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

Westchester Medical Center T C

Valhalla, NY · CCN 339806 · Rates published

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SHO ARTHRS SRG CAPSULORRAPHY

This hospital’s price: $9,126 across 38 payers · range $6,309-$17,576

Source: https://www.wmchealth.org/wp-content/uploads/2026/05/133964321_westchester-medical-center_standardcharges.csv · observed 2026-10-16

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

7,811 distinct procedures filed
56 distinct payers
644,231 rate rows
2026-10-16 last MRF observed
Data quality

612,433 of 644,231 rate rows are consumer-grade (95.1%)

31,798 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 15,766
per-diem day rate — not a per-procedure price 8,447
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 6,091
placeholder amount (≤ $0.02) — excluded from medians 786
exceeds 10× this hospital's gross charge — excluded from medians 655
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 53
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.wmchealth.org/wp-content/uploads/2026/05/133964321_westchester-medical-center_standardcharges.csv
Found on page https://www.wmchealth.org/patients-and-visitors/insurance-and-billing/price-transparency
Discovered viaDiscovered by HANK (automated)
Last fetch success · 2026-10-16
Content fingerprint e79b41a4b7656928… · 120,366,860 bytes · first seen 2026-10-16

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
J3399
HCPCS 		Zolgensma 42 $1,808,033.70 $4,520,084.25 $2,109,372.65 nat. median
$2,467,989
0.9× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 35 $289,604.85 $2,373,834.95 $1,688,666.05 nat. median
$359,244
outlier · 4.7×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 35 $143,401.79 $1,173,674.78 $902,805.89 nat. median
$198,115
outlier · 4.6×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 34 $142,562.71 $1,166,786.81 $828,548.04 nat. median
$190,359
outlier · 4.4×
Q2042
HCPCS 		Kymriah 47 $428,185.22 $1,631,483.00 $571,019.05 nat. median
$739,658
0.8× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 34 $46,117.00 $761,435.97 $524,382.98 nat. median
$126,461
outlier · 4.1×
7
MS_DRG 		Lung Transplant 35 $158,085.82 $711,895.42 $513,371.83 nat. median
$117,977
outlier · 4.4×
Q2055
HCPCS 		Idecabtagene Vicleucel Car 47 $397,584.45 $1,454,071.00 $508,924.85 nat. median
$623,527
0.8× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 47 $405,699.43 $1,421,561.00 $497,546.35 nat. median
$640,950
0.8× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 36 $188,091.16 $1,745,759.00 $484,853.04 nat. median
$248,541
2.0× median
Q2041
HCPCS 		Yescarta 47 $381,600.00 $1,272,000.00 $445,200.00 nat. median
$608,239
0.7× median
Q2053
HCPCS 		Tecartus 47 $357,072.74 $1,272,000.00 $445,200.00 nat. median
$592,235
0.8× median
212
MS_DRG 		Hip & Femur Procedures Except Major Joint Age 0-17 35 $73,245.10 $597,768.52 $431,071.07 nat. median
$97,137
outlier · 4.4×
215
MS_DRG 		Other Heart Assist System Implant 35 $67,103.60 $547,353.91 $403,238.09 nat. median
$93,787
outlier · 4.3×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 35 $65,937.06 $537,777.83 $387,809.76 nat. median
$90,512
outlier · 4.3×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 36 $69,470.87 $1,258,094.00 $380,023.58 nat. median
$94,943
outlier · 4.0×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 37 $80,904.72 $887,719.06 $377,337.00 nat. median
$110,084
outlier · 3.4×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 36 $76,310.14 $1,745,759.00 $355,792.00 nat. median
$103,938
outlier · 3.4×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 35 $56,877.18 $463,406.52 $334,178.10 nat. median
$76,979
outlier · 4.3×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 35 $56,699.71 $461,949.77 $333,127.58 nat. median
$77,487
outlier · 4.3×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 35 $53,119.67 $432,561.86 $311,934.97 nat. median
$74,298
outlier · 4.2×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 35 $51,843.97 $422,089.74 $304,383.17 nat. median
$72,247
outlier · 4.2×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 35 $51,622.33 $420,270.18 $303,071.02 nat. median
$71,737
outlier · 4.2×
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 35 $51,452.90 $418,879.39 $302,068.08 nat. median
$67,908
outlier · 4.4×
10
MS_DRG 		Pancreas Transplant 37 $48,478.24 $432,016.00 $284,459.10 nat. median
$64,851
outlier · 4.4×
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 35 $48,458.17 $394,296.01 $284,340.17 nat. median
$61,263
outlier · 4.6×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 35 $48,174.89 $391,970.71 $282,663.32 nat. median
$66,584
outlier · 4.2×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 35 $46,711.01 $379,953.88 $273,997.58 nat. median
$62,577
outlier · 4.4×
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 35 $46,483.99 $378,090.34 $272,653.71 nat. median
$63,829
outlier · 4.3×
