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 →

Export CSV
Hospital

TRISTAR NORTHCREST MEDICAL CENTER

Springfield, TN · CCN 440065 · Rates published

25,777 distinct procedures filed
26 distinct payers
777,790 rate rows
2026-08-01 last MRF observed
Data quality

740,462 of 777,790 rate rows are consumer-grade (95.2%)

37,328 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 16,163
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 8,670
template filing: same amount across many unrelated codes — excluded 5,145
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 4,178
exceeds 10× this hospital's gross charge — excluded from medians 1,641
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 996
placeholder amount (≤ $0.02) — excluded from medians 472
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 50
percent-of-charges filed in the dollar field — excluded from medians 13
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://stctrprodsnsvc00455826e6.blob.core.windows.net/pt-final-posting-files/85-4366763_TRISTAR-NORTHCREST-MEDICAL-CENTER_standardcharges.json?si=pt-json-access-policy&spr=https&sv=2024-11-04&sr=c&sig=o5IofreS%2F7ETlsnhPakPWCwHVVUZRobywQ5wUKGjVuQ%3D
Found on page https://www.tristarhealth.com/patient-resources/patient-financial-resources/pricing-transparency-cms-required-file-of-standard-charges
Discovered viaCMS hospital list
Last fetch not_modified · 2026-08-11
Content fingerprint 65330e3fc664de6d… · 225,055,910 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
845
OTHER 		Inj, Atidarsagene Autotem 14 $4,505,000.00 $4,955,500.00 $4,550,050.00 nat. median
$16,015
outlier · 284.1×
J1411
HCPCS 		Injection, Etranacogene Dezaparvovec-drlb, Per Therapeutic Dose 1 $4,200,000.00 $4,200,000.00 $4,200,000.00 nat. median
$3,710,000
1.1× median
J1414
HCPCS 		Injection, Fidanacogene Elaparvovec-dzkt, Per Therapeutic Dose 1 $4,200,000.00 $4,200,000.00 $4,200,000.00 nat. median
$3,710,000
1.1× median
J1413
HCPCS 		Injection, Delandistrogene Moxeparvovec-rokl, Per Therapeutic Dose 1 $3,840,000.00 $3,840,000.00 $3,840,000.00 nat. median
$3,324,572
1.2× median
9138
OTHER 		Inj, Hemgenix, Per Tx Dos 16 $3,489,255.00 $4,864,552.44 $3,722,119.67 nat. median
$3,758,972
1.0× median
J3394
HCPCS 		Injection, Lovotibeglogene Autotemcel, Per Treatment 1 $3,720,000.00 $3,720,000.00 $3,720,000.00 nat. median
$3,286,000
1.1× median
773
OTHER 		Inj, Beqvez, Per Tx Dose 15 $3,424,750.00 $4,758,600.00 $3,641,050.00 nat. median
$3,646,097
1.0× median
908
OTHER 		Topi Adm Prad Zami Per Tr 17 $3,335,820.00 $4,903,655.40 $3,419,215.50 nat. median
$29,683
outlier · 115.2×
714
OTHER 		Inj Delandistrogene Mox R 18 $3,159,182.25 $4,891,954.20 $3,411,056.50 nat. median
$3,325,455
1.0× median
J3393
HCPCS 		Injection, Betibeglogene Autotemcel, Per Treatment 1 $3,360,000.00 $3,360,000.00 $3,360,000.00 nat. median
$2,997,086
1.1× median
748
