Hospital

Ohio State University Hospitals

Columbus, OH · CCN 369803 · Rates published

15,681 distinct procedures filed

26 distinct payers

876,665 rate rows

2026-04-01 last MRF observed

Data quality

858,397 of 876,665 rate rows are consumer-grade (97.9%)

18,268 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 — reason	Rows
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only	13,211
template filing: same amount across many unrelated codes — excluded	3,070
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians	977
placeholder amount (≤ $0.02) — excluded from medians	567
exceeds 10× this hospital's gross charge — excluded from medians	187
per-diem day rate — not a per-procedure price	184
exceeds 3× this hospital's gross charge for a DRG stay — excluded	72

Data source & audit trail ↓ Download audit trail (JSON)

Source MRF file	https://wexnermedical.osu.edu/Files/31-1340739_OHIO-STATE-UNIVERSITY-HOSPITALS_standardcharges.csv.zip
Found on page	https://wexnermedical.osu.edu/patient-and-visitor-guide/patient-pricing-lists
Discovered via	Discovered by HANK (automated)
Last fetch	not_modified · 2026-08-01
Content fingerprint	d7032cf17727a45d… · 98,164,174 bytes · first seen 2026-05-16

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
J1411 HCPCS	Etranacogene Dezaparvovec-drlb 19 X 10 Ml Supk 1 Each Box	13	$3,527,832.07	$4,919,040.00	$3,633,667.04	nat. median $3,710,000 1.0× median
8320500102 CDM	Tecelra 10000000000 Cells IV Susp [179707]	15	$901,480.00	$2,829,484.00	$1,572,646.40	nat. median $1,572,646 1.0× median
7377600111 CDM	Amtagvi 72000000000 Cells IV Susp [177327]	15	$638,600.00	$2,004,380.00	$1,114,048.00	nat. median $1,114,048 1.0× median
7128722001 NDC	Brexucabtagene Autoleucel 100000000 Cells Susp	15	$515,592.00	$1,618,293.60	$899,458.56	nat. median $617,866 1.5× median
Q2056 HCPCS	Ciltacabtagene Autoleucel 100000000 Cells Susp	19	$518,940.00	$2,031,840.01	$857,412.43	nat. median $631,793 1.4× median
Q2042 HCPCS	Tisagenlecleucel 250000000 Cells Susp	20	$487,705.56	$1,904,918.97	$800,535.83	nat. median $691,418 1.2× median
Q2041 HCPCS	Yescarta 200000000 Cells IV Susp [167025]	19	$502,840.72	$1,959,933.36	$788,452.58	nat. median $588,565 1.3× median
002 - 4 OTHER	Heart &/or Lung Transplant	19	$202,866.93	$1,656,128.93	$776,758.26	nat. median $1,087,183 0.7× median
Q2053 HCPCS	Tecartus 200000000 Cells IV Susp [160149]	19	$489,399.16	$1,798,104.00	$758,568.69	nat. median $577,541 1.3× median
Q2054 HCPCS	Lisocabtagene Maraleucel Cd8 70000000 Cells/ml Susp	19	$516,442.28	$1,647,112.04	$692,193.33	nat. median $624,417 1.1× median
18 MS_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	21	$234,231.56	$1,674,824.60	$684,214.94	nat. median $370,165 1.8× median
004 - 4 OTHER	Tracheostomy W Mv 96+ Hours W Extensive Procedure	19	$81,528.72	$1,175,079.89	$551,136.45	nat. median $537,605 1.0× median
841 - 4 OTHER	Extensive 3rd Degree Burns W Skin Graft	19	$161,418.37	$1,086,413.67	$509,550.18	nat. median $231,985 outlier · 2.2×
181 - 4 OTHER	Lower Extremity Arterial Procedures	19	$33,575.42	$1,079,312.77	$506,219.71	nat. median $160,652 outlier · 3.2×
927 MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	21	$147,340.65	$733,260.29	$422,989.59	nat. median $205,166 outlier · 2.1×
161 - 4 OTHER	Implantable Heart Assist Systems	19	$230,664.41	$900,729.99	$422,460.74	nat. median $443,073 1.0× median
3 MS_DRG	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth…	21	$133,110.17	$888,191.05	$408,036.23	nat. median $199,832 outlier · 2.0×
842 - 4 OTHER	Burns W Skin Graft Except Extensive 3rd Degree Burns	19	$67,397.45	$857,194.32	$402,041.62	nat. median $206,329 1.9× median
261 - 4 OTHER	Major Biliary Tract Procedures	19	$25,768.22	$822,477.29	$385,758.63	nat. median $45,687 outlier · 8.4×
001 - 4 OTHER	Liver Transplant &/or Intestinal Transplant	19	$71,555.56	$796,885.49	$373,755.55	nat. median $425,641 0.9× median
910 - 4 OTHER	Craniotomy For Multiple Significant Trauma	19	$43,854.26	$788,923.49	$370,021.21	nat. median $358,936 1.0× median
005 - 4 OTHER	Tracheostomy W Mv 96+ Hours Without Extensive Procedure	19	$57,556.19	$783,384.06	$367,423.11	nat. median $531,157 0.7× median
167 - 4 OTHER	Other Cardiothoracic & Thoracic Vascular Procedures	19	$42,075.06	$761,946.43	$357,368.42	nat. median $358,993 1.0× median
911 - 4 OTHER	Extensive Abdominal/thoracic Procedures For Mult Significant Trauma	19	$37,680.64	$715,590.70	$335,626.64	nat. median $244,564 1.4× median
588 - 4 OTHER	Neonate Bwt <1500g W Major Procedure	9	$251,656.26	$353,166.32	$330,140.51	nat. median $333,531 1.0× median
009 - 4 OTHER	Extracorporeal Membrane Oxygenation (ecmo)	19	$89,776.25	$692,441.71	$324,769.29	nat. median $441,982 0.7× median
002 - 3 OTHER	Heart &/or Lung Transplant	19	$89,921.20	$692,224.71	$324,667.51	nat. median $665,530 outlier · 0.5×
583 - 4 OTHER	Neonate W Ecmo	9	$243,441.01	$341,637.30	$319,363.17	nat. median $335,710 1.0× median
583 - 3 OTHER	Neonate W Ecmo	9	$243,441.01	$341,637.30	$319,363.17	nat. median $269,285 1.2× median
246 - 4 OTHER	Gastrointestinal Vascular Insufficiency	19	$13,710.17	$665,053.30	$311,923.57	nat. median $19,240 outlier · 16.2×
583 - 2 OTHER	Neonate W Ecmo	9	$231,561.56	$324,966.07	$303,778.87	nat. median $324,966 0.9× median
583 - 1 OTHER	Neonate W Ecmo	9	$231,561.56	$324,966.07	$303,778.87	nat. median $708,871 outlier · 0.4×
220 - 4 OTHER	Major Stomach Esophageal & Duodenal Procedures	19	$39,162.39	$622,192.44	$291,820.94	nat. median $225,383 1.3× median
304 - 4 OTHER	Dorsal & Lumbar Fusion Proc Except For Curvature Of Back	19	$44,124.24	$602,894.91	$282,770.02	nat. median $206,353 1.4× median
1 MS_DRG	Heart Transplant Or Implant Of Heart Assist System With Mcc	22	$114,755.00	$1,111,654.44	$270,529.34	nat. median $261,939 1.0× median
007 - 3 OTHER	Allogeneic Bone Marrow Transplant	19	$84,635.11	$576,758.18	$270,511.35	nat. median $421,644 0.6× median
4 MS_DRG	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck…	21	$87,760.44	$532,106.91	$269,021.07	nat. median $132,706 outlier · 2.0×
27803724 CDM	Hc Syncardia Tah-t 50cc	14	$158,841.00	$464,121.00	$263,637.90	nat. median $263,638 1.0× median
001 - 3 OTHER	Liver Transplant &/or Intestinal Transplant	19	$30,235.46	$559,382.59	$262,361.84	nat. median $298,974 0.9× median
007 - 4 OTHER	Allogeneic Bone Marrow Transplant	19	$173,413.22	$557,740.96	$261,591.89	nat. median $715,492 outlier · 0.4×
006 - 3 OTHER	Pancreas Transplant	19	$21,362.80	$556,639.11	$261,075.10	nat. median $79,282 outlier · 3.3×
178 - 4 OTHER	External Heart Assist Systems	19	$61,666.90	$543,067.18	$254,709.59	nat. median $240,206 1.1× median
14 MS_DRG	Allogeneic Bone Marrow Transplant	20	$81,374.36	$554,272.47	$249,445.17	nat. median $114,305 outlier · 2.2×
7 MS_DRG	Lung Transplant	20	$81,169.40	$714,046.67	$248,816.88	nat. median $122,690 outlier · 2.0×
27803725 CDM	Hc Syncardia Tah-t 70cc	14	$149,845.01	$437,835.40	$248,706.71	nat. median $248,707 1.0× median
162 - 4 OTHER	Cardiac Valve Procedures W Ami Or Complex Pdx	19	$52,728.30	$516,343.75	$242,175.76	nat. median $383,695 0.6× median
680 - 4 OTHER	Major O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms	19	$36,088.97	$506,614.75	$237,612.65	nat. median $352,003 0.7× median
440 - 4 OTHER	Kidney Transplant	19	$26,255.27	$505,397.35	$237,041.67	nat. median $260,968 0.9× median
161 - 3 OTHER	Implantable Heart Assist Systems	9	$178,517.27	$250,525.41	$234,191.60	nat. median $633,628 outlier · 0.4×
161 - 1 OTHER	Implantable Heart Assist Systems	9	$178,517.27	$250,525.41	$234,191.60	nat. median $110,309 outlier · 2.1×

