Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

MOUNT SINAI SOUTH NASSAU

Oceanside, NY · CCN 330198 · Rates published

16,022 distinct procedures filed
16 distinct payers
168,356 rate rows
2026-04-01 last MRF observed
Data quality

132,819 of 168,356 rate rows are consumer-grade (78.9%)

35,537 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 34,392
template filing: same amount across many unrelated codes — excluded 1,073
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 45
placeholder amount (≤ $0.02) — excluded from medians 27
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.mountsinai.org/files/mrf/111352310_mount-sinai-south-nassau_standardcharges.json
Found on page https://www.mountsinai.org/about/insurance/price-transparency
Discovered viaCMS hospital list
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-07-06
Content fingerprint d45a0e6525baece8… · 51,004,216 bytes · first seen 2026-05-05

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 2 $3,685,266.67 $6,029,677.50 $4,857,472.08 nat. median
$3,685,267
1.3× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 2 $3,316,462.59 $5,510,304.00 $4,413,383.29 nat. median
$3,325,455
1.3× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 2 $2,455,110.60 $3,749,793.98 $3,102,452.29 nat. median
$2,455,111
1.3× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 15 $328,819.75 $1,667,978.83 $862,506.13 nat. median
$168,055
outlier · 5.1×
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 2 $591,726.20 $855,097.12 $723,411.66 nat. median
$621,313
1.2× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 2 $565,868.94 $837,367.66 $701,618.30 nat. median
$599,737
1.2× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 2 $557,317.93 $799,739.00 $678,528.46 nat. median
$574,037
1.2× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 2 $562,538.19 $782,200.02 $672,369.10 nat. median
$579,571
1.2× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 15 $161,621.41 $819,844.58 $668,977.06 nat. median
$145,435
outlier · 4.6×
Q2053
HCPCS 		Brexucabtagene Car Pos T 2 $489,304.61 $741,576.00 $615,440.31 nat. median
$513,770
1.2× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 15 $213,390.79 $1,082,451.16 $559,757.31 nat. median
$186,516
outlier · 3.0×
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 3 $395,380.00 $757,979.39 $493,708.26 nat. median
$562,501
0.9× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 15 $162,575.52 $824,684.41 $426,478.25 nat. median
$131,925
outlier · 3.2×
405
MS_DRG 		Pancreas, Liver And Shunt Procedures With Mcc 15 $41,655.67 $211,303.53 $335,352.52 nat. median
$38,859
outlier · 8.6×
215
MS_DRG 		Other Heart Assist System Implant 15 $75,818.57 $384,599.08 $319,178.26 nat. median
$73,023
outlier · 4.4×
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 15 $45,406.62 $230,330.70 $282,894.77 nat. median
$42,674
outlier · 6.6×
7
MS_DRG 		Lung Transplant 15 $98,610.59 $500,214.43 $258,710.08 nat. median
$70,649
outlier · 3.7×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 15 $91,511.50 $464,203.41 $240,090.47 nat. median
$72,715
outlier · 3.3×
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 15 $58,022.49 $294,326.26 $237,339.99 nat. median
$52,327
outlier · 4.5×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 15 $86,287.12 $437,702.11 $226,387.90 nat. median
$65,418
outlier · 3.5×
209
MS_DRG 		Complex Aortic Arch Procedures 15 $86,188.13 $437,199.97 $226,128.27 nat. median
$2,110
outlier · 107.1×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 $83,922.03 $425,704.87 $220,184.69 nat. median
$2,736
outlier · 80.5×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 15 $82,801.92 $420,022.99 $217,246.86 nat. median
$74,509
outlier · 2.9×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 15 $78,510.33 $398,253.37 $205,990.81 nat. median
$69,922
outlier · 2.9×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 15 $54,295.14 $275,418.83 $199,194.99 nat. median
$51,518
outlier · 3.9×
471
MS_DRG 		Cervical Spinal Fusion With Mcc 15 $36,768.62 $186,513.37 $197,575.56 nat. median
$34,932
outlier · 5.7×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 15 $74,492.11 $377,870.43 $195,451.76 nat. median
$69,822
outlier · 2.8×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 15 $68,604.50 $348,004.81 $180,009.64 nat. median
$2,596
outlier · 69.4×
850
MS_DRG 		Acute Leukemia With Other Procedures 15 $65,938.63 $334,481.85 $173,017.56 nat. median
$2,633
outlier · 65.7×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 15 $64,190.32 $325,613.32 $168,432.06 nat. median
$60,505
outlier · 2.8×
96
MS_DRG 		Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 15 $19,639.58 $99,624.18 $165,503.52 nat. median
