Price Transparencybeta 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 →

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Hospital

PAOLI HOSPITAL

Paoli, PA · CCN 390153 · Rates published

13,553 distinct procedures filed
26 distinct payers
253,741 rate rows
2026-04-01 last MRF observed
Data quality

188,202 of 253,741 rate rows are consumer-grade (74.2%)

65,539 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 59,850
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 5,389
placeholder amount (≤ $0.02) — excluded from medians 255
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 44
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 1
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/2026/23-1352160_paoli-hospital_standardcharges.csv
Found on page https://www.mainlinehealth.org/patient-services/patient-billing/price-transparency
Discovered viaCMS hospital list
Last fetch not_modified · 2026-09-21
Content fingerprint 7a518838c12a4285… · 58,464,003 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
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 10 $269,934.17 $739,657.75 $562,169.68 nat. median
$621,313
0.9× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 10 $341,000.00 $707,336.18 $554,134.85 nat. median
$599,737
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 10 $361,064.00 $703,172.73 $550,824.59 nat. median
$579,571
1.0× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 10 $369,160.00 $696,647.42 $550,132.04 nat. median
$574,037
1.0× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 10 $489,304.61 $611,630.76 $538,150.46 nat. median
$513,770
1.0× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 10 $269,934.17 $666,537.71 $509,437.12 nat. median
$562,501
0.9× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 17 $316,265.67 $803,314.80 $431,241.56 nat. median
$168,055
outlier · 2.6×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 17 $205,243.70 $525,816.00 $301,279.24 nat. median
$186,516
1.6× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 17 $65,985.23 $281,869.62 $281,869.62 nat. median
$2,596
outlier · 108.6×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 17 $27,220.00 $642,868.32 $262,469.76 nat. median
$145,435
1.8× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 17 $156,368.51 $397,176.02 $223,701.82 nat. median
$131,925
1.7× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 17 $101,446.00 $259,095.35 $216,737.42 nat. median
$97,418
outlier · 2.2×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 17 $49,825.75 $167,467.00 $149,222.26 nat. median
$51,518
outlier · 2.9×
21
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 17 $38,771.16 $148,176.00 $143,165.00 nat. median
$38,173
outlier · 3.8×
7
MS_DRG 		Lung Transplant 17 $94,845.72 $240,908.13 $134,777.40 nat. median
$70,649
1.9× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 17 $44,209.60 $195,530.00 $132,886.85 nat. median
$56,428
outlier · 2.4×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 17 $82,992.75 $324,742.00 $131,586.11 nat. median
$65,418
outlier · 2.0×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 17 $88,017.66 $227,546.00 $129,898.30 nat. median
$72,715
1.8× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 17 $47,960.73 $223,361.00 $126,955.77 nat. median
$2,106
outlier · 60.3×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 17 $75,512.87 $217,378.00 $113,111.83 nat. median
$69,922
1.6× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 17 $79,640.61 $202,287.15 $112,631.31 nat. median
$74,509
1.5× median
209
MS_DRG 		Complex Aortic Arch Procedures 17 $82,897.54 $210,559.75 $111,509.78 nat. median
$2,110
outlier · 52.8×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 17 $71,648.06 $197,217.00 $106,293.11 nat. median
$69,822
1.5× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 17 $60,890.44 $194,736.00 $101,282.80 nat. median
$59,651
1.7× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 17 $75,029.04 $231,179.00 $94,479.79 nat. median
$2,736
outlier · 34.5×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 17 $61,739.58 $159,961.00 $90,787.23 nat. median
$60,505
1.5× median
850
MS_DRG 		Acute Leukemia With Other Procedures 17 $63,421.14 $161,089.70 $87,181.03 nat. median
$2,633
outlier · 33.1×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 17 $56,234.95 $159,591.00 $83,934.68 nat. median
$55,923
1.5× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 17 $55,992.53 $152,188.00 $83,033.64 nat. median
$55,935
1.5× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 17 $45,957.00 $497,567.08 $82,264.94 nat. median
$47,121
1.7× median
28