OTHER 		Inj, Lovotibeglogene Auto 18 $3,121,700.00 $4,830,420.00 $3,334,471.62 nat. median
$3,252,508
1.0× median
906
OTHER 		Inj Elivaldogene Autoteme 17 $3,180,000.00 $4,674,600.00 $3,259,500.00 nat. median
$24,604
outlier · 132.5×
746
OTHER 		Inj, Betibeglogene Autote 18 $2,819,600.00 $4,362,960.00 $3,013,468.22 nat. median
$2,939,969
1.0× median
J3399
HCPCS 		Injection, Onasemnogene Abeparvovec-xioi, Per Treatment, Up To 5x10°15 Vector Ge… 1 $2,870,046.83 $2,870,046.83 $2,870,046.83 nat. median
$2,460,273
1.2× median
J3392
HCPCS 		Injection, Exagamglogene Autotemcel, Per Treatment 1 $2,640,000.00 $2,640,000.00 $2,640,000.00 nat. median
$2,405,851
1.1× median
9141
OTHER 		Inj Onase Abepar-xioi Tre 18 $2,269,183.30 $3,805,802.07 $2,588,981.00 nat. median
$2,588,981
1.0× median
824
OTHER 		Inj, Exagamglogene Autote 17 $2,332,000.00 $3,428,040.00 $2,390,300.00 nat. median
$58,186
outlier · 41.1×
Q2057
HCPCS 		Afamitresgene Autoleucel, Including Leukapheresis And Dose Preparation Procedure… 3 $872,400.00 $2,042,143.00 $1,749,707.25 nat. median
$809,151
outlier · 2.2×
Q2042
HCPCS 		Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka… 1 $1,387,149.28 $1,501,307.95 $1,387,149.28 nat. median
$691,418
outlier · 2.0×
Q2056
HCPCS 		Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 2 $620,118.79 $1,557,271.36 $1,345,370.55 nat. median
$631,793
outlier · 2.1×
Q2055
HCPCS 		Idecabtagene Vicleucel, Up To 510 Million Autologous B-cell Maturation Antigen (… 3 $591,090.52 $1,478,916.58 $1,334,154.50 nat. median
$610,161
outlier · 2.2×
Q2054
HCPCS 		Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi… 2 $579,352.98 $1,489,833.29 $1,315,434.06 nat. median
$624,417
outlier · 2.1×
Q2041
HCPCS 		Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via… 2 $549,504.00 $1,410,309.44 $1,296,212.81 nat. median
$588,565
outlier · 2.2×
Q2053
HCPCS 		Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 2 $549,504.00 $1,297,043.03 $1,191,016.00 nat. median
$577,541
outlier · 2.1×
2067
OTHER 		Afamitresgene Autoleucel 17 $770,620.00 $1,132,811.40 $786,032.40 nat. median
$786,032
1.0× median
Q2058
HCPCS 		Obecabtagene Autoleucel, 10 Up To 400 Million Cd19 Car-positive Viable T Cells,… 3 $630,000.00 $737,362.50 $710,521.88 nat. median
$302,242
outlier · 2.4×
9498
OTHER 		Ciltacabtagene Car-pos T 18 $500,767.23 $863,844.91 $587,649.60 nat. median
$587,650
1.0× median
9194
OTHER 		Tisagenlecleucel Car-pos 18 $502,733.26 $832,801.01 $566,531.30 nat. median
$576,820
1.0× median
9413
OTHER 		Lisocabtagene Car Pos T 18 $490,889.79 $826,435.76 $562,201.20 nat. median
$562,201
1.0× median
9422
OTHER 		Idecabtagene Vicleucel Ca 18 $500,258.22 $820,380.25 $558,081.80 nat. median
$560,872
1.0× median
J3402
HCPCS 		Injection, Remestemcel-l-rknd, Per Therapeutic Dose 1 $534,422.90 $534,422.90 $534,422.90 nat. median
$209,736
outlier · 2.5×
9035
OTHER 		Axicabtagene Ciloleucel C 18 $464,983.20 $782,322.53 $532,192.20 nat. median
