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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

ELIZABETHTOWN COMMUNITY HOSPITAL

Elizabethtown, NY · CCN 331302 · Rates published

7,661 distinct procedures filed
35 distinct payers
315,565 rate rows
2026-05-06 last MRF observed
Data quality

205,760 of 315,565 rate rows are consumer-grade (65.2%)

109,805 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 48,005
professional (physician) fee — not the facility price 43,293
per-diem day rate — not a per-procedure price 16,930
template filing: same amount across many unrelated codes — excluded 914
placeholder amount (≤ $0.02) — excluded from medians 511
exceeds 10× this hospital's gross charge — excluded from medians 152
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.uvmhealth.org/sites/default/files/141364513_elizabethtown-community-hospital_standardcharges.csv
Found on page https://www.uvmhealth.org/patients-visitors/billing-insurance/price-transparency
Discovered viaCMS hospital list
Last fetch not_modified · 2026-05-17
Content fingerprint bb919703c9d5b4b0… · 39,055,784 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
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 $383,351.85 $383,351.85 $383,351.85 nat. median
$370,174
1.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 1 $286,948.30 $286,948.30 $286,948.30 nat. median
$265,286
1.1× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 1 $242,046.83 $242,046.83 $242,046.83 nat. median
$206,474
1.2× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 1 $218,904.73 $218,904.73 $218,904.73 nat. median
$202,976
1.1× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 1 $145,155.43 $145,155.43 $145,155.43 nat. median
$133,161
1.1× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 1 $134,770.16 $134,770.16 $134,770.16 nat. median
$117,357
1.1× median
7
MS_DRG 		Lung Transplant 1 $134,436.86 $134,436.86 $134,436.86 nat. median
$122,708
1.1× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 1 $113,740.06 $113,740.06 $113,740.06 nat. median
$108,660
1.0× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 1 $112,469.43 $112,469.43 $112,469.43 nat. median
$102,358
1.1× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 1 $109,999.87 $109,999.87 $109,999.87 nat. median
$100,136
1.1× median
215
MS_DRG 		Other Heart Assist System Implant 1 $109,448.40 $109,448.40 $109,448.40 nat. median
$99,019
1.1× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 $108,242.39 $108,242.39 $108,242.39 nat. median
$98,894
1.1× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 $99,916.60 $99,916.60 $99,916.60 nat. median
$93,672
1.1× median
850
MS_DRG 		Acute Leukemia With Other Procedures 1 $95,480.50 $95,480.50 $95,480.50 nat. median
$83,470
1.1× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 1 $88,026.39 $88,026.39 $88,026.39 nat. median
$79,312
1.1× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 $87,978.91 $87,978.91 $87,978.91 nat. median
$81,118
1.1× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 1 $86,679.99 $86,679.99 $86,679.99 nat. median
$82,711
1.0× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 1 $83,856.93 $83,856.93 $83,856.93 nat. median
$77,570
1.1× median
10
MS_DRG 		Pancreas Transplant 1 $82,967.08 $82,967.08 $82,967.08 nat. median
$68,884
1.2× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 1 $82,505.49 $82,505.49 $82,505.49 nat. median
$71,271
1.2× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 1 $81,385.36 $81,385.36 $81,385.36 nat. median
$73,807
1.1× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 $80,588.43 $80,588.43 $80,588.43 nat. median
$74,915
1.1× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 1 $77,827.97 $77,827.97 $77,827.97 nat. median
$72,135
1.1× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 $74,176.67 $74,176.67 $74,176.67 nat. median
$68,090
1.1× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 1 $73,816.09 $73,816.09 $73,816.09 nat. median
$68,886
1.1× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 1 $72,699.99 $72,699.99 $72,699.99 nat. median
$66,526
1.1× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 1 $71,405.12 $71,405.12 $71,405.12 nat. median
$64,732
1.1× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 1 $70,156.70 $70,156.70 $70,156.70 nat. median
$63,724
1.1× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 1 $69,896.11 $69,896.11 $69,896.11 nat. median
$64,023
1.1× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 1 $69,781.97 $69,781.97 $69,781.97 nat. median
$65,950
1.1× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 1 $67,757.86 $67,757.86 $67,757.86 nat. median
$62,134
1.1× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 $67,663.91 $67,663.91 $67,663.91 nat. median
$64,508