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 35 $45,500.92 $370,020.48 $266,834.27 nat. median
$61,660
outlier · 4.3×
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 35 $44,457.60 $361,455.88 $260,658.04 nat. median
$61,995
outlier · 4.2×
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 35 $44,457.60 $361,455.88 $260,658.04 nat. median
$59,493
outlier · 4.4×
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 35 $44,297.53 $360,142.05 $259,710.60 nat. median
$58,052
outlier · 4.5×
166
OTHER 		Other Respiratory System O.r. Procedures With Mcc 1 $254,392.96 $254,392.96 $254,392.96 nat. median
$39,056
outlier · 6.5×
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 35 $41,464.85 $336,889.00 $242,942.03 nat. median
$58,220
outlier · 4.2×
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 35 $41,417.31 $336,498.70 $242,660.57 nat. median
$58,234
outlier · 4.2×
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 34 $43,516.04 $353,726.85 $241,758.85 nat. median
$59,324
outlier · 4.1×
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 35 $41,024.21 $333,271.85 $240,333.59 nat. median
$57,798
outlier · 4.2×
28
MS_DRG 		Spinal Procedures With Mcc 35 $40,660.59 $330,286.89 $238,181.03 nat. median
$54,377
outlier · 4.4×
276
MS_DRG 		Non-maligant Breast Disorders 35 $40,649.21 $330,193.43 $238,113.64 nat. median
$56,633
outlier · 4.2×
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 35 $40,357.90 $327,802.16 $236,389.21 nat. median
$55,110
outlier · 4.3×
461
MS_DRG 		Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 35 $37,410.70 $303,609.09 $233,540.05 nat. median
$53,342
outlier · 4.4×
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 35 $39,725.06 $322,607.33 $232,643.04 nat. median
$55,425
outlier · 4.2×
820
MS_DRG 		Lymphoma And Leukemia With Major O.r. Procedures With Mcc 35 $39,699.62 $322,398.44 $232,492.40 nat. median
$53,768
outlier · 4.3×
681
OTHER 		Neonate, Birth Weight >2499 Grams, With Significant O.r. Procedures, With Multip… 1 $232,071.67 $232,071.67 $232,071.67 nat. median
$1
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 35 $38,798.93 $315,004.73 $227,160.55 nat. median
$53,419
outlier · 4.3×
463
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 35 $38,592.67 $313,311.60 $225,939.58 nat. median
$49,873
outlier · 4.5×
8
MS_DRG 		Simultaneous Pancreas And Kidney Transplant 37 $37,957.16 $613,915.00 $224,308.00 nat. median
$50,763
outlier · 4.4×
278
MS_DRG 		Cellulitis Age >17 Without Cc 35 $37,700.01 $305,983.87 $220,655.30 nat. median
$47,998
outlier · 4.6×
834
MS_DRG 		Acute Leukemia Without Major O.r. Procedures With Mcc 35 $37,189.04 $301,789.52 $217,630.62 nat. median
$50,314
outlier · 4.3×

Other procedures at this hospital

Browse this hospital's 7,811 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
             
J3399 HCPCS Zolgensma 44 42 — — $1,808,033.70 $4,520,084.25 $2,109,372.65 2026-10-16
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 35 35 — — $289,604.85 $2,373,834.95 $1,688,666.05 2026-10-16
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 35 35 — — $143,401.79 $1,173,674.78 $902,805.89 2026-10-16
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 34 34 — — $142,562.71 $1,166,786.81 $828,548.04 2026-10-16
Q2042 HCPCS Kymriah 49 47 $1,631,483.00 $1,631,483.00 $428,185.22 $1,631,483.00 $571,019.05 2026-10-16
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 34 34 — — $46,117.00 $761,435.97 $524,382.98 2026-10-16
7 MS_DRG Lung Transplant 35 35 — — $158,085.82 $711,895.42 $513,371.83 2026-10-16
Q2055 HCPCS Idecabtagene Vicleucel Car 49 47 $1,454,071.00 $1,454,071.00 $397,584.45 $1,454,071.00 $508,924.85 2026-10-16
Q2054 HCPCS Lisocabtagene Mara Car Pos T 49 47 $1,421,561.00 $1,421,561.00 $405,699.43 $1,421,561.00 $497,546.35 2026-10-16
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 36 36 — — $188,091.16 $1,745,759.00 $484,853.04 2026-10-16
Q2041 HCPCS Yescarta 49 47 $1,272,000.00 $1,272,000.00 $381,600.00 $1,272,000.00 $445,200.00 2026-10-16
Q2053 HCPCS Tecartus 49 47 $1,272,000.00 $1,272,000.00 $357,072.74 $1,272,000.00 $445,200.00 2026-10-16
212 MS_DRG Hip & Femur Procedures Except Major Joint Age 0-17 35 35 — — $73,245.10 $597,768.52 $431,071.07 2026-10-16
215 MS_DRG Other Heart Assist System Implant 35 35 — — $67,103.60 $547,353.91 $403,238.09 2026-10-16
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 35 35 — — $65,937.06 $537,777.83 $387,809.76 2026-10-16
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 36 36 — — $69,470.87 $1,258,094.00 $380,023.58 2026-10-16
14 MS_DRG Allogeneic Bone Marrow Transplant 37 37 — — $80,904.72 $887,719.06 $377,337.00 2026-10-16
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 36 36 — — $76,310.14 $1,745,759.00 $355,792.00 2026-10-16
231 MS_DRG Coronary Bypass With Ptca With Mcc 35 35 — — $56,877.18 $463,406.52 $334,178.10 2026-10-16
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 35 35 — — $56,699.71 $461,949.77 $333,127.58 2026-10-16
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 35 35 — — $53,119.67 $432,561.86 $311,934.97 2026-10-16