$533,230
1.0× median
9391
OTHER 		Brexucabtagene Car Pos T 17 $489,450.20 $719,491.79 $501,686.46 nat. median
$492,768
1.0× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 21 $1,854.72 $1,072,056.19 $293,637.84 nat. median
$370,165
0.8× median
831
OTHER 		Obecbtge Autol Up To 400 17 $278,250.00 $409,027.50 $285,206.25 nat. median
$20,175
outlier · 14.1×
897
OTHER 		Revakinagene, Per Implant 17 $265,000.00 $389,550.00 $271,625.00 nat. median
$19,528
outlier · 13.9×
886
OTHER 		Inj. Remestemcel-l-rknd/ 17 $201,669.00 $296,453.43 $206,710.73 nat. median
$200,661
1.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 21 $2,253.12 $695,721.34 $201,403.93 nat. median
$261,939
0.8× median
J7330
HCPCS 		Autologous Cultured Chondrocytes, Implant 2 $76,729.09 $221,874.56 $192,914.70 nat. median
$75,807
outlier · 2.5×
J9029
HCPCS 		Intravesical Instillation, Nadofaragene Firadenovec-vncg, Per Therapeutic Dose 3 $72,000.00 $170,328.19 $168,273.22 nat. median
$69,291
outlier · 2.4×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 23 $2,253.12 $526,936.82 $152,893.30 nat. median
$199,832
0.8× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 21 $2,253.12 $530,047.51 $151,547.72 nat. median
$205,166
0.7× median
A9543
HCPCS 		Yttrium Y-90 Ibritumomab Tiuxetan, Therapeutic, Per Treatment Dose, Up To 40 Mil… 3 $74,124.43 $173,512.94 $150,585.06 nat. median
$63,643
outlier · 2.4×
1907
OTHER 		New Technology - Level 52 17 $140,138.80 $210,510.03 $145,352.16 nat. median
$155,877
0.9× median
1908
OTHER 		New Technology - Level 52 18 $133,131.86 $210,510.03 $145,190.24 nat. median
$155,877
0.9× median
Q2043
HCPCS 		Sipuleucel-t, Minimum Of 50 Million Autologous Cd54+ Cells Activated With Pap-gm… 3 $65,321.65 $147,108.87 $144,170.89 nat. median
$65,655
outlier · 2.2×
1906
OTHER 		New Technology - Level 51 17 $126,354.70 $189,804.20 $131,055.27 nat. median
$140,545
0.9× median
1905
OTHER 		New Technology - Level 51 18 $120,036.96 $189,804.20 $130,909.29 nat. median
$140,545
0.9× median
A9699
HCPCS 		Radiopharmaceutical, Therapeutic, Not Otherwise Classified 1 $123,321.96 $123,742.09 $123,321.96 nat. median
$4,125
outlier · 29.9×
1904
OTHER 		New Technology - Level 50 17 $112,570.60 $169,098.36 $116,758.39 nat. median
$122,500
1.0× median

Other procedures at this hospital

Browse this hospital's 25,777 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
             
845 OTHER Inj, Atidarsagene Autotem 23 14 — — $4,505,000.00 $4,955,500.00 $4,550,050.00 2026-03-01
J1411 HCPCS Injection, Etranacogene Dezaparvovec-drlb, Per Therapeutic Dose 2 1 — — $4,200,000.00 $4,200,000.00 $4,200,000.00 2026-03-01
J1414 HCPCS Injection, Fidanacogene Elaparvovec-dzkt, Per Therapeutic Dose 1 1 — — $4,200,000.00 $4,200,000.00 $4,200,000.00 2026-03-01
J1413 HCPCS Injection, Delandistrogene Moxeparvovec-rokl, Per Therapeutic Dose 2 1 — — $3,840,000.00 $3,840,000.00 $3,840,000.00 2026-03-01
