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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

SAINT VINCENT HOSPITAL

Erie, PA · CCN 390009 · Rates published

19,306 distinct procedures filed
789 distinct payers
1,512,696 rate rows
2026-04-14 last MRF observed
Data quality

1,322,052 of 1,512,696 rate rows are consumer-grade (87.4%)

190,644 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 158,934
exceeds 10× this hospital's gross charge — excluded from medians 20,779
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 4,854
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 2,664
template filing: same amount across many unrelated codes — excluded 2,179
per-diem day rate — not a per-procedure price 722
placeholder amount (≤ $0.02) — excluded from medians 508
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 4
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.ahn.org/content/dam/ahn/en/dmxahn/documents/patients-visitors/patients/financial-services/hospital-charges/250965547_saint-vincent-health-center_standardcharges.csv
Found on page https://www.ahn.org/patients-visitors/patients/financial-services/hospital-charges
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-13
Content fingerprint 92e08f39e75e292b… · 388,847,826 bytes · first seen 2026-05-09

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 		Pr Injection, Atidarsagene Autotemcel, Per Treatment 14 $2,534,134.75 $4,826,193.75 $4,530,712.50 nat. median
$4,505,000
1.0× median
J1414
HCPCS 		Pr Inj, Beqvez, Per Tx Dose 14 $2,147,719.00 $4,978,505.00 $3,927,000.00 nat. median
$3,508,750
1.1× median
J1411
HCPCS 		Pr Inj, Hemgenix, Per Tx Dose 14 $2,133,400.87 $4,978,505.00 $3,927,000.00 nat. median
$3,685,267
1.1× median
J1413
HCPCS 		Pr Inj Delandistrogene Mox Rokl 14 $1,924,594.67 $4,551,776.00 $3,557,291.93 nat. median
$3,325,455
1.1× median
J3394
HCPCS 		Pr Inj, Lovotibeglogene Autotem 14 $1,887,998.41 $4,435,768.94 $3,478,200.00 nat. median
$3,248,446
1.1× median
J3393
HCPCS 		Pr Inj, Betibeglogene Autotemce 14 $1,708,152.51 $4,876,599.85 $3,141,600.00 nat. median
$2,968,000
1.1× median
J3399
HCPCS 		Pr Inj Onase Abepar-xioi Treat 14 $1,419,529.72 $4,992,507.36 $2,554,248.40 nat. median
$2,455,111
1.0× median
J3392
HCPCS 		Pr Inj, Exagamglogene Autotem 15 $1,349,994.80 $4,897,200.00 $2,468,400.00 nat. median
$2,332,000
1.1× median
Q2057
HCPCS 		Pr Afamitresgene Autoleucel 16 $446,111.92 $1,618,302.00 $815,694.00 nat. median
$813,967
1.0× median
Q2056
HCPCS 		Pr Ciltacabtagene Car-pos T 16 $320,351.00 $1,162,095.54 $649,369.05 nat. median
$599,737
1.1× median
Q2055
HCPCS 		Pr Idecabtagene Vicleucel Car 16 $313,335.67 $1,136,646.94 $627,342.22 nat. median
$574,037
1.1× median
Q2054
HCPCS 		Pr Lisocabtagene Mara Car Pos T 16 $313,552.88 $1,137,434.88 $621,067.39 nat. median
$579,571
1.1× median
Q2042
HCPCS 		Pr Tisagenlecleucel Car-pos T 16 $334,792.10 $1,214,481.62 $601,457.56 nat. median
$621,313
1.0× median
C9301
HCPCS 		Pr Obecabtagene Car Pos T 1 $589,050.00 $589,050.00 $589,050.00 nat. median
$377,029
1.6× median
Q2041
HCPCS 		Pr Axicabtagene Ciloleucel Car+ 16 $308,597.97 $1,119,460.60 $554,399.54 nat. median
$562,501
1.0× median
Q2053
HCPCS 		Pr Brexucabtagene Car Pos T 16 $283,498.91 $4,897,200.00 $511,757.40 nat. median
$513,770
1.0× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 19 $281,608.97 $566,278.91 $321,401.55 nat. median
$168,055
1.9× median
633
MS_DRG 		Neonate, Birth Weight 1000-1499 Grams, With Significant O.r. Procedures, Dischar… 1 $311,127.21 $311,127.21 $311,127.21 nat. median
$8,940
outlier · 34.8×
Q2058
HCPCS 		Pr Obecabtagene Autoleucel, 10 Up To 400 Million Cd19 Car-positive Viable T Cell… 15 $156,520.09 $567,787.50 $287,949.38 nat. median
$286,598
1.0× median
612
MS_DRG 		Neonate, Birth Weight <750 Grams, Discharged Alive 1 $285,105.09 $285,105.09 $285,105.09 nat. median
$21,586
outlier · 13.2×
583
APR_DRG 		Neonate With Ecmo 11 $73,374.63 $1,031,465.97 $264,320.57 nat. median
$12,078
outlier · 21.9×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 21 $148,509.02 $484,131.09 $244,632.95 nat. median
$186,516
1.3× median
11
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 10 $62,026.03 $590,584.43 $212,959.64 nat. median
$48,332
outlier · 4.4×
631
MS_DRG 		Neonate, Birth Weight 750-999 Grams, Discharged Alive 1 $206,732.43 $206,732.43 $206,732.43 nat. median
$29,552
outlier · 7.0×
588
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 11 $98,918.30 $631,753.39 $203,952.60 nat. median
$381,876
0.5× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 20 $110,954.42 $361,705.19 $186,127.19 nat. median
$145,435
1.3× median
636
MS_DRG 		Neonate, Birth Weight 1500-1999 Grams, With Significant O.r. Procedures, With Mu… 1 $182,813.14 $182,813.14 $182,813.14 nat. median
$9,021
outlier · 20.3×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 20 $150,182.44 $525,658.50 $175,631.84 nat. median
$131,925
1.3× median
161
APR_DRG 		Implantable Heart Assist Systems 11 $20,569.70 $440,430.15 $158,745.96 —