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 35 35 — — $51,843.97 $422,089.74 $304,383.17 2026-10-16
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 35 35 — — $51,622.33 $420,270.18 $303,071.02 2026-10-16
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 35 35 — — $51,452.90 $418,879.39 $302,068.08 2026-10-16
10 MS_DRG Pancreas Transplant 37 37 — — $48,478.24 $432,016.00 $284,459.10 2026-10-16
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 35 35 — — $48,458.17 $394,296.01 $284,340.17 2026-10-16
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 35 35 — — $48,174.89 $391,970.71 $282,663.32 2026-10-16
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 35 35 — — $46,711.01 $379,953.88 $273,997.58 2026-10-16
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 35 35 — — $46,483.99 $378,090.34 $272,653.71 2026-10-16
955 MS_DRG Craniotomy For Multiple Significant Trauma 35 35 — — $45,500.92 $370,020.48 $266,834.27 2026-10-16
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 35 35 — — $44,457.60 $361,455.88 $260,658.04 2026-10-16
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 35 35 — — $44,457.60 $361,455.88 $260,658.04 2026-10-16
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 35 35 — — $44,297.53 $360,142.05 $259,710.60 2026-10-16
166 OTHER Other Respiratory System O.r. Procedures With Mcc 1 1 — — $254,392.96 $254,392.96 $254,392.96 2026-10-16
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 35 35 — — $41,464.85 $336,889.00 $242,942.03 2026-10-16
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 35 35 — — $41,417.31 $336,498.70 $242,660.57 2026-10-16
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 34 34 — — $43,516.04 $353,726.85 $241,758.85 2026-10-16
232 MS_DRG Coronary Bypass With Ptca Without Mcc 35 35 — — $41,024.21 $333,271.85 $240,333.59 2026-10-16
28 MS_DRG Spinal Procedures With Mcc 35 35 — — $40,660.59 $330,286.89 $238,181.03 2026-10-16
276 MS_DRG Non-maligant Breast Disorders 35 35 — — $40,649.21 $330,193.43 $238,113.64 2026-10-16
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 35 35 — — $40,357.90 $327,802.16 $236,389.21 2026-10-16
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 35 35 — — $37,410.70 $303,609.09 $233,540.05 2026-10-16
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 35 35 — — $39,725.06 $322,607.33 $232,643.04 2026-10-16
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 35 35 — — $39,699.62 $322,398.44 $232,492.40 2026-10-16
681 OTHER Neonate, Birth Weight >2499 Grams, With Significant O.r. Procedures, With Multip… 1 1 — — $232,071.67 $232,071.67 $232,071.67 2026-10-16
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 35 35 — — $38,798.93 $315,004.73 $227,160.55 2026-10-16
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 35 35 — — $38,592.67 $313,311.60 $225,939.58 2026-10-16
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 37 37 — — $37,957.16 $613,915.00 $224,308.00 2026-10-16
278 MS_DRG Cellulitis Age >17 Without Cc 35 35 — — $37,700.01 $305,983.87 $220,655.30 2026-10-16
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 35 35 — — $37,189.04 $301,789.52 $217,630.62 2026-10-16
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 35 35 — — $37,059.14 $300,723.07 $216,861.56 2026-10-16
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 35 35 — — $37,006.91 $300,294.29 $216,552.35 2026-10-16
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 35 35 — — $36,949.30 $299,821.53 $216,211.43 2026-10-16
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 36 36 — — $48,203.01 $464,186.00 $213,260.00 2026-10-16
6 MS_DRG Liver Transplant Without Mcc 36 36 — — $31,477.48 $1,258,094.00 $212,381.79 2026-10-16
653 MS_DRG Major Bladder Procedures With Mcc 35 35 — — $35,223.59 $285,655.31 $212,169.28 2026-10-16
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 35 35 — — $36,137.00 $293,153.46 $211,402.86 2026-10-16
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 35 35 — — $35,875.83 $291,009.56 $210,369.04 2026-10-16
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 35 35 — — $35,758.65 $290,047.55 $209,163.08 2026-10-16
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 35 35 — — $35,283.85 $286,150.05 $206,352.47 2026-10-16
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 35 35 — — $33,246.75 $269,427.64 $205,345.12 2026-10-16
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 35 35 — — $34,177.58 $277,068.72 $199,803.61 2026-10-16
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 35 35 — — $33,823.99 $274,166.21 $197,710.51 2026-10-16
228 MS_DRG Other Cardiothoracic Procedures With Mcc 35 35 — — $33,556.12 $271,967.33 $196,124.83 2026-10-16
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 35 35 — — $33,497.19 $271,483.58 $195,775.98 2026-10-16
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 35 35 — — $33,384.02 $270,554.56 $195,106.03 2026-10-16
471 MS_DRG Cervical Spinal Fusion With Mcc 35 35 — — $32,761.22 $265,442.19 $191,419.33 2026-10-16
