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

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Hospital

WHITE PLAINS HOSPITAL CENTER

White Plains, NY · CCN 330304 · Rates published

68,666 distinct procedures filed
27 distinct payers
536,887 rate rows
2026-04-01 last MRF observed
Data quality

412,283 of 536,887 rate rows are consumer-grade (76.8%)

124,604 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 124,195
per-diem day rate — not a per-procedure price 360
placeholder amount (≤ $0.02) — excluded from medians 47
exceeds 10× this hospital's gross charge — excluded from medians 2
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.wphospital.org/clientfiles/getfile/131740130_white-plains-hospital_standardcharges.csv
Found on page https://www.wphospital.org/patients-visitors/patients/billing-information/standard-charges//
Discovered viaDiscovered by HANK
Last fetch success · 2026-06-15
Content fingerprint 0e1b1ac93b2e8508… · 147,120,478 bytes · first seen 2026-06-15

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 $4,862,951.12 $4,862,951.12 $4,862,951.12 nat. median
$3,710,000
1.3× median
J3389
HCPCS 		Topi Adm Prad Zami Per Treat 1 $4,401,833.32 $4,401,833.32 $4,401,833.32 nat. median
$3,335,820
1.3× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 1 $4,376,289.95 $4,376,289.95 $4,376,289.95 nat. median
$3,325,455
1.3× median
J3394
HCPCS 		Inj Lovotibeglogene Autotem 1 $4,286,537.22 $4,286,537.22 $4,286,537.22 nat. median
$3,286,000
1.3× median
J3387
HCPCS 		Inj Elivaldogene Autotemecel 1 $4,077,457.70 $4,077,457.70 $4,077,457.70 nat. median
$3,180,000
1.3× median
J3393
HCPCS 		Inj Betibeglogene Autotemce 1 $3,887,097.17 $3,887,097.17 $3,887,097.17 nat. median
$3,006,423
1.3× median
J3399
HCPCS 		Inj Onase Abepar Xioi Treat 1 $3,239,679.50 $3,239,679.50 $3,239,679.50 nat. median
$2,469,189
1.3× median
J3392
HCPCS 		Inj Exagamglogene Autotem 1 $3,077,226.98 $3,077,226.98 $3,077,226.98 nat. median
$2,448,600
1.3× median
Q2042
HCPCS 		Tisagenlecleucel Car Pos T 3 $780,821.54 $1,349,007.22 $1,349,007.22 nat. median
$754,974
1.8× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car 3 $703,632.19 $1,215,648.97 $1,215,648.97 nat. median
$634,511
1.9× median
Q2057
HCPCS 		Afamitresgene Autoleucel 18 $932,143.34 $2,080,845.24 $960,390.11 nat. median
$824,563
1.2× median
18
MS_DRG 		Chimeric Antigen Receptor Car T Cell And Other Immunotherapies 20 $298,399.35 $2,837,428.58 $872,242.33 nat. median
$370,174
outlier · 2.4×
Q2056
HCPCS 		Ciltacabtagene Car Pos T 1 $746,701.19 $746,701.19 $746,701.19 nat. median
$675,122
1.1× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 1 $742,306.04 $742,306.04 $742,306.04 nat. median
$674,188
1.1× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 1 $735,417.58 $735,417.58 $735,417.58 nat. median
$625,184
1.2× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 20 $222,879.63 $2,119,324.44 $651,492.88 nat. median
$265,286
outlier · 2.5×
Q2053
HCPCS 		Brexucabtagene Car Pos T 1 $645,669.53 $645,669.53 $645,669.53 nat. median
$620,080
1.0× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns W Mv 96 Hours W Skin Graft 20 $187,717.59 $1,784,974.64 $548,711.77 nat. median
$206,368
outlier · 2.7×
3
MS_DRG 		Ecmo Or Trach W Mv 96 Hrs Or Pdx Exc Face Mouth Neck W Maj O R 20 $169,576.34 $1,612,472.54 $495,683.60 nat. median
$202,986
outlier · 2.4×
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 18 $336,571.71 $751,336.84 $346,770.85 nat. median
$324,450
1.1× median
J3403
HCPCS 		Revakinagene Per Implant 1 $339,788.14 $339,788.14 $339,788.14 nat. median
$265,000
1.3× median
4
MS_DRG 		Trach W Mv 96 Hrs Or Pdx Exc Face Mouth Neck W O Maj O R 20 $111,803.02 $1,063,115.87 $326,808.10 nat. median
$133,176
outlier · 2.5×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 20 $103,666.91 $985,751.02 $303,025.70 nat. median
$117,303
outlier · 2.6×
7
MS_DRG 		Lung Transplant 20 $103,405.79 $983,268.00 $302,262.41 nat. median
$122,708
outlier · 2.5×
24
APR_DRG 		Heart Or Lung Transplant 11 $259,921.95 $1,051,407.93 $275,835.54 nat. median
$234,738
1.2× median
J3402
HCPCS 		Inj Remestemcel L Rknd Td 1 $271,355.46 $271,355.46 $271,355.46 nat. median
$209,753
1.3× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 20 $87,198.46 $829,155.29 $254,887.24 nat. median
$108,660
outlier · 2.3×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 20 $86,196.68 $819,629.52 $251,958.97 nat. median
$102,358
outlier · 2.5×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 20 $84,261.96 $801,232.61 $246,303.65 nat. median
$100,136
outlier · 2.5×
215
MS_DRG 		Other Heart Assist System Implant 20 $83,831.50 $797,139.39 $245,045.37 nat. median
$99,019
outlier · 2.5×
426
MS_DRG 		Mult Lvl Comb Ant Pst Spin Fsn Exc Cerv W Mcc Or Cust Anat Des Fus Dev 20 $82,940.50 $788,667.03 $242,440.92 nat. median
$98,905
outlier · 2.5×
216
MS_DRG 		Cardiac Valve Oth Maj Cardiothoracic Proc W Cardiac Cath W Mcc 20 $76,363.24 $726,125.05 $223,215.14 nat. median
$93,672
outlier · 2.4×
219
MS_DRG 		Cardiac Valve Oth Maj Cardiothoracic Proc W O Cardiac Cath W Mcc 20 $61,222.58 $618,944.53 $221,247.25 nat. median
