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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

Integris Baptist Medical Center

Oklahoma City, OK · CCN 379803 · Rates published

8,184 distinct procedures filed
16 distinct payers
90,861 rate rows
2026-04-01 last MRF observed
Data quality

61,688 of 90,861 rate rows are consumer-grade (67.9%)

29,173 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 28,165
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 889
template filing: same amount across many unrelated codes — excluded 60
placeholder amount (≤ $0.02) — excluded from medians 39
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 20
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://hospitalpricedisclosure.com/Download.aspx?pxi=BjroEz8c5o*_*7mZ2xptt3iw*-*&f=1Uqk9sV2mcxtBmvoqWiwog*-*
Found on page https://hospitalpricedisclosure.com/default.aspx?ci=fFJE38ye7xsB8Of*_*qxAfVQ*-*
Discovered viaDiscovered by HANK
Last fetch success · 2026-08-18
Content fingerprint 12f982b7f2266560… · 54,350,784 bytes · first seen 2026-05-08

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
J3391
HCPCS 		Inj, Atidarsagene Autotemcel 4 $4,505,000.00 $4,990,350.00 $4,617,625.00 nat. median
$4,505,000
1.0× median
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 1 $4,229,400.00 $4,229,400.00 $4,229,400.00 nat. median
$3,710,000
1.1× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 4 $3,685,266.67 $4,201,204.00 $3,777,398.33 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 4 $3,316,462.59 $3,790,011.97 $3,399,374.16 nat. median
$3,324,572
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 4 $3,248,445.72 $3,717,944.70 $3,329,656.86 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 4 $2,945,740.00 $4,864,551.99 $3,198,947.50 nat. median
$2,997,086
1.1× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 4 $2,455,110.60 $3,998,166.53 $2,662,087.85 nat. median
$2,460,273
1.1× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 4 $2,332,000.00 $3,847,800.00 $2,530,220.00 nat. median
$2,405,851
1.1× median
Q2057
HCPCS 		Afamitresgene Autoleucel 4 $770,620.00 $1,271,523.00 $836,122.70 nat. median
$809,151
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 4 $591,726.20 $954,972.35 $634,384.01 nat. median
$691,418
0.9× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 4 $565,868.94 $912,729.35 $606,848.44 nat. median
$631,793
1.0× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 4 $562,538.19 $852,129.78 $598,439.49 nat. median
$624,417
1.0× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 4 $557,317.93 $870,577.06 $595,537.19 nat. median
$610,161
1.0× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 4 $533,230.17 $829,687.20 $578,467.13 nat. median
$588,565
1.0× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 13 $313,289.75 $1,024,158.44 $540,994.12 nat. median
$370,165
1.5× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 4 $489,304.61 $807,508.61 $531,132.28 nat. median
$577,541
0.9× median
C9301
HCPCS 		Obecabtagene Car Pos T 1 $459,112.50 $459,112.50 $459,112.50 nat. median
$459,112
1.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 14 $62,779.54 $708,832.05 $348,505.22 nat. median
$261,939
1.3× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 4 $278,250.00 $308,227.50 $285,206.25 nat. median
$302,242
0.9× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 14 $10,474.03 $556,526.98 $263,550.57 nat. median
$205,166
1.3× median
J3403
HCPCS 		Revakinagene, Per Implant 4 $257,500.00 $265,225.00 $262,575.00 nat. median
$265,000
1.0× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 15 $36,781.75 $730,684.18 $240,436.00 nat. median
$199,832
1.2× median
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 4 $203,700.00 $211,809.20 $207,696.40 nat. median
$209,736
1.0× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 14 $86,959.86 $420,754.27 $173,530.34 nat. median
$132,706
1.3× median
7
MS_DRG 		Lung Transplant 13 $89,901.66 $350,000.00 $165,175.44 nat. median
$122,690
1.3× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 13 $88,026.88 $319,226.09 $150,560.25 nat. median
$114,305
1.3× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 13 $83,067.68 $418,294.74 $141,964.79 nat. median
$108,240
1.3× median
209
MS_DRG 		Complex Aortic Arch Procedures 13 $82,973.72 $310,542.60 $141,801.93 nat. median
$96,134
1.5× median
K1007
HCPCS 		Bil Hkaf Pc S/d Micro Sensor 1 $139,825.05 $139,825.05 $139,825.05 nat. median
$97,404
1.4× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 13 $80,822.64 $287,573.18 $138,073.59 nat. median
