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

TITUSVILLE AREA HOSPITAL

Titusville, PA · CCN 391314 · Rates published

3,955 distinct procedures filed
21 distinct payers
85,686 rate rows
2026-02-12 last MRF observed
Data quality

85,258 of 85,686 rate rows are consumer-grade (99.5%)

428 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
per-diem day rate — not a per-procedure price 320
exceeds 10× this hospital's gross charge — excluded from medians 84
placeholder amount (≤ $0.02) — excluded from medians 24
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.titusvillehospital.org/wp-content/uploads/sites/2/2026/02/250965579_Titusville-Area-Hospital_standardcharges-02.12.26.csv
Found on page https://www.titusvillehospital.org/patient-visitor-resources/price-transparency/
Discovered viaCMS hospital list
Last fetch not_modified · 2026-05-17
Content fingerprint 1c863b31f1f2040a… · 8,751,636 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
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 5 $239,794.20 $536,412.54 $388,482.57 nat. median
$370,174
1.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 5 $179,106.16 $400,655.20 $290,163.91 nat. median
$265,286
1.1× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 5 $136,271.33 $304,834.93 $220,768.63 nat. median
$202,976
1.1× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 5 $127,882.65 $286,069.71 $207,178.41 nat. median
$206,474
1.0× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 5 $89,844.62 $200,979.75 $145,554.26 nat. median
$133,161
1.1× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 5 $83,306.88 $186,355.02 $134,962.69 nat. median
$117,357
1.2× median
7
MS_DRG 		Lung Transplant 5 $83,097.05 $185,885.65 $134,622.76 nat. median
$122,708
1.1× median
3
APR_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 4 $48.28 $133,740.22 $131,117.87 nat. median
$80,612
1.6× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 5 $69,268.10 $154,950.69 $112,218.93 nat. median
$102,358
1.1× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 5 $67,713.46 $151,473.02 $109,700.32 nat. median
$100,136
1.1× median
215
MS_DRG 		Other Heart Assist System Implant 5 $67,366.29 $150,696.41 $109,137.89 nat. median
$99,019
1.1× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 5 $66,607.10 $148,998.11 $107,907.93 nat. median
$98,894
1.1× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 5 $61,365.84 $137,273.58 $99,416.76 nat. median
$93,672
1.1× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 5 $59,797.85 $133,766.03 $96,876.51 nat. median
$108,660
0.9× median
850
MS_DRG 		Acute Leukemia With Other Procedures 5 $58,573.22 $131,026.57 $94,892.52 nat. median
$83,470
1.1× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 5 $53,880.70 $120,529.53 $87,290.32 nat. median
$79,312
1.1× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 5 $53,850.82 $120,462.68 $87,241.90 nat. median
$81,118
1.1× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 5 $53,033.12 $118,633.52 $85,917.19 nat. median
$82,711
1.0× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 5 $51,255.94 $114,658.02 $83,038.04 nat. median
$77,570
1.1× median
10
MS_DRG 		Pancreas Transplant 5 $50,695.76 $113,404.92 $82,130.51 nat. median
$68,884
1.2× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 5 $50,405.18 $112,754.90 $81,659.75 nat. median
$71,271
1.1× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 5 $49,700.03 $111,177.50 $80,517.36 nat. median
$73,807
1.1× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 5 $49,198.35 $110,055.26 $79,704.61 nat. median
$74,915
1.1× median
18
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 4 $65.62 $78,975.88 $77,427.34 nat. median
$78,976
1.0× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 5 $47,460.59 $106,167.94 $76,889.32 nat. median
$72,135
1.1× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 5 $45,162.02 $101,026.11 $73,165.48 nat. median
$68,090
1.1× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 5 $44,935.02 $100,518.32 $72,797.73 nat. median
$68,886
1.1× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 5 $44,232.42 $98,946.61 $71,659.46 nat. median
$66,526
1.1× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 5 $43,417.27 $97,123.14 $70,338.86 nat. median
$64,732
1.1× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 5 $42,631.37 $95,365.11 $69,065.65 nat. median
$63,724
1.1× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 5 $42,467.32 $94,998.14 $68,799.89 nat. median
$64,023
1.1× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 5 $42,395.47 $94,837.41 $68,683.49 nat. median
$65,950
1.0× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 5 $41,121.24 $91,987.00 $66,619.15 nat. median
$62,134