2
APR_DRG 		Heart And/or Lung Transplant 11 $62,002.19 $590,193.22 $155,105.74 nat. median
$307,240
0.5× median
591
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 11 $20,512.04 $414,272.60 $137,881.38 nat. median
$5,085
outlier · 27.1×
0192
RC 		Sub-acute Care - Level Ii 2 $133,938.00 $133,938.00 $133,938.00 nat. median
$853
outlier · 157.1×
681
MS_DRG 		Neonate, Birth Weight >2499 Grams, With Significant O.r. Procedures, With Multip… 1 $124,518.91 $124,518.91 $124,518.91 nat. median
$35,768
outlier · 3.5×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 20 $73,816.01 $240,636.07 $123,053.46 nat. median
$97,418
1.3× median
593
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 11 $55,354.69 $364,226.19 $118,807.07 nat. median
$11,491
outlier · 10.3×
9
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 10 $38,438.99 $431,763.35 $118,690.65 nat. median
$132,334
0.9× median
359
MS_DRG 		Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 1 $115,325.86 $115,325.86 $115,325.86 nat. median
$2,222
outlier · 51.9×
223
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 1 $113,915.82 $113,915.82 $113,915.82 nat. median
$2,024
outlier · 56.3×
224
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 1 $113,915.82 $113,915.82 $113,915.82 nat. median
$2,024
outlier · 56.3×
222
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 1 $113,915.82 $113,915.82 $113,915.82 nat. median
$2,024
outlier · 56.3×
225
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 1 $113,915.82 $113,915.82 $113,915.82 nat. median
$2,024
outlier · 56.3×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 20 $96,235.57 $309,042.31 $111,658.11 nat. median
$72,715
1.5× median
634
MS_DRG 		Neonate, Birth Weight 1000-1499 Grams, Without Significant O.r. Procedures, Disc… 1 $111,517.90 $111,517.90 $111,517.90 nat. median
$16,878
outlier · 6.6×
7
MS_DRG 		Lung Transplant 19 $97,587.33 $196,235.40 $110,846.49 nat. median
$70,649
1.6× median
Q0480
HCPCS 		Pr Driver Pneumatic Vad, Rep 15 $49,823.78 $227,221.60 $109,304.56 nat. median
$108,243
1.0× median
7
APR_DRG 		Allogeneic Bone Marrow Transplant 10 $49,517.54 $347,482.75 $107,128.84 nat. median
$138,620
0.8× median
632
MS_DRG 		Neonate, Birth Weight 750-999 Grams, Died 1 $101,459.95 $101,459.95 $101,459.95 nat. median
$64,378
1.6× median
4
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 11 $36,462.50 $331,814.31 $100,655.81 nat. median
$159,438
0.6× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 20 $80,281.98 $261,714.74 $94,870.42 nat. median
$74,509
1.3× median
K1007
HCPCS 		Pr Bil Hkaf Pc S/d Micro Sensor 15 $43,765.24 $189,789.20 $94,614.95 nat. median
$95,583
1.0× median

Other procedures at this hospital

Browse this hospital's 19,306 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
             
0100 RC All-inclusive Room And Board Plus Ancillary 3 2 — — $63,685.13 $63,685.13 $63,685.13 2026-04-14
0171 RC Newborn - Level I 4 3 — — $534.03 $53,582.64 $53,582.64 2026-04-14
0173 RC Newborn - Level Iii 22 5 — — $747.23 $116,235.00 $35,725.53 2026-04-14
0174 RC Newborn - Level IV 19 3 — — $907.13 $189,616.00 $29,530.85 2026-04-14
0192 RC Sub-acute Care - Level Ii 3 2 — — $133,938.00 $133,938.00 $133,938.00 2026-04-14
0424T CPT Pr Insj/rplc Nstim System Sleep Apnea Complete 2 1 — — $53,680.50 $53,680.50 $53,680.50 2026-04-14
0427T CPT Pr Insj/rplc Nstim System Sleep Apnea Pls Generator 2 1 — — $28,653.87 $28,653.87 $28,653.87 2026-04-14
0431T CPT Pr Rmvl/rplc Nstim System Sleep Apnea Pls Generator 2 1 — — $28,653.87 $28,653.87 $28,653.87 2026-04-14
0620T CPT Pr Endovascular Venous Arterialization Tibl/prnl Vn 48 15 $4,242.00 $763.56 82% off $3,953.64 $41,506.27 $34,459.72 2026-04-14
0674T CPT Pr Laps Insj New/rplcmt Perm Isdss Agmntj Car Funcj 43 15 — — $14,408.75 $895,513.69 $34,811.75 2026-04-14
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 55 21 — — $148,509.02 $484,131.09 $244,632.95 2026-04-14
1 APR_DRG Liver Transplant And/or Intestinal Transplant 75 11 — — $31,581.40 $328,514.10 $83,473.88 2026-04-14
10 MS_DRG Pancreas Transplant 39 20 — — $40,419.13 $178,902.00 $67,949.94 2026-04-14
11 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 60 10 — — $62,026.03 $590,584.43 $212,959.64 2026-04-14
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 54 20 — — $31,051.48 $101,226.09 $46,991.47 2026-04-14
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 54 20 — — $25,246.98 $82,303.74 $35,737.42 2026-04-14
130 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 75 11 — — $17,576.71 $102,124.10 $36,808.99 2026-04-14
14 MS_DRG Allogeneic Bone Marrow Transplant 41 20 — — $96,235.57 $309,042.31 $111,658.11 2026-04-14
140 MS_DRG Major Head And Neck Procedures With Mcc 54 20 — — $4,766.12 $96,913.44 $36,730.03 2026-04-14
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 54 20 — — $17,874.30 $58,269.21 $28,676.17 2026-04-14
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 41 20 — — $45,071.39 $280,947.53 $51,867.40 2026-04-14
