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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

Memorial Hospital For Cancer And Allied Diseases

Basking Ridge, NY · CCN 330154 · Rates published

19,327 distinct procedures filed
27 distinct payers
1,706,963 rate rows
2025-12-01 last MRF observed
Data quality

1,678,947 of 1,706,963 rate rows are consumer-grade (98.4%)

28,016 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
template filing: same amount across many unrelated codes — excluded 11,567
per-diem day rate — not a per-procedure price 10,466
exceeds 10× this hospital's gross charge — excluded from medians 4,973
placeholder amount (≤ $0.02) — excluded from medians 1,009
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 1
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.mskcc.org/hpt/16/131924236_memorial-hospital-for-cancer-and-allied-diseases-northern-nj_standardcharges.json
Found on page https://www.mskcc.org/insurance-assistance/understanding-cost-your-care-msk/download
Discovered viaCMS hospital list
Last fetch not_modified · 2026-05-18
Content fingerprint 0c06a1456bd40082… · 110,338,382 bytes · first seen 2026-05-13

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
J3392
HCPCS 		Exagamglogene Autotemcel 4 X 10exp6 To 13 X 10exp6 Cell/ml IV Susp 9 $1,554,120.00 $3,777,840.00 $2,728,440.00 nat. median
$2,448,600
1.1× median
Q2057
HCPCS 		Afamitresgene Autoleucel 2.68x 10exp9 To 10x 10exp9 Cell IV Suspension 12 $513,566.00 $1,248,404.40 $1,017,588.30 nat. median
$824,563
1.2× median
Q2056
HCPCS 		Ciltacabtagene Autoleucel 0.5 X 10exp6 To 1x 10exp8 Cell IV Suspension 12 $392,282.00 $953,579.05 $763,923.08 nat. median
$674,867
1.1× median
Q2054
HCPCS 		Lisocabtagene Maraleucel 1.5 X 10exp6 To 70 X 10exp6 Cell/ml IV Susp 12 $375,356.00 $912,434.85 $743,735.78 nat. median
$673,137
1.1× median
Q2055
HCPCS 		Idecabtagene Vicleucel 300 X 10exp6 To 510 X 10exp6 Cell IV Suspension 12 $373,210.00 $907,218.14 $739,483.59 nat. median
$625,184
1.2× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Intravenous Suspension 12 $355,738.00 $864,747.58 $704,865.36 nat. median
$634,303
1.1× median
Q2055
CPT 		Idecabtagene Vicleucel Inj 1 Dose (007300) 10 $380,384.92 $855,866.08 $671,379.39 nat. median
$625,184
1.1× median
Q2056
CPT 		Ciltacabtagene Autoleucel Inj 1 Dose (007558) 10 $365,534.64 $822,452.94 $662,988.46 nat. median
$674,867
1.0× median
Q2054
CPT 		Lisocabtagene Maraleucel Inj 1 Dose (007137) 10 $372,042.79 $837,096.27 $656,655.52 nat. median
$673,137
1.0× median
Q2041
CPT 		Axicabtagene Inj 1 Dose (006256) 10 $352,598.40 $793,346.40 $623,013.56 nat. median
$634,303
1.0× median
Q2042
HCPCS 		Tisagenlecleucel 0.2 X10exp6 To 2.5x10exp8 Cell Intravenous Suspension 12 $287,823.00 $849,346.22 $606,367.16 nat. median
$753,246
0.8× median
Q2053
CPT 		Brexucabtagene Autoleucel Inj 1 Dose (006923) 10 $323,596.80 $728,092.80 $586,923.69 nat. median
$619,808
0.9× median
Q2042
CPT 		Tisagenlecleucel Inj 1 Dose (peds) (006257) 10 $271,602.34 $778,217.16 $529,624.56 nat. median
$753,246
0.7× median
C9399
HCPCS 		Lifileucel 7.5 X 10exp9 To 72 X 10exp9 Cell Intravenous Suspension 13 $40.80 $736,965.00 $524,064.00 nat. median
$2,475
outlier · 211.7×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 4 $21,043.80 $907,759.35 $522,521.97 nat. median
$202,976
outlier · 2.6×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 8 $21,043.80 $741,331.00 $372,238.50 nat. median
$117,357
outlier · 3.2×
Q2058
HCPCS 		Obecabtagene Autoleucel Intravenous Suspension (10 X 10^6 Cells) Second Infusion 12 $185,435.00 $450,765.00 $355,603.50 nat. median
$324,450
1.1× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 4 $21,043.80 $592,396.68 $340,993.77 nat. median
$133,161
outlier · 2.6×
16
MS_DRG 		Autologous Bone Marrow Transplant With Cc/mcc 8 $21,043.80 $425,840.00 $305,793.77 nat. median
$56,918
outlier · 5.4×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 3 $194,724.48 $385,322.57 $240,051.78 nat. median
$82,711
outlier · 2.9×
850
MS_DRG 		Acute Leukemia With Other Procedures 3 $187,157.77 $370,349.50 $230,723.71 nat. median
$83,470
outlier · 2.8×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 4 $21,043.80 $359,396.61 $206,874.90 nat. median
$81,118
outlier · 2.6×
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 3 $156,015.60 $308,725.08 $192,332.38 nat. median
$68,090
outlier · 2.8×
17
MS_DRG 		Autologous Bone Marrow Transplant Without Cc/mcc 3 $21,043.80 $395,194.00 $185,286.50 nat. median
$53,807
outlier · 3.4×
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 3 $144,409.42 $285,758.67 $178,024.55 nat. median
$63,724
outlier · 2.8×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 4 $21,043.80 $295,603.86 $170,154.70 nat. median
$66,526
outlier · 2.6×
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 $21,043.80 $1,846,841.99 $169,692.00 nat. median
$370,174
outlier · 0.5×
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 4 $21,043.80 $275,199.25 $158,409.45 nat. median
$62,134