$74,915
outlier · 3.0×
850
MS_DRG 		Acute Leukemia With Other Procedures 20 $72,888.66 $693,085.85 $213,058.69 nat. median
$83,442
outlier · 2.6×
5834
APR_DRG 		Neonate W Ecmo 11 $191,333.52 $773,961.51 $203,047.82 nat. median
$309,665
0.7× median
5884
APR_DRG 		Neonate Bwt 1500g W Major Procedure 11 $187,970.29 $760,356.91 $199,478.67 nat. median
$246,434
0.8× median
5883
APR_DRG 		Neonate Bwt 1500g W Major Procedure 11 $187,970.29 $760,356.91 $199,478.67 nat. median
$182,736
1.1× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 20 $67,049.68 $637,564.04 $195,990.96 nat. median
$79,312
outlier · 2.5×
456
MS_DRG 		Spinal Fusion Exc Cerv W Spinal Curv Malig Infec Ext Fusion W Mcc 20 $67,011.70 $637,202.87 $195,879.93 nat. median
$81,118
outlier · 2.4×
429
MS_DRG 		Combine Anterior And Posterior Cervical Spinal Fusion With Mcc 20 $65,994.09 $627,526.62 $192,905.40 nat. median
$82,712
outlier · 2.3×
20
MS_DRG 		Intracranial Vascular Procedures With Pdx Hemorrhage W Mcc 20 $63,782.42 $606,496.20 $186,440.52 nat. median
$77,576
outlier · 2.4×
10
MS_DRG 		Pancreas Transplant 20 $63,086.87 $599,882.34 $184,407.38 nat. median
$68,882
outlier · 2.7×
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 20 $62,723.67 $596,428.69 $183,345.71 nat. median
$71,240
outlier · 2.6×
1614
APR_DRG 		Cardiac Defibrillator Heart Assist Implant 11 $171,929.55 $695,470.67 $182,455.85 nat. median
$207,730
0.9× median
233
MS_DRG 		Coronary Bypass With Cardiac Cath Or Open Ablation With Mcc 20 $61,846.12 $588,084.24 $180,780.58 nat. median
$73,807
outlier · 2.4×
34
APR_DRG 		Bone Marrow Transplant 11 $166,934.98 $675,267.16 $177,155.49 nat. median
$209,067
0.8× median
957
MS_DRG 		Other O R Procedures For Multiple Significant Trauma With Mcc 20 $59,059.96 $561,591.18 $172,636.45 nat. median
$72,138
outlier · 2.4×
974
MS_DRG 		Ms-DRG 974 1 $169,597.00 $169,597.00 $169,597.00 nat. median
$29,015
outlier · 5.8×
427
MS_DRG 		Multiple Level Comb Ant Pst Spinal Fusion Except Cervical With Cc 20 $56,171.74 $534,127.48 $164,193.95 nat. median
$68,090
outlier · 2.4×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 20 $55,916.94 $531,704.66 $163,449.16 nat. median
$68,887
outlier · 2.4×

Other procedures at this hospital

Browse this hospital's 68,666 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
6093 APR_DRG Neonate Bwt 1500 2499g W Major Procedure 36 11 — — $54,252.03 $219,454.37 $57,573.58 2026-04-01
63 APR_DRG Pancreas Transplant 36 11 — — $54,483.69 $220,391.47 $57,819.43 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc Mcc 32 20 — — $19,798.23 $188,257.99 $57,871.62 2026-04-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 32 20 — — $19,814.06 $188,408.47 $57,917.88 2026-04-01
924 APR_DRG Facial Bone Procedures Except Major Cranial Facial Bone Procedures 36 11 — — $54,775.70 $221,572.65 $58,129.32 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 32 20 — — $19,915.34 $189,371.58 $58,213.95 2026-04-01
6954 APR_DRG Chemotherapy For Acute Leukemia 34 11 — — $55,024.49 $126,331.74 $58,393.33 2026-04-01
498 MS_DRG Local Excision Removal Inter Fixation Dev Hip Femur W Cc Mcc 32 20 — — $19,977.85 $189,966.00 $58,396.68 2026-04-01
545 MS_DRG Connective Tissue Disorders With Mcc 32 20 — — $19,993.68 $190,116.49 $58,442.93 2026-04-01
817 MS_DRG Other Antepartum Diagnoses With O R Procedures With Mcc 32 20 — — $20,060.15 $190,748.53 $58,637.23 2026-04-01
2604 APR_DRG Major Pancreas Liver Shunt Procedures 36 11 — — $55,320.22 $223,775.30 $58,707.17 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 32 20 — — $20,163.01 $191,726.69 $58,937.92 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 32 20 — — $20,201.00 $192,087.85 $59,048.94 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 32 20 — — $20,206.53 $192,140.52 $59,065.13 2026-04-01
6072 APR_DRG Neonate Bwt 1250 1499g W Resp Dist Synd Oth Maj Resp Or Maj Anom 36 11 — — $55,706.83 $225,339.15 $59,117.45 2026-04-01
5124 APR_DRG Uterine Adnexa Procedures For Non Ovarian Non Adnexal Malig 36 11 — — $55,893.05 $226,092.45 $59,315.07 2026-04-01
J9226 HCPCS Supprelin La Implant 1 1 — — $59,407.70 $59,407.70 $59,407.70 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non Neoplasm With Mcc 32 20 — — $20,448.68 $194,442.96 $59,772.92 2026-04-01
749 MS_DRG Other Female Reproductive System O R Procedures With Cc Mcc 32 20 — — $20,481.91 $194,758.98 $59,870.07 2026-04-01
9124 APR_DRG Musculoskeletal Other Procedures For Multiple Significant Trauma 36 11 — — $56,438.32 $228,298.11 $59,893.72 2026-04-01
8504 APR_DRG Procedure W Diag Of Rehab Aftercare Or Oth Contact W Health Service 36 11 — — $56,811.51 $229,807.72 $60,289.77 2026-04-01
4474 APR_DRG Other Kidney Urinary Tract Related Procedures 36 11 — — $56,840.57 $229,925.24 $60,320.60 2026-04-01
64 APR_DRG Pancreas Transplant 36 11 — — $56,902.40 $230,175.33 $60,386.21 2026-04-01
255 MS_DRG Upper Limb Toe Amputation For Circulatory System Disorders W Mcc 32 20 — — $20,702.68 $196,858.26 $60,515.40 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc Mcc 32 20 — — $20,757.28 $197,377.44 $60,674.99 2026-04-01