160 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 80 11 — — $16,121.46 $252,830.09 $50,199.32 2026-04-14
161 APR_DRG Implantable Heart Assist Systems 65 11 — — $20,569.70 $440,430.15 $158,745.96 2026-04-14
162 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 80 11 — — $17,740.17 $169,912.04 $54,458.36 2026-04-14
163 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 80 11 — — $15,498.88 $148,679.72 $45,397.73 2026-04-14
163 MS_DRG Major Chest Procedures With Mcc 54 20 — — $24,399.72 $79,541.71 $39,900.19 2026-04-14
165 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 80 11 — — $20,155.67 $133,573.01 $45,947.49 2026-04-14
166 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 80 11 — — $15,391.28 $119,079.86 $39,360.94 2026-04-14
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 54 20 — — $19,643.15 $64,035.56 $33,447.00 2026-04-14
167 APR_DRG Other Cardiothoracic And Thoracic Circulatory Procedures 80 11 — — $12,429.54 $130,876.34 $35,122.43 2026-04-14
169 APR_DRG Major Abdominal Vascular Procedures 80 11 — — $9,137.82 $106,168.27 $34,487.07 2026-04-14
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 42 20 — — $45,071.39 $338,308.00 $51,930.07 2026-04-14
178 APR_DRG External Heart Assist Devices 60 10 — — $30,131.13 $141,382.16 $56,537.37 2026-04-14
179 APR_DRG Defibrillator Implants 60 10 — — $22,545.77 $117,526.73 $44,356.76 2026-04-14
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 39 19 — — $281,608.97 $566,278.91 $321,401.55 2026-04-14
183 APR_DRG Percutaneous Structural Cardiac Procedures 60 10 — — $24,597.58 $127,245.11 $45,844.21 2026-04-14
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 38 19 — — $59,194.33 $119,032.07 $67,558.74 2026-04-14
2 APR_DRG Heart And/or Lung Transplant 80 11 — — $62,002.19 $590,193.22 $155,105.74 2026-04-14
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 52 19 — — $70,224.89 $307,603.26 $82,124.95 2026-04-14
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 54 20 — — $57,093.70 $186,122.26 $70,393.69 2026-04-14
20 APR_DRG Open Craniotomy For Trauma 80 11 — — $9,149.60 $100,365.33 $29,742.85 2026-04-14
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 54 20 — — $42,036.18 $137,035.60 $56,483.50 2026-04-14
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 54 20 — — $39,881.32 $140,742.54 $46,639.48 2026-04-14
21 APR_DRG Open Craniotomy Except Trauma 80 11 — — $9,705.57 $114,883.55 $34,987.83 2026-04-14
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 54 20 — — $80,281.98 $261,714.74 $94,870.42 2026-04-14
215 MS_DRG Other Heart Assist System Implant 55 20 — — $39,761.95 $159,088.84 $92,013.55 2026-04-14
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 55 20 — — $50,969.62 $166,158.09 $83,816.38 2026-04-14
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 55 20 — — $33,437.20 $113,915.82 $56,084.30 2026-04-14
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 55 20 — — $30,367.72 $113,915.82 $51,669.57 2026-04-14
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 55 20 — — $35,220.91 $116,183.42 $67,197.98 2026-04-14
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 55 20 — — $27,669.86 $90,202.18 $45,999.83 2026-04-14
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 56 21 — — $21,991.70 $82,303.58 $39,889.46 2026-04-14
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 1 1 — — $113,915.82 $113,915.82 $113,915.82 2026-04-14
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 1 1 — — $113,915.82 $113,915.82 $113,915.82 2026-04-14
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 1 1 — — $113,915.82 $113,915.82 $113,915.82 2026-04-14
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 1 1 — — $113,915.82 $113,915.82 $113,915.82 2026-04-14
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 1 1 — — $82,303.58 $82,303.58 $82,303.58 2026-04-14
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 1 1 — — $82,303.58 $82,303.58 $82,303.58 2026-04-14
228 MS_DRG Other Cardiothoracic Procedures With Mcc 55 20 — — $37,210.87 $124,121.89 $43,516.49 2026-04-14
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 54 20 — — $31,809.56 $103,697.38 $49,683.49 2026-04-14
23 APR_DRG Spinal Procedures 80 11 — — $8,408.66 $104,750.56 $31,120.72 2026-04-14
230 MS_DRG Other Cardiothoracic Procedures Without Cc/mcc 1 1 — — $79,539.07 $79,539.07 $79,539.07 2026-04-14
231 MS_DRG Coronary Bypass With Ptca With Mcc 55 20 — — $52,634.42 $171,585.25 $73,593.81 2026-04-14
232 MS_DRG Coronary Bypass With Ptca Without Mcc 55 20 — — $35,451.31 $115,569.28 $53,344.80 2026-04-14
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 55 20 — — $36,343.16 $118,476.68 $67,882.38 2026-04-14
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 56 21 — — $28,353.61 $92,431.19 $46,337.57 2026-04-14
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 55 20 — — $27,773.91 $90,541.38 $51,102.42 2026-04-14
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 56 21 — — $21,768.74 $70,964.87 $35,810.57 2026-04-14