outlier · 2.5×
430
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 3 $124,644.33 $246,647.33 $153,658.61 nat. median
$54,592
outlier · 2.8×
28
MS_DRG 		Spinal Procedures With Mcc 4 $21,043.80 $256,962.97 $147,912.33 nat. median
$57,822
outlier · 2.6×
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 4 $21,043.80 $255,029.86 $146,799.60 nat. median
$58,020
outlier · 2.5×
820
MS_DRG 		Lymphoma And Leukemia With Major O.r. Procedures With Mcc 4 $21,043.80 $250,825.77 $144,379.65 nat. median
$56,696
outlier · 2.5×
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 4 $21,043.80 $245,073.47 $141,068.52 nat. median
$55,916
outlier · 2.5×
463
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 4 $21,043.80 $243,756.22 $140,310.29 nat. median
$52,746
outlier · 2.7×
834
MS_DRG 		Acute Leukemia With Mcc 4 $21,043.80 $234,792.04 $135,150.35 nat. median
$53,172
outlier · 2.5×
405
MS_DRG 		Pancreas, Liver And Shunt Procedures With Mcc 4 $21,043.80 $233,962.34 $134,672.77 nat. median
$52,836
outlier · 2.5×
11
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 4 $21,043.80 $233,260.95 $134,269.04 nat. median
$52,857
outlier · 2.5×
461
MS_DRG 		Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 4 $21,043.80 $229,262.14 $131,967.25 nat. median
$55,736
outlier · 2.4×
21
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 4 $21,043.80 $226,405.24 $130,322.76 nat. median
$54,045
outlier · 2.4×
270
MS_DRG 		Other Major Cardiovascular Procedures With Mcc 4 $21,043.80 $225,656.80 $129,891.95 nat. median
$51,307
outlier · 2.5×
653
MS_DRG 		Major Bladder Procedures With Mcc 4 $21,043.80 $222,239.64 $127,924.98 nat. median
$51,418
outlier · 2.5×
326
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Mcc 4 $21,043.80 $213,301.12 $122,779.81 nat. median
$48,178
outlier · 2.5×
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 4 $21,043.80 $211,214.04 $121,578.45 nat. median
$48,170
outlier · 2.5×
576
MS_DRG 		Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 4 $21,043.80 $209,614.52 $120,657.74 nat. median
$49,182
outlier · 2.5×
837
MS_DRG 		Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 4 $21,043.80 $205,470.30 $118,272.26 nat. median
$47,311
outlier · 2.5×
981
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 4 $21,043.80 $200,658.90 $115,502.74 nat. median
$46,084
outlier · 2.5×
826
MS_DRG 		Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r.… 4 $21,043.80 $200,060.15 $115,158.08 nat. median
$46,259
outlier · 2.5×
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 4 $21,043.80 $196,583.11 $113,156.64 nat. median
$44,810
outlier · 2.5×
448
MS_DRG 		Multiple Level Spinal Fusion Except Cervical Without Mcc 3 $91,656.41 $181,370.53 $112,991.88 nat. median
$41,164
outlier · 2.7×
823
MS_DRG 		Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 4 $21,043.80 $196,082.73 $112,868.61 nat. median
$45,112
outlier · 2.5×

Other procedures at this hospital

Browse this hospital's 19,327 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
             
J3392 HCPCS Exagamglogene Autotemcel 4 X 10exp6 To 13 X 10exp6 Cell/ml IV Susp 61 9 $4,197,600.00 $4,197,600.00 $1,554,120.00 $3,777,840.00 $2,728,440.00 2025-12-01
Q2057 HCPCS Afamitresgene Autoleucel 2.68x 10exp9 To 10x 10exp9 Cell IV Suspension 68 12 $1,387,116.00 $1,387,116.00 $513,566.00 $1,248,404.40 $1,017,588.30 2025-12-01
Q2056 HCPCS Ciltacabtagene Autoleucel 0.5 X 10exp6 To 1x 10exp8 Cell IV Suspension 68 12 $1,059,532.28 $1,059,532.28 $392,282.00 $953,579.05 $763,923.08 2025-12-01
Q2054 HCPCS Lisocabtagene Maraleucel 1.5 X 10exp6 To 70 X 10exp6 Cell/ml IV Susp 68 12 $1,013,816.50 $1,013,816.50 $375,356.00 $912,434.85 $743,735.78 2025-12-01
Q2055 HCPCS Idecabtagene Vicleucel 300 X 10exp6 To 510 X 10exp6 Cell IV Suspension 68 12 $1,008,020.16 $1,008,020.16 $373,210.00 $907,218.14 $739,483.59 2025-12-01
Q2041 HCPCS Axicabtagene Ciloleucel Intravenous Suspension 68 12 $960,830.64 $960,830.64 $355,738.00 $864,747.58 $704,865.36 2025-12-01
Q2055 CPT Idecabtagene Vicleucel Inj 1 Dose (007300) 20 10 $950,962.31 $950,962.31 $380,384.92 $855,866.08 $671,379.39 2024-09-15
Q2056 CPT Ciltacabtagene Autoleucel Inj 1 Dose (007558) 20 10 $913,836.60 $913,836.60 $365,534.64 $822,452.94 $662,988.46 2024-09-15
Q2054 CPT Lisocabtagene Maraleucel Inj 1 Dose (007137) 20 10 $930,106.97 $930,106.97 $372,042.79 $837,096.27 $656,655.52 2024-09-15
Q2041 CPT Axicabtagene Inj 1 Dose (006256) 20 10 $881,496.00 $881,496.00 $352,598.40 $793,346.40 $623,013.56 2024-09-15
Q2042 HCPCS Tisagenlecleucel 0.2 X10exp6 To 2.5x10exp8 Cell Intravenous Suspension 132 12 $943,718.02 $943,718.02 $287,823.00 $849,346.22 $606,367.16 2025-12-01
Q2053 CPT Brexucabtagene Autoleucel Inj 1 Dose (006923) 20 10 $808,992.00 $808,992.00 $323,596.80 $728,092.80 $586,923.69 2024-09-15
Q2042 CPT Tisagenlecleucel Inj 1 Dose (peds) (006257) 39 10 $864,685.73 $864,685.73 $271,602.34 $778,217.16 $529,624.56 2024-09-15