$96,835
1.4× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 2 $73,260.60 $130,327.56 $130,327.56 nat. median
$75,807
1.7× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 15 $73,457.55 $291,765.72 $129,566.55 nat. median
$99,646
1.3× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 13 $52,901.81 $295,504.93 $127,167.16 nat. median
$100,978
1.3× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 13 $67,980.61 $260,631.03 $122,558.92 nat. median
$92,900
1.3× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 4 $111,492.17 $163,959.08 $114,279.48 nat. median
$111,503
1.0× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 13 $66,282.60 $228,816.24 $112,872.27 nat. median
$81,124
1.4× median
215
MS_DRG 		Other Heart Assist System Implant 14 $1,475.00 $353,542.49 $109,975.07 nat. median
$98,002
1.1× median
850
MS_DRG 		Acute Leukemia With Other Procedures 13 $63,752.04 $252,721.23 $108,486.22 nat. median
$81,364
1.3× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 13 $62,092.47 $222,569.06 $104,834.24 nat. median
$79,040
1.3× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 13 $45,623.49 $252,531.92 $103,731.57 nat. median
$80,459
1.3× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 13 $26,864.40 $528,845.22 $101,012.92 nat. median
$74,472
1.4× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 14 $2,126.34 $343,936.03 $98,580.33 nat. median
$77,385
1.3× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 13 $31,991.65 $201,479.01 $95,075.71 nat. median
$73,475
1.3× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 14 $42,465.49 $259,439.21 $94,761.08 nat. median
$71,485
1.3× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 3 $75,228.69 $250,059.53 $91,647.39 nat. median
$83,623
1.1× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 13 $53,337.08 $194,759.93 $90,434.62 nat. median
$66,640
1.4× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 13 $46,969.06 $179,069.28 $89,371.43 nat. median
$65,792
1.4× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 13 $50,968.00 $193,034.21 $89,329.65 nat. median
$68,581
1.3× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 14 $44,868.51 $182,775.89 $88,725.89 nat. median
$69,153
1.3× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 13 $49,813.38 $165,444.57 $85,895.57 nat. median
$64,357
1.3× median

Other procedures at this hospital

Browse this hospital's 8,184 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
             
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 45 16 — — $21,328.14 $134,801.30 $56,739.20 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 37 16 — — $29,805.65 $118,243.67 $55,849.22 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 47 15 — — $36,781.75 $730,684.18 $240,436.00 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 35 15 — — $73,457.55 $291,765.72 $129,566.55 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 42 15 — — $3,667.97 $167,074.27 $80,830.04 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 39 15 — — $1,952.40 $151,791.61 $79,429.94 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 29 15 — — $30,924.07 $149,361.58 $75,561.33 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 41 15 — — $23,623.46 $169,200.69 $74,157.23 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 44 15 — — $36,608.79 $380,420.51 $73,124.36 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 46 15 — — $24,108.57 $140,689.06 $57,754.46 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 38 15 — — $448.63 $125,149.83 $56,056.52 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 47 15 — — $5,408.02 $233,495.18 $56,028.97 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 34 15 — — $14,100.00 $122,125.87 $47,245.41 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 33 15 — — $19,832.80 $144,640.61 $45,322.23 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 35 15 — — $14,430.18 $88,494.17 $42,850.96 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 39 15 — — $27,570.92 $107,181.48 $42,486.86 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 40 15 — — $1,756.67 $92,832.45 $41,589.15 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 36 15 — — $4,342.07 $88,280.82 $39,066.65 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 40 15 — — $245.61 $132,670.26 $34,608.99 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 40 15 — — $11,555.60 $64,962.96 $32,144.67 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 43 15 — — $12,866.19 $131,981.44 $31,772.26 2026-04-01
