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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

ONSLOW MEMORIAL HOSPITAL

Jacksonville, NC · CCN 340042 · Rates published

10,927 distinct procedures filed
16 distinct payers
362,994 rate rows
2026-04-28 last MRF observed
Data quality

218,722 of 362,994 rate rows are consumer-grade (60.3%)

144,272 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
professional (physician) fee — not the facility price 143,863
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 197
percent-of-charges filed in the dollar field — excluded from medians 94
per-diem day rate — not a per-procedure price 70
placeholder amount (≤ $0.02) — excluded from medians 48
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sthpiprd.blob.core.windows.net/machine-readable-files/11821/562014989_onslow-memorial-hospital%2C-inc_standardcharges.csv
Found on page https://search.hospitalpriceindex.com/hpi2/machineReadable/onslowmemorialhospital/11821
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-09-20
Content fingerprint b8410e4b3486141e… · 218,513,569 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
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 5 $3,710,000.00 $4,452,000.00 $3,784,200.00 nat. median
$3,508,750
1.1× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 5 $3,710,000.00 $4,452,000.00 $3,784,200.00 nat. median
$3,685,267
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 5 $3,321,781.51 $3,986,137.81 $3,388,217.14 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 5 $3,193,000.00 $3,831,600.00 $3,256,860.00 nat. median
$3,248,446
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 5 $2,968,000.00 $3,561,600.00 $3,027,360.00 nat. median
$2,968,000
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 5 $2,403,458.75 $2,884,150.50 $2,451,527.93 nat. median
$2,455,111
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 5 $2,332,000.00 $2,798,400.00 $2,378,640.00 nat. median
$2,332,000
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 5 $565,623.84 $678,748.61 $576,936.32 nat. median
$621,313
0.9× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 5 $551,318.34 $661,582.01 $562,344.71 nat. median
$599,737
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 5 $528,312.43 $633,974.92 $538,878.68 nat. median
$574,037
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 5 $516,485.97 $619,783.16 $526,815.69 nat. median
$579,571
0.9× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 11 $223,155.10 $500,116.58 $500,116.58 nat. median
$186,516
outlier · 2.7×
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 5 $489,517.15 $587,420.58 $499,307.49 nat. median
$562,501
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 5 $488,051.51 $585,661.81 $497,812.54 nat. median
$513,770
1.0× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 11 $298,768.60 $358,522.32 $316,067.65 nat. median
$168,055
1.9× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 11 $103,795.17 $273,824.20 $273,824.20 nat. median
$72,715
outlier · 3.8×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 11 $169,785.57 $251,460.29 $251,460.29 nat. median
$145,435
1.7× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 11 $84,366.74 $241,824.26 $241,824.26 nat. median
$69,922
outlier · 3.5×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And… 11 $111,940.77 $223,973.48 $223,973.48 nat. median
$97,418
outlier · 2.3×
7
MS_DRG 		Lung Transplant 11 $103,533.74 $199,349.60 $199,349.60 nat. median
$70,649
outlier · 2.8×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 11 $87,300.34 $172,596.10 $172,596.10 nat. median
$65,418
outlier · 2.6×
652
MS_DRG 		Kidney Transplant 11 $24,332.28 $152,638.36 $152,638.36 nat. median
$21,500
outlier · 7.1×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 11 $142,836.86 $225,524.32 $142,836.86 nat. median
$131,925
1.1× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 $76,458.01 $131,724.04 $131,724.04 nat. median
$69,822
1.9× median
850
MS_DRG 		Acute Leukemia With Other Procedures 11 $72,978.57 $126,326.87 $126,326.87 nat. median
$2,633
outlier · 48.0×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 11 $66,075.95 $114,377.61 $114,377.61 nat. median
$2,596
outlier · 44.1×
10
MS_DRG 		Pancreas Transplant 11 $63,163.76 $109,338.59 $109,338.59 nat. median
$23,080
outlier · 4.7×
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 11 $62,801.71 $108,709.56 $108,709.56 nat. median
$45,605
outlier · 2.4×
834
MS_DRG 		Acute Leukemia With Mcc 11 $43,788.41 $106,755.61 $106,755.61 nat. median
$37,487
outlier · 2.8×
8
MS_DRG 		Simultaneous Pancreas And Kidney Transplant 11 $43,105.52 $106,395.20 $106,395.20 nat. median
$32,772
outlier · 3.2×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 11 $86,303.74 $104,882.13 $104,882.13 nat. median
