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

NEW YORK-PRESBYTERIAN HOSPITAL

New York, NY · CCN 330101 · Rates published

5,857 distinct procedures filed
25 distinct payers
323,020 rate rows
2026-03-31 last MRF observed
Data quality

309,223 of 323,020 rate rows are consumer-grade (95.7%)

13,797 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
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 5,469
template filing: same amount across many unrelated codes — excluded 3,909
exceeds 10× this hospital's gross charge — excluded from medians 2,286
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 1,853
placeholder amount (≤ $0.02) — excluded from medians 201
per-diem day rate — not a per-procedure price 78
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 1
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://nyp.widen.net/content/hisgjrgpuk/original/133957095_NewYork-Presbyterian-Hospital_standardcharges.json.zip?u=n8xzey&download=true
Found on page https://www.nyp.org/patients-visitors/paying-for-care/hospital-price-transparency/standard-charges
Discovered viaCMS hospital list
Last fetch success · 2026-11-03
Content fingerprint b843a8299f854bb0… · 4,002,128 bytes · first seen 2026-11-03

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
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 16 $336,295.35 $3,774,687.04 $1,071,983.53 nat. median
$360,195
outlier · 3.0×
Q2042
HCPCS 		Hc Car-pos T Cells Adult (kymriah) 21 $549,408.35 $1,991,779.16 $607,240.81 nat. median
$739,658
0.8× median
Q2056
HCPCS 		Hc Car-pos T Cells (carvykti) 70ml 21 $525,709.89 $1,826,960.50 $581,047.77 nat. median
$646,415
0.9× median
Q2054
HCPCS 		Hc Car-pos T Cells Adult (breyanzi) 21 $514,553.88 $1,835,550.22 $568,717.44 nat. median
$637,620
0.9× median
Q2055
HCPCS 		Hc Car-pos T Cells (abecma) 21 $514,197.43 $1,790,292.04 $568,323.47 nat. median
$621,967
0.9× median
Q2041
HCPCS 		Hc Car-pos T Cells Adult (yescarta) 21 $506,422.66 $1,805,881.00 $559,730.30 nat. median
$607,251
0.9× median
Q2053
HCPCS 		Hc Car-pos T Cells (tecartus) 21 $465,234.00 $1,656,778.20 $514,206.00 nat. median
$589,091
0.9× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 16 $251,298.25 $2,250,992.88 $459,775.21 nat. median
$247,805
1.9× median
7
MS_DRG 		Lung Transplant 16 $116,831.93 $2,141,284.94 $433,350.50 nat. median
$117,943
outlier · 3.7×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv Greater Than 96 Hours Or Principal Diagnosis Except… 16 $191,305.58 $1,761,713.18 $358,616.82 nat. median
$190,274
1.9× median
4
MS_DRG 		Tracheostomy With Mv Greater Than 96 Hours Or Principal Diagnosis Except Face Mo… 16 $126,282.29 $1,428,744.62 $347,218.25 nat. median
$126,240
outlier · 2.8×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 16 $117,125.81 $1,244,909.84 $310,154.28 nat. median
$109,875
outlier · 2.8×
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 $57,959.56 $1,015,272.82 $283,679.17 nat. median
$61,992
outlier · 4.6×
981
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 16 $42,784.85 $1,051,457.20 $259,657.53 nat. median
$43,542
outlier · 6.0×
47135
CPT 		Hc Liver Acquisition Live Donor 13 $5,541.00 $290,273.88 $255,132.21 nat. median
$6,167
outlier · 41.4×
J0225
HCPCS 		Amvuttra 25 Mg/0.5ml Sc Sosy 25 $4,734.67 $966,599.88 $238,702.00 nat. median
$8,221
outlier · 29.0×
215
MS_DRG 		Other Heart Assist System Implant 16 $94,800.10 $1,577,754.89 $234,053.26 nat. median
$93,531
outlier · 2.5×
826
MS_DRG 		Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r.… 16 $42,977.20 $838,157.08 $224,679.87 nat. median
$43,768
outlier · 5.1×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 16 $95,286.33 $1,209,455.68 $219,882.22 nat. median
$94,844
outlier · 2.3×
834
MS_DRG 		Acute Leukemia With Mcc 16 $49,672.25 $767,172.31 $217,871.33 nat. median
$50,311
outlier · 4.3×
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 16 $51,255.62 $736,871.67 $209,266.17 nat. median
$53,315
outlier · 3.9×
474
MS_DRG 		Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 16 $40,387.53 $680,461.90 $193,246.21 nat. median
$39,860
outlier · 4.8×
595
MS_DRG 		Major Skin Disorders With Mcc 16 $19,285.41 $746,948.44 $173,769.18 nat. median
$20,138
outlier · 8.6×
408
MS_DRG 		Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 16 $31,630.01 $603,181.13 $167,922.92 nat. median
$33,264
outlier · 5.0×
40
MS_DRG 		Peripheral Cranial Nerve And Other Nervous System Procedures With Mcc 16 $34,041.58 $585,696.59 $166,333.55 nat. median
$35,776
outlier · 4.6×
656
MS_DRG 		Kidney And Ureter Procedures For Neoplasm With Mcc 16 $29,463.34 $620,811.81 $163,726.96 nat. median
$30,337
outlier · 5.4×
739
MS_DRG 		Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 16 $35,901.01 $580,040.23 $162,070.06 nat. median
$34,577
outlier · 4.7×
616
MS_DRG 		Amputation Of Lower Limb For Endocrine Nutritional And Metabolic Disorders With… 16 $34,868.88 $569,873.32 $161,839.86 nat. median
$33,692
outlier · 4.8×
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 16 $59,827.01 $567,879.72 $161,273.69 nat. median
$63,874
outlier · 2.5×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 16 $72,236.62 $564,315.76 $160,261.55 nat. median
