Price Transparency Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

Export CSV
Hospital

BRYN MAWR HOSPITAL

Bryn Mawr, PA · CCN 390139 · Rates published

13,726 distinct procedures filed
31 distinct payers
492,436 rate rows
2026-04-01 last MRF observed
Data quality

370,159 of 492,436 rate rows are consumer-grade (75.2%)

122,277 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 121,767
placeholder amount (≤ $0.02) — excluded from medians 510
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.mainlinehealth.org/-/media/files/pdf/basic-content/patient-services/patient-billing/price-transparency/2026/231352160_the-bryn-mawr-hospital_standardcharges.csv
Found on page https://www.mainlinehealth.org/patient-services/patient-billing/price-transparency
Discovered viaCMS hospital list
Last fetch success · 2026-06-08
Content fingerprint 1e1b51e5a555db93… · 60,625,926 bytes · first seen 2026-06-08

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
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 10 $269,934.17 $739,657.75 $621,312.51 nat. median
$754,974
0.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 10 $341,000.00 $707,336.18 $594,162.39 nat. median
$675,122
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 10 $361,064.00 $703,172.73 $590,665.09 nat. median
$674,188
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 10 $369,160.00 $696,647.42 $585,183.83 nat. median
$625,184
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 10 $269,934.17 $666,537.71 $559,891.68 nat. median
$634,511
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 10 $489,304.61 $611,630.76 $538,235.07 nat. median
$620,080
0.9× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 15 $341,006.06 $1,480,646.55 $412,318.29 nat. median
$370,174
1.1× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 15 $213,534.74 $961,283.91 $272,694.01 nat. median
$265,286
1.0× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 15 $168,600.69 $732,645.01 $207,834.44 nat. median
$206,368
1.0× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 16 $82,797.00 $915,099.30 $203,299.40 nat. median
$202,986
1.0× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 16 $78,887.74 $475,716.59 $134,949.79 nat. median
$133,176
1.0× median
7
MS_DRG 		Lung Transplant 15 $102,265.18 $444,840.37 $126,190.92 nat. median
$122,708
1.0× median
455
MS_DRG 		Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 7 $78,295.20 $139,806.00 $121,984.12 nat. median
$48,483
outlier · 2.5×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 15 $94,902.99 $412,898.62 $117,129.79 nat. median
$117,303
1.0× median
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 1 $112,749.10 $112,749.10 $112,749.10 nat. median
$65,381
1.7× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 15 $89,484.99 $389,391.97 $110,461.49 nat. median
$108,660
1.0× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 2 $69,359.14 $150,643.80 $110,001.47 nat. median
$87,411
1.3× median
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 6 $103,977.10 $179,355.00 $107,428.24 nat. median
$62,270
1.7× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 15 $81,446.93 $373,710.59 $106,013.05 nat. median
$102,358
1.0× median
209
MS_DRG 		Complex Aortic Arch Procedures 14 $89,382.33 $388,946.59 $103,249.41 nat. median
$98,017
1.1× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 15 $81,419.99 $354,401.00 $100,535.37 nat. median
$100,136
1.0× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 $44,991.28 $378,750.44 $99,557.04 nat. median
$98,905
1.0× median
215
MS_DRG 		Other Heart Assist System Implant 15 $78,628.47 $357,325.00 $97,099.65 nat. median
$99,019
1.0× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 15 $54,416.82 $336,321.31 $95,406.58 nat. median
$93,672
1.0× median
230
MS_DRG 		Other Cardiothoracic Procedures Without Cc/mcc 1 $67,234.00 $94,350.00 $89,645.00 nat. median
$29,793
outlier · 3.0×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 15 $41,623.97 $309,830.54 $86,480.65 nat. median
$82,712
1.0× median
850
MS_DRG 		Acute Leukemia With Other Procedures 15 $68,382.37 $297,835.68 $84,489.09 nat. median
$83,442
1.0× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 15 $61,420.10 $289,969.29 $82,257.58 nat. median
$79,312
1.0× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 15 $61,284.32 $289,061.37 $82,000.02 nat. median
$81,118
1.0× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 15 $42,635.42 $270,745.34 $77,156.51 nat. median
$77,576