1.0× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 1 $66,314.49 $66,314.49 $66,314.49 nat. median
$60,185
1.1× median
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 1 $65,002.45 $65,002.45 $65,002.45 nat. median
$59,099
1.1× median
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 1 $64,921.64 $64,921.64 $64,921.64 nat. median
$60,691
1.1× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 1 $64,636.82 $64,636.82 $64,636.82 nat. median
$59,793
1.1× median
461
MS_DRG 		Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 1 $64,419.65 $64,419.65 $64,419.65 nat. median
$55,736
1.2× median
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 1 $64,136.85 $64,136.85 $64,136.85 nat. median
$59,898
1.1× median
28
MS_DRG 		Spinal Procedures With Mcc 1 $63,841.92 $63,841.92 $63,841.92 nat. median
$57,822
1.1× median
16
MS_DRG 		Autologous Bone Marrow Transplant With Cc/mcc 1 $63,401.54 $63,401.54 $63,401.54 nat. median
$56,918
1.1× median
17
MS_DRG 		Autologous Bone Marrow Transplant Without Cc/mcc 1 $63,401.54 $63,401.54 $63,401.54 nat. median
$53,807
1.2× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 1 $62,946.00 $62,946.00 $62,946.00 nat. median
$60,726
1.0× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 $62,526.83 $62,526.83 $62,526.83 nat. median
$61,920
1.0× median
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 1 $62,481.40 $62,481.40 $62,481.40 nat. median
$52,303
1.2× median
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 1 $61,869.31 $61,869.31 $61,869.31 nat. median
$57,424
1.1× median
820
MS_DRG 		Lymphoma And Leukemia With Major O.r. Procedures With Mcc 1 $61,244.08 $61,244.08 $61,244.08 nat. median
$56,696
1.1× median
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 $60,406.76 $60,406.76 $60,406.76 nat. median
$58,020
1.0× median
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 1 $60,060.31 $60,060.31 $60,060.31 nat. median
$55,916
1.1× median
653
MS_DRG 		Major Bladder Procedures With Mcc 1 $58,742.21 $58,742.21 $58,742.21 nat. median
$51,418
1.1× median
834
MS_DRG 		Acute Leukemia With Mcc 1 $58,264.45 $58,264.45 $58,264.45 nat. median
$53,172
1.1× median

Other procedures at this hospital

Browse this hospital's 7,661 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
             
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 1 — — $383,351.85 $383,351.85 $383,351.85 2026-02-19
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 1 1 — — $286,948.30 $286,948.30 $286,948.30 2026-02-19
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 1 1 — — $242,046.83 $242,046.83 $242,046.83 2026-02-19
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 1 1 — — $218,904.73 $218,904.73 $218,904.73 2026-02-19
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 1 1 — — $145,155.43 $145,155.43 $145,155.43 2026-02-19
14 MS_DRG Allogeneic Bone Marrow Transplant 1 1 — — $134,770.16 $134,770.16 $134,770.16 2026-02-19
7 MS_DRG Lung Transplant 1 1 — — $134,436.86 $134,436.86 $134,436.86 2026-02-19
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 1 1 — — $113,740.06 $113,740.06 $113,740.06 2026-02-19
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 1 1 — — $112,469.43 $112,469.43 $112,469.43 2026-02-19
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 1 1 — — $109,999.87 $109,999.87 $109,999.87 2026-02-19
215 MS_DRG Other Heart Assist System Implant 1 1 — — $109,448.40 $109,448.40 $109,448.40 2026-02-19
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 1 — — $108,242.39 $108,242.39 $108,242.39 2026-02-19
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $99,916.60 $99,916.60 $99,916.60 2026-02-19
850 MS_DRG Acute Leukemia With Other Procedures 1 1 — — $95,480.50 $95,480.50 $95,480.50 2026-02-19
231 MS_DRG Coronary Bypass With Ptca With Mcc 1 1 — — $88,026.39 $88,026.39 $88,026.39 2026-02-19
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 1 — — $87,978.91 $87,978.91 $87,978.91 2026-02-19
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 1 1 — — $86,679.99 $86,679.99 $86,679.99 2026-02-19
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 1 1 — — $83,856.93 $83,856.93 $83,856.93 2026-02-19
10 MS_DRG Pancreas Transplant 1 1 — — $82,967.08 $82,967.08 $82,967.08 2026-02-19
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 1 1 — — $82,505.49 $82,505.49 $82,505.49 2026-02-19
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 1 1 — — $81,385.36 $81,385.36 $81,385.36 2026-02-19
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 1 — — $80,588.43 $80,588.43 $80,588.43 2026-02-19
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 1 1 — — $77,827.97 $77,827.97 $77,827.97 2026-02-19
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 1 — — $74,176.67 $74,176.67 $74,176.67 2026-02-19