$74,509
1.4× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 5 $99,999.92 $119,999.90 $101,999.92 nat. median
$108,243
0.9× median
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 11 $47,095.92 $97,064.05 $97,064.05 nat. median
$40,584
outlier · 2.4×
K1007
HCPCS 		Bil Hkaf Pc S/d Micro Sensor 5 $93,216.70 $111,860.04 $95,081.03 nat. median
$95,583
1.0× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 11 $63,861.69 $91,768.89 $91,768.89 nat. median
$56,428
1.6× median
215
MS_DRG 		Other Heart Assist System Implant 11 $83,934.19 $100,721.03 $91,288.33 nat. median
$73,023
1.3× median
6
MS_DRG 		Liver Transplant Without Mcc 11 $38,416.36 $91,143.26 $91,143.26 nat. median
$31,278
outlier · 2.9×
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 11 $54,095.19 $90,557.30 $90,557.30 nat. median
$47,340
1.9× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 11 $82,988.28 $99,585.94 $89,961.14 nat. median
$2,736
outlier · 32.9×
228
MS_DRG 		Other Cardiothoracic Procedures With Mcc 11 $39,478.73 $89,208.58 $89,208.58 nat. median
$35,725
outlier · 2.5×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 11 $67,131.99 $87,931.25 $87,931.25 nat. median
$60,505
1.5× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 11 $55,986.22 $86,532.66 $86,532.66 nat. median
$51,518
1.7× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 11 $67,094.75 $86,372.85 $86,372.85 nat. median
$59,651
1.4× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 11 $59,132.94 $86,117.84 $86,117.84 nat. median
$52,327
1.6× median
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 11 $49,009.93 $84,837.12 $84,837.12 nat. median
$2,633
outlier · 32.2×
461
MS_DRG 		Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 11 $48,616.20 $84,161.62 $84,161.62 nat. median
$38,844
outlier · 2.2×
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 11 $45,196.98 $83,879.41 $83,879.41 nat. median
$40,301
outlier · 2.1×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 11 $55,110.82 $83,458.92 $83,458.92 nat. median
$48,611
1.7× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 11 $61,923.14 $80,626.60 $80,626.60 nat. median
$55,935
1.4× median
37
MS_DRG 		Extracranial Procedures With Mcc 11 $26,308.86 $79,602.02 $79,602.02 nat. median
$23,883
outlier · 3.3×

Other procedures at this hospital

Browse this hospital's 10,927 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
             
0266T CPT Outpatient Services 5 5 — — $42,216.77 $50,660.12 $43,061.10 2026-04-28
0268T CPT Outpatient Services 5 5 — — $28,588.49 $34,306.19 $29,160.26 2026-04-28
0408T CPT Insj/rplc Cardiac Modulj Sys 5 5 — — $30,078.25 $36,093.90 $30,679.82 2026-04-28
0571T CPT Insj/rplcmt Icds Ss Eltrd 5 5 — — $30,078.25 $36,093.90 $30,679.82 2026-04-28
0620T CPT Evasc Ven Artlz Tibl/prnl Vn 5 5 — — $32,835.37 $39,402.44 $33,492.08 2026-04-28
0674T CPT Laps Insj Nw/rpcmt Prm Isdss 5 5 — — $28,588.49 $34,306.19 $29,160.26 2026-04-28
0915T CPT Insj Perm Ccm-d Sys Pg&eltrd 5 5 — — $30,078.25 $36,093.90 $30,679.82 2026-04-28
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 12 11 — — $223,155.10 $500,116.58 $500,116.58 2026-04-28
10 MS_DRG Pancreas Transplant 12 11 — — $63,163.76 $109,338.59 $109,338.59 2026-04-28
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 12 11 — — $42,747.44 $57,081.70 $57,081.70 2026-04-28
113 MS_DRG Orbital Procedures With Cc/mcc 12 11 — — $17,877.25 $26,224.22 $26,224.22 2026-04-28
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 12 11 — — $32,510.37 $42,264.99 $42,264.99 2026-04-28
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 12 11 — — $20,993.84 $27,960.56 $27,960.56 2026-04-28
14 MS_DRG Allogeneic Bone Marrow Transplant 12 11 — — $103,795.17 $273,824.20 $273,824.20 2026-04-28
140 MS_DRG Major Head And Neck Procedures With Mcc 12 11 — — $33,504.60 $40,205.52 $39,963.08 2026-04-28
141 MS_DRG Major Head And Neck Procedures With Cc 12 11 — — $17,020.86 $24,387.00 $24,387.00 2026-04-28
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 12 11 — — $26,158.32 $31,389.98 $29,265.08 2026-04-28
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 12 11 — — $46,939.06 $57,381.17 $46,939.06 2026-04-28
163 MS_DRG Major Chest Procedures With Mcc 12 11 — — $36,515.04 $52,336.23 $52,336.23 2026-04-28
164 MS_DRG Major Chest Procedures With Cc 12 11 — — $19,940.19 $26,994.92 $26,994.92 2026-04-28
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 12 11 — — $30,502.87 $38,151.94 $38,151.94 2026-04-28
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 12 11 — — $46,939.06 $57,381.17 $46,939.06 2026-04-28
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 12 11 — — $24,310.08 $29,172.10 $28,428.65 2026-04-28
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 12 11 — — $298,768.60 $358,522.32 $316,067.65 2026-04-28
