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 Queens

Astoria, NY · CCN 330258 · Rates published

18,523 distinct procedures filed
18 distinct payers
329,611 rate rows
2026-04-01 last MRF observed
Data quality

241,938 of 329,611 rate rows are consumer-grade (73.4%)

87,673 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 63,379
placeholder amount (≤ $0.02) — excluded from medians 22,638
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 1,594
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 62
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.mountsinai.org/files/mrf/131624096_mount-sinai-queens_standardcharges.json
Found on page https://www.mountsinai.org/about/insurance/price-transparency
Discovered viaDiscovered by HANK
Last fetch success · 2026-10-22
Content fingerprint 8fdbff15bc98b1c5… · 147,494,496 bytes · first seen 2026-10-22

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 $3,691,450.00 $3,691,450.00 $3,691,450.00 nat. median
$3,705,478
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 1 $3,316,897.12 $3,316,897.12 $3,316,897.12 nat. median
$3,324,572
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 2 $2,680,037.38 $3,749,793.98 $3,214,915.68 nat. median
$2,467,386
1.3× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 3 $603,129.47 $855,097.12 $674,085.88 nat. median
$739,258
0.9× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 3 $579,746.07 $837,367.66 $647,951.49 nat. median
$646,415
1.0× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 14 $520,194.27 $1,237,446.32 $643,294.17 nat. median
$359,454
1.8× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 3 $571,456.63 $782,200.02 $638,686.81 nat. median
$640,950
1.0× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 3 $560,026.09 $799,739.00 $625,911.51 nat. median
$622,450
1.0× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 3 $554,625.88 $757,979.39 $619,875.98 nat. median
$608,239
1.0× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 3 $502,962.46 $741,576.00 $562,134.52 nat. median
$591,721
0.9× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 14 $337,828.04 $803,052.88 $417,472.04 nat. median
$249,036
1.7× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 14 $257,544.98 $611,819.93 $318,058.40 nat. median
$198,418
1.6× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 14 $256,037.59 $608,229.33 $316,391.70 nat. median
$190,559
1.7× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 15 $16,465.62 $396,925.72 $202,715.24 nat. median
$126,695
1.6× median
7
MS_DRG 		Lung Transplant 14 $156,486.79 $371,100.93 $192,919.13 nat. median
$117,974
1.6× median
C1833
HCPCS 		Cardiac Monitor Sys 1 $187,725.00 $187,725.00 $187,725.00 nat. median
$10,762
outlier · 17.4×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 14 $145,270.93 $344,384.94 $179,030.66 nat. median
$110,307
1.6× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 14 $137,016.94 $324,724.06 $168,809.82 nat. median
$104,013
1.6× median
209
MS_DRG 		Complex Aortic Arch Procedures 14 $136,860.55 $324,351.53 $168,616.16 nat. median
$92,678
1.8× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 $133,280.33 $315,823.51 $164,182.82 nat. median
$93,276
1.8× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 14 $131,510.67 $311,608.21 $161,991.47 nat. median
$97,323
1.7× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 14 $124,730.39 $295,457.69 $153,595.52 nat. median
$95,038
1.6× median
215
MS_DRG 		Other Heart Assist System Implant 14 $120,477.67 $285,327.79 $148,329.43 nat. median
$93,901
1.6× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 14 $118,381.99 $280,335.92 $145,734.37 nat. median
$90,551
1.6× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 14 $109,080.16 $258,179.10 $134,216.01 nat. median
$78,049
1.7× median
850
MS_DRG 		Acute Leukemia With Other Procedures 14 $104,868.35 $248,146.63 $129,000.57 nat. median
$78,268
1.6× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 14 $102,106.19 $241,567.21 $125,580.22 nat. median
$77,028
1.6× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Or Infection Wi… 14 $101,787.39 $240,807.83 $125,185.45 nat. median
$77,632
1.6× median
A9545
HCPCS 		I-131 Tositumomab, Rx, Per Dose 1 $99,709.51 $147,929.25 $117,512.93 nat. median
$32,630
outlier · 3.6×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 14 $95,355.99 $225,488.33 $117,221.51 nat. median
$74,370
1.6× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 14 $93,064.21 $220,029.36 $114,383.64 nat. median
$72,398
1.6× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 14 $92,666.01 $219,080.85 $113,890.54 nat. median
