103.95 $340,281.83 $63,524.56 2026-04-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 30 16 — — $24,086.43 $340,254.63 $63,478.38 2026-04-01
709 MS_DRG Penis Procedures With Cc/Mcc 30 16 — — $23,985.42 $340,097.83 $63,212.18 2026-04-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 30 16 — — $23,968.93 $340,072.24 $63,168.72 2026-04-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 30 16 — — $23,944.19 $340,033.84 $63,103.52 2026-04-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 30 16 — — $23,821.54 $339,843.44 $62,780.28 2026-04-01
347 MS_DRG Anal And Stomal Procedures With Mcc 30 16 — — $23,660.75 $339,593.84 $62,356.53 2026-04-01
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 30 16 — — $23,653.53 $339,582.64 $62,337.51 2026-04-01
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 30 16 — — $23,557.68 $339,433.84 $62,084.89 2026-04-01
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 30 16 — — $23,516.45 $339,369.84 $61,976.24 2026-04-01
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 30 16 — — $23,455.64 $339,275.44 $61,815.98 2026-04-01
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 30 16 — — $23,416.47 $339,214.64 $61,712.76 2026-04-01
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 30 16 — — $23,351.54 $339,113.84 $61,541.62 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 2 2 — — $47,673.88 $74,750.12 $61,212.00 2026-04-01
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 30 16 — — $23,073.25 $338,681.85 $60,808.21 2026-04-01
715 MS_DRG Male Reproductive System And Other O.r. Procedures For Malignancy With Cc/Mcc 30 16 — — $23,059.85 $338,661.05 $60,772.90 2026-04-01
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/Mcc 30 16 — — $22,877.42 $338,377.85 $60,292.10 2026-04-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 30 16 — — $22,807.33 $338,269.05 $60,107.39 2026-04-01
934 MS_DRG Full Thickness Burn Without Skin Graft Or Inhalation Injury 30 16 — — $22,784.65 $338,233.85 $60,047.64 2026-04-01
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 30 16 — — $22,756.83 $338,190.65 $59,974.29 2026-04-01
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 30 16 — — $22,662.00 $338,043.46 $59,724.39 2026-04-01
30 MS_DRG Spinal Procedures Without Cc/Mcc 30 16 — — $22,625.93 $337,987.46 $59,629.32 2026-04-01
614 MS_DRG Adrenal And Pituitary Procedures With Cc/Mcc 30 16 — — $22,590.88 $337,933.06 $59,536.96 2026-04-01
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 30 16 — — $22,550.69 $337,870.66 $59,431.02 2026-04-01
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 30 16 — — $22,495.03 $337,784.26 $59,284.34 2026-04-01
141 MS_DRG Major Head And Neck Procedures With Cc 30 16 — — $22,480.60 $337,761.86 $59,246.31 2026-04-01
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 30 16 — — $22,456.89 $337,725.06 $59,183.83 2026-04-01
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 30 16 — — $22,441.43 $337,701.06 $59,143.09 2026-04-01
135 MS_DRG Sinus And Mastoid Procedures With Cc/Mcc 30 16 — — $22,366.19 $337,584.26 $58,944.79 2026-04-01
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 30 16 — — $22,072.44 $337,128.26 $58,170.63 2026-04-01
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/Mcc 30 16 — — $22,064.19 $337,115.46 $58,148.90 2026-04-01
374 MS_DRG Digestive Malignancy With Mcc 30 16 — — $22,043.58 $337,083.46 $58,094.58 2026-04-01
32 MS_DRG Ventricular Shunt Procedures With Cc 30 16 — — $21,964.22 $336,960.27 $57,885.42 2026-04-01
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 30 16 — — $21,963.19 $336,958.67 $57,882.70 2026-04-01
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/Mcc 30 16 — — $21,953.91 $336,944.27 $57,858.26 2026-04-01
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 30 16 — — $21,919.90 $336,891.47 $57,768.61 2026-04-01
595 MS_DRG Major Skin Disorders With Mcc 30 16 — — $21,858.05 $336,795.47 $57,605.63 2026-04-01
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 30 16 — — $21,827.13 $336,747.47 $57,524.14 2026-04-01
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 30 16 — — $21,824.04 $336,742.67 $57,515.99 2026-04-01
655 MS_DRG Major Bladder Procedures Without Cc/Mcc 30 16 — — $21,815.80 $336,729.87 $57,494.26 2026-04-01
336 MS_DRG Peritoneal Adhesiolysis With Cc 30 16 — — $21,734.37 $336,603.47 $57,279.68 2026-04-01
412 MS_DRG Cholecystectomy With C.d.e. With Cc 30 16 — — $21,670.47 $336,504.27 $57,111.26 2026-04-01
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 30 16 — — $21,588.01 $336,376.27 $56,893.95 2026-04-01
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 30 16 — — $21,574.61 $336,355.47 $56,858.64 2026-04-01
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