1.0× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 15 $51,181.72 $263,084.52 $74,117.48 nat. median
$73,807
1.0× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 15 $80.00 $262,217.71 $73,873.27 nat. median
$72,138
1.0× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 15 $47,908.53 $264,218.56 $73,749.33 nat. median
$74,915
1.0× median
J9029
HCPCS 		Inj, Adstiladrin, Per Tx Dos 10 $63,235.61 $125,536.04 $70,499.96 nat. median
$69,774
1.0× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 16 $51,152.43 $245,446.83 $70,266.37 nat. median
$68,887
1.0× median
10
MS_DRG 		Pancreas Transplant 15 $56,665.09 $246,998.85 $70,067.86 nat. median
$68,882
1.0× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 15 $56,641.40 $246,896.06 $70,038.70 nat. median
$64,027
1.1× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 15 $56,340.53 $245,590.72 $68,390.09 nat. median
$71,240
1.0× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 1 $68,066.13 $68,066.13 $68,066.13 nat. median
$76,377
0.9× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 $11,717.21 $248,468.68 $68,033.48 nat. median
$68,090
1.0× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 15 $37,020.95 $442,737.09 $67,789.78 nat. median
$65,950
1.0× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 18 $29,010.74 $237,957.33 $67,502.99 nat. median
$66,526
1.0× median
38240
HCPCS 		Transplt Allo Hct/donor 9 $1,676.43 $81,462.04 $67,450.57 nat. median
$15,912
outlier · 4.2×
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 15 $30,640.91 $231,766.31 $65,746.74 nat. median
$64,732
1.0× median
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 17 $28,087.78 $497,194.82 $65,563.58 nat. median
$52,278
1.3× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 15 $52,280.04 $230,070.39 $64,816.57 nat. median
$63,738
1.0× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 15 $49,391.85 $226,428.41 $64,232.50 nat. median
$64,510
1.0× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 15 $51,923.85 $226,428.41 $64,232.50 nat. median
$61,920
1.0× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 15 $23,987.51 $225,609.59 $63,559.85 nat. median
$59,793
1.1× median
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 15 $6,236.59 $230,238.26 $63,208.93 nat. median
$60,691
1.0× median

Other procedures at this hospital

Browse this hospital's 13,726 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
             
0408T HCPCS Insj/rplc Cardiac Modulj Sys 26 9 — — $9,355.00 $40,651.12 $34,797.36 2026-04-01
0409T HCPCS Insj/rplc Car Modulj Pls Gn 26 9 — — $9,355.00 $28,807.23 $24,658.99 2026-04-01
0414T HCPCS Rmvl & Rpl Car Modulj Pls Gn 26 9 — — $9,355.00 $28,807.23 $24,658.99 2026-04-01
0515T HCPCS Insj Wcs Lv Compl Sys 26 9 — — $6,180.00 $28,807.23 $24,658.99 2026-04-01
0571T HCPCS Insj/rplcmt Icds Ss Eltrd 26 9 — — $9,355.00 $40,651.12 $34,797.36 2026-04-01
0614T HCPCS Rmvl&rplcmt Ss Impl Dfb Pg 26 9 — — $8,017.00 $28,807.23 $24,658.99 2026-04-01
0620T HCPCS Evasc Ven Artlz Tibl/prnl Vn 26 9 — — $6,180.00 $57,043.76 $48,829.46 2026-04-01
0674T HCPCS Laps Insj Nw/rpcmt Prm Isdss 26 9 — — $4,845.00 $39,963.22 $34,208.52 2026-04-01
0686T HCPCS Histotripsy Mal Hepatcel Tis 28 9 — — $6,180.00 $44,367.51 $37,623.65 2026-04-01
0908T HCPCS Opn Imp Int Nstm Sys Vgs Nrv 32 9 — — $3,073.46 $39,963.22 $33,089.55 2026-04-01
0909T HCPCS Rplcmt Int Nstim Sys Vgs Nrv 32 9 — — $3,073.46 $39,963.22 $33,089.55 2026-04-01
0915T HCPCS Insj Perm Ccm-d Sys Pg&eltrd 26 9 — — $9,355.00 $40,651.12 $34,797.36 2026-04-01
0916T HCPCS Insj Perm Ccm-d Sys Pg Only 26 9 — — $4,845.00 $28,807.23 $24,658.99 2026-04-01
0923T HCPCS Rmvl&rplcmt Perm Ccm-d Pg 26 9 — — $4,845.00 $28,807.23 $24,658.99 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 64 15 — — $213,534.74 $961,283.91 $272,694.01 2026-04-01
10 MS_DRG Pancreas Transplant 61 15 — — $56,665.09 $246,998.85 $70,067.86 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 62 15 — — $43,069.95 $188,014.74 $53,335.43 2026-04-01
113 MS_DRG Orbital Procedures With Cc/Mcc 62 15 — — $18,566.17 $81,702.10 $23,177.00 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 61 15 — — $33,292.92 $145,595.87 $41,302.18 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 63 15 — — $9,113.70 $99,884.57 $28,334.94 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 61 15 — — $94,902.99 $412,898.62 $117,129.79 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 61 15 — — $33,682.23 $147,284.96 $41,206.36 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 62 15 — — $29,586.16 $129,513.66 $36,740.03 2026-04-01