783 MS_DRG Cesarean Section With Sterilization With Mcc 36 15 — — $4,318.18 $57,914.68 $28,541.66 2026-04-01
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 37 15 — — $13,404.22 $68,356.42 $28,213.45 2026-04-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 43 15 — — $9,478.30 $122,715.76 $27,314.80 2026-04-01
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 38 15 — — $9,022.11 $54,545.51 $27,099.89 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 38 14 — — $62,779.54 $708,832.05 $348,505.22 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 31 14 — — $10,474.03 $556,526.98 $263,550.57 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 35 14 — — $86,959.86 $420,754.27 $173,530.34 2026-04-01
215 MS_DRG Other Heart Assist System Implant 31 14 — — $1,475.00 $353,542.49 $109,975.07 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 35 14 — — $2,126.34 $343,936.03 $98,580.33 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 34 14 — — $42,465.49 $259,439.21 $94,761.08 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 28 14 — — $44,868.51 $182,775.89 $88,725.89 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 34 14 — — $20,726.58 $170,383.05 $76,650.22 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 33 14 — — $9,523.39 $315,950.52 $74,460.17 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 40 14 — — $7,650.00 $145,065.11 $71,103.34 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 33 14 — — $12,753.42 $137,649.16 $70,354.63 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 44 14 — — $2,084.80 $186,334.24 $67,934.14 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 31 14 — — $25,935.85 $206,765.93 $66,320.73 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 41 14 — — $3,251.80 $141,029.27 $65,828.08 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 29 14 — — $28,593.45 $151,721.08 $64,144.36 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 34 14 — — $755.56 $125,761.14 $62,679.93 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 31 14 — — $30,041.98 $180,978.83 $61,981.03 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 31 14 — — $32,002.40 $204,574.12 $60,753.46 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 29 14 — — $1,676.00 $124,364.64 $60,500.41 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 29 14 — — $34,677.03 $123,511.38 $60,253.18 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 40 14 — — $199.24 $243,535.58 $58,325.15 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 38 14 — — $30,742.57 $200,058.70 $55,735.66 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 32 14 — — $32,364.38 $123,821.41 $54,980.52 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 38 14 — — $21,486.83 $258,470.70 $53,773.58 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 30 14 — — $28,587.70 $103,900.13 $52,996.43 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 36 14 — — $9,532.96 $114,465.74 $47,745.54 2026-04-01
791 MS_DRG Prematurity With Major Problems 32 14 — — $323.83 $101,411.69 $47,467.98 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 35 14 — — $4,557.84 $97,315.49 $46,825.91 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 33 14 — — $17,002.88 $108,287.15 $46,331.41 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 43 14 — — $24,644.13 $167,540.68 $46,243.43 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 31 14 — — $15,730.83 $104,171.75 $46,053.23 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 38 14 — — $20,709.73 $114,013.04 $45,595.99 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 30 14 — — $18,367.28 $88,380.57 $43,814.61 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 31 14 — — $26,367.61 $118,732.70 $43,690.15 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 39 14 — — $10,121.77 $99,113.81 $42,711.05 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 31 14 — — $22,538.30 $80,099.40 $41,410.58 2026-04-01