C9399 HCPCS Lifileucel 7.5 X 10exp9 To 72 X 10exp9 Cell Intravenous Suspension 104 13 $818,850.00 $818,850.00 $40.80 $736,965.00 $524,064.00 2025-12-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 8 4 — — $21,043.80 $907,759.35 $522,521.97 2025-12-01
14 MS_DRG Allogeneic Bone Marrow Transplant 18 8 — — $21,043.80 $741,331.00 $372,238.50 2025-12-01
Q2058 HCPCS Obecabtagene Autoleucel Intravenous Suspension (10 X 10^6 Cells) Second Infusion 68 12 $500,850.00 $500,850.00 $185,435.00 $450,765.00 $355,603.50 2025-12-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 8 4 — — $21,043.80 $592,396.68 $340,993.77 2025-12-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 18 8 — — $21,043.80 $425,840.00 $305,793.77 2025-12-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 6 3 — — $194,724.48 $385,322.57 $240,051.78 2025-12-01
850 MS_DRG Acute Leukemia With Other Procedures 6 3 — — $187,157.77 $370,349.50 $230,723.71 2025-12-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 8 4 — — $21,043.80 $359,396.61 $206,874.90 2025-12-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 6 3 — — $156,015.60 $308,725.08 $192,332.38 2025-12-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 8 3 — — $21,043.80 $395,194.00 $185,286.50 2024-09-15
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 6 3 — — $144,409.42 $285,758.67 $178,024.55 2025-12-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 8 4 — — $21,043.80 $295,603.86 $170,154.70 2025-12-01
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 14 6 — — $21,043.80 $1,846,841.99 $169,692.00 2025-12-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 8 4 — — $21,043.80 $275,199.25 $158,409.45 2025-12-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 6 3 — — $124,644.33 $246,647.33 $153,658.61 2025-12-01
28 MS_DRG Spinal Procedures With Mcc 8 4 — — $21,043.80 $256,962.97 $147,912.33 2025-12-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 8 4 — — $21,043.80 $255,029.86 $146,799.60 2025-12-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 8 4 — — $21,043.80 $250,825.77 $144,379.65 2025-12-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 8 4 — — $21,043.80 $245,073.47 $141,068.52 2025-12-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 8 4 — — $21,043.80 $243,756.22 $140,310.29 2025-12-01
834 MS_DRG Acute Leukemia With Mcc 8 4 — — $21,043.80 $234,792.04 $135,150.35 2025-12-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 8 4 — — $21,043.80 $233,962.34 $134,672.77 2025-12-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 8 4 — — $21,043.80 $233,260.95 $134,269.04 2025-12-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 8 4 — — $21,043.80 $229,262.14 $131,967.25 2025-12-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 8 4 — — $21,043.80 $226,405.24 $130,322.76 2025-12-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 8 4 — — $21,043.80 $225,656.80 $129,891.95 2025-12-01
653 MS_DRG Major Bladder Procedures With Mcc 8 4 — — $21,043.80 $222,239.64 $127,924.98 2025-12-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 8 4 — — $21,043.80 $213,301.12 $122,779.81 2025-12-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 8 4 — — $21,043.80 $211,214.04 $121,578.45 2025-12-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 8 4 — — $21,043.80 $209,614.52 $120,657.74 2025-12-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 8 4 — — $21,043.80 $205,470.30 $118,272.26 2025-12-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 8 4 — — $21,043.80 $200,658.90 $115,502.74 2025-12-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 8 4 — — $21,043.80 $200,060.15 $115,158.08 2025-12-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 8 4 — — $21,043.80 $196,583.11 $113,156.64 2025-12-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 6 3 — — $91,656.41 $181,370.53 $112,991.88 2025-12-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 8 4 — — $21,043.80 $196,082.73 $112,868.61 2025-12-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 8 4 — — $21,043.80 $194,538.80 $111,979.90 2025-12-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 8 4 — — $21,043.80 $194,453.27 $111,930.66 2025-12-01
799 MS_DRG Splenic Procedures With Mcc 8 4 — — $21,043.80 $193,692.00 $111,492.46 2025-12-01
179 MS_DRG Respiratory Infections And Inflammations Without Cc/mcc 8 4 — — $21,043.80 $191,677.62 $110,332.96 2025-12-01
163 MS_DRG Major Chest Procedures With Mcc 8 4 — — $21,043.80 $191,677.62 $110,332.96 2025-12-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 8 4 — — $21,043.80 $191,622.02 $110,300.95 2025-12-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 8 4 — — $21,043.80 $187,871.27 $108,141.95 2025-12-01
140 MS_DRG Major Head And Neck Procedures With Mcc 8 4 — — $21,043.80 $182,418.35 $105,003.15 2025-12-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 8 4 — — $21,043.80 $180,309.89 $103,789.49 2025-12-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 8 4 — — $21,043.80 $179,694.03 $103,434.99 2025-12-01