$17,612
outlier · 9.4×
28
MS_DRG 		Spinal Procedures With Mcc 15 $45,750.80 $232,076.60 $164,907.41 nat. median
$41,895
outlier · 3.9×
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 14 — — $159,291.51 nat. median
$2,106
outlier · 75.7×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 15 $58,467.18 $296,582.02 $153,421.34 nat. median
$55,923
outlier · 2.7×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 15 $58,215.14 $295,303.50 $152,760.27 nat. median
$55,935
outlier · 2.7×
451
MS_DRG 		Single Level Spinal Fusion Except Cervical Without Mcc 15 $24,598.20 $124,777.43 $146,250.63 nat. median
$21,019
outlier · 7.0×
29
MS_DRG 		Spinal Procedures With Cc Or Spinal Neurostimulators 15 $25,977.97 $131,776.46 $145,675.55 nat. median
$24,349
outlier · 6.0×
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 $54,966.75 $278,825.64 $144,240.35 nat. median
$9,905
outlier · 14.6×
460
MS_DRG 		Spinal Fusion Except Cervical Without Mcc 14 — — $144,198.68 nat. median
$2,106
outlier · 68.5×
10
MS_DRG 		Pancreas Transplant 15 $54,640.09 $277,168.59 $143,383.57 nat. median
$23,080
outlier · 6.2×
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 15 $54,617.24 $277,052.71 $143,323.65 nat. median
$37,013
outlier · 3.9×
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 15 $54,327.13 $275,581.06 $142,562.73 nat. median
$45,605
outlier · 3.1×
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 15 $51,254.63 $259,995.47 $134,504.15 nat. median
$47,340
outlier · 2.8×
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 15 $50,915.02 $258,272.75 $133,613.42 nat. median
$2,633
outlier · 50.7×
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 15 $43,633.94 $221,338.57 $133,406.85 nat. median
$40,301
outlier · 3.3×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 15 $105,472.87 $535,024.18 $132,286.20 nat. median
$97,418
1.4× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 15 $50,068.28 $253,977.54 $131,392.57 nat. median
$47,458
outlier · 2.8×
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 15 $50,068.28 $253,977.54 $131,392.57 nat. median
$45,446
outlier · 2.9×
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 15 $49,886.29 $253,054.38 $130,915.24 nat. median
$43,299
outlier · 3.0×
326
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Mcc 15 $37,977.06 $192,643.31 $127,649.51 nat. median
$35,986
outlier · 3.5×

Other procedures at this hospital

Browse this hospital's 16,022 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
             
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 2 2 — — $3,685,266.67 $6,029,677.50 $4,857,472.08 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 2 2 — — $3,316,462.59 $5,510,304.00 $4,413,383.29 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 2 2 — — $2,455,110.60 $3,749,793.98 $3,102,452.29 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 62 15 — — $328,819.75 $1,667,978.83 $862,506.13 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 2 2 — — $591,726.20 $855,097.12 $723,411.66 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 2 2 — — $565,868.94 $837,367.66 $701,618.30 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 2 2 — — $557,317.93 $799,739.00 $678,528.46 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 2 2 — — $562,538.19 $782,200.02 $672,369.10 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 62 15 — — $161,621.41 $819,844.58 $668,977.06 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 2 2 — — $489,304.61 $741,576.00 $615,440.31 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 62 15 — — $213,390.79 $1,082,451.16 $559,757.31 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 6 3 — — $395,380.00 $757,979.39 $493,708.26 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 62 15 — — $162,575.52 $824,684.41 $426,478.25 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 62 15 — — $41,655.67 $211,303.53 $335,352.52 2026-04-01
215 MS_DRG Other Heart Assist System Implant 62 15 — — $75,818.57 $384,599.08 $319,178.26 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 62 15 — — $45,406.62 $230,330.70 $282,894.77 2026-04-01
