Price Transparency 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

16,059 distinct procedures filed
16 distinct payers
168,356 rate rows
2026-04-01 last MRF observed
Data quality

132,864 of 168,356 rate rows are consumer-grade (78.9%)

35,492 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
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 not_modified · 2026-05-17
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 1 $3,685,266.67 $3,685,266.67 $3,685,266.67 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 1 $3,316,462.59 $3,316,462.59 $3,316,462.59 nat. median
$3,325,455
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 2 $2,455,110.60 $3,749,793.98 $3,102,452.29 nat. median
$2,468,984
1.3× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 12 $328,819.75 $1,667,978.83 $926,789.25 nat. median
$370,174
outlier · 2.5×
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 2 $591,726.20 $855,097.12 $723,411.66 nat. median
$753,246
1.0× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 2 $565,868.94 $837,367.66 $701,618.30 nat. median
$674,867
1.0× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 2 $557,317.93 $799,739.00 $678,528.47 nat. median
$625,184
1.1× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 2 $562,538.19 $782,200.02 $672,369.10 nat. median
$673,137
1.0× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 2 $489,304.61 $741,576.00 $615,440.30 nat. median
$619,808
1.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 12 $213,390.79 $1,082,451.16 $601,448.94 nat. median
$265,286
outlier · 2.3×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 12 $161,621.41 $1,227,836.26 $467,389.52 nat. median
$202,976
outlier · 2.3×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 12 $162,575.52 $824,684.41 $458,224.43 nat. median
$206,474
outlier · 2.2×
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 4 $395,380.00 $757,979.39 $425,220.00 nat. median
$634,303
0.7× median
7
MS_DRG 		Lung Transplant 12 $98,610.59 $500,214.43 $277,937.19 nat. median
$122,708
outlier · 2.3×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 12 $91,511.50 $464,203.41 $257,928.17 nat. median
$117,357
outlier · 2.2×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 12 $86,287.12 $437,702.11 $243,203.09 nat. median
$108,660
outlier · 2.2×
209
MS_DRG 		Complex Aortic Arch Procedures 12 $86,188.13 $437,199.97 $242,924.09 nat. median
$98,047
outlier · 2.5×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 12 $16,929.10 $535,024.18 $242,051.03 nat. median
$133,161
1.8× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 12 $83,922.03 $425,704.87 $236,536.99 nat. median
$98,894
outlier · 2.4×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 12 $82,801.92 $420,022.99 $233,379.93 nat. median
$102,358
outlier · 2.3×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 12 $78,510.33 $398,253.37 $221,283.95 nat. median
$100,136
outlier · 2.2×
215
MS_DRG 		Other Heart Assist System Implant 12 $75,818.57 $384,599.08 $219,258.11 nat. median
$99,019
outlier · 2.2×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 12 $74,492.11 $377,870.43 $209,958.45 nat. median
$93,672
outlier · 2.2×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 12 $68,604.50 $348,004.81 $193,364.04 nat. median
$82,711
outlier · 2.3×
850
MS_DRG 		Acute Leukemia With Other Procedures 12 $65,938.63 $334,481.85 $185,850.19 nat. median
$83,470
outlier · 2.2×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 12 $64,190.32 $325,613.32 $180,922.51 nat. median
$79,312
outlier · 2.3×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 12 $63,988.53 $324,589.73 $173,958.78 nat. median
$81,118
outlier · 2.1×
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 12 $58,022.49 $294,326.26 $172,049.72 nat. median
$72,135
outlier · 2.4×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 12 $58,467.18 $296,582.02 $164,791.67 nat. median
$74,915
outlier · 2.2×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 12 $58,215.14 $295,303.50 $164,081.28 nat. median
$73,807
outlier · 2.2×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 14 $18,718.09 $303,940.27 $162,892.03 nat. median
$77,570
outlier · 2.1×
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 1 $159,291.51 $159,291.51 $159,291.51 nat. median
$62,372
outlier · 2.6×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 12 $8,466.94 $426,789.91 $157,014.97 nat. median
$68,886
outlier · 2.3×
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 12 $54,966.75 $278,825.64 $154,925.59 nat. median