$71,748
1.6× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 14 $92,361.64 $218,355.85 $113,513.65 nat. median
$67,976
1.7× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 $87,533.88 $206,856.20 $107,535.48 nat. median
$63,648
1.7× median
10
MS_DRG 		Pancreas Or Islet Cell Transplant 14 $87,017.78 $205,626.86 $106,896.40 nat. median
$64,933
1.6× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 14 $86,981.69 $205,540.89 $106,851.71 nat. median
$61,308
1.7× median
19
MS_DRG 		Simultaneous Pancreas, Islet Cell And Kidney Transplant With Hemodialysis 14 $86,523.33 $204,449.10 $106,284.14 nat. median
$66,715
1.6× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 14 $86,472.81 $204,328.74 $106,221.57 nat. median
$66,649
1.6× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 14 $83,435.15 $197,093.10 $102,460.08 nat. median
$63,873
1.6× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 14 $3,688.40 $198,064.54 $100,397.35 nat. median
$62,655
1.6× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 14 $81,669.10 $192,886.40 $100,273.20 nat. median
$61,728
1.6× median
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 14 $81,132.55 $191,608.34 $99,608.79 nat. median
$57,556
1.7× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc 14 $11,110.21 $191,467.93 $99,535.80 nat. median
$60,596
1.6× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 14 $79,794.78 $188,421.80 $97,952.24 nat. median
$62,031
1.6× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 14 $79,794.78 $188,421.80 $97,952.24 nat. median
$59,546
1.6× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 14 $79,507.26 $187,736.92 $97,596.21 nat. median
$58,135
1.7× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 14 $2,625.00 $184,392.76 $93,467.24 nat. median
$59,371
1.6× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 14 $74,418.44 $175,615.43 $91,294.77 nat. median
$58,280
1.6× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 14 $74,333.02 $175,411.97 $91,189.01 nat. median
$58,251
1.6× median
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 14 $73,626.84 $173,729.87 $90,314.55 nat. median
$57,801
1.6× median

Other procedures at this hospital

Browse this hospital's 18,523 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 — — $3,691,450.00 $3,691,450.00 $3,691,450.00 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 1 1 — — $3,316,897.12 $3,316,897.12 $3,316,897.12 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 2 2 — — $2,680,037.38 $3,749,793.98 $3,214,915.68 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 6 3 — — $603,129.47 $855,097.12 $674,085.88 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 6 3 — — $579,746.07 $837,367.66 $647,951.49 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 31 14 — — $520,194.27 $1,237,446.32 $643,294.17 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 6 3 — — $571,456.63 $782,200.02 $638,686.81 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 6 3 — — $560,026.09 $799,739.00 $625,911.51 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 6 3 — — $554,625.88 $757,979.39 $619,875.98 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 6 3 — — $502,962.46 $741,576.00 $562,134.52 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 31 14 — — $337,828.04 $803,052.88 $417,472.04 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 31 14 — — $257,544.98 $611,819.93 $318,058.40 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 32 14 — — $256,037.59 $608,229.33 $316,391.70 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 37 15 — — $16,465.62 $396,925.72 $202,715.24 2026-04-01
7 MS_DRG Lung Transplant 31 14 — — $156,486.79 $371,100.93 $192,919.13 2026-04-01
C1833 HCPCS Cardiac Monitor Sys 1 1 — — $187,725.00 $187,725.00 $187,725.00 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 31 14 — — $145,270.93 $344,384.94 $179,030.66 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 31 14 — — $137,016.94 $324,724.06 $168,809.82 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 31 14 — — $136,860.55 $324,351.53 $168,616.16 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 31 14 — — $133,280.33 $315,823.51 $164,182.82 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 31 14 — — $131,510.67 $311,608.21 $161,991.47 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 31 14 — — $124,730.39 $295,457.69 $153,595.52 2026-04-01