1.1× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 5 $41,062.11 $91,854.72 $66,523.35 nat. median
$64,508
1.0× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 5 $40,212.62 $89,954.44 $65,147.12 nat. median
$60,185
1.1× median
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 5 $39,386.66 $88,106.79 $63,809.01 nat. median
$59,099
1.1× median
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 5 $39,335.79 $87,993.00 $63,726.60 nat. median
$60,691
1.1× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 5 $39,156.48 $87,591.90 $63,436.11 nat. median
$59,793
1.1× median
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 5 $38,841.74 $86,887.83 $62,926.21 nat. median
$59,898
1.1× median
J9043
HCPCS 		Cabazitaxel Injection 9 $171.70 $92,334.58 $62,787.51 nat. median
$735
outlier · 85.4×
28
MS_DRG 		Spinal Procedures With Mcc 5 $38,656.08 $86,472.50 $62,625.42 nat. median
$57,822
1.1× median
16
MS_DRG 		Autologous Bone Marrow Transplant With Cc/mcc 5 $38,378.85 $85,852.35 $62,176.29 nat. median
$56,918
1.1× median
17
MS_DRG 		Autologous Bone Marrow Transplant Without Cc/mcc 5 $38,378.85 $85,852.35 $62,176.29 nat. median
$53,807
1.2× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 5 $38,092.08 $85,210.86 $61,711.71 nat. median
$60,726
1.0× median
461
MS_DRG 		Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 5 $38,092.08 $85,210.86 $61,711.71 nat. median
$55,736
1.1× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 5 $37,828.21 $84,620.58 $61,284.21 nat. median
$61,920
1.0× median
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 5 $37,799.59 $84,556.58 $61,237.86 nat. median
$52,303
1.2× median
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 5 $37,414.27 $83,694.62 $60,613.62 nat. median
$57,424
1.1× median
820
MS_DRG 		Lymphoma And Leukemia With Major O.r. Procedures With Mcc 5 $37,020.69 $82,814.18 $59,975.97 nat. median
$56,696
1.1× median
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 5 $36,493.57 $81,635.04 $59,122.01 nat. median
$58,020
1.0× median

Other procedures at this hospital

Browse this hospital's 3,955 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
             
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 16 5 — — $179,106.16 $400,655.20 $290,163.91 2026-02-12
1 APR_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 10 5 — — $97.92 $50,364.58 $41,076.07 2026-02-12
10 MS_DRG Pancreas Transplant 16 5 — — $50,695.76 $113,404.92 $82,130.51 2026-02-12
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 16 5 — — $34,309.45 $76,749.23 $55,583.60 2026-02-12
113 MS_DRG Orbital Procedures With Cc/mcc 16 5 — — $14,225.08 $31,821.08 $23,045.57 2026-02-12
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 16 5 — — $26,093.09 $58,369.47 $42,272.54 2026-02-12
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 16 5 — — $16,849.84 $37,692.59 $27,297.86 2026-02-12
135 MS_DRG Sinus And Mastoid Procedures With Cc/mcc 16 5 — — $15,330.81 $34,294.57 $24,836.93 2026-02-12
14 MS_DRG Allogeneic Bone Marrow Transplant 16 5 — — $83,306.88 $186,355.02 $134,962.69 2026-02-12
140 MS_DRG Major Head And Neck Procedures With Mcc 16 5 — — $26,891.07 $60,154.53 $43,565.32 2026-02-12
141 MS_DRG Major Head And Neck Procedures With Cc 16 5 — — $13,661.09 $30,559.45 $22,131.88 2026-02-12
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 16 5 — — $20,994.90 $46,964.97 $34,013.14 2026-02-12
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 16 5 — — $14,586.87 $32,630.41 $23,631.71 2026-02-12
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 16 5 — — $38,378.85 $85,852.35 $62,176.29 2026-02-12
163 MS_DRG Major Chest Procedures With Mcc 16 5 — — $29,307.28 $65,559.51 $47,479.74 2026-02-12
163 APR_DRG Major Chest Procedures With Mcc 10 5 — — $192.44 $26,612.88 $26,091.06 2026-02-12
164 MS_DRG Major Chest Procedures With Cc 16 5 — — $16,004.17 $35,800.85 $25,927.82 2026-02-12
165 APR_DRG Major Chest Procedures Without Cc/mcc 10 5 — — $109.48 $26,213.66 $24,487.43 2026-02-12
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 16 5 — — $24,481.86 $54,765.20 $39,662.24 2026-02-12
166 APR_DRG Other Respiratory System O.r. Procedures With Mcc 10 5 — — $51.00 $22,299.48 $21,161.49 2026-02-12
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 16 5 — — $38,378.85 $85,852.35 $62,176.29 2026-02-12
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 16 5 — — $19,511.48 $43,646.60 $31,609.89 2026-02-12
178 APR_DRG Respiratory Infections And Inflammations With Cc 10 5 — — $150.28 $33,688.56 $30,435.00 2026-02-12
179 APR_DRG Respiratory Infections And Inflammations Without Cc/mcc 10 5 — — $144.16 $26,091.06 $22,299.48 2026-02-12
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 16 5 — — $239,794.20 $536,412.54 $388,482.57 2026-02-12
