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

Memorial Hospital For Cancer And Allied Diseases

Basking Ridge, NY · CCN 330154 · Rates published

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You selected 93306 (CPT)

HC 2 D&M Mode Echo-Complete Study

This hospital’s price: $1,020 across 27 payers · range $444-$4,583

Source: https://www.mskcc.org/hpt/6/131924236_memorial-hospital-for-cancer-and-allied-diseases-ny-suburbs_standardcharges.json · observed 2025-12-01

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.

18,774 distinct procedures filed
27 distinct payers
1,706,963 rate rows
2025-12-01 last MRF observed
Data quality

1,677,983 of 1,706,963 rate rows are consumer-grade (98.3%)

28,980 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
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 962
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 3
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 · 2026-09-21
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
$2,401,960
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
$809,217
1.3× median
Q2056
HCPCS 		Ciltacabtagene Autoleucel 0.5 X 10exp6 To 1x 10exp8 Cell IV Suspension 22 $365,534.64 $953,579.05 $741,672.60 nat. median
$646,415
1.1× median
Q2055
HCPCS 		Idecabtagene Vicleucel 300 X 10exp6 To 510 X 10exp6 Cell IV Suspension 22 $373,210.00 $907,218.14 $735,386.80 nat. median
$622,245
1.2× median
Q2054
HCPCS 		Lisocabtagene Maraleucel 1.5 X 10exp6 To 70 X 10exp6 Cell/ml IV Susp 22 $372,042.79 $912,434.85 $722,646.58 nat. median
$640,950
1.1× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Intravenous Suspension 22 $352,598.40 $864,747.58 $684,878.31 nat. median
$608,101
1.1× median
Q2042
HCPCS 		Tisagenlecleucel 0.2 X10exp6 To 2.5x10exp8 Cell Intravenous Suspension 22 $271,602.34 $849,346.22 $606,367.16 nat. median
$738,272
0.8× median
Q2053
HCPCS 		Brexucabtagene Autoleucel Inj 1 Dose (006923) 10 $323,596.80 $728,092.80 $586,923.69 nat. median
$591,650
1.0× median
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
$190,557
outlier · 2.7×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 7 $21,043.80 $741,331.00 $361,041.00 nat. median
$110,192
outlier · 3.3×
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
$319,951
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
$126,722
outlier · 2.7×
16
MS_DRG 		Autologous Bone Marrow Transplant With Cc/mcc 7 $21,043.80 $425,840.00 $320,775.00 nat. median
$53,907
outlier · 6.0×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 3 $194,724.48 $385,322.57 $240,051.78 nat. median
$78,037
outlier · 3.1×
850
MS_DRG 		Acute Leukemia With Other Procedures 3 $187,157.77 $370,349.50 $230,723.71 nat. median
$78,262
outlier · 2.9×
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
$77,696
outlier · 2.7×
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
$63,648
outlier · 3.0×
17
MS_DRG 		Autologous Bone Marrow Transplant Without Cc/mcc 3 $21,043.80 $395,194.00 $185,286.50 nat. median
$50,898
outlier · 3.6×
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
$60,543
outlier · 2.9×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 4 $21,043.80 $295,603.86 $170,154.70 nat. median
$62,721
outlier · 2.7×
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
$359,358
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
$59,384
outlier · 2.7×
430
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 3 $124,644.33 $246,647.33 $153,658.61 nat. median
$51,243
outlier · 3.0×
28
MS_DRG 		Spinal Procedures With Mcc 4 $21,043.80 $256,962.97 $147,912.33 nat. median
$54,505
outlier · 2.7×
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
$55,188
outlier · 2.7×
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
$53,879
outlier · 2.7×
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
$53,532
outlier · 2.6×
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
$49,960
outlier · 2.8×
834
MS_DRG 		Acute Leukemia With Mcc 4 $21,043.80 $234,792.04 $135,150.35 nat. median
$50,391
outlier · 2.7×
405
MS_DRG 		Pancreas, Liver And Shunt Procedures With Mcc 4 $21,043.80 $233,962.34 $134,672.77 nat. median
$50,825
outlier · 2.6×
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
$50,083
outlier · 2.7×
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
$53,342
outlier · 2.5×
21
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 4 $21,043.80 $226,405.24 $130,322.76 nat. median
$51,590
outlier · 2.5×
270
MS_DRG 		Other Major Cardiovascular Procedures With Mcc 4 $21,043.80 $225,656.80 $129,891.95 nat. median
$49,396
outlier · 2.6×
653
MS_DRG 		Major Bladder Procedures With Mcc 4 $21,043.80 $222,239.64 $127,924.98 nat. median
$49,999
outlier · 2.6×
326
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Mcc 4 $21,043.80 $213,301.12 $122,779.81 nat. median
$46,224
outlier · 2.7×
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
$45,474
outlier · 2.7×
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
$46,668
outlier · 2.6×
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
$45,443
outlier · 2.6×
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
$43,741
outlier · 2.6×
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
$43,916
outlier · 2.6×
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 4 $21,043.80 $196,583.11 $113,156.64 nat. median
$42,662
outlier · 2.7×
448
MS_DRG 		Multiple Level Spinal Fusion Except Cervical Without Mcc 3 $91,656.41 $181,370.53 $112,991.88 nat. median
$39,085
outlier · 2.9×
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
$42,894
outlier · 2.6×
856
MS_DRG 		Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 4 $21,043.80 $194,538.80 $111,979.90 nat. median
$41,690
outlier · 2.7×
25
MS_DRG 		Craniotomy And Endovascular Intracranial Procedures With Mcc 4 $21,043.80 $194,453.27 $111,930.66 nat. median
$42,902
outlier · 2.6×
799
MS_DRG 		Splenic Procedures With Mcc 4 $21,043.80 $193,692.00 $111,492.46 nat. median
$43,294
outlier · 2.6×
179
MS_DRG 		Respiratory Infections And Inflammations Without Cc/mcc 4 $21,043.80 $191,677.62 $110,332.96 nat. median
$8,200
outlier · 13.5×
163
MS_DRG 		Major Chest Procedures With Mcc 4 $21,043.80 $191,677.62 $110,332.96 nat. median
$42,735
outlier · 2.6×
31
MS_DRG 		Ventricular Shunt Procedures With Mcc 4 $21,043.80 $191,622.02 $110,300.95 nat. median
$40,625
outlier · 2.7×