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 35 35 — — $32,597.84 $264,100.87 $190,574.03 2026-10-16
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 35 35 — — $32,306.53 $261,709.60 $188,727.63 2026-10-16
245 MS_DRG Aicd Generator Procedures 35 35 — — $30,977.91 $250,803.20 $185,991.61 2026-10-16
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 35 35 — — $31,750.71 $257,146.95 $185,437.35 2026-10-16
277 MS_DRG Cellulitis Age >17 W Cc 35 35 — — $31,353.60 $253,887.12 $183,086.58 2026-10-16
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 35 35 — — $31,206.26 $252,677.74 $182,214.45 2026-10-16
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 35 35 — — $31,127.91 $252,034.57 $181,750.64 2026-10-16
799 MS_DRG Splenectomy With Mcc 35 35 — — $30,753.58 $248,961.65 $180,967.69 2026-10-16
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 35 35 — — $30,886.17 $250,050.09 $180,319.57 2026-10-16
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 35 35 — — $30,872.78 $249,940.15 $180,240.28 2026-10-16
163 MS_DRG Major Chest Procedures With Mcc 35 35 — — $30,438.17 $246,372.48 $177,667.52 2026-10-16
31 MS_DRG Ventricular Shunt Procedures With Mcc 35 35 — — $30,429.45 $246,301.02 $177,615.98 2026-10-16
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 34 34 — — $31,844.46 $257,916.55 $177,006.96 2026-10-16
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 35 35 — — $30,311.60 $245,333.51 $176,918.28 2026-10-16
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 35 35 — — $29,842.17 $241,479.99 $174,139.38 2026-10-16
323 MS_DRG Urinary Stones W Cc, &/or Esw Lithotripsy 35 35 — — $29,404.21 $237,884.84 $171,546.79 2026-10-16
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 35 35 — — $29,173.16 $235,988.31 $170,687.68 2026-10-16
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 37 37 — — $40,134.23 $613,915.00 $169,932.00 2026-10-16
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 37 37 — — $36,803.32 $613,915.00 $169,932.00 2026-10-16
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 32 32 — — $4,289.00 $519,779.00 $169,159.51 2026-10-16
140 MS_DRG Major Head And Neck Procedures With Mcc 35 35 — — $28,988.35 $234,471.09 $169,085.02 2026-10-16
901 MS_DRG Wound Debridements For Injuries With Mcc 35 35 — — $28,528.29 $230,694.53 $168,624.83 2026-10-16
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 35 35 — — $28,706.41 $232,156.78 $167,416.09 2026-10-16
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 35 35 — — $28,658.20 $231,760.98 $167,130.67 2026-10-16
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 35 35 — — $28,644.12 $231,645.54 $167,047.42 2026-10-16
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 35 35 — — $28,561.76 $230,969.39 $166,559.83 2026-10-16
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 35 35 — — $28,476.06 $230,265.75 $166,052.41 2026-10-16
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 35 35 — — $28,367.57 $229,375.21 $165,410.21 2026-10-16
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 35 35 — — $26,503.23 $214,071.07 $164,666.25 2026-10-16
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 35 35 — — $28,236.32 $228,297.76 $164,633.23 2026-10-16
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 35 35 — — $28,052.16 $226,786.04 $163,543.07 2026-10-16
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 35 35 — — $27,105.25 $219,013.03 $157,937.69 2026-10-16
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 35 35 — — $26,621.75 $215,044.07 $155,075.54 2026-10-16
34 MS_DRG Carotid Artery Stent Procedures With Mcc 35 35 — — $26,345.85 $212,779.23 $153,442.29 2026-10-16
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 35 35 — — $26,282.23 $212,257.00 $153,065.69 2026-10-16
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 35 35 — — $26,135.58 $211,053.12 $152,197.53 2026-10-16
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 35 35 — — $24,417.89 $196,952.86 $151,498.70 2026-10-16
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 35 35 — — $25,382.20 $204,868.79 $150,173.34 2026-10-16
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 35 35 — — $24,362.30 $196,496.59 $149,865.06 2026-10-16
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 35 35 — — $25,624.64 $206,858.77 $149,172.85 2026-10-16
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 35 35 — — $25,455.20 $205,467.98 $148,169.90 2026-10-16
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 35 35 — — $25,452.53 $205,446.00 $148,154.05 2026-10-16
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 35 35 — — $25,514.80 $205,957.23 $147,849.18 2026-10-16
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 35 35 — — $23,779.03 $191,708.55 $147,101.90 2026-10-16
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 35 35 — — $25,022.59 $201,916.81 $146,953.47 2026-10-16
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 35 35 — — $25,012.54 $201,834.35 $145,549.57 2026-10-16