237 MS_DRG Major Cardiovasc Procedures W Mcc 2 2 — — $68,062.35 $76,002.00 $72,032.18 2026-04-14
238 MS_DRG Major Cardiovasc Procedures Without Mcc 1 1 — — $37,753.73 $37,753.73 $37,753.73 2026-04-14
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 54 20 — — $23,701.09 $77,264.24 $43,538.98 2026-04-14
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 54 20 — — $22,608.57 $73,702.67 $33,107.24 2026-04-14
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 55 20 — — $19,598.55 $63,890.19 $29,622.90 2026-04-14
245 MS_DRG Aicd Generator Procedures 54 20 — — $35,785.75 $116,659.55 $42,557.61 2026-04-14
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 1 1 — — $40,795.58 $40,795.58 $40,795.58 2026-04-14
247 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent Without Mcc 1 1 — — $30,336.63 $30,336.63 $30,336.63 2026-04-14
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 1 1 — — $38,368.61 $38,368.61 $38,368.61 2026-04-14
249 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent Without Mcc 1 1 — — $30,336.63 $30,336.63 $30,336.63 2026-04-14
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 55 20 — — $23,292.33 $75,931.68 $38,840.55 2026-04-14
252 MS_DRG Other Vascular Procedures With Mcc 54 20 — — $21,917.38 $71,449.43 $29,792.23 2026-04-14
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 54 20 — — $21,508.61 $70,116.87 $29,670.58 2026-04-14
264 MS_DRG Other Circulatory System O.r. Procedures 54 20 — — $13,697.43 $52,481.51 $30,212.33 2026-04-14
265 MS_DRG Aicd Lead Procedures 54 20 — — $25,811.82 $84,145.09 $31,064.92 2026-04-14
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 54 20 — — $33,065.59 $107,791.97 $52,171.71 2026-04-14
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 53 19 — — $29,780.58 $97,083.04 $40,978.36 2026-04-14
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 54 20 — — $13,795.51 $133,425.58 $57,906.47 2026-04-14
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 53 19 — — $21,746.44 $70,892.18 $36,134.22 2026-04-14
27 APR_DRG Other Open Craniotomy 60 10 — — $12,259.02 $96,688.96 $32,912.91 2026-04-14
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 53 19 — — $26,450.99 $86,228.73 $44,579.78 2026-04-14
271 MS_DRG Other Major Cardiovascular Procedures With Cc 53 19 — — $21,464.02 $69,971.50 $29,915.56 2026-04-14
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 54 20 — — $27,253.66 $88,845.40 $34,053.06 2026-04-14
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 54 20 — — $46,019.81 $150,022.01 $61,374.50 2026-04-14
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 54 20 — — $34,445.35 $129,282.53 $53,796.60 2026-04-14
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 54 20 — — $30,605.55 $99,772.39 $40,517.04 2026-04-14
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 54 20 — — $29,835.57 $111,353.54 $43,451.57 2026-04-14
28 MS_DRG Spinal Procedures With Mcc 55 20 — — $30,360.29 $98,972.85 $52,305.21 2026-04-14
29 APR_DRG Other Percutaneous Intracranial Procedures 60 10 — — $12,287.94 $81,988.51 $29,658.78 2026-04-14
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 55 20 — — $17,614.17 $57,421.21 $29,152.13 2026-04-14
299 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 60 10 — — $25,118.21 $145,680.45 $54,957.85 2026-04-14
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 54 20 — — $110,954.42 $361,705.19 $186,127.19 2026-04-14
3 APR_DRG Bone Marrow Transplant 20 1 — — $33,950.27 $280,840.95 $65,850.88 2026-04-14
30 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 60 10 — — $10,650.71 $87,635.97 $31,523.88 2026-04-14
300 APR_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 60 10 — — $18,897.71 $111,136.97 $38,153.36 2026-04-14
303 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 80 11 — — $22,647.52 $169,091.16 $54,538.30 2026-04-14
304 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 80 11 — — $15,711.02 $119,250.39 $40,269.54 2026-04-14
31 MS_DRG Ventricular Shunt Procedures With Mcc 54 20 — — $20,475.55 $66,749.13 $36,223.85 2026-04-14
312 APR_DRG Skin Graft For Musculoskeletal And Connective Tissue Diagnoses 80 11 — — $6,245.77 $112,814.84 $28,364.07 2026-04-14
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 53 20 — — $45,975.22 $149,876.63 $54,023.37 2026-04-14
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 1 1 — — $36,191.62 $36,191.62 $36,191.62 2026-04-14
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 54 20 — — $32,262.92 $105,175.31 $38,255.25 2026-04-14
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 54 20 — — $29,015.07 $94,587.52 $37,094.32 2026-04-14
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 54 20 — — $27,164.47 $88,554.66 $44,143.87 2026-04-14
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 54 20 — — $21,404.56 $69,777.68 $39,693.82 2026-04-14
332 MS_DRG Rectal Resection With Mcc 54 20 — — $25,901.76 $91,074.41 $30,290.99 2026-04-14
33287 CPT Hc Rmvl&rplcmt Phrenic Nrv Stimulator Pls Generator 78 16 $146,273.00 $119,943.86 $21.52 $895,513.69 $30,002.76 2026-04-14