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 1 1 — — $73,816.09 $73,816.09 $73,816.09 2026-02-19
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 1 1 — — $72,699.99 $72,699.99 $72,699.99 2026-02-19
955 MS_DRG Craniotomy For Multiple Significant Trauma 1 1 — — $71,405.12 $71,405.12 $71,405.12 2026-02-19
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 1 1 — — $70,156.70 $70,156.70 $70,156.70 2026-02-19
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 1 1 — — $69,896.11 $69,896.11 $69,896.11 2026-02-19
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 1 1 — — $69,781.97 $69,781.97 $69,781.97 2026-02-19
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 1 1 — — $67,757.86 $67,757.86 $67,757.86 2026-02-19
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $67,663.91 $67,663.91 $67,663.91 2026-02-19
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 1 1 — — $66,314.49 $66,314.49 $66,314.49 2026-02-19
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 1 1 — — $65,002.45 $65,002.45 $65,002.45 2026-02-19
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 1 1 — — $64,921.64 $64,921.64 $64,921.64 2026-02-19
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 1 1 — — $64,636.82 $64,636.82 $64,636.82 2026-02-19
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 1 1 — — $64,419.65 $64,419.65 $64,419.65 2026-02-19
232 MS_DRG Coronary Bypass With Ptca Without Mcc 1 1 — — $64,136.85 $64,136.85 $64,136.85 2026-02-19
28 MS_DRG Spinal Procedures With Mcc 1 1 — — $63,841.92 $63,841.92 $63,841.92 2026-02-19
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 1 1 — — $63,401.54 $63,401.54 $63,401.54 2026-02-19
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 1 1 — — $63,401.54 $63,401.54 $63,401.54 2026-02-19
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 1 1 — — $62,946.00 $62,946.00 $62,946.00 2026-02-19
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $62,526.83 $62,526.83 $62,526.83 2026-02-19
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 1 1 — — $62,481.40 $62,481.40 $62,481.40 2026-02-19
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 1 1 — — $61,869.31 $61,869.31 $61,869.31 2026-02-19
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 1 1 — — $61,244.08 $61,244.08 $61,244.08 2026-02-19
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 1 — — $60,406.76 $60,406.76 $60,406.76 2026-02-19
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 1 1 — — $60,060.31 $60,060.31 $60,060.31 2026-02-19
653 MS_DRG Major Bladder Procedures With Mcc 1 1 — — $58,742.21 $58,742.21 $58,742.21 2026-02-19
834 MS_DRG Acute Leukemia With Mcc 1 1 — — $58,264.45 $58,264.45 $58,264.45 2026-02-19
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 1 1 — — $58,264.45 $58,264.45 $58,264.45 2026-02-19
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 1 — — $58,030.13 $58,030.13 $58,030.13 2026-02-19
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 1 1 — — $57,690.75 $57,690.75 $57,690.75 2026-02-19
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 1 1 — — $57,393.80 $57,393.80 $57,393.80 2026-02-19
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 1 1 — — $57,268.56 $57,268.56 $57,268.56 2026-02-19
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 1 1 — — $56,988.77 $56,988.77 $56,988.77 2026-02-19
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 1 1 — — $56,937.26 $56,937.26 $56,937.26 2026-02-19
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 1 1 — — $56,931.20 $56,931.20 $56,931.20 2026-02-19
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 1 1 — — $56,172.65 $56,172.65 $56,172.65 2026-02-19
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 1 — — $55,935.30 $55,935.30 $55,935.30 2026-02-19
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 1 1 — — $54,454.57 $54,454.57 $54,454.57 2026-02-19
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 1 1 — — $54,281.87 $54,281.87 $54,281.87 2026-02-19
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 1 1 — — $53,894.00 $53,894.00 $53,894.00 2026-02-19
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 1 1 — — $53,736.43 $53,736.43 $53,736.43 2026-02-19
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 1 1 — — $53,311.21 $53,311.21 $53,311.21 2026-02-19
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 1 1 — — $53,011.23 $53,011.23 $53,011.23 2026-02-19
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 1 1 — — $52,971.84 $52,971.84 $52,971.84 2026-02-19
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 1 1 — — $52,951.63 $52,951.63 $52,951.63 2026-02-19
228 MS_DRG Other Cardiothoracic Procedures With Mcc 1 1 — — $52,769.82 $52,769.82 $52,769.82 2026-02-19
245 MS_DRG Aicd Generator Procedures 1 1 — — $51,795.13 $51,795.13 $51,795.13 2026-02-19
471 MS_DRG Cervical Spinal Fusion With Mcc 1 1 — — $51,497.17 $51,497.17 $51,497.17 2026-02-19