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 35 35 — — $24,705.17 $199,311.15 $143,730.00 2026-10-16
332 MS_DRG Rectal Resection With Mcc 35 35 — — $24,671.70 $199,036.29 $143,531.79 2026-10-16
265 MS_DRG Aicd Lead Procedures 35 35 — — $24,654.95 $198,898.86 $143,432.68 2026-10-16
18 OTHER Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 1 — — $143,251.89 $143,251.89 $143,251.89 2026-10-16
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 35 35 — — $24,612.10 $198,547.04 $143,178.98 2026-10-16
279 MS_DRG Cellulitis Age 0-17 35 35 — — $24,575.93 $198,250.19 $142,964.91 2026-10-16
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 33 33 — — $4,289.00 $212,460.39 $142,576.16 2026-10-16
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 35 35 — — $24,259.84 $195,655.52 $142,420.52 2026-10-16
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 35 35 — — $24,723.92 $199,465.07 $142,122.20 2026-10-16
335 MS_DRG Peritoneal Adhesiolysis With Mcc 35 35 — — $24,338.20 $196,298.69 $141,557.62 2026-10-16
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 35 35 — — $24,302.70 $196,007.34 $141,347.52 2026-10-16
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 35 35 — — $24,282.61 $195,842.43 $141,228.59 2026-10-16
271 MS_DRG Other Major Cardiovascular Procedures With Cc 35 35 — — $24,240.43 $195,496.11 $140,978.84 2026-10-16
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 35 35 — — $24,041.53 $193,863.44 $139,801.48 2026-10-16
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 35 35 — — $23,993.32 $193,467.65 $139,516.05 2026-10-16
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 36 36 — — $31,908.75 $464,186.00 $139,020.00 2026-10-16
252 MS_DRG Other Vascular Procedures With Mcc 35 35 — — $23,785.05 $191,758.03 $138,283.19 2026-10-16
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 35 35 — — $23,671.88 $190,829.00 $137,613.24 2026-10-16
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 35 35 — — $23,559.39 $189,905.48 $136,947.25 2026-10-16
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 35 35 — — $23,383.93 $188,465.22 $135,908.63 2026-10-16
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 36 36 — — $25,241.58 $464,186.00 $135,468.00 2026-10-16
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 35 35 — — $23,271.42 $187,541.69 $135,242.65 2026-10-16
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 35 35 — — $23,241.29 $187,294.32 $135,064.26 2026-10-16
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 35 35 — — $21,703.06 $174,667.30 $134,356.36 2026-10-16
652 MS_DRG Kidney Transplant 36 36 — — $22,051.97 $464,186.00 $133,607.20 2026-10-16
264 MS_DRG Other Circulatory System O.r. Procedures 35 35 — — $22,795.96 $183,638.69 $133,023.51 2026-10-16
665 MS_DRG Prostatectomy With Mcc 35 35 — — $21,326.73 $171,577.89 $130,682.82 2026-10-16
37 MS_DRG Extracranial Procedures With Mcc 35 35 — — $22,471.17 $180,972.56 $130,505.43 2026-10-16
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 35 35 — — $22,468.50 $180,950.58 $130,489.57 2026-10-16
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 35 35 — — $22,208.00 $178,812.17 $129,639.97 2026-10-16
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 35 35 — — $21,806.21 $175,513.87 $129,099.52 2026-10-16
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 35 35 — — $22,112.23 $178,026.08 $128,380.62 2026-10-16
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 35 35 — — $22,088.13 $177,828.18 $128,237.91 2026-10-16
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 35 35 — — $22,035.89 $177,399.40 $127,928.70 2026-10-16
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 35 35 — — $21,993.71 $177,053.08 $127,678.95 2026-10-16
J2326 HCPCS Nusinersen 12mg/5ml Intrath5ml 49 47 $375,000.00 $375,000.00 $933.42 $375,000.00 $127,500.00 2026-10-16
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 35 35 — — $21,924.06 $176,481.37 $127,266.68 2026-10-16
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 35 35 — — $21,766.68 $175,189.53 $126,335.09 2026-10-16
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 35 35 — — $21,745.94 $175,019.12 $126,212.20 2026-10-16
500 MS_DRG Soft Tissue Procedures With Mcc 35 35 — — $21,618.68 $173,974.66 $125,459.00 2026-10-16
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 35 35 — — $21,586.55 $173,710.79 $125,268.72 2026-10-16
324 MS_DRG Urinary Stones Without Cc 35 35 — — $21,526.28 $173,216.05 $124,911.94 2026-10-16
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 35 35 — — $21,516.24 $173,133.59 $124,852.48 2026-10-16
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 35 35 — — $21,466.68 $172,726.80 $124,559.13 2026-10-16
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 35 35 — — $20,737.42 $166,740.37 $124,406.72 2026-10-16
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 35 35 — — $21,283.18 $171,220.57 $123,472.94 2026-10-16
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 35 35 — — $21,246.35 $170,918.23 $123,254.91 2026-10-16