Other procedures at this hospital

Browse this hospital's 15,681 published procedures. Use the slice to choose what to show, then sort or filter any column.

Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code	Type	Description	Rate rows	Payers	Gross	Cash	Min $	Max $	Avg median	Last observed

J1411	HCPCS	Etranacogene Dezaparvovec-drlb 19 X 10 Ml Supk 1 Each Box	23	13	—	—	$3,527,832.07	$4,919,040.00	$3,633,667.04	2026-04-01
8320500102	CDM	Tecelra 10000000000 Cells IV Susp [179707]	33	15	$2,908,000.00	—	$901,480.00	$2,829,484.00	$1,572,646.40	2026-04-01
7377600111	CDM	Amtagvi 72000000000 Cells IV Susp [177327]	33	15	$2,060,000.00	—	$638,600.00	$2,004,380.00	$1,114,048.00	2026-04-01
7128722001	NDC	Brexucabtagene Autoleucel 100000000 Cells Susp	33	15	$1,663,200.00	—	$515,592.00	$1,618,293.60	$899,458.56	2026-04-01
Q2056	HCPCS	Ciltacabtagene Autoleucel 100000000 Cells Susp	140	19	$1,825,933.38	—	$518,940.00	$2,031,840.01	$857,412.43	2026-04-01
Q2042	HCPCS	Tisagenlecleucel 250000000 Cells Susp	82	20	$1,957,779.00	—	$487,705.56	$1,904,918.97	$800,535.83	2026-04-01
Q2041	HCPCS	Yescarta 200000000 Cells IV Susp [167025]	80	19	$2,014,320.00	—	$502,840.72	$1,959,933.36	$788,452.58	2026-04-01
002 - 4	OTHER	Heart &/or Lung Transplant	28	19	$1,769,179.50	—	$202,866.93	$1,656,128.93	$776,758.26	2026-04-01
Q2053	HCPCS	Tecartus 200000000 Cells IV Susp [160149]	80	19	$1,848,000.00	—	$489,399.16	$1,798,104.00	$758,568.69	2026-04-01
Q2054	HCPCS	Lisocabtagene Maraleucel Cd8 70000000 Cells/ml Susp	50	19	$1,692,818.13	—	$516,442.28	$1,647,112.04	$692,193.33	2026-04-01
18	MS_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	46	21	$1,789,151.38	—	$234,231.56	$1,674,824.60	$684,214.94	2026-04-01
004 - 4	OTHER	Tracheostomy W Mv 96+ Hours W Extensive Procedure	28	19	$1,255,293.13	—	$81,528.72	$1,175,079.89	$551,136.45	2026-04-01
841 - 4	OTHER	Extensive 3rd Degree Burns W Skin Graft	28	19	$1,160,574.38	—	$161,418.37	$1,086,413.67	$509,550.18	2026-04-01
181 - 4	OTHER	Lower Extremity Arterial Procedures	28	19	$1,152,988.75	—	$33,575.42	$1,079,312.77	$506,219.71	2026-04-01
927	MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	47	21	$783,314.06	—	$147,340.65	$733,260.29	$422,989.59	2026-04-01
161 - 4	OTHER	Implantable Heart Assist Systems	28	19	$962,215.56	—	$230,664.41	$900,729.99	$422,460.74	2026-04-01
3	MS_DRG	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth …	47	21	$948,820.69	—	$133,110.17	$888,191.05	$408,036.23	2026-04-01
842 - 4	OTHER	Burns W Skin Graft Except Extensive 3rd Degree Burns	28	19	$915,708.06	—	$67,397.45	$857,194.32	$402,041.62	2026-04-01
261 - 4	OTHER	Major Biliary Tract Procedures	28	19	$878,621.19	—	$25,768.22	$822,477.29	$385,758.63	2026-04-01
001 - 4	OTHER	Liver Transplant &/or Intestinal Transplant	28	19	$851,282.44	—	$71,555.56	$796,885.49	$373,755.55	2026-04-01
910 - 4	OTHER	Craniotomy For Multiple Significant Trauma	28	19	$842,776.94	—	$43,854.26	$788,923.49	$370,021.21	2026-04-01
005 - 4	OTHER	Tracheostomy W Mv 96+ Hours Without Extensive Procedure	28	19	$836,859.38	—	$57,556.19	$783,384.06	$367,423.11	2026-04-01
167 - 4	OTHER	Other Cardiothoracic & Thoracic Vascular Procedures	28	19	$813,958.38	—	$42,075.06	$761,946.43	$357,368.42	2026-04-01
911 - 4	OTHER	Extensive Abdominal/thoracic Procedures For Mult Significant Trauma	28	19	$764,438.31	—	$37,680.64	$715,590.70	$335,626.64	2026-04-01
588 - 4	OTHER	Neonate Bwt <1500g W Major Procedure	10	9	—	—	$251,656.26	$353,166.32	$330,140.51	2026-04-01
009 - 4	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	28	19	$739,709.13	—	$89,776.25	$692,441.71	$324,769.29	2026-04-01
002 - 3	OTHER	Heart &/or Lung Transplant	28	19	$739,477.31	—	$89,921.20	$692,224.71	$324,667.51	2026-04-01
583 - 3	OTHER	Neonate W Ecmo	10	9	—	—	$243,441.01	$341,637.30	$319,363.17	2026-04-01
583 - 4	OTHER	Neonate W Ecmo	10	9	—	—	$243,441.01	$341,637.30	$319,363.17	2026-04-01
246 - 4	OTHER	Gastrointestinal Vascular Insufficiency	28	19	$710,451.13	—	$13,710.17	$665,053.30	$311,923.57	2026-04-01
583 - 1	OTHER	Neonate W Ecmo	10	9	—	—	$231,561.56	$324,966.07	$303,778.87	2026-04-01
583 - 2	OTHER	Neonate W Ecmo	10	9	—	—	$231,561.56	$324,966.07	$303,778.87	2026-04-01
220 - 4	OTHER	Major Stomach Esophageal & Duodenal Procedures	28	19	$664,664.50	—	$39,162.39	$622,192.44	$291,820.94	2026-04-01
304 - 4	OTHER	Dorsal & Lumbar Fusion Proc Except For Curvature Of Back	28	19	$644,049.69	—	$44,124.24	$602,894.91	$282,770.02	2026-04-01
1	MS_DRG	Heart Transplant Or Implant Of Heart Assist System With Mcc	48	22	$1,187,538.13	—	$114,755.00	$1,111,654.44	$270,529.34	2026-04-01
007 - 3	OTHER	Allogeneic Bone Marrow Transplant	28	19	$616,128.81	—	$84,635.11	$576,758.18	$270,511.35	2026-04-01
4	MS_DRG	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck…	47	21	$568,429.56	—	$87,760.44	$532,106.91	$269,021.07	2026-04-01
27803724	CDM	Hc Syncardia Tah-t 50cc	29	14	$477,000.00	—	$158,841.00	$464,121.00	$263,637.90	2026-04-01
001 - 3	OTHER	Liver Transplant &/or Intestinal Transplant	28	19	$597,567.13	—	$30,235.46	$559,382.59	$262,361.84	2026-04-01
007 - 4	OTHER	Allogeneic Bone Marrow Transplant	28	19	$595,813.44	—	$173,413.22	$557,740.96	$261,591.89	2026-04-01
006 - 3	OTHER	Pancreas Transplant	28	19	$594,636.38	—	$21,362.80	$556,639.11	$261,075.10	2026-04-01