959 MS_DRG Other O R Procedures For Multiple Significant Trauma W O Cc Mcc 32 20 — — $20,919.49 $198,919.92 $61,149.16 2026-04-01
503 MS_DRG Foot Procedures With Mcc 32 20 — — $20,941.65 $199,130.60 $61,213.92 2026-04-01
13 MS_DRG Tracheostomy For Face Mouth Neck Diag Or Laryngectomy W O Cc Mcc 32 20 — — $20,967.76 $199,378.90 $61,290.25 2026-04-01
32 APR_DRG Bone Marrow Transplant 36 11 — — $57,808.94 $233,842.40 $61,348.26 2026-04-01
970 MS_DRG HIV With Extensive O R Procedures Without Mcc 32 20 — — $20,994.67 $199,634.73 $61,368.90 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 32 20 — — $21,069.05 $200,342.01 $61,586.32 2026-04-01
849 MS_DRG Radiotherapy 32 20 — — $21,134.73 $200,966.53 $61,778.30 2026-04-01
988 MS_DRG Ms-DRG 988 2 1 — — $59,069.49 $64,925.78 $61,997.63 2026-04-01
263 MS_DRG Vein Ligation And Stripping 32 20 — — $21,221.77 $201,794.20 $62,032.73 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support 96 Hours 32 20 — — $21,239.18 $201,959.74 $62,083.62 2026-04-01
61 MS_DRG Ischemic Stroke Precereb Occl Trans Ischemia W Thrombolyt Agt W Mcc 32 20 — — $21,390.32 $203,396.88 $62,525.40 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 32 20 — — $21,496.35 $204,405.13 $62,835.34 2026-04-01
619 MS_DRG O R Procedures For Obesity With Mcc 32 20 — — $21,573.90 $205,142.52 $63,062.03 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 32 20 — — $21,612.67 $205,511.21 $63,175.36 2026-04-01
411 MS_DRG Cholecystectomy With C D E With Mcc 32 20 — — $21,653.02 $205,894.95 $63,293.32 2026-04-01
234 APR_DRG Spinal Procedures 36 11 — — $60,203.80 $243,529.84 $63,889.74 2026-04-01
9504 APR_DRG Extensive Procedure Unrelated To Principal Diagnosis 36 11 — — $60,443.67 $244,500.09 $64,144.30 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 32 20 — — $22,199.02 $211,086.71 $64,889.30 2026-04-01
6114 APR_DRG Neonate Birthwt 1500 1999g W Major Anomaly 36 11 — — $61,184.10 $247,495.21 $64,930.06 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 32 20 — — $22,329.59 $212,328.22 $65,270.96 2026-04-01
321 MS_DRG Perc Cv Proc With Intralum Device With Mcc Or 4 Arteries Intralum Dev 32 20 — — $22,525.83 $214,194.25 $65,844.58 2026-04-01
510 MS_DRG Shoulder Elbow Or Forearm Procedures Exc Major Joint Proc W Mcc 32 20 — — $22,615.24 $215,044.49 $66,105.95 2026-04-01
13 APR_DRG Liver Transplant Or Intestinal Transplant 36 11 — — $62,322.31 $252,099.38 $66,137.96 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 32 20 — — $22,646.89 $215,345.47 $66,198.47 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procs Of Lower Extremity W O Mcc 32 20 — — $22,659.56 $215,465.85 $66,235.48 2026-04-01
4054 APR_DRG Other Procedures For Endocrine Nutritional Metabolic Disorders 36 11 — — $62,483.20 $252,750.23 $66,308.70 2026-04-01
625 MS_DRG Thyroid Parathyroid And Thyroglossal Procedures With Mcc 32 20 — — $22,685.67 $215,714.16 $66,311.81 2026-04-01
6124 APR_DRG Neonate Bwt 1500 1999g W Resp Dist Synd Oth Maj Resp Cond 36 11 — — $63,120.09 $255,326.52 $66,984.59 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 32 20 — — $22,923.85 $217,978.97 $67,008.02 2026-04-01
240 MS_DRG Amputation For Circulatory Sys Disorders Exc Upper Limb Toe W Cc 32 20 — — $23,042.55 $219,107.62 $67,354.98 2026-04-01
800 MS_DRG Splenic Procedures With Cc 32 20 — — $23,055.20 $219,228.00 $67,391.99 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 32 20 — — $23,063.12 $219,303.25 $67,415.12 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 32 20 — — $23,074.99 $219,416.11 $67,449.82 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 32 20 — — $23,207.13 $220,672.67 $67,836.09 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 32 20 — — $23,272.02 $221,289.66 $68,025.76 2026-04-01
464 MS_DRG Wnd Debride Skn Grft Exc Hand For Musculoskel Conn Tis Dis W Cc 32 20 — — $23,332.16 $221,861.51 $68,201.55 2026-04-01
8424 APR_DRG Burns With Skin Graft Except Extensive 3rd Degree Burns 36 11 — — $64,342.48 $260,271.18 $68,281.82 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome Neonate 26 16 — — $47,042.55 $475,588.11 $68,425.54 2026-04-01
81416 CPT Exome Sequence Analysis 4 2 — — $28,080.00 $118,771.02 $69,166.96 2026-04-01
6904 APR_DRG Acute Leukemia 36 11 — — $65,202.10 $263,748.41 $69,194.07 2026-04-01
876 MS_DRG O R Procedures With Principal Diagnosis Of Mental Illness 31 19 — — $31,093.19 $295,659.84 $69,410.04 2026-04-01
570 MS_DRG Skin Debridement With Mcc 32 20 — — $23,821.18 $226,511.53 $69,630.99 2026-04-01
5911 APR_DRG Neonate Birthwt 500 749g W O Major Procedure 36 11 — — $66,217.40 $267,855.40 $70,271.53 2026-04-01
987 MS_DRG Ms-DRG 987 1 1 — — $70,592.00 $70,592.00 $70,592.00 2026-04-01
6804 APR_DRG Major O R Procedures For Lymphatic Hematopoietic Other Neoplasms 36 11 — — $66,641.25 $269,569.91 $70,721.33 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 32 20 — — $24,201.00 $230,123.19 $70,741.23 2026-04-01
A9543 HCPCS Y90 Ibritumomab Rx 21 18 — — $68,735.08 $153,438.91 $70,817.96 2026-04-01