J3394 HCPCS Injection, Lovotibeglogene Autotemcel, Per Treatment 1 1 — — $3,720,000.00 $3,720,000.00 $3,720,000.00 2026-03-01
9138 OTHER Inj, Hemgenix, Per Tx Dos 52 16 — — $3,489,255.00 $4,864,552.44 $3,722,119.67 2026-03-01
773 OTHER Inj, Beqvez, Per Tx Dose 26 15 — — $3,424,750.00 $4,758,600.00 $3,641,050.00 2024-10-01
J3393 HCPCS Injection, Betibeglogene Autotemcel, Per Treatment 1 1 — — $3,360,000.00 $3,360,000.00 $3,360,000.00 2026-03-01
908 OTHER Topi Adm Prad Zami Per Tr 28 17 — — $3,335,820.00 $4,903,655.40 $3,419,215.50 2026-03-01
906 OTHER Inj Elivaldogene Autoteme 28 17 — — $3,180,000.00 $4,674,600.00 $3,259,500.00 2026-03-01
714 OTHER Inj Delandistrogene Mox R 56 18 — — $3,159,182.25 $4,891,954.20 $3,411,056.50 2026-03-01
748 OTHER Inj, Lovotibeglogene Auto 56 18 — — $3,121,700.00 $4,830,420.00 $3,334,471.62 2026-03-01
J3399 HCPCS Injection, Onasemnogene Abeparvovec-xioi, Per Treatment, Up To 5x10°15 Vector Ge… 1 1 — — $2,870,046.83 $2,870,046.83 $2,870,046.83 2026-03-01
746 OTHER Inj, Betibeglogene Autote 56 18 — — $2,819,600.00 $4,362,960.00 $3,013,468.22 2026-03-01
J3392 HCPCS Injection, Exagamglogene Autotemcel, Per Treatment 1 1 — — $2,640,000.00 $2,640,000.00 $2,640,000.00 2026-03-01
824 OTHER Inj, Exagamglogene Autote 28 17 — — $2,332,000.00 $3,428,040.00 $2,390,300.00 2026-03-01
9141 OTHER Inj Onase Abepar-xioi Tre 56 18 — — $2,269,183.30 $3,805,802.07 $2,588,981.00 2026-03-01
Q2042 HCPCS Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka… 7 1 — — $1,387,149.28 $1,501,307.95 $1,387,149.28 2026-03-01
Q2057 HCPCS Afamitresgene Autoleucel, Including Leukapheresis And Dose Preparation Procedure… 6 3 — — $872,400.00 $2,042,143.00 $1,749,707.25 2026-03-01
2067 OTHER Afamitresgene Autoleucel 29 17 — — $770,620.00 $1,132,811.40 $786,032.40 2026-03-01
Q2058 HCPCS Obecabtagene Autoleucel, 10 Up To 400 Million Cd19 Car-positive Viable T Cells, … 6 3 — — $630,000.00 $737,362.50 $710,521.88 2026-03-01
Q2056 HCPCS Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 9 2 — — $620,118.79 $1,557,271.36 $1,345,370.55 2026-03-01
Q2055 HCPCS Idecabtagene Vicleucel, Up To 510 Million Autologous B-cell Maturation Antigen (… 11 3 — — $591,090.52 $1,478,916.58 $1,334,154.50 2026-03-01
Q2054 HCPCS Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi… 9 2 — — $579,352.98 $1,489,833.29 $1,315,434.06 2026-03-01
Q2041 HCPCS Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via… 9 2 — — $549,504.00 $1,410,309.44 $1,296,212.81 2026-03-01
Q2053 HCPCS Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 9 2 — — $549,504.00 $1,297,043.03 $1,191,016.00 2026-03-01
J3402 HCPCS Injection, Remestemcel-l-rknd, Per Therapeutic Dose 3 1 — — $534,422.90 $534,422.90 $534,422.90 2026-03-01
9194 OTHER Tisagenlecleucel Car-pos 56 18 — — $502,733.26 $832,801.01 $566,531.30 2026-03-01