178 - 4	OTHER	External Heart Assist Systems	28	19	$580,138.00	—	$61,666.90	$543,067.18	$254,709.59	2026-04-01
14	MS_DRG	Allogeneic Bone Marrow Transplant	44	20	$592,108.19	—	$81,374.36	$554,272.47	$249,445.17	2026-04-01
7	MS_DRG	Lung Transplant	46	20	$762,788.88	—	$81,169.40	$714,046.67	$248,816.88	2026-04-01
27803725	CDM	Hc Syncardia Tah-t 70cc	29	14	$449,985.00	—	$149,845.01	$437,835.40	$248,706.71	2026-04-01
162 - 4	OTHER	Cardiac Valve Procedures W Ami Or Complex Pdx	28	19	$551,590.38	—	$52,728.30	$516,343.75	$242,175.76	2026-04-01
680 - 4	OTHER	Major O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms	28	19	$541,197.25	—	$36,088.97	$506,614.75	$237,612.65	2026-04-01
440 - 4	OTHER	Kidney Transplant	28	19	$539,896.75	—	$26,255.27	$505,397.35	$237,041.67	2026-04-01
161 - 2	OTHER	Implantable Heart Assist Systems	10	9	—	—	$178,517.27	$250,525.41	$234,191.60	2026-04-01
161 - 1	OTHER	Implantable Heart Assist Systems	10	9	—	—	$178,517.27	$250,525.41	$234,191.60	2026-04-01
161 - 3	OTHER	Implantable Heart Assist Systems	10	9	—	—	$178,517.27	$250,525.41	$234,191.60	2026-04-01
163 - 4	OTHER	Cardiac Valve Procedures Without Ami Or Complex Pdx	28	19	$533,375.25	—	$53,329.38	$499,292.57	$234,178.40	2026-04-01
950 - 4	OTHER	Extensive Procedure Unrelated To Principal Diagnosis	28	19	$531,445.69	—	$48,230.83	$497,486.31	$233,331.23	2026-04-01
023 - 4	OTHER	Spinal Procedures	28	19	$528,764.13	—	$36,655.71	$494,976.10	$232,153.89	2026-04-01
511 - 4	OTHER	Uterine & Adnexa Procedures For Ovarian & Adnexal Malignancy	28	19	$510,541.28	—	$14,917.14	$477,917.69	$224,153.15	2026-04-01
007 - 2	OTHER	Allogeneic Bone Marrow Transplant	28	19	$510,261.81	—	$67,751.23	$477,656.08	$224,030.45	2026-04-01
303 - 3	OTHER	Dorsal & Lumbar Fusion Proc For Curvature Of Back	28	19	$504,699.47	—	$55,864.23	$472,449.17	$221,588.30	2026-04-01
930 - 4	OTHER	Multiple Significant Trauma Without O.r. Procedure	28	19	$503,131.75	—	$21,542.10	$470,981.63	$220,899.99	2026-04-01
841 - 2	OTHER	Extensive 3rd Degree Burns W Skin Graft	10	9	—	—	$161,418.37	$226,529.37	$211,760.05	2026-04-01
841 - 1	OTHER	Extensive 3rd Degree Burns W Skin Graft	10	9	—	—	$161,418.37	$226,529.37	$211,760.05	2026-04-01
609 - 4	OTHER	Neonate Bwt 1500-2499g W Major Procedure	10	9	—	—	$161,406.69	$226,512.98	$211,744.74	2026-04-01
308 - 4	OTHER	Hip & Femur Fracture Repair	28	19	$481,480.91	—	$22,297.74	$450,714.28	$211,394.19	2026-04-01
314 - 4	OTHER	Foot & Toe Procedures	28	19	$473,477.03	—	$15,224.21	$443,221.85	$207,880.09	2026-04-01
792 - 4	OTHER	Extensive Or Procedures For Other Complications Of Treatment	28	19	$470,044.31	—	$49,630.84	$440,008.48	$206,372.95	2026-04-01
630 - 4	OTHER	Neonate Birthwt >2499g W Major Cardiovascular Procedure	10	9	—	—	$156,643.38	$219,828.29	$205,495.88	2026-04-01
178 - 3	OTHER	External Heart Assist Systems	28	19	$459,430.88	—	$36,580.83	$430,073.24	$201,713.13	2026-04-01
020 - 4	OTHER	Open Craniotomy For Trauma	28	19	$459,292.34	—	$35,436.37	$429,943.56	$201,652.30	2026-04-01
212	MS_DRG	Concomitant Aortic And Mitral Valve Procedures	46	21	$539,102.81	—	$67,661.25	$504,654.14	$199,742.05	2026-04-01
021 - 4	OTHER	Open Craniotomy Except Trauma	28	19	$453,229.50	—	$41,999.50	$424,268.13	$198,990.41	2026-04-01
165 - 4	OTHER	Coronary Bypass W Ami Or Complex Pdx	28	19	$446,531.56	—	$38,154.63	$417,998.20	$196,049.68	2026-04-01
089 - 4	OTHER	Major Cranial/facial Bone Procedures	28	19	$439,967.69	—	$35,186.32	$411,853.75	$193,167.82	2026-04-01
740 - 4	OTHER	Mental Illness Diagnosis W O.r. Procedure	28	19	$433,901.41	—	$16,699.09	$406,175.11	$190,504.41	2026-04-01
710 - 4	OTHER	Infectious & Parasitic Diseases Including HIV W O.r. Procedure	28	19	$432,224.56	—	$31,606.62	$404,605.41	$189,768.20	2026-04-01
166 - 4	OTHER	Coronary Bypass Without Ami Or Complex Pdx	28	19	$413,446.31	—	$35,162.27	$387,027.09	$181,523.60	2026-04-01
631 - 4	OTHER	Neonate Birthwt >2499g W Other Major Procedure	10	9	—	—	$138,266.06	$194,038.16	$181,387.22	2026-04-01
260 - 4	OTHER	Major Pancreas Liver & Shunt Procedures	28	19	$410,070.56	—	$35,023.51	$383,867.05	$180,041.48	2026-04-01
165 - 3	OTHER	Coronary Bypass W Ami Or Complex Pdx	28	19	$407,762.78	—	$27,337.22	$381,706.74	$179,028.25	2026-04-01
690 - 4	OTHER	Acute Leukemia	28	19	$402,985.97	—	$61,425.78	$377,235.17	$176,930.99	2026-04-01
426	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	46	21	$440,695.16	—	$65,061.98	$412,534.74	$176,630.62	2026-04-01
912 - 3	OTHER	Musculoskeletal & Other Procedures For Multiple Significant Trauma	28	19	$400,603.28	—	$18,676.14	$375,004.73	$175,884.87	2026-04-01
6	MS_DRG	Liver Transplant Without Mcc	48	22	$529,528.63	—	$30,118.04	$495,691.75	$175,000.00	2026-04-01
5	MS_DRG	Liver Transplant With Mcc Or Intestinal Transplant	48	22	$661,557.63	—	$66,142.68	$619,284.09	$175,000.00	2026-04-01
321 - 4	OTHER	Spinal Fusion And Other Back And Neck Procedures Except For Disc	28	19	$394,610.31	—	$33,343.91	$369,394.71	$173,253.65	2026-04-01
443 - 4	OTHER	Kidney & Urinary Tract Procedures For Nonmalignancy	28	19	$391,018.00	—	$15,935.20	$366,031.95	$171,676.46	2026-04-01
216	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	46	21	$429,360.09	—	$59,942.31	$401,923.98	$170,735.10	2026-04-01