MS_DRG 		Spinal Procedures With Mcc 17 $44,004.07 $111,770.34 $81,166.64 nat. median
$41,895
1.9× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 17 $36,450.00 $138,093.00 $79,885.43 nat. median
$2,958
outlier · 27.0×
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 17 $26,572.21 $166,046.00 $79,004.50 nat. median
$9,905
outlier · 8.0×
230
MS_DRG 		Other Cardiothoracic Procedures Without Cc/mcc 17 $63,296.00 $84,395.00 $77,362.00 nat. median
$2,024
outlier · 38.2×
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 17 $32,766.62 $160,431.00 $76,793.03 nat. median
$2,106
outlier · 36.5×
J9029
HCPCS 		Inj, Adstiladrin, Per Tx Dos 10 $63,235.61 $125,536.04 $76,734.01 nat. median
$66,211
1.2× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 17 $52,532.00 $133,431.28 $74,793.31 nat. median
$37,013
outlier · 2.0×
834
MS_DRG 		Acute Leukemia With Mcc 17 $5,511.00 $109,204.00 $73,404.98 nat. median
$37,487
2.0× median
10
MS_DRG 		Pancreas Transplant 17 $52,553.97 $133,487.08 $73,087.44 nat. median
$23,080
outlier · 3.2×
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 17 $52,252.96 $132,722.52 $72,194.18 nat. median
$45,605
1.6× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 17 $44,883.67 $186,207.00 $72,117.86 nat. median
$44,036
1.6× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 17 $15,673.37 $141,949.38 $71,964.33 nat. median
$52,327
1.4× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 17 $50,372.92 $127,947.22 $71,711.08 nat. median
$49,569
1.4× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 17 $48,156.71 $131,064.00 $71,295.83 nat. median
$47,458
1.5× median
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 17 $23,478.52 $109,626.00 $70,591.81 nat. median
$40,301
1.8× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 17 $48,156.71 $122,318.04 $69,644.14 nat. median
$45,446
1.5× median
22
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 17 $23,270.90 $93,049.00 $69,148.03 nat. median
$23,282
outlier · 3.0×
J7330
HCPCS 		Hc Autologous Cultured Chondrocytes, Implant 1 $68,066.13 $68,066.13 $68,066.13 nat. median
$92,809
0.7× median
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 17 $45,982.12 $103,463.88 $67,281.02 nat. median
$2,106
outlier · 32.0×
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 17 $48,971.13 $124,386.67 $67,145.16 nat. median
$2,633
outlier · 25.5×

Other procedures at this hospital

Browse this hospital's 13,553 published procedures. Use the slice to choose what to show, then sort or filter any column.

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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
             
5432 OTHER Level 2 Nerve Procedures 47 18 — — — — $32,953.11 2026-04-01
5232 OTHER Level 2 Icd And Similar Procedures 59 18 — — $4,348.24 $35,090.05 $31,424.76 2026-04-01
5378 OTHER Level 8 Urology And Related Services 47 18 — — — — $30,747.05 2026-04-01
2616 OTHER Brachytx, Non-str,yttrium-90 49 18 — — $11,632.35 $19,337.65 $29,048.57 2026-04-01
5213 OTHER Level 3 Electrophysiologic Procedures 68 18 — — $2,100.00 $46,323.36 $28,529.04 2026-04-01
5465 OTHER Level 5 Neurostimulator And Related Procedures 52 18 — — $24,535.64 $30,437.02 $24,371.31 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 71 17 — — $316,265.67 $803,314.80 $431,241.56 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 74 17 — — $205,243.70 $525,816.00 $301,279.24 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 75 17 — — $65,985.23 $281,869.62 $281,869.62 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 83 17 — — $27,220.00 $642,868.32 $262,469.76 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 74 17 — — $156,368.51 $397,176.02 $223,701.82 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 79 17 — — $101,446.00 $259,095.35 $216,737.42 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 77 17 — — $49,825.75 $167,467.00 $149,222.26 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 77 17 — — $38,771.16 $148,176.00 $143,165.00 2026-04-01