$74,260
outlier · 2.2×
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support Greater Than 96 Hours 16 $58,042.38 $579,617.68 $153,168.87 nat. median
$59,289
outlier · 2.6×
907
MS_DRG 		Other O.r. Procedures For Injuries With Mcc 16 $35,925.95 $501,303.90 $142,366.64 nat. median
$35,875
outlier · 4.0×
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome Neonate 16 $53,390.23 $685,024.47 $138,065.67 nat. median
$50,769
outlier · 2.7×
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 16 $44,988.03 $481,752.06 $136,814.06 nat. median
$45,281
outlier · 3.0×
50300
CPT 		Hc Kidney Acquisition Cadaver Dnr 13 $80,891.50 $152,076.02 $133,665.11 nat. median
$4,443
outlier · 30.1×
516
MS_DRG 		Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 16 $18,364.60 $952,561.54 $133,322.62 nat. median
$20,101
outlier · 6.6×
270
MS_DRG 		Other Major Cardiovascular Procedures With Mcc 16 $46,160.87 $468,094.32 $132,935.37 nat. median
$49,269
outlier · 2.7×
166
MS_DRG 		Other Respiratory System O.r. Procedures With Mcc 16 $34,737.98 $459,636.78 $130,533.49 nat. median
$35,655
outlier · 3.7×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 $86,396.12 $564,323.92 $130,470.74 nat. median
$90,525
1.4× median
856
MS_DRG 		Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 16 $40,627.08 $438,656.11 $124,575.13 nat. median
$41,637
outlier · 3.0×
25
MS_DRG 		Craniotomy And Endovascular Intracranial Procedures With Mcc 16 $40,277.10 $423,904.47 $120,385.77 nat. median
$42,680
outlier · 2.8×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv Greater Than 96 Hours 16 $62,399.77 $572,388.58 $119,788.29 nat. median
$62,605
1.9× median
50320
CPT 		Hc Kidney Acquisition Live Dnr 13 $2,133.00 $135,250.96 $118,876.96 nat. median
$3,354
outlier · 35.4×
163
MS_DRG 		Major Chest Procedures With Mcc 16 $41,496.24 $411,703.31 $116,920.73 nat. median
$42,632
outlier · 2.7×
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 16 $55,613.00 $558,993.26 $109,025.19 nat. median
$56,565
1.9× median
821
MS_DRG 		Lymphoma And Leukemia With Major O.r. Procedures With Cc 16 $20,330.01 $404,250.59 $108,959.18 nat. median
$21,522
outlier · 5.1×
789
MS_DRG 		Neonates Died Or Transferred To Another Acute Care Facility 16 $16,502.49 $500,210.09 $108,766.53 nat. median
$16,173
outlier · 6.7×
28
MS_DRG 		Spinal Procedures With Mcc 16 $54,589.78 $381,107.05 $108,231.62 nat. median
$54,301
2.0× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 16 $53,799.87 $380,094.10 $107,943.95 nat. median
$58,153
1.9× median
405
MS_DRG 		Pancreas Liver And Shunt Procedures With Mcc 16 $48,794.18 $381,543.88 $107,498.47 nat. median
$50,653
outlier · 2.1×

Other procedures at this hospital

Browse this hospital's 5,857 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
             
0398T CPT Hc Mr Guided Ultrasound Intracranial Ablation 36 22 $55,685.00 $41,763.75 25% off $1,754.00 $68,498.87 $41,776.05 2026-03-31
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 40 16 — — $251,298.25 $2,250,992.88 $459,775.21 2026-03-31
100 MS_DRG Seizures With Mcc 40 16 — — $18,129.50 $157,326.11 $44,679.47 2026-03-31
102 MS_DRG Headaches With Mcc 40 16 — — $10,775.46 $128,779.55 $36,572.45 2026-03-31
11 MS_DRG Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy With Mcc 40 16 — — $42,631.86 $345,816.30 $52,714.10 2026-03-31
121 MS_DRG Acute Major Eye Infections With Cc-mcc 40 16 — — $10,808.41 $167,798.19 $47,653.46 2026-03-31
122 MS_DRG Acute Major Eye Infections Without Cc-mcc 40 16 — — $6,490.21 $109,607.01 $31,127.59 2026-03-31
14 MS_DRG Allogeneic Bone Marrow Transplant 40 16 — — $117,125.81 $1,244,909.84 $310,154.28 2026-03-31
140 MS_DRG Major Head And Neck Procedures With Mcc 40 16 — — $33,391.13 $255,955.35 $41,421.96 2026-03-31
143 MS_DRG Other Ear Nose Mouth And Throat O.r. Procedures With Mcc 40 16 — — $29,175.18 $232,294.79 $33,551.46 2026-03-31
144 MS_DRG Other Ear Nose Mouth And Throat O.r. Procedures With Cc 40 16 — — $16,093.74 $132,886.08 $37,738.68 2026-03-31
146 MS_DRG Ear Nose Mouth And Throat Malignancy With Mcc 40 16 — — $20,879.47 $249,221.71 $70,140.73 2026-03-31
16 MS_DRG Autologous Bone Marrow Transplant With Cc-mcc 40 16 — — $54,201.51 $730,516.93 $101,468.82 2026-03-31
163 MS_DRG Major Chest Procedures With Mcc 40 16 — — $41,496.24 $411,703.31 $116,920.73 2026-03-31
164 MS_DRG Major Chest Procedures With Cc 40 16 — — $22,864.47 $167,935.55 $41,677.43 2026-03-31
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 40 16 — — $34,737.98 $459,636.78 $130,533.49 2026-03-31
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 40 16 — — $27,776.66 $234,413.52 $39,882.84 2026-03-31
177 MS_DRG Respiratory Infections And Inflammations With Mcc 40 16 — — $14,845.21 $195,978.53 $55,656.47 2026-03-31
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 40 16 — — $336,295.35 $3,774,687.04 $1,071,983.53 2026-03-31
180 MS_DRG Respiratory Neoplasms With Mcc 40 16 — — $16,014.48 $158,024.93 $36,171.79 2026-03-31
186 MS_DRG Pleural Effusion With Mcc 40 16 — — $14,520.16 $168,902.49 $40,161.46 2026-03-31
189 MS_DRG Pulmonary Edema And Respiratory Failure 40 16 — — $11,469.19 $140,782.86 $39,981.30 2026-03-31