18 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 8 4 — — $65.62 $78,975.88 $77,427.34 2026-02-12
183 APR_DRG Major Chest Trauma With Mcc 10 5 — — $155.72 $28,636.38 $26,475.17 2026-02-12
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 16 5 — — $50,405.18 $112,754.90 $81,659.75 2026-02-12
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 16 5 — — $59,797.85 $133,766.03 $96,876.51 2026-02-12
2 APR_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 10 5 — — $74.80 $77,427.34 $50,364.58 2026-02-12
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 16 5 — — $51,255.94 $114,658.02 $83,038.04 2026-02-12
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 16 5 — — $41,121.24 $91,987.00 $66,619.15 2026-02-12
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 16 5 — — $17,064.75 $38,173.35 $27,646.04 2026-02-12
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 16 5 — — $33,959.74 $75,966.93 $55,017.04 2026-02-12
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 16 5 — — $69,268.10 $154,950.69 $112,218.93 2026-02-12
215 MS_DRG Other Heart Assist System Implant 16 5 — — $67,366.29 $150,696.41 $109,137.89 2026-02-12
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 5 — — $61,365.84 $137,273.58 $99,416.76 2026-02-12
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 5 — — $41,062.11 $91,854.72 $66,523.35 2026-02-12
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 5 — — $37,828.21 $84,620.58 $61,284.21 2026-02-12
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 16 5 — — $49,198.35 $110,055.26 $79,704.61 2026-02-12
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 16 5 — — $17,561.98 $39,285.64 $28,451.58 2026-02-12
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 16 5 — — $33,678.70 $75,338.25 $54,561.73 2026-02-12
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 16 5 — — $29,201.73 $65,323.40 $47,308.74 2026-02-12
228 MS_DRG Other Cardiothoracic Procedures With Mcc 16 5 — — $31,685.96 $70,880.57 $51,333.37 2026-02-12
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 16 5 — — $19,751.19 $44,182.83 $31,998.24 2026-02-12
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 16 5 — — $36,275.48 $81,147.17 $58,768.69 2026-02-12
231 MS_DRG Coronary Bypass With Ptca With Mcc 16 5 — — $53,880.70 $120,529.53 $87,290.32 2026-02-12
232 MS_DRG Coronary Bypass With Ptca Without Mcc 16 5 — — $38,841.74 $86,887.83 $62,926.21 2026-02-12
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 16 5 — — $49,700.03 $111,177.50 $80,517.36 2026-02-12
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 16 5 — — $33,828.12 $75,672.50 $54,803.81 2026-02-12
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 16 5 — — $37,414.27 $83,694.62 $60,613.62 2026-02-12
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 16 5 — — $26,146.50 $58,488.95 $42,359.07 2026-02-12
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 16 5 — — $32,026.78 $71,642.95 $51,885.51 2026-02-12
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 16 5 — — $24,172.84 $54,073.94 $39,161.62 2026-02-12
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 16 5 — — $18,517.02 $41,422.03 $29,998.81 2026-02-12
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 16 5 — — $21,567.79 $48,246.52 $34,941.26 2026-02-12
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 16 5 — — $14,324.27 $32,042.97 $23,206.28 2026-02-12
245 MS_DRG Aicd Generator Procedures 16 5 — — $31,072.38 $69,507.99 $50,339.32 2026-02-12
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 16 5 — — $28,436.81 $63,612.30 $46,069.52 2026-02-12
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 16 5 — — $14,704.51 $32,893.54 $23,822.28 2026-02-12
252 MS_DRG Other Vascular Procedures With Mcc 16 5 — — $21,811.96 $48,792.71 $35,336.82 2026-02-12
253 MS_DRG Other Vascular Procedures With Cc 16 5 — — $16,233.07 $36,312.90 $26,298.65 2026-02-12
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 16 5 — — $16,636.83 $37,216.10 $26,952.78 2026-02-12
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 16 5 — — $17,838.58 $39,904.37 $28,899.68 2026-02-12
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 16 5 — — $19,447.89 $43,504.36 $31,506.89 2026-02-12
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 16 5 — — $21,658.08 $48,448.49 $35,087.54 2026-02-12
263 MS_DRG Vein Ligation And Stripping 16 5 — — $17,053.95 $38,149.17 $27,628.53 2026-02-12
264 MS_DRG Other Circulatory System O.r. Procedures 16 5 — — $22,223.35 $49,712.97 $36,003.31 2026-02-12
265 MS_DRG Aicd Lead Procedures 16 5 — — $22,681.79 $50,738.50 $36,746.01 2026-02-12
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 16 5 — — $38,092.08 $85,210.86 $61,711.71 2026-02-12
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 16 5 — — $29,914.51 $66,917.87 $48,463.50 2026-02-12