1580 OTHER New Technology - Level 43 ($40,001-$50,000) 3 3 — — $53,201.07 $56,079.62 $53,201.07 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 61 15 — — $46,825.67 $204,309.36 $57,957.84 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 90 16 — — $14,025.59 $154,702.52 $44,288.14 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 102 17 — — $18,223.87 $87,625.89 $25,381.96 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 68 16 — — $17,482.33 $155,774.79 $36,653.53 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 61 15 — — $42,897.80 $187,267.82 $53,123.55 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 61 15 — — $23,504.04 $103,125.67 $29,254.37 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 55 15 — — $341,006.06 $1,480,646.55 $412,318.29 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 55 15 — — $56,340.53 $245,590.72 $68,390.09 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 61 15 — — $89,484.99 $389,391.97 $110,461.49 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 68 15 — — $42,635.42 $270,745.34 $77,156.51 2026-04-01
2045 OTHER Grft, Trnsmurl/trnsvens Byps 4 4 — — $21,163.45 $47,111.82 $29,704.60 2026-04-01
20696 HCPCS Comp Multiplane Ext Fixation 32 9 — — $3,073.46 $35,140.76 $29,096.55 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 75 15 — — $47,867.27 $221,611.30 $62,726.61 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 102 16 — — $7,924.30 $95,324.37 $27,041.32 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 53 14 — — $89,382.33 $388,946.59 $103,249.41 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 66 15 — — $41,804.10 $182,522.65 $52,014.96 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 65 15 — — $81,446.93 $373,710.59 $106,013.05 2026-04-01
21243 HCPCS Reconstruction Of Jaw Joint 32 9 — — $5,308.70 $35,140.76 $29,096.55 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 54 14 — — $30,484.75 $196,675.97 $52,209.42 2026-04-01
215 MS_DRG Other Heart Assist System Implant 63 15 — — $78,628.47 $357,325.00 $97,099.65 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 69 15 — — $54,416.82 $336,321.31 $95,406.58 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 63 15 — — $49,391.85 $226,428.41 $64,232.50 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 61 15 — — $51,923.85 $226,428.41 $64,232.50 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 82 15 — — $47,908.53 $264,218.56 $73,749.33 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 61 15 — — $25,091.30 $110,012.18 $31,207.91 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 79 15 — — $39,716.42 $183,858.84 $51,438.75 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 61 15 — — $39,801.47 $173,834.02 $49,312.69 2026-04-01
22558 HCPCS Lumbar Spine Fusion 32 9 — — $5,308.70 $35,140.76 $29,096.55 2026-04-01
22630 HCPCS Lumbar Spine Fusion 32 9 — — $5,308.70 $35,140.76 $29,096.55 2026-04-01
22633 HCPCS Lumbar Spine Fusion Combined 32 9 — — $5,308.70 $35,140.76 $29,096.55 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 67 15 — — $38,218.21 $170,654.55 $48,410.75 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 71 15 — — $24,143.44 $109,056.30 $30,936.75 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 88 16 — — $30,144.56 $197,477.69 $56,533.80 2026-04-01
230 MS_DRG Other Cardiothoracic Procedures Without Cc/mcc 6 1 — — $67,234.00 $94,350.00 $89,645.00 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 64 15 — — $61,420.10 $289,969.29 $82,257.58 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 69 15 — — $45,080.34 $208,862.68 $59,249.51 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 76 15 — — $51,181.72 $263,084.52 $74,117.48 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 71 15 — — $38,375.52 $188,309.38 $53,419.01 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 78 15 — — $12,690.02 $202,216.02 $56,969.30 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 85 16 — — $30,695.40 $144,663.98 $41,037.82 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 71 15 — — $23,078.10 $169,774.06 $47,498.21 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 83 16 — — $27,498.92 $135,177.05 $38,698.41 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 73 16 — — $16,544.73 $98,812.20 $28,030.73 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 78 15 — — $24,535.43 $110,539.82 $31,141.83 2026-04-01