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 40 16 — — $12,184.29 $122,220.81 $34,709.82 2026-03-31
196 MS_DRG Interstitial Lung Disease With Mcc 40 16 — — $17,228.28 $188,840.85 $53,629.42 2026-03-31
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 40 16 — — $72,236.62 $564,315.76 $160,261.55 2026-03-31
205 MS_DRG Other Respiratory System Diagnoses With Mcc 40 16 — — $17,261.23 $215,883.31 $61,309.28 2026-03-31
207 MS_DRG Respiratory System Diagnosis With Ventilator Support Greater Than 96 Hours 40 16 — — $58,042.38 $579,617.68 $153,168.87 2026-03-31
208 MS_DRG Respiratory System Diagnosis With Ventilator Support Less Than =96 Hours 40 16 — — $24,349.89 $306,186.44 $54,523.58 2026-03-31
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 40 16 — — $66,084.12 $628,950.03 $105,671.16 2026-03-31
215 MS_DRG Other Heart Assist System Implant 40 16 — — $94,800.10 $1,577,754.89 $234,053.26 2026-03-31
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 40 16 — — $86,396.12 $564,323.92 $130,470.74 2026-03-31
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 40 16 — — $57,959.56 $1,015,272.82 $283,679.17 2026-03-31
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 40 16 — — $69,354.85 $449,402.37 $89,521.58 2026-03-31
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 40 16 — — $42,250.33 $331,181.20 $51,753.98 2026-03-31
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 40 16 — — $26,934.63 $270,177.15 $44,830.39 2026-03-31
228 MS_DRG Other Cardiothoracic Procedures With Mcc 40 16 — — $44,827.74 $426,863.20 $90,187.39 2026-03-31
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 40 16 — — $28,112.40 $238,673.73 $44,050.92 2026-03-31
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 40 16 — — $51,255.62 $736,871.67 $209,266.17 2026-03-31
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 40 16 — — $70,057.48 $454,389.43 $101,032.12 2026-03-31
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 40 16 — — $36,381.56 $304,189.45 $51,981.43 2026-03-31
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 40 16 — — $52,850.56 $355,259.96 $63,309.48 2026-03-31
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 40 16 — — $37,069.40 $272,458.44 $64,654.89 2026-03-31
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 40 16 — — $45,305.06 $430,395.55 $55,291.62 2026-03-31
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 40 16 — — $34,305.18 $220,838.09 $47,774.93 2026-03-31
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 40 16 — — $26,383.87 $241,366.99 $40,713.04 2026-03-31
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 40 16 — — $30,656.65 $311,998.26 $61,077.74 2026-03-31
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 40 16 — — $20,511.68 $186,854.81 $33,366.09 2026-03-31
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 40 16 — — $40,277.10 $423,904.47 $120,385.77 2026-03-31
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 40 16 — — $21,044.22 $238,944.64 $66,565.31 2026-03-31
252 MS_DRG Other Vascular Procedures With Mcc 40 16 — — $30,998.62 $323,777.39 $91,950.41 2026-03-31
253 MS_DRG Other Vascular Procedures With Cc 40 16 — — $23,185.07 $228,448.23 $54,065.59 2026-03-31
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 40 16 — — $27,687.61 $207,529.50 $40,495.78 2026-03-31
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 40 16 — — $30,783.11 $249,052.52 $65,366.33 2026-03-31
264 MS_DRG Other Circulatory System O.r. Procedures 40 16 — — $31,574.80 $209,713.12 $59,556.99 2026-03-31
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 40 16 — — $53,799.87 $380,094.10 $107,943.95 2026-03-31
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 40 16 — — $42,346.71 $327,588.12 $54,580.85 2026-03-31
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 40 16 — — $59,827.01 $567,879.72 $161,273.69 2026-03-31
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 40 16 — — $23,498.68 $242,174.25 $40,660.28 2026-03-31
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 40 16 — — $46,160.87 $468,094.32 $132,935.37 2026-03-31
271 MS_DRG Other Major Cardiovascular Procedures With Cc 40 16 — — $31,123.29 $251,422.35 $64,943.26 2026-03-31
272 MS_DRG Other Major Cardiovascular Procedures Without Cc-mcc 40 16 — — $22,732.67 $147,120.78 $33,871.53 2026-03-31
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 40 16 — — $35,272.30 $321,880.41 $91,411.68 2026-03-31
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 40 16 — — $63,383.81 $576,066.46 $97,532.62 2026-03-31
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 40 16 — — $55,613.00 $558,993.26 $109,025.19 2026-03-31
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 40 16 — — $41,876.50 $369,245.06 $68,172.40 2026-03-31
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 40 16 — — $28,986.01 $298,095.66 $34,646.35 2026-03-31
28 MS_DRG Spinal Procedures With Mcc 40 16 — — $54,589.78 $381,107.05 $108,231.62 2026-03-31
280 MS_DRG Acute Myocardial Infarction Discharged Alive With Mcc 40 16 — — $15,066.95 $193,943.87 $55,078.64 2026-03-31
283 MS_DRG Acute Myocardial Infarction Expired With Mcc 40 16 — — $17,863.23 $333,361.52 $47,328.81 2026-03-31