215 MS_DRG Other Heart Assist System Implant 31 14 — — $120,477.67 $285,327.79 $148,329.43 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 31 14 — — $118,381.99 $280,335.92 $145,734.37 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 31 14 — — $109,080.16 $258,179.10 $134,216.01 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 31 14 — — $104,868.35 $248,146.63 $129,000.57 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 31 14 — — $102,106.19 $241,567.21 $125,580.22 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Or Infection Wi… 31 14 — — $101,787.39 $240,807.83 $125,185.45 2026-04-01
A9545 HCPCS I-131 Tositumomab, Rx, Per Dose 8 1 — — $99,709.51 $147,929.25 $117,512.93 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 31 14 — — $95,355.99 $225,488.33 $117,221.51 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 31 14 — — $93,064.21 $220,029.36 $114,383.64 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 31 14 — — $92,666.01 $219,080.85 $113,890.54 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 31 14 — — $92,361.64 $218,355.85 $113,513.65 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 31 14 — — $87,533.88 $206,856.20 $107,535.48 2026-04-01
10 MS_DRG Pancreas Or Islet Cell Transplant 31 14 — — $87,017.78 $205,626.86 $106,896.40 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 31 14 — — $86,981.69 $205,540.89 $106,851.71 2026-04-01
19 MS_DRG Simultaneous Pancreas, Islet Cell And Kidney Transplant With Hemodialysis 31 14 — — $86,523.33 $204,449.10 $106,284.14 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 31 14 — — $86,472.81 $204,328.74 $106,221.57 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 31 14 — — $83,435.15 $197,093.10 $102,460.08 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 38 14 — — $3,688.40 $198,064.54 $100,397.35 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 31 14 — — $81,669.10 $192,886.40 $100,273.20 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 31 14 — — $81,132.55 $191,608.34 $99,608.79 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc 33 14 — — $11,110.21 $191,467.93 $99,535.80 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 31 14 — — $79,794.78 $188,421.80 $97,952.24 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 31 14 — — $79,794.78 $188,421.80 $97,952.24 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 31 14 — — $79,507.26 $187,736.92 $97,596.21 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 36 14 — — $2,625.00 $184,392.76 $93,467.24 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 31 14 — — $74,418.44 $175,615.43 $91,294.77 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 31 14 — — $74,333.02 $175,411.97 $91,189.01 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 31 14 — — $73,626.84 $173,729.87 $90,314.55 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 31 14 — — $72,973.60 $172,173.84 $89,505.65 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 31 14 — — $72,953.15 $172,125.13 $89,480.32 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Or Infection Wi… 31 14 — — $72,429.83 $170,878.59 $88,832.30 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 31 14 — — $72,194.03 $170,316.94 $88,540.32 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 31 14 — — $72,028.02 $169,921.48 $88,334.74 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 31 14 — — $71,292.96 $168,170.60 $87,424.53 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 31 14 — — $71,247.25 $168,061.71 $87,367.93 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 31 14 — — $70,071.89 $165,262.02 $85,912.49 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 32 15 — — $14,559.37 $164,207.48 $85,364.28 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 31 14 — — $69,347.66 $163,536.93 $85,015.69 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 31 14 — — $68,326.29 $161,104.03 $83,750.93 2026-04-01
8 MS_DRG Simultaneous Pancreas, Islet Cell And Kidney Transplant 31 14 — — $68,116.96 $160,605.42 $83,491.73 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 31 14 — — $67,655.00 $159,505.03 $82,919.68 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 32 14 — — $43,765.70 $158,267.09 $82,276.13 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 31 14 — — $66,737.09 $157,318.57 $81,783.04 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 33 14 — — $32,560.00 $156,762.65 $81,494.04 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 31 14 — — $66,409.86 $156,539.13 $81,377.84 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 31 14 — — $66,306.40 $156,292.69 $81,249.73 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 31 14 — — $66,044.14 $155,667.99 $80,924.97 2026-04-01