180 MS_DRG Respiratory Neoplasms With Mcc 12 11 — — $13,846.44 $24,321.27 $24,321.27 2026-04-28
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 12 11 — — $62,801.71 $108,709.56 $108,709.56 2026-04-28
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 12 11 — — $87,300.34 $172,596.10 $172,596.10 2026-04-28
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 12 11 — — $63,861.69 $91,768.89 $91,768.89 2026-04-28
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 12 11 — — $51,234.50 $77,608.40 $77,608.40 2026-04-28
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 12 11 — — $21,261.62 $27,864.22 $27,864.22 2026-04-28
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 12 11 — — $43,788.41 $66,385.64 $66,385.64 2026-04-28
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 12 11 — — $86,303.74 $104,882.13 $104,882.13 2026-04-28
215 MS_DRG Other Heart Assist System Implant 12 11 — — $83,934.19 $100,721.03 $91,288.33 2026-04-28
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 12 11 — — $76,458.01 $131,724.04 $131,724.04 2026-04-28
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 12 11 — — $51,160.82 $65,515.20 $65,515.20 2026-04-28
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 12 11 — — $47,131.58 $65,515.20 $65,515.20 2026-04-28
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 12 11 — — $61,298.08 $78,881.19 $78,881.19 2026-04-28
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 12 11 — — $27,968.56 $40,554.71 $40,554.71 2026-04-28
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 12 11 — — $41,961.55 $53,949.03 $53,949.03 2026-04-28
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 12 11 — — $36,383.52 $48,721.87 $48,721.87 2026-04-28
228 MS_DRG Other Cardiothoracic Procedures With Mcc 12 11 — — $39,478.73 $89,208.58 $89,208.58 2026-04-28
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 12 11 — — $24,608.75 $41,717.56 $41,717.56 2026-04-28
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 12 11 — — $45,196.98 $83,879.41 $83,879.41 2026-04-28
231 MS_DRG Coronary Bypass With Ptca With Mcc 12 11 — — $67,131.99 $87,931.25 $87,931.25 2026-04-28
232 MS_DRG Coronary Bypass With Ptca Without Mcc 12 11 — — $48,394.39 $62,040.25 $62,040.25 2026-04-28
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 12 11 — — $61,923.14 $80,626.60 $80,626.60 2026-04-28
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 12 11 — — $42,147.73 $61,508.70 $61,508.70 2026-04-28
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 12 11 — — $46,615.84 $57,859.20 $57,859.20 2026-04-28
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 12 11 — — $32,576.90 $46,423.37 $46,423.37 2026-04-28
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 12 11 — — $39,903.37 $51,516.79 $51,516.79 2026-04-28
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 12 11 — — $30,117.85 $53,074.06 $53,074.06 2026-04-28
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 12 11 — — $23,071.05 $36,446.20 $36,446.20 2026-04-28
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 12 11 — — $26,872.13 $32,246.56 $31,058.09 2026-04-28
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 12 11 — — $17,847.14 $27,348.53 $27,348.53 2026-04-28
245 MS_DRG Aicd Generator Procedures 12 11 — — $38,714.26 $46,457.11 $44,835.50 2026-04-28
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 12 11 — — $35,430.49 $55,989.12 $55,989.12 2026-04-28
252 MS_DRG Other Vascular Procedures With Mcc 12 11 — — $27,176.33 $47,297.21 $47,297.21 2026-04-28
253 MS_DRG Other Vascular Procedures With Cc 12 11 — — $20,225.40 $31,096.63 $31,096.63 2026-04-28
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 12 11 — — $22,225.75 $36,326.06 $36,326.06 2026-04-28
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 12 11 — — $24,230.85 $34,792.59 $34,792.59 2026-04-28
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 12 11 — — $26,984.61 $32,381.53 $29,844.24 2026-04-28
263 MS_DRG Vein Ligation And Stripping 12 11 — — $21,248.14 $36,780.55 $36,780.55 2026-04-28
264 MS_DRG Other Circulatory System O.r. Procedures 12 11 — — $27,688.91 $52,969.79 $52,969.79 2026-04-28
265 MS_DRG Aicd Lead Procedures 12 11 — — $28,260.09 $35,044.20 $35,044.20 2026-04-28
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 12 11 — — $47,460.35 $75,635.18 $75,635.18 2026-04-28
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 12 11 — — $37,271.60 $50,967.10 $50,967.10 2026-04-28
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 12 11 — — $52,822.10 $64,313.82 $64,313.82 2026-04-28
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 12 11 — — $32,961.93 $39,554.32 $36,735.21 2026-04-28
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 12 11 — — $19,550.42 $27,542.34 $27,542.34 2026-04-28
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 12 11 — — $40,664.70 $69,321.10 $69,321.10 2026-04-28