030 - 4	OTHER	Percutaneous Intra & Extracranial Vascular Procedures	28	19	$387,244.81	—	$34,705.45	$362,499.87	$170,019.83	2026-04-01
362 - 2	OTHER	Mastectomy Procedures	28	19	$385,095.84	—	$12,097.89	$360,488.22	$169,076.33	2026-04-01
850	MS_DRG	Acute Leukemia With Other Procedures	46	21	$571,856.00	—	$57,214.47	$535,314.40	$168,902.22	2026-04-01
171 - 4	OTHER	Perm Cardiac Pacemaker Implant Without Ami Heart Failure Or Shock	28	19	$384,149.13	—	$27,113.27	$359,602.00	$168,660.67	2026-04-01
313 - 4	OTHER	Knee & Lower Leg Procedures Except Foot	28	19	$383,860.41	—	$22,482.53	$359,331.73	$168,533.91	2026-04-01
167 - 3	OTHER	Other Cardiothoracic & Thoracic Vascular Procedures	28	19	$380,675.94	—	$26,810.32	$356,350.75	$167,135.77	2026-04-01
711 - 4	OTHER	Post-op Post-trauma Other Device Infections W O.r. Procedure	28	19	$380,369.91	—	$30,832.42	$356,064.27	$167,001.40	2026-04-01
588 - 3	OTHER	Neonate Bwt <1500g W Major Procedure	10	9	—	—	$127,125.09	$178,403.28	$166,771.70	2026-04-01
912 - 4	OTHER	Musculoskeletal & Other Procedures For Multiple Significant Trauma	28	19	$377,816.53	—	$33,993.08	$353,674.05	$165,880.35	2026-04-01
691 - 4	OTHER	Lymphoma Myeloma & Non-acute Leukemia	28	19	$374,385.88	—	$24,978.23	$350,462.62	$164,374.12	2026-04-01
81200006	CDM	Hc Lung Procurement Bilateral	33	15	$301,130.00	—	$93,350.30	$292,999.49	$162,851.10	2026-04-01
303 - 2	OTHER	Dorsal & Lumbar Fusion Proc For Curvature Of Back	28	19	$370,704.31	—	$38,443.15	$347,016.31	$162,757.73	2026-04-01
121 - 4	OTHER	Other Respiratory & Chest Procedures	28	19	$369,714.97	—	$30,420.94	$346,090.18	$162,323.36	2026-04-01
442 - 4	OTHER	Kidney & Urinary Tract Procedures For Malignancy	28	19	$365,312.47	—	$23,204.52	$341,969.00	$160,390.44	2026-04-01
841 - 3	OTHER	Extensive 3rd Degree Burns W Skin Graft	28	19	$199,802.84	—	$76,644.37	$226,529.37	$160,241.89	2026-04-01
588 - 2	OTHER	Neonate Bwt <1500g W Major Procedure	10	9	—	—	$120,921.92	$169,697.95	$158,633.95	2026-04-01
588 - 1	OTHER	Neonate Bwt <1500g W Major Procedure	10	9	—	—	$120,921.92	$169,697.95	$158,633.95	2026-04-01
024 - 4	OTHER	Open Extracranial Vascular Procedures	28	19	$356,726.38	—	$25,316.21	$333,931.56	$156,620.71	2026-04-01
27804433	CDM	Hc Heartmate Iii Implant Lvad	29	14	$282,000.00	—	$93,906.00	$274,386.00	$155,861.40	2026-04-01
230 - 4	OTHER	Major Small Bowel Procedures	28	19	$354,364.38	—	$35,534.60	$331,720.49	$155,583.68	2026-04-01
231	MS_DRG	Coronary Bypass With Ptca With Mcc	46	21	$423,840.34	—	$52,630.80	$396,756.95	$155,370.82	2026-04-01
456	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte…	46	21	$467,152.06	—	$52,601.61	$437,301.05	$155,284.65	2026-04-01
091 - 4	OTHER	Other Major Head & Neck Procedures	28	19	$353,514.28	—	$45,550.35	$330,924.72	$155,210.45	2026-04-01
593 - 4	OTHER	Neonate Birthwt 750-999g Without Major Procedure	10	9	—	—	$117,186.97	$164,456.44	$153,734.17	2026-04-01
166 - 3	OTHER	Coronary Bypass Without Ami Or Complex Pdx	28	19	$348,061.56	—	$23,957.42	$325,820.43	$152,816.43	2026-04-01
304 - 3	OTHER	Dorsal & Lumbar Fusion Proc Except For Curvature Of Back	28	19	$347,785.00	—	$31,994.74	$325,561.54	$152,695.01	2026-04-01
361 - 3	OTHER	Skin Graft For Skin & Subcutaneous Tissue Diagnoses	28	19	$342,658.97	—	$24,963.80	$320,763.06	$150,444.42	2026-04-01
089 - 3	OTHER	Major Cranial/facial Bone Procedures	28	19	$341,681.56	—	$24,890.98	$319,848.11	$150,015.29	2026-04-01
8	MS_DRG	Simultaneous Pancreas And Kidney Transplant	48	22	$915,860.31	—	$33,794.29	$857,336.84	$148,177.50	2026-04-01
81200005	CDM	Hc Lung Procurement	33	15	$273,755.00	—	$84,864.05	$266,363.61	$148,046.70	2026-04-01
363 - 3	OTHER	Breast Procedures Except Mastectomy	28	19	$335,619.81	—	$17,210.87	$314,173.71	$147,353.88	2026-04-01
440 - 3	OTHER	Kidney Transplant	28	19	$334,744.44	—	$26,255.27	$313,354.27	$146,969.54	2026-04-01
183 - 3	OTHER	Percutaneous Structural Cardiac Procedures	28	19	$334,003.94	—	$43,531.40	$312,661.09	$146,644.42	2026-04-01
163 - 3	OTHER	Cardiac Valve Procedures Without Ami Or Complex Pdx	28	19	$333,286.53	—	$31,608.68	$311,989.52	$146,329.45	2026-04-01
441 - 4	OTHER	Major Bladder Procedures	28	19	$332,099.56	—	$29,251.75	$310,878.40	$145,808.31	2026-04-01
091 - 3	OTHER	Other Major Head & Neck Procedures	28	19	$332,059.38	—	$24,063.89	$310,840.78	$145,790.67	2026-04-01
19	MS_DRG	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	46	21	$588,645.19	—	$49,235.91	$551,030.76	$145,348.79	2026-04-01
233	MS_DRG	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	46	21	$387,698.66	—	$48,547.11	$362,924.71	$143,315.42	2026-04-01
591 - 4	OTHER	Neonate Birthwt 500-749g Without Major Procedure	10	9	—	—	$108,789.68	$152,671.95	$142,718.02	2026-04-01
440 - 2	OTHER	Kidney Transplant	28	19	$324,888.53	—	$14,406.05	$304,128.15	$142,642.31	2026-04-01
957	MS_DRG	Other O.r. Procedures For Multiple Significant Trauma With Mcc	46	21	$364,252.09	—	$46,359.62	$340,976.38	$142,110.90	2026-04-01
219	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	46	21	$391,316.16	—	$48,057.07	$366,311.05	$141,868.77	2026-04-01
890 - 4	OTHER	HIV W Multiple Major HIV Related Conditions	28	19	$322,216.88	—	$15,540.89	$301,627.22	$141,469.32	2026-04-01
81200001	CDM	Hc Heart Procurement	33	15	$258,411.00	—	$80,107.41	$251,433.90	$139,748.67	2026-04-01