245 MS_DRG Aicd Generator Procedures 63 15 — — $36,028.37 $157,463.97 $44,668.89 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 93 17 — — $24,883.30 $156,926.08 $44,924.70 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 88 16 — — $24,383.15 $120,664.00 $33,680.03 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 86 15 — — $18,466.68 $90,079.00 $25,377.51 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 63 15 — — $19,788.72 $93,566.78 $26,542.73 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 61 15 — — $24,812.54 $108,802.74 $30,864.82 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 73 16 — — $20,593.47 $107,675.58 $30,690.93 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 70 15 — — $14,958.00 $112,595.46 $31,427.92 2026-04-01
263 MS_DRG Vein Ligation And Stripping 61 15 — — $24,143.69 $105,900.81 $30,041.61 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 73 15 — — $11,944.59 $134,366.70 $32,192.34 2026-04-01
265 MS_DRG Aicd Lead Procedures 62 15 — — $28,572.21 $125,114.54 $35,492.10 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 79 15 — — $44,926.22 $240,296.23 $59,064.86 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 77 15 — — $17,632.96 $164,261.41 $45,955.92 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 70 15 — — $37,020.95 $442,737.09 $67,789.78 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 77 15 — — $31,580.79 $145,842.56 $40,613.04 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 85 18 — — $17,523.39 $87,588.20 $25,074.70 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 103 16 — — $37,128.65 $181,923.08 $52,080.83 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 95 16 — — $25,127.64 $122,993.76 $35,210.58 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 72 15 — — $19,247.12 $88,619.46 $25,169.99 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 81 17 — — $28,284.47 $142,495.25 $40,422.61 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 105 19 — — $22,597.20 $113,928.24 $32,911.81 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 71 16 — — $51,152.43 $245,446.83 $70,266.37 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 71 15 — — $47,329.19 $261,534.53 $59,243.82 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 75 15 — — $25,707.69 $159,386.06 $45,214.14 2026-04-01
27702 HCPCS Reconstruct Ankle Joint 32 9 — — $5,308.70 $35,140.76 $29,096.55 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 64 15 — — $31,660.72 $191,855.41 $53,766.99 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 66 15 — — $26,347.21 $124,710.24 $35,377.41 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 68 16 — — $27,784.73 $207,002.31 $58,317.72 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 65 15 — — $21,021.39 $93,868.30 $26,628.26 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 66 16 — — $25,278.65 $118,036.15 $32,946.54 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 88 16 — — $82,797.00 $915,099.30 $203,299.40 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 62 15 — — $32,439.46 $154,657.98 $43,872.89 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 68 15 — — $6,236.59 $230,238.26 $63,208.93 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 58 15 — — $33,114.01 $154,055.00 $41,897.64 2026-04-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 55 15 — — $18,994.18 $83,559.06 $23,268.84 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 102 17 — — $20,094.15 $94,368.50 $26,813.59 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 72 15 — — $21,898.07 $149,412.61 $39,274.08 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 72 15 — — $22,606.23 $109,107.68 $30,738.35 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 62 15 — — $22,340.12 $111,142.80 $31,528.64 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 79 16 — — $24,983.12 $172,025.02 $48,799.52 2026-04-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 78 15 — — $15,184.55 $119,164.52 $24,104.28 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 101 17 — — $10,645.12 $158,632.29 $45,413.16 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 113 17 — — $14,309.96 $83,281.56 $23,841.80 2026-04-01
332 MS_DRG Rectal Resection With Mcc 62 15 — — $28,591.95 $126,424.83 $35,516.40 2026-04-01
33230 HCPCS Insrt Pulse Gen W/dual Leads 32 9 — — $3,073.46 $28,807.23 $23,852.39 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 32 9 — — $3,073.46 $40,651.12 $33,659.13 2026-04-01