$68,090
outlier · 2.3×
10
MS_DRG 		Pancreas Transplant 12 $54,640.09 $277,168.59 $154,004.87 nat. median
$68,884
outlier · 2.2×
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 12 $54,617.24 $277,052.71 $153,940.49 nat. median
$64,023
outlier · 2.4×
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 12 $54,327.13 $275,581.06 $153,122.79 nat. median
$71,271
outlier · 2.1×
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 12 $51,254.63 $259,995.47 $144,462.87 nat. median
$64,732
outlier · 2.2×
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 12 $50,915.02 $258,272.75 $143,505.66 nat. median
$60,691
outlier · 2.4×
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 12 $52,372.46 $265,665.77 $142,379.41 nat. median
$65,950
outlier · 2.2×
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 12 $50,068.28 $253,977.54 $141,119.09 nat. median
$64,508
outlier · 2.2×
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 12 $50,068.28 $253,977.54 $141,119.09 nat. median
$61,920
outlier · 2.3×
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 12 $49,886.29 $253,054.38 $140,606.15 nat. median
$59,793
outlier · 2.4×
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 12 $8,032.87 $258,083.48 $138,315.80 nat. median
$63,724
outlier · 2.2×
460
MS_DRG 		Spinal Fusion Except Cervical Without Mcc 5 $99,810.15 $199,764.14 $138,295.89 nat. median
$39,075
outlier · 3.5×
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 12 $45,406.62 $354,045.70 $134,640.83 nat. median
$58,020
outlier · 2.3×
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 12 $48,997.67 $248,546.72 $133,204.73 nat. median
$62,134
outlier · 2.1×
28
MS_DRG 		Spinal Procedures With Mcc 12 $45,750.80 $232,076.60 $132,305.77 nat. median
$57,822
outlier · 2.3×
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 12 $46,665.31 $236,715.58 $131,527.72 nat. median
$60,726
outlier · 2.2×
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 12 $46,611.25 $236,441.33 $131,375.34 nat. median
$60,185
outlier · 2.2×

Other procedures at this hospital

Browse this hospital's 16,059 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 1 1 — — $3,685,266.67 $3,685,266.67 $3,685,266.67 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 1 1 — — $3,316,462.59 $3,316,462.59 $3,316,462.59 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 27 12 — — $328,819.75 $1,667,978.83 $926,789.25 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 $678,528.47 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 2 2 — — $562,538.19 $782,200.02 $672,369.10 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 2 2 — — $489,304.61 $741,576.00 $615,440.30 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 27 12 — — $213,390.79 $1,082,451.16 $601,448.94 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 30 12 — — $161,621.41 $1,227,836.26 $467,389.52 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 27 12 — — $162,575.52 $824,684.41 $458,224.43 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 6 4 — — $395,380.00 $757,979.39 $425,220.00 2026-04-01
7 MS_DRG Lung Transplant 27 12 — — $98,610.59 $500,214.43 $277,937.19 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 27 12 — — $91,511.50 $464,203.41 $257,928.17 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 27 12 — — $86,287.12 $437,702.11 $243,203.09 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 27 12 — — $86,188.13 $437,199.97 $242,924.09 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 32 12 — — $16,929.10 $535,024.18 $242,051.03 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 27 12 — — $83,922.03 $425,704.87 $236,536.99 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 27 12 — — $82,801.92 $420,022.99 $233,379.93 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 27 12 — — $78,510.33 $398,253.37 $221,283.95 2026-04-01
215 MS_DRG Other Heart Assist System Implant 28 12 — — $75,818.57 $384,599.08 $219,258.11 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 27 12 — — $74,492.11 $377,870.43 $209,958.45 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 27 12 — — $68,604.50 $348,004.81 $193,364.04 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 27 12 — — $65,938.63 $334,481.85 $185,850.19 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 27 12 — — $64,190.32 $325,613.32 $180,922.51 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 28 12 — — $63,988.53 $324,589.73 $173,958.78 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 29 12 — — $58,022.49 $294,326.26 $172,049.72 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 27 12 — — $58,467.18 $296,582.02 $164,791.67 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 27 12 — — $58,215.14 $295,303.50 $164,081.28 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 30 14 — — $18,718.09 $303,940.27 $162,892.03 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 1 1 — — $159,291.51 $159,291.51 $159,291.51 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 30 12 — — $8,466.94 $426,789.91 $157,014.97 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 27 12 — — $54,966.75 $278,825.64 $154,925.59 2026-04-01