335 MS_DRG Peritoneal Adhesiolysis With Mcc 54 20 — — $16,714.88 $54,489.58 $31,327.49 2026-04-14
34 MS_DRG Carotid Artery Stent Procedures With Mcc 54 20 — — $29,038.20 $94,999.40 $33,865.81 2026-04-14
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 54 20 — — $20,743.10 $67,621.35 $36,873.06 2026-04-14
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 1 1 — — $115,325.86 $115,325.86 $115,325.86 2026-04-14
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 1 1 — — $62,780.59 $62,780.59 $62,780.59 2026-04-14
361 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 1 1 — — $42,558.63 $42,558.63 $42,558.63 2026-04-14
362 MS_DRG Cardiac Defibrillator Implant Without Mcc 1 1 — — $39,694.21 $39,694.21 $39,694.21 2026-04-14
363 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 1 1 — — $29,515.57 $29,515.57 $29,515.57 2026-04-14
364 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 1 1 — — $32,273.03 $32,273.03 $32,273.03 2026-04-14
365 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 1 — — $88,388.55 $88,388.55 $88,388.55 2026-04-14
366 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 1 — — $67,270.60 $67,270.60 $67,270.60 2026-04-14
367 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 1 — — $51,547.80 $51,547.80 $51,547.80 2026-04-14
37 MS_DRG Extracranial Procedures With Mcc 55 20 — — $19,983.81 $68,542.03 $28,841.19 2026-04-14
396 MS_DRG Major Head And Neck Procedures With Mcc 1 1 — — $39,461.07 $39,461.07 $39,461.07 2026-04-14
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 54 20 — — $73,816.01 $240,636.07 $123,053.46 2026-04-14
4 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 75 11 — — $36,462.50 $331,814.31 $100,655.81 2026-04-14
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 55 20 — — $10,746.23 $62,291.11 $32,759.12 2026-04-14
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 53 20 — — $11,277.59 $63,865.96 $34,126.18 2026-04-14
403 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 1 1 — — $49,308.73 $49,308.73 $49,308.73 2026-04-14
404 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 1 1 — — $35,761.91 $35,761.91 $35,761.91 2026-04-14
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 54 20 — — $32,203.46 $104,981.48 $47,147.15 2026-04-14
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 54 20 — — $25,284.14 $82,424.88 $30,575.69 2026-04-14
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 54 20 — — $23,054.50 $75,156.37 $30,513.62 2026-04-14
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 54 20 — — $24,838.21 $80,971.18 $30,736.58 2026-04-14
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 54 20 — — $26,019.92 $84,823.49 $35,421.27 2026-04-14
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 53 20 — — $18,566.20 $157,397.97 $90,184.78 2026-04-14
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 53 20 — — $13,918.02 $106,598.32 $61,654.17 2026-04-14
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 53 20 — — $10,575.43 $85,792.62 $47,814.18 2026-04-14
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 53 20 — — $61,984.05 $202,064.52 $72,834.61 2026-04-14
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 53 20 — — $27,922.55 $91,025.95 $47,509.33 2026-04-14
440 APR_DRG Kidney Transplant 80 11 — — $18,989.94 $166,376.10 $54,831.89 2026-04-14
441 APR_DRG Major Bladder Procedures 80 11 — — $6,560.90 $93,530.87 $28,847.69 2026-04-14
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 53 20 — — $31,363.63 $102,243.68 $58,227.82 2026-04-14
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 53 20 — — $19,769.49 $64,447.44 $35,463.72 2026-04-14
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 53 20 — — $26,384.10 $86,010.68 $44,726.56 2026-04-14
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 1 1 — — $74,407.94 $74,407.94 $74,407.94 2026-04-14
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 2 2 — — $51,357.71 $96,340.00 $73,848.85 2026-04-14
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 2 2 — — $38,672.58 $78,440.00 $58,556.29 2026-04-14
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 54 20 — — $50,657.47 $165,140.50 $73,552.12 2026-04-14
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 54 20 — — $36,841.12 $120,099.98 $50,119.64 2026-04-14
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 54 20 — — $32,243.35 $108,567.28 $37,707.19 2026-04-14
459 MS_DRG Spinal Fusion Except Cervical With Mcc 1 1 — — $55,690.49 $55,690.49 $55,690.49 2026-04-14
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 2 2 — — $30,714.87 $37,500.00 $34,107.43 2026-04-14
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 55 20 — — $42,268.57 $154,770.76 $52,315.16 2026-04-14
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 54 20 — — $27,119.88 $88,409.29 $47,035.89 2026-04-14
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 55 20 — — $23,953.79 $78,088.00 $43,831.89 2026-04-14
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 55 20 — — $15,823.03 $51,582.18 $29,746.20 2026-04-14