7 MS_DRG Lung Transplant 74 17 — — $94,845.72 $240,908.13 $134,777.40 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 78 17 — — $44,209.60 $195,530.00 $132,886.85 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 74 17 — — $82,992.75 $324,742.00 $131,586.11 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 74 17 — — $88,017.66 $227,546.00 $129,898.30 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 55 17 — — $47,960.73 $223,361.00 $126,955.77 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 74 17 — — $75,512.87 $217,378.00 $113,111.83 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 74 17 — — $79,640.61 $202,287.15 $112,631.31 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 70 17 — — $82,897.54 $210,559.75 $111,509.78 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 74 17 — — $71,648.06 $197,217.00 $106,293.11 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 75 17 — — $60,890.44 $194,736.00 $101,282.80 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 75 17 — — $75,029.04 $231,179.00 $94,479.79 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 74 17 — — $61,739.58 $159,961.00 $90,787.23 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 74 17 — — $63,421.14 $161,089.70 $87,181.03 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 74 17 — — $56,234.95 $159,591.00 $83,934.68 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 74 17 — — $55,992.53 $152,188.00 $83,033.64 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 77 17 — — $45,957.00 $497,567.08 $82,264.94 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 77 17 — — $44,004.07 $111,770.34 $81,166.64 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 77 17 — — $36,450.00 $138,093.00 $79,885.43 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 79 17 — — $26,572.21 $166,046.00 $79,004.50 2026-04-01
230 MS_DRG Other Cardiothoracic Procedures Without Cc/mcc 46 17 — — $63,296.00 $84,395.00 $77,362.00 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 61 17 — — $32,766.62 $160,431.00 $76,793.03 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 74 17 — — $52,532.00 $133,431.28 $74,793.31 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 76 17 — — $5,511.00 $109,204.00 $73,404.98 2026-04-01
10 MS_DRG Pancreas Transplant 74 17 — — $52,553.97 $133,487.08 $73,087.44 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 71 17 — — $52,252.96 $132,722.52 $72,194.18 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 74 17 — — $44,883.67 $186,207.00 $72,117.86 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 82 17 — — $15,673.37 $141,949.38 $71,964.33 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 74 17 — — $50,372.92 $127,947.22 $71,711.08 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 74 17 — — $48,156.71 $131,064.00 $71,295.83 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 92 17 — — $23,478.52 $109,626.00 $70,591.81 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 74 17 — — $48,156.71 $122,318.04 $69,644.14 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 76 17 — — $23,270.90 $93,049.00 $69,148.03 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 46 17 — — $45,982.12 $103,463.88 $67,281.02 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 74 17 — — $48,971.13 $124,386.67 $67,145.16 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 74 17 — — $44,831.67 $125,936.00 $66,878.15 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 74 17 — — $47,981.67 $121,873.44 $66,123.73 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 89 17 — — $16,646.53 $166,658.26 $65,853.75 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 78 17 — — $11,394.00 $158,722.00 $65,796.79 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 83 17 — — $27,425.45 $139,589.36 $65,703.65 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 74 17 — — $44,401.76 $115,914.00 $65,376.95 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 76 17 — — $32,814.65 $85,924.00 $64,969.99 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 75 17 — — $42,953.09 $114,361.00 $64,869.54 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 74 17 — — $43,428.41 $121,721.00 $64,715.08 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 74 17 — — $42,980.93 $118,220.00 $63,803.90 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 81 17 — — $25,965.11 $128,577.85 $63,615.95 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 85 17 — — $25,264.02 $149,364.00 $63,506.70 2026-04-01
215 MS_DRG Other Heart Assist System Implant 76 17 — — $72,923.88 $319,622.00 $63,262.89 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 64 17 — — $22,695.40 $125,053.00 $62,481.89 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 75 17 — — $43,991.62 $144,071.00 $62,352.49 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 75 17 — — $24,110.95 $65,145.00 $61,548.47 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 75 17 — — $30,735.40 $82,685.00 $61,233.00 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 74 17 — — $41,047.42 $110,378.00 $60,620.00 2026-04-01