7 MS_DRG Lung Transplant 62 15 — — $98,610.59 $500,214.43 $258,710.08 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 62 15 — — $91,511.50 $464,203.41 $240,090.47 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 62 15 — — $58,022.49 $294,326.26 $237,339.99 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 62 15 — — $86,287.12 $437,702.11 $226,387.90 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 62 15 — — $86,188.13 $437,199.97 $226,128.27 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 62 15 — — $83,922.03 $425,704.87 $220,184.69 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 62 15 — — $82,801.92 $420,022.99 $217,246.86 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 62 15 — — $78,510.33 $398,253.37 $205,990.81 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 62 15 — — $54,295.14 $275,418.83 $199,194.99 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 62 15 — — $36,768.62 $186,513.37 $197,575.56 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 62 15 — — $74,492.11 $377,870.43 $195,451.76 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 62 15 — — $68,604.50 $348,004.81 $180,009.64 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 62 15 — — $65,938.63 $334,481.85 $173,017.56 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 62 15 — — $64,190.32 $325,613.32 $168,432.06 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 62 15 — — $19,639.58 $99,624.18 $165,503.52 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 62 15 — — $45,750.80 $232,076.60 $164,907.41 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 35 14 — — — — $159,291.51 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 62 15 — — $58,467.18 $296,582.02 $153,421.34 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 62 15 — — $58,215.14 $295,303.50 $152,760.27 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 62 15 — — $24,598.20 $124,777.43 $146,250.63 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 62 15 — — $25,977.97 $131,776.46 $145,675.55 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 62 15 — — $54,966.75 $278,825.64 $144,240.35 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 35 14 — — — — $144,198.68 2026-04-01
10 MS_DRG Pancreas Transplant 62 15 — — $54,640.09 $277,168.59 $143,383.57 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 62 15 — — $54,617.24 $277,052.71 $143,323.65 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 62 15 — — $54,327.13 $275,581.06 $142,562.73 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 62 15 — — $51,254.63 $259,995.47 $134,504.15 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 62 15 — — $50,915.02 $258,272.75 $133,613.42 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 62 15 — — $43,633.94 $221,338.57 $133,406.85 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 62 15 — — $105,472.87 $535,024.18 $132,286.20 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 62 15 — — $50,068.28 $253,977.54 $131,392.57 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 62 15 — — $50,068.28 $253,977.54 $131,392.57 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 62 15 — — $49,886.29 $253,054.38 $130,915.24 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 62 15 — — $37,977.06 $192,643.31 $127,649.51 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 62 15 — — $19,219.25 $97,492.02 $127,255.01 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 62 15 — — $40,176.91 $203,802.36 $124,046.07 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 62 15 — — $46,665.31 $236,715.58 $122,467.22 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 62 15 — — $46,611.25 $236,441.33 $122,325.42 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 62 15 — — $46,164.27 $234,173.99 $121,153.08 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 62 15 — — $28,653.74 $145,349.64 $119,460.22 2026-04-01
488 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection With Cc/Mcc 62 15 — — $13,469.47 $68,325.53 $119,243.02 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 62 15 — — $45,152.29 $229,040.59 $118,498.84 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 62 15 — — $22,083.86 $112,023.13 $118,089.00 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 62 15 — — $44,687.04 $226,680.54 $117,278.57 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 62 15 — — $44,658.11 $226,533.76 $117,202.68 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 62 15 — — $34,621.30 $175,620.83 $115,274.44 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 62 15 — — $43,914.16 $222,760.00 $115,251.45 2026-04-01
883 MS_DRG Disorders Of Personality And Impulse Control 62 15 — — $14,972.59 $75,950.30 $114,140.88 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 62 15 — — $43,455.76 $220,434.72 $114,049.15 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 62 15 — — $42,676.79 $216,483.28 $112,006.05 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 62 15 — — $42,055.44 $213,331.40 $110,376.36 2026-04-01