271 MS_DRG Other Major Cardiovascular Procedures With Cc 12 11 — — $27,287.25 $43,196.63 $43,196.63 2026-04-28
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 12 11 — — $19,822.93 $34,017.36 $34,017.36 2026-04-28
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 12 11 — — $30,978.20 $39,529.00 $39,529.00 2026-04-28
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 12 11 — — $24,725.19 $35,079.34 $35,079.34 2026-04-28
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 12 11 — — $55,986.22 $86,532.66 $86,532.66 2026-04-28
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 12 11 — — $49,073.31 $65,290.79 $65,290.79 2026-04-28
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 12 11 — — $36,853.31 $53,725.75 $53,725.75 2026-04-28
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 12 11 — — $39,637.16 $47,564.59 $47,391.28 2026-04-28
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 12 11 — — $25,385.91 $35,920.31 $35,920.31 2026-04-28
28 MS_DRG Spinal Procedures With Mcc 12 11 — — $48,163.05 $57,795.66 $50,314.27 2026-04-28
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 12 11 — — $17,534.22 $31,366.37 $31,366.37 2026-04-28
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 12 11 — — $26,551.76 $31,910.98 $26,551.76 2026-04-28
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 12 11 — — $169,785.57 $251,460.29 $251,460.29 2026-04-28
31 MS_DRG Ventricular Shunt Procedures With Mcc 12 11 — — $30,024.45 $39,838.57 $30,024.45 2026-04-28
314 MS_DRG Other Circulatory System Diagnoses With Mcc 12 11 — — $17,060.47 $30,279.46 $30,279.46 2026-04-28
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 12 11 — — $49,009.93 $84,837.12 $84,837.12 2026-04-28
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 12 11 — — $34,800.66 $41,760.79 $39,632.14 2026-04-28
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 12 11 — — $18,338.32 $31,742.66 $31,742.66 2026-04-28
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 12 11 — — $22,552.93 $35,140.54 $35,140.54 2026-04-28
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 12 11 — — $33,743.85 $43,649.98 $43,649.98 2026-04-28
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 12 11 — — $25,312.24 $39,856.55 $39,856.55 2026-04-28
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 12 11 — — $22,674.15 $32,893.04 $32,893.04 2026-04-28
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 12 11 — — $40,236.90 $52,433.70 $52,433.70 2026-04-28
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 12 11 — — $19,235.91 $24,453.87 $24,453.87 2026-04-28
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 12 11 — — $36,377.98 $60,339.04 $60,339.04 2026-04-28
330 MS_DRG Major Small And Large Bowel Procedures With Cc 12 11 — — $18,725.72 $26,531.36 $26,531.36 2026-04-28
332 MS_DRG Rectal Resection With Mcc 12 11 — — $27,479.76 $47,568.08 $47,568.08 2026-04-28
33231 CPT Insrt Pulse Gen W/mult Leads 5 5 — — $30,078.25 $36,093.90 $30,679.82 2026-04-28
33249 CPT Insj/rplcmt Defib W/lead(s) 33 16 $89,401.00 $89,401.00 $22,502.23 $80,460.90 $63,027.71 2026-04-28
33263 CPT Rmvl & Rplcmt Dfb Gen 2 Lead 33 16 $56,689.00 $56,689.00 $14,268.62 $51,020.10 $39,965.75 2026-04-28
33264 CPT Rmvl & Rplcmt Dfb Gen Mlt Ld 5 5 — — $30,078.25 $36,093.90 $30,679.82 2026-04-28
33270 CPT Ins/rep Subq Defibrillator 5 5 — — $30,078.25 $36,093.90 $30,679.82 2026-04-28
33276 CPT Insj Phrnc Nrv Stim Sys 5 5 — — $42,216.77 $50,660.12 $43,061.10 2026-04-28
33287 CPT Rmv&rplcmt Phrnc Nrv Stim Pg 5 5 — — $28,588.49 $34,306.19 $29,160.26 2026-04-28
33289 CPT Tcat Impl Wrls P-art Prs Snr 5 5 — — $26,669.75 $32,003.70 $27,203.15 2026-04-28
335 MS_DRG Peritoneal Adhesiolysis With Mcc 12 11 — — $28,656.46 $34,446.38 $28,656.46 2026-04-28
336 MS_DRG Peritoneal Adhesiolysis With Cc 12 11 — — $16,734.07 $24,396.07 $24,396.07 2026-04-28
34 MS_DRG Carotid Artery Stent Procedures With Mcc 12 11 — — $30,807.10 $40,093.42 $40,093.42 2026-04-28
35 MS_DRG Carotid Artery Stent Procedures With Cc 12 11 — — $18,021.44 $32,423.82 $32,423.82 2026-04-28
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 12 11 — — $33,793.76 $56,482.14 $56,482.14 2026-04-28
36906 CPT Fistula W/plasty/stent 33 16 $39,524.00 $39,524.00 $9,948.19 $35,571.60 $27,864.42 2026-04-28
37 MS_DRG Extracranial Procedures With Mcc 12 11 — — $26,308.86 $79,602.02 $79,602.02 2026-04-28
374 MS_DRG Digestive Malignancy With Mcc 12 11 — — $16,726.94 $27,577.48 $27,577.48 2026-04-28
38240 CPT Hematopoietic Progenitor Cell 5 5 — — $55,483.79 $66,580.54 $56,593.46 2026-04-28
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And … 12 11 — — $111,940.77 $223,973.48 $223,973.48 2026-04-28
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 12 11 — — $29,883.36 $35,860.03 $31,399.24 2026-04-28