27803104	CDM	Hc Implant Set Hvad Sterile	29	14	$252,600.00	—	$84,115.80	$245,779.80	$139,612.02	2026-04-01
680 - 3	OTHER	Major O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms	28	19	$314,344.56	—	$21,181.45	$294,257.94	$138,012.98	2026-04-01
130 - 4	OTHER	Respiratory System Diagnosis W Ventilator Support 96+ Hours	28	19	$313,709.78	—	$36,626.17	$293,663.73	$137,734.28	2026-04-01
169 - 4	OTHER	Major Abdominal Vascular Procedures	28	19	$313,638.78	—	$34,608.59	$293,597.26	$137,703.11	2026-04-01
20	MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	46	21	$340,013.44	—	$50,066.93	$318,286.58	$136,277.39	2026-04-01
179 - 4	OTHER	Defibrillator Implants	28	19	$308,761.44	—	$42,353.28	$289,031.58	$135,561.71	2026-04-01
305 - 4	OTHER	Amputation Of Lower Limb Except Toes	28	19	$308,022.25	—	$21,106.57	$288,339.63	$135,237.17	2026-04-01
27803002	CDM	Hc Hm Heartmate Ii Implant Kit With Pc	29	14	$240,000.00	—	$79,920.00	$233,520.00	$132,648.00	2026-04-01
192 - 4	OTHER	Cardiac Catheterization For Other Non-coronary Conditions	28	19	$301,641.69	—	$17,415.58	$282,366.78	$132,435.79	2026-04-01
160 - 4	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	10	9	—	—	$100,072.96	$140,439.18	$131,282.80	2026-04-01
169 - 3	OTHER	Major Abdominal Vascular Procedures	28	19	$298,749.44	—	$22,896.76	$279,659.35	$131,165.94	2026-04-01
955	MS_DRG	Craniotomy For Multiple Significant Trauma	46	21	$515,775.63	—	$42,410.09	$482,817.56	$130,004.00	2026-04-01
519 - 4	OTHER	Uterine & Adnexa Procedures For Leiomyoma	28	19	$292,646.44	—	$15,053.84	$273,946.33	$128,486.42	2026-04-01
008 - 3	OTHER	Autologous Bone Marrow Transplant	28	19	$292,451.59	—	$51,017.10	$273,763.94	$128,400.88	2026-04-01
182 - 4	OTHER	Other Peripheral Vascular And Related Procedures	28	19	$292,067.19	—	$32,967.47	$273,404.09	$128,232.10	2026-04-01
008 - 4	OTHER	Autologous Bone Marrow Transplant	28	19	$291,122.59	—	$67,919.53	$272,519.86	$127,817.38	2026-04-01
346 - 4	OTHER	Connective Tissue Disorders	28	19	$287,647.19	—	$23,387.25	$269,266.53	$126,291.49	2026-04-01
312 - 4	OTHER	Skin Graft Except Hand For Musculoskeletal & Connective Tissue Diagnoses	28	19	$287,631.38	—	$40,219.61	$269,251.73	$126,284.55	2026-04-01
027 - 3	OTHER	Other Open Craniotomy	28	19	$286,351.50	—	$19,308.82	$268,053.64	$125,722.63	2026-04-01
023 - 3	OTHER	Spinal Procedures	28	19	$285,693.19	—	$24,483.62	$267,437.39	$125,433.60	2026-04-01
005 - 3	OTHER	Tracheostomy W Mv 96+ Hours Without Extensive Procedure	28	19	$285,040.19	—	$41,653.96	$266,826.12	$125,146.89	2026-04-01
320 - 4	OTHER	Other Musculoskeletal System & Connective Tissue Procedures	28	19	$283,783.63	—	$22,159.67	$265,649.85	$124,595.20	2026-04-01
098 - 4	OTHER	Other Ear Nose Mouth & Throat Procedures	28	19	$283,462.97	—	$24,606.58	$265,349.69	$124,454.42	2026-04-01
175 - 4	OTHER	Percutaneous Cardiac Intervention Without Ami	28	19	$280,459.38	—	$24,495.99	$262,538.02	$123,135.69	2026-04-01
447	MS_DRG	Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…	46	21	$556,582.25	—	$41,642.42	$521,016.64	$122,932.15	2026-04-01
427	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	46	21	$311,005.81	—	$44,114.37	$291,132.54	$122,720.70	2026-04-01
309 - 3	OTHER	Other Significant Hip & Femur Surgery	28	19	$279,098.94	—	$16,418.13	$261,264.52	$122,538.38	2026-04-01
268	MS_DRG	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	46	21	$410,051.72	—	$41,412.00	$383,849.41	$122,251.91	2026-04-01
163 - 2	OTHER	Cardiac Valve Procedures Without Ami Or Complex Pdx	28	19	$278,182.19	—	$24,281.66	$260,406.35	$122,135.89	2026-04-01
951 - 4	OTHER	Moderately Extensive Procedure Unrelated To Principal Diag	28	19	$278,126.78	—	$31,737.14	$260,354.48	$122,111.57	2026-04-01
317 - 4	OTHER	Tendon Muscle & Other Soft Tissue Procedures	28	19	$275,145.72	—	$22,626.11	$257,563.91	$120,802.73	2026-04-01
163 - 1	OTHER	Cardiac Valve Procedures Without Ami Or Complex Pdx	28	19	$273,125.88	—	$22,027.08	$255,673.13	$119,915.92	2026-04-01
870	MS_DRG	Septicemia Or Severe Sepsis With Mv >96 Hours	46	21	$302,511.00	—	$43,206.33	$283,180.55	$119,786.06	2026-04-01
229 - 4	OTHER	Other Digestive System & Abdominal Procedures	28	19	$271,256.84	—	$31,974.82	$253,923.53	$119,095.32	2026-04-01
363 - 2	OTHER	Breast Procedures Except Mastectomy	28	19	$270,841.22	—	$10,748.04	$253,534.46	$118,912.83	2026-04-01
723 - 4	OTHER	Viral Illness	28	19	$270,149.84	—	$10,866.19	$252,887.27	$118,609.29	2026-04-01
207	MS_DRG	Respiratory System Diagnosis With Ventilator Support >96 Hours	46	21	$351,196.53	—	$40,167.33	$328,755.07	$118,577.54	2026-04-01
325 - 4	OTHER	Non-elective Or Complex Knee Joint Replacement	28	19	$269,538.88	—	$29,694.83	$252,315.34	$118,341.04	2026-04-01
002 - 1	OTHER	Heart &/or Lung Transplant	10	9	—	—	$89,921.20	$126,192.53	$117,965.00	2026-04-01
002 - 2	OTHER	Heart &/or Lung Transplant	10	9	—	—	$89,921.20	$126,192.53	$117,965.00	2026-04-01
308 - 3	OTHER	Hip & Femur Fracture Repair	28	19	$267,376.59	—	$14,074.25	$250,291.23	$117,391.70	2026-04-01
027 - 4	OTHER	Other Open Craniotomy	28	19	$266,957.16	—	$34,666.98	$249,898.59	$117,207.54	2026-04-01
021 - 3	OTHER	Open Craniotomy Except Trauma	28	19	$266,851.72	—	$26,495.70	$249,799.89	$117,161.25	2026-04-01