463 MS_DRG Wound Debridement Or Skin Graft Except Hand For Musculoskeletal And Connective T… 39 15 — — $4,559.72 $163,324.87 $80,186.27 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 33 14 — — $15,703.96 $152,816.72 $79,442.72 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc 31 14 — — $64,808.63 $152,725.02 $79,395.05 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 31 14 — — $64,377.94 $151,699.13 $78,861.74 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 36 14 — — $47,728.02 $151,197.65 $78,601.04 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 31 14 — — $63,206.19 $148,908.04 $77,410.77 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 32 14 — — $59,901.47 $141,036.24 $77,039.37 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 37 15 — — $9,980.65 $149,165.94 $75,041.05 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 34 14 — — $48,088.55 $142,918.93 $74,297.30 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 6 2 — — $73,878.02 $108,243.35 $73,878.02 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 31 14 — — $59,654.84 $140,448.79 $73,013.18 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 31 14 — — $58,782.65 $138,371.23 $71,933.14 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 36 14 — — $8,271.26 $141,772.69 $71,863.46 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 38 15 — — $12,617.55 $144,431.97 $71,785.05 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 44 14 — — $2,225.00 $143,317.25 $71,735.64 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 31 14 — — $58,489.11 $137,672.02 $71,569.66 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 2 2 — — $31,905.54 $111,218.58 $71,562.06 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 31 14 — — $57,965.79 $136,425.48 $70,921.64 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 31 14 — — $57,251.19 $134,723.32 $70,036.76 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 31 14 — — $56,967.27 $134,047.04 $69,685.19 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 31 14 — — $56,476.44 $132,877.87 $69,077.39 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 31 14 — — $56,253.88 $132,347.74 $68,801.79 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 39 14 — — $42,224.76 $131,717.30 $68,474.06 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 31 14 — — $55,848.45 $131,382.03 $68,299.77 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 38 14 — — $1,945.00 $134,448.22 $68,150.74 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 32 14 — — $41,792.35 $130,347.55 $67,761.98 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 31 14 — — $55,390.10 $130,290.24 $67,732.19 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 31 14 — — $55,175.96 $129,780.16 $67,467.02 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 7 4 — — $63,235.61 $104,783.91 $67,162.21 2026-04-01
245 MS_DRG Aicd Generator Procedures 35 14 — — $6,825.35 $130,740.13 $66,770.72 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 31 14 — — $54,609.33 $128,430.46 $66,765.37 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 31 14 — — $54,593.69 $128,393.21 $66,746.01 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 31 14 — — $54,381.96 $127,888.86 $66,483.82 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 34 14 — — $40,369.26 $125,880.08 $64,864.08 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 31 14 — — $52,751.85 $124,005.97 $64,465.28 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc O… 31 14 — — $52,336.81 $123,017.34 $63,951.33 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 31 14 — — $51,710.03 $121,524.36 $63,175.20 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 31 14 — — $51,498.30 $121,020.02 $62,913.01 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 31 14 — — $51,411.68 $120,813.70 $62,805.75 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 31 14 — — $51,386.41 $120,753.52 $62,774.47 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 35 14 — — $36,974.18 $120,401.05 $62,591.24 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 31 14 — — $51,178.29 $120,257.77 $62,516.75 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 31 14 — — $51,084.45 $120,034.25 $62,400.55 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Or Infection Wi… 31 14 — — $50,889.56 $119,570.03 $62,159.22 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 31 14 — — $50,853.47 $119,484.06 $62,114.53 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 36 15 — — $5,353.29 $122,226.44 $61,955.61 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 31 14 — — $50,653.77 $119,008.37 $61,867.24 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 31 14 — — $50,322.93 $118,220.33 $61,457.57 2026-04-01