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 12 11 — — $30,993.25 $42,008.84 $42,008.84 2026-04-28
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 12 11 — — $43,007.28 $51,608.74 $49,465.37 2026-04-28
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 12 11 — — $22,248.72 $32,394.35 $32,394.35 2026-04-28
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/mcc 12 11 — — $16,920.25 $27,414.27 $27,414.27 2026-04-28
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 12 11 — — $27,738.02 $33,316.93 $33,316.93 2026-04-28
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 12 11 — — $21,678.33 $36,142.45 $36,142.45 2026-04-28
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 12 11 — — $27,757.84 $33,309.41 $28,942.07 2026-04-28
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 12 11 — — $18,827.13 $24,254.40 $24,254.40 2026-04-28
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 12 11 — — $27,070.85 $33,553.70 $27,070.85 2026-04-28
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 12 11 — — $32,222.78 $38,667.34 $36,321.53 2026-04-28
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 12 11 — — $82,988.28 $99,585.94 $89,961.14 2026-04-28
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 12 11 — — $56,269.06 $70,160.94 $70,160.94 2026-04-28
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 12 11 — — $43,604.62 $55,207.09 $55,207.09 2026-04-28
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 12 11 — — $66,075.95 $114,377.61 $114,377.61 2026-04-28
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 12 11 — — $43,338.43 $52,941.45 $52,941.45 2026-04-28
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 12 11 — — $15,520.39 $26,140.35 $26,140.35 2026-04-28
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 12 11 — — $14,976.14 $24,265.73 $24,265.73 2026-04-28
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 12 11 — — $53,116.01 $65,985.56 $65,985.56 2026-04-28
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 12 11 — — $32,350.33 $49,280.63 $49,280.63 2026-04-28
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 12 11 — — $40,800.15 $70,625.63 $70,625.63 2026-04-28
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 12 11 — — $24,447.93 $41,166.74 $41,166.74 2026-04-28
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 12 11 — — $67,094.75 $86,372.85 $86,372.85 2026-04-28
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 12 11 — — $45,468.72 $71,044.98 $71,044.98 2026-04-28
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 12 11 — — $34,208.09 $50,047.93 $50,047.93 2026-04-28
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 12 11 — — $48,616.20 $84,161.62 $84,161.62 2026-04-28
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 12 11 — — $22,687.63 $37,851.59 $37,851.59 2026-04-28
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 12 11 — — $42,787.83 $57,637.06 $57,637.06 2026-04-28
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 12 11 — — $23,359.42 $32,009.00 $32,009.00 2026-04-28
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 12 11 — — $40,360.48 $48,432.58 $44,155.47 2026-04-28
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 12 11 — — $27,135.13 $39,344.26 $39,344.26 2026-04-28
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 12 11 — — $20,782.33 $36,717.08 $36,717.08 2026-04-28
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 12 11 — — $25,895.32 $38,982.71 $38,982.71 2026-04-28
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 12 11 — — $14,937.32 $24,835.82 $24,835.82 2026-04-28
471 MS_DRG Cervical Spinal Fusion With Mcc 12 11 — — $38,480.54 $46,176.65 $41,094.20 2026-04-28
472 MS_DRG Cervical Spinal Fusion With Cc 12 11 — — $22,952.23 $33,431.40 $33,431.40 2026-04-28
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 12 11 — — $18,755.03 $27,237.46 $27,237.46 2026-04-28
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 12 11 — — $27,727.08 $42,634.48 $27,727.08 2026-04-28
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 12 11 — — $25,363.98 $32,693.36 $25,363.98 2026-04-28
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 12 11 — — $23,299.21 $32,089.47 $32,089.47 2026-04-28
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 12 11 — — $20,187.37 $29,783.04 $29,783.04 2026-04-28
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 12 11 — — $25,503.96 $30,604.75 $30,247.73 2026-04-28
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 12 11 — — $16,802.21 $29,232.21 $29,232.21 2026-04-28
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 12 11 — — $28,133.33 $33,760.00 $32,122.34 2026-04-28
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 12 11 — — $19,021.22 $25,196.24 $25,196.24 2026-04-28
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 12 11 — — $27,890.92 $33,469.10 $31,323.31 2026-04-28