6 MS_DRG Liver Transplant Without Mcc 1 1 — — $51,415.35 $51,415.35 $51,415.35 2026-02-19
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 1 1 — — $50,670.96 $50,670.96 $50,670.96 2026-02-19
799 MS_DRG Splenic Procedures With Mcc 1 1 — — $50,461.87 $50,461.87 $50,461.87 2026-02-19
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 1 1 — — $50,452.79 $50,452.79 $50,452.79 2026-02-19
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 1 1 — — $49,955.84 $49,955.84 $49,955.84 2026-02-19
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 1 1 — — $49,701.31 $49,701.31 $49,701.31 2026-02-19
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 1 1 — — $49,422.55 $49,422.55 $49,422.55 2026-02-19
163 MS_DRG Major Chest Procedures With Mcc 1 1 — — $48,991.26 $48,991.26 $48,991.26 2026-02-19
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 1 1 — — $48,972.06 $48,972.06 $48,972.06 2026-02-19
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 1 — — $48,823.59 $48,823.59 $48,823.59 2026-02-19
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 1 1 — — $48,816.51 $48,816.51 $48,816.51 2026-02-19
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 1 1 — — $48,005.45 $48,005.45 $48,005.45 2026-02-19
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 1 1 — — $47,733.74 $47,733.74 $47,733.74 2026-02-19
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 1 1 — — $47,608.50 $47,608.50 $47,608.50 2026-02-19
901 MS_DRG Wound Debridements For Injuries With Mcc 1 1 — — $47,186.31 $47,186.31 $47,186.31 2026-02-19
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 1 1 — — $46,805.52 $46,805.52 $46,805.52 2026-02-19
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 1 1 — — $46,139.89 $46,139.89 $46,139.89 2026-02-19
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 1 — — $46,050.01 $46,050.01 $46,050.01 2026-02-19
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 1 1 — — $45,521.76 $45,521.76 $45,521.76 2026-02-19
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 1 1 — — $45,458.12 $45,458.12 $45,458.12 2026-02-19
140 MS_DRG Major Head And Neck Procedures With Mcc 1 1 — — $45,153.09 $45,153.09 $45,153.09 2026-02-19
31 MS_DRG Ventricular Shunt Procedures With Mcc 1 1 — — $44,763.21 $44,763.21 $44,763.21 2026-02-19
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 1 1 — — $44,753.11 $44,753.11 $44,753.11 2026-02-19
793 MS_DRG Full Term Neonate With Major Problems 1 1 — — $44,560.20 $44,560.20 $44,560.20 2026-02-19
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 1 1 — — $44,461.23 $44,461.23 $44,461.23 2026-02-19
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 1 1 — — $43,970.33 $43,970.33 $43,970.33 2026-02-19
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 1 1 — — $43,947.10 $43,947.10 $43,947.10 2026-02-19
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 1 1 — — $43,885.49 $43,885.49 $43,885.49 2026-02-19
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 1 1 — — $43,681.46 $43,681.46 $43,681.46 2026-02-19
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 1 1 — — $43,518.83 $43,518.83 $43,518.83 2026-02-19
791 MS_DRG Prematurity With Major Problems 1 1 — — $43,443.08 $43,443.08 $43,443.08 2026-02-19
J2507 HCPCS Pegloticase 8 Mg/ml Intravenous Solution 30 18 $87,990.83 $87,990.83 $3,477.79 $81,039.55 $42,675.55 2026-02-19
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 1 1 — — $42,673.43 $42,673.43 $42,673.43 2026-02-19
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 1 1 — — $42,645.15 $42,645.15 $42,645.15 2026-02-19
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 1 1 — — $42,289.61 $42,289.61 $42,289.61 2026-02-19
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 1 1 — — $42,207.80 $42,207.80 $42,207.80 2026-02-19
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 1 1 — — $42,127.00 $42,127.00 $42,127.00 2026-02-19
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 1 1 — — $41,951.26 $41,951.26 $41,951.26 2026-02-19
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 1 1 — — $41,932.06 $41,932.06 $41,932.06 2026-02-19
34 MS_DRG Carotid Artery Stent Procedures With Mcc 1 1 — — $41,713.89 $41,713.89 $41,713.89 2026-02-19
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 1 1 — — $41,474.51 $41,474.51 $41,474.51 2026-02-19
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 1 1 — — $41,435.12 $41,435.12 $41,435.12 2026-02-19
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 1 1 — — $41,326.04 $41,326.04 $41,326.04 2026-02-19
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 1 1 — — $41,044.24 $41,044.24 $41,044.24 2026-02-19
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 1 1 — — $40,835.16 $40,835.16 $40,835.16 2026-02-19
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 1 1 — — $40,536.19 $40,536.19 $40,536.19 2026-02-19