33240 HCPCS Insrt Pulse Gen W/singl Lead 32 9 — — $3,073.46 $28,807.23 $23,852.39 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 32 9 — — $4,470.48 $40,651.12 $33,659.13 2026-04-01
33262 HCPCS Rmvl& Replc Pulse Gen 1 Lead 32 9 — — $3,632.27 $28,807.23 $23,852.39 2026-04-01
33263 HCPCS Rmvl & Rplcmt Dfb Gen 2 Lead 32 9 — — $3,632.27 $28,807.23 $23,852.39 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 32 9 — — $3,632.27 $40,651.12 $33,659.13 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 32 9 — — $4,470.48 $40,651.12 $33,659.13 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 26 9 — — $4,845.00 $57,043.76 $48,829.46 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 26 9 — — $4,845.00 $39,963.22 $34,208.52 2026-04-01
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 26 9 — — $9,355.00 $37,147.27 $31,798.06 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 64 15 — — $23,826.09 $123,493.97 $35,032.38 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 73 16 — — $28,128.22 $133,765.47 $37,946.17 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 62 15 — — $20,395.86 $89,640.43 $25,428.92 2026-04-01
35 MS_DRG Carotid Artery Stent Procedures With Cc 75 15 — — $16,454.36 $83,052.02 $23,559.94 2026-04-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 63 15 — — $18,318.05 $86,526.08 $24,545.45 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 61 15 — — $22,916.52 $100,576.63 $28,531.26 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 77 15 — — $24,671.04 $151,653.26 $43,318.83 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 53 14 — — $27,153.95 $118,961.20 $31,579.33 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 62 15 — — $25,997.07 $113,941.95 $32,322.70 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 32 9 — — $1,676.43 $81,462.04 $67,450.57 2026-04-01
397 MS_DRG Appendix Procedures With Mcc 65 15 — — $15,427.74 $83,202.75 $23,602.70 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 78 16 — — $78,887.74 $475,716.59 $134,949.79 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 74 16 — — $23,251.88 $133,440.02 $37,853.85 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 96 17 — — $23,870.22 $166,984.00 $39,724.98 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 66 16 — — $38,404.84 $366,202.99 $53,494.82 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 75 15 — — $14,154.64 $100,514.96 $28,513.77 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 62 15 — — $28,044.04 $123,312.38 $34,980.87 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 61 15 — — $26,085.51 $114,325.66 $32,431.54 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 65 16 — — $10,969.48 $123,209.59 $34,951.71 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 87 18 — — $15,467.68 $82,911.54 $23,735.87 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 62 15 — — $26,905.20 $117,881.99 $33,440.39 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 65 15 — — $32,795.42 $143,437.45 $40,689.89 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 72 15 — — $44,991.28 $378,750.44 $99,557.04 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 91 16 — — $11,717.21 $248,468.68 $68,033.48 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 70 15 — — $34,951.90 $193,767.20 $54,967.27 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 66 15 — — $41,623.97 $309,830.54 $86,480.65 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 65 15 — — $41,623.97 $198,738.50 $56,377.51 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 64 15 — — $52,280.04 $230,070.39 $64,816.57 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 86 16 — — $26,594.05 $146,445.58 $41,702.08 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 64 15 — — $36,388.63 $183,749.22 $51,766.74 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 72 16 — — $20,195.97 $111,828.02 $31,723.02 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 2 2 — — $69,359.14 $150,643.80 $110,001.47 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 9 6 — — $103,977.10 $179,355.00 $107,428.24 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 13 7 — — $78,295.20 $139,806.00 $121,984.12 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 65 15 — — $61,284.32 $289,061.37 $82,000.02 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 70 16 — — $43,011.55 $205,453.70 $57,881.43 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 64 15 — — $32,950.20 $144,108.94 $40,880.37 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 1 1 — — $112,749.10 $112,749.10 $112,749.10 