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 12 11 — — $84,366.74 $241,824.26 $241,824.26 2026-04-28
500 MS_DRG Soft Tissue Procedures With Mcc 12 11 — — $25,103.10 $30,123.72 $28,376.51 2026-04-28
503 MS_DRG Foot Procedures With Mcc 12 11 — — $20,966.90 $25,443.31 $25,443.31 2026-04-28
509 MS_DRG Inpatient Ms-DRG 12 11 — — $13,916.93 $24,088.92 $24,088.92 2026-04-28
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 12 11 — — $22,642.46 $31,229.24 $31,229.24 2026-04-28
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 12 11 — — $24,498.64 $34,295.04 $34,295.04 2026-04-28
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 12 11 — — $15,937.10 $26,588.03 $26,588.03 2026-04-28
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 12 11 — — $28,393.19 $36,455.26 $36,455.26 2026-04-28
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 12 11 — — $15,621.80 $24,705.48 $24,705.48 2026-04-28
52 MS_DRG Spinal Disorders And Injuries With Cc/mcc 12 11 — — $15,943.45 $36,770.34 $36,770.34 2026-04-28
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 12 11 — — $23,090.85 $28,759.59 $28,759.59 2026-04-28
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 12 11 — — $16,700.81 $28,759.59 $28,759.59 2026-04-28
542 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 12 11 — — $14,775.70 $24,661.28 $24,661.28 2026-04-28
545 MS_DRG Connective Tissue Disorders With Mcc 12 11 — — $20,018.63 $32,917.98 $32,917.98 2026-04-28
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Mcc 12 11 — — $14,705.99 $32,334.28 $32,334.28 2026-04-28
56 MS_DRG Degenerative Nervous System Disorders With Mcc 12 11 — — $19,837.99 $41,697.16 $41,697.16 2026-04-28
560 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Cc 12 11 — — $9,715.96 $25,973.74 $25,973.74 2026-04-28
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 12 11 — — $11,042.05 $29,189.15 $29,189.15 2026-04-28
570 MS_DRG Skin Debridement With Mcc 12 11 — — $23,847.42 $28,859.33 $28,859.33 2026-04-28
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 12 11 — — $37,814.19 $58,543.85 $37,814.19 2026-04-28
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 12 11 — — $27,449.65 $32,939.58 $27,593.34 2026-04-28
575 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis Without Cc/mcc 12 11 — — $15,818.28 $27,381.40 $27,381.40 2026-04-28
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 12 11 — — $42,742.69 $73,988.38 $73,988.38 2026-04-28
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 12 11 — — $21,095.25 $30,210.32 $30,210.32 2026-04-28
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 12 11 — — $25,821.64 $30,985.97 $26,452.03 2026-04-28
582 MS_DRG Mastectomy For Malignancy With Cc/mcc 12 11 — — $13,873.38 $28,545.38 $28,545.38 2026-04-28
583 MS_DRG Mastectomy For Malignancy Without Cc/mcc 12 11 — — $13,131.10 $28,545.38 $28,545.38 2026-04-28
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/mcc 12 11 — — $16,219.93 $26,865.71 $26,865.71 2026-04-28
585 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/mcc 12 11 — — $15,726.36 $26,865.71 $26,865.71 2026-04-28
6 MS_DRG Liver Transplant Without Mcc 12 11 — — $38,416.36 $91,143.26 $91,143.26 2026-04-28
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 12 11 — — $21,416.90 $26,682.10 $26,682.10 2026-04-28
614 MS_DRG Adrenal And Pituitary Procedures With Cc/mcc 12 11 — — $18,054.71 $24,779.15 $24,779.15 2026-04-28
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 12 11 — — $29,361.42 $36,743.20 $29,361.42 2026-04-28
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 12 11 — — $15,302.54 $24,137.66 $24,137.66 2026-04-28
61886 CPT Implant Neurostim Arrays 5 5 — — $28,588.49 $34,306.19 $29,160.26 2026-04-28
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 12 11 — — $26,321.69 $35,573.89 $26,321.69 2026-04-28
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 12 11 — — $15,153.61 $25,005.83 $25,005.83 2026-04-28
62362 CPT Implant Spine Inf Program Pump 35 16 $41,906.00 $41,906.00 $10,547.74 $37,715.40 $29,543.73 2026-04-28
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 12 11 — — $31,258.66 $37,510.39 $32,319.55 2026-04-28
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 12 11 — — $17,817.83 $24,614.81 $24,614.81 2026-04-28
63685 CPT Insrt/redo Spine N Generator 36 16 $72,446.00 $72,446.00 $18,234.66 $65,201.40 $51,074.43 2026-04-28
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 12 11 — — $15,758.85 $40,787.05 $40,787.05 2026-04-28
64568 CPT Incision For Implantation Of C 5 5 — — $28,588.49 $34,306.19 $29,160.26 2026-04-28
64582 CPT Opn Mpltj Hpglsl Nstm Ary Pg 5 5 — — $28,588.49 $34,306.19 $29,160.26 2026-04-28
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 12 11 — — $36,499.99 $68,400.80 $68,400.80 2026-04-28