10 MS_DRG Pancreas Transplant 27 12 — — $54,640.09 $277,168.59 $154,004.87 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 27 12 — — $54,617.24 $277,052.71 $153,940.49 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 27 12 — — $54,327.13 $275,581.06 $153,122.79 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 27 12 — — $51,254.63 $259,995.47 $144,462.87 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 27 12 — — $50,915.02 $258,272.75 $143,505.66 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 28 12 — — $52,372.46 $265,665.77 $142,379.41 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 27 12 — — $50,068.28 $253,977.54 $141,119.09 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 27 12 — — $50,068.28 $253,977.54 $141,119.09 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 27 12 — — $49,886.29 $253,054.38 $140,606.15 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 28 12 — — $8,032.87 $258,083.48 $138,315.80 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 5 5 — — $99,810.15 $199,764.14 $138,295.89 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 29 12 — — $45,406.62 $354,045.70 $134,640.83 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 28 12 — — $48,997.67 $248,546.72 $133,204.73 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 28 12 — — $45,750.80 $232,076.60 $132,305.77 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 27 12 — — $46,665.31 $236,715.58 $131,527.72 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 27 12 — — $46,611.25 $236,441.33 $131,375.34 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 27 12 — — $46,164.27 $234,173.99 $130,115.52 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 27 12 — — $45,152.29 $229,040.59 $127,263.22 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 27 12 — — $44,687.04 $226,680.54 $125,951.89 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 27 12 — — $44,658.11 $226,533.76 $125,870.34 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 27 12 — — $43,914.16 $222,760.00 $123,773.50 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 31 13 — — $13,895.56 $346,134.78 $122,983.70 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 27 12 — — $43,455.76 $220,434.72 $122,481.49 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 28 12 — — $41,655.67 $335,352.52 $120,463.14 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 40 12 — — $8,334.55 $348,484.03 $120,449.07 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 27 12 — — $42,676.79 $216,483.28 $120,285.93 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 29 12 — — $24,523.63 $232,010.93 $119,771.60 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 31 12 — — $40,176.91 $203,802.36 $119,133.58 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 27 12 — — $42,055.44 $213,331.40 $118,534.63 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 31 12 — — $34,343.68 $229,573.63 $118,513.39 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 27 12 — — $41,596.28 $211,002.25 $117,240.47 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 27 12 — — $41,530.79 $210,670.07 $117,055.89 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 27 12 — — $41,364.79 $209,828.02 $116,588.02 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 27 12 — — $40,582.77 $205,861.13 $114,383.88 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 28 12 — — $6,622.24 $212,052.88 $113,646.42 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 27 12 — — $39,568.51 $200,716.15 $111,525.14 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 28 13 — — $10,109.12 $205,984.73 $110,394.29 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 30 12 — — $42,384.39 $215,000.04 $110,205.57 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 31 12 — — $36,768.62 $419,054.92 $109,027.22 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 30 12 — — $6,594.44 $217,155.37 $108,729.48 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 31 12 — — $37,977.06 $281,990.28 $107,039.58 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 27 12 — — $37,672.47 $191,098.27 $106,181.10 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 29 12 — — $37,476.78 $190,105.58 $105,629.53 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 29 13 — — $15,882.18 $204,478.32 $105,558.37 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 27 12 — — $37,320.68 $189,313.75 $105,189.55 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 29 13 — — $10,147.58 $201,063.78 $103,795.68 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 27 12 — — $36,582.82 $185,570.89 $103,109.89 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 27 12 — — $36,251.59 $183,890.66 $102,176.29 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 27 12 — — $35,799.28 $181,596.28 $100,901.45 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 32 12 — — $5,358.24 $290,082.32 $100,120.61 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 27 12 — — $35,308.90 $179,108.76 $99,519.29 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 29 12 — — $5,573.42 $178,394.18 $99,122.25 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 37 12 — — $5,501.54 $261,183.47 $98,650.08 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 31 12 — — $5,405.33 $175,698.09 $97,624.20 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 27 12 — — $34,485.76 $174,933.29 $97,199.25 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 28 12 — — $35,619.58 $180,684.70 $96,835.14 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 28 12 — — $34,117.22 $173,063.79 $96,404.68 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 27 12 — — $33,983.20 $172,383.98 $95,782.76 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 40 12 — — $5,992.04 $324,394.32 $95,512.52 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 28 12 — — $34,911.42 $177,092.48 $94,909.95 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 2 2 — — $78,260.61 $108,243.35 $93,251.98 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 28 12 — — $32,087.16 $162,766.10 $92,792.18 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 32 12 — — $5,522.26 $173,114.01 $92,777.74 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 27 12 — — $32,688.72 $165,817.56 $92,134.22 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 31 12 — — $5,066.25 $174,804.18 $91,016.05 2026-04-01
245 MS_DRG Aicd Generator Procedures 29 14 — — $7,102.10 $176,227.26 $90,974.26 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 27 12 — — $32,103.15 $162,847.22 $90,483.79 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 27 12 — — $31,955.43 $162,097.87 $90,067.43 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 27 12 — — $31,896.04 $161,796.59 $89,900.03 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 32 12 — — $32,951.42 $271,993.94 $89,581.51 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 33 12 — — $5,695.63 $181,225.47 $87,924.33 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 31 12 — — $5,110.72 $169,676.29 $87,592.43 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 28 12 — — $32,157.98 $163,125.32 $87,424.46 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 28 12 — — $5,173.38 $161,170.85 $86,376.99 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 28 13 — — $8,952.93 $160,413.78 $85,971.26 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 27 12 — — $30,337.33 $153,889.85 $85,506.75 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 28 12 — — $31,414.03 $159,351.56 $85,401.98 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 2 2 — — $63,342.28 $104,783.91 $84,063.10 2026-04-01
791 MS_DRG Prematurity With Major Problems 34 12 — — $12,430.08 $334,080.00 $84,025.36 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 27 12 — — $29,652.78 $150,417.37 $83,577.32 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 27 12 — — $29,473.83 $149,509.66 $83,072.96 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 28 12 — — $28,653.74 $145,349.64 $82,863.14 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 29 12 — — $29,234.73 $148,296.80 $82,399.06 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 30 12 — — $5,019.54 $162,291.00 $81,258.94 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 34 12 — — $12,417.75 $161,054.97 $80,640.06 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 29 12 — — $28,458.04 $144,356.95 $80,209.93 