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 79 17 — — $5,970.61 $46,096.00 $60,114.77 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 78 17 — — $27,680.44 $100,924.00 $59,885.82 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 74 17 — — $40,065.29 $114,695.00 $59,846.14 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 74 17 — — $40,449.79 $103,959.00 $59,700.63 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 74 17 — — $40,008.16 $101,620.73 $58,517.51 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 77 17 — — $22,436.08 $118,624.00 $58,363.77 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 74 17 — — $39,945.18 $101,460.76 $58,217.95 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 74 17 — — $38,057.81 $120,019.00 $58,039.84 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 74 17 — — $39,056.79 $107,797.00 $57,986.19 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 78 17 — — $32,766.62 $129,430.00 $57,633.04 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 74 17 — — $39,785.52 $101,055.22 $57,291.74 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 74 17 — — $23,143.46 $70,884.00 $57,154.14 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 81 17 — — $15,499.58 $78,160.93 $56,908.73 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 74 17 — — $40,766.18 $103,546.10 $56,275.65 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 70 17 — — $41,796.65 $106,163.49 $56,222.84 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 76 17 — — $39,033.35 $138,093.00 $55,869.93 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 75 17 — — $31,238.55 $79,345.92 $55,706.57 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 74 17 — — $34,867.53 $139,814.00 $55,620.48 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 74 17 — — $35,186.12 $133,838.00 $55,615.75 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 87 17 — — $8,562.94 $104,312.00 $54,757.70 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 81 17 — — $11,937.73 $99,079.04 $54,700.21 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 74 17 — — $36,913.82 $95,973.00 $54,072.37 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 77 17 — — $25,775.67 $69,075.00 $52,758.05 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 82 17 — — $22,272.44 $133,647.24 $52,664.71 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 74 17 — — $49,297.77 $125,216.34 $52,606.56 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 74 17 — — $35,895.80 $91,175.33 $52,379.31 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 74 17 — — $34,259.65 $105,403.00 $51,891.35 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 77 17 — — $27,374.47 $75,813.00 $51,041.45 2026-04-01
614 MS_DRG Adrenal And Pituitary Procedures With Cc/Mcc 75 17 — — $16,052.48 $51,029.00 $51,029.00 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 95 17 — — $18,240.60 $192,786.99 $51,020.31 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 74 17 — — $33,960.83 $98,281.00 $50,946.54 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 79 17 — — $19,258.42 $78,426.00 $50,239.85 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 74 17 — — $33,578.53 $92,404.00 $49,891.89 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 78 17 — — $15,957.00 $82,828.00 $49,524.11 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 75 17 — — $30,416.08 $124,914.63 $49,209.29 2026-04-01
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 84 17 — — $12,236.40 $264,451.89 $48,618.96 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 77 17 — — $30,862.10 $79,935.00 $48,184.78 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 79 17 — — $27,035.41 $111,506.00 $48,150.96 2026-04-01
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 75 17 — — $16,592.98 $47,526.00 $48,099.78 2026-04-01
791 MS_DRG Prematurity With Major Problems 83 17 — — $1,884.00 $75,508.18 $47,339.88 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 75 17 — — $30,559.62 $109,001.00 $47,229.86 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 71 17 — — $34,432.49 $87,458.52 $47,229.51 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 76 17 — — $27,371.54 $69,523.71 $46,615.48 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 75 17 — — $18,889.75 $49,377.00 $46,081.98 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 80 17 — — $30,907.53 $81,717.74 $45,731.00 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 74 17 — — $31,440.69 $79,859.35 $45,694.72 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 61 17 — — $22,400.61 $80,027.00 $45,681.90 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 77 17 — — $27,600.09 $76,745.26 $45,480.32 2026-04-01