901 MS_DRG Wound Debridements For Injuries With Mcc 8 4 — — $21,043.80 $179,480.19 $103,311.90 2025-12-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 8 4 — — $21,043.80 $178,453.76 $102,721.07 2025-12-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 8 4 — — $21,043.80 $177,615.50 $102,238.55 2025-12-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 8 4 — — $21,043.80 $170,391.99 $98,080.57 2025-12-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 8 4 — — $21,043.80 $165,135.80 $95,055.02 2025-12-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 8 4 — — $21,043.80 $164,199.18 $94,515.89 2025-12-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 8 4 — — $21,043.80 $160,234.59 $92,233.80 2025-12-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 8 4 — — $21,043.80 $159,853.95 $92,014.70 2025-12-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 8 4 — — $21,043.80 $159,836.85 $92,004.86 2025-12-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 8 4 — — $21,043.80 $157,026.99 $90,387.45 2025-12-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 8 4 — — $21,043.80 $155,183.69 $89,326.41 2025-12-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 8 4 — — $21,043.80 $155,063.94 $89,257.48 2025-12-01
332 MS_DRG Rectal Resection With Mcc 8 4 — — $21,043.80 $154,850.10 $89,134.39 2025-12-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 8 4 — — $21,043.80 $154,469.46 $88,915.30 2025-12-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 8 4 — — $21,043.80 $152,874.22 $87,997.04 2025-12-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 8 4 — — $21,043.80 $152,720.25 $87,908.41 2025-12-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 8 4 — — $21,043.80 $152,493.58 $87,777.94 2025-12-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 8 4 — — $21,043.80 $152,365.28 $87,704.09 2025-12-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 8 4 — — $21,043.80 $152,095.84 $87,548.99 2025-12-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 8 4 — — $21,043.80 $150,825.63 $86,817.84 2025-12-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 8 4 — — $21,043.80 $150,812.80 $86,810.45 2025-12-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 8 4 — — $21,043.80 $150,517.70 $86,640.59 2025-12-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 6 3 — — $69,818.64 $138,157.75 $86,070.78 2025-12-01
252 MS_DRG Other Vascular Procedures With Mcc 8 4 — — $21,043.80 $149,187.61 $85,874.97 2025-12-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 8 4 — — $21,043.80 $149,149.12 $85,852.81 2025-12-01
544 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 8 4 — — $21,043.80 $147,746.33 $85,045.34 2025-12-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 8 4 — — $21,043.80 $147,746.33 $85,045.34 2025-12-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 8 4 — — $21,043.80 $146,625.81 $84,400.35 2025-12-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 8 4 — — $21,043.80 $145,907.31 $83,986.77 2025-12-01
264 MS_DRG Other Circulatory System O.r. Procedures 8 4 — — $21,043.80 $142,870.78 $82,238.89 2025-12-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 8 4 — — $21,043.80 $138,504.17 $79,725.39 2025-12-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 8 4 — — $21,043.80 $138,350.20 $79,636.76 2025-12-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 8 4 — — $21,043.80 $136,297.34 $78,455.11 2025-12-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 8 4 — — $21,043.80 $136,164.76 $78,378.79 2025-12-01
500 MS_DRG Soft Tissue Procedures With Mcc 8 4 — — $21,043.80 $135,352.17 $77,911.05 2025-12-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 8 4 — — $21,043.80 $135,146.88 $77,792.88 2025-12-01
665 MS_DRG Prostatectomy With Mcc 8 4 — — $21,043.80 $133,487.48 $76,837.71 2025-12-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 8 4 — — $21,043.80 $133,209.49 $76,677.68 2025-12-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 8 4 — — $21,043.80 $132,974.27 $76,542.29 2025-12-01
263 MS_DRG Vein Ligation And Stripping 8 4 — — $21,043.80 $130,758.88 $75,267.07 2025-12-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 8 4 — — $21,043.80 $129,723.90 $74,671.32 2025-12-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 8 4 — — $21,043.80 $129,163.64 $74,348.83 2025-12-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 8 4 — — $21,043.80 $129,022.50 $74,267.58 2025-12-01
472 MS_DRG Cervical Spinal Fusion With Cc 8 4 — — $21,043.80 $125,998.80 $72,527.09 2025-12-01
570 MS_DRG Skin Debridement With Mcc 8 4 — — $21,043.80 $125,784.96 $72,404.00 2025-12-01
668 MS_DRG Transurethral Procedures With Mcc 8 4 — — $21,043.80 $124,882.56 $71,884.56 2025-12-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 8 4 — — $21,043.80 $124,553.25 $71,695.01 2025-12-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 8 4 — — $21,043.80 $124,112.74 $71,441.43 2025-12-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 8 4 — — $21,043.80 $124,035.75 $71,397.12 2025-12-01