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 56 21 — — $16,506.78 $53,811.19 $28,466.08 2026-04-14
471 MS_DRG Cervical Spinal Fusion With Mcc 54 20 — — $22,236.96 $72,935.62 $41,987.26 2026-04-14
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 54 20 — — $21,248.49 $69,268.88 $38,948.25 2026-04-14
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 54 20 — — $18,134.42 $59,117.20 $29,866.93 2026-04-14
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 54 20 — — $17,272.29 $56,306.71 $30,841.41 2026-04-14
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 54 20 — — $20,450.53 $86,640.62 $30,574.78 2026-04-14
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 39 20 — — $79,520.70 $279,535.00 $90,757.31 2026-04-14
5 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 80 11 — — $21,174.28 $231,154.73 $71,158.45 2026-04-14
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 55 21 — — $15,674.38 $53,816.48 $31,126.29 2026-04-14
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 54 20 — — $43,522.61 $141,881.28 $53,629.64 2026-04-14
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 54 20 — — $20,720.24 $78,863.31 $30,091.87 2026-04-14
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 54 20 — — $40,287.57 $132,601.81 $47,114.56 2026-04-14
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 54 20 — — $13,615.68 $48,940.59 $28,306.18 2026-04-14
583 APR_DRG Neonate With Ecmo 75 11 — — $73,374.63 $1,031,465.97 $264,320.57 2026-04-14
588 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 70 11 — — $98,918.30 $631,753.39 $203,952.60 2026-04-14
591 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 80 11 — — $20,512.04 $414,272.60 $137,881.38 2026-04-14
593 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 80 11 — — $55,354.69 $364,226.19 $118,807.07 2026-04-14
6 APR_DRG Pancreas Transplant 75 11 — — $25,904.40 $214,585.17 $74,506.80 2026-04-14
6 MS_DRG Liver Transplant Without Mcc 38 19 — — $36,210.20 $72,813.98 $41,326.85 2026-04-14
602 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 80 11 — — $33,269.28 $274,383.40 $84,976.79 2026-04-14
603 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 80 11 — — $5,464.25 $200,687.19 $54,043.28 2026-04-14
607 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 80 11 — — $27,985.92 $212,099.15 $67,139.38 2026-04-14
608 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 80 11 — — $14,992.95 $120,974.05 $42,600.05 2026-04-14
608 MS_DRG Bpd And Other Chronic Respiratory Diseases Arising In Perinatal Period 1 1 — — $33,823.64 $33,823.64 $33,823.64 2026-04-14
609 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 80 11 — — $18,281.27 $440,159.31 $61,366.30 2026-04-14
611 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 80 11 — — $10,927.30 $176,405.45 $39,695.81 2026-04-14
612 MS_DRG Neonate, Birth Weight <750 Grams, Discharged Alive 1 1 — — $285,105.09 $285,105.09 $285,105.09 2026-04-14
612 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 80 11 — — $16,764.56 $138,961.34 $43,706.69 2026-04-14
613 MS_DRG Neonate, Birth Weight <750 Grams, Died 1 1 — — $39,972.15 $39,972.15 $39,972.15 2026-04-14
613 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 80 11 — — $12,851.36 $174,783.77 $33,714.22 2026-04-14
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 54 20 — — $16,997.30 $58,037.65 $33,410.86 2026-04-14
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 54 20 — — $14,931.17 $56,222.14 $32,517.67 2026-04-14
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 54 20 — — $16,967.58 $59,260.00 $34,274.70 2026-04-14
630 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 80 11 — — $17,672.02 $383,938.81 $58,492.32 2026-04-14
631 MS_DRG Neonate, Birth Weight 750-999 Grams, Discharged Alive 1 1 — — $206,732.43 $206,732.43 $206,732.43 2026-04-14
631 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 80 11 — — $5,176.82 $423,354.01 $42,607.23 2026-04-14
632 MS_DRG Neonate, Birth Weight 750-999 Grams, Died 1 1 — — $101,459.95 $101,459.95 $101,459.95 2026-04-14
633 MS_DRG Neonate, Birth Weight 1000-1499 Grams, With Significant O.r. Procedures, Dischar… 1 1 — — $311,127.21 $311,127.21 $311,127.21 2026-04-14
634 MS_DRG Neonate, Birth Weight 1000-1499 Grams, Without Significant O.r. Procedures, Disc… 1 1 — — $111,517.90 $111,517.90 $111,517.90 2026-04-14
635 MS_DRG Neonate, Birth Weight 1000-1499 Grams, Died 1 1 — — $62,067.45 $62,067.45 $62,067.45 2026-04-14
636 MS_DRG Neonate, Birth Weight 1500-1999 Grams, With Significant O.r. Procedures, With Mu… 1 1 — — $182,813.14 $182,813.14 $182,813.14 2026-04-14
646 MS_DRG Neonate, Birth Weight 1500-1999 Grams, With Significant O.r. Procedures, Without… 1 1 — — $57,914.81 $57,914.81 $57,914.81 2026-04-14
647 MS_DRG Neonate, Birth Weight 1500-1999 Grams, Without Significant O.r. Procedures, With… 1 1 — — $62,197.28 $62,197.28 $62,197.28 2026-04-14
648 MS_DRG Neonate, Birth Weight 1500-1999 Grams, Without Significant O.r. Procedures, With… 1 1 — — $43,356.80 $43,356.80 $43,356.80 2026-04-14