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 15 8 — — $46,868.23 $62,184.30 $46,868.23 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 61 15 — — $43,614.04 $190,375.32 $54,005.07 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 67 17 — — $21,005.50 $92,285.42 $26,419.42 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 71 15 — — $25,482.98 $196,422.45 $52,142.12 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 75 16 — — $20,834.52 $107,864.01 $30,745.21 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 73 15 — — $37,708.18 $179,493.95 $51,382.52 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 94 17 — — $24,334.37 $121,976.18 $34,706.46 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 89 17 — — $18,120.48 $95,300.40 $27,282.54 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 69 16 — — $23,643.57 $105,071.70 $29,396.23 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 69 15 — — $35,762.64 $166,587.75 $47,257.09 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 95 17 — — $18,514.39 $102,087.53 $28,959.87 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 73 16 — — $17,168.85 $84,792.47 $24,098.09 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 65 15 — — $25,325.43 $148,230.57 $41,470.92 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 65 15 — — $26,610.90 $119,509.40 $33,902.05 2026-04-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 80 15 — — $13,278.44 $85,405.75 $23,462.14 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 78 15 — — $20,797.08 $100,929.51 $26,334.39 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 83 17 — — $15,677.39 $96,119.25 $27,266.81 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 67 15 — — $23,302.15 $111,714.98 $31,690.95 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 75 15 — — $18,682.13 $126,944.06 $36,011.09 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 81 15 — — $12,818.74 $88,040.45 $24,330.48 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 62 15 — — $21,292.96 $125,371.48 $35,564.99 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 63 15 — — $13,638.42 $104,509.82 $29,647.02 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 61 15 — — $81,419.99 $354,401.00 $100,535.37 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 62 15 — — $21,116.82 $109,580.48 $31,085.45 2026-04-01
503 MS_DRG Foot Procedures With Mcc 64 15 — — $21,770.75 $96,777.07 $27,453.42 2026-04-01
509 MS_DRG Arthroscopy 8 2 — — $25,562.00 $35,869.00 $31,972.25 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 64 15 — — $20,735.90 $104,636.58 $29,682.98 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 68 15 — — $22,384.68 $130,111.01 $31,300.24 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 66 15 — — $15,064.58 $129,195.05 $36,397.47 2026-04-01
5200 OTHER Implantation Wireless Pa Pressure Monitor 1 1 — — $31,882.83 $31,882.83 $31,882.83 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 74 15 — — $20,374.32 $99,487.11 $26,409.76 2026-04-01
5213 OTHER Level 3 Electrophysiologic Procedures 53 11 — — $39.14 $81,341.63 $26,718.78 2026-04-01
5232 OTHER Level 2 Icd And Similar Procedures 51 16 — — $30.13 $60,764.00 $32,614.29 2026-04-01
5242 OTHER Level 2 Blood Product Exchange And Related Services 3 2 — — $12,744.95 $27,234.27 $27,234.27 2026-04-01
545 MS_DRG Connective Tissue Disorders With Mcc 78 17 — — $18,130.45 $86,176.62 $24,471.60 2026-04-01
5465 OTHER Level 5 Neurostimulator And Related Procedures 24 8 — — $17,812.12 $56,282.20 $28,557.67 2026-04-01
5626 OTHER Level 6 Radiation Therapy 42 11 — — $2,311.03 $77,610.88 $35,296.71 2026-04-01
570 MS_DRG Skin Debridement With Mcc 65 15 — — $22,532.83 $101,916.24 $28,513.42 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 62 15 — — $23,987.51 $225,609.59 $63,559.85 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 67 15 — — $14,505.08 $120,084.99 $33,440.28 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 62 15 — — $38,703.81 $169,071.67 $47,961.72 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 63 15 — — $20,932.06 $91,966.77 $26,088.84 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 70 15 — — $12,876.82 $112,105.52 $31,291.16 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 61 15 — — $36,617.48 $160,019.86 $45,393.93 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 74 17 — — $19,554.56 $95,612.17 $27,122.96 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 75 16 — — $16,544.73 $120,633.15 $32,023.17 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 32 9 — — $3,073.46 $39,963.22 $33,089.55 2026-04-01