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 29 12 — — $30,614.50 $155,295.83 $80,168.77 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 28 12 — — $17,294.95 $149,285.63 $80,007.29 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 31 14 — — $750.17 $164,751.48 $79,931.72 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 27 12 — — $28,218.18 $143,140.23 $79,533.88 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 27 12 — — $27,969.19 $141,877.16 $78,832.07 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 33 14 — — $1,312.08 $230,653.37 $78,003.29 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 30 12 — — $25,977.97 $214,184.52 $77,825.42 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 27 12 — — $27,608.26 $140,046.29 $77,814.77 2026-04-01
332 MS_DRG Rectal Resection With Mcc 27 12 — — $27,570.18 $139,853.16 $77,707.46 2026-04-01
265 MS_DRG Aicd Lead Procedures 27 12 — — $27,551.15 $139,756.59 $77,653.81 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 30 12 — — $28,461.09 $144,372.40 $77,374.13 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 28 12 — — $28,378.09 $143,951.38 $77,148.49 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 33 13 — — $1,395.49 $149,142.71 $76,992.33 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 27 12 — — $27,281.59 $138,389.23 $76,894.05 2026-04-01
A9699 HCPCS Radiopharm Rx Agent Noc 1 1 — — $76,808.44 $76,808.44 $76,808.44 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 27 12 — — $27,218.39 $138,068.64 $76,715.92 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 29 12 — — $4,341.18 $137,929.58 $76,638.66 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 27 12 — — $27,150.62 $137,724.87 $76,524.91 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 27 12 — — $27,127.77 $137,608.99 $76,460.52 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 2 2 — — $41,582.60 $111,218.58 $76,400.59 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 28 12 — — $17,149.67 $140,154.44 $75,113.58 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 27 12 — — $26,555.16 $134,704.31 $74,846.58 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 27 12 — — $26,433.32 $134,086.30 $74,503.19 2026-04-01
294 MS_DRG Deep Vein Thrombophlebitis With Cc/Mcc 1 1 — — $74,452.70 $74,452.70 $74,452.70 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 31 12 — — $24,598.20 $200,164.14 $74,444.57 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 27 12 — — $26,305.40 $133,437.38 $74,142.63 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 32 13 — — $12,683.65 $194,682.77 $73,895.27 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 27 12 — — $26,183.56 $132,819.36 $73,799.23 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 28 12 — — $27,101.88 $137,477.66 $73,679.00 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 30 12 — — $27,079.80 $137,365.64 $73,618.96 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 31 12 — — $27,957.77 $141,819.22 $73,211.70 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 28 12 — — $26,798.82 $135,940.34 $72,855.10 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 32 14 — — $508.36 $144,716.17 $72,459.24 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 29 13 — — $588.51 $139,509.39 $72,019.29 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 28 12 — — $24,573.08 $124,649.96 $71,062.36 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 27 12 — — $25,153.31 $127,593.27 $70,895.42 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 29 12 — — $25,068.02 $127,160.65 $70,655.05 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 31 12 — — $3,739.26 $127,145.20 $70,646.47 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 30 13 — — $3,839.18 $139,300.81 $69,747.78 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 28 12 — — $24,098.69 $122,243.56 $69,690.48 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 27 12 — — $24,659.88 $125,090.30 $69,504.69 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 35 14 — — $558.16 $327,684.68 $69,436.03 2026-04-01
652 MS_DRG Kidney Transplant 27 12 — — $24,591.35 $124,742.67 $69,311.53 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 27 12 — — $24,525.10 $124,406.62 $69,124.81 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 34 12 — — $3,532.71 $178,673.27 $68,587.25 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 30 12 — — $23,675.31 $120,095.96 $68,466.14 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 27 12 — — $24,266.97 $123,097.20 $68,397.25 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 31 12 — — $18,042.71 $226,992.12 $68,362.30 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 27 12 — — $24,243.36 $122,977.46 $68,330.72 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 27 12 — — $24,194.63 $122,730.25 $68,193.36 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 27 12 — — $24,062.14 $122,058.16 $67,819.92 2026-04-01