649 MS_DRG Neonate, Birth Weight 1500-1999 Grams, Without Significant O.r. Procedures, With… 1 1 — — $30,553.28 $30,553.28 $30,553.28 2026-04-14
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 38 19 — — $24,192.66 $69,181.47 $39,078.18 2026-04-14
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 38 19 — — $25,929.40 $123,730.80 $29,593.33 2026-04-14
653 MS_DRG Major Bladder Procedures With Mcc 54 20 — — $33,400.33 $132,722.96 $48,413.46 2026-04-14
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 54 20 — — $17,970.91 $58,584.17 $28,294.02 2026-04-14
665 MS_DRG Prostatectomy With Mcc 54 20 — — $23,500.43 $76,610.07 $29,902.24 2026-04-14
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 54 20 — — $18,030.37 $62,919.55 $36,221.25 2026-04-14
676 MS_DRG Neonate, Birth Weight 2000-2499 Grams, With Significant O.r. Procedures, Without… 1 1 — — $29,524.71 $29,524.71 $29,524.71 2026-04-14
677 MS_DRG Neonate, Birth Weight 2000-2499 Grams, Without Significant O.r. Procedures, With… 1 1 — — $41,069.28 $41,069.28 $41,069.28 2026-04-14
680 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 80 11 — — $7,091.76 $123,319.64 $28,687.93 2026-04-14
681 MS_DRG Neonate, Birth Weight >2499 Grams, With Significant O.r. Procedures, With Multip… 1 1 — — $124,518.91 $124,518.91 $124,518.91 2026-04-14
690 APR_DRG Acute Leukemia 80 11 — — $6,849.39 $110,232.51 $33,658.32 2026-04-14
691 MS_DRG Urinary Stones W Esw Lithotripsy W Cc/mcc 1 1 — — $48,043.38 $48,043.38 $48,043.38 2026-04-14
692 MS_DRG Urinary Stones W Esw Lithotripsy Without Cc/mcc 1 1 — — $29,537.51 $29,537.51 $29,537.51 2026-04-14
7 MS_DRG Lung Transplant 38 19 — — $97,587.33 $196,235.40 $110,846.49 2026-04-14
7 APR_DRG Allogeneic Bone Marrow Transplant 60 10 — — $49,517.54 $347,482.75 $107,128.84 2026-04-14
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 54 20 — — $29,402.63 $97,664.52 $34,196.54 2026-04-14
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 54 20 — — $28,182.67 $91,873.94 $34,668.80 2026-04-14
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 52 20 — — $6,715.36 $158,090.05 $51,776.32 2026-04-14
791 MS_DRG Prematurity With Major Problems 52 20 — — $2,651.40 $60,968.89 $35,098.31 2026-04-14
793 MS_DRG Full Term Neonate With Major Problems 52 20 — — $6,168.68 $62,628.22 $35,207.22 2026-04-14
799 MS_DRG Splenic Procedures With Mcc 54 20 — — $22,452.49 $73,193.88 $41,407.99 2026-04-14
8 APR_DRG Autologous Bone Marrow Transplant 60 10 — — $25,992.56 $154,549.54 $53,320.27 2026-04-14
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 39 20 — — $40,630.34 $227,821.00 $46,371.58 2026-04-14
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 54 20 — — $26,532.74 $86,495.25 $31,219.08 2026-04-14
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 54 20 — — $35,376.99 $115,326.99 $50,669.05 2026-04-14
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 54 20 — — $26,636.79 $86,834.44 $40,752.18 2026-04-14
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 54 20 — — $35,659.83 $117,047.21 $41,588.28 2026-04-14
834 MS_DRG Acute Leukemia With Mcc 54 20 — — $41,273.31 $164,970.90 $48,267.34 2026-04-14
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 54 20 — — $23,440.97 $76,416.25 $43,485.44 2026-04-14
841 APR_DRG Extensive Third Degree Burns With Skin Graft 65 11 — — $27,500.05 $391,773.03 $67,255.56 2026-04-14
842 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 80 11 — — $11,043.47 $219,336.52 $32,728.76 2026-04-14
850 MS_DRG Acute Leukemia With Other Procedures 53 20 — — $68,457.44 $223,167.42 $80,443.82 2026-04-14
851 APR_DRG Gender Related Procedures 45 10 — — $13,210.50 $202,394.14 $32,989.05 2026-04-14
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 54 20 — — $25,209.82 $82,182.60 $43,397.19 2026-04-14
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 54 20 — — $20,401.22 $67,744.38 $38,998.79 2026-04-14
863 APR_DRG Neonatal Aftercare 80 11 — — $4,665.50 $172,531.80 $28,474.15 2026-04-14
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 54 20 — — $38,647.13 $125,987.47 $60,585.69 2026-04-14
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 54 20 — — $26,792.86 $87,343.24 $34,127.92 2026-04-14
89 APR_DRG Major Cranial Or Facial Bone Procedures 80 11 — — $6,986.21 $100,305.14 $28,863.53 2026-04-14
9 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 60 10 — — $38,438.99 $431,763.35 $118,690.65 2026-04-14
901 MS_DRG Wound Debridements For Injuries With Mcc 54 20 — — $23,834.87 $77,700.35 $38,477.51 2026-04-14
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 54 20 — — $21,716.71 $70,795.27 $33,625.43 2026-04-14
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 54 20 — — $20,416.09 $66,555.30 $34,436.12 2026-04-14
910 APR_DRG Craniotomy For Multiple Significant Trauma 75 11 — — $16,727.80 $126,870.62 $36,803.89 2026-04-14
911 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 75 11 — — $9,589.25 $120,673.12 $31,461.04 2026-04-14