974 MS_DRG HIV With Major Related Condition With Mcc 8 4 — — $21,043.80 $123,428.45 $71,047.55 2025-12-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 8 4 — — $21,043.80 $123,248.82 $70,944.15 2025-12-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 8 4 — — $21,043.80 $122,752.71 $70,658.58 2025-12-01
654 MS_DRG Major Bladder Procedures With Cc 8 4 — — $21,043.80 $119,720.46 $68,913.17 2025-12-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 8 4 — — $21,043.80 $118,548.62 $68,238.64 2025-12-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 8 4 — — $21,043.80 $117,556.40 $67,667.50 2025-12-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 8 4 — — $21,043.80 $117,526.46 $67,650.26 2025-12-01
849 MS_DRG Radiotherapy 8 4 — — $21,043.80 $115,879.90 $66,702.47 2025-12-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 8 4 — — $21,043.80 $115,738.76 $66,621.24 2025-12-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 8 4 — — $21,043.80 $113,762.88 $65,483.88 2025-12-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 8 4 — — $21,043.80 $113,365.14 $65,254.93 2025-12-01
253 MS_DRG Other Vascular Procedures With Cc 8 4 — — $21,043.80 $111,008.62 $63,898.48 2025-12-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 8 4 — — $21,043.80 $110,876.04 $63,822.17 2025-12-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 8 4 — — $21,043.80 $110,307.23 $63,494.75 2025-12-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 8 4 — — $21,043.80 $109,811.12 $63,209.18 2025-12-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 8 4 — — $21,043.80 $108,669.21 $62,551.88 2025-12-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 8 4 — — $21,043.80 $108,463.92 $62,433.71 2025-12-01
J9226 HCPCS Histrelin 50 Mg (65 Mcg/day) Implant Kit 68 11 $95,746.55 $95,746.55 $35,450.00 $89,753.97 $62,235.26 2025-12-01
164 MS_DRG Major Chest Procedures With Cc 8 4 — — $21,043.80 $107,946.43 $62,135.83 2025-12-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 8 4 — — $21,043.80 $107,899.39 $62,108.76 2025-12-01
545 MS_DRG Connective Tissue Disorders With Mcc 8 4 — — $21,043.80 $106,137.35 $61,094.49 2025-12-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 8 4 — — $21,043.80 $105,175.07 $60,540.58 2025-12-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 8 4 — — $21,043.80 $105,145.13 $60,523.35 2025-12-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 8 4 — — $21,043.80 $104,533.55 $60,171.32 2025-12-01
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 8 4 — — $21,043.80 $104,409.52 $60,099.92 2025-12-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 8 4 — — $21,043.80 $102,523.45 $59,014.27 2025-12-01
397 MS_DRG Appendix Procedures With Mcc 8 4 — — $21,043.80 $102,425.08 $58,957.65 2025-12-01
J9226 CPT Histrelin Implant 50mg(003109) 32 11 $90,425.78 $90,425.78 $36,170.31 $87,820.14 $58,776.76 2024-09-15
333 MS_DRG Rectal Resection With Cc 8 4 — — $21,043.80 $100,171.21 $57,660.28 2025-12-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 8 4 — — $21,043.80 $100,017.24 $57,571.65 2025-12-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 8 4 — — $21,043.80 $99,944.54 $57,529.81 2025-12-01
709 MS_DRG Penis Procedures With Cc/mcc 8 4 — — $21,043.80 $99,525.41 $57,288.54 2025-12-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 8 4 — — $21,043.80 $99,456.98 $57,249.16 2025-12-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 8 4 — — $21,043.80 $99,354.34 $57,190.07 2025-12-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 8 4 — — $21,043.80 $98,845.40 $56,897.12 2025-12-01
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 8 4 — — $21,043.80 $98,148.28 $56,495.85 2025-12-01
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 8 4 — — $21,043.80 $97,750.54 $56,266.90 2025-12-01
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 8 4 — — $21,043.80 $97,327.14 $56,023.18 2025-12-01
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 8 4 — — $21,043.80 $96,895.18 $55,774.54 2025-12-01
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 8 4 — — $21,043.80 $95,740.44 $55,109.85 2025-12-01
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/mcc 8 4 — — $21,043.80 $95,684.85 $55,077.85 2025-12-01
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/mcc 8 4 — — $21,043.80 $94,927.85 $54,642.11 2025-12-01
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 8 4 — — $21,043.80 $94,427.47 $54,354.08 2025-12-01
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 8 4 — — $21,043.80 $94,034.00 $54,127.60 2025-12-01
30 MS_DRG Spinal Procedures Without Cc/mcc 8 4 — — $21,043.80 $93,884.31 $54,041.43 2025-12-01
614 MS_DRG Adrenal And Pituitary Procedures With Cc/mcc 8 4 — — $21,043.80 $93,738.90 $53,957.74 2025-12-01
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 8 4 — — $21,043.80 $93,572.11 $53,861.73 2025-12-01
141 MS_DRG Major Head And Neck Procedures With Cc 8 4 — — $21,043.80 $93,281.28 $53,694.32 2025-12-01
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 8 4 — — $21,043.80 $93,182.92 $53,637.69 2025-12-01
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 8 4 — — $21,043.80 $93,118.77 $53,600.77 2025-12-01