286 MS_DRG Circulatory Disorders Except Ami With Cardiac Catheterization With Mcc 40 16 — — $20,159.92 $246,148.29 $69,904.31 2026-03-31
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 40 16 — — $30,342.30 $215,268.77 $40,609.62 2026-03-31
296 MS_DRG Cardiac Arrest Unexplained With Mcc 40 16 — — $15,040.23 $299,063.39 $52,388.76 2026-03-31
299 MS_DRG Peripheral Vascular Disorders With Mcc 40 16 — — $14,855.00 $148,392.34 $34,176.94 2026-03-31
3 MS_DRG Ecmo Or Tracheostomy With Mv Greater Than 96 Hours Or Principal Diagnosis Except… 40 16 — — $191,305.58 $1,761,713.18 $358,616.82 2026-03-31
30 MS_DRG Spinal Procedures Without Cc-mcc 40 16 — — $20,267.67 $133,979.01 $32,055.18 2026-03-31
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 40 16 — — $11,188.67 $127,619.96 $36,243.14 2026-03-31
31 MS_DRG Ventricular Shunt Procedures With Mcc 40 16 — — $37,768.47 $303,207.22 $78,914.75 2026-03-31
314 MS_DRG Other Circulatory System Diagnoses With Mcc 40 16 — — $19,627.38 $197,318.92 $51,895.80 2026-03-31
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 40 16 — — $39,569.13 $340,726.23 $82,931.49 2026-03-31
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 40 16 — — $25,801.46 $262,432.22 $74,528.83 2026-03-31
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 40 16 — — $29,594.56 $244,043.64 $41,714.26 2026-03-31
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 40 16 — — $22,195.80 $175,632.28 $31,413.21 2026-03-31
326 MS_DRG Stomach Esophageal And Duodenal Procedures With Mcc 40 16 — — $45,679.98 $332,702.00 $68,293.50 2026-03-31
327 MS_DRG Stomach Esophageal And Duodenal Procedures With Cc 40 16 — — $22,072.79 $144,630.19 $34,415.13 2026-03-31
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 40 16 — — $41,342.18 $303,226.68 $76,855.89 2026-03-31
330 MS_DRG Major Small And Large Bowel Procedures With Cc 40 16 — — $21,499.28 $157,274.50 $37,823.94 2026-03-31
33231 CPT Insj Implntbl Defib Pulse Gen W-exist Multileads 40 16 — — $448.00 $77,665.74 $36,582.17 2026-03-31
33249 CPT Insj-rplcmt Perm Dfb W-trnsvns Lds 1-dual Chmbr 49 25 — — $7,207.20 $77,665.74 $39,076.62 2026-03-31
33264 CPT Rmvl Impltbl Dfb Pls Gen W-rplcmt Pls Gen Mlt Ld 40 16 — — $449.00 $77,665.74 $32,180.33 2026-03-31
33270 CPT Ins-rplcmnt Perm Subq Impltbl Dfb W-subq Eltrd 40 16 — — $719.00 $77,665.74 $32,405.45 2026-03-31
335 MS_DRG Peritoneal Adhesiolysis With Mcc 40 16 — — $32,717.35 $354,648.88 $100,717.69 2026-03-31
348 MS_DRG Anal And Stomal Procedures With Cc 40 16 — — $11,660.65 $111,566.76 $31,684.14 2026-03-31
35 MS_DRG Carotid Artery Stent Procedures With Cc 40 16 — — $20,707.60 $203,354.97 $50,277.56 2026-03-31
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 40 16 — — $26,569.10 $251,962.69 $36,232.57 2026-03-31
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 40 16 — — $15,598.60 $140,272.99 $37,515.85 2026-03-31
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 40 16 — — $38,437.26 $347,481.15 $77,226.43 2026-03-31
357 MS_DRG Other Digestive System O.r. Procedures With Cc 40 16 — — $20,504.56 $206,074.09 $58,523.53 2026-03-31
368 MS_DRG Major Esophageal Disorders With Mcc 40 16 — — $15,321.64 $160,460.63 $43,833.89 2026-03-31
37 MS_DRG Extracranial Procedures With Mcc 40 16 — — $30,023.48 $326,494.78 $46,392.75 2026-03-31
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 40 16 — — $16,016.26 $272,391.96 $77,357.33 2026-03-31
374 MS_DRG Digestive Malignancy With Mcc 40 16 — — $19,252.46 $211,718.41 $58,284.66 2026-03-31
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 40 16 — — $16,641.42 $163,644.87 $42,144.88 2026-03-31
38 MS_DRG Extracranial Procedures With Cc 40 16 — — $14,798.90 $190,025.78 $50,277.56 2026-03-31
38204 CPT Hc Manage Recipient Cell Donor Search & Acquisition 13 12 $90,301.00 $67,725.75 25% off $423.00 $84,882.94 $76,755.85 2026-03-31
385 MS_DRG Inflammatory Bowel Disease With Mcc 40 16 — — $14,919.12 $115,844.43 $32,898.97 2026-03-31
388 MS_DRG Gastrointestinal Obstruction With Mcc 40 16 — — $13,539.68 $171,441.63 $48,688.17 2026-03-31
39 MS_DRG Extracranial Procedures Without Cc-mcc 40 16 — — $10,585.78 $177,038.23 $50,277.56 2026-03-31
393 MS_DRG Other Digestive System Diagnoses With Mcc 40 16 — — $15,196.97 $141,093.29 $39,748.37 2026-03-31
397 MS_DRG Appendix Procedures With Mcc 40 16 — — $22,515.38 $190,716.01 $54,161.95 2026-03-31
4 MS_DRG Tracheostomy With Mv Greater Than 96 Hours Or Principal Diagnosis Except Face Mo… 40 16 — — $126,282.29 $1,428,744.62 $347,218.25 2026-03-31
40 MS_DRG Peripheral Cranial Nerve And Other Nervous System Procedures With Mcc 40 16 — — $34,041.58 $585,696.59 $166,333.55 2026-03-31
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 40 16 — — $35,289.22 $292,445.58 $41,751.18 2026-03-31
405 MS_DRG Pancreas Liver And Shunt Procedures With Mcc 40 16 — — $48,794.18 $381,543.88 $107,498.47 2026-03-31
406 MS_DRG Pancreas Liver And Shunt Procedures With Cc 40 16 — — $25,459.49 $191,295.54 $38,853.83 2026-03-31
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 40 16 — — $31,630.01 $603,181.13 $167,922.92 2026-03-31
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 40 16 — — $19,119.77 $201,631.42 $42,886.96 2026-03-31