61886 HCPCS Implant Neurostim Arrays 32 9 — — $3,073.46 $39,963.22 $33,089.55 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 32 9 — — $4,845.00 $39,963.22 $33,089.55 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 62 15 — — $22,801.23 $100,076.42 $28,389.37 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 65 15 — — $21,173.30 $123,093.13 $34,918.67 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 63 15 — — $22,734.33 $104,622.87 $29,679.09 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 65 16 — — $8,057.49 $128,835.29 $36,547.59 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 32 9 — — $3,073.46 $39,963.22 $33,089.55 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 32 9 — — $3,073.46 $57,043.76 $47,232.24 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 32 9 — — $3,073.46 $39,963.22 $33,089.55 2026-04-01
64654 HCPCS 1st Opn Implt Bat Modulj Sys 10 9 — — $45,635.01 $57,043.76 $49,970.34 2026-04-01
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 20 9 — — $31,970.58 $39,963.22 $35,007.79 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 55 15 — — $37,126.03 $162,226.28 $45,175.44 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 55 15 — — $29,263.97 $128,115.80 $35,676.64 2026-04-01
652 MS_DRG Kidney Transplant 61 15 — — $25,502.73 $111,797.20 $31,714.28 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 62 15 — — $41,034.95 $179,185.60 $50,830.81 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 76 15 — — $19,902.47 $97,057.99 $27,582.51 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 66 16 — — $23,566.17 $110,231.46 $31,270.12 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 80 16 — — $10,416.65 $88,204.90 $25,021.69 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 61 15 — — $24,176.06 $106,041.29 $30,081.46 2026-04-01
665 MS_DRG Prostatectomy With Mcc 61 15 — — $24,647.50 $108,086.71 $30,661.70 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 64 15 — — $16,616.62 $101,193.33 $28,508.69 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 84 15 — — $10,876.17 $145,102.51 $40,879.00 2026-04-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 83 17 — — $11,866.93 $81,273.87 $23,267.04 2026-04-01
69930 HCPCS Implant Cochlear Device 32 9 — — $6,705.72 $42,701.57 $35,356.90 2026-04-01
7 MS_DRG Lung Transplant 61 15 — — $102,265.18 $444,840.37 $126,190.92 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 63 15 — — $28,227.12 $123,617.31 $35,067.37 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 61 15 — — $28,292.67 $123,901.68 $35,148.04 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 72 17 — — $7,217.54 $89,119.66 $25,312.99 2026-04-01
77 MS_DRG Hypertensive Encephalopathy With Mcc 13 4 — — $8,990.35 $37,608.00 $26,285.40 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 89 17 — — $28,087.78 $497,194.82 $65,563.58 2026-04-01
791 MS_DRG Prematurity With Major Problems 84 16 — — $3,141.00 $140,216.86 $40,141.20 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 89 15 — — $2,168.00 $144,006.16 $40,101.65 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 62 15 — — $35,763.83 $156,316.25 $44,343.30 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 61 15 — — $44,258.42 $193,171.05 $54,798.16 2026-04-01
800 MS_DRG Splenic Procedures With Cc 61 15 — — $22,185.28 $97,404.03 $27,631.27 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 63 15 — — $27,742.13 $137,650.71 $39,048.32 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 63 15 — — $46,313.17 $202,085.80 $57,327.07 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 64 15 — — $34,169.84 $158,231.45 $44,577.75 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 66 16 — — $21,837.70 $161,417.73 $45,790.47 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 68 15 — — $23,827.40 $109,416.03 $31,115.59 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 62 15 — — $42,794.29 $189,241.27 $53,683.37 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 61 15 — — $37,938.61 $165,751.76 $47,019.94 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 72 15 — — $22,721.17 $111,982.21 $31,766.76 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 63 15 — — $19,685.21 $89,972.79 $25,523.20 2026-04-01