818 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Cc 78 17 — — $8,489.84 $40,767.85 $45,125.65 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 74 17 — — $33,169.12 $103,812.00 $45,082.78 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 74 17 — — $30,678.27 $78,592.00 $44,983.17 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 71 17 — — $32,685.75 $83,021.81 $44,844.29 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 75 17 — — $43,673.03 $143,038.00 $44,795.68 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 90 17 — — $31,899.33 $89,819.00 $44,698.79 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 74 17 — — $30,877.48 $78,428.80 $44,356.46 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 77 17 — — $34,753.27 $98,550.00 $44,257.72 2026-04-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 75 17 — — $16,926.95 $161,586.04 $43,765.24 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 77 17 — — $18,889.75 $47,979.96 $42,719.27 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 76 17 — — $24,923.12 $67,088.61 $42,329.35 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 74 17 — — $29,179.07 $74,114.84 $42,162.17 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 76 17 — — $10,358.40 $62,299.00 $42,103.12 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 74 17 — — $28,306.07 $71,897.42 $41,300.31 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 79 17 — — $26,423.13 $95,589.12 $41,205.19 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 76 17 — — $30,381.81 $100,606.00 $40,950.43 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 74 17 — — $26,179.21 $91,821.00 $40,797.91 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 77 17 — — $25,768.62 $76,636.00 $40,782.47 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 74 17 — — $28,520.66 $72,442.48 $40,653.81 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 74 17 — — $21,136.72 $55,599.00 $40,520.44 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 79 17 — — $23,944.03 $77,580.70 $40,403.85 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 85 17 — — $11,641.76 $77,575.00 $40,360.15 2026-04-01
465 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 76 17 — — $13,356.56 $40,304.00 $40,304.00 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 77 17 — — $25,507.95 $106,672.00 $39,716.14 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 74 17 — — $26,114.03 $80,693.00 $39,514.88 2026-04-01
585 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/Mcc 74 17 — — $14,128.50 $35,886.39 $39,405.31 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 74 17 — — $27,439.65 $69,696.71 $38,913.26 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 74 17 — — $26,240.00 $68,613.00 $38,832.16 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 74 17 — — $26,554.19 $67,447.64 $38,480.45 2026-04-01
265 MS_DRG Aicd Lead Procedures 74 17 — — $26,499.26 $67,308.12 $38,102.32 2026-04-01
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/Mcc 75 17 — — $15,678.23 $39,822.70 $37,945.85 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 78 17 — — $7,054.58 $57,095.00 $37,829.22 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 74 17 — — $26,574.70 $67,499.74 $37,810.43 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 83 17 — — $19,481.52 $72,280.00 $37,597.75 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 75 17 — — $36,234.17 $151,403.00 $37,525.18 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 74 17 — — $24,953.19 $71,691.00 $37,370.42 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 71 17 — — $27,140.84 $68,937.73 $37,139.19 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 77 17 — — $22,155.31 $136,429.24 $37,082.71 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 75 17 — — $23,634.90 $64,089.00 $36,947.41 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 79 17 — — $21,691.60 $61,234.37 $36,748.17 2026-04-01
245 MS_DRG Aicd Generator Procedures 74 17 — — $33,414.47 $96,260.00 $36,495.24 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 74 17 — — $24,192.97 $75,088.00 $36,382.15 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 74 17 — — $25,424.12 $64,577.26 $36,360.95 2026-04-01
578 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis Without Cc/Mcc 74 17 — — $11,765.08 $29,883.30 $36,258.14 2026-04-01
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 75 17 — — $15,314.97 $42,774.00 $36,195.86 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 74 17 — — $26,092.06 $73,605.00 $36,161.12 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 79 17 — — $29,905.62 $80,501.13 $35,770.70 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 75 17 — — $23,178.62 $67,134.00 $35,648.07 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 76 17 — — $23,317.77 $71,479.00 $35,367.70 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 84 17 — — $16,937.60 $71,502.31 $35,163.50 2026-04-01