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 8 4 — — $21,043.80 $91,587.67 $52,719.45 2025-12-01
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/mcc 8 4 — — $21,043.80 $91,553.46 $52,699.75 2025-12-01
374 MS_DRG Digestive Malignancy With Mcc 8 4 — — $21,043.80 $91,467.92 $52,650.52 2025-12-01
32 MS_DRG Ventricular Shunt Procedures With Cc 8 4 — — $21,043.80 $91,138.61 $52,460.96 2025-12-01
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/mcc 8 4 — — $21,043.80 $91,095.84 $52,436.34 2025-12-01
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 8 4 — — $21,043.80 $90,954.71 $52,355.10 2025-12-01
595 MS_DRG Major Skin Disorders With Mcc 8 4 — — $21,043.80 $90,698.10 $52,207.39 2025-12-01
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 8 4 — — $21,043.80 $90,569.79 $52,133.54 2025-12-01
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 8 4 — — $21,043.80 $90,556.96 $52,126.15 2025-12-01
655 MS_DRG Major Bladder Procedures Without Cc/mcc 8 4 — — $21,043.80 $90,522.75 $52,106.46 2025-12-01
336 MS_DRG Peritoneal Adhesiolysis With Cc 8 4 — — $21,043.80 $90,184.88 $51,911.98 2025-12-01
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 8 4 — — $21,043.80 $89,577.58 $51,562.40 2025-12-01
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 8 4 — — $21,043.80 $89,521.98 $51,530.40 2025-12-01
838 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Che… 8 4 — — $21,043.80 $89,273.92 $51,387.61 2025-12-01
835 MS_DRG Acute Leukemia With Cc 8 4 — — $21,043.80 $89,205.49 $51,348.22 2025-12-01
314 MS_DRG Other Circulatory System Diagnoses With Mcc 8 4 — — $21,043.80 $89,179.83 $51,333.45 2025-12-01
711 MS_DRG Testes Procedures With Cc/mcc 8 4 — — $21,043.80 $89,119.96 $51,298.99 2025-12-01
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 8 4 — — $21,043.80 $88,931.78 $51,190.67 2025-12-01
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 8 4 — — $21,043.80 $88,876.18 $51,158.66 2025-12-01
415 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 8 4 — — $21,043.80 $88,388.63 $50,878.02 2025-12-01
737 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 8 4 — — $21,043.80 $88,127.74 $50,727.85 2025-12-01
744 MS_DRG D&c, Conization, Laparoscopy And Tubal Interruption With Cc/mcc 8 4 — — $21,043.80 $87,635.91 $50,444.74 2025-12-01
941 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/… 8 4 — — $21,043.80 $86,720.67 $49,917.92 2025-12-01
499 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Without… 8 4 — — $21,043.80 $86,168.97 $49,600.35 2025-12-01
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 8 4 — — $21,043.80 $86,006.45 $49,506.79 2025-12-01
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc 8 4 — — $21,043.80 $85,813.99 $49,396.02 2025-12-01
707 MS_DRG Major Male Pelvic Procedures With Cc/mcc 8 4 — — $21,043.80 $85,548.83 $49,243.38 2025-12-01
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 8 4 — — $21,043.80 $85,544.55 $49,240.92 2025-12-01
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 8 4 — — $21,043.80 $85,454.74 $49,189.23 2025-12-01
908 MS_DRG Other O.r. Procedures For Injuries With Cc 8 4 — — $21,043.80 $85,330.71 $49,117.83 2025-12-01
843 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 8 4 — — $21,043.80 $85,313.61 $49,107.99 2025-12-01
539 MS_DRG Osteomyelitis With Mcc 8 4 — — $21,043.80 $84,240.13 $48,490.07 2025-12-01
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 8 4 — — $21,043.80 $84,175.98 $48,453.15 2025-12-01
380 MS_DRG Complicated Peptic Ulcer With Mcc 8 4 — — $21,043.80 $83,919.37 $48,305.44 2025-12-01
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 8 4 — — $21,043.80 $83,076.84 $47,820.46 2025-12-01
100 MS_DRG Seizures With Mcc 8 4 — — $21,043.80 $82,833.06 $47,680.15 2025-12-01
585 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/mcc 8 4 — — $21,043.80 $82,503.75 $47,490.58 2025-12-01
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 8 4 — — $21,043.80 $82,495.20 $47,485.66 2025-12-01
582 MS_DRG Mastectomy For Malignancy With Cc/mcc 8 4 — — $21,043.80 $82,396.83 $47,429.04 2025-12-01
902 MS_DRG Wound Debridements For Injuries With Cc 8 4 — — $21,043.80 $81,879.34 $47,131.16 2025-12-01
165 MS_DRG Major Chest Procedures Without Cc/mcc 8 4 — — $21,043.80 $81,866.51 $47,123.78 2025-12-01
801 MS_DRG Splenic Procedures Without Cc/mcc 8 4 — — $21,043.80 $81,639.84 $46,993.30 2025-12-01
717 MS_DRG Other Male Reproductive System O.r. Procedures Except Malignancy With Cc/mcc 8 4 — — $21,043.80 $80,852.90 $46,540.33 2025-12-01
196 MS_DRG Interstitial Lung Disease With Mcc 8 4 — — $21,043.80 $80,711.77 $46,459.09 2025-12-01
504 MS_DRG Foot Procedures With Cc 8 4 — — $21,043.80 $79,941.95 $46,015.96 2025-12-01
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Mcc 8 4 — — $21,043.80 $79,758.04 $45,910.10 2025-12-01
803 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Cc 8 4 — — $21,043.80 $79,501.44 $45,762.40 2025-12-01