9498 OTHER Ciltacabtagene Car-pos T 56 18 — — $500,767.23 $863,844.91 $587,649.60 2026-03-01
9422 OTHER Idecabtagene Vicleucel Ca 56 18 — — $500,258.22 $820,380.25 $558,081.80 2026-03-01
9413 OTHER Lisocabtagene Car Pos T 56 18 — — $490,889.79 $826,435.76 $562,201.20 2026-03-01
9391 OTHER Brexucabtagene Car Pos T 28 17 — — $489,450.20 $719,491.79 $501,686.46 2026-03-01
9035 OTHER Axicabtagene Ciloleucel C 56 18 — — $464,983.20 $782,322.53 $532,192.20 2026-03-01
831 OTHER Obecbtge Autol Up To 400 28 17 — — $278,250.00 $409,027.50 $285,206.25 2026-03-01
897 OTHER Revakinagene, Per Implant 28 17 — — $265,000.00 $389,550.00 $271,625.00 2026-03-01
886 OTHER Inj. Remestemcel-l-rknd/ 28 17 — — $201,669.00 $296,453.43 $206,710.73 2026-03-01
1907 OTHER New Technology - Level 52 30 17 — — $140,138.80 $210,510.03 $145,352.16 2026-03-01
1908 OTHER New Technology - Level 52 58 18 — — $133,131.86 $210,510.03 $145,190.24 2026-03-01
1906 OTHER New Technology - Level 51 30 17 — — $126,354.70 $189,804.20 $131,055.27 2026-03-01
A9699 HCPCS Radiopharmaceutical, Therapeutic, Not Otherwise Classified 7 1 — — $123,321.96 $123,742.09 $123,321.96 2026-03-01
1905 OTHER New Technology - Level 51 58 18 — — $120,036.96 $189,804.20 $130,909.29 2026-03-01
1904 OTHER New Technology - Level 50 30 17 — — $112,570.60 $169,098.36 $116,758.39 2026-03-01
1903 OTHER New Technology - Level 50 58 18 — — $106,942.07 $169,098.36 $116,628.32 2026-03-01
Q0480 HCPCS Driver For Use With Pneumatic Ventricular Assist Device, Replacement Only 29 17 — — $94,999.90 $146,999.85 $100,999.90 2024-10-01
1901 OTHER New Technology - Level 49 58 18 — — $93,847.18 $148,392.53 $102,347.37 2026-03-01
1902 OTHER New Technology - Level 49 58 18 — — $93,847.18 $148,392.53 $102,347.37 2026-03-01
K1007 HCPCS Bilateral Hip, Knee, Ankle, Foot Device, Powered, Includes Pelvic Component, Sin… 29 17 — — $86,480.30 $133,816.89 $91,942.22 2024-10-01
1585 OTHER New Technology - Level 48 58 18 — — $82,934.77 $131,137.63 $90,446.55 2026-03-01
1599 OTHER New Technology - Level 48 58 18 — — $82,934.77 $131,137.63 $90,446.55 2026-03-01
J7330 HCPCS Autologous Cultured Chondrocytes, Implant 10 2 — — $76,729.09 $221,874.56 $192,914.70 2026-03-01
1598 OTHER New Technology - Level 47 58 18 — — $74,204.84 $117,333.74 $80,925.92 2026-03-01
1584 OTHER New Technology - Level 47 58 18 — — $74,204.84 $117,333.74 $80,925.92 2026-03-01
A9543 HCPCS Yttrium Y-90 Ibritumomab Tiuxetan, Therapeutic, Per Treatment Dose, Up To 40 Mil… 12 3 — — $74,124.43 $173,512.94 $150,585.06 2026-03-01
J9029 HCPCS Intravesical Instillation, Nadofaragene Firadenovec-vncg, Per Therapeutic Dose 12 3 — — $72,000.00 $170,328.19 $168,273.22 2026-03-01
1597 OTHER New Technology - Level 46 30 17 — — $68,920.96 $103,529.85 $71,484.89 2026-03-01
C9150 HCPCS Xenon Xe-129 Hyperpolarized Gas, Diagnostic, Per Study Dose 3 1 — — $65,769.60 $74,786.40 $74,786.40 2026-03-01