652 MS_DRG Kidney Transplant 34 14 — — $22,818.43 $331,342.99 $41,211.65 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 31 14 — — $27,404.48 $98,119.37 $41,162.51 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 41 14 — — $16,016.30 $88,711.56 $38,528.27 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 46 14 — — $14,926.08 $136,140.15 $38,494.79 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 29 14 — — $20,946.78 $73,756.20 $37,280.11 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 28 14 — — $18,419.24 $73,929.05 $36,612.82 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 36 14 — — $19,680.00 $82,228.44 $36,360.54 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 38 14 — — $3,500.00 $215,142.18 $36,066.89 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 31 14 — — $19,241.41 $164,500.00 $36,044.48 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 33 14 — — $266.90 $81,188.61 $34,955.22 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 38 14 — — $5,475.67 $119,643.48 $34,453.17 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 42 14 — — $13,843.11 $78,870.27 $33,539.91 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 37 14 — — $1,180.00 $113,500.74 $33,207.97 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 32 14 — — $5,270.05 $76,088.26 $32,850.28 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 29 14 — — $9,775.97 $64,513.01 $32,312.22 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 38 14 — — $15,215.26 $67,322.46 $31,749.10 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 35 14 — — $11,965.56 $73,169.07 $31,483.77 2026-04-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 34 14 — — $10,444.66 $79,800.00 $30,573.90 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 42 14 — — $12,924.00 $70,719.03 $30,183.20 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 39 14 — — $9,964.01 $65,604.96 $29,457.72 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 39 14 — — $15,266.66 $64,927.29 $28,893.60 2026-04-01
792 MS_DRG Prematurity Without Major Problems 30 14 — — $1,705.10 $61,187.77 $28,642.17 2026-04-01
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 34 14 — — $10,381.71 $56,183.44 $28,253.35 2026-04-01
934 MS_DRG Full Thickness Burn Without Skin Graft Or Inhalation Injury 32 14 — — $14,272.30 $52,147.04 $28,209.47 2026-04-01
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 33 14 — — $10,498.58 $59,058.73 $28,091.24 2026-04-01
614 MS_DRG Adrenal And Pituitary Procedures With Cc/Mcc 34 14 — — $16,875.25 $80,339.03 $27,969.56 2026-04-01
141 MS_DRG Major Head And Neck Procedures With Cc 32 14 — — $14,113.69 $73,023.61 $27,833.01 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 44 14 — — $2,661.40 $69,550.26 $27,283.24 2026-04-01
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 29 14 — — $14,879.43 $63,939.60 $27,277.21 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 48 14 — — $10,436.40 $67,736.74 $26,829.57 2026-04-01
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 30 14 — — $7,024.30 $69,459.72 $26,682.17 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 27 13 — — $313,289.75 $1,024,158.44 $540,994.12 2026-04-01
7 MS_DRG Lung Transplant 30 13 — — $89,901.66 $350,000.00 $165,175.44 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 27 13 — — $88,026.88 $319,226.09 $150,560.25 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 27 13 — — $83,067.68 $418,294.74 $141,964.79 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 27 13 — — $82,973.72 $310,542.60 $141,801.93 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 27 13 — — $80,822.64 $287,573.18 $138,073.59 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 30 13 — — $52,901.81 $295,504.93 $127,167.16 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 31 13 — — $67,980.61 $260,631.03 $122,558.92 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 27 13 — — $66,282.60 $228,816.24 $112,872.27 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 27 13 — — $63,752.04 $252,721.23 $108,486.22 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 28 13 — — $62,092.47 $222,569.06 $104,834.24 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 29 13 — — $45,623.49 $252,531.92 $103,731.57 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 38 13 — — $26,864.40 $528,845.22 $101,012.92 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 42 13 — — $31,991.65 $201,479.01 $95,075.71 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 27 13 — — $53,337.08 $194,759.93 $90,434.62 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 35 13 — — $46,969.06 $179,069.28 $89,371.43 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 29 13 — — $50,968.00 $193,034.21 $89,329.65 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 28 13 — — $49,813.38 $165,444.57 $85,895.57 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 29 13 — — $48,687.25 $172,377.64 $85,439.45 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 27 13 — — $49,491.01 $169,719.10 $83,768.47 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 27 13 — — $49,455.59 $183,936.43 $83,707.08 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 27 13 — — $48,687.25 $155,946.22 $82,375.36 2026-04-01