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 1 1 — — $40,232.16 $40,232.16 $40,232.16 2026-02-19
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 1 1 — — $39,289.79 $39,289.79 $39,289.79 2026-02-19
335 MS_DRG Peritoneal Adhesiolysis With Mcc 1 1 — — $39,034.25 $39,034.25 $39,034.25 2026-02-19
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 1 1 — — $38,644.38 $38,644.38 $38,644.38 2026-02-19
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 1 1 — — $38,642.36 $38,642.36 $38,642.36 2026-02-19
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 1 1 — — $38,636.29 $38,636.29 $38,636.29 2026-02-19
J1303 HCPCS Ravulizumab-cwvz 100 Mg/ml Intravenous Solution 30 18 $79,489.85 $79,489.85 $213.85 $73,210.15 $38,552.57 2026-02-19
265 MS_DRG Aicd Lead Procedures 1 1 — — $38,466.60 $38,466.60 $38,466.60 2026-02-19
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 1 1 — — $38,305.00 $38,305.00 $38,305.00 2026-02-19
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 1 1 — — $38,094.90 $38,094.90 $38,094.90 2026-02-19
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 1 1 — — $38,085.81 $38,085.81 $38,085.81 2026-02-19
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 1 1 — — $37,995.92 $37,995.92 $37,995.92 2026-02-19
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 1 1 — — $37,826.24 $37,826.24 $37,826.24 2026-02-19
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 1 1 — — $37,815.12 $37,815.12 $37,815.12 2026-02-19
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 1 1 — — $37,800.98 $37,800.98 $37,800.98 2026-02-19
264 MS_DRG Other Circulatory System O.r. Procedures 1 1 — — $37,738.36 $37,738.36 $37,738.36 2026-02-19
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 1 1 — — $37,510.10 $37,510.10 $37,510.10 2026-02-19
332 MS_DRG Rectal Resection With Mcc 1 1 — — $37,471.71 $37,471.71 $37,471.71 2026-02-19
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 1 1 — — $37,433.32 $37,433.32 $37,433.32 2026-02-19
271 MS_DRG Other Major Cardiovascular Procedures With Cc 1 1 — — $37,226.27 $37,226.27 $37,226.27 2026-02-19
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 1 1 — — $37,171.72 $37,171.72 $37,171.72 2026-02-19
665 MS_DRG Prostatectomy With Mcc 1 1 — — $37,117.18 $37,117.18 $37,117.18 2026-02-19
252 MS_DRG Other Vascular Procedures With Mcc 1 1 — — $37,084.86 $37,084.86 $37,084.86 2026-02-19
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 1 1 — — $37,032.34 $37,032.34 $37,032.34 2026-02-19
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 1 1 — — $36,840.44 $36,840.44 $36,840.44 2026-02-19
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 1 1 — — $36,697.01 $36,697.01 $36,697.01 2026-02-19
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 1 1 — — $36,340.46 $36,340.46 $36,340.46 2026-02-19
37 MS_DRG Extracranial Procedures With Mcc 1 1 — — $35,978.86 $35,978.86 $35,978.86 2026-02-19
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 1 1 — — $35,786.96 $35,786.96 $35,786.96 2026-02-19
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 1 1 — — $35,451.62 $35,451.62 $35,451.62 2026-02-19
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 1 1 — — $35,357.70 $35,357.70 $35,357.70 2026-02-19
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 1 1 — — $35,343.55 $35,343.55 $35,343.55 2026-02-19
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 1 1 — — $34,952.67 $34,952.67 $34,952.67 2026-02-19
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 1 1 — — $34,802.17 $34,802.17 $34,802.17 2026-02-19
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 1 1 — — $34,708.23 $34,708.23 $34,708.23 2026-02-19
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 1 1 — — $34,646.61 $34,646.61 $34,646.61 2026-02-19
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 1 1 — — $34,559.76 $34,559.76 $34,559.76 2026-02-19
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 1 1 — — $34,495.12 $34,495.12 $34,495.12 2026-02-19
500 MS_DRG Soft Tissue Procedures With Mcc 1 1 — — $34,441.58 $34,441.58 $34,441.58 2026-02-19
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 1 1 — — $33,959.78 $33,959.78 $33,959.78 2026-02-19
662 MS_DRG Minor Bladder Procedures With Mcc 1 1 — — $33,945.65 $33,945.65 $33,945.65 2026-02-19
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 1 1 — — $33,811.32 $33,811.32 $33,811.32 2026-02-19
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 1 1 — — $33,670.93 $33,670.93 $33,670.93 2026-02-19
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 1 1 — — $33,606.28 $33,606.28 $33,606.28 2026-02-19
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 1 1 — — $33,584.06 $33,584.06 $33,584.06 2026-02-19
652 MS_DRG Kidney Transplant 1 1 — — $33,458.81 $33,458.81 $33,458.81 2026-02-19