6814 APR_DRG Other O R Procedures For Lymphatic Hematopoietic Other Neoplasms 36 11 — — $66,826.73 $270,320.20 $70,918.17 2026-04-01
173 MS_DRG Ultrasound Accelerated And Oth Thrombolysis With Pdx Pulmonary Embolism 32 20 — — $24,280.13 $230,875.62 $70,972.53 2026-04-01
6033 APR_DRG Neonate Birthwt 1000 1249g W Or W O Other Significant Condition 36 11 — — $66,881.11 $270,540.16 $70,975.87 2026-04-01
652 MS_DRG Kidney Transplant 32 20 — — $24,302.28 $231,086.30 $71,037.29 2026-04-01
3124 APR_DRG Skin Graft Except Hand For Musculoskeletal Connective Tissue Diagnoses 36 11 — — $67,058.40 $271,257.30 $71,164.02 2026-04-01
829 MS_DRG Myeloprolif Disord Or Poorly Diff Neopl W Oth Proc W Cc Mcc 32 20 — — $24,400.41 $232,019.31 $71,324.12 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 32 20 — — $24,417.82 $232,184.85 $71,375.00 2026-04-01
515 MS_DRG Other Musculoskeletal System Connective Tissue O R Proc W Mcc 32 20 — — $24,468.45 $232,666.40 $71,523.02 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 32 20 — — $24,578.45 $233,712.28 $71,844.54 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 32 20 — — $24,683.69 $234,713.01 $72,152.17 2026-04-01
6073 APR_DRG Neonate Bwt 1250 1499g W Resp Dist Synd Oth Maj Resp Or Maj Anom 36 11 — — $68,151.91 $275,680.68 $72,324.48 2026-04-01
3044 APR_DRG Dorsal Lumbar Fusion Proc Except For Curvature Of Back 36 11 — — $68,398.48 $276,678.05 $72,586.14 2026-04-01
Q2043 HCPCS Sipuleucel T Auto Cd54 1 1 — — $72,935.46 $72,935.46 $72,935.46 2026-04-01
53 APR_DRG Tracheostomy W Mv 96 Hours W O Extensive Procedure 36 11 — — $68,774.66 $278,199.72 $72,985.35 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 32 20 — — $25,072.22 $238,407.45 $73,287.86 2026-04-01
939 MS_DRG O R Procedure W Diagnoses Of Other Contact W Health Services W Mcc 32 20 — — $25,114.15 $238,806.23 $73,410.44 2026-04-01
929 MS_DRG Full Thickness Burn W Skin Graft Or Inhalation Injury W O Cc Mcc 32 20 — — $25,164.80 $239,287.79 $73,558.49 2026-04-01
840 MS_DRG Lymphoma And Non Acute Leukemia With Mcc 32 20 — — $25,237.59 $239,980.02 $73,771.27 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 32 20 — — $25,281.91 $240,401.39 $73,900.80 2026-04-01
279 MS_DRG US Accelerated Other Thrombolysis Of Peripheral Vasc Structures W O Mcc 32 20 — — $25,354.71 $241,093.62 $74,113.61 2026-04-01
1624 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx 36 11 — — $69,906.91 $282,779.78 $74,186.92 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 32 20 — — $25,508.22 $242,553.33 $74,562.33 2026-04-01
6022 APR_DRG Neonate Bwt 1000 1249g W Resp Dist Synd Oth Maj Resp Or Maj Anom 36 11 — — $70,646.59 $285,771.89 $74,971.89 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 32 20 — — $25,778.06 $245,119.12 $75,351.07 2026-04-01
579 MS_DRG Other Skin Subcutaneous Tissue And Breast Procedures With Mcc 32 20 — — $25,789.13 $245,224.46 $75,383.45 2026-04-01
469 MS_DRG Maj Hip Knee Jnt Replace Reattach Low Extrem W Mcc Or Tot Ank Repl 32 20 — — $25,863.51 $245,931.75 $75,600.88 2026-04-01
3614 APR_DRG Skin Graft For Skin Subcutaneous Tissue Diagnoses 36 11 — — $71,514.41 $289,282.27 $75,892.85 2026-04-01
143 MS_DRG Other Ear Nose Mouth And Throat O R Procedures With Mcc 32 20 — — $26,126.22 $248,429.81 $76,368.79 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 32 20 — — $26,276.57 $249,859.43 $76,808.27 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 32 20 — — $26,559.86 $252,553.13 $77,636.33 2026-04-01
1613 APR_DRG Cardiac Defibrillator Heart Assist Implant 36 11 — — $73,295.47 $296,486.83 $77,782.95 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 32 20 — — $26,840.76 $255,224.26 $78,457.44 2026-04-01
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 36 11 — — $74,072.41 $299,629.59 $78,607.45 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 32 20 — — $26,957.88 $256,337.85 $78,799.77 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 32 20 — — $27,101.10 $257,699.75 $79,218.43 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 32 20 — — $27,143.04 $258,098.54 $79,341.01 2026-04-01
665 MS_DRG Prostatectomy With Mcc 32 20 — — $27,168.36 $258,339.32 $79,415.04 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 32 20 — — $27,211.09 $258,745.63 $79,539.93 2026-04-01
43 APR_DRG Tracheostomy W Mv 96 Hours W Extensive Procedure Or Ecmo 36 11 — — $75,016.20 $303,447.32 $79,609.02 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 32 20 — — $27,255.40 $259,166.99 $79,669.46 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 32 20 — — $27,416.04 $260,694.42 $80,139.01 2026-04-01
332 MS_DRG Rectal Resection With Mcc 32 20 — — $27,446.11 $260,980.35 $80,226.90 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 32 20 — — $27,475.38 $261,258.74 $80,312.48 2026-04-01
264 MS_DRG Other Circulatory System O R Procedures 32 20 — — $27,655.01 $262,966.76 $80,837.54 2026-04-01
408 MS_DRG Biliary Tract Proc Except Only Cholecystect W Or W O C D E W Mcc 32 20 — — $27,704.07 $263,433.27 $80,980.95 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C D E With Mcc 32 20 — — $27,723.85 $263,621.37 $81,038.77 2026-04-01