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 16 5 — — $42,395.47 $94,837.41 $68,683.49 2026-02-12
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 16 5 — — $26,455.52 $59,180.22 $42,859.71 2026-02-12
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 16 5 — — $15,691.33 $35,101.05 $25,421.01 2026-02-12
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 16 5 — — $32,637.82 $73,009.84 $52,875.44 2026-02-12
271 MS_DRG Other Major Cardiovascular Procedures With Cc 16 5 — — $21,900.98 $48,991.84 $35,481.04 2026-02-12
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 16 5 — — $15,910.06 $35,590.34 $25,775.36 2026-02-12
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 16 5 — — $24,863.37 $55,618.62 $40,280.31 2026-02-12
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 16 5 — — $19,844.66 $44,391.92 $32,149.67 2026-02-12
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 16 5 — — $44,935.02 $100,518.32 $72,797.73 2026-02-12
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 16 5 — — $39,386.66 $88,106.79 $63,809.01 2026-02-12
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 16 5 — — $29,578.78 $66,166.86 $47,919.60 2026-02-12
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 16 5 — — $31,813.13 $71,165.04 $51,539.39 2026-02-12
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 16 5 — — $20,374.95 $45,578.17 $33,008.78 2026-02-12
28 MS_DRG Spinal Procedures With Mcc 16 5 — — $38,656.08 $86,472.50 $62,625.42 2026-02-12
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 16 5 — — $14,073.11 $31,481.14 $22,799.38 2026-02-12
288 MS_DRG Acute And Subacute Endocarditis With Mcc 16 5 — — $17,368.05 $38,851.82 $28,137.40 2026-02-12
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 16 5 — — $21,343.34 $47,744.43 $34,577.63 2026-02-12
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 16 5 — — $136,271.33 $304,834.93 $220,768.63 2026-02-12
3 APR_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 8 4 — — $48.28 $133,740.22 $131,117.87 2026-02-12
30 MS_DRG Spinal Procedures Without Cc/mcc 16 5 — — $14,150.05 $31,653.24 $22,924.02 2026-02-12
303 APR_DRG Atherosclerosis Without Mcc 10 5 — — $40.12 $30,435.00 $28,636.38 2026-02-12
31 MS_DRG Ventricular Shunt Procedures With Mcc 16 5 — — $26,645.64 $59,605.50 $43,167.71 2026-02-12
314 MS_DRG Other Circulatory System Diagnoses With Mcc 16 5 — — $13,692.88 $30,630.57 $22,183.38 2026-02-12
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 16 5 — — $39,335.79 $87,993.00 $63,726.60 2026-02-12
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 16 5 — — $27,931.31 $62,481.52 $45,250.58 2026-02-12
32 MS_DRG Ventricular Shunt Procedures With Cc 16 5 — — $13,579.06 $30,375.96 $21,998.99 2026-02-12
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 16 5 — — $14,718.49 $32,924.84 $23,844.94 2026-02-12
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 16 5 — — $18,101.18 $40,491.80 $29,325.11 2026-02-12
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 16 5 — — $27,083.10 $60,584.09 $43,876.42 2026-02-12
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 16 5 — — $20,315.82 $45,445.89 $32,912.98 2026-02-12
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 16 5 — — $18,198.46 $40,709.42 $29,482.72 2026-02-12
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 16 5 — — $32,294.47 $72,241.77 $52,319.18 2026-02-12
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 16 5 — — $15,438.90 $34,536.37 $25,012.05 2026-02-12
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 16 5 — — $29,197.27 $65,313.44 $47,301.53 2026-02-12
330 MS_DRG Major Small And Large Bowel Procedures With Cc 16 5 — — $15,029.42 $33,620.37 $24,348.67 2026-02-12
332 MS_DRG Rectal Resection With Mcc 16 5 — — $22,055.49 $49,337.47 $35,731.36 2026-02-12
333 MS_DRG Rectal Resection With Cc 16 5 — — $13,513.57 $30,229.46 $21,892.89 2026-02-12
335 MS_DRG Peritoneal Adhesiolysis With Mcc 16 5 — — $23,039.14 $51,537.86 $37,324.93 2026-02-12
336 MS_DRG Peritoneal Adhesiolysis With Cc 16 5 — — $13,430.91 $30,044.55 $21,758.97 2026-02-12
34 MS_DRG Carotid Artery Stent Procedures With Mcc 16 5 — — $24,726.03 $55,311.39 $40,057.81 2026-02-12
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 16 5 — — $17,132.79 $38,325.54 $27,756.26 2026-02-12
347 MS_DRG Anal And Stomal Procedures With Mcc 16 5 — — $15,049.13 $33,664.46 $24,380.60 2026-02-12
35 MS_DRG Carotid Artery Stent Procedures With Cc 16 5 — — $14,464.16 $32,355.89 $23,432.90 2026-02-12
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 16 5 — — $15,379.13 $34,402.67 $24,915.22 2026-02-12
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 16 5 — — $18,649.28 $41,717.88 $30,213.07 2026-02-12
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 16 5 — — $27,123.15 $60,673.70 $43,941.32 2026-02-12