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 35 35 — — $22,546.18 $181,588.25 $122,527.78 2026-10-16
662 MS_DRG Minor Bladder Procedures With Mcc 35 35 — — $20,926.92 $168,296.07 $121,363.98 2026-10-16
263 MS_DRG Vein Ligation And Stripping 35 35 — — $20,899.47 $168,070.69 $120,096.39 2026-10-16
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 35 35 — — $20,652.37 $166,042.23 $119,738.66 2026-10-16
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 35 35 — — $20,649.68 $166,020.24 $119,722.80 2026-10-16
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 35 35 — — $20,357.05 $163,617.98 $117,990.45 2026-10-16
472 MS_DRG Cervical Spinal Fusion With Cc 35 35 — — $20,154.13 $161,952.33 $116,789.30 2026-10-16
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 35 35 — — $20,140.74 $161,842.39 $116,710.01 2026-10-16
570 MS_DRG Skin Debridement With Mcc 35 35 — — $20,120.65 $161,677.47 $116,591.09 2026-10-16
668 MS_DRG Transurethral Procedures With Mcc 35 35 — — $19,979.36 $160,517.57 $115,754.64 2026-10-16
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 35 35 — — $19,927.80 $160,094.29 $115,449.40 2026-10-16
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 35 35 — — $19,858.82 $159,528.08 $115,041.08 2026-10-16
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 35 35 — — $19,846.75 $159,429.13 $114,969.73 2026-10-16
974 MS_DRG HIV With Major Related Condition With Mcc 35 35 — — $19,751.67 $158,648.53 $114,406.81 2026-10-16
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 35 35 — — $19,723.54 $158,417.65 $114,240.32 2026-10-16
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 35 35 — — $20,627.58 $165,838.84 $113,057.45 2026-10-16
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 35 35 — — $19,513.94 $156,697.03 $112,999.52 2026-10-16
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 36 36 — — $5,457.00 $157,779.97 $112,356.98 2026-10-16
800 MS_DRG Splenectomy With Cc 35 35 — — $19,238.71 $154,437.69 $111,370.23 2026-10-16
654 MS_DRG Major Bladder Procedures With Cc 35 35 — — $19,171.07 $153,882.48 $110,969.85 2026-10-16
503 MS_DRG Foot Procedures With Mcc 35 35 — — $19,116.15 $153,431.71 $110,644.79 2026-10-16
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 35 35 — — $18,987.58 $152,376.25 $109,883.66 2026-10-16
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 35 35 — — $18,888.47 $151,562.67 $109,296.96 2026-10-16
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 34 34 — — $8,003.00 $146,224.91 $108,996.23 2026-10-16
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 35 35 — — $18,832.21 $151,100.90 $108,963.97 2026-10-16
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 35 35 — — $18,827.53 $151,062.42 $108,936.22 2026-10-16
963 MS_DRG Other Multiple Significant Trauma With Mcc 35 35 — — $18,732.44 $150,281.82 $108,373.30 2026-10-16
321 MS_DRG Kidney & Urinary Tract Infections Age >17 Without Cc 35 35 — — $18,645.38 $149,567.19 $108,349.21 2026-10-16
849 MS_DRG Radiotherapy 35 35 — — $18,569.71 $148,946.01 $107,410.00 2026-10-16
288 MS_DRG Acute And Subacute Endocarditis With Mcc 35 35 — — $18,547.61 $148,764.60 $107,279.18 2026-10-16
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 35 35 — — $18,488.68 $148,280.85 $106,930.33 2026-10-16
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 35 35 — — $18,175.95 $145,713.67 $105,079.05 2026-10-16
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 35 35 — — $18,086.88 $144,982.55 $104,551.81 2026-10-16
253 MS_DRG Other Vascular Procedures With Cc 35 35 — — $17,806.97 $142,684.73 $102,894.78 2026-10-16
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 35 35 — — $17,786.19 $142,514.31 $102,771.89 2026-10-16
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 35 35 — — $17,721.24 $141,981.09 $102,552.67 2026-10-16
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 35 35 — — $17,697.14 $141,783.19 $102,244.65 2026-10-16
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 35 35 — — $17,697.14 $141,783.19 $102,244.65 2026-10-16
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 35 35 — — $17,619.46 $141,145.52 $101,784.80 2026-10-16
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 35 35 — — $17,521.69 $140,342.93 $101,206.03 2026-10-16
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 35 35 — — $17,440.65 $139,677.77 $100,726.36 2026-10-16
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 35 35 — — $17,408.50 $139,413.91 $100,536.08 2026-10-16
164 MS_DRG Major Chest Procedures With Cc 35 35 — — $17,327.48 $138,748.75 $100,056.41 2026-10-16
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 35 35 — — $17,320.11 $138,688.28 $100,012.80 2026-10-16
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 35 35 — — $17,112.52 $136,984.15 $98,783.90 2026-10-16
545 MS_DRG Connective Tissue Disorders With Mcc 35 35 — — $17,044.21 $136,423.44 $98,379.55 2026-10-16
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 35 35 — — $16,893.54 $135,186.58 $97,487.61 2026-10-16