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 40 16 — — $21,613.27 $137,630.22 $35,890.70 2026-03-31
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 40 16 — — $31,881.14 $354,580.28 $50,221.34 2026-03-31
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 40 16 — — $36,671.33 $342,942.69 $53,618.54 2026-03-31
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 40 16 — — $20,783.29 $193,837.13 $31,478.17 2026-03-31
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 40 16 — — $66,919.04 $609,961.87 $101,630.43 2026-03-31
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 40 16 — — $60,962.55 $413,576.21 $70,106.93 2026-03-31
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 40 16 — — $30,565.53 $320,492.88 $53,631.17 2026-03-31
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 40 16 — — $27,009.30 $318,536.42 $53,306.75 2026-03-31
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 40 16 — — $17,896.18 $231,712.18 $53,297.65 2026-03-31
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Mcc 40 16 — — $16,698.41 $225,925.19 $40,557.25 2026-03-31
441 MS_DRG Disorders Of Liver Except Malignancy Cirrhosis Or Alcoholic Hepatitis With Mcc 40 16 — — $17,284.38 $343,893.47 $92,392.12 2026-03-31
444 MS_DRG Disorders Of The Biliary Tract With Mcc 40 16 — — $15,449.88 $163,362.26 $40,243.80 2026-03-31
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 40 16 — — $36,814.70 $359,248.17 $50,552.51 2026-03-31
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 40 16 — — $27,931.62 $265,662.80 $38,100.17 2026-03-31
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 40 16 — — $75,870.89 $566,687.81 $93,798.68 2026-03-31
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 40 16 — — $47,922.43 $390,447.88 $56,038.74 2026-03-31
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 40 16 — — $38,903.01 $370,803.36 $49,937.29 2026-03-31
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 40 16 — — $48,547.50 $476,638.57 $71,368.61 2026-03-31
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 40 16 — — $26,708.02 $222,540.29 $48,629.92 2026-03-31
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 40 16 — — $34,258.58 $301,112.66 $49,797.91 2026-03-31
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 40 16 — — $24,419.46 $201,972.58 $33,640.28 2026-03-31
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 40 16 — — $29,558.62 $245,900.94 $38,041.32 2026-03-31
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 40 16 — — $17,240.75 $148,736.95 $30,990.17 2026-03-31
471 MS_DRG Cervical Spinal Fusion With Mcc 40 16 — — $43,705.66 $348,683.35 $99,023.52 2026-03-31
47135 CPT Hc Liver Acquisition Live Donor 14 13 $308,802.00 $231,601.50 25% off $5,541.00 $290,273.88 $255,132.21 2026-03-31
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 40 16 — — $40,387.53 $680,461.90 $193,246.21 2026-03-31
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 40 16 — — $19,661.22 $289,931.13 $82,338.32 2026-03-31
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 40 16 — — $31,075.21 $331,741.87 $94,212.27 2026-03-31
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 40 16 — — $21,275.76 $185,196.16 $40,947.90 2026-03-31
479 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue Without Cc-mcc 40 16 — — $16,263.83 $112,081.21 $31,054.55 2026-03-31
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 40 16 — — $26,640.34 $293,197.86 $83,266.05 2026-03-31
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 40 16 — — $18,927.42 $163,674.89 $46,482.47 2026-03-31
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 40 16 — — $19,337.07 $163,193.23 $33,397.02 2026-03-31
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip Foot And Femur With Mcc 40 16 — — $30,201.77 $240,955.25 $34,859.79 2026-03-31
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 40 16 — — $30,790.17 $245,918.96 $35,408.70 2026-03-31
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 40 16 — — $95,286.33 $1,209,455.68 $219,882.22 2026-03-31
500 MS_DRG Soft Tissue Procedures With Mcc 40 16 — — $28,668.09 $347,036.49 $93,796.31 2026-03-31
50300 CPT Hc Kidney Acquisition Cadaver Dnr 14 13 $161,783.00 $121,337.25 25% off $80,891.50 $152,076.02 $133,665.11 2026-03-31
50320 CPT Hc Kidney Acquisition Live Dnr 14 13 $143,884.00 $107,913.00 25% off $2,133.00 $135,250.96 $118,876.96 2026-03-31
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 40 16 — — $27,988.61 $331,356.45 $66,400.63 2026-03-31
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 40 16 — — $18,364.60 $952,561.54 $133,322.62 2026-03-31
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 40 16 — — $32,366.48 $224,792.80 $63,839.51 2026-03-31
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 40 16 — — $18,010.17 $310,285.92 $88,118.93 2026-03-31
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 40 16 — — $26,406.13 $441,185.67 $79,292.47 2026-03-31
534 MS_DRG Fractures Of Femur Without Mcc 40 16 — — $7,698.66 $175,283.54 $44,712.59 2026-03-31
539 MS_DRG Osteomyelitis With Mcc 40 16 — — $18,459.89 $176,483.07 $48,474.33 2026-03-31
542 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 40 16 — — $17,059.08 $298,277.91 $83,855.12 2026-03-31