1583 OTHER New Technology - Level 46 58 18 — — $65,474.91 $103,529.85 $71,405.27 2026-03-01
Q2043 HCPCS Sipuleucel-t, Minimum Of 50 Million Autologous Cd54+ Cells Activated With Pap-gm… 12 3 — — $65,321.65 $147,108.87 $144,170.89 2026-03-01
L8702 HCPCS Powered Upper Extremity Range Of Motion Assist Device, Elbow, Wrist, Hand, Finge… 29 17 — — $62,578.11 $96,831.40 $66,530.42 2024-10-01
90288 CPT Botulism Immune Globulin, Human, For Intravenous Use 3 1 — — $60,394.20 $68,674.05 $68,674.05 2026-03-01
717 OTHER Instill Adstiladrin, Tx D 56 18 — — $60,187.03 $94,483.94 $65,724.62 2026-03-01
1643 OTHER Y90 Ibritumomab, Rx 58 18 — — $56,824.55 $96,250.57 $65,476.58 2026-03-01
1582 OTHER New Technology - Level 45 58 18 — — $56,744.98 $89,725.96 $61,884.63 2026-03-01
1596 OTHER New Technology - Level 45 58 18 — — $56,744.98 $89,725.96 $61,884.63 2026-03-01
J9226 HCPCS Histrelin Implant (supprelin La), 50 Mg 12 3 — — $54,500.39 $117,019.36 $114,441.15 2026-03-01
9273 OTHER Sipuleucel-t Auto Cd54+ 56 18 — — $52,264.47 $80,872.39 $55,800.81 2026-03-01
1581 OTHER New Technology - Level 44 30 17 — — $50,542.16 $75,922.07 $52,422.39 2026-03-01
1595 OTHER New Technology - Level 44 58 18 — — $48,015.05 $75,922.07 $52,364.00 2026-03-01
5244 OTHER Level 4 Blood Product Exc 58 18 — — $45,453.41 $88,708.65 $60,346.02 2026-03-01
L7181 HCPCS Electronic Elbow, Microprocessor Simultaneous Control Of Elbow And Terminal Devi… 29 17 — — $45,118.35 $69,814.71 $47,967.93 2024-10-01
1142 OTHER Supprelin La Implant 57 18 — — $43,082.70 $66,664.81 $45,350.21 2026-03-01
1594 OTHER New Technology - Level 43 58 18 — — $39,285.12 $62,118.19 $42,843.35 2026-03-01
1580 OTHER New Technology - Level 43 58 18 — — $39,285.12 $62,118.19 $42,843.35 2026-03-01
L7180 HCPCS Electronic Elbow, Microprocessor Sequential Control Of Elbow And Terminal Device… 29 17 — — $36,375.03 $56,285.57 $38,672.39 2024-10-01
L2006 HCPCS Knee Ankle Foot Device, Any Material, Single Or Double Upright, Swing And Stance… 29 17 — — $35,816.42 $55,421.21 $38,078.51 2024-10-01
1593 OTHER New Technology - Level 42 30 17 — — $32,163.36 $48,314.30 $33,359.88 2026-03-01
1579 OTHER New Technology - Level 42 30 17 — — $32,163.36 $48,314.30 $33,359.88 2026-03-01
L8701 HCPCS Powered Upper Extremity Range Of Motion Assist Device, Elbow, Wrist, Hand With S… 29 17 — — $31,806.85 $49,216.92 $33,815.71 2024-10-01
J9266 HCPCS Injection, Pegaspargase, Per Single Dose Vial 12 3 — — $31,521.48 $75,323.76 $71,589.38 2026-03-01
5166 OTHER Cochlear Implant Procedur 30 17 — — $29,361.42 $46,500.16 $32,107.25 2026-03-01
5232 OTHER Level 2 Icd And Similar P 58 18 — — $27,364.82 $44,267.32 $30,245.32 2026-03-01
0200 RC — 1 1 — — $27,192.55 $27,192.55 $27,192.55 2026-03-01
L5856 HCPCS Addition To Lower Extremity Prosthesis, Endoskeletal Knee-shin System, Microproc… 29 17 — — $27,031.58 $41,827.82 $28,738.84 2024-10-01