357 MS_DRG Other Digestive System O.r. Procedures With Cc 16 5 — — $14,319.18 $32,031.59 $23,198.03 2026-02-12
37 MS_DRG Extracranial Procedures With Mcc 16 5 — — $21,115.71 $47,235.22 $34,208.85 2026-02-12
374 MS_DRG Digestive Malignancy With Mcc 16 5 — — $13,425.19 $30,031.75 $21,749.70 2026-02-12
397 MS_DRG Appendix Procedures With Mcc 16 5 — — $15,754.92 $35,243.29 $25,524.01 2026-02-12
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 16 5 — — $89,844.62 $200,979.75 $145,554.26 2026-02-12
4 APR_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 10 5 — — $42.50 $53,517.71 $49,414.41 2026-02-12
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 16 5 — — $23,984.63 $53,652.92 $38,856.71 2026-02-12
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 16 5 — — $24,875.45 $55,645.65 $40,299.89 2026-02-12
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 16 5 — — $34,518.01 $77,215.77 $55,921.48 2026-02-12
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 16 5 — — $17,857.01 $39,945.61 $28,929.55 2026-02-12
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/mcc 16 5 — — $13,580.33 $30,378.81 $22,001.05 2026-02-12
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 16 5 — — $22,262.77 $49,801.16 $36,067.17 2026-02-12
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 16 5 — — $13,330.45 $29,819.82 $21,596.22 2026-02-12
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 16 5 — — $14,358.61 $32,119.78 $23,261.90 2026-02-12
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 16 5 — — $17,252.96 $38,594.37 $27,950.95 2026-02-12
412 MS_DRG Cholecystectomy With C.d.e. With Cc 16 5 — — $13,553.63 $30,319.07 $21,957.78 2026-02-12
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 16 5 — — $22,278.67 $49,836.72 $36,092.93 2026-02-12
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 16 5 — — $15,110.81 $33,802.43 $24,480.52 2026-02-12
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 16 5 — — $22,442.08 $50,202.27 $36,357.67 2026-02-12
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 16 5 — — $25,862.28 $57,853.15 $41,898.61 2026-02-12
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 16 5 — — $14,518.20 $32,476.79 $23,520.46 2026-02-12
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 5 — — $66,607.10 $148,998.11 $107,907.93 2026-02-12
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 5 — — $45,162.02 $101,026.11 $73,165.48 2026-02-12
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 5 — — $34,997.43 $78,288.23 $56,698.18 2026-02-12
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 16 5 — — $53,033.12 $118,633.52 $85,917.19 2026-02-12
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 16 5 — — $34,783.79 $77,810.31 $56,352.06 2026-02-12
440 APR_DRG Disorders Of Pancreas Except Malignancy Without Cc/mcc 10 5 — — $13.60 $32,744.90 $29,803.07 2026-02-12
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 16 5 — — $42,631.37 $95,365.11 $69,065.65 2026-02-12
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 16 5 — — $25,964.65 $58,082.15 $42,064.46 2026-02-12
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 16 5 — — $32,746.55 $73,253.07 $53,051.59 2026-02-12
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 16 5 — — $19,622.11 $43,894.09 $31,789.14 2026-02-12
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 16 5 — — $53,850.82 $120,462.68 $87,241.90 2026-02-12
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 16 5 — — $36,493.57 $81,635.04 $59,122.01 2026-02-12
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 16 5 — — $27,455.70 $61,417.59 $44,480.07 2026-02-12
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 16 5 — — $38,092.08 $85,210.86 $61,711.71 2026-02-12
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 16 5 — — $18,209.27 $40,733.60 $29,500.24 2026-02-12
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 16 5 — — $34,341.88 $76,821.77 $55,636.14 2026-02-12
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 16 5 — — $18,748.47 $41,939.77 $30,373.76 2026-02-12
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 16 5 — — $32,393.66 $72,463.65 $52,479.88 2026-02-12
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 16 5 — — $21,778.89 $48,718.74 $35,283.26 2026-02-12
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 16 5 — — $16,680.07 $37,312.82 $27,022.82 2026-02-12
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 16 5 — — $20,783.80 $46,492.75 $33,671.14 2026-02-12
471 MS_DRG Cervical Spinal Fusion With Mcc 16 5 — — $30,884.80 $69,088.39 $50,035.43 2026-02-12
472 MS_DRG Cervical Spinal Fusion With Cc 16 5 — — $18,421.64 $41,208.67 $29,844.29 2026-02-12
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 16 5 — — $15,052.95 $33,673.00 $24,386.78 2026-02-12