545 MS_DRG Connective Tissue Disorders With Mcc 40 16 — — $22,952.64 $264,367.05 $44,907.90 2026-03-31
549 MS_DRG Septic Arthritis With Cc 40 16 — — $11,181.55 $154,924.82 $43,997.52 2026-03-31
553 MS_DRG Bone Diseases And Arthropathies With Mcc 40 16 — — $12,080.10 $210,389.65 $36,581.79 2026-03-31
555 MS_DRG Signs And Symptoms Of Musculoskeletal System And Connective Tissue With Mcc 40 16 — — $12,441.65 $120,367.97 $34,183.62 2026-03-31
557 MS_DRG Tendonitis Myositis And Bursitis With Mcc 40 16 — — $14,250.33 $169,272.57 $48,072.17 2026-03-31
559 MS_DRG Aftercare Musculoskeletal System And Connective Tissue With Mcc 40 16 — — $16,980.71 $185,195.50 $34,719.68 2026-03-31
56 MS_DRG Degenerative Nervous System Disorders With Mcc 40 16 — — $22,749.59 $189,992.38 $53,956.45 2026-03-31
564 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc 40 16 — — $14,423.98 $287,777.90 $77,565.86 2026-03-31
565 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Cc 40 16 — — $9,530.50 $191,196.02 $50,843.19 2026-03-31
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 40 16 — — $12,333.01 $126,700.34 $35,981.97 2026-03-31
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 40 16 — — $31,305.85 $230,045.26 $58,411.50 2026-03-31
579 MS_DRG Other Skin Subcutaneous Tissue And Breast Procedures With Mcc 40 16 — — $29,475.80 $287,797.74 $70,153.65 2026-03-31
58 MS_DRG Multiple Sclerosis And Cerebellar Ataxia With Mcc 40 16 — — $16,888.09 $196,618.07 $32,694.80 2026-03-31
595 MS_DRG Major Skin Disorders With Mcc 40 16 — — $19,285.41 $746,948.44 $173,769.18 2026-03-31
596 MS_DRG Major Skin Disorders Without Mcc 40 16 — — $10,077.28 $201,132.93 $53,044.88 2026-03-31
597 MS_DRG Malignant Breast Disorders With Mcc 40 16 — — $16,093.74 $177,253.74 $31,980.29 2026-03-31
6 MS_DRG Liver Transplant Without Mcc 40 16 — — $43,633.53 $1,010,605.24 $106,432.11 2026-03-31
602 MS_DRG Cellulitis With Mcc 40 16 — — $13,533.45 $124,066.67 $32,623.40 2026-03-31
606 MS_DRG Minor Skin Disorders With Mcc 40 16 — — $14,789.99 $148,296.84 $42,115.22 2026-03-31
61 MS_DRG Ischemic Stroke Precerebral Occlusion Or Transient Ischemia With Thrombolytic Ag… 40 16 — — $24,524.43 $195,054.95 $46,961.62 2026-03-31
614 MS_DRG Adrenal And Pituitary Procedures With Cc-mcc 40 16 — — $20,745.00 $349,972.07 $99,389.51 2026-03-31
616 MS_DRG Amputation Of Lower Limb For Endocrine Nutritional And Metabolic Disorders With … 40 16 — — $34,868.88 $569,873.32 $161,839.86 2026-03-31
617 MS_DRG Amputation Of Lower Limb For Endocrine Nutritional And Metabolic Disorders With … 40 16 — — $17,651.28 $204,795.39 $52,020.46 2026-03-31
61886 CPT Insj-rplcmt Cranial Neurostim Gener 2-greater Than Eltrds 40 16 — — $3,009.00 $97,112.38 $30,917.82 2026-03-31
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine Nutritional And Metabolic Disord… 40 16 — — $33,773.53 $300,443.04 $60,286.75 2026-03-31
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine Nutritional And Metabolic Disord… 40 16 — — $17,483.86 $193,772.17 $41,983.97 2026-03-31
628 MS_DRG Other Endocrine Nutritional And Metabolic O.r. Procedures With Mcc 40 16 — — $35,587.55 $316,543.96 $60,501.83 2026-03-31
629 MS_DRG Other Endocrine Nutritional And Metabolic O.r. Procedures With Cc 40 16 — — $20,478.73 $246,229.57 $33,498.28 2026-03-31
63685 CPT Insj-rplcmt Spinal Npg-rcvr Pocket Crtjandconnj 40 16 — — $2,628.00 $97,112.38 $30,917.82 2026-03-31
637 MS_DRG Diabetes With Mcc 40 16 — — $13,418.57 $125,855.58 $32,964.53 2026-03-31
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 40 16 — — $18,164.23 $374,715.76 $100,454.96 2026-03-31
640 MS_DRG Miscellaneous Disorders Of Nutrition Metabolism Fluids And Electrolytes With Mcc 40 16 — — $12,276.01 $262,871.54 $69,327.23 2026-03-31
643 MS_DRG Endocrine Disorders With Mcc 40 16 — — $15,208.55 $154,586.61 $43,901.47 2026-03-31
64568 CPT Open Implantation Cranial Nerve Nea And Pulse Gen 40 16 — — $1,951.00 $97,112.38 $30,917.82 2026-03-31
64582 CPT Open Impltj Hpglsl Nrv Nstim Ra Pgandrespir Sensor 40 16 — — $3,009.00 $97,112.38 $30,917.82 2026-03-31
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 40 16 — — $41,479.32 $539,016.66 $74,611.33 2026-03-31
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 40 16 — — $31,373.53 $441,139.92 $74,611.33 2026-03-31
652 MS_DRG Kidney Transplant 40 16 — — $27,801.60 $416,233.52 $74,430.42 2026-03-31
654 MS_DRG Major Bladder Procedures With Cc 40 16 — — $25,581.50 $202,973.80 $37,960.29 2026-03-31
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 40 16 — — $29,463.34 $620,811.81 $163,726.96 2026-03-31
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 40 16 — — $23,463.80 $201,143.20 $39,795.24 2026-03-31
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 40 16 — — $30,063.93 $239,792.34 $41,038.68 2026-03-31
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 40 16 — — $21,006.82 $159,862.21 $45,399.70 2026-03-31
682 MS_DRG Renal Failure With Mcc 40 16 — — $13,824.65 $168,195.11 $47,766.18 2026-03-31
684 MS_DRG Renal Failure Without Cc-mcc 40 16 — — $5,858.82 $128,143.91 $33,061.15 2026-03-31
686 MS_DRG Kidney And Urinary Tract Neoplasms With Mcc 40 16 — — $17,242.53 $293,097.31 $83,237.49 2026-03-31