10 MS_DRG Pancreas Transplant 27 13 — — $41,548.00 $169,271.46 $79,255.61 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 27 13 — — $44,981.40 $160,237.21 $75,952.25 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 30 13 — — $26,445.99 $152,505.75 $74,719.22 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 27 13 — — $44,020.79 $176,800.33 $74,287.28 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 30 13 — — $41,227.77 $186,734.90 $74,157.11 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 32 13 — — $29,342.74 $154,544.51 $73,259.55 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 28 13 — — $17,294.98 $158,541.67 $72,981.91 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 28 13 — — $40,708.11 $148,637.27 $72,934.65 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 27 13 — — $42,845.50 $150,077.66 $72,250.23 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 27 13 — — $42,410.37 $156,574.51 $71,496.04 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 27 13 — — $41,796.70 $151,040.67 $70,432.42 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 29 13 — — $41,670.93 $138,881.03 $70,214.43 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 29 13 — — $263.28 $131,304.10 $69,733.35 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 27 13 — — $41,081.12 $134,230.63 $69,192.14 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 28 13 — — $40,841.87 $150,730.64 $68,272.40 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 33 13 — — $34,394.81 $212,697.59 $67,688.18 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 29 13 — — $27,008.11 $134,960.43 $67,325.41 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 27 13 — — $40,425.53 $128,145.46 $67,056.31 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 27 13 — — $39,683.21 $141,287.17 $66,769.23 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 37 13 — — $34,328.82 $135,564.02 $65,130.65 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 29 13 — — $25,965.77 $138,359.75 $64,255.46 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 27 13 — — $35,886.29 $156,486.71 $60,188.27 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 28 13 — — $33,854.83 $143,076.00 $58,173.12 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 32 13 — — $21,446.71 $131,209.93 $57,435.67 2026-04-01
245 MS_DRG Aicd Generator Procedures 29 13 — — $34,137.81 $149,592.05 $57,157.75 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 32 13 — — $14,571.62 $134,949.45 $57,121.18 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 30 13 — — $31,939.36 $118,320.49 $57,016.57 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 31 13 — — $16,260.38 $133,802.63 $55,904.74 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 28 13 — — $33,418.62 $112,506.81 $55,834.36 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 28 13 — — $30,119.17 $111,779.75 $55,719.49 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 28 13 — — $31,634.00 $99,453.50 $53,800.38 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 31 13 — — $15,119.43 $105,985.27 $53,781.45 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 29 13 — — $22,970.21 $109,211.74 $53,435.68 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 27 13 — — $31,813.26 $112,026.68 $53,128.74 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 28 13 — — $31,320.30 $147,213.35 $51,890.45 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 31 13 — — $31,159.03 $113,971.89 $51,802.83 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 29 13 — — $29,017.93 $106,555.94 $51,706.55 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 31 13 — — $28,222.13 $104,080.75 $51,684.26 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 32 13 — — $30,040.98 $113,585.04 $50,606.78 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 27 13 — — $30,220.91 $107,801.53 $50,368.82 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 28 13 — — $15,909.91 $93,983.09 $49,546.26 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 28 13 — — $29,096.22 $96,283.90 $49,319.99 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 35 13 — — $20,489.13 $105,118.29 $49,008.28 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 31 13 — — $25,901.43 $104,470.80 $48,373.11 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 29 13 — — $21,012.39 $91,862.39 $48,070.00 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 27 13 — — $27,946.23 $101,337.61 $46,426.26 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 28 13 — — $27,367.26 $85,528.60 $46,267.56 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 27 13 — — $27,387.49 $95,534.90 $45,457.85 2026-04-01