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 16 5 — — $28,515.65 $63,788.67 $46,197.25 2026-02-12
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 16 5 — — $13,717.04 $30,684.62 $22,222.52 2026-02-12
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 16 5 — — $21,866.64 $48,915.03 $35,425.42 2026-02-12
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 16 5 — — $14,869.82 $33,263.36 $24,090.11 2026-02-12
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 16 5 — — $18,700.14 $41,831.67 $30,295.47 2026-02-12
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 16 5 — — $13,193.11 $29,512.59 $21,373.71 2026-02-12
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 16 5 — — $16,202.55 $36,244.63 $26,249.21 2026-02-12
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 16 5 — — $20,469.69 $45,790.10 $33,162.26 2026-02-12
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 16 5 — — $13,485.59 $30,166.88 $21,847.56 2026-02-12
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 16 5 — — $22,580.06 $50,510.92 $36,581.20 2026-02-12
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 16 5 — — $15,266.59 $34,150.91 $24,732.90 2026-02-12
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 16 5 — — $22,385.49 $50,075.68 $36,265.99 2026-02-12
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 16 5 — — $16,054.40 $35,913.22 $26,009.19 2026-02-12
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 16 5 — — $67,713.46 $151,473.02 $109,700.32 2026-02-12
5 APR_DRG Liver Transplant With Mcc Or Intestinal Transplant 10 5 — — $182.24 $27,733.16 $26,213.66 2026-02-12
500 MS_DRG Soft Tissue Procedures With Mcc 16 5 — — $20,147.96 $45,070.38 $32,641.04 2026-02-12
503 MS_DRG Foot Procedures With Mcc 16 5 — — $16,828.22 $37,644.23 $27,262.84 2026-02-12
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 16 5 — — $18,173.03 $40,652.53 $29,441.51 2026-02-12
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 16 5 — — $19,662.81 $43,985.12 $31,855.06 2026-02-12
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 16 5 — — $12,791.25 $28,613.66 $20,722.68 2026-02-12
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 16 5 — — $22,788.61 $50,977.45 $36,919.07 2026-02-12
52 MS_DRG Spinal Disorders And Injuries With Cc/mcc 16 5 — — $12,796.34 $28,625.04 $20,730.93 2026-02-12
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 16 5 — — $18,532.92 $41,457.59 $30,024.56 2026-02-12
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 16 5 — — $13,404.21 $29,984.81 $21,715.71 2026-02-12
539 MS_DRG Osteomyelitis With Mcc 16 5 — — $12,859.29 $28,765.85 $20,832.90 2026-02-12
545 MS_DRG Connective Tissue Disorders With Mcc 16 5 — — $16,067.12 $35,941.67 $26,029.80 2026-02-12
548 MS_DRG Septic Arthritis With Mcc 16 5 — — $12,809.69 $28,654.90 $20,752.56 2026-02-12
56 MS_DRG Degenerative Nervous System Disorders With Mcc 16 5 — — $15,922.14 $35,617.37 $25,794.93 2026-02-12
570 MS_DRG Skin Debridement With Mcc 16 5 — — $19,140.15 $42,815.94 $31,008.31 2026-02-12
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 16 5 — — $39,156.48 $87,591.90 $63,436.11 2026-02-12
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 16 5 — — $22,031.32 $49,283.42 $35,692.21 2026-02-12
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 16 5 — — $34,305.64 $76,740.70 $55,577.41 2026-02-12
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 16 5 — — $16,931.23 $37,874.66 $27,429.72 2026-02-12
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 16 5 — — $20,724.67 $46,360.47 $33,575.34 2026-02-12
583 APR_DRG Mastectomy For Malignancy Without Cc/mcc 10 5 — — $65.96 $131,117.87 $53,517.71 2026-02-12
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/mcc 16 5 — — $13,018.25 $29,121.44 $21,090.43 2026-02-12
592 MS_DRG Skin Ulcers With Mcc 16 5 — — $13,074.84 $29,248.03 $21,182.11 2026-02-12
595 MS_DRG Major Skin Disorders With Mcc 16 5 — — $13,448.72 $30,084.38 $21,787.81 2026-02-12
6 MS_DRG Liver Transplant Without Mcc 16 5 — — $30,833.30 $68,973.18 $49,952.00 2026-02-12
6 APR_DRG Liver Transplant Without Mcc 10 5 — — $40.12 $41,076.07 $33,688.56 2026-02-12
607 APR_DRG Minor Skin Disorders Without Mcc 10 5 — — $61.54 $24,487.43 $21,481.69 2026-02-12
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 16 5 — — $17,189.38 $38,452.13 $27,847.94 2026-02-12
614 MS_DRG Adrenal And Pituitary Procedures With Cc/mcc 16 5 — — $14,490.86 $32,415.63 $23,476.16 2026-02-12
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 16 5 — — $24,575.33 $54,974.29 $39,813.68 2026-02-12
619 MS_DRG O.r. Procedures For Obesity With Mcc 16 5 — — $17,336.26 $38,780.70 $28,085.89 2026-02-12
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 16 5 — — $23,793.25 $53,224.79 $38,546.64 2026-02-12