689 MS_DRG Kidney And Urinary Tract Infections With Mcc 40 16 — — $10,871.64 $133,874.42 $38,019.36 2026-03-31
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With Mcc 40 16 — — $15,418.71 $150,797.53 $38,116.46 2026-03-31
699 MS_DRG Other Kidney And Urinary Tract Diagnoses With Cc 40 16 — — $9,532.28 $124,100.91 $35,243.75 2026-03-31
69930 CPT Cochlear Device Implantation W-wo Mastoidectomy 40 16 — — $5,858.00 $158,319.10 $39,026.23 2026-03-31
7 MS_DRG Lung Transplant 40 16 — — $116,831.93 $2,141,284.94 $433,350.50 2026-03-31
71 MS_DRG Nonspecific Cerebrovascular Disorders With Cc 40 16 — — $9,835.06 $226,098.53 $57,981.20 2026-03-31
717 MS_DRG Other Male Reproductive System O.r. Procedures Except Malignancy With Cc-mcc 40 16 — — $16,973.59 $193,134.80 $54,848.87 2026-03-31
722 MS_DRG Malignancy Male Reproductive System With Mcc 40 16 — — $15,846.17 $229,330.64 $65,128.23 2026-03-31
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 40 16 — — $30,973.03 $247,461.59 $38,599.65 2026-03-31
737 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 40 16 — — $18,246.16 $149,457.20 $36,327.49 2026-03-31
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 40 16 — — $35,901.01 $580,040.23 $162,070.06 2026-03-31
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc-mcc 40 16 — — $16,717.11 $111,821.35 $31,756.45 2026-03-31
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc-mcc 40 16 — — $23,502.10 $170,454.45 $30,984.65 2026-03-31
754 MS_DRG Malignancy Female Reproductive System With Mcc 40 16 — — $16,562.16 $275,929.23 $78,361.89 2026-03-31
757 MS_DRG Infections Female Reproductive System With Mcc 40 16 — — $13,053.45 $149,106.22 $32,351.41 2026-03-31
789 MS_DRG Neonates Died Or Transferred To Another Acute Care Facility 40 16 — — $16,502.49 $500,210.09 $108,766.53 2026-03-31
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome Neonate 40 16 — — $53,390.23 $685,024.47 $138,065.67 2026-03-31
791 MS_DRG Prematurity With Major Problems 40 16 — — $30,623.34 $238,088.68 $39,783.35 2026-03-31
793 MS_DRG Full Term Neonate With Major Problems 40 16 — — $23,821.70 $244,539.79 $40,754.90 2026-03-31
803 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Cc 40 16 — — $16,301.23 $192,912.69 $54,785.79 2026-03-31
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 40 16 — — $20,845.63 $344,511.82 $97,838.84 2026-03-31
811 MS_DRG Red Blood Cell Disorders With Mcc 40 16 — — $12,978.65 $142,704.45 $33,434.97 2026-03-31
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 40 16 — — $19,066.34 $136,535.62 $32,952.13 2026-03-31
82 MS_DRG Traumatic Stupor And Coma Greater Than 1 Hour With Mcc 40 16 — — $21,111.90 $211,904.31 $52,298.33 2026-03-31
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 40 16 — — $52,299.32 $504,076.65 $98,761.56 2026-03-31
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 40 16 — — $20,330.01 $404,250.59 $108,959.18 2026-03-31
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 40 16 — — $42,122.29 $538,690.81 $106,833.11 2026-03-31
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 40 16 — — $20,036.14 $225,225.30 $40,891.75 2026-03-31
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 40 16 — — $42,977.20 $838,157.08 $224,679.87 2026-03-31
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 40 16 — — $21,465.44 $277,054.51 $30,966.83 2026-03-31
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 40 16 — — $27,912.03 $296,272.25 $41,408.56 2026-03-31
834 MS_DRG Acute Leukemia With Mcc 40 16 — — $49,672.25 $767,172.31 $217,871.33 2026-03-31
835 MS_DRG Acute Leukemia With Cc 40 16 — — $19,470.65 $432,597.21 $79,224.49 2026-03-31
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 40 16 — — $45,040.57 $445,627.49 $91,919.22 2026-03-31
838 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Che… 40 16 — — $18,511.54 $205,178.22 $55,742.54 2026-03-31
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 40 16 — — $28,848.87 $390,351.14 $70,297.35 2026-03-31
841 MS_DRG Lymphoma And Non-acute Leukemia With Cc 40 16 — — $14,413.30 $191,546.64 $37,151.53 2026-03-31
843 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 40 16 — — $17,310.21 $612,708.20 $55,779.00 2026-03-31
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 40 16 — — $23,192.19 $329,272.47 $93,510.97 2026-03-31
85 MS_DRG Traumatic Stupor And Coma Less Than 1 Hour With Mcc 40 16 — — $20,629.23 $203,422.78 $57,770.58 2026-03-31
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 40 16 — — $44,988.03 $481,752.06 $136,814.06 2026-03-31
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 40 16 — — $18,243.49 $162,300.50 $32,608.40 2026-03-31
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 40 16 — — $40,627.08 $438,656.11 $124,575.13 2026-03-31
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 40 16 — — $19,853.58 $194,577.40 $36,238.78 2026-03-31
862 MS_DRG Postoperative And Post-traumatic Infections With Mcc 40 16 — — $16,823.98 $146,833.20 $37,258.29 2026-03-31
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 40 16 — — $19,545.45 $172,633.44 $32,076.66 2026-03-31