849 MS_DRG Radiotherapy 61 15 — — $21,396.39 $93,981.34 $26,293.45 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 61 15 — — $68,382.37 $297,835.68 $84,489.09 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 128 18 — — $16,092.05 $170,353.07 $48,990.26 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 82 16 — — $18,452.46 $156,994.59 $44,717.99 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 102 18 — — $29,010.74 $237,957.33 $67,502.99 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 72 16 — — $19,328.28 $133,566.78 $38,237.42 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 63 15 — — $12,588.61 $144,931.22 $41,113.63 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 64 15 — — $17,782.75 $126,995.47 $36,025.68 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 72 15 — — $15,374.75 $132,689.68 $37,640.99 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 61 15 — — $168,600.69 $732,645.01 $207,834.44 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 61 15 — — $56,641.40 $246,896.06 $70,038.70 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 61 15 — — $25,434.02 $111,499.11 $31,629.72 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 61 15 — — $30,751.73 $134,570.61 $38,174.57 2026-04-01
93653 HCPCS Ep & Ablate Supravent Arrhyt 32 9 — — $7,231.80 $33,850.65 $28,028.33 2026-04-01
93654 HCPCS Ep & Ablate Ventric Tachy 32 9 — — $7,231.80 $33,850.65 $28,028.33 2026-04-01
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 32 9 — — $7,231.80 $33,850.65 $28,028.33 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 62 15 — — $28,653.55 $125,467.42 $35,592.21 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 65 15 — — $16,092.23 $121,729.50 $34,531.84 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 66 16 — — $20,367.43 $89,517.12 $25,543.10 2026-04-01
9523 OTHER Cryoprecipitatereducedplasma 1 1 — — $30,722.99 $30,722.99 $30,722.99 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 62 15 — — $30,640.91 $231,766.31 $65,746.74 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 72 15 — — $16,080.66 $130,075.54 $35,376.05 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 66 15 — — $80.00 $262,217.71 $73,873.27 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 65 15 — — $32,054.24 $145,523.95 $41,281.78 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 62 15 — — $18,411.33 $102,019.02 $28,940.44 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 65 16 — — $20,367.43 $89,517.12 $25,459.29 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 65 15 — — $15,761.52 $94,813.91 $26,896.51 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 62 15 — — $48,338.70 $210,873.83 $59,820.03 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 72 16 — — $28,521.67 $129,804.04 $35,754.94 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 62 15 — — $20,827.03 $91,511.10 $25,959.58 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 69 15 — — $2,050.00 $100,028.47 $28,375.76 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 96 16 — — $18,419.97 $231,183.22 $42,555.79 2026-04-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 96 16 — — $7,901.68 $85,381.78 $24,443.04 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 73 15 — — $24,090.34 $118,611.74 $33,647.41 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 26 9 — — $56,824.55 $74,954.81 $63,075.25 2026-04-01
C9760 HCPCS Non-blind Interatrial Shunt 26 9 — — $6,012.00 $34,860.32 $29,840.44 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 6 1 — — $68,066.13 $68,066.13 $68,066.13 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 36 10 — — $63,235.61 $125,536.04 $70,499.96 2026-04-01
J9226 HCPCS Supprelin La Implant 24 10 — — $45,020.65 $56,275.81 $48,622.31 2026-04-01
J9266 HCPCS Pegaspargase Injection 36 10 — — $27,070.53 $53,599.65 $31,635.98 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 32 9 — — $24,228.42 $47,103.13 $26,530.12 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 30 10 — — $269,934.17 $666,537.71 $559,891.68 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 30 10 — — $269,934.17 $739,657.75 $621,312.51 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 30 10 — — $55,272.32 $69,090.40 $60,799.56 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 30 10 — — $489,304.61 $611,630.76 $538,235.07 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 30 10 — — $361,064.00 $703,172.73 $590,665.09 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 30 10 — — $369,160.00 $696,647.42 $585,183.83 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 30 10 — — $341,000.00 $707,336.18 $594,162.39 2026-04-01
See an error in this hospital's data? Submit a correction