791 MS_DRG Prematurity With Major Problems 32 14 — — $12,093.40 $116,314.70 $60,466.92 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 32 14 — — $46,879.86 $110,018.98 $59,921.03 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 31 14 — — $49,059.75 $115,211.45 $59,893.39 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 31 14 — — $48,621.85 $114,168.37 $59,351.14 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 34 14 — — $37,049.25 $107,107.53 $58,506.22 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 31 14 — — $47,753.26 $112,099.41 $58,275.57 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 31 14 — — $47,540.32 $111,592.20 $58,011.90 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 31 14 — — $47,257.61 $110,918.78 $57,661.82 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 31 14 — — $47,187.84 $110,752.57 $57,575.42 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 33 14 — — $35,432.81 $110,646.55 $57,520.30 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 32 14 — — $37,295.35 $107,832.53 $56,057.41 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 31 14 — — $45,652.77 $107,096.07 $55,674.56 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc Or Insertion… 32 14 — — $13,188.79 $106,795.18 $55,518.14 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 32 14 — — $9,166.47 $106,193.40 $55,205.30 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 11 4 — — $37,688.18 $91,498.39 $55,149.37 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 35 14 — — $6,691.17 $107,362.57 $54,831.49 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 31 14 — — $44,880.42 $105,256.35 $54,718.17 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc Or In… 32 14 — — $31,412.58 $105,213.37 $54,695.83 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 32 14 — — $42,453.91 $99,476.44 $54,337.82 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 31 14 — — $44,343.87 $103,978.30 $54,053.76 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 31 14 — — $44,310.19 $103,898.06 $54,012.05 2026-04-01
332 MS_DRG Rectal Resection With Mcc 31 14 — — $44,250.04 $103,754.78 $53,937.57 2026-04-01
265 MS_DRG Aicd Lead Procedures 31 14 — — $44,219.96 $103,683.14 $53,900.33 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 31 14 — — $44,142.97 $103,499.74 $53,804.98 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 32 14 — — $4,988.28 $103,345.00 $53,724.54 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 31 14 — — $43,794.09 $102,668.72 $53,372.97 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 31 14 — — $43,694.23 $102,430.87 $53,249.33 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 34 14 — — $34,453.23 $102,327.71 $53,195.70 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 32 14 — — $30,900.93 $102,175.83 $53,116.74 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 31 14 — — $43,551.07 $102,089.87 $53,072.05 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 31 14 — — $43,510.17 $101,992.44 $53,021.40 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 31 14 — — $43,117.98 $101,058.25 $52,535.76 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 34 14 — — $1,945.00 $101,909.33 $52,512.32 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 31 14 — — $43,031.36 $100,851.93 $52,428.50 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 33 14 — — $34,614.53 $99,934.93 $51,951.80 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc Or Insertion O… 32 14 — — $30,435.11 $98,995.02 $51,463.18 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 31 14 — — $42,059.32 $98,536.52 $51,224.82 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 31 14 — — $41,734.50 $97,762.81 $50,822.61 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 34 14 — — $32,938.77 $98,244.23 $50,623.75 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 32 14 — — $38,993.99 $128,169.32 $49,836.02 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 31 14 — — $40,431.62 $94,659.36 $49,209.26 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 39 14 — — $7,571.51 $99,960.72 $49,076.89 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 31 14 — — $40,296.88 $94,338.42 $49,042.41 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 31 14 — — $40,292.06 $94,326.96 $49,036.45 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 38 14 — — $1,810.00 $95,728.23 $48,523.88 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 33 14 — — $30,069.26 $93,212.24 $48,456.96 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 33 14 — — $30,966.54 $92,802.46 $48,243.93 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 32 14 — — $327.66 $92,699.29 $48,190.31 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 31 14 — — $39,554.61 $92,570.34 $48,123.27 2026-04-01