361 - 2	OTHER	Skin Graft For Skin & Subcutaneous Tissue Diagnoses	28	19	$264,502.97	—	$11,628.71	$247,601.23	$116,130.03	2026-04-01
166 - 2	OTHER	Coronary Bypass Without Ami Or Complex Pdx	28	19	$263,197.09	—	$19,749.15	$246,378.80	$115,556.68	2026-04-01
16	MS_DRG	Autologous Bone Marrow Transplant With Cc/mcc	44	20	$259,549.53	—	$37,488.55	$242,964.32	$114,917.50	2026-04-01
J7330	HCPCS	Maci Ix Shee	63	15	$235,361.67	—	$48.55	$229,006.91	$114,555.23	2026-04-01
81200004	CDM	Hc Liver Procurement From Cadaver Donor	33	15	$211,801.00	—	$65,658.31	$206,082.37	$114,541.98	2026-04-01
405 - 4	OTHER	Other Procedures For Endocrine Nutritional & Metabolic Disorders	28	19	$260,868.11	—	$33,115.85	$244,198.64	$114,534.14	2026-04-01
091 - 1	OTHER	Other Major Head & Neck Procedures	28	19	$260,728.08	—	$8,146.55	$244,067.55	$114,472.66	2026-04-01
131 - 4	OTHER	Cystic Fibrosis - Pulmonary Disease	28	19	$259,745.56	—	$23,449.07	$243,147.82	$114,041.29	2026-04-01
165 - 2	OTHER	Coronary Bypass W Ami Or Complex Pdx	28	19	$257,204.55	—	$23,100.10	$240,769.18	$112,925.66	2026-04-01
10	MS_DRG	Pancreas Transplant	48	22	$377,322.22	—	$49,519.74	$353,211.33	$112,826.50	2026-04-01
057 - 3	OTHER	Concussion Closed Skull Fx Nosuncomplicated Intracranial Injury Coma < 1	28	19	$256,741.94	—	$5,444.09	$240,336.13	$112,722.54	2026-04-01
275	MS_DRG	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	46	21	$267,864.63	—	$43,892.64	$250,748.08	$112,616.01	2026-04-01
325 - 3	OTHER	Non-elective Or Complex Knee Joint Replacement	28	19	$256,435.08	—	$22,142.49	$240,048.88	$112,587.82	2026-04-01
663 - 4	OTHER	Other Anemia & Disorders Of Blood & Blood-forming Organs	28	19	$255,850.98	—	$11,719.38	$239,502.11	$112,331.38	2026-04-01
310 - 4	OTHER	Vertebral And Intervertebral Spinal Procedures Including Disc Procedures	28	19	$255,571.00	—	$23,325.42	$239,240.01	$112,208.45	2026-04-01
232	MS_DRG	Coronary Bypass With Ptca Without Mcc	46	21	$454,695.50	—	$37,940.71	$425,640.46	$112,004.36	2026-04-01
167 - 2	OTHER	Other Cardiothoracic & Thoracic Vascular Procedures	28	19	$254,015.55	—	$17,515.19	$237,783.95	$111,525.53	2026-04-01
28	MS_DRG	Spinal Procedures With Mcc	46	21	$339,249.00	—	$37,759.35	$317,570.99	$111,468.97	2026-04-01
441 - 3	OTHER	Major Bladder Procedures	28	19	$251,195.77	—	$18,986.64	$235,144.36	$110,287.50	2026-04-01
441 - 2	OTHER	Major Bladder Procedures	28	19	$251,143.92	—	$14,133.33	$235,095.83	$110,264.74	2026-04-01
312 - 1	OTHER	Skin Graft Except Hand For Musculoskeletal & Connective Tissue Diagnoses	28	19	$248,876.23	—	$9,073.25	$232,973.04	$109,269.11	2026-04-01
220 - 3	OTHER	Major Stomach Esophageal & Duodenal Procedures	28	19	$248,652.08	—	$19,504.60	$232,763.21	$109,170.70	2026-04-01
263 - 4	OTHER	Cholecystectomy	28	19	$248,077.72	—	$17,311.17	$232,225.55	$108,918.52	2026-04-01
224 - 4	OTHER	Peritoneal Adhesiolysis	28	19	$246,804.83	—	$28,279.02	$231,034.00	$108,359.66	2026-04-01
81900007	CDM	Hc Pancreas Procurement	33	15	$200,270.00	—	$62,083.70	$194,862.71	$108,306.02	2026-04-01
235	MS_DRG	Coronary Bypass Without Cardiac Catheterization With Mcc	46	21	$339,322.66	—	$36,546.35	$317,639.94	$107,888.10	2026-04-01
309 - 4	OTHER	Other Significant Hip & Femur Surgery	28	19	$244,539.16	—	$25,454.28	$228,913.10	$107,364.92	2026-04-01
820	MS_DRG	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	46	21	$445,935.22	—	$36,161.90	$417,439.96	$106,753.15	2026-04-01
050 - 3	OTHER	Non-bacterial Infections Of Nervous System Exc Viral Meningitis	28	19	$242,720.81	—	$15,369.84	$227,210.95	$106,566.57	2026-04-01
457	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte…	46	21	$350,189.41	—	$35,647.01	$327,812.30	$105,233.17	2026-04-01
602 - 4	OTHER	Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom	10	9	—	—	$80,207.71	$112,560.93	$105,222.16	2026-04-01
044 - 4	OTHER	Intracranial Hemorrhage	28	19	$239,634.39	—	$15,775.83	$224,321.75	$105,211.48	2026-04-01
518 - 4	OTHER	Other Female Reproductive System & Related Procedures	28	19	$239,073.28	—	$11,898.68	$223,796.50	$104,965.12	2026-04-01
361 - 4	OTHER	Skin Graft For Skin & Subcutaneous Tissue Diagnoses	28	19	$238,764.56	—	$24,963.80	$223,507.51	$104,829.58	2026-04-01
573	MS_DRG	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	46	21	$260,598.41	—	$38,248.15	$243,946.17	$104,447.84	2026-04-01
183 - 2	OTHER	Percutaneous Structural Cardiac Procedures	28	19	$237,285.47	—	$39,086.82	$222,122.93	$104,180.18	2026-04-01
607 - 4	OTHER	Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom	10	9	—	—	$79,324.98	$111,322.13	$104,064.13	2026-04-01
2	MS_DRG	Heart Transplant Or Implant Of Heart Assist System Without Mcc	30	17	—	—	$68,442.59	$392,101.00	$104,025.97	2026-04-01
091 - 2	OTHER	Other Major Head & Neck Procedures	28	19	$236,555.30	—	$16,715.58	$221,439.41	$103,859.60	2026-04-01
850 - 3	OTHER	Procedure W Diag Of Rehab Aftercare Or Oth Contact W Health Service	28	19	$236,406.03	—	$30,178.44	$221,299.69	$103,794.07	2026-04-01
177 - 4	OTHER	Cardiac Pacemaker & Defibrillator Revision Except Device Replacement	28	19	$236,057.41	—	$21,181.45	$220,973.34	$103,641.00	2026-04-01
710 - 3	OTHER	Infectious & Parasitic Diseases Including HIV W O.r. Procedure	28	19	$234,463.59	—	$13,322.04	$219,481.37	$102,941.24	2026-04-01