L6880 HCPCS Electric Hand, Switch Or Myoelectric Controlled, Independently Articulating Digi… 29 17 — — $26,904.00 $41,630.40 $28,603.20 2024-10-01
J9600 HCPCS Injection, Porfimer Sodium, 75 Mg 12 3 — — $26,766.00 $64,205.31 $62,320.47 2026-03-01
5117 OTHER Level 7 Musculoskeletal P 29 17 — — $26,031.81 $38,266.76 $26,552.45 2026-03-01
5465 OTHER Level 5 Neurostimulator A 56 18 — — $25,828.63 $43,518.22 $29,604.23 2026-03-01
843 OTHER Pegaspargase Injection 56 18 — — $25,717.00 $41,783.37 $28,424.06 2026-03-01
G0251 HCPCS Linear Accelerator Based Stereotactic Radiosurgery, Delivery Including Collimato… 2 1 — — $24,780.00 $24,780.00 $24,780.00 2026-03-01
G0173 HCPCS Linear Accelerator Based Stereotactic Radiosurgery, Complete Course Of Therapy I… 2 1 — — $24,780.00 $24,780.00 $24,780.00 2026-03-01
5200 OTHER Implantation Wireless Pa 58 18 — — $24,175.33 $40,451.77 $27,518.21 2026-03-01
1578 OTHER New Technology - Level 41 58 18 — — $24,007.74 $37,961.38 $26,182.24 2026-03-01
1592 OTHER New Technology - Level 41 58 18 — — $24,007.74 $37,961.38 $26,182.24 2026-03-01
856 OTHER Porfimer Sodium Injection 56 18 — — $22,676.63 $35,615.78 $24,768.97 2026-03-01
5213 OTHER Level 3 Electrophysiologi 58 18 — — $19,755.13 $36,861.90 $25,076.12 2026-03-01
326033 CDM Revsc Fem/pop W Stnt/ath 15 10 $293,060.96 $293,060.96 $15,000.00 $240,309.99 $69,162.39 2024-10-01
J1412 HCPCS Injection, Valoctocogene Roxaparvovec-rvox, Per Ml, Containing Nominal 2 X 10°13… 9 2 — — $13,593.76 $33,267.33 $31,820.70 2026-03-01
415635 CDM Revsc Fem/pop W Stnt/ath 15 10 $193,379.54 $193,379.54 $13,536.57 $158,571.22 $45,637.57 2024-10-01
416615 CDM Rvsc Tpvt Stnt Sfl In 18 9 $186,141.48 $186,141.48 $13,029.90 $152,636.01 $46,721.51 2026-03-01
416637 CDM Rvsc Tpvt Stnt Cl In 18 9 $186,141.48 $186,141.48 $13,029.90 $152,636.01 $46,721.51 2026-03-01
416626 CDM Rvsc Fpvt Ath Sfl In 18 9 $186,141.48 $186,141.48 $13,029.90 $152,636.01 $46,721.51 2026-03-01
416617 CDM Rvsc Fpvt Stnt Sfl Ea 18 9 $186,141.48 $186,141.48 $13,029.90 $152,636.01 $46,721.51 2026-03-01
416628 CDM Rvsc Fpvt Stn Cl In 18 9 $186,141.48 $186,141.48 $13,029.90 $152,636.01 $46,721.51 2026-03-01
416620 CDM Rvsc Fpvt Ang Cl Ea 18 9 $186,141.48 $186,141.48 $13,029.90 $152,636.01 $46,721.51 2026-03-01
416619 CDM Rvsc Fpvt Stnt Sfl In 18 9 $186,141.48 $186,141.48 $13,029.90 $152,636.01 $46,721.51 2026-03-01
416627 CDM Rvsc Fpvt Stnt Cl Ea 18 9 $186,141.48 $186,141.48 $13,029.90 $152,636.01 $46,721.51 2026-03-01
416623 CDM Rvsc Fpvt Ath Cl In 18 9 $186,141.48 $186,141.48 $13,029.90 $152,636.01 $46,721.51 2026-03-01
416625 CDM Rvsc Fpvt Ath Sfl Ea 18 9 $186,141.48 $186,141.48 $13,029.90 $152,636.01 $46,721.51 2026-03-01
416629 CDM Rvsc Fpvt Ang Sfl Ea 18 9 $186,141.48 $186,141.48 $13,029.90 $152,636.01 $46,721.51 2026-03-01
416624 CDM Rvsc Fpvt Ath Cl Ea 18 9 $186,141.48 $186,141.48 $13,029.90 $152,636.01 $46,721.51 2026-03-01
416611 CDM Rv Fpvt Stn/ath Cl Ea 18 9 $184,971.73 $184,971.73 $12,948.02 $151,676.82 $46,427.90 2026-03-01