495 MS_DRG Local Excision Removal Inter Fixation Dev Exc Hip Femur W Mcc 32 20 — — $27,856.00 $264,877.93 $81,425.04 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 32 20 — — $27,926.42 $265,547.60 $81,630.90 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Pdx Hemorrhage W O Cc Mcc 32 20 — — $27,935.92 $265,637.89 $81,658.66 2026-04-01
4404 APR_DRG Kidney Transplant 36 11 — — $77,351.47 $312,893.70 $82,087.27 2026-04-01
492 MS_DRG Lower Extremity Humerus Procedures Exc Hip Foot And Femur W Mcc 32 20 — — $28,098.92 $267,187.89 $82,135.14 2026-04-01
265 MS_DRG Aicd Lead Procedures 32 20 — — $28,224.74 $268,384.26 $82,502.91 2026-04-01
518 MS_DRG Back Neck Proc Exc Spinal Fusion W Mcc Or Disc Device Neurostim 32 20 — — $28,358.47 $269,655.86 $82,893.80 2026-04-01
802 MS_DRG Other O R Procedures Of The Blood And Blood Forming Organs W Mcc 32 20 — — $28,364.80 $269,716.06 $82,912.31 2026-04-01
97 MS_DRG Non Bacterial Infect Of Nervous Syst Except Viral Meningitis W Mcc 32 20 — — $28,366.38 $269,731.11 $82,916.93 2026-04-01
6314 APR_DRG Neonate Birthwt 2499g W Other Major Procedure 36 11 — — $78,314.62 $316,789.77 $83,109.40 2026-04-01
J9029 HCPCS Instill Adstiladrin Tx Dose 1 1 — — $83,584.30 $83,584.30 $83,584.30 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 32 20 — — $28,675.78 $272,673.11 $83,821.32 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 32 20 — — $28,869.65 $274,516.56 $84,388.01 2026-04-01
5931 APR_DRG Neonate Birthwt 750 999g W O Major Procedure 36 11 — — $80,470.38 $325,509.97 $85,397.13 2026-04-01
3034 APR_DRG Dorsal Lumbar Fusion Proc For Curvature Of Back 36 11 — — $81,153.45 $328,273.07 $86,122.02 2026-04-01
622 MS_DRG Skin Grafts Wound Debride For Endocrine Nutrit Metab Disord W Mcc 32 20 — — $29,626.13 $281,709.79 $86,599.26 2026-04-01
5912 APR_DRG Neonate Birthwt 500 749g W O Major Procedure 36 11 — — $82,102.46 $332,111.89 $87,129.14 2026-04-01
40 MS_DRG Peripheral Cranial Nerve And Other Nervous System Procedures W Mcc 32 20 — — $29,846.10 $283,801.55 $87,242.27 2026-04-01
24 MS_DRG Craniotomy W Major Device Implant Or Acute Complex Cns Pdx W O Mcc 32 20 — — $30,080.33 $286,028.74 $87,926.93 2026-04-01
5932 APR_DRG Neonate Birthwt 750 999g W O Major Procedure 36 11 — — $82,997.83 $335,733.76 $88,079.33 2026-04-01
6023 APR_DRG Neonate Bwt 1000 1249g W Resp Dist Synd Oth Maj Resp Or Maj Anom 36 11 — — $83,146.82 $336,336.40 $88,237.43 2026-04-01
956 MS_DRG Limb Reattachment Hip Femur Proc For Multiple Significant Trauma 32 20 — — $30,244.92 $287,593.79 $88,408.03 2026-04-01
904 APR_DRG Major Larynx Trachea Procedures 36 11 — — $83,655.58 $338,394.41 $88,777.35 2026-04-01
166 MS_DRG Other Respiratory System O R Procedures With Mcc 32 20 — — $30,472.81 $289,760.79 $89,074.18 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc Mcc 32 20 — — $30,551.15 $290,505.70 $89,303.18 2026-04-01
616 MS_DRG Amputation Lower Limb For Endocrine Nutrit Metabolic Disord W Mcc 32 20 — — $30,582.80 $290,806.67 $89,395.69 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 32 20 — — $30,769.55 $292,582.41 $89,941.56 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 32 20 — — $30,939.68 $294,200.13 $90,438.86 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Exc Cervical 32 20 — — $31,091.60 $295,644.80 $90,882.95 2026-04-01
736 MS_DRG Uterine Adnexa Procedures For Ovarian Or Adnexal Malignancy W Mcc 32 20 — — $31,155.71 $296,254.26 $91,070.32 2026-04-01
628 MS_DRG Other Endocrine Nutritional And Metabolic O R Procedures With Mcc 32 20 — — $31,226.92 $296,931.45 $91,278.48 2026-04-01
739 MS_DRG Uterine Adnexa Proc For Non Ovarian Non Adnexal Malignancy W Mcc 32 20 — — $31,499.13 $299,519.81 $92,074.17 2026-04-01
907 MS_DRG Other O R Procedures For Injuries With Mcc 32 20 — — $31,521.28 $299,730.49 $92,138.93 2026-04-01
5913 APR_DRG Neonate Birthwt 500 749g W O Major Procedure 36 11 — — $88,008.79 $356,003.55 $93,397.08 2026-04-01
33 APR_DRG Bone Marrow Transplant 36 11 — — $88,070.62 $356,253.65 $93,462.70 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O R Procedures With Mcc 32 20 — — $32,182.80 $306,020.81 $94,072.60 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 32 20 — — $32,310.20 $307,232.22 $94,445.01 2026-04-01
12 MS_DRG Tracheostomy For Face Mouth Neck Diagnoses Or Laryngectomy W Cc 32 20 — — $32,470.04 $308,752.13 $94,912.23 2026-04-01
958 MS_DRG Other O R Procedures For Multiple Significant Trauma With Cc 32 20 — — $32,518.31 $309,211.11 $95,053.32 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 32 20 — — $32,536.52 $309,384.17 $95,106.53 2026-04-01
21 APR_DRG Heart Or Lung Transplant 36 11 — — $90,134.00 $364,600.21 $95,652.40 2026-04-01
5892 APR_DRG Neonate Bwt 500g Or Ga 24 Weeks 36 11 — — $90,423.02 $365,769.33 $95,959.12 2026-04-01
5891 APR_DRG Neonate Bwt 500g Or Ga 24 Weeks 36 11 — — $90,423.02 $365,769.33 $95,959.12 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon W O Mcc 32 20 — — $32,921.08 $313,040.98 $96,230.65 2026-04-01