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 12 11 — — $27,509.86 $66,924.00 $66,924.00 2026-04-28
652 MS_DRG Kidney Transplant 12 11 — — $24,332.28 $152,638.36 $152,638.36 2026-04-28
653 MS_DRG Major Bladder Procedures With Mcc 12 11 — — $42,067.78 $52,995.77 $42,067.78 2026-04-28
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 12 11 — — $25,810.55 $31,203.17 $31,203.17 2026-04-28
665 MS_DRG Prostatectomy With Mcc 12 11 — — $27,201.69 $47,086.40 $47,086.40 2026-04-28
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 12 11 — — $33,190.87 $51,531.52 $51,531.52 2026-04-28
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 12 11 — — $18,287.61 $27,491.34 $27,491.34 2026-04-28
69930 CPT Cochlear Device Implantation, 5 5 — — $29,840.19 $35,808.23 $30,436.99 2026-04-28
7 MS_DRG Lung Transplant 12 11 — — $103,533.74 $199,349.60 $199,349.60 2026-04-28
70 MS_DRG Other Cerebrovascular Disorders With Mcc 12 11 — — $13,782.28 $26,347.75 $26,347.75 2026-04-28
709 MS_DRG Penis Procedures With Cc/mcc 12 11 — — $17,801.99 $30,816.68 $30,816.68 2026-04-28
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 12 11 — — $31,194.48 $37,513.84 $37,513.84 2026-04-28
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 12 11 — — $30,954.96 $37,845.01 $30,954.96 2026-04-28
789 MS_DRG Neonates, Died Or Transferred To Another Acute Care Facility 12 11 — — $14,280.58 $24,507.14 $24,507.14 2026-04-28
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 12 11 — — $47,095.92 $97,064.05 $97,064.05 2026-04-28
791 MS_DRG Prematurity With Major Problems 12 11 — — $30,133.25 $38,596.04 $30,133.25 2026-04-28
799 MS_DRG Splenic Procedures With Mcc 12 11 — — $37,668.51 $45,202.21 $40,120.62 2026-04-28
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 12 11 — — $43,105.52 $106,395.20 $106,395.20 2026-04-28
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 12 11 — — $28,399.52 $49,160.49 $49,160.49 2026-04-28
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 12 11 — — $18,381.10 $27,446.00 $27,446.00 2026-04-28
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 12 11 — — $46,125.45 $74,570.93 $74,570.93 2026-04-28
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 12 11 — — $37,071.96 $44,486.35 $43,978.66 2026-04-28
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 12 11 — — $17,424.10 $26,049.67 $26,049.67 2026-04-28
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 12 11 — — $37,832.49 $45,398.99 $42,967.68 2026-04-28
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 12 11 — — $18,695.62 $27,381.40 $27,381.40 2026-04-28
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 12 11 — — $24,430.50 $30,866.55 $30,866.55 2026-04-28
834 MS_DRG Acute Leukemia With Mcc 12 11 — — $43,788.41 $106,755.61 $106,755.61 2026-04-28
835 MS_DRG Acute Leukemia With Cc 12 11 — — $16,921.03 $36,242.19 $36,242.19 2026-04-28
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 12 11 — — $39,668.06 $47,601.67 $47,472.88 2026-04-28
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 12 11 — — $25,263.92 $30,316.70 $28,794.73 2026-04-28
849 MS_DRG Radiotherapy 12 11 — — $21,161.01 $36,629.81 $36,629.81 2026-04-28
850 MS_DRG Acute Leukemia With Other Procedures 12 11 — — $72,978.57 $126,326.87 $126,326.87 2026-04-28
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 12 11 — — $39,621.34 $70,063.47 $70,063.47 2026-04-28
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 12 11 — — $15,829.36 $24,596.68 $24,596.68 2026-04-28
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 12 11 — — $35,741.84 $48,672.00 $48,672.00 2026-04-28
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 12 11 — — $55,110.82 $83,458.92 $83,458.92 2026-04-28
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 5 5 — — $31,131.11 $37,357.33 $31,753.73 2026-04-28
901 MS_DRG Wound Debridements For Injuries With Mcc 12 11 — — $35,099.34 $42,119.21 $37,971.73 2026-04-28
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 12 11 — — $30,588.44 $40,912.86 $40,912.86 2026-04-28
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 12 11 — — $31,559.70 $47,282.47 $47,282.47 2026-04-28
91 MS_DRG Other Disorders Of Nervous System With Mcc 12 11 — — $14,441.40 $27,272.60 $27,272.60 2026-04-28
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 12 11 — — $142,836.86 $225,524.32 $142,836.86 2026-04-28
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 12 11 — — $52,911.63 $63,493.96 $55,567.50 2026-04-28
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 12 11 — — $34,278.59 $59,338.27 $59,338.27 2026-04-28
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 12 11 — — $25,145.09 $40,210.16 $40,210.16 2026-04-28
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 12 11 — — $28,905.76 $48,972.35 $48,972.35 2026-04-28
949 MS_DRG Aftercare With Cc/mcc 12 11 — — $9,311.43 $51,014.70 $51,014.70 2026-04-28