665 MS_DRG Prostatectomy With Mcc 27 12 — — $23,766.69 $120,559.47 $66,987.19 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 28 12 — — $24,445.91 $124,004.91 $66,458.49 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 30 12 — — $4,063.94 $123,325.09 $66,094.15 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 30 14 — — $6,492.07 $131,602.64 $65,893.31 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 31 12 — — $22,083.86 $187,175.69 $65,483.62 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 28 13 — — $23,982.18 $121,652.59 $65,197.80 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 28 12 — — $23,925.83 $121,366.75 $65,044.61 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 34 12 — — $22,433.37 $178,971.64 $64,951.67 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 29 13 — — $16,652.97 $125,642.65 $64,860.83 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 27 12 — — $22,999.90 $116,669.83 $64,825.97 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 27 12 — — $22,971.73 $116,526.92 $64,746.56 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 32 12 — — $2,427.47 $129,034.02 $64,607.20 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 27 12 — — $22,664.10 $114,966.43 $63,879.50 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 28 13 — — $6,264.59 $118,253.50 $63,376.11 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 27 12 — — $22,418.14 $113,718.81 $63,186.27 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 31 12 — — $3,828.04 $121,710.53 $62,830.94 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 32 12 — — $2,280.98 $124,951.25 $62,562.97 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 27 12 — — $22,097.57 $112,092.65 $62,282.72 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 27 12 — — $21,986.40 $111,528.71 $61,969.38 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 27 12 — — $21,975.74 $111,474.64 $61,939.33 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 27 12 — — $21,943.75 $111,312.41 $61,849.19 2026-04-01
570 MS_DRG Skin Debridement With Mcc 28 12 — — $3,606.51 $113,602.93 $60,883.71 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 29 13 — — $1,900.42 $117,160.38 $60,482.01 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 28 12 — — $22,234.63 $112,787.92 $60,446.92 2026-04-01
800 MS_DRG Splenic Procedures With Cc 27 12 — — $21,392.46 $108,515.88 $60,295.34 2026-04-01
503 MS_DRG Foot Procedures With Mcc 27 12 — — $21,253.11 $107,809.03 $59,902.59 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 30 14 — — $13,342.16 $116,654.38 $58,408.73 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 31 12 — — $19,219.25 $221,147.84 $58,165.58 2026-04-01
849 MS_DRG Radiotherapy 27 12 — — $20,631.76 $104,657.15 $58,151.29 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 27 12 — — $20,606.63 $104,529.68 $58,080.46 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 28 12 — — $21,315.55 $108,125.76 $57,948.31 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 31 12 — — $3,096.24 $156,373.14 $57,370.98 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 29 12 — — $20,184.02 $102,385.94 $56,889.32 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 30 13 — — $839.17 $106,144.25 $56,886.35 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 31 14 — — $718.51 $110,103.41 $56,838.97 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 28 12 — — $19,639.58 $165,503.52 $56,795.28 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 27 12 — — $20,082.75 $101,872.21 $56,603.88 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 32 12 — — $3,523.60 $177,521.58 $56,323.88 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 5 3 — — $55,880.37 $108,036.36 $55,880.37 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 28 12 — — $20,539.62 $104,189.77 $55,838.88 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 27 12 — — $19,740.85 $100,137.90 $55,640.23 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 27 12 — — $19,639.58 $99,624.18 $55,354.79 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 29 13 — — $558.92 $107,067.41 $55,271.69 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 35 12 — — $2,836.37 $240,530.22 $55,122.11 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 27 12 — — $19,551.25 $99,176.12 $55,105.83 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 28 13 — — $10,712.67 $102,745.16 $55,064.66 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 30 12 — — $19,210.87 $97,449.54 $54,588.14 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 29 12 — — $20,816.79 $105,595.76 $54,511.97 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 31 12 — — $2,876.63 $155,733.66 $54,429.78 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 31 12 — — $3,492.09 $110,864.35 $53,787.55 2026-04-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 27 12 — — $18,974.82 $96,252.13 $53,481.16 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 28 13 — — $14,694.90 $99,763.23 $53,466.54 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 30 12 — — $3,238.93 $106,495.74 $53,322.31 2026-04-01
545 MS_DRG Connective Tissue Disorders With Mcc 27 12 — — $18,897.15 $95,858.14 $53,262.25 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 38 12 — — $3,215.45 $106,171.29 $53,159.86 2026-04-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 29 12 — — $18,725.82 $143,964.68 $52,779.35 2026-04-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 31 12 — — $18,611.61 $155,674.74 $52,457.42 2026-04-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 29 12 — — $17,598.86 $141,113.65 $52,184.58 2026-04-01
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 27 12 — — $18,444.08 $93,559.90 $51,985.26 2026-04-01
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 27 12 — — $18,383.93 $93,254.75 $51,815.71 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 32 12 — — $4,249.52 $136,218.45 $51,733.59 2026-04-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 27 12 — — $18,315.40 $92,907.12 $51,622.55 2026-04-01
397 MS_DRG Appendix Procedures With Mcc 27 12 — — $18,236.21 $92,505.41 $51,399.34 2026-04-01
35 MS_DRG Carotid Artery Stent Procedures With Cc 29 12 — — $18,202.70 $137,741.00 $51,304.91 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 29 12 — — $19,440.07 $98,612.18 $50,906.82 2026-04-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 30 12 — — $17,332.00 $94,962.02 $50,893.41 2026-04-01
333 MS_DRG Rectal Resection With Cc 27 12 — — $17,834.92 $90,469.82 $50,268.30 2026-04-01
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 28 12 — — $17,373.47 $88,129.08 $50,241.97 2026-04-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 27 12 — — $17,794.56 $90,265.10 $50,154.55 2026-04-01
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 28 12 — — $17,299.61 $87,754.41 $50,028.38 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 38 12 — — $18,253.72 $152,949.08 $49,624.44 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 32 12 — — $3,531.20 $92,177.09 $49,400.87 2026-04-01
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 28 12 — — $17,046.04 $86,468.16 $49,295.09 2026-04-01
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 29 12 — — $2,599.03 $88,642.81 $49,253.14 2026-04-01
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 27 12 — — $17,328.55 $87,901.19 $48,841.07 2026-04-01
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 29 12 — — $2,635.09 $87,511.07 $48,624.31 2026-04-01
709 MS_DRG Penis Procedures With Cc/Mcc 28 12 — — $17,719.94 $89,886.56 $48,173.29 2026-04-01
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/Mcc 27 12 — — $17,036.14 $86,417.95 $48,016.93 2026-04-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 31 12 — — $17,707.75 $89,824.76 $47,747.58 2026-04-01
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/Mcc 27 12 — — $16,901.37 $85,734.27 $47,637.06 2026-04-01
934 MS_DRG Full Thickness Burn Without Skin Graft Or Inhalation Injury 27 12 — — $16,832.83 $85,386.64 $47,443.90 2026-04-01
792 MS_DRG Prematurity Without Major Problems 32 12 — — $6.75 $108,656.00 $47,367.53 2026-04-01
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 29 12 — — $15,922.89 $80,770.83 $47,214.95 2026-04-01
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 30 12 — — $16,306.67 $132,196.28 $47,156.90 2026-04-01
32 MS_DRG Ventricular Shunt Procedures With Cc 28 12 — — $16,226.71 $82,312.01 $46,925.68 2026-04-01
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 27 12 — — $16,618.86 $84,301.25 $46,840.82 2026-04-01
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 28 12 — — $16,193.97 $82,145.91 $46,831.00 2026-04-01