479 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue Without Cc/mcc 8 4 — — $21,043.80 $79,501.44 $45,762.40 2025-12-01
754 MS_DRG Malignancy, Female Reproductive System With Mcc 8 4 — — $21,043.80 $78,765.83 $45,338.97 2025-12-01
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Mcc 8 4 — — $21,043.80 $78,551.99 $45,215.88 2025-12-01
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc 8 4 — — $21,043.80 $78,470.73 $45,169.11 2025-12-01
205 MS_DRG Other Respiratory System Diagnoses With Mcc 8 4 — — $21,043.80 $78,308.21 $45,075.56 2025-12-01
919 MS_DRG Complications Of Treatment With Mcc 8 4 — — $21,043.80 $78,299.65 $45,070.63 2025-12-01
657 MS_DRG Kidney And Ureter Procedures For Neoplasm With Cc 8 4 — — $21,043.80 $78,265.44 $45,050.94 2025-12-01
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 8 4 — — $21,043.80 $78,179.90 $45,001.71 2025-12-01
862 MS_DRG Postoperative And Post-traumatic Infections With Mcc 8 4 — — $21,043.80 $77,996.00 $44,895.85 2025-12-01
465 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 8 4 — — $21,043.80 $77,996.00 $44,895.85 2025-12-01
80 MS_DRG Nontraumatic Stupor And Coma With Mcc 8 4 — — $21,043.80 $77,410.08 $44,558.58 2025-12-01
722 MS_DRG Malignancy, Male Reproductive System With Mcc 8 4 — — $21,043.80 $77,397.25 $44,551.19 2025-12-01
740 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Cc 8 4 — — $21,043.80 $77,392.97 $44,548.73 2025-12-01
496 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 8 4 — — $21,043.80 $77,149.20 $44,408.41 2025-12-01
686 MS_DRG Kidney And Urinary Tract Neoplasms With Mcc 8 4 — — $21,043.80 $77,140.64 $44,403.49 2025-12-01
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 8 4 — — $21,043.80 $77,127.81 $44,396.10 2025-12-01
671 MS_DRG Urethral Procedures With Cc/mcc 8 4 — — $21,043.80 $76,768.56 $44,189.31 2025-12-01
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 8 4 — — $21,043.80 $76,755.73 $44,181.93 2025-12-01
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 8 4 — — $21,043.80 $75,831.94 $43,650.18 2025-12-01
542 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 8 4 — — $21,043.80 $75,549.67 $43,487.70 2025-12-01
180 MS_DRG Respiratory Neoplasms With Mcc 8 4 — — $21,043.80 $75,528.29 $43,475.38 2025-12-01
199 MS_DRG Pneumothorax With Mcc 8 4 — — $21,043.80 $75,447.03 $43,428.62 2025-12-01
91 MS_DRG Other Disorders Of Nervous System With Mcc 8 4 — — $21,043.80 $75,109.16 $43,234.13 2025-12-01
922 MS_DRG Other Injury, Poisoning And Toxic Effect Diagnoses With Mcc 8 4 — — $21,043.80 $74,818.34 $43,066.73 2025-12-01
501 MS_DRG Soft Tissue Procedures With Cc 8 4 — — $21,043.80 $74,762.74 $43,034.73 2025-12-01
896 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 8 4 — — $21,043.80 $74,634.44 $42,960.88 2025-12-01
421 MS_DRG Hepatobiliary Diagnostic Procedures With Cc 8 4 — — $21,043.80 $74,309.40 $42,773.77 2025-12-01
746 MS_DRG Vagina, Cervix And Vulva Procedures With Cc/mcc 8 4 — — $21,043.80 $74,292.29 $42,763.93 2025-12-01
144 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Cc 8 4 — — $21,043.80 $74,112.67 $42,660.54 2025-12-01
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 8 4 — — $21,043.80 $73,903.10 $42,539.90 2025-12-01
583 MS_DRG Mastectomy For Malignancy Without Cc/mcc 8 4 — — $21,043.80 $73,749.14 $42,451.28 2025-12-01
157 MS_DRG Dental And Oral Diseases With Mcc 8 4 — — $21,043.80 $73,424.10 $42,264.18 2025-12-01
983 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/mcc 8 4 — — $21,043.80 $73,304.35 $42,195.26 2025-12-01
SUP-MSK0007125 CDM Ins 977006 Vanta US Eman Cardio 73 13 $59,200.00 $59,200.00 $21,919.00 $53,280.00 $42,032.00 2025-12-01
828 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 8 4 — — $21,043.80 $72,868.12 $41,944.15 2025-12-01
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 8 4 — — $21,043.80 $72,346.35 $41,643.81 2025-12-01
571 MS_DRG Skin Debridement With Cc 8 4 — — $21,043.80 $72,256.54 $41,592.11 2025-12-01
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/mcc 8 4 — — $21,043.80 $71,974.27 $41,429.64 2025-12-01
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 8 4 — — $21,043.80 $71,952.88 $41,417.32 2025-12-01
915 MS_DRG Allergic Reactions With Mcc 8 4 — — $21,043.80 $71,918.67 $41,397.63 2025-12-01
551 MS_DRG Medical Back Problems With Mcc 8 4 — — $21,043.80 $71,683.44 $41,262.23 2025-12-01
444 MS_DRG Disorders Of The Biliary Tract With Mcc 8 4 — — $21,043.80 $71,461.05 $41,134.21 2025-12-01
597 MS_DRG Malignant Breast Disorders With Mcc 8 4 — — $21,043.80 $71,298.53 $41,040.67 2025-12-01
70 MS_DRG Other Cerebrovascular Disorders With Mcc 8 4 — — $21,043.80 $71,200.17 $40,984.05 2025-12-01
33 MS_DRG Ventricular Shunt Procedures Without Cc/mcc 8 4 — — $21,043.80 $71,118.91 $40,937.27 2025-12-01
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With Mcc 8 4 — — $21,043.80 $70,755.38 $40,728.02 2025-12-01
643 MS_DRG Endocrine Disorders With Mcc 8 4 — — $21,043.80 $70,400.40 $40,523.69 2025-12-01
988 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 8 4 — — $21,043.80 $70,293.48 $40,462.15 2025-12-01