912 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 80 11 — — $12,113.39 $112,200.26 $31,150.36 2026-04-14
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 54 20 — — $150,182.44 $525,658.50 $175,631.84 2026-04-14
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 54 20 — — $17,502.69 $100,288.35 $56,378.32 2026-04-14
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 54 20 — — $24,154.46 $78,742.17 $37,682.18 2026-04-14
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 54 20 — — $21,144.44 $68,929.68 $31,687.36 2026-04-14
955 MS_DRG Craniotomy For Multiple Significant Trauma 54 20 — — $44,459.06 $144,934.05 $59,465.69 2026-04-14
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 54 20 — — $28,543.09 $115,278.54 $33,379.91 2026-04-14
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 54 20 — — $42,638.19 $138,998.10 $64,824.29 2026-04-14
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 54 20 — — $24,637.54 $80,317.01 $35,790.54 2026-04-14
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 54 20 — — $47,225.07 $160,076.77 $55,227.67 2026-04-14
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 54 20 — — $22,950.45 $74,817.18 $31,134.98 2026-04-14
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 54 20 — — $29,133.99 $94,975.17 $41,406.25 2026-04-14
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 54 20 — — $19,197.22 $62,581.85 $30,424.52 2026-04-14
A9543 HCPCS Pr Y90 Ibritumomab, Rx 68 15 — — $32,895.73 $119,331.55 $61,086.39 2026-04-14
C1722 HCPCS Icd,ellipse Vr Df4 Cd1411-36q 1 1 $58,200.00 $10,476.00 82% off $29,179.00 $29,179.00 $29,179.00 2026-04-14
C9301 HCPCS Pr Obecabtagene Car Pos T 11 1 — — $589,050.00 $589,050.00 $589,050.00 2026-04-14
C9760 HCPCS Pr Non-blind Interatrial Shunt 45 15 — — $13,002.99 $808,144.83 $31,415.42 2026-04-14
J1411 HCPCS Pr Inj, Hemgenix, Per Tx Dose 43 14 — — $2,133,400.87 $4,978,505.00 $3,927,000.00 2026-04-14
J1413 HCPCS Pr Inj Delandistrogene Mox Rokl 44 14 — — $1,924,594.67 $4,551,776.00 $3,557,291.93 2026-04-14
J1414 HCPCS Pr Inj, Beqvez, Per Tx Dose 43 14 — — $2,147,719.00 $4,978,505.00 $3,927,000.00 2026-04-14
J3391 HCPCS Pr Injection, Atidarsagene Autotemcel, Per Treatment 26 14 — — $2,534,134.75 $4,826,193.75 $4,530,712.50 2026-04-14
J3392 HCPCS Pr Inj, Exagamglogene Autotem 56 15 — — $1,349,994.80 $4,897,200.00 $2,468,400.00 2026-04-14
J3393 HCPCS Pr Inj, Betibeglogene Autotemce 47 14 — — $1,708,152.51 $4,876,599.85 $3,141,600.00 2026-04-14
J3394 HCPCS Pr Inj, Lovotibeglogene Autotem 44 14 — — $1,887,998.41 $4,435,768.94 $3,478,200.00 2026-04-14
J3399 HCPCS Pr Inj Onase Abepar-xioi Treat 53 14 — — $1,419,529.72 $4,992,507.36 $2,554,248.40 2026-04-14
J7330 HCPCS Pr Cultured Chondrocytes Implnt 16 4 — — $61,878.30 $109,844.80 $73,852.28 2026-04-14
J9029 HCPCS Pr Instill Adstiladrin, Tx Dose 63 16 — — $36,720.24 $634,310.53 $75,172.14 2026-04-14
J9226 HCPCS Supprelin La Implant 64 16 — — $27,682.49 $455,603.91 $56,301.78 2026-04-14
J9266 HCPCS Pr Pegaspargase/singl Dose Vial 64 16 — — $12,019.33 $284,240.59 $32,586.80 2026-04-14
K1007 HCPCS Pr Bil Hkaf Pc S/d Micro Sensor 56 15 — — $43,765.24 $189,789.20 $94,614.95 2026-04-14
L2006 HCPCS Pr Kaf Sng/dbl Swg/stn Mcpr Cus 56 15 — — $17,760.34 $77,018.24 $38,395.63 2026-04-14
L5856 HCPCS Pr Elec Knee-shin Swing/stance 57 15 — — $13,280.05 $66,352.00 $29,134.09 2026-04-14
L6700 HCPCS Pr Terminal Device Model #3 53 15 — — $13,583.37 $58,904.66 $30,088.82 2026-04-14
L6880 HCPCS Pr Hand Bock Vo 56 15 — — $13,217.35 $57,317.39 $28,574.24 2026-04-14
L7180 HCPCS Pr Electronic Elbow Sequential 57 15 — — $19,675.44 $85,323.08 $43,164.43 2026-04-14
L7181 HCPCS Pr Electronic Elbo Simultaneous 57 15 — — $22,165.69 $124,394.90 $48,627.61 2026-04-14
L8701 HCPCS Pr Pow Ue Rom Dev Ewh Uprt Cust 56 15 — — $16,096.54 $69,803.12 $34,798.71 2026-04-14
L8702 HCPCS Pr Pow Ue Rom Dev Ewhf Uprt Cus 56 15 — — $31,669.02 $137,333.62 $68,464.45 2026-04-14
Q0480 HCPCS Pr Driver Pneumatic Vad, Rep 57 15 — — $49,823.78 $227,221.60 $109,304.56 2026-04-14
Q2041 HCPCS Pr Axicabtagene Ciloleucel Car+ 60 16 — — $308,597.97 $1,119,460.60 $554,399.54 2026-04-14
Q2042 HCPCS Pr Tisagenlecleucel Car-pos T 60 16 — — $334,792.10 $1,214,481.62 $601,457.56 2026-04-14
Q2043 HCPCS Pr Sipuleucel-t Auto Cd54+ 63 16 — — $32,387.12 $559,459.71 $66,301.57 2026-04-14
Q2053 HCPCS Pr Brexucabtagene Car Pos T 62 16 — — $283,498.91 $4,897,200.00 $511,757.40 2026-04-14
Q2054 HCPCS Pr Lisocabtagene Mara Car Pos T 60 16 — — $313,552.88 $1,137,434.88 $621,067.39 2026-04-14
Q2055 HCPCS Pr Idecabtagene Vicleucel Car 60 16 — — $313,335.67 $1,136,646.94 $627,342.22 2026-04-14
Q2056 HCPCS Pr Ciltacabtagene Car-pos T 60 16 — — $320,351.00 $1,162,095.54 $649,369.05 2026-04-14
Q2057 HCPCS Pr Afamitresgene Autoleucel 57 16 — — $446,111.92 $1,618,302.00 $815,694.00 2026-04-14
Q2058 HCPCS Pr Obecabtagene Autoleucel, 10 Up To 400 Million Cd19 Car-positive Viable T Cell… 42 15 — — $156,520.09 $567,787.50 $287,949.38 2026-04-14
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