45 MS_DRG Neurological Eye Disorders 35 14 — — — — $109,471.35 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 62 15 — — $32,087.16 $162,766.10 $109,289.82 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 62 15 — — $41,596.28 $211,002.25 $109,172.07 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 62 15 — — $41,530.79 $210,670.07 $109,000.31 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 62 15 — — $41,364.79 $209,828.02 $108,564.93 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 62 15 — — $40,582.77 $205,861.13 $106,513.83 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 62 15 — — $39,568.51 $200,716.15 $103,853.61 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 62 15 — — $52,630.59 $266,975.19 $103,010.33 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 62 15 — — $32,951.42 $167,150.15 $102,998.29 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 62 15 — — $35,000.51 $177,544.41 $102,147.96 2026-04-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 62 15 — — $17,598.86 $89,272.41 $99,865.95 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 62 15 — — $37,672.47 $191,098.27 $98,880.65 2026-04-01
801 MS_DRG Splenic Procedures Without Cc/Mcc 62 15 — — $14,535.51 $73,733.17 $98,489.38 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 62 15 — — $37,320.68 $189,313.75 $97,957.96 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 62 15 — — $34,117.22 $173,063.79 $96,648.88 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 62 15 — — $36,582.82 $185,570.89 $96,022.70 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 62 15 — — $36,251.59 $183,890.66 $95,153.94 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 62 15 — — $35,799.28 $181,596.28 $93,967.62 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 2 2 — — $78,260.61 $108,243.35 $93,251.98 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 62 15 — — $37,476.78 $190,105.58 $92,804.49 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 62 15 — — $35,308.90 $179,108.76 $92,681.44 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 62 15 — — $34,485.76 $174,933.29 $90,522.50 2026-04-01
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/Mcc 62 15 — — $15,278.69 $77,503.07 $90,429.60 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 62 15 — — $33,983.20 $172,383.98 $89,204.37 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 62 15 — — $18,589.52 $94,297.65 $87,826.14 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 62 15 — — $32,292.00 $163,805.14 $87,703.77 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 62 15 — — $37,605.46 $190,758.36 $87,325.41 2026-04-01
791 MS_DRG Prematurity With Major Problems 62 15 — — $30,907.66 $156,782.93 $86,857.25 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 62 15 — — $22,433.37 $113,796.06 $86,194.07 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 62 15 — — $32,688.72 $165,817.56 $85,809.19 2026-04-01
920 MS_DRG Complications Of Treatment With Cc 62 15 — — $7,632.11 $38,714.84 $85,259.41 2026-04-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 62 15 — — $18,725.82 $94,989.06 $85,126.32 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 62 15 — — $63,988.53 $324,589.73 $84,577.50 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 62 15 — — $32,103.15 $162,847.22 $84,273.36 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 2 2 — — $63,342.28 $104,783.91 $84,063.10 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 62 15 — — $31,955.43 $162,097.87 $83,885.91 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 62 15 — — $31,896.04 $161,796.59 $83,730.13 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 62 15 — — $24,098.69 $122,243.56 $83,074.09 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 62 15 — — $59,917.76 $303,940.27 $82,944.67 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 62 15 — — $24,573.08 $124,649.96 $82,727.09 2026-04-01
748 MS_DRG Female Reproductive System Reconstructive Procedures 62 15 — — $10,563.73 $53,585.85 $82,291.04 2026-04-01
5465 OTHER Level 5 Neurostimulator And Related Procedures 37 12 — — — — $80,196.82 2026-04-01
35 MS_DRG Carotid Artery Stent Procedures With Cc 62 15 — — $18,202.70 $92,335.45 $80,089.84 2026-04-01
345 MS_DRG Minor Small And Large Bowel Procedures With Cc 62 15 — — $11,457.69 $58,120.54 $79,657.81 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 62 15 — — $30,337.33 $153,889.85 $79,641.93 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 62 15 — — $45,257.38 $229,573.63 $78,472.43 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 62 15 — — $29,652.78 $150,417.37 $77,846.47 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 62 15 — — $26,105.89 $132,425.38 $77,568.07 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 62 15 — — $29,473.83 $149,509.66 $77,377.14 2026-04-01
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 62 15 — — $16,193.97 $82,145.91 $77,173.69 2026-04-01