870 MS_DRG Septicemia Or Severe Sepsis With Mv Greater Than 96 Hours 40 16 — — $62,399.77 $572,388.58 $119,788.29 2026-03-31
871 MS_DRG Septicemia Or Severe Sepsis Without Mv Greater Than 96 Hours With Mcc 40 16 — — $17,922.90 $216,790.56 $47,458.95 2026-03-31
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 33 15 — — $4,526.00 $432,809.88 $38,428.94 2026-03-31
882 MS_DRG Neuroses Except Depressive 33 15 — — $4,526.00 $344,909.26 $90,788.46 2026-03-31
884 MS_DRG Organic Disturbances And Intellectual Disability 33 15 — — $4,526.00 $140,683.40 $37,173.72 2026-03-31
885 MS_DRG Psychoses 33 15 — — $4,526.00 $134,404.89 $35,514.70 2026-03-31
887 MS_DRG Other Mental Disorder Diagnoses 34 16 — — $2,657.00 $244,524.72 $64,488.61 2026-03-31
896 MS_DRG Alcohol Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 39 16 — — $4,247.46 $163,465.00 $44,925.22 2026-03-31
901 MS_DRG Wound Debridements For Injuries With Mcc 40 16 — — $39,904.86 $330,537.17 $93,870.14 2026-03-31
902 MS_DRG Wound Debridements For Injuries With Cc 39 16 — — $17,348.50 $131,650.35 $32,635.86 2026-03-31
904 MS_DRG Skin Grafts For Injuries With Cc-mcc 39 16 — — $28,048.67 $222,791.51 $37,767.56 2026-03-31
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 39 16 — — $35,925.95 $501,303.90 $142,366.64 2026-03-31
908 MS_DRG Other O.r. Procedures For Injuries With Cc 39 16 — — $18,412.69 $166,300.11 $47,228.02 2026-03-31
91 MS_DRG Other Disorders Of Nervous System With Mcc 40 16 — — $16,683.27 $161,275.76 $33,478.17 2026-03-31
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 39 16 — — $15,051.81 $198,753.42 $56,444.52 2026-03-31
919 MS_DRG Complications Of Treatment With Mcc 39 16 — — $16,689.50 $336,830.14 $89,002.88 2026-03-31
922 MS_DRG Other Injury Poisoning And Toxic Effect Diagnoses With Mcc 39 16 — — $15,494.41 $116,935.68 $32,590.68 2026-03-31
923 MS_DRG Other Injury Poisoning And Toxic Effect Diagnoses Without Mcc 39 16 — — $9,532.28 $134,422.95 $38,175.14 2026-03-31
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc-mcc 39 16 — — $59,927.64 $513,778.94 $102,113.11 2026-03-31
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc-mcc 39 16 — — $28,772.28 $326,575.15 $36,899.97 2026-03-31
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 40 16 — — $32,942.66 $355,309.86 $69,243.16 2026-03-31
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 40 16 — — $21,797.61 $217,103.44 $39,656.95 2026-03-31
956 MS_DRG Limb Reattachment Hip And Femur Procedures For Multiple Significant Trauma 39 16 — — $34,489.52 $351,421.85 $83,031.12 2026-03-31
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 39 16 — — $62,684.48 $491,587.04 $72,556.47 2026-03-31
963 MS_DRG Other Multiple Significant Trauma With Mcc 39 16 — — $24,642.87 $517,460.87 $57,407.91 2026-03-31
964 MS_DRG Other Multiple Significant Trauma With Cc 39 16 — — $13,808.62 $121,735.21 $34,571.91 2026-03-31
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 39 16 — — $40,888.01 $460,622.41 $61,550.42 2026-03-31
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 40 16 — — $32,371.82 $348,501.29 $71,027.82 2026-03-31
974 MS_DRG HIV With Major Related Condition With Mcc 39 16 — — $27,042.86 $242,679.00 $53,915.20 2026-03-31
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 40 16 — — $19,768.08 $158,750.55 $34,934.47 2026-03-31
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 39 16 — — $42,784.85 $1,051,457.20 $259,657.53 2026-03-31
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 39 16 — — $22,252.68 $192,602.05 $42,133.46 2026-03-31
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 39 16 — — $31,642.48 $303,997.39 $81,753.19 2026-03-31
988 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 39 16 — — $15,731.29 $152,877.55 $31,915.67 2026-03-31
A9543 HCPCS Zevalin Y-90 3.2 Mg/2ml IV Kit 31 22 $0.04 $0.03 25% off $0.03 $71,783.46 $47,673.88 2026-03-31
J0225 HCPCS Amvuttra 25 Mg/0.5ml Sc Sosy 49 25 $835,457.00 $626,592.75 25% off $4,734.67 $966,599.88 $238,702.00 2026-03-31
J9226 HCPCS Supprelin La 50 Mg Sc Kit 49 25 $170,685.80 $128,014.35 25% off $43,282.37 $197,478.59 $51,981.14 2026-03-31
J9269 HCPCS Elzonris 1000 Mcg/ml IV Soln 49 25 $112,522.17 $84,391.63 25% off $331.19 $130,184.93 $32,149.19 2026-03-31
J9274 HCPCS Kimmtrak 100 Mcg/0.5ml IV Soln 49 25 $141,820.00 $106,365.00 25% off $206.24 $164,081.69 $40,520.00 2026-03-31
Q2041 HCPCS Hc Car-pos T Cells Adult (yescarta) 21 21 $1,921,150.00 $1,440,862.50 25% off $506,422.66 $1,805,881.00 $559,730.30 2026-03-31
Q2042 HCPCS Hc Car-pos T Cells Adult (kymriah) 21 21 $2,118,914.00 $1,589,185.50 25% off $549,408.35 $1,991,779.16 $607,240.81 2026-03-31
Q2053 HCPCS Hc Car-pos T Cells (tecartus) 21 21 $1,762,530.00 $1,321,897.50 25% off $465,234.00 $1,656,778.20 $514,206.00 2026-03-31
Q2054 HCPCS Hc Car-pos T Cells Adult (breyanzi) 21 21 $1,952,713.00 $1,464,534.75 25% off $514,553.88 $1,835,550.22 $568,717.44 2026-03-31
Q2055 HCPCS Hc Car-pos T Cells (abecma) 21 21 $1,904,566.00 $1,428,424.50 25% off $514,197.43 $1,790,292.04 $568,323.47 2026-03-31
Q2056 HCPCS Hc Car-pos T Cells (carvykti) 70ml 21 21 $1,943,575.00 $1,457,681.25 25% off $525,709.89 $1,826,960.50 $581,047.77 2026-03-31
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