652 MS_DRG Kidney Transplant 31 14 — — $39,543.78 $92,544.55 $48,109.86 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 31 14 — — $39,514.91 $92,475.78 $48,074.11 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 31 14 — — $39,439.12 $92,295.24 $47,980.26 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 31 14 — — $39,314.00 $91,997.22 $47,825.33 2026-04-01
464 MS_DRG Wound Debridement Or Skin Graft Except Hand For Musculoskeletal And Connective T… 32 14 — — $38,162.70 $89,254.84 $47,603.85 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 31 14 — — $39,031.29 $91,323.81 $47,475.25 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 31 14 — — $38,917.00 $91,051.57 $47,333.73 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 32 14 — — $30,071.86 $90,690.51 $47,146.03 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 31 14 — — $38,707.67 $90,552.96 $47,074.52 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 31 14 — — $38,599.40 $90,295.06 $46,940.45 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 31 14 — — $38,581.35 $90,252.07 $46,918.10 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 31 14 — — $38,492.33 $90,040.02 $46,807.86 2026-04-01
665 MS_DRG Prostatectomy With Mcc 31 14 — — $38,240.90 $89,441.11 $46,496.52 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 31 14 — — $38,096.53 $89,097.24 $46,317.75 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 37 14 — — $2,250.00 $91,492.88 $46,027.40 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 31 14 — — $37,029.44 $86,555.45 $44,996.39 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 31 14 — — $37,024.63 $86,543.99 $44,990.43 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 31 14 — — $36,984.93 $86,449.42 $44,941.27 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 31 14 — — $36,498.91 $85,291.72 $44,339.43 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 37 14 — — $8,368.03 $87,730.34 $44,134.58 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 31 14 — — $36,134.39 $84,423.44 $43,888.05 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 31 14 — — $36,110.33 $84,366.13 $43,858.26 2026-04-01
570 MS_DRG Skin Debridement With Mcc 31 14 — — $36,074.24 $84,280.16 $43,813.57 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 31 14 — — $35,820.40 $83,675.52 $43,499.24 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc Or Insertion Of Antibiotic-… 33 14 — — $27,991.44 $83,454.87 $43,384.53 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 32 14 — — $2,625.00 $83,159.71 $43,231.09 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 31 14 — — $35,582.20 $83,108.13 $43,204.28 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 31 14 — — $35,428.21 $82,741.33 $43,013.60 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 31 14 — — $35,360.84 $82,580.86 $42,930.17 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 33 14 — — $25,803.51 $82,248.45 $42,757.37 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 34 14 — — $7,619.02 $82,701.22 $42,614.68 2026-04-01
800 MS_DRG Splenic Procedures With Cc 31 14 — — $34,489.85 $80,506.17 $41,851.63 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 31 14 — — $34,368.34 $80,216.74 $41,701.17 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 42 16 — — $5,651.06 $97,633.86 $41,680.36 2026-04-01
503 MS_DRG Foot Procedures With Mcc 31 14 — — $34,269.69 $79,981.76 $41,579.02 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 33 14 — — $5,655.94 $79,431.57 $41,292.99 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 31 14 — — $33,860.66 $79,007.46 $41,072.52 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 33 14 — — $10,163.43 $78,746.69 $40,936.96 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 31 14 — — $33,580.36 $78,339.77 $40,725.42 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 38 14 — — $8,073.96 $81,683.93 $40,598.24 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 31 14 — — $33,423.96 $77,967.24 $40,531.76 2026-04-01