332 MS_DRG Rectal Resection With Mcc 27 13 — — $27,331.12 $104,842.83 $45,360.13 2026-04-01
265 MS_DRG Aicd Lead Procedures 27 13 — — $27,313.04 $91,575.88 $45,328.81 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 28 13 — — $19,283.55 $93,394.89 $44,916.35 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 27 13 — — $27,057.17 $97,159.11 $44,885.32 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 27 13 — — $26,997.18 $107,760.38 $44,781.34 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 29 13 — — $26,358.35 $87,811.66 $44,517.40 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 28 13 — — $26,624.48 $112,317.50 $44,407.71 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 28 13 — — $26,130.53 $88,706.08 $44,084.15 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 29 13 — — $17,015.07 $97,310.00 $43,976.73 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 29 13 — — $26,886.59 $99,085.11 $43,934.76 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 33 13 — — $23,490.80 $93,641.81 $43,443.47 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 27 13 — — $26,014.88 $94,341.43 $43,078.78 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 32 13 — — $15,557.98 $89,191.69 $42,955.07 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 31 13 — — $11,159.16 $109,519.02 $42,751.88 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 35 13 — — $17,148.61 $89,817.23 $42,740.52 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 29 13 — — $25,787.19 $111,343.52 $42,684.15 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 32 13 — — $24,856.30 $88,788.38 $42,635.58 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 30 13 — — $24,671.90 $98,426.65 $41,508.98 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 27 13 — — $25,036.92 $90,494.90 $41,383.74 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 31 13 — — $24,344.17 $88,161.19 $41,278.48 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 27 13 — — $24,509.99 $84,662.01 $40,470.45 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 27 13 — — $24,486.14 $89,260.28 $40,429.11 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 29 13 — — $23,224.20 $76,394.73 $39,976.04 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 28 13 — — $22,005.46 $75,731.86 $39,924.54 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 27 13 — — $24,126.90 $156,854.36 $39,806.47 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 31 13 — — $11,271.59 $75,977.19 $39,757.56 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 29 13 — — $22,009.00 $85,896.63 $39,588.48 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 27 13 — — $23,871.75 $84,541.29 $39,364.23 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 29 13 — — $23,672.99 $89,293.21 $39,300.83 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 34 13 — — $3,913.88 $125,772.11 $39,167.18 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 33 13 — — $24,226.09 $95,416.92 $38,951.30 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 33 13 — — $22,782.01 $81,446.51 $38,895.94 2026-04-01
665 MS_DRG Prostatectomy With Mcc 28 13 — — $23,720.68 $85,690.86 $38,815.24 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 30 13 — — $21,324.02 $71,252.21 $38,544.60 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 28 13 — — $22,966.07 $71,164.92 $38,497.39 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 27 13 — — $23,289.16 $83,559.08 $38,354.47 2026-04-01
263 MS_DRG Vein Ligation And Stripping 27 13 — — $23,259.53 $72,122.66 $38,303.11 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 28 13 — — $23,084.61 $87,822.64 $37,720.88 2026-04-01
570 MS_DRG Skin Debridement With Mcc 32 13 — — $16,254.44 $71,190.93 $37,531.38 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 32 13 — — $24,238.21 $101,664.10 $37,338.20 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 27 13 — — $22,674.05 $84,365.70 $37,288.34 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 31 13 — — $21,431.15 $82,579.62 $36,356.26 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 28 13 — — $17,663.44 $67,980.34 $35,838.07 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 35 13 — — $2,065.00 $131,913.52 $35,729.47 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 30 13 — — $20,634.78 $117,255.06 $35,721.86 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 28 13 — — $19,908.11 $85,515.27 $35,500.04 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 29 13 — — $21,276.81 $84,047.44 $35,429.75 2026-04-01