Other procedures at this hospital

Browse this hospital's 18,774 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
             
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 88 22 $1,059,532.28 $1,059,532.28 $365,534.64 $953,579.05 $741,672.60 2025-12-01
Q2055 HCPCS Idecabtagene Vicleucel 300 X 10exp6 To 510 X 10exp6 Cell IV Suspension 88 22 $1,008,020.16 $1,008,020.16 $373,210.00 $907,218.14 $735,386.80 2025-12-01
Q2054 HCPCS Lisocabtagene Maraleucel 1.5 X 10exp6 To 70 X 10exp6 Cell/ml IV Susp 88 22 $1,013,816.50 $1,013,816.50 $372,042.79 $912,434.85 $722,646.58 2025-12-01
Q2041 HCPCS Axicabtagene Ciloleucel Intravenous Suspension 88 22 $960,830.64 $960,830.64 $352,598.40 $864,747.58 $684,878.31 2025-12-01
Q2042 HCPCS Tisagenlecleucel 0.2 X10exp6 To 2.5x10exp8 Cell Intravenous Suspension 171 22 $864,685.73 $864,685.73 $271,602.34 $849,346.22 $606,367.16 2025-12-01
Q2053 HCPCS 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
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 17 7 — — $21,043.80 $741,331.00 $361,041.00 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 17 7 — — $21,043.80 $425,840.00 $320,775.00 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
163 MS_DRG Major Chest Procedures With Mcc 8 4 — — $21,043.80 $191,677.62 $110,332.96 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
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
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
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
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
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
J9226 HCPCS Histrelin 50 Mg (65 Mcg/day) Implant Kit 100 22 $95,746.55 $95,746.55 $35,450.00 $89,753.97 $60,777.88 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
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
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
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
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
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
682 MS_DRG Renal Failure With Mcc 8 4 — — $21,043.80 $63,339.41 $36,459.26 2025-12-01
388 MS_DRG Gastrointestinal Obstruction With Mcc 8 4 — — $21,043.80 $63,159.78 $36,355.86 2025-12-01
750 MS_DRG Other Female Reproductive System O.r. Procedures Without Cc/mcc 8 4 — — $21,043.80 $63,117.01 $36,331.24 2025-12-01
604 MS_DRG Trauma To The Skin, Subcutaneous Tissue And Breast With Mcc 8 4 — — $21,043.80 $62,958.77 $36,240.15 2025-12-01
738 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy Without Cc/mcc 8 4 — — $21,043.80 $62,804.81 $36,151.53 2025-12-01
839 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Without Cc/mcc 8 4 — — $21,043.80 $61,752.72 $35,545.93 2025-12-01
581 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/mcc 8 4 — — $21,043.80 $61,718.50 $35,526.24 2025-12-01
637 MS_DRG Diabetes With Mcc 8 4 — — $21,043.80 $61,444.79 $35,368.68 2025-12-01
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