849 MS_DRG Radiotherapy 31 14 — — $33,288.02 $77,643.43 $40,363.42 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 31 14 — — $33,248.32 $77,548.87 $40,314.26 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 33 14 — — $19,984.80 $77,296.69 $40,183.17 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 31 14 — — $32,692.52 $76,224.96 $39,626.02 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 32 14 — — $31,056.40 $72,327.74 $39,508.18 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 31 14 — — $32,580.64 $75,958.46 $39,487.48 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 31 14 — — $32,420.63 $75,577.33 $39,289.35 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 39 14 — — $1,810.00 $68,694.16 $38,785.95 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 39 14 — — $5,719.28 $78,766.75 $38,671.46 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 31 14 — — $31,880.47 $74,290.68 $38,620.47 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 31 14 — — $31,720.47 $73,909.56 $38,422.34 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 32 14 — — $15,664.19 $73,909.56 $38,422.34 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 31 14 — — $31,580.92 $73,577.15 $38,249.54 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 31 14 — — $31,405.28 $73,158.77 $38,032.04 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 36 14 — — $24,658.48 $72,812.03 $37,851.79 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 37 15 — — $7,057.93 $74,012.72 $37,799.28 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 31 14 — — $31,201.96 $72,674.48 $37,780.28 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 31 14 — — $31,043.16 $72,296.22 $37,583.64 2026-04-01
397 MS_DRG Appendix Procedures With Mcc 32 14 — — $29,503.28 $68,628.25 $37,487.37 2026-04-01
263 MS_DRG Vein Ligation And Stripping 42 15 — — $1,810.00 $87,612.85 $37,473.36 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 33 14 — — $29,401.03 $68,384.68 $37,373.00 2026-04-01
J9226 HCPCS Supprelin La Implant 12 5 — — $27,354.10 $73,554.94 $37,229.53 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 42 16 — — $6,573.25 $86,919.38 $37,182.23 2026-04-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 31 14 — — $30,670.22 $71,407.89 $37,121.83 2026-04-01
545 MS_DRG Connective Tissue Disorders With Mcc 32 14 — — $20,917.66 $71,115.60 $36,969.88 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 44 15 — — $1,960.00 $74,379.51 $36,967.83 2026-04-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 31 14 — — $30,276.83 $70,470.84 $36,634.70 2026-04-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 32 14 — — $23,445.57 $70,450.78 $36,624.27 2026-04-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 34 14 — — $1,810.00 $67,014.92 $36,606.10 2026-04-01
792 MS_DRG Prematurity Without Major Problems 31 14 — — $30,156.53 $70,184.28 $36,485.73 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 31 14 — — $30,061.49 $69,957.89 $36,368.05 2026-04-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 36 14 — — $21,628.33 $70,041.00 $36,091.06 2026-04-01
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 31 14 — — $29,831.71 $69,410.56 $36,083.51 2026-04-01
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 31 14 — — $29,736.67 $69,184.18 $35,965.83 2026-04-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 31 14 — — $29,628.40 $68,926.28 $35,831.75 2026-04-01
35 MS_DRG Carotid Artery Stent Procedures With Cc 31 14 — — $29,450.35 $68,502.17 $35,611.28 2026-04-01
333 MS_DRG Rectal Resection With Cc 31 14 — — $28,869.29 $67,118.08 $34,891.75 2026-04-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 31 14 — — $28,805.53 $66,966.21 $34,812.80 2026-04-01
709 MS_DRG Penis Procedures With Cc/Mcc 32 14 — — $20,051.52 $66,685.38 $34,666.81 2026-04-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 33 14 — — $21,553.53 $66,639.53 $34,642.97 2026-04-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 31 14 — — $28,496.35 $66,229.75 $34,429.95 2026-04-01
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 31 14 — — $28,300.25 $65,762.65 $34,187.13 2026-04-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 35 14 — — $22,235.49 $66,570.75 $33,998.57 2026-04-01
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 31 14 — — $28,140.25 $65,381.53 $33,989.00 2026-04-01
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 32 14 — — $28,069.27 $65,212.46 $33,913.55 2026-04-01
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 36 14 — — $2,225.00 $62,435.69 $33,913.29 2026-04-01
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 31 14 — — $28,023.56 $65,103.57 $33,844.49 2026-04-01
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 31 14 — — $27,947.77 $64,923.03 $33,750.64 2026-04-01
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 34 14 — — $10,145.59 $65,496.15 $33,749.17 2026-04-01
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 32 14 — — $26,454.80 $61,366.82 $33,520.90 2026-04-01