401 - 3	OTHER	Adrenal Procedures	28	19	$234,050.16	—	$9,579.53	$219,094.35	$102,759.73	2026-04-01
11	MS_DRG	Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy With Mcc	47	21	$264,130.41	—	$33,513.56	$247,252.47	$102,732.54	2026-04-01
266	MS_DRG	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	46	21	$252,126.73	—	$37,208.44	$236,015.84	$102,615.58	2026-04-01
304 - 2	OTHER	Dorsal & Lumbar Fusion Proc Except For Curvature Of Back	28	19	$233,180.64	—	$22,428.95	$218,280.40	$102,377.96	2026-04-01
441 - 1	OTHER	Major Bladder Procedures	28	19	$232,960.44	—	$14,133.33	$218,074.27	$102,281.28	2026-04-01
463	MS_DRG	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	46	21	$374,816.47	—	$33,545.23	$350,865.70	$101,599.40	2026-04-01
834	MS_DRG	Acute Leukemia With Mcc	46	21	$271,581.97	—	$34,329.67	$254,227.88	$101,344.26	2026-04-01
047 - 4	OTHER	Transient Ischemia	28	19	$230,817.98	—	$6,685.41	$216,068.72	$101,340.63	2026-04-01
276	MS_DRG	Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator	46	21	$247,355.19	—	$38,472.98	$231,549.19	$101,294.12	2026-04-01
160 - 3	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	28	19	$230,096.42	—	$41,025.40	$215,393.26	$101,023.84	2026-04-01
850 - 4	OTHER	Procedure W Diag Of Rehab Aftercare Or Oth Contact W Health Service	10	9	—	—	$76,810.74	$107,793.73	$100,765.77	2026-04-01
842 - 3	OTHER	Burns W Skin Graft Except Extensive 3rd Degree Burns	28	19	$229,051.72	—	$35,416.45	$214,415.31	$100,565.16	2026-04-01
050 - 4	OTHER	Non-bacterial Infections Of Nervous System Exc Viral Meningitis	28	19	$228,637.88	—	$33,723.11	$214,027.91	$100,383.46	2026-04-01
850 - 2	OTHER	Procedure W Diag Of Rehab Aftercare Or Oth Contact W Health Service	28	19	$228,566.75	—	$15,267.49	$213,961.33	$100,352.23	2026-04-01
430	MS_DRG	Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc	46	21	$272,251.75	—	$33,976.89	$254,854.86	$100,302.82	2026-04-01
661 - 4	OTHER	Coagulation & Platelet Disorders	28	19	$226,922.39	—	$24,934.26	$212,422.05	$99,630.27	2026-04-01
405	MS_DRG	Pancreas Liver And Shunt Procedures With Mcc	46	21	$322,136.94	—	$33,717.28	$301,552.39	$99,536.41	2026-04-01
928	MS_DRG	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	47	21	$184,171.03	—	$41,482.18	$172,402.50	$99,452.36	2026-04-01
179 - 3	OTHER	Defibrillator Implants	28	19	$226,466.02	—	$31,134.68	$211,994.84	$99,429.90	2026-04-01
843 - 4	OTHER	Extensive 3rd Degree Burns Without Skin Graft	28	19	$226,220.91	—	$12,265.51	$211,765.39	$99,322.29	2026-04-01
6815210303	CDM	Zevalin Y-90 3.2 Mg/2ml IV Kit [42684]	33	15	$183,635.17	—	$56,926.90	$178,677.02	$99,309.90	2026-04-01
321 - 3	OTHER	Spinal Fusion And Other Back And Neck Procedures Except For Disc	28	19	$225,318.83	—	$20,957.50	$210,920.96	$98,926.24	2026-04-01
215	MS_DRG	Other Heart Assist System Implant	46	21	$147,534.92	—	$65,803.56	$210,737.25	$98,693.98	2026-04-01
690 - 3	OTHER	Acute Leukemia	28	19	$224,108.17	—	$38,919.90	$209,787.66	$98,394.69	2026-04-01
681 - 4	OTHER	Other O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms	28	19	$222,845.67	—	$54,078.16	$208,605.83	$97,840.39	2026-04-01
303 - 4	OTHER	Dorsal & Lumbar Fusion Proc For Curvature Of Back	10	9	—	—	$74,481.29	$104,524.65	$97,709.83	2026-04-01
576	MS_DRG	Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc	46	21	$254,921.05	—	$33,509.83	$238,631.59	$97,686.25	2026-04-01
234	MS_DRG	Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc	46	21	$306,605.19	—	$33,043.39	$287,013.12	$97,547.04	2026-04-01
653	MS_DRG	Major Bladder Procedures With Mcc	46	21	$249,572.39	—	$34,623.45	$233,624.71	$97,387.33	2026-04-01
62400315	CDM	Hc Tambe Ide G150071	33	15	$180,000.00	—	$55,800.00	$175,140.00	$97,344.00	2026-04-01
220	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	46	21	$322,923.97	—	$32,897.43	$302,289.13	$97,116.16	2026-04-01
569311	LOCAL	Queen Bra	32	14	$178,720.50	—	$55,403.36	$173,895.05	$97,063.11	2026-04-01
023 - 2	OTHER	Spinal Procedures	28	19	$220,465.42	—	$16,502.62	$206,377.68	$96,795.35	2026-04-01
23	MS_DRG	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	46	21	$241,464.27	—	$35,433.98	$226,034.70	$96,778.88	2026-04-01
81100002	CDM	Hc Liver Procurement From Living Donor	33	15	$178,656.00	—	$55,383.36	$173,832.29	$96,617.16	2026-04-01
120 - 3	OTHER	Major Respiratory & Chest Procedures	28	19	$219,358.59	—	$20,491.06	$205,341.58	$96,309.39	2026-04-01
593 - 3	OTHER	Neonate Birthwt 750-999g Without Major Procedure	10	9	—	—	$73,326.52	$102,904.09	$96,194.93	2026-04-01
362 - 1	OTHER	Mastectomy Procedures	28	19	$217,778.05	—	$8,760.00	$203,862.03	$95,615.45	2026-04-01
223 - 4	OTHER	Other Small & Large Bowel Procedures	28	19	$215,235.88	—	$26,143.98	$201,482.30	$94,499.32	2026-04-01
793 - 4	OTHER	Moderately Extensive Or Procedures For Other Complications Of Treatment	28	19	$214,622.16	—	$23,785.68	$200,907.80	$94,229.86	2026-04-01
270	MS_DRG	Other Major Cardiovascular Procedures With Mcc	46	21	$278,892.44	—	$31,880.70	$261,071.21	$94,114.68	2026-04-01
652	MS_DRG	Kidney Transplant	46	22	$323,749.38	—	$19,076.25	$303,061.79	$94,000.00	2026-04-01
466	MS_DRG	Revision Of Hip Or Knee Replacement With Mcc	46	21	$225,648.11	—	$31,642.20	$211,229.20	$92,691.92	2026-04-01