6304 APR_DRG Neonate Birthwt 2499g W Major Cardiovascular Procedure 36 11 — — $91,097.91 $368,499.29 $96,675.33 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 32 20 — — $33,155.31 $315,268.17 $96,915.30 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 32 20 — — $33,157.68 $315,290.74 $96,922.24 2026-04-01
6074 APR_DRG Neonate Bwt 1250 1499g W Resp Dist Synd Oth Maj Resp Or Maj Anom 36 11 — — $91,962.74 $371,997.62 $97,593.11 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 32 20 — — $33,463.91 $318,202.65 $97,817.38 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 32 20 — — $33,702.89 $320,474.99 $98,515.91 2026-04-01
356 MS_DRG Other Digestive System O R Procedures With Mcc 32 20 — — $33,751.94 $320,941.49 $98,659.31 2026-04-01
458 MS_DRG Spinal Fus Exc Cerv W Spinal Curv Malig Infec Ext Fusion W O Cc Mcc 32 20 — — $34,165.79 $324,876.70 $99,869.02 2026-04-01
933 MS_DRG Extensive Burns Or Full Thick Burns W Mv 96 Hours W O Skin Graft 32 20 — — $34,237.01 $325,553.89 $100,077.20 2026-04-01
22 APR_DRG Heart Or Lung Transplant 36 11 — — $95,688.74 $387,069.65 $101,547.24 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 32 20 — — $34,757.68 $330,504.88 $101,599.15 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 32 20 — — $35,056.00 $333,341.54 $102,471.16 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 32 20 — — $35,386.76 $336,486.70 $103,437.99 2026-04-01
474 MS_DRG Amputation For Musculoskeletal Syst Connective Tissue Dis W Mcc 32 20 — — $35,484.89 $337,419.71 $103,724.82 2026-04-01
856 MS_DRG Postoperative Or Post Traumatic Infections W O R Procedures W Mcc 32 20 — — $35,697.74 $339,443.75 $104,347.01 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 32 20 — — $36,333.94 $345,493.28 $106,206.68 2026-04-01
221 MS_DRG Cardiac Valve Oth Maj Cardiothorac Proc W O Card Cath W O Cc Mcc 32 20 — — $36,338.69 $345,538.43 $106,220.56 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 32 20 — — $36,455.01 $346,644.50 $106,560.57 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 32 20 — — $36,470.05 $346,787.46 $106,604.51 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 32 20 — — $36,812.67 $350,045.48 $107,606.05 2026-04-01
5933 APR_DRG Neonate Birthwt 750 999g W O Major Procedure 36 11 — — $101,440.88 $410,337.58 $107,651.54 2026-04-01
823 MS_DRG Lymphoma And Non Acute Leukemia With Other Procedures With Mcc 32 20 — — $37,026.33 $352,077.05 $108,230.57 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replace Supplement Procedure W O Mcc 32 20 — — $37,225.73 $353,973.17 $108,813.44 2026-04-01
54 APR_DRG Tracheostomy W Mv 96 Hours W O Extensive Procedure 36 11 — — $102,718.39 $415,505.21 $109,007.26 2026-04-01
981 MS_DRG Extensive O R Procedures Unrelated To Principal Diagnosis W Mcc 32 20 — — $37,620.59 $357,727.79 $109,967.64 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 32 20 — — $37,622.18 $357,742.84 $109,972.27 2026-04-01
6034 APR_DRG Neonate Birthwt 1000 1249g W Or W O Other Significant Condition 36 11 — — $103,763.49 $419,732.73 $110,116.35 2026-04-01
826 MS_DRG Myeloprolif Disord Or Poorly Diff Neopl W Maj O R Proc W Mcc 32 20 — — $37,785.97 $359,300.37 $110,451.07 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 32 20 — — $38,369.15 $364,845.78 $112,155.75 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 32 20 — — $38,433.26 $365,455.25 $112,343.11 2026-04-01
245 MS_DRG Aicd Generator Procedures 32 20 — — $38,666.69 $367,674.92 $113,025.45 2026-04-01
5831 APR_DRG Neonate W Ecmo 36 11 — — $106,666.38 $431,475.17 $113,196.97 2026-04-01
5832 APR_DRG Neonate W Ecmo 36 11 — — $106,666.38 $431,475.17 $113,196.97 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 32 20 — — $39,429.49 $374,928.34 $115,255.19 2026-04-01
5833 APR_DRG Neonate W Ecmo 36 11 — — $108,699.22 $439,698.20 $115,354.27 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O R Procedures With Mcc 32 20 — — $39,576.68 $376,327.86 $115,685.41 2026-04-01
278 MS_DRG US Accelerated Other Thrombolysis Of Peripheral Vasc Structures W Mcc 32 20 — — $39,587.75 $376,433.20 $115,717.79 2026-04-01
8413 APR_DRG Extensive 3rd Degree Burns W Skin Graft 36 11 — — $109,075.39 $441,219.86 $115,753.48 2026-04-01
837 MS_DRG Chemo W Acute Leukemia As Sdx Or W High Dose Chemo Agent W Mcc 32 20 — — $39,618.61 $376,726.65 $115,808.00 2026-04-01
239 MS_DRG Amputation For Circulatory Sys Disorders Exc Upper Limb Toe W Mcc 32 20 — — $39,853.63 $378,961.37 $116,494.96 2026-04-01
326 MS_DRG Stomach Esophageal And Duodenal Procedures With Mcc 32 20 — — $40,187.56 $382,136.62 $117,471.06 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 32 20 — — $40,311.00 $383,310.41 $117,831.89 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 32 20 — — $40,615.65 $386,207.27 $118,722.40 2026-04-01
450 MS_DRG Sing Lvl Spin Fus Exc Cerv W Mcc Or Cust Anatom Design Inter Fus Dev 32 20 — — $40,749.38 $387,478.88 $119,113.30 2026-04-01
23 APR_DRG Heart Or Lung Transplant 36 11 — — $112,247.94 $454,053.08 $119,120.26 2026-04-01
6024 APR_DRG Neonate Bwt 1000 1249g W Resp Dist Synd Oth Maj Resp Or Maj Anom 36 11 — — $112,641.24 $455,644.05 $119,537.64 2026-04-01