113 MS_DRG Orbital Procedures With Cc/Mcc 38 15 — — $4,563.78 $67,373.12 $33,485.54 2026-04-01
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 31 14 — — $27,622.95 $64,149.32 $33,348.42 2026-04-01
715 MS_DRG Male Reproductive System And Other O.r. Procedures For Malignancy With Cc/Mcc 31 14 — — $27,607.31 $64,112.07 $33,329.06 2026-04-01
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/Mcc 31 14 — — $27,394.37 $63,604.86 $33,065.38 2026-04-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 31 14 — — $27,312.56 $63,410.00 $32,964.08 2026-04-01
934 MS_DRG Full Thickness Burn Without Skin Graft Or Inhalation Injury 31 14 — — $27,286.10 $63,346.95 $32,931.31 2026-04-01
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 33 14 — — $20,427.86 $63,269.58 $32,891.09 2026-04-01
L7181 HCPCS Electronic Elbo Simultaneous 6 2 — — $32,858.77 $48,155.50 $32,858.77 2026-04-01
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 32 14 — — $25,873.74 $59,982.74 $32,764.86 2026-04-01
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 33 14 — — $1,945.00 $63,005.95 $32,754.03 2026-04-01
30 MS_DRG Spinal Procedures Without Cc/Mcc 31 14 — — $27,100.83 $62,905.65 $32,701.89 2026-04-01
347 MS_DRG Anal And Stomal Procedures With Mcc 38 15 — — $4,884.54 $65,782.71 $32,695.08 2026-04-01
614 MS_DRG Adrenal And Pituitary Procedures With Cc/Mcc 31 14 — — $27,059.93 $62,808.22 $32,651.24 2026-04-01
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 31 14 — — $26,948.05 $62,541.72 $32,512.70 2026-04-01
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 31 14 — — $26,885.49 $62,392.71 $32,435.24 2026-04-01
135 MS_DRG Sinus And Mastoid Procedures With Cc/Mcc 31 14 — — $26,797.67 $62,183.52 $32,326.49 2026-04-01
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 33 14 — — $24,369.95 $56,400.74 $32,296.19 2026-04-01
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 35 14 — — $10,157.93 $62,696.46 $32,019.92 2026-04-01
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/Mcc 31 14 — — $26,445.18 $61,343.90 $31,890.01 2026-04-01
32 MS_DRG Ventricular Shunt Procedures With Cc 31 14 — — $26,328.49 $61,065.94 $31,745.51 2026-04-01
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/Mcc 31 14 — — $26,316.46 $61,037.28 $31,730.61 2026-04-01
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 33 14 — — $20,044.50 $60,942.72 $31,681.45 2026-04-01
595 MS_DRG Major Skin Disorders With Mcc 32 14 — — $20,274.35 $60,770.78 $31,592.07 2026-04-01
374 MS_DRG Digestive Malignancy With Mcc 38 14 — — $18,869.32 $61,286.59 $31,580.04 2026-04-01
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 31 14 — — $26,164.87 $60,676.21 $31,542.91 2026-04-01
655 MS_DRG Major Bladder Procedures Without Cc/Mcc 31 14 — — $26,155.25 $60,653.29 $31,530.99 2026-04-01
336 MS_DRG Peritoneal Adhesiolysis With Cc 35 14 — — $18,877.22 $60,530.07 $31,413.30 2026-04-01
412 MS_DRG Cholecystectomy With C.d.e. With Cc 31 14 — — $25,985.62 $60,249.24 $31,320.94 2026-04-01
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 31 14 — — $25,848.48 $59,922.56 $31,151.12 2026-04-01
838 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Che… 31 14 — — $25,803.96 $59,816.53 $31,096.00 2026-04-01
835 MS_DRG Acute Leukemia With Cc 31 14 — — $25,784.72 $59,770.68 $31,072.16 2026-04-01
711 MS_DRG Testes Procedures With Cc/Mcc 33 14 — — $13,404.31 $59,713.37 $31,042.37 2026-04-01
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 35 14 — — $20,208.94 $60,684.81 $30,992.54 2026-04-01
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 31 14 — — $25,707.72 $59,587.29 $30,976.82 2026-04-01
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 31 14 — — $25,692.08 $59,550.03 $30,957.46 2026-04-01
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 36 14 — — $5,633.98 $61,063.07 $30,952.39 2026-04-01
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 36 14 — — $18,505.82 $60,019.99 $30,927.39 2026-04-01
886 MS_DRG Behavioral And Developmental Disorders 31 14 — — $25,658.40 $59,469.80 $30,915.74 2026-04-01
415 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 31 14 — — $25,554.94 $59,223.36 $30,787.63 2026-04-01
737 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 31 14 — — $25,481.55 $59,048.55 $30,696.76 2026-04-01
935 MS_DRG Non-extensive Burns 31 14 — — $25,474.33 $59,031.36 $30,687.82 2026-04-01
744 MS_DRG D&c, Conization, Laparoscopy And Tubal Interruption With Cc/Mcc 31 14 — — $25,343.20 $58,719.01 $30,525.44 2026-04-01
783 MS_DRG Cesarean Section With Sterilization With Mcc 14 10 — — $13,552.15 $30,227.51 $30,227.51 2026-04-01
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