652 MS_DRG Kidney Transplant 74 17 — — $23,652.47 $65,233.00 $35,043.13 2026-04-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 74 17 — — $18,010.89 $46,472.00 $34,795.89 2026-04-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 77 17 — — $17,901.03 $54,943.00 $34,756.39 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 80 17 — — $18,763.20 $57,262.00 $34,741.87 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 82 17 — — $24,011.70 $65,382.00 $34,715.53 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 84 17 — — $23,383.69 $246,590.51 $34,680.50 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 78 17 — — $18,697.87 $70,906.00 $34,337.73 2026-04-01
665 MS_DRG Prostatectomy With Mcc 74 17 — — $22,859.30 $65,407.00 $34,311.59 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 77 17 — — $14,389.97 $163,476.78 $34,249.40 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 75 17 — — $22,422.06 $62,211.00 $34,193.71 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 87 17 — — $17,986.84 $60,396.00 $34,117.58 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 70 17 — — $25,183.90 $63,967.11 $33,876.17 2026-04-01
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 74 17 — — $16,395.24 $47,760.00 $33,689.37 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 74 17 — — $23,512.59 $59,721.98 $33,669.20 2026-04-01
754 MS_DRG Malignancy, Female Reproductive System With Mcc 76 17 — — $11,230.47 $40,641.00 $33,533.00 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 74 17 — — $23,588.75 $59,915.42 $33,524.78 2026-04-01
582 MS_DRG Mastectomy For Malignancy With Cc/Mcc 74 17 — — $14,110.19 $35,839.88 $33,168.37 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 85 17 — — $15,572.04 $70,884.00 $33,166.47 2026-04-01
803 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Cc 74 17 — — $13,614.36 $38,186.00 $33,010.75 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 81 17 — — $20,598.73 $70,906.00 $32,977.97 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 74 17 — — $21,146.97 $68,108.00 $32,189.28 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 84 17 — — $12,132.46 $50,429.00 $32,011.52 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 74 17 — — $22,118.85 $56,181.88 $31,930.33 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 75 17 — — $21,562.24 $54,768.09 $31,881.12 2026-04-01
711 MS_DRG Testes Procedures With Cc/Mcc 75 17 — — $15,261.50 $46,691.00 $31,830.75 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 82 17 — — $16,600.45 $62,146.00 $31,770.64 2026-04-01
655 MS_DRG Major Bladder Procedures Without Cc/Mcc 74 17 — — $15,501.73 $46,778.00 $31,703.00 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 84 17 — — $19,926.81 $67,028.00 $31,689.84 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 74 17 — — $22,121.78 $56,189.32 $31,554.61 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 80 17 — — $24,226.43 $67,603.00 $31,469.71 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 75 17 — — $20,501.74 $64,138.00 $31,461.69 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 74 17 — — $21,240.72 $58,121.00 $31,454.35 2026-04-01
196 MS_DRG Interstitial Lung Disease With Mcc 78 17 — — $13,190.38 $35,106.94 $31,284.25 2026-04-01
570 MS_DRG Skin Debridement With Mcc 74 17 — — $21,540.27 $54,712.29 $31,151.05 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 74 17 — — $22,094.68 $56,120.49 $31,090.36 2026-04-01
263 MS_DRG Vein Ligation And Stripping 74 17 — — $22,392.03 $56,875.76 $31,012.29 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 75 17 — — $26,901.35 $69,654.00 $30,745.70 2026-04-01
397 MS_DRG Appendix Procedures With Mcc 77 17 — — $17,166.79 $55,517.00 $30,661.15 2026-04-01
828 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 75 17 — — $12,478.43 $31,727.00 $30,654.00 2026-04-01
75 MS_DRG Viral Meningitis With Cc/Mcc 74 17 — — $14,043.54 $35,670.59 $30,616.72 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 86 17 — — $17,423.01 $53,861.00 $30,588.09 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 79 17 — — $30,039.97 $78,562.73 $30,550.02 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 75 17 — — $21,798.80 $64,419.00 $30,442.07 2026-04-01
800 MS_DRG Splenic Procedures With Cc 74 17 — — $20,575.71 $54,676.00 $30,422.66 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 83 17 — — $18,295.60 $62,231.00 $30,401.69 2026-04-01