220 MS_DRG Cardiac Valve Oth Maj Cardiothoracic Proc W O Cardiac Cath W Cc 32 20 — — $41,909.41 $398,509.50 $122,504.17 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Cath Or Open Ablation Without Mcc 32 20 — — $42,096.17 $400,285.24 $123,050.05 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 32 20 — — $42,689.63 $405,928.46 $124,784.81 2026-04-01
11 MS_DRG Tracheostomy For Face Mouth Neck Diagnoses Or Laryngectomy W Mcc 32 20 — — $42,695.18 $405,981.13 $124,801.00 2026-04-01
463 MS_DRG Wnd Debride Skn Grft Exc Hand For Musculoskel Conn Tis Dis W Mcc 32 20 — — $42,735.53 $406,364.87 $124,918.96 2026-04-01
405 MS_DRG Pancreas Liver And Shunt Procedures With Mcc 32 20 — — $42,954.71 $408,449.10 $125,559.67 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 32 20 — — $43,052.84 $409,382.11 $125,846.49 2026-04-01
6094 APR_DRG Neonate Bwt 1500 2499g W Major Procedure 36 11 — — $118,917.80 $481,033.27 $126,198.48 2026-04-01
430 MS_DRG Combine Anterior And Posterior Cervical Spinal Fusion Without Mcc 32 20 — — $43,284.69 $411,586.73 $126,524.20 2026-04-01
428 MS_DRG Multiple Level Comb Ant Pst Spinal Fusion Except Cervical W O Cc Mcc 32 20 — — $43,562.44 $414,227.76 $127,336.07 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 32 20 — — $43,734.14 $415,860.54 $127,837.99 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Pdx Hemorrhage W Cc 32 20 — — $43,737.31 $415,890.63 $127,847.24 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 32 20 — — $44,108.43 $419,419.53 $128,932.05 2026-04-01
23 MS_DRG Craniot W Maj Dev Impl Acute Cns Pdx W Mcc Or Chemo Epilep W Neuros 32 20 — — $45,141.07 $429,238.74 $131,950.53 2026-04-01
457 MS_DRG Spinal Fusion Exc Cerv W Spinal Curv Malig Infec Ext Fusion W Cc 32 20 — — $45,412.49 $431,819.58 $132,743.90 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O R Procedures With Mcc 32 20 — — $46,068.47 $438,057.22 $134,661.39 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 32 20 — — $46,558.28 $442,714.76 $136,093.14 2026-04-01
218 MS_DRG Cardiac Valve Oth Maj Cardiothoracic Proc W Card Cath W O Cc Mcc 32 20 — — $47,075.00 $447,628.13 $137,603.54 2026-04-01
5934 APR_DRG Neonate Birthwt 750 999g W O Major Procedure 36 11 — — $129,880.53 $525,378.54 $137,832.39 2026-04-01
14 APR_DRG Liver Transplant Or Intestinal Transplant 36 11 — — $130,398.24 $527,472.71 $138,381.80 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement Supplement Procedure W Mcc 32 20 — — $47,401.80 $450,735.67 $138,558.82 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc Mcc 32 20 — — $47,758.68 $454,129.13 $139,601.98 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc Mcc 32 20 — — $47,758.68 $454,129.13 $139,601.98 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 32 20 — — $48,103.68 $457,409.72 $140,610.46 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 32 20 — — $48,334.74 $459,606.82 $141,285.86 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc 32 20 — — $48,559.47 $461,743.72 $141,942.75 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 32 20 — — $48,726.43 $463,331.35 $142,430.80 2026-04-01
44 APR_DRG Tracheostomy W Mv 96 Hours W Extensive Procedure Or Ecmo 36 11 — — $134,619.60 $544,548.52 $142,861.62 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 32 20 — — $48,949.58 $465,453.20 $143,083.07 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulators 32 20 — — $49,012.88 $466,055.14 $143,268.10 2026-04-01
969 MS_DRG HIV With Extensive O R Procedures With Mcc 32 20 — — $50,040.78 $475,829.21 $146,272.71 2026-04-01
8414 APR_DRG Extensive 3rd Degree Burns W Skin Graft 36 11 — — $139,582.89 $564,625.47 $148,128.79 2026-04-01
217 MS_DRG Cardiac Valve Oth Maj Cardiothoracic Proc W Cardiac Cath W Cc 32 20 — — $51,097.16 $485,874.15 $149,360.59 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support 96 Hours 32 20 — — $51,178.65 $486,649.15 $149,598.83 2026-04-01
5882 APR_DRG Neonate Bwt 1500g W Major Procedure 36 11 — — $143,799.78 $581,683.19 $152,603.85 2026-04-01
5881 APR_DRG Neonate Bwt 1500g W Major Procedure 36 11 — — $143,799.78 $581,683.19 $152,603.85 2026-04-01
5914 APR_DRG Neonate Birthwt 500 749g W O Major Procedure 36 11 — — $144,321.22 $583,792.43 $153,157.21 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon W Mcc 32 20 — — $52,757.30 $501,660.13 $154,213.29 2026-04-01
928 MS_DRG Full Thickness Burn W Skin Graft Or Inhalation Injury W Cc Mcc 32 20 — — $52,846.71 $502,510.38 $154,474.67 2026-04-01
447 MS_DRG Mult Lvl Spin Fus Exc Cerv W Mcc Or Vust Anatom Des Interbody Fus Dev 32 20 — — $53,050.07 $504,444.12 $155,069.10 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 32 20 — — $54,028.90 $513,751.68 $157,930.30 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv 96 Hours 32 20 — — $55,046.51 $523,427.93 $160,904.84 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 32 20 — — $55,916.94 $531,704.66 $163,449.16 2026-04-01
427 MS_DRG Multiple Level Comb Ant Pst Spinal Fusion Except Cervical With Cc 32 20 — — $56,171.74 $534,127.48 $164,193.95 2026-04-01
974 MS_DRG Ms-DRG 974 1 1 — — $169,597.00 $169,597.00 $169,597.00 2026-04-01