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 35 35 — — $16,888.86 $135,148.10 $97,459.86 2026-10-16
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 35 35 — — $16,793.09 $134,362.00 $96,892.98 2026-10-16
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 35 35 — — $16,773.67 $134,202.58 $96,778.01 2026-10-16
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 35 35 — — $15,704.23 $125,423.59 $96,477.46 2026-10-16
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 35 35 — — $16,532.58 $132,223.60 $95,350.90 2026-10-16
56 MS_DRG Degenerative Nervous System Disorders With Mcc 35 35 — — $15,982.13 $127,704.92 $95,306.05 2026-10-16
330 MS_DRG Major Small And Large Bowel Procedures With Cc 35 35 — — $16,478.35 $131,778.33 $95,029.80 2026-10-16
397 MS_DRG Coagulation Disorders 35 35 — — $16,462.95 $131,651.89 $94,938.63 2026-10-16
35 MS_DRG Carotid Artery Stent Procedures With Cc 35 35 — — $16,433.48 $131,410.02 $94,764.20 2026-10-16
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 35 35 — — $16,406.03 $131,184.63 $94,601.67 2026-10-16
113 MS_DRG Orbital Procedures With Cc/mcc 35 35 — — $16,169.63 $129,244.13 $93,202.31 2026-10-16
333 MS_DRG Rectal Resection With Cc 35 35 — — $16,110.03 $128,754.88 $92,849.49 2026-10-16
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 35 35 — — $16,085.94 $128,556.98 $92,706.78 2026-10-16
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 35 35 — — $16,074.55 $128,463.53 $92,639.39 2026-10-16
709 MS_DRG Penis Procedures With Cc/mcc 35 35 — — $16,008.91 $127,924.81 $92,250.90 2026-10-16
357 MS_DRG Other Digestive System O.r. Procedures With Cc 35 35 — — $15,998.21 $127,836.85 $92,187.47 2026-10-16
135 MS_DRG Sinus And Mastoid Procedures With Cc/mcc 35 35 — — $14,956.87 $119,288.74 $91,758.45 2026-10-16
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 35 35 — — $15,902.45 $127,050.75 $91,620.59 2026-10-16
347 MS_DRG Anal And Stomal Procedures With Mcc 35 35 — — $15,797.97 $126,193.20 $91,002.18 2026-10-16
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 35 35 — — $15,793.29 $126,154.71 $90,974.43 2026-10-16
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 35 35 — — $15,731.00 $125,643.48 $90,605.76 2026-10-16
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 35 35 — — $15,664.72 $125,099.26 $90,213.30 2026-10-16
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 35 35 — — $15,639.27 $124,890.36 $90,062.66 2026-10-16
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 35 35 — — $15,597.08 $124,544.04 $89,812.92 2026-10-16
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 35 35 — — $15,416.26 $123,059.80 $88,742.58 2026-10-16
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/mcc 35 35 — — $15,407.56 $122,988.34 $88,691.05 2026-10-16
250 MS_DRG Percutaneous Cardiovascular Procedures Without Coronary Artery Stent With Mcc 35 35 — — $15,040.57 $119,975.89 $88,017.56 2026-10-16
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/mcc 35 35 — — $15,289.04 $122,015.34 $87,989.38 2026-10-16
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 35 35 — — $15,243.50 $121,641.53 $87,719.82 2026-10-16
934 MS_DRG Full Thickness Burn Without Skin Graft Or Inhalation Injury 35 35 — — $15,228.75 $121,520.59 $87,632.61 2026-10-16
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 35 35 — — $15,210.66 $121,372.17 $87,525.57 2026-10-16
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 35 35 — — $14,604.63 $116,397.23 $87,313.45 2026-10-16
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 35 35 — — $15,149.06 $120,866.43 $87,160.87 2026-10-16
30 MS_DRG Spinal Procedures Without Cc/mcc 35 35 — — $15,125.62 $120,674.03 $87,022.12 2026-10-16
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 36 36 — — $5,457.00 $120,272.74 $86,902.40 2026-10-16
614 MS_DRG Adrenal And Pituitary Procedures With Cc/mcc 35 35 — — $15,102.87 $120,487.13 $86,887.34 2026-10-16
141 MS_DRG Major Head And Neck Procedures With Cc 35 35 — — $15,031.20 $119,898.93 $86,463.17 2026-10-16
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 35 35 — — $15,015.81 $119,772.49 $86,371.99 2026-10-16
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 35 35 — — $15,005.75 $119,690.03 $86,312.53 2026-10-16
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 35 35 — — $14,695.04 $117,139.34 $85,741.57 2026-10-16
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 15 15 — — $4,289.00 $166,493.17 $85,381.11 2026-10-16
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 35 35 — — $14,766.03 $117,722.05 $84,893.34 2026-10-16
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/mcc 35 35 — — $14,760.66 $117,678.07 $84,861.63 2026-10-16
32 MS_DRG Ventricular Shunt Procedures With Cc 35 35 — — $14,695.70 $117,144.84 $84,477.10 2026-10-16
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/mcc 35 35 — — $14,689.00 $117,089.87 $84,437.46 2026-10-16
595 MS_DRG Major Skin Disorders With Mcc 35 35 — — $14,626.74 $116,578.63 $84,068.79 2026-10-16