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 16 5 — — $18,230.25 $40,780.54 $29,534.22 2026-02-12
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 16 5 — — $25,088.46 $56,122.14 $40,644.97 2026-02-12
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 16 5 — — $14,300.74 $31,990.34 $23,168.16 2026-02-12
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 16 5 — — $29,295.19 $65,532.48 $47,460.16 2026-02-12
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 16 5 — — $22,079.65 $49,391.52 $35,770.51 2026-02-12
652 MS_DRG Kidney Transplant 16 5 — — $19,529.28 $43,686.43 $31,638.74 2026-02-12
653 MS_DRG Major Bladder Procedures With Mcc 16 5 — — $35,445.70 $79,290.99 $57,424.40 2026-02-12
654 MS_DRG Major Bladder Procedures With Cc 16 5 — — $17,944.13 $40,140.48 $29,070.67 2026-02-12
655 MS_DRG Major Bladder Procedures Without Cc/mcc 16 5 — — $13,208.37 $29,546.73 $21,398.43 2026-02-12
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 16 5 — — $20,715.76 $46,340.55 $33,560.92 2026-02-12
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 16 5 — — $16,432.09 $36,758.10 $26,621.08 2026-02-12
662 MS_DRG Minor Bladder Procedures With Mcc 16 5 — — $19,835.76 $44,372.00 $32,135.25 2026-02-12
665 MS_DRG Prostatectomy With Mcc 16 5 — — $21,832.31 $48,838.22 $35,369.79 2026-02-12
668 MS_DRG Transurethral Procedures With Mcc 16 5 — — $18,543.09 $41,480.34 $30,041.04 2026-02-12
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 16 5 — — $26,639.28 $59,591.28 $43,157.40 2026-02-12
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 16 5 — — $14,677.80 $32,833.80 $23,779.01 2026-02-12
7 MS_DRG Lung Transplant 16 5 — — $83,097.05 $185,885.65 $134,622.76 2026-02-12
7 APR_DRG Lung Transplant 10 5 — — $79.90 $49,414.41 $39,071.37 2026-02-12
709 MS_DRG Penis Procedures With Cc/mcc 16 5 — — $14,288.03 $31,961.90 $23,147.56 2026-02-12
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/mcc 16 5 — — $14,359.24 $32,121.20 $23,262.93 2026-02-12
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/mcc 16 5 — — $13,370.51 $29,909.43 $21,661.11 2026-02-12
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 16 5 — — $25,036.95 $56,006.93 $40,561.54 2026-02-12
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 16 5 — — $25,312.27 $56,622.81 $41,007.57 2026-02-12
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 16 5 — — $16,459.43 $36,819.26 $26,665.38 2026-02-12
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 16 5 — — $37,799.59 $84,556.58 $61,237.86 2026-02-12
791 MS_DRG Prematurity With Major Problems 16 5 — — $25,814.59 $57,746.47 $41,821.35 2026-02-12
792 MS_DRG Prematurity Without Major Problems 16 5 — — $15,576.25 $34,843.60 $25,234.56 2026-02-12
793 MS_DRG Full Term Neonate With Major Problems 16 5 — — $26,517.83 $59,319.61 $42,960.65 2026-02-12
799 MS_DRG Splenic Procedures With Mcc 16 5 — — $30,233.06 $67,630.47 $48,979.57 2026-02-12
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 16 5 — — $34,596.85 $77,392.14 $56,049.21 2026-02-12
8 APR_DRG Simultaneous Pancreas And Kidney Transplant 10 5 — — $44.20 $29,803.07 $27,733.16 2026-02-12
800 MS_DRG Splenic Procedures With Cc 16 5 — — $18,527.19 $41,444.78 $30,015.29 2026-02-12
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 16 5 — — $22,793.70 $50,988.83 $36,927.32 2026-02-12
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 16 5 — — $14,562.71 $32,576.36 $23,592.56 2026-02-12
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 16 5 — — $13,292.30 $29,734.48 $21,534.41 2026-02-12
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 16 5 — — $13,898.89 $31,091.41 $22,517.13 2026-02-12
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 16 5 — — $14,752.83 $33,001.64 $23,900.57 2026-02-12
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 16 5 — — $37,020.69 $82,814.18 $59,975.97 2026-02-12
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 16 5 — — $14,194.56 $31,752.81 $22,996.13 2026-02-12
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 16 5 — — $29,754.27 $66,559.43 $48,203.90 2026-02-12
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 16 5 — — $13,984.73 $31,283.43 $22,656.19 2026-02-12
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 16 5 — — $30,364.68 $67,924.90 $49,192.81 2026-02-12
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 16 5 — — $15,005.26 $33,566.32 $24,309.52 2026-02-12
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 16 5 — — $19,608.13 $43,862.80 $31,766.47 2026-02-12
834 MS_DRG Acute Leukemia With Mcc 16 5 — — $35,144.95 $78,618.21 $56,937.16 2026-02-12
835 MS_DRG Acute Leukemia With Cc 16 5 — — $13,580.97 $30,380.23 $22,002.08 2026-02-12
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 16 5 — — $31,837.93 $71,220.51 $51,579.57 2026-02-12