A9699 HCPCS Radiopharm Rx Agent Noc 1 1 — — $76,808.44 $76,808.44 $76,808.44 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 2 1 — — $41,582.60 $111,218.58 $76,400.59 2026-04-01
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/Mcc 62 15 — — $13,971.27 $70,870.98 $75,942.09 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 62 15 — — $29,234.73 $148,296.80 $74,616.00 2026-04-01
398 MS_DRG Appendix Procedures With Cc 62 15 — — $11,525.46 $58,464.31 $74,592.80 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 62 15 — — $19,347.94 $98,144.80 $74,501.04 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 62 15 — — $35,168.03 $178,394.18 $74,487.10 2026-04-01
294 MS_DRG Deep Vein Thrombophlebitis With Cc/Mcc 35 14 — — — — $74,452.70 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 62 15 — — $28,218.18 $143,140.23 $74,083.81 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 62 15 — — $42,384.39 $215,000.04 $73,897.40 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 62 15 — — $27,969.19 $141,877.16 $73,430.73 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 62 15 — — $28,458.04 $144,356.95 $72,791.57 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 62 15 — — $27,608.26 $140,046.29 $72,484.08 2026-04-01
332 MS_DRG Rectal Resection With Mcc 62 15 — — $27,570.18 $139,853.16 $72,384.22 2026-04-01
265 MS_DRG Aicd Lead Procedures 62 15 — — $27,551.15 $139,756.59 $72,334.29 2026-04-01
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 62 15 — — $16,125.44 $81,798.28 $71,803.64 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 62 15 — — $23,717.19 $120,308.40 $71,803.15 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 62 15 — — $29,787.55 $151,101.05 $71,685.29 2026-04-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 62 15 — — $18,611.61 $94,409.67 $71,662.54 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 62 15 — — $27,281.59 $138,389.23 $71,627.29 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 62 15 — — $27,218.39 $138,068.64 $71,461.52 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 62 15 — — $27,150.62 $137,724.87 $71,283.78 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 62 15 — — $27,127.77 $137,608.99 $71,223.86 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 62 15 — — $34,636.53 $175,698.09 $70,571.45 2026-04-01
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 62 15 — — $16,306.67 $82,717.58 $70,560.22 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 62 15 — — $26,555.16 $134,704.31 $69,721.99 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 62 15 — — $26,433.32 $134,086.30 $69,402.44 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 62 15 — — $26,305.40 $133,437.38 $69,066.92 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 62 15 — — $26,183.56 $132,819.36 $68,747.37 2026-04-01
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 62 15 — — $17,373.47 $88,129.08 $68,083.83 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 62 15 — — $52,372.46 $265,665.77 $67,161.76 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 5 3 — — $55,880.37 $108,036.36 $66,500.40 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 62 15 — — $25,153.31 $127,593.27 $66,045.20 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 62 15 — — $23,675.31 $120,095.96 $65,525.39 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 62 15 — — $48,997.67 $248,546.72 $65,148.32 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 62 15 — — $24,659.88 $125,090.30 $64,751.04 2026-04-01
652 MS_DRG Kidney Transplant 62 15 — — $24,591.35 $124,742.67 $64,571.29 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 62 15 — — $24,525.10 $124,406.62 $64,397.54 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 62 15 — — $24,266.97 $123,097.20 $63,720.50 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 62 15 — — $24,243.36 $122,977.46 $63,658.59 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 62 15 — — $24,194.63 $122,730.25 $63,530.77 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 62 15 — — $24,062.14 $122,058.16 $63,183.26 2026-04-01
665 MS_DRG Prostatectomy With Mcc 62 15 — — $23,766.69 $120,559.47 $62,408.36 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 62 15 — — $19,311.39 $97,959.40 $62,267.50 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 62 15 — — $25,068.02 $127,160.65 $62,142.93 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 62 15 — — $34,127.11 $173,114.01 $61,395.34 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 62 15 — — $22,999.90 $116,669.83 $60,397.21 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 62 15 — — $22,971.73 $116,526.92 $60,323.31 2026-04-01