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 35 35 — — $14,606.64 $116,413.72 $83,949.86 2026-10-16
655 MS_DRG Major Bladder Procedures Without Cc/mcc 35 35 — — $14,599.28 $116,353.25 $83,906.26 2026-10-16
935 MS_DRG Non-extensive Burns 35 35 — — $14,220.24 $113,241.85 $83,594.98 2026-10-16
336 MS_DRG Peritoneal Adhesiolysis With Cc 35 35 — — $14,546.37 $115,918.97 $83,593.09 2026-10-16
412 MS_DRG Cholecystectomy With C.d.e. With Cc 35 35 — — $14,504.84 $115,578.15 $83,347.31 2026-10-16
906 MS_DRG Hand Procedures For Injuries 35 35 — — $13,579.38 $107,981.05 $83,060.43 2026-10-16
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 35 35 — — $14,451.28 $115,138.37 $83,030.17 2026-10-16
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 35 35 — — $14,442.57 $115,066.91 $82,978.63 2026-10-16
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 35 35 — — $14,428.51 $114,951.47 $82,895.39 2026-10-16
838 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Che… 35 35 — — $14,403.72 $114,748.07 $82,748.71 2026-10-16
835 MS_DRG Acute Leukemia Without Major O.r. Procedures With Cc 35 35 — — $14,393.02 $114,660.12 $82,685.28 2026-10-16
314 MS_DRG Other Circulatory System Diagnoses With Mcc 35 35 — — $14,389.01 $114,627.13 $82,661.50 2026-10-16
711 MS_DRG Testes Procedures With Cc/mcc 35 35 — — $14,379.62 $114,550.17 $82,606.00 2026-10-16
374 MS_DRG Digestive Malignancy With Mcc 36 36 — — $14,747.27 $117,568.12 $82,571.12 2026-10-16
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 35 35 — — $14,350.16 $114,308.30 $82,431.57 2026-10-16
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 35 35 — — $14,341.45 $114,236.84 $82,380.04 2026-10-16
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 34 34 — — $14,666.91 $116,908.46 $81,935.54 2026-10-16
415 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 35 35 — — $14,265.10 $113,610.16 $81,928.12 2026-10-16
737 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 35 35 — — $14,224.26 $113,274.83 $81,686.31 2026-10-16
744 MS_DRG D&c, Conization, Laparoscopy And Tubal Interruption With Cc/mcc 35 35 — — $14,147.24 $112,642.65 $81,230.42 2026-10-16
941 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/… 35 35 — — $14,003.93 $111,466.26 $80,382.08 2026-10-16
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 35 35 — — $13,892.11 $110,548.23 $79,720.06 2026-10-16
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc 35 35 — — $13,861.97 $110,300.86 $79,541.67 2026-10-16
707 MS_DRG Major Male Pelvic Procedures With Cc/mcc 35 35 — — $13,820.46 $109,960.03 $79,295.89 2026-10-16
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 35 35 — — $13,819.78 $109,954.53 $79,291.93 2026-10-16
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 35 35 — — $13,805.72 $109,839.09 $79,208.68 2026-10-16
908 MS_DRG Other O.r. Procedures For Injuries With Cc 35 35 — — $13,786.30 $109,679.68 $79,093.72 2026-10-16
843 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 35 35 — — $13,783.62 $109,657.69 $79,077.86 2026-10-16
259 MS_DRG Cardiac Pacemaker Device Replacement Without Mcc 35 35 — — $13,966.43 $111,158.42 $78,704.53 2026-10-16
283 MS_DRG Acute Myocardial Infarction, Expired With Mcc 35 35 — — $13,689.86 $108,888.08 $78,522.87 2026-10-16
592 MS_DRG Skin Ulcers With Mcc 35 35 — — $13,385.17 $106,386.87 $78,262.78 2026-10-16
38240 CPT Transplt Allo Hct/donor 82 52 $189,579.00 $189,579.00 $8,627.00 $189,579.00 $78,133.71 2026-10-16
0812 RC — 264 32 $139,500.00 $139,500.00 $12,000.00 $246,000.00 $78,100.00 2026-10-16
539 MS_DRG Osteomyelitis With Mcc 35 35 — — $13,615.55 $108,277.90 $78,082.85 2026-10-16
380 MS_DRG Complicated Peptic Ulcer With Mcc 35 35 — — $13,565.31 $107,865.61 $77,785.53 2026-10-16
36 MS_DRG Carotid Artery Stent Procedures Without Cc/mcc 35 35 — — $13,435.39 $106,799.15 $77,016.48 2026-10-16
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 35 35 — — $13,433.39 $106,782.66 $77,004.58 2026-10-16
100 MS_DRG Seizures With Mcc 35 35 — — $13,395.21 $106,469.32 $76,778.63 2026-10-16
548 MS_DRG Septic Arthritis With Mcc 35 35 — — $13,355.71 $106,144.99 $76,675.68 2026-10-16
52 MS_DRG Spinal Disorders And Injuries With Cc/mcc 35 35 — — $12,554.79 $99,570.37 $76,590.82 2026-10-16
585 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/mcc 35 35 — — $13,343.65 $106,046.04 $76,473.38 2026-10-16
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 35 35 — — $13,342.32 $106,035.05 $76,465.45 2026-10-16
266 OTHER Acute Leukemia Without Major O.r. Procedures Age 0-17 1 1 — — $76,461.73 $76,461.73 $76,461.73 2026-10-16
582 MS_DRG Mastectomy For Malignancy With Cc/mcc 35 35 — — $13,326.91 $105,908.61 $76,374.28 2026-10-16
318 OTHER Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 1 1 — — $76,325.50 $76,325.50 $76,325.50 2026-10-16
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 36 36 — — $5,457.00 $108,195.44 $76,293.37 2026-10-16
75 MS_DRG Viral Meningitis With Cc/mcc 35 35 — — $13,265.97 $105,408.37 $76,013.54 2026-10-16
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