675 MS_DRG Other Kidney And Urinary Tract Procedures Without Cc/mcc 8 4 — — $21,043.80 $70,199.40 $40,407.99 2025-12-01
334 MS_DRG Rectal Resection Without Cc/mcc 8 4 — — $21,043.80 $70,049.71 $40,321.82 2025-12-01
299 MS_DRG Peripheral Vascular Disorders With Mcc 8 4 — — $21,043.80 $69,827.31 $40,193.81 2025-12-01
841 MS_DRG Lymphoma And Non-acute Leukemia With Cc 8 4 — — $21,043.80 $69,771.72 $40,161.81 2025-12-01
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/mcc 8 4 — — $21,043.80 $69,754.61 $40,151.96 2025-12-01
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 8 4 — — $21,043.80 $69,720.39 $40,132.26 2025-12-01
884 MS_DRG Organic Disturbances And Intellectual Disability 8 4 — — $21,043.80 $68,809.44 $39,607.90 2025-12-01
578 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis Without Cc/mcc 8 4 — — $21,043.80 $68,702.52 $39,546.35 2025-12-01
73 MS_DRG Cranial And Peripheral Nerve Disorders With Mcc 8 4 — — $21,043.80 $68,612.70 $39,494.66 2025-12-01
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 8 4 — — $21,043.80 $68,604.15 $39,489.74 2025-12-01
328 MS_DRG Stomach, Esophageal And Duodenal Procedures Without Cc/mcc 8 4 — — $21,043.80 $68,527.17 $39,445.43 2025-12-01
393 MS_DRG Other Digestive System Diagnoses With Mcc 8 4 — — $21,043.80 $68,398.86 $39,371.57 2025-12-01
142 MS_DRG Major Head And Neck Procedures Without Cc/mcc 8 4 — — $21,043.80 $68,274.84 $39,300.18 2025-12-01
368 MS_DRG Major Esophageal Disorders With Mcc 8 4 — — $21,043.80 $68,082.38 $39,189.40 2025-12-01
410 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 8 4 — — $21,043.80 $67,902.75 $39,086.00 2025-12-01
385 MS_DRG Inflammatory Bowel Disease With Mcc 8 4 — — $21,043.80 $67,671.81 $38,953.07 2025-12-01
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 8 4 — — $21,043.80 $67,077.33 $38,610.87 2025-12-01
154 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses With Mcc 8 4 — — $21,043.80 $66,867.77 $38,490.24 2025-12-01
177 MS_DRG Respiratory Infections And Inflammations With Mcc 8 4 — — $21,043.80 $66,833.55 $38,470.54 2025-12-01
186 MS_DRG Pleural Effusion With Mcc 8 4 — — $21,043.80 $66,653.93 $38,367.15 2025-12-01
669 MS_DRG Transurethral Procedures With Cc 8 4 — — $21,043.80 $66,375.94 $38,207.13 2025-12-01
658 MS_DRG Kidney And Ureter Procedures For Neoplasm Without Cc/mcc 8 4 — — $21,043.80 $66,367.38 $38,202.21 2025-12-01
564 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc 8 4 — — $21,043.80 $66,016.68 $38,000.35 2025-12-01
517 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures Without Cc/mc… 8 4 — — $21,043.80 $65,721.59 $37,830.48 2025-12-01
337 MS_DRG Peritoneal Adhesiolysis Without Cc/mcc 8 4 — — $21,043.80 $65,648.88 $37,788.63 2025-12-01
115 MS_DRG Extraocular Procedures Except Orbit 8 4 — — $21,043.80 $65,644.60 $37,786.17 2025-12-01
708 MS_DRG Major Male Pelvic Procedures Without Cc/mcc 8 4 — — $21,043.80 $65,614.67 $37,768.93 2025-12-01
183 MS_DRG Major Chest Trauma With Mcc 8 4 — — $21,043.80 $65,430.76 $37,663.07 2025-12-01
54 MS_DRG Nervous System Neoplasms With Mcc 8 4 — — $21,043.80 $65,302.46 $37,589.23 2025-12-01
813 MS_DRG Coagulation Disorders 8 4 — — $21,043.80 $65,234.03 $37,549.83 2025-12-01
351 MS_DRG Inguinal And Femoral Hernia Procedures With Cc 8 4 — — $21,043.80 $65,199.82 $37,530.14 2025-12-01
663 MS_DRG Minor Bladder Procedures With Cc 8 4 — — $21,043.80 $65,015.91 $37,424.28 2025-12-01
C1826 HCPCS Ins 977119 Inceptiv MRI US Eman 81 13 $53,240.00 $53,240.00 $19,712.00 $47,916.00 $37,268.00 2025-12-01
398 MS_DRG Appendix Procedures With Cc 8 4 — — $21,043.80 $64,733.64 $37,261.81 2025-12-01
606 MS_DRG Minor Skin Disorders With Mcc 8 4 — — $21,043.80 $64,716.54 $37,251.96 2025-12-01
C1820 HCPCS Battery Neurostimulator Restore Sensor MRI Spinal Cord Stimulation 88 13 $53,240.00 $53,240.00 $19,712.00 $47,916.00 $37,134.90 2025-12-01
830 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 8 4 — — $21,043.80 $64,365.84 $37,050.09 2025-12-01
345 MS_DRG Minor Small And Large Bowel Procedures With Cc 8 4 — — $21,043.80 $64,353.01 $37,042.71 2025-12-01
713 MS_DRG Transurethral Prostatectomy With Cc/mcc 8 4 — — $21,043.80 $64,297.41 $37,010.70 2025-12-01
425 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures Without Cc/mcc 8 4 — — $21,043.80 $64,164.83 $36,934.38 2025-12-01
626 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Cc 8 4 — — $21,043.80 $64,126.34 $36,912.23 2025-12-01
865 MS_DRG Viral Illness With Mcc 8 4 — — $21,043.80 $64,079.29 $36,885.15 2025-12-01
520 MS_DRG Back And Neck Procedures Except Spinal Fusion Without Cc/mcc 8 4 — — $21,043.80 $63,891.12 $36,776.83 2025-12-01
137 MS_DRG Mouth Procedures With Cc/mcc 8 4 — — $21,043.80 $63,861.18 $36,759.60 2025-12-01
557 MS_DRG Tendonitis, Myositis And Bursitis With Mcc 8 4 — — $21,043.80 $63,591.74 $36,604.50 2025-12-01
727 MS_DRG Inflammation Of The Male Reproductive System With Mcc 8 4 — — $21,043.80 $63,420.67 $36,506.04 2025-12-01
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