542 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 76 17 — — $12,937.64 $40,323.00 $30,325.16 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 82 17 — — $16,934.29 $46,914.00 $30,122.46 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 74 17 — — $21,105.96 $53,609.14 $29,984.04 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 80 17 — — $26,328.32 $75,981.00 $29,963.85 2026-04-01
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 77 17 — — $15,491.48 $42,460.00 $29,714.51 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 77 17 — — $15,910.22 $60,244.71 $29,678.24 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 74 17 — — $18,916.12 $68,498.00 $29,594.16 2026-04-01
503 MS_DRG Foot Procedures With Mcc 74 17 — — $20,441.68 $51,921.87 $29,568.12 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 91 17 — — $13,691.68 $126,405.19 $29,319.75 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 74 17 — — $19,755.44 $53,945.00 $29,247.16 2026-04-01
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 75 17 — — $15,957.27 $46,532.00 $29,235.28 2026-04-01
30 MS_DRG Spinal Procedures Without Cc/Mcc 75 17 — — $16,077.38 $40,836.55 $29,070.10 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 74 17 — — $27,294.64 $69,328.39 $28,712.86 2026-04-01
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 76 17 — — $16,807.57 $42,691.23 $28,667.76 2026-04-01
825 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures Without Cc/Mcc 76 17 — — $9,882.84 $28,584.00 $28,584.00 2026-04-01
425 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures Without Cc/Mcc 74 17 — — $10,988.02 $28,562.00 $28,562.00 2026-04-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 81 17 — — $14,863.67 $43,638.00 $28,386.59 2026-04-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 85 17 — — $13,577.74 $58,292.00 $28,173.01 2026-04-01
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 77 17 — — $9,699.90 $37,913.00 $28,032.96 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 74 17 — — $19,316.00 $49,062.64 $28,022.44 2026-04-01
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/Mcc 87 17 — — $12,180.82 $71,588.00 $27,992.04 2026-04-01
769 MS_DRG Postpartum And Post Abortion Diagnoses With O.r. Procedures 78 17 — — $12,375.89 $39,202.00 $27,853.62 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 74 17 — — $18,987.16 $48,227.39 $27,803.60 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 75 17 — — $19,413.41 $49,310.06 $27,789.28 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 86 17 — — $15,448.17 $47,178.19 $27,446.41 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 74 17 — — $26,067.16 $78,786.00 $27,394.17 2026-04-01
849 MS_DRG Radiotherapy 74 17 — — $19,844.05 $50,403.89 $27,285.49 2026-04-01
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 74 17 — — $16,710.17 $53,944.00 $27,196.99 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 75 17 — — $26,452.39 $67,189.07 $27,180.65 2026-04-01
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/Mcc 79 17 — — $12,178.68 $34,565.62 $27,143.63 2026-04-01
142 MS_DRG Major Head And Neck Procedures Without Cc/Mcc 77 17 — — $11,691.84 $29,697.27 $27,102.28 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 86 17 — — $18,612.52 $51,133.12 $27,033.70 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 76 17 — — $19,751.43 $56,059.00 $27,020.59 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 75 17 — — $40,543.98 $110,467.00 $27,008.80 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 83 17 — — $18,951.66 $70,210.00 $27,004.06 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 74 17 — — $23,823.12 $77,563.00 $26,601.91 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 75 17 — — $21,253.90 $60,213.00 $26,531.39 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 78 17 — — $26,152.85 $88,798.00 $26,530.17 2026-04-01
337 MS_DRG Peritoneal Adhesiolysis Without Cc/Mcc 80 17 — — $8,886.85 $32,296.00 $26,486.73 2026-04-01
332 MS_DRG Rectal Resection With Mcc 74 17 — — $26,517.57 $97,427.00 $26,397.13 2026-04-01
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 77 17 — — $13,207.89 $41,040.00 $26,285.74 2026-04-01
35 MS_DRG Carotid Artery Stent Procedures With Cc 81 17 — — $15,804.29 $46,260.50 $26,250.83 2026-04-01
165 MS_DRG Major Chest Procedures Without Cc/Mcc 85 17 — — $12,038.99 $47,691.28 $26,044.23 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 77 17 — — $27,050.30 $78,607.00 $25,777.68 2026-04-01
333 MS_DRG Rectal Resection With Cc 74 17 — — $17,153.99 $51,206.00 $25,709.19 2026-04-01
385 MS_DRG Inflammatory Bowel Disease With Mcc 75 17 — — $11,588.58 $36,547.00 $25,671.93 2026-04-01
908 MS_DRG Other O.r. Procedures For Injuries With Cc 80 17 — — $14,298.19 $40,536.00 $25,289.71 2026-04-01