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 62 15 — — $15,922.89 $80,770.83 $60,017.07 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 62 15 — — $22,664.10 $114,966.43 $59,516.46 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 62 15 — — $20,184.02 $102,385.94 $59,261.50 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 62 15 — — $22,418.14 $113,718.81 $58,871.37 2026-04-01
42 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/Mcc 62 15 — — $13,155.74 $66,734.14 $58,348.09 2026-04-01
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 62 15 — — $17,299.61 $87,754.41 $58,108.60 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 62 15 — — $22,097.57 $112,092.65 $58,030.56 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 62 15 — — $28,461.09 $144,372.40 $57,999.95 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 62 15 — — $43,399.41 $220,148.89 $57,740.70 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 62 15 — — $21,986.40 $111,528.71 $57,738.98 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 62 15 — — $21,975.74 $111,474.64 $57,711.02 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 62 15 — — $21,943.75 $111,312.41 $57,627.14 2026-04-01
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 62 15 — — $17,046.04 $86,468.16 $57,298.84 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 62 15 — — $25,064.98 $127,145.20 $56,228.40 2026-04-01
800 MS_DRG Splenic Procedures With Cc 62 15 — — $21,392.46 $108,515.88 $56,181.19 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 62 15 — — $27,079.80 $137,365.64 $56,166.93 2026-04-01
503 MS_DRG Foot Procedures With Mcc 62 15 — — $21,253.11 $107,809.03 $55,815.71 2026-04-01
571 MS_DRG Skin Debridement With Cc 62 15 — — $12,864.87 $65,258.63 $55,474.43 2026-04-01
32 MS_DRG Ventricular Shunt Procedures With Cc 62 15 — — $16,226.71 $82,312.01 $55,164.89 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 5 3 — — $42,616.30 $91,498.39 $54,923.92 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 62 15 — — $31,749.84 $161,054.97 $54,922.27 2026-04-01
336 MS_DRG Peritoneal Adhesiolysis With Cc 62 15 — — $16,056.91 $81,450.65 $54,828.79 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 62 15 — — $18,253.72 $92,594.25 $54,686.32 2026-04-01
737 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 62 15 — — $15,690.64 $79,592.74 $54,495.32 2026-04-01
583 MS_DRG Mastectomy For Malignancy Without Cc/Mcc 62 15 — — $13,130.62 $66,606.67 $54,485.40 2026-04-01
849 MS_DRG Radiotherapy 62 15 — — $20,631.76 $104,657.15 $54,186.01 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 62 15 — — $20,606.63 $104,529.68 $54,120.11 2026-04-01
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 62 15 — — $15,214.73 $77,178.61 $53,546.89 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 62 15 — — $20,082.75 $101,872.21 $52,746.06 2026-04-01
539 MS_DRG Osteomyelitis With Mcc 62 15 — — $14,998.48 $76,081.63 $52,168.31 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 62 15 — — $19,740.85 $100,137.90 $51,849.33 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 62 15 — — $19,639.58 $99,624.18 $51,583.70 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 62 15 — — $27,190.98 $137,929.58 $51,424.11 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 62 15 — — $19,551.25 $99,176.12 $51,352.03 2026-04-01
896 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 62 15 — — $13,288.24 $67,406.23 $50,255.26 2026-04-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 62 15 — — $18,974.82 $96,252.13 $49,840.17 2026-04-01
902 MS_DRG Wound Debridements For Injuries With Cc 62 15 — — $14,578.15 $73,949.48 $49,835.14 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 62 15 — — $33,449.41 $169,676.29 $49,657.75 2026-04-01
545 MS_DRG Connective Tissue Disorders With Mcc 62 15 — — $18,897.15 $95,858.14 $49,636.46 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 62 15 — — $27,957.77 $141,819.22 $49,557.20 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 62 15 — — $19,210.87 $97,449.54 $49,177.47 2026-04-01
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 62 15 — — $13,158.03 $66,745.73 $48,595.43 2026-04-01
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 62 15 — — $12,810.80 $64,984.38 $48,569.67 2026-04-01
254 MS_DRG Other Vascular Procedures Without Cc/Mcc 62 15 — — $13,566.93 $68,819.94 $48,536.04 2026-04-01
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 62 15 — — $18,444.08 $93,559.90 $48,448.15 2026-04-01
964 MS_DRG Other Multiple Significant Trauma With Cc 62 15 — — $11,670.14 $59,198.21 $48,325.49 2026-04-01
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 62 15 — — $18,383.93 $93,254.75 $48,290.37 2026-04-01