800 MS_DRG Splenic Procedures With Cc 27 13 — — $21,466.96 $73,717.79 $35,196.16 2026-04-01
503 MS_DRG Foot Procedures With Mcc 27 13 — — $21,334.69 $68,247.05 $34,966.90 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 28 13 — — $20,657.41 $69,009.77 $34,421.52 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 32 13 — — $6,247.02 $86,941.94 $34,401.99 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 31 13 — — $9,253.72 $66,578.94 $34,216.33 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 34 13 — — $11,750.98 $77,287.21 $34,145.15 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 30 13 — — $20,387.08 $127,164.14 $33,944.26 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 27 13 — — $20,721.02 $74,299.43 $33,903.27 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 27 13 — — $20,223.73 $70,494.06 $33,041.35 2026-04-01
545 MS_DRG Connective Tissue Disorders With Mcc 30 13 — — $19,098.31 $64,842.24 $32,917.10 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 28 13 — — $19,803.05 $60,858.54 $32,913.17 2026-04-01
849 MS_DRG Radiotherapy 27 13 — — $20,744.87 $63,915.86 $32,848.18 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 27 13 — — $19,829.07 $75,525.82 $32,357.32 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 34 13 — — $13,428.71 $76,763.18 $32,242.90 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 28 13 — — $735.00 $65,308.65 $32,240.33 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 29 13 — — $13,488.84 $70,705.32 $32,166.89 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 34 13 — — $17,009.28 $284,102.66 $31,970.42 2026-04-01
397 MS_DRG Appendix Procedures With Mcc 31 13 — — $1,225.00 $61,637.72 $31,119.33 2026-04-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 28 13 — — $16,353.29 $67,511.77 $30,989.26 2026-04-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 35 13 — — $9,353.93 $58,060.06 $30,620.94 2026-04-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 30 13 — — $17,307.15 $61,418.23 $30,497.18 2026-04-01
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 27 13 — — $18,668.24 $66,455.48 $30,345.32 2026-04-01
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 27 13 — — $18,611.14 $66,238.73 $30,246.35 2026-04-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 27 13 — — $18,546.09 $64,411.50 $30,133.60 2026-04-01
333 MS_DRG Rectal Resection With Cc 28 13 — — $18,090.00 $55,251.42 $29,888.82 2026-04-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 28 13 — — $17,865.92 $64,971.19 $29,493.22 2026-04-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 29 13 — — $16,023.96 $64,279.80 $29,276.68 2026-04-01
113 MS_DRG Orbital Procedures With Cc/Mcc 28 13 — — $17,271.64 $60,005.28 $29,238.28 2026-04-01
709 MS_DRG Penis Procedures With Cc/Mcc 29 13 — — $17,980.85 $62,688.52 $29,153.91 2026-04-01
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 31 13 — — $2,128.61 $54,135.64 $28,750.51 2026-04-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 31 13 — — $10,213.95 $57,615.60 $28,705.97 2026-04-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 31 13 — — $8,904.77 $74,819.72 $28,676.35 2026-04-01
347 MS_DRG Anal And Stomal Procedures With Mcc 29 13 — — $8,627.74 $72,145.71 $28,336.89 2026-04-01
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 30 13 — — $16,038.92 $59,950.40 $28,175.00 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 35 13 — — $10,746.48 $109,608.64 $28,064.24 2026-04-01
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/Mcc 27 13 — — $17,331.77 $59,684.27 $28,028.89 2026-04-01
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 28 13 — — $3,900.57 $64,076.78 $27,839.23 2026-04-01
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 29 13 — — $16,948.78 $58,400.27 $27,660.57 2026-04-01
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 33 13 — — $15,218.47 $63,956.06 $27,545.31 2026-04-01
30 MS_DRG Spinal Procedures Without Cc/Mcc 27 13 — — $17,027.47 $58,529.22 $27,501.47 2026-04-01
135 MS_DRG Sinus And Mastoid Procedures With Cc/Mcc 27 13 — — $16,845.32 $62,342.82 $27,185.76 2026-04-01
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 28 13 — — $6,439.26 $63,533.55 $27,095.56 2026-04-01
595 MS_DRG Major Skin Disorders With Mcc 28 13 — — $16,488.97 $58,136.88 $27,062.26 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 35 13 — — $9,971.96 $62,872.34 $26,964.16 2026-04-01
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 31 13 — — $16,772.56 $68,751.87 $26,940.78 2026-04-01