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 1 1 — — $33,430.54 $33,430.54 $33,430.54 2026-02-19
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 1 1 — — $33,329.52 $33,329.52 $33,329.52 2026-02-19
570 MS_DRG Skin Debridement With Mcc 1 1 — — $32,840.66 $32,840.66 $32,840.66 2026-02-19
974 MS_DRG HIV With Major Related Condition With Mcc 1 1 — — $32,598.25 $32,598.25 $32,598.25 2026-02-19
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 1 1 — — $32,218.48 $32,218.48 $32,218.48 2026-02-19
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 1 1 — — $32,141.71 $32,141.71 $32,141.71 2026-02-19
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 1 1 — — $32,060.90 $32,060.90 $32,060.90 2026-02-19
J2350 HCPCS Ocrelizumab 30 Mg/ml Intravenous Solution 30 18 $66,002.70 $66,002.70 $56.44 $60,788.49 $32,011.31 2026-02-19
668 MS_DRG Transurethral Procedures With Mcc 1 1 — — $31,892.24 $31,892.24 $31,892.24 2026-02-19
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 1 1 — — $31,876.07 $31,876.07 $31,876.07 2026-02-19
800 MS_DRG Splenic Procedures With Cc 1 1 — — $31,866.99 $31,866.99 $31,866.99 2026-02-19
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 1 1 — — $31,850.83 $31,850.83 $31,850.83 2026-02-19
472 MS_DRG Cervical Spinal Fusion With Cc 1 1 — — $31,699.31 $31,699.31 $31,699.31 2026-02-19
00250 EAPG Eapg 3.18: Cochlear Device Implantation 10 5 — — $30,112.02 $67,751.62 $31,617.87 2026-02-19
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 1 1 — — $31,395.30 $31,395.30 $31,395.30 2026-02-19
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 1 1 — — $31,361.97 $31,361.97 $31,361.97 2026-02-19
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 1 1 — — $31,344.78 $31,344.78 $31,344.78 2026-02-19
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 1 1 — — $31,304.39 $31,304.39 $31,304.39 2026-02-19
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 1 1 — — $31,190.25 $31,190.25 $31,190.25 2026-02-19
J3357 HCPCS Ustekinumab 90 Mg/ml Subcutaneous Syringe 37 18 $81,442.80 $81,442.80 $141.93 $75,008.82 $30,948.26 2026-02-19
654 MS_DRG Major Bladder Procedures With Cc 1 1 — — $30,940.78 $30,940.78 $30,940.78 2026-02-19
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 1 1 — — $30,802.39 $30,802.39 $30,802.39 2026-02-19
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 1 1 — — $30,773.10 $30,773.10 $30,773.10 2026-02-19
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 1 1 — — $30,075.18 $30,075.18 $30,075.18 2026-02-19
288 MS_DRG Acute And Subacute Endocarditis With Mcc 1 1 — — $30,025.68 $30,025.68 $30,025.68 2026-02-19
619 MS_DRG O.r. Procedures For Obesity With Mcc 1 1 — — $29,975.17 $29,975.17 $29,975.17 2026-02-19
963 MS_DRG Other Multiple Significant Trauma With Mcc 1 1 — — $29,876.19 $29,876.19 $29,876.19 2026-02-19
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 1 1 — — $29,741.85 $29,741.85 $29,741.85 2026-02-19
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 1 1 — — $29,651.95 $29,651.95 $29,651.95 2026-02-19
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 1 1 — — $29,543.89 $29,543.89 $29,543.89 2026-02-19
263 MS_DRG Vein Ligation And Stripping 1 1 — — $29,526.71 $29,526.71 $29,526.71 2026-02-19
849 MS_DRG Radiotherapy 1 1 — — $29,415.61 $29,415.61 $29,415.61 2026-02-19
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 1 1 — — $29,331.78 $29,331.78 $29,331.78 2026-02-19
75987008010 OTHER Pegloticase 8 Mg/ml Intravenous Solution 12 6 $87,990.83 $87,990.83 $3,573.34 $65,967.30 $29,318.80 2026-05-06
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 1 1 — — $29,235.83 $29,235.83 $29,235.83 2026-02-19
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 1 1 — — $29,202.50 $29,202.50 $29,202.50 2026-02-19
503 MS_DRG Foot Procedures With Mcc 1 1 — — $29,168.14 $29,168.14 $29,168.14 2026-02-19
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 1 1 — — $29,140.87 $29,140.87 $29,140.87 2026-02-19
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 1 1 — — $28,932.80 $28,932.80 $28,932.80 2026-02-19
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 1 1 — — $28,864.13 $28,864.13 $28,864.13 2026-02-19
J9334 HCPCS Efgartigimod Alfa 1008 Mg-hyaluron-qvfc 11,200 Unit/5.6 Ml Subcut Soln 30 18 $59,183.24 $59,183.24 $32.20 $54,507.76 $28,703.88 2026-02-19
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 1 1 — — $28,582.33 $28,582.33 $28,582.33 2026-02-19
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 1 1 — — $28,538.89 $28,538.89 $28,538.89 2026-02-19
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 1 1 — — $28,230.83 $28,230.83 $28,230.83 2026-02-19
253 MS_DRG Other Vascular Procedures With Cc 1 1 — — $28,222.75 $28,222.75 $28,222.75 2026-02-19