375 MS_DRG Digestive Malignancy With Cc 62 15 — — $9,210.62 $46,722.01 $48,284.89 2026-04-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 62 15 — — $18,315.40 $92,907.12 $48,110.63 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 62 15 — — $35,619.58 $180,684.70 $48,092.69 2026-04-01
397 MS_DRG Appendix Procedures With Mcc 62 15 — — $18,236.21 $92,505.41 $47,902.92 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 62 15 — — $22,176.00 $112,490.50 $47,717.30 2026-04-01
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 62 15 — — $12,880.86 $65,339.74 $47,380.96 2026-04-01
333 MS_DRG Rectal Resection With Cc 62 15 — — $17,834.92 $90,469.82 $46,850.41 2026-04-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 62 15 — — $17,794.56 $90,265.10 $46,744.56 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 62 15 — — $23,982.18 $121,652.59 $46,436.67 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 62 15 — — $34,911.42 $177,092.48 $45,859.96 2026-04-01
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 62 15 — — $17,328.55 $87,901.19 $45,522.30 2026-04-01
444 MS_DRG Disorders Of The Biliary Tract With Mcc 62 15 — — $12,723.24 $64,540.18 $45,434.40 2026-04-01
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 62 15 — — $16,590.69 $84,158.33 $45,118.28 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 62 15 — — $24,311.89 $123,325.09 $44,781.15 2026-04-01
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/Mcc 62 15 — — $17,036.14 $86,417.95 $44,755.38 2026-04-01
196 MS_DRG Interstitial Lung Disease With Mcc 62 15 — — $14,370.27 $72,894.99 $44,689.59 2026-04-01
915 MS_DRG Allergic Reactions With Mcc 62 15 — — $12,804.71 $64,953.48 $44,522.29 2026-04-01
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/Mcc 62 15 — — $16,901.37 $85,734.27 $44,401.88 2026-04-01
934 MS_DRG Full Thickness Burn Without Skin Graft Or Inhalation Injury 62 15 — — $16,832.83 $85,386.64 $44,222.14 2026-04-01
908 MS_DRG Other O.r. Procedures For Injuries With Cc 62 15 — — $15,192.65 $77,066.60 $44,179.79 2026-04-01
831 MS_DRG Other Antepartum Diagnoses Without O.r. Procedures With Mcc 62 15 — — $9,156.56 $46,447.76 $43,899.49 2026-04-01
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 62 15 — — $16,618.86 $84,301.25 $43,660.93 2026-04-01
334 MS_DRG Rectal Resection Without Cc/Mcc 62 15 — — $12,471.95 $63,265.53 $43,585.73 2026-04-01
743 MS_DRG Uterine And Adnexa Procedures For Non-malignancy Without Cc/Mcc 62 15 — — $9,447.43 $47,923.28 $43,566.49 2026-04-01
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 62 15 — — $16,579.27 $84,100.39 $43,557.08 2026-04-01
578 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis Without Cc/Mcc 62 15 — — $12,232.09 $62,048.81 $43,508.42 2026-04-01
5627 OTHER Level 7 Radiation Therapy 37 12 — — — — $43,458.67 2026-04-01
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 62 15 — — $13,424.54 $68,097.64 $43,443.15 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 62 15 — — $45,737.86 $232,010.93 $43,427.40 2026-04-01
627 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures Without Cc/Mcc 62 15 — — $10,114.47 $51,306.92 $43,126.54 2026-04-01
33 MS_DRG Ventricular Shunt Procedures Without Cc/Mcc 62 15 — — $12,662.32 $64,231.18 $42,968.58 2026-04-01
J9226 HCPCS Supprelin La Implant 5 3 — — $31,864.24 $73,554.94 $42,833.66 2026-04-01
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/Mcc 62 15 — — $16,300.57 $82,686.68 $42,826.12 2026-04-01
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/Mcc 62 15 — — $16,219.10 $82,273.38 $42,612.42 2026-04-01
595 MS_DRG Major Skin Disorders With Mcc 62 15 — — $16,148.28 $81,914.16 $42,426.68 2026-04-01
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 62 15 — — $16,123.15 $81,786.69 $42,360.78 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 62 15 — — $35,726.18 $181,225.47 $42,075.94 2026-04-01
296 MS_DRG Cardiac Arrest, Unexplained With Mcc 62 15 — — $11,893.24 $60,329.95 $42,068.01 2026-04-01
412 MS_DRG Cholecystectomy With C.d.e. With Cc 62 15 — — $16,009.70 $81,211.17 $42,063.20 2026-04-01
314 MS_DRG Other Circulatory System Diagnoses With Mcc 62 15 — — $15,877.96 $80,542.94 $41,991.97 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 62 15 — — $32,157.98 $163,125.32 $41,974.54 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 62 15 — — $29,401.49 $149,142.71 $41,921.14 2026-04-01
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 62 15 — — $15,938.88 $80,851.94 $41,877.46 2026-04-01
838 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Che… 62 15 — — $15,894.72 $80,627.91 $41,761.63 2026-04-01