838 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Che… 16 5 — — $12,896.17 $28,848.35 $20,892.65 2026-02-12
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 16 5 — — $20,277.03 $45,359.12 $32,850.15 2026-02-12
841 APR_DRG Lymphoma And Non-acute Leukemia With Cc 10 5 — — $32.64 $39,071.37 $32,744.90 2026-02-12
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 16 5 — — $16,238.16 $36,324.28 $26,306.90 2026-02-12
849 MS_DRG Radiotherapy 16 5 — — $16,984.00 $37,992.71 $27,515.22 2026-02-12
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 16 5 — — $14,408.20 $32,230.72 $23,342.24 2026-02-12
850 MS_DRG Acute Leukemia With Other Procedures 16 5 — — $58,573.22 $131,026.57 $94,892.52 2026-02-12
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 16 5 — — $31,800.42 $71,136.59 $51,518.79 2026-02-12
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 16 5 — — $28,686.69 $64,171.28 $46,474.35 2026-02-12
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 16 5 — — $13,854.38 $30,991.85 $22,445.03 2026-02-12
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 16 5 — — $13,634.38 $30,499.71 $22,088.60 2026-02-12
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 16 5 — — $44,232.42 $98,946.61 $71,659.46 2026-02-12
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 16 5 — — $24,986.09 $55,893.14 $40,479.12 2026-02-12
901 MS_DRG Wound Debridements For Injuries With Mcc 16 5 — — $28,171.02 $63,017.75 $45,638.93 2026-02-12
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 16 5 — — $24,550.53 $54,918.82 $39,773.50 2026-02-12
906 MS_DRG Hand Procedures For Injuries 16 5 — — $13,877.27 $31,043.05 $22,482.11 2026-02-12
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 16 5 — — $25,330.08 $56,662.63 $41,036.41 2026-02-12
908 MS_DRG Other O.r. Procedures For Injuries With Cc 16 5 — — $12,825.59 $28,690.46 $20,778.31 2026-02-12
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 16 5 — — $127,882.65 $286,069.71 $207,178.41 2026-02-12
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 16 5 — — $42,467.32 $94,998.14 $68,799.89 2026-02-12
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 16 5 — — $20,222.35 $45,236.80 $32,761.56 2026-02-12
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 16 5 — — $27,512.29 $61,544.18 $44,571.75 2026-02-12
934 MS_DRG Full Thickness Burn Without Skin Graft Or Inhalation Injury 16 5 — — $13,643.92 $30,521.04 $22,104.06 2026-02-12
935 MS_DRG Non-extensive Burns 16 5 — — $13,965.66 $31,240.76 $22,625.29 2026-02-12
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 16 5 — — $20,181.66 $45,145.77 $32,695.63 2026-02-12
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 16 5 — — $23,200.00 $51,897.72 $37,585.55 2026-02-12
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 16 5 — — $13,425.19 $30,031.75 $21,749.70 2026-02-12
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 16 5 — — $15,242.43 $34,096.86 $24,693.75 2026-02-12
955 MS_DRG Craniotomy For Multiple Significant Trauma 16 5 — — $43,417.27 $97,123.14 $70,338.86 2026-02-12
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 16 5 — — $24,304.46 $54,368.37 $39,374.85 2026-02-12
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 16 5 — — $47,460.59 $106,167.94 $76,889.32 2026-02-12
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 16 5 — — $26,131.88 $58,456.23 $42,335.38 2026-02-12
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 16 5 — — $16,811.05 $37,605.83 $27,235.03 2026-02-12
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 16 5 — — $15,242.43 $34,096.86 $24,693.75 2026-02-12
963 MS_DRG Other Multiple Significant Trauma With Mcc 16 5 — — $17,273.95 $38,641.31 $27,984.94 2026-02-12
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 16 5 — — $40,212.62 $89,954.44 $65,147.12 2026-02-12
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 16 5 — — $22,792.43 $50,985.99 $36,925.26 2026-02-12
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 16 5 — — $16,870.82 $37,739.53 $27,331.85 2026-02-12
974 MS_DRG HIV With Major Related Condition With Mcc 16 5 — — $18,987.54 $42,474.57 $30,761.08 2026-02-12
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 16 5 — — $13,793.34 $30,855.30 $22,346.13 2026-02-12
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 16 5 — — $30,227.34 $67,617.67 $48,970.31 2026-02-12
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 16 5 — — $15,567.34 $34,823.69 $25,220.14 2026-02-12
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 16 5 — — $22,271.67 $49,821.07 $36,081.60 2026-02-12
J9043 HCPCS Cabazitaxel Injection 20 9 $184,669.16 $110,801.50 40% off $171.70 $92,334.58 $62,787.51 2026-02-12
Q5108 HCPCS Injection, Fulphila 20 9 $83,355.00 $50,013.00 40% off $65.96 $41,677.50 $28,340.70 2026-02-12
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