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 1 1 — — $28,174.26 $28,174.26 $28,174.26 2026-02-19
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 1 1 — — $28,041.96 $28,041.96 $28,041.96 2026-02-19
545 MS_DRG Connective Tissue Disorders With Mcc 1 1 — — $27,959.13 $27,959.13 $27,959.13 2026-02-19
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 1 1 — — $27,938.93 $27,938.93 $27,938.93 2026-02-19
164 MS_DRG Major Chest Procedures With Cc 1 1 — — $27,859.13 $27,859.13 $27,859.13 2026-02-19
56 MS_DRG Degenerative Nervous System Disorders With Mcc 1 1 — — $27,728.84 $27,728.84 $27,728.84 2026-02-19
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 1 1 — — $27,709.64 $27,709.64 $27,709.64 2026-02-19
397 MS_DRG Appendix Procedures With Mcc 1 1 — — $27,463.19 $27,463.19 $27,463.19 2026-02-19
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 1 1 — — $27,362.19 $27,362.19 $27,362.19 2026-02-19
792 MS_DRG Prematurity Without Major Problems 1 1 — — $27,179.37 $27,179.37 $27,179.37 2026-02-19
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 1 1 — — $27,165.23 $27,165.23 $27,165.23 2026-02-19
57894006103 OTHER Ustekinumab 90 Mg/ml Subcutaneous Syringe 12 6 $81,442.80 $81,442.80 $163.19 $61,080.26 $27,146.78 2026-05-06
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 1 1 — — $26,961.21 $26,961.21 $26,961.21 2026-02-19
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 1 1 — — $26,866.25 $26,866.25 $26,866.25 2026-02-19
135 MS_DRG Sinus And Mastoid Procedures With Cc/mcc 1 1 — — $26,789.50 $26,789.50 $26,789.50 2026-02-19
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 1 1 — — $26,687.48 $26,687.48 $26,687.48 2026-02-19
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 1 1 — — $26,649.11 $26,649.11 $26,649.11 2026-02-19
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 1 1 — — $26,649.11 $26,649.11 $26,649.11 2026-02-19
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 1 1 — — $26,440.01 $26,440.01 $26,440.01 2026-02-19
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 1 1 — — $26,348.11 $26,348.11 $26,348.11 2026-02-19
347 MS_DRG Anal And Stomal Procedures With Mcc 1 1 — — $26,342.05 $26,342.05 $26,342.05 2026-02-19
330 MS_DRG Major Small And Large Bowel Procedures With Cc 1 1 — — $26,310.72 $26,310.72 $26,310.72 2026-02-19
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 1 1 — — $26,272.35 $26,272.35 $26,272.35 2026-02-19
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 1 1 — — $26,057.21 $26,057.21 $26,057.21 2026-02-19
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 1 1 — — $25,871.36 $25,871.36 $25,871.36 2026-02-19
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 1 1 — — $25,816.82 $25,816.82 $25,816.82 2026-02-19
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 1 1 — — $25,794.61 $25,794.61 $25,794.61 2026-02-19
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 1 1 — — $25,752.18 $25,752.18 $25,752.18 2026-02-19
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 1 1 — — $25,607.75 $25,607.75 $25,607.75 2026-02-19
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 1 1 — — $25,569.36 $25,569.36 $25,569.36 2026-02-19
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 1 1 — — $25,498.67 $25,498.67 $25,498.67 2026-02-19
614 MS_DRG Adrenal And Pituitary Procedures With Cc/mcc 1 1 — — $25,455.24 $25,455.24 $25,455.24 2026-02-19
35 MS_DRG Carotid Artery Stent Procedures With Cc 1 1 — — $25,412.81 $25,412.81 $25,412.81 2026-02-19
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 1 1 — — $25,323.93 $25,323.93 $25,323.93 2026-02-19
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/mcc 1 1 — — $25,246.15 $25,246.15 $25,246.15 2026-02-19
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 1 1 — — $25,245.14 $25,245.14 $25,245.14 2026-02-19
113 MS_DRG Orbital Procedures With Cc/mcc 1 1 — — $25,228.99 $25,228.99 $25,228.99 2026-02-19
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 1 1 — — $25,190.59 $25,190.59 $25,190.59 2026-02-19
357 MS_DRG Other Digestive System O.r. Procedures With Cc 1 1 — — $25,182.52 $25,182.52 $25,182.52 2026-02-19
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 1 1 — — $25,153.24 $25,153.24 $25,153.24 2026-02-19
709 MS_DRG Penis Procedures With Cc/mcc 1 1 — — $25,133.03 $25,133.03 $25,133.03 2026-02-19
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 1 1 — — $24,984.55 $24,984.55 $24,984.55 2026-02-19
30 MS_DRG Spinal Procedures Without Cc/mcc 1 1 — — $24,913.85 $24,913.85 $24,913.85 2026-02-19
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 1 1 — — $24,791.63 $24,791.63 $24,791.63 2026-02-19
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 1 1 — — $24,651.24 $24,651.24 $24,651.24 2026-02-19
935 MS_DRG Non-extensive Burns 1 1 — — $24,620.93 $24,620.93 $24,620.93 2026-02-19