957 MS_DRG Other O R Procedures For Multiple Significant Trauma With Mcc 32 20 — — $59,059.96 $561,591.18 $172,636.45 2026-04-01
34 APR_DRG Bone Marrow Transplant 36 11 — — $166,934.98 $675,267.16 $177,155.49 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Cath Or Open Ablation With Mcc 32 20 — — $61,846.12 $588,084.24 $180,780.58 2026-04-01
1614 APR_DRG Cardiac Defibrillator Heart Assist Implant 36 11 — — $171,929.55 $695,470.67 $182,455.85 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 32 20 — — $62,723.67 $596,428.69 $183,345.71 2026-04-01
10 MS_DRG Pancreas Transplant 32 20 — — $63,086.87 $599,882.34 $184,407.38 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Pdx Hemorrhage W Mcc 32 20 — — $63,782.42 $606,496.20 $186,440.52 2026-04-01
429 MS_DRG Combine Anterior And Posterior Cervical Spinal Fusion With Mcc 32 20 — — $65,994.09 $627,526.62 $192,905.40 2026-04-01
456 MS_DRG Spinal Fusion Exc Cerv W Spinal Curv Malig Infec Ext Fusion W Mcc 32 20 — — $67,011.70 $637,202.87 $195,879.93 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 32 20 — — $67,049.68 $637,564.04 $195,990.96 2026-04-01
5883 APR_DRG Neonate Bwt 1500g W Major Procedure 36 11 — — $187,970.29 $760,356.91 $199,478.67 2026-04-01
5884 APR_DRG Neonate Bwt 1500g W Major Procedure 36 11 — — $187,970.29 $760,356.91 $199,478.67 2026-04-01
5834 APR_DRG Neonate W Ecmo 36 11 — — $191,333.52 $773,961.51 $203,047.82 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 32 20 — — $72,888.66 $693,085.85 $213,058.69 2026-04-01
219 MS_DRG Cardiac Valve Oth Maj Cardiothoracic Proc W O Cardiac Cath W Mcc 33 20 — — $61,222.58 $618,944.53 $221,247.25 2026-04-01
216 MS_DRG Cardiac Valve Oth Maj Cardiothoracic Proc W Cardiac Cath W Mcc 32 20 — — $76,363.24 $726,125.05 $223,215.14 2026-04-01
426 MS_DRG Mult Lvl Comb Ant Pst Spin Fsn Exc Cerv W Mcc Or Cust Anat Des Fus Dev 32 20 — — $82,940.50 $788,667.03 $242,440.92 2026-04-01
215 MS_DRG Other Heart Assist System Implant 32 20 — — $83,831.50 $797,139.39 $245,045.37 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 32 20 — — $84,261.96 $801,232.61 $246,303.65 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 32 20 — — $86,196.68 $819,629.52 $251,958.97 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 32 20 — — $87,198.46 $829,155.29 $254,887.24 2026-04-01
J3402 HCPCS Inj Remestemcel L Rknd Td 1 1 — — $271,355.46 $271,355.46 $271,355.46 2026-04-01
24 APR_DRG Heart Or Lung Transplant 36 11 — — $259,921.95 $1,051,407.93 $275,835.54 2026-04-01
7 MS_DRG Lung Transplant 32 20 — — $103,405.79 $983,268.00 $302,262.41 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 32 20 — — $103,666.91 $985,751.02 $303,025.70 2026-04-01
4 MS_DRG Trach W Mv 96 Hrs Or Pdx Exc Face Mouth Neck W O Maj O R 32 20 — — $111,803.02 $1,063,115.87 $326,808.10 2026-04-01
J3403 HCPCS Revakinagene Per Implant 1 1 — — $339,788.14 $339,788.14 $339,788.14 2026-04-01
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 21 18 — — $336,571.71 $751,336.84 $346,770.85 2026-04-01
3 MS_DRG Ecmo Or Trach W Mv 96 Hrs Or Pdx Exc Face Mouth Neck W Maj O R 32 20 — — $169,576.34 $1,612,472.54 $495,683.60 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns W Mv 96 Hours W Skin Graft 32 20 — — $187,717.59 $1,784,974.64 $548,711.77 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 1 1 — — $645,669.53 $645,669.53 $645,669.53 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 32 20 — — $222,879.63 $2,119,324.44 $651,492.88 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 1 1 — — $735,417.58 $735,417.58 $735,417.58 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 1 1 — — $742,306.04 $742,306.04 $742,306.04 2026-04-01
Q2056 HCPCS Ciltacabtagene Car Pos T 1 1 — — $746,701.19 $746,701.19 $746,701.19 2026-04-01
18 MS_DRG Chimeric Antigen Receptor Car T Cell And Other Immunotherapies 32 20 — — $298,399.35 $2,837,428.58 $872,242.33 2026-04-01
Q2057 HCPCS Afamitresgene Autoleucel 21 18 — — $932,143.34 $2,080,845.24 $960,390.11 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car 3 3 — — $703,632.19 $1,215,648.97 $1,215,648.97 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car Pos T 3 3 — — $780,821.54 $1,349,007.22 $1,349,007.22 2026-04-01
J3392 HCPCS Inj Exagamglogene Autotem 1 1 — — $3,077,226.98 $3,077,226.98 $3,077,226.98 2026-04-01
J3399 HCPCS Inj Onase Abepar Xioi Treat 1 1 — — $3,239,679.50 $3,239,679.50 $3,239,679.50 2026-04-01
J3393 HCPCS Inj Betibeglogene Autotemce 1 1 — — $3,887,097.17 $3,887,097.17 $3,887,097.17 2026-04-01
J3387 HCPCS Inj Elivaldogene Autotemecel 1 1 — — $4,077,457.70 $4,077,457.70 $4,077,457.70 2026-04-01
J3394 HCPCS Inj Lovotibeglogene Autotem 1 1 — — $4,286,537.22 $4,286,537.22 $4,286,537.22 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 1 1 — — $4,376,289.95 $4,376,289.95 $4,376,289.95 2026-04-01
J3389 HCPCS Topi Adm Prad Zami Per Treat 1 1 — — $4,401,833.32 $4,401,833.32 $4,401,833.32 2026-04-01
J1411 HCPCS Inj Hemgenix Per Tx Dose 1 1 — — $4,862,951.12 $4,862,951.12 $4,862,951.12 2026-04-01
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