509 MS_DRG Arthroscopy 48 17 — — $10,796.73 $32,084.00 $25,285.83 2026-04-01
199 MS_DRG Pneumothorax With Mcc 78 17 — — $12,920.06 $37,988.00 $25,234.72 2026-04-01
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 80 17 — — $10,590.20 $37,209.04 $25,230.43 2026-04-01
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 76 17 — — $15,330.35 $56,421.00 $25,167.11 2026-04-01
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 74 17 — — $15,984.37 $61,886.00 $25,149.77 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 80 17 — — $22,214.79 $70,210.00 $25,100.03 2026-04-01
144 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Cc 75 17 — — $12,691.55 $33,982.00 $25,098.36 2026-04-01
709 MS_DRG Penis Procedures With Cc/Mcc 74 17 — — $17,043.40 $44,191.00 $25,018.71 2026-04-01
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 83 17 — — $12,967.46 $43,293.00 $24,954.68 2026-04-01
113 MS_DRG Orbital Procedures With Cc/Mcc 74 17 — — $17,219.18 $43,736.72 $24,728.16 2026-04-01
487 MS_DRG Knee Procedures With Principal Diagnosis Of Infection Without Cc/Mcc 75 17 — — $11,470.66 $32,367.00 $24,705.71 2026-04-01
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 88 17 — — $5,100.00 $70,673.54 $24,499.78 2026-04-01
32 MS_DRG Ventricular Shunt Procedures With Cc 76 17 — — $15,607.19 $42,089.00 $24,434.11 2026-04-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 82 17 — — $16,517.51 $53,089.90 $24,325.90 2026-04-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 75 17 — — $15,005.00 $43,472.56 $24,175.57 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 15 10 — — $269,934.17 $739,657.75 $562,169.68 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 15 10 — — $341,000.00 $707,336.18 $554,134.85 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 15 10 — — $361,064.00 $703,172.73 $550,824.59 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 15 10 — — $369,160.00 $696,647.42 $550,132.04 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 15 10 — — $489,304.61 $611,630.76 $538,150.46 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 15 10 — — $269,934.17 $666,537.71 $509,437.12 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 18 10 — — $63,235.61 $125,536.04 $76,734.01 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 15 10 — — $55,272.32 $69,090.40 $61,118.05 2026-04-01
J9226 HCPCS Supprelin La Implant 12 10 — — $45,020.65 $56,275.81 $48,526.64 2026-04-01
J9266 HCPCS Pegaspargase Injection 18 10 — — $27,070.53 $53,599.65 $33,841.91 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 13 9 — — $56,824.55 $74,954.81 $65,056.11 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 16 9 — — $1,630.59 $80,777.64 $46,195.75 2026-04-01
0620T CPT Hc Trnscath Arterialization Of Vein (Tadv) 14 9 $9,652.00 $3,860.80 60% off $6,180.00 $56,564.50 $39,775.31 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 15 9 $40,211.00 $16,084.40 60% off $4,845.00 $56,564.50 $39,398.62 2026-04-01
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 10 9 — — $31,701.98 $39,627.47 $34,637.58 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 16 9 — — $2,989.42 $56,564.50 $32,288.39 2026-04-01
0686T CPT Histotripsy Mal Hepatcel Tis 14 9 — — $6,180.00 $43,994.75 $31,095.39 2026-04-01
0571T CPT Insj/rplcmt Icds Ss Eltrd 13 9 — — $9,355.00 $40,309.59 $29,741.31 2026-04-01
0408T CPT Insj/rplc Cardiac Modulj Sys 14 9 $19,301.00 $7,720.40 60% off $9,355.00 $40,309.59 $29,741.31 2026-04-01
0915T CPT Insj Perm Ccm-d Sys Pg&eltrd 14 9 $22,291.00 $8,916.40 60% off $9,355.00 $40,309.59 $29,741.31 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 18 9 $255,338.00 $102,135.20 60% off $24,228.42 $47,103.13 $29,554.84 2026-04-01
0674T CPT Laps Insj Nw/rpcmt Prm Isdss 13 9 — — $4,845.00 $39,627.47 $28,010.67 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 15 9 $40,211.00 $16,084.40 60% off $4,845.00 $39,627.47 $28,010.67 2026-04-01
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 15 9 $12,577.00 $5,030.80 60% off $9,355.00 $36,835.17 $27,405.22 2026-04-01
69930 HCPCS Implant Cochlear Device 16 9 — — $6,522.36 $42,342.81 $26,498.51 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 18 9 $23,591.00 $9,436.40 60% off $4,348.24 $40,309.59 $24,980.11 2026-04-01
C9760 HCPCS Non-blind Interatrial Shunt 13 9 — — $6,012.00 $34,567.44 $24,937.93 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 16 9 — — $4,845.00 $39,627.47 $24,185.44 2026-04-01
J7330 HCPCS Hc Autologous Cultured Chondrocytes, Implant 5 1 $0.01 $0.00 100% off $68,066.13 $68,066.13 $68,066.13 2026-04-01
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