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 12 11 — — $18,991.11 $27,120.72 $27,120.72 2026-04-28
955 MS_DRG Craniotomy For Multiple Significant Trauma 12 11 — — $54,095.19 $90,557.30 $90,557.30 2026-04-28
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 12 11 — — $30,281.86 $58,619.70 $58,619.70 2026-04-28
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 12 11 — — $59,132.94 $86,117.84 $86,117.84 2026-04-28
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 12 11 — — $32,558.69 $41,441.02 $41,441.02 2026-04-28
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 12 11 — — $18,991.11 $27,120.72 $27,120.72 2026-04-28
963 MS_DRG Other Multiple Significant Trauma With Mcc 12 11 — — $21,522.27 $25,826.72 $24,766.69 2026-04-28
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 12 11 — — $50,102.41 $60,122.89 $59,001.65 2026-04-28
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 12 11 — — $28,397.94 $34,077.53 $33,407.60 2026-04-28
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 12 11 — — $21,019.99 $36,387.26 $36,387.26 2026-04-28
974 MS_DRG HIV With Major Related Condition With Mcc 12 11 — — $23,657.29 $46,576.37 $46,576.37 2026-04-28
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 12 11 — — $37,661.39 $72,836.86 $72,836.86 2026-04-28
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 12 11 — — $27,749.12 $50,627.09 $50,627.09 2026-04-28
A9543 HCPCS Y90 Ibritumomab, Rx 5 5 — — $56,824.55 $68,189.46 $57,961.04 2026-04-28
C1767 HCPCS Programmer Procallm 7 Elite 72 16 $42,694.50 $42,694.50 $8,722.34 $40,461.58 $30,099.62 2026-04-28
C1772 HCPCS Pump Infusion Synchromed Ii 20 50 16 $31,559.77 $31,559.77 $7,943.59 $28,690.70 $25,197.32 2026-04-28
C1820 HCPCS Neurostimulator Intel Sens MRI 270 16 $47,205.89 $47,205.89 $651.27 $58,611.01 $36,337.05 2026-04-28
C1822 HCPCS Generator Impl Ipg Omnia 72 16 $66,603.42 $66,603.42 $15,349.88 $60,306.83 $48,690.28 2026-04-28
C1826 HCPCS Neurostimulator W/closed Loop 28 16 $75,671.73 $75,671.73 $19,046.57 $68,104.56 $56,564.62 2026-04-28
C9760 HCPCS Non-blind Interatrial Shunt 5 5 — — $25,799.32 $30,959.18 $26,315.31 2026-04-28
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 5 5 — — $3,710,000.00 $4,452,000.00 $3,784,200.00 2026-04-28
J1413 HCPCS Inj Delandistrogene Mox Rokl 5 5 — — $3,321,781.51 $3,986,137.81 $3,388,217.14 2026-04-28
J1414 HCPCS Inj, Beqvez, Per Tx Dose 5 5 — — $3,710,000.00 $4,452,000.00 $3,784,200.00 2026-04-28
J3392 HCPCS Inj, Exagamglogene Autotem 5 5 — — $2,332,000.00 $2,798,400.00 $2,378,640.00 2026-04-28
J3393 HCPCS Inj, Betibeglogene Autotemce 5 5 — — $2,968,000.00 $3,561,600.00 $3,027,360.00 2026-04-28
J3394 HCPCS Inj, Lovotibeglogene Autotem 5 5 — — $3,193,000.00 $3,831,600.00 $3,256,860.00 2026-04-28
J3399 HCPCS Inj Onase Abepar-xioi Treat 5 5 — — $2,403,458.75 $2,884,150.50 $2,451,527.93 2026-04-28
J9029 HCPCS Instill Adstiladrin, Tx Dose 5 5 — — $63,402.04 $76,082.45 $64,670.08 2026-04-28
J9226 HCPCS Supprelin La Implant 5 5 — — $45,261.80 $54,314.16 $46,167.04 2026-04-28
J9266 HCPCS Pegaspargase Injection 5 5 — — $27,070.53 $32,484.64 $27,611.94 2026-04-28
J9600 HCPCS Porfimer Sodium Injection 5 5 — — $24,228.42 $29,074.10 $24,712.99 2026-04-28
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 5 5 — — $93,216.70 $111,860.04 $95,081.03 2026-04-28
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 5 5 — — $38,606.32 $46,327.58 $39,378.45 2026-04-28
L5856 HCPCS Elec Knee-shin Swing/stance 5 5 — — $29,137.22 $34,964.66 $29,719.96 2026-04-28
L6880 HCPCS Elec Hand Ind Art Digits 5 5 — — $28,999.68 $34,799.62 $29,579.67 2026-04-28
L7180 HCPCS Electronic Elbow Sequential 5 5 — — $39,208.42 $47,050.10 $39,992.59 2026-04-28
L7181 HCPCS Electronic Elbo Simultaneous 5 5 — — $48,632.79 $58,359.35 $49,605.45 2026-04-28
L8701 HCPCS Ewh S/d Uprt Micro Sensor 5 5 — — $34,284.44 $41,141.33 $34,970.13 2026-04-28
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 5 5 — — $67,452.66 $80,943.19 $68,801.71 2026-04-28
Q0480 HCPCS Driver Pneumatic Vad, Rep 5 5 — — $99,999.92 $119,999.90 $101,999.92 2026-04-28
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 5 5 — — $489,517.15 $587,420.58 $499,307.49 2026-04-28
Q2042 HCPCS Tisagenlecleucel Car-pos T 5 5 — — $565,623.84 $678,748.61 $576,936.32 2026-04-28
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 5 5 — — $55,536.50 $66,643.80 $56,647.23 2026-04-28
Q2053 HCPCS Brexucabtagene Car Pos T 5 5 — — $488,051.51 $585,661.81 $497,812.54 2026-04-28
Q2054 HCPCS Lisocabtagene Mara Car Pos T 5 5 — — $516,485.97 $619,783.16 $526,815.69 2026-04-28
Q2055 HCPCS Idecabtagene Vicleucel Car 5 5 — — $528,312.43 $633,974.92 $538,878.68 2026-04-28
Q2056 HCPCS Ciltacabtagene Car-pos T 5 5 — — $551,318.34 $661,582.01 $562,344.71 2026-04-28
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