906 MS_DRG Hand Procedures For Injuries 1 1 — — $24,480.54 $24,480.54 $24,480.54 2026-02-19
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 1 1 — — $24,444.17 $24,444.17 $24,444.17 2026-02-19
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 1 1 — — $24,347.22 $24,347.22 $24,347.22 2026-02-19
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 1 1 — — $24,226.01 $24,226.01 $24,226.01 2026-02-19
314 MS_DRG Other Circulatory System Diagnoses With Mcc 1 1 — — $24,187.63 $24,187.63 $24,187.63 2026-02-19
141 MS_DRG Major Head And Neck Procedures With Cc 1 1 — — $24,137.12 $24,137.12 $24,137.12 2026-02-19
934 MS_DRG Full Thickness Burn Without Skin Graft Or Inhalation Injury 1 1 — — $24,109.85 $24,109.85 $24,109.85 2026-02-19
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 1 1 — — $24,094.69 $24,094.69 $24,094.69 2026-02-19
835 MS_DRG Acute Leukemia With Cc 1 1 — — $24,009.85 $24,009.85 $24,009.85 2026-02-19
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/mcc 1 1 — — $24,008.85 $24,008.85 $24,008.85 2026-02-19
32 MS_DRG Ventricular Shunt Procedures With Cc 1 1 — — $24,006.84 $24,006.84 $24,006.84 2026-02-19
412 MS_DRG Cholecystectomy With C.d.e. With Cc 1 1 — — $23,966.43 $23,966.43 $23,966.43 2026-02-19
333 MS_DRG Rectal Resection With Cc 1 1 — — $23,902.79 $23,902.79 $23,902.79 2026-02-19
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 1 1 — — $23,858.35 $23,858.35 $23,858.35 2026-02-19
595 MS_DRG Major Skin Disorders With Mcc 1 1 — — $23,799.76 $23,799.76 $23,799.76 2026-02-19
336 MS_DRG Peritoneal Adhesiolysis With Cc 1 1 — — $23,771.48 $23,771.48 $23,771.48 2026-02-19
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 1 1 — — $23,762.40 $23,762.40 $23,762.40 2026-02-19
374 MS_DRG Digestive Malignancy With Mcc 1 1 — — $23,762.40 $23,762.40 $23,762.40 2026-02-19
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 1 1 — — $23,729.06 $23,729.06 $23,729.06 2026-02-19
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/mcc 1 1 — — $23,675.53 $23,675.53 $23,675.53 2026-02-19
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 1 1 — — $23,611.90 $23,611.90 $23,611.90 2026-02-19
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 1 1 — — $23,551.30 $23,551.30 $23,551.30 2026-02-19
655 MS_DRG Major Bladder Procedures Without Cc/mcc 1 1 — — $23,417.97 $23,417.97 $23,417.97 2026-02-19
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 1 1 — — $23,393.73 $23,393.73 $23,393.73 2026-02-19
J9043 HCPCS Cabazitaxel 10 Mg/ml (final Conc.) IV 30 18 $47,938.24 $47,938.24 $215.92 $44,151.12 $23,250.05 2026-02-19
592 MS_DRG Skin Ulcers With Mcc 1 1 — — $23,205.87 $23,205.87 $23,205.87 2026-02-19
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/mcc 1 1 — — $23,115.97 $23,115.97 $23,115.97 2026-02-19
540 OTHER Osteomyelitis With Cc 10 9 $47,357.29 $47,357.29 $22,994.86 $22,994.86 $22,994.86 2026-05-06
838 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Che… 1 1 — — $22,922.05 $22,922.05 $22,922.05 2026-02-19
539 MS_DRG Osteomyelitis With Mcc 1 1 — — $22,863.46 $22,863.46 $22,863.46 2026-02-19
908 MS_DRG Other O.r. Procedures For Injuries With Cc 1 1 — — $22,809.93 $22,809.93 $22,809.93 2026-02-19
548 MS_DRG Septic Arthritis With Mcc 1 1 — — $22,784.67 $22,784.67 $22,784.67 2026-02-19
52 MS_DRG Spinal Disorders And Injuries With Cc/mcc 1 1 — — $22,763.46 $22,763.46 $22,763.46 2026-02-19
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 1 1 — — $22,755.39 $22,755.39 $22,755.39 2026-02-19
737 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 1 1 — — $22,621.05 $22,621.05 $22,621.05 2026-02-19
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 1 1 — — $22,618.02 $22,618.02 $22,618.02 2026-02-19
575 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis Without Cc/mcc 1 1 — — $22,603.87 $22,603.87 $22,603.87 2026-02-19
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 1 1 — — $22,528.13 $22,528.13 $22,528.13 2026-02-19
80 MS_DRG Nontraumatic Stupor And Coma With Mcc 1 1 — — $22,513.99 $22,513.99 $22,513.99 2026-02-19
100 MS_DRG Seizures With Mcc 1 1 — — $22,488.72 $22,488.72 $22,488.72 2026-02-19
585 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/mcc 1 1 — — $22,486.71 $22,486.71 $22,486.71 2026-02-19
415 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 1 1 — — $22,416.01 $22,416.01 $22,416.01 2026-02-19
496 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 1 1 — — $22,364.49 $22,364.49 $22,364.49 2026-02-19
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 1 1 — — $22,353.40 $22,353.40 $22,353.40 2026-02-19
488 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection With Cc/mcc 1 1 — — $22,287.73 $22,287.73 $22,287.73 2026-02-19
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 1 1 — — $22,254.41 $22,254.41 $22,254.41 2026-02-19
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