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/Mcc 27 13 — — $16,633.53 $50,915.73 $26,818.69 2026-04-01
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/Mcc 27 13 — — $16,556.19 $59,683.18 $26,684.64 2026-04-01
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 28 13 — — $16,275.02 $60,973.77 $26,684.53 2026-04-01
374 MS_DRG Digestive Malignancy With Mcc 33 13 — — $14,521.69 $64,467.53 $26,400.11 2026-04-01
412 MS_DRG Cholecystectomy With C.d.e. With Cc 27 13 — — $16,357.42 $65,141.29 $26,340.12 2026-04-01
999 MS_DRG Ungroupable 18 11 — — $2,699.48 $172,446.76 $29,647.96 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 15 7 — — $12,140.37 $120,742.91 $35,968.68 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 9 6 — — $13,056.68 $465,709.98 $47,975.30 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 9 6 — — $7,874.66 $140,553.06 $39,618.77 2026-04-01
J3391 HCPCS Inj, Atidarsagene Autotemcel 4 4 — — $4,505,000.00 $4,990,350.00 $4,617,625.00 2026-04-01
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 4 4 — — $3,685,266.67 $4,201,204.00 $3,777,398.33 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 4 4 — — $3,316,462.59 $3,790,011.97 $3,399,374.16 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 4 4 — — $3,248,445.72 $3,717,944.70 $3,329,656.86 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 6 4 — — $2,945,740.00 $4,864,551.99 $3,198,947.50 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 6 4 — — $2,455,110.60 $3,998,166.53 $2,662,087.85 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 6 4 — — $2,332,000.00 $3,847,800.00 $2,530,220.00 2026-04-01
Q2057 HCPCS Afamitresgene Autoleucel 6 4 — — $770,620.00 $1,271,523.00 $836,122.70 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 6 4 — — $591,726.20 $954,972.35 $634,384.01 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 6 4 — — $565,868.94 $912,729.35 $606,848.44 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 6 4 — — $562,538.19 $852,129.78 $598,439.49 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 6 4 — — $557,317.93 $870,577.06 $595,537.19 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 6 4 — — $533,230.17 $829,687.20 $578,467.13 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 6 4 — — $489,304.61 $807,508.61 $531,132.28 2026-04-01
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 4 4 — — $278,250.00 $308,227.50 $285,206.25 2026-04-01
J3403 HCPCS Revakinagene, Per Implant 4 4 — — $257,500.00 $265,225.00 $262,575.00 2026-04-01
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 4 4 — — $203,700.00 $211,809.20 $207,696.40 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 4 4 — — $111,492.17 $163,959.08 $114,279.48 2026-04-01
L8702 HCPCS Pow Ue Rom Dev Ewhf Uprt Cus 4 4 — — $68,801.71 $101,178.99 $70,521.75 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 6 4 — — $63,342.28 $104,338.76 $68,776.98 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 6 4 — — $56,824.55 $93,760.51 $61,654.64 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 6 4 — — $55,272.32 $94,078.22 $60,354.45 2026-04-01
L7180 HCPCS Electronic Elbow Sequential 4 4 — — $50,007.15 $73,539.93 $51,257.32 2026-04-01
L7181 HCPCS Electronic Elbo Simultaneous 4 4 — — $49,600.83 $72,942.39 $50,840.85 2026-04-01
J9226 HCPCS Supprelin La Implant 6 4 — — $45,020.65 $74,599.87 $49,155.06 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 5 4 — — $38,376.87 $181,539.18 $46,620.65 2026-04-01
L8701 HCPCS Pow Ue Rom Dev Ewh Uprt Cust 4 4 — — $34,970.13 $51,426.66 $35,844.38 2026-04-01
J9266 HCPCS Pegaspargase Injection 6 4 — — $28,424.06 $44,666.37 $30,840.10 2026-04-01
L5856 HCPCS Elec Knee-shin Swing/stance 4 4 — — $29,717.20 $43,701.77 $30,460.13 2026-04-01
L6880 HCPCS Elec Hand Ind Art Digits 4 4 — — $29,576.84 $43,495.35 $30,316.26 2026-04-01
L6700 HCPCS Ue Add Ext Power Myoel 4 4 — — $29,510.19 $43,397.34 $30,247.94 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 3 3 — — $75,228.69 $250,059.53 $91,647.39 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 3 2 — — $73,260.60 $130,327.56 $130,327.56 2026-04-01
J1414 HCPCS Inj, Beqvez, Per Tx Dose 1 1 — — $4,229,400.00 $4,229,400.00 $4,229,400.00 2026-04-01
C9301 HCPCS Obecabtagene Car Pos T 2 1 — — $459,112.50 $459,112.50 $459,112.50 2026-04-01
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 1 1 — — $139,825.05 $139,825.05 $139,825.05 2026-04-01
A9699 HCPCS Radiopharm Rx Agent Noc 2 1 — — $74,614.73 $74,614.73 $74,614.73 2026-04-01
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