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 27 12 — — $16,579.27 $84,100.39 $46,729.21 2026-04-01
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 32 12 — — $16,125.44 $130,225.76 $46,632.82 2026-04-01
737 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 29 12 — — $15,690.64 $79,592.74 $46,526.29 2026-04-01
336 MS_DRG Peritoneal Adhesiolysis With Cc 28 12 — — $16,056.91 $81,450.65 $46,434.63 2026-04-01
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/Mcc 27 12 — — $16,300.57 $82,686.68 $45,943.70 2026-04-01
347 MS_DRG Anal And Stomal Procedures With Mcc 29 13 — — $517.41 $88,669.85 $45,774.26 2026-04-01
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/Mcc 27 12 — — $16,219.10 $82,273.38 $45,714.06 2026-04-01
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 32 12 — — $1,035.59 $85,282.35 $45,705.74 2026-04-01
595 MS_DRG Major Skin Disorders With Mcc 27 12 — — $16,148.28 $81,914.16 $45,514.46 2026-04-01
113 MS_DRG Orbital Procedures With Cc/Mcc 30 14 — — $491.43 $90,813.59 $45,470.27 2026-04-01
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 27 12 — — $16,123.15 $81,786.69 $45,443.64 2026-04-01
30 MS_DRG Spinal Procedures Without Cc/Mcc 28 12 — — $16,715.57 $84,791.80 $45,442.83 2026-04-01
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/Mcc 29 12 — — $15,278.69 $115,868.70 $45,304.76 2026-04-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 32 12 — — $2,765.69 $90,330.76 $45,228.52 2026-04-01
412 MS_DRG Cholecystectomy With C.d.e. With Cc 27 12 — — $16,009.70 $81,211.17 $45,123.86 2026-04-01
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 32 12 — — $2,694.64 $136,230.40 $45,103.34 2026-04-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 30 12 — — $17,689.48 $89,732.06 $44,928.75 2026-04-01
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 27 12 — — $15,938.88 $80,851.94 $44,924.26 2026-04-01
135 MS_DRG Sinus And Mastoid Procedures With Cc/Mcc 28 13 — — $5,077.79 $83,818.42 $44,921.17 2026-04-01
263 MS_DRG Vein Ligation And Stripping 32 13 — — $686.00 $118,095.13 $44,863.71 2026-04-01
838 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Che… 27 12 — — $15,894.72 $80,627.91 $44,799.78 2026-04-01
835 MS_DRG Acute Leukemia With Cc 27 12 — — $15,882.53 $80,566.11 $44,765.44 2026-04-01
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 27 12 — — $15,833.80 $80,318.90 $44,628.08 2026-04-01
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 27 12 — — $15,823.90 $80,268.69 $44,600.18 2026-04-01
886 MS_DRG Behavioral And Developmental Disorders 27 12 — — $15,802.58 $80,160.54 $44,540.09 2026-04-01
415 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 27 12 — — $15,737.09 $79,828.35 $44,355.52 2026-04-01
935 MS_DRG Non-extensive Burns 27 12 — — $15,686.08 $79,569.56 $44,211.72 2026-04-01
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 32 12 — — $2,779.82 $125,874.18 $44,203.50 2026-04-01
744 MS_DRG D&c, Conization, Laparoscopy And Tubal Interruption With Cc/Mcc 27 12 — — $15,603.08 $79,148.54 $43,977.78 2026-04-01
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 31 13 — — $16,742.22 $84,926.99 $43,842.08 2026-04-01
655 MS_DRG Major Bladder Procedures Without Cc/Mcc 28 12 — — $2,488.80 $81,755.79 $43,815.74 2026-04-01
614 MS_DRG Adrenal And Pituitary Procedures With Cc/Mcc 29 13 — — $15,427.24 $84,660.47 $43,704.49 2026-04-01
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 29 14 — — $623.09 $84,509.83 $43,626.73 2026-04-01
941 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/… 27 12 — — $15,440.12 $78,321.94 $43,518.50 2026-04-01
539 MS_DRG Osteomyelitis With Mcc 28 12 — — $14,998.48 $76,081.63 $43,373.78 2026-04-01
883 MS_DRG Disorders Of Personality And Impulse Control 28 12 — — $14,972.59 $114,140.88 $43,298.91 2026-04-01
499 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Without… 27 12 — — $15,341.90 $77,823.66 $43,241.64 2026-04-01
902 MS_DRG Wound Debridements For Injuries With Cc 29 12 — — $14,578.15 $73,949.48 $43,227.50 2026-04-01
711 MS_DRG Testes Procedures With Cc/Mcc 28 13 — — $10,106.76 $80,488.86 $43,136.74 2026-04-01
707 MS_DRG Major Male Pelvic Procedures With Cc/Mcc 29 12 — — $15,231.48 $77,263.59 $42,930.44 2026-04-01
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 35 12 — — $2,393.92 $127,762.96 $42,883.22 2026-04-01
908 MS_DRG Other O.r. Procedures For Injuries With Cc 33 12 — — $2,416.68 $121,674.46 $42,820.98 2026-04-01
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