835 MS_DRG Acute Leukemia With Cc 62 15 — — $15,882.53 $80,566.11 $41,729.67 2026-04-01
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 62 15 — — $15,833.80 $80,318.90 $41,601.85 2026-04-01
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 62 15 — — $15,823.90 $80,268.69 $41,575.89 2026-04-01
886 MS_DRG Behavioral And Developmental Disorders 62 15 — — $15,802.58 $80,160.54 $41,519.97 2026-04-01
L7181 HCPCS Electronic Elbo Simultaneous 2 2 — — $34,808.01 $48,155.50 $41,481.75 2026-04-01
415 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 62 15 — — $15,737.09 $79,828.35 $41,348.21 2026-04-01
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 62 15 — — $17,403.93 $88,283.59 $41,242.33 2026-04-01
935 MS_DRG Non-extensive Burns 62 15 — — $15,686.08 $79,569.56 $41,214.40 2026-04-01
744 MS_DRG D&c, Conization, Laparoscopy And Tubal Interruption With Cc/Mcc 62 15 — — $15,603.08 $79,148.54 $40,996.71 2026-04-01
487 MS_DRG Knee Procedures With Principal Diagnosis Of Infection Without Cc/Mcc 62 15 — — $11,925.99 $60,496.04 $40,894.18 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 62 15 — — $20,930.25 $106,171.29 $40,761.03 2026-04-01
941 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/… 62 15 — — $15,440.12 $78,321.94 $40,569.32 2026-04-01
165 MS_DRG Major Chest Procedures Without Cc/Mcc 62 15 — — $14,575.87 $73,937.89 $40,539.11 2026-04-01
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/Mcc 62 15 — — $12,814.61 $65,003.70 $40,521.90 2026-04-01
499 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Without… 62 15 — — $15,341.90 $77,823.66 $40,311.68 2026-04-01
769 MS_DRG Postpartum And Post Abortion Diagnoses With O.r. Procedures 62 15 — — $12,867.15 $65,270.21 $40,302.92 2026-04-01
843 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 62 15 — — $15,189.60 $77,051.14 $39,912.25 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 62 15 — — $28,378.09 $143,951.38 $39,814.37 2026-04-01
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 62 15 — — $14,791.36 $75,031.00 $39,692.70 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 62 15 — — $23,993.60 $121,710.53 $39,475.43 2026-04-01
746 MS_DRG Vagina, Cervix And Vulva Procedures With Cc/Mcc 62 15 — — $13,227.32 $67,097.22 $39,330.44 2026-04-01
607 MS_DRG Minor Skin Disorders Without Mcc 62 15 — — $6,901.87 $35,010.61 $38,884.44 2026-04-01
36 MS_DRG Carotid Artery Stent Procedures Without Cc/Mcc 62 15 — — $14,793.64 $75,042.59 $38,873.72 2026-04-01
592 MS_DRG Skin Ulcers With Mcc 62 15 — — $14,736.54 $74,752.90 $38,723.94 2026-04-01
548 MS_DRG Septic Arthritis With Mcc 62 15 — — $14,703.03 $74,582.94 $38,636.06 2026-04-01
585 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/Mcc 62 15 — — $14,689.32 $74,513.42 $38,600.11 2026-04-01
582 MS_DRG Mastectomy For Malignancy With Cc/Mcc 62 15 — — $14,670.29 $74,416.85 $38,550.18 2026-04-01
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 1 1 — — $38,519.17 $38,519.17 $38,519.17 2026-04-01
75 MS_DRG Viral Meningitis With Cc/Mcc 62 15 — — $14,601.00 $74,065.36 $38,368.44 2026-04-01
99 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis Without Cc/Mcc 62 15 — — $10,374.13 $52,624.06 $38,297.08 2026-04-01
661 MS_DRG Kidney And Ureter Procedures For Non-neoplasm Without Cc/Mcc 62 15 — — $7,884.16 $39,993.36 $38,251.79 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 62 15 — — $30,614.50 $155,295.83 $38,237.74 2026-04-01
328 MS_DRG Stomach, Esophageal And Duodenal Procedures Without Cc/Mcc 62 15 — — $12,200.87 $61,890.44 $37,956.07 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 62 15 — — $42,809.28 $217,155.37 $37,891.13 2026-04-01
261 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Cc 62 15 — — $14,395.40 $73,022.45 $37,829.20 2026-04-01
L7180 HCPCS Electronic Elbow Sequential 2 2 — — $31,583.89 $44,008.89 $37,796.39 2026-04-01
760 MS_DRG Menstrual And Other Female Reproductive System Disorders With Cc/Mcc 62 15 — — $7,671.71 $38,915.70 $37,795.18 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 62 15 — — $18,171.48 $92,177.09 $37,767.15 2026-04-01
299 MS_DRG Peripheral Vascular Disorders With Mcc 62 15 — — $12,432.36 $63,064.67 $37,561.45 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 62 15 — — $20,717.80 $105,093.62 $37,533.42 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 62 15 — — $20,924.92 $106,144.25 $37,525.96 2026-04-01
5626 OTHER Level 6 Radiation Therapy 37 12 — — — — $37,425.29 2026-04-01
504 MS_DRG Foot Procedures With Cc 62 15 — — $14,233.21 $72,199.72 $37,403.81 2026-04-01
718 MS_DRG Other Male Reproductive System O.r. Procedures Except Malignancy Without Cc/Mcc 62 15 — — $10,227.17 $51,878.58 $37,370.48 2026-04-01
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