092 - 4	OTHER	Facial Bone Procedures Except Major Cranial/facial Bone Procedures	28	19	$210,909.88	—	$23,027.97	$197,432.73	$92,599.98	2026-04-01
176 - 4	OTHER	Insertion Revision & Replacements Of Pacemaker & Other Cardiac Devices	28	19	$210,379.84	—	$31,195.82	$196,936.57	$92,367.27	2026-04-01
278	MS_DRG	Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …	46	21	$361,890.00	—	$31,075.15	$338,765.23	$91,736.61	2026-04-01
853	MS_DRG	Infectious And Parasitic Diseases With O.r. Procedures With Mcc	46	21	$294,033.44	—	$31,062.72	$275,244.70	$91,699.93	2026-04-01
326	MS_DRG	Stomach Esophageal And Duodenal Procedures With Mcc	46	21	$236,302.92	—	$31,545.31	$221,203.17	$91,254.83	2026-04-01
513 - 3	OTHER	Uterine & Adnexa Procedures For Non-malignancy Except Leiomyoma	28	19	$207,079.09	—	$10,075.51	$193,846.74	$90,918.07	2026-04-01
630 - 3	OTHER	Neonate Birthwt >2499g W Major Cardiovascular Procedure	10	9	—	—	$69,191.08	$97,100.54	$90,769.76	2026-04-01
026 - 4	OTHER	Other Nervous System & Related Procedures	28	19	$206,410.36	—	$37,424.40	$193,220.74	$90,624.46	2026-04-01
442 - 3	OTHER	Kidney & Urinary Tract Procedures For Malignancy	28	19	$206,181.41	—	$15,123.91	$193,006.41	$90,523.95	2026-04-01
750 - 4	OTHER	Schizophrenia	28	19	$205,897.66	—	$28,599.83	$192,740.80	$90,399.37	2026-04-01
547 - 4	OTHER	Antepartum W O.r. Procedure	28	19	$205,876.38	—	$14,537.94	$192,720.87	$90,390.02	2026-04-01
022 - 4	OTHER	Ventricular Shunt Procedures	28	19	$205,717.89	—	$51,278.14	$192,572.52	$90,320.44	2026-04-01
181 - 2	OTHER	Lower Extremity Arterial Procedures	28	19	$205,445.03	—	$13,154.42	$192,317.09	$90,200.64	2026-04-01
040 - 4	OTHER	Spinal Disorders & Injuries	28	19	$205,437.88	—	$22,047.01	$192,310.39	$90,197.50	2026-04-01
21	MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	46	21	$218,959.64	—	$34,329.67	$204,968.12	$90,024.14	2026-04-01
217	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	46	21	$198,293.58	—	$40,109.56	$185,622.62	$89,242.02	2026-04-01
228	MS_DRG	Other Cardiothoracic Procedures With Mcc	46	21	$226,294.61	—	$30,950.93	$211,834.38	$89,239.18	2026-04-01
181 - 3	OTHER	Lower Extremity Arterial Procedures	28	19	$203,120.47	—	$20,301.46	$190,141.07	$89,180.04	2026-04-01
471	MS_DRG	Cervical Spinal Fusion With Mcc	46	21	$245,135.77	—	$30,168.35	$229,471.59	$89,059.67	2026-04-01
007 - 1	OTHER	Allogeneic Bone Marrow Transplant	10	9	—	—	$67,751.23	$95,079.90	$88,880.86	2026-04-01
480 - 2	OTHER	Major Male Pelvic Procedures	28	19	$202,003.64	—	$9,894.84	$189,095.61	$88,689.70	2026-04-01
239	MS_DRG	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc	46	21	$228,340.31	—	$31,283.83	$213,749.37	$88,548.27	2026-04-01
633 - 4	OTHER	Neonate Birthwt >2499g W Major Anomaly	10	9	—	—	$67,461.34	$94,673.08	$88,500.56	2026-04-01
724 - 4	OTHER	Other Infectious & Parasitic Diseases	28	19	$201,138.89	—	$14,540.69	$188,286.12	$88,310.03	2026-04-01
826	MS_DRG	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	46	21	$320,257.75	—	$29,660.30	$299,793.28	$87,559.85	2026-04-01
Q2043	HCPCS	Sipuleucel-t In Lactated Ringers 50000000 Cells Susp	53	19	$227,857.95	—	$48.55	$221,705.79	$87,406.31	2026-04-01
283 - 4	OTHER	Other Disorders Of The Liver	28	19	$198,679.42	—	$14,434.90	$185,983.81	$87,230.20	2026-04-01
981	MS_DRG	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	46	21	$227,435.08	—	$29,526.14	$212,901.98	$86,613.95	2026-04-01
446 - 2	OTHER	Urethral & Transurethral Procedures	28	19	$196,686.22	—	$5,472.94	$184,117.97	$86,355.08	2026-04-01
609 - 3	OTHER	Neonate Bwt 1500-2499g W Major Procedure	10	9	—	—	$65,599.01	$92,059.55	$86,057.43	2026-04-01
180 - 4	OTHER	Other Circulatory System Procedures	28	19	$195,587.47	—	$23,607.07	$183,089.43	$85,872.68	2026-04-01
450	MS_DRG	Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …	46	21	$213,697.47	—	$31,986.91	$200,042.20	$85,870.89	2026-04-01
115 - 4	OTHER	Other Ear Nose Mouththroat & Cranial/facial Diagnoses	28	19	$195,434.63	—	$19,962.11	$182,946.35	$85,805.57	2026-04-01
823	MS_DRG	Lymphoma And Non-acute Leukemia With Other Procedures With Mcc	46	21	$263,421.03	—	$29,064.05	$246,588.43	$85,799.67	2026-04-01
130 - 3	OTHER	Respiratory System Diagnosis W Ventilator Support 96+ Hours	28	19	$194,261.19	—	$27,923.18	$181,847.90	$85,290.38	2026-04-01
540 - 4	OTHER	Cesarean Section Without Sterilization	28	19	$193,824.69	—	$10,662.17	$181,439.29	$85,098.73	2026-04-01
316 - 4	OTHER	Hand & Wrist Procedures	28	19	$193,813.70	—	$15,232.45	$181,429.01	$85,093.90	2026-04-01
602 - 3	OTHER	Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom	10	9	—	—	$64,844.74	$91,001.03	$85,067.93	2026-04-01
089 - 2	OTHER	Major Cranial/facial Bone Procedures	28	19	$192,874.09	—	$14,744.03	$180,549.44	$84,681.37	2026-04-01
280 - 4	OTHER	Alcoholic Liver Disease	28	19	$192,764.63	—	$15,174.75	$180,446.97	$84,633.31	2026-04-01
650	MS_DRG	Kidney Transplant With Hemodialysis With Mcc	46	21	$392,533.06	—	$28,615.62	$367,450.20	$84,475.86	2026-04-01
176 - 3	OTHER	Insertion Revision & Replacements Of Pacemaker & Other Cardiac Devices	28	19	$192,289.50	—	$24,077.63	$180,002.20	$84,424.71	2026-04-01
329	MS_DRG	Major Small And Large Bowel Procedures With Mcc	46	21	$231,534.22	—	$28,519.97	$216,739.18	$84,193.50	2026-04-01

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