416621 CDM Rv Fpvt Stn/ath Sfl Ea 18 9 $184,971.73 $184,971.73 $12,948.02 $151,676.82 $46,427.90 2026-03-01
416622 CDM Rv Fpvt Stn/ath Sfl In 18 9 $184,971.73 $184,971.73 $12,948.02 $151,676.82 $46,427.90 2026-03-01
416614 CDM Rv Fpvt Stn/ath Cl In 18 9 $184,971.73 $184,971.73 $12,948.02 $151,676.82 $46,427.90 2026-03-01
209 MS_DRG Complex Aortic Arch Procedures 46 20 — — $12,269.58 $281,000.53 $82,208.28 2026-03-01
326025 CDM Revsc Fem/pop W Atherct 15 10 $169,219.53 $169,219.53 $11,845.37 $138,760.01 $39,935.81 2024-10-01
326048 CDM Revsc Tib/per Stnt Init 15 10 $169,219.53 $169,219.53 $11,845.37 $138,760.01 $39,935.81 2024-10-01
326029 CDM Revsc Fem/pop W Stnt 15 10 $169,219.53 $169,219.53 $11,845.37 $138,760.01 $39,935.81 2024-10-01
326035 CDM Revsc Fem/pop W Stnt/ath 15 10 $168,156.12 $168,156.12 $11,770.93 $137,888.02 $39,684.84 2024-10-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 97 23 — — $11,362.05 $253,183.05 $79,307.28 2026-03-01
J9216 HCPCS Injection, Interferon, Gamma 1-b, 3 Million Units 10 2 — — $10,298.13 $26,901.69 $25,891.88 2026-03-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 97 23 — — $9,040.56 $201,452.70 $65,093.30 2026-03-01
850 MS_DRG Acute Leukemia With Other Procedures 91 21 — — $8,481.00 $222,498.95 $64,409.02 2026-03-01
415723 CDM Prc D-e Cor Revsc Ami Sl 33 10 $127,535.96 $127,535.96 $8,115.92 $104,579.49 $30,608.63 2026-03-01
415720 CDM Prc D-el Cor Rvsc Cabg A 33 10 $127,535.96 $127,535.96 $8,115.92 $104,579.49 $30,608.63 2026-03-01
415721 CDM Prc D-e Cor Revsc Chrn S 33 10 $127,535.96 $127,535.96 $8,115.92 $104,579.49 $30,608.63 2026-03-01
415717 CDM Prc D-el Cor Stnt Ath Sl 33 10 $127,535.96 $127,535.96 $8,115.92 $104,579.49 $30,608.63 2026-03-01
415722 CDM Prc D-e Cor Revsc Chrn A 33 10 $127,535.96 $127,535.96 $8,115.92 $104,579.49 $30,608.63 2026-03-01
415718 CDM Prc D-el Cor Stnt Ath Ad 33 10 $127,535.96 $127,535.96 $8,115.92 $104,579.49 $30,608.63 2026-03-01
415719 CDM Prc D-el Cor Rvsc Cabg S 33 10 $127,535.96 $127,535.96 $8,115.92 $104,579.49 $30,608.63 2026-03-01
335114 CDM Dial Seg Ctrl Intrv Stnt 15 10 $110,219.11 $110,219.11 $7,715.34 $90,379.67 $26,011.71 2024-10-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 97 23 — — $7,694.99 $171,469.10 $52,438.08 2026-03-01
332283 CDM Transcth Stnt Plc In Vn 15 10 $104,417.64 $104,417.64 $7,309.23 $85,622.46 $24,642.56 2024-10-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 97 23 — — $7,242.85 $161,939.95 $49,522.74 2026-03-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 91 21 — — $6,705.62 $165,999.05 $47,246.53 2026-03-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 46 20 — — $6,186.28 $141,679.50 $42,165.76 2026-03-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 97 23 — — $5,967.64 $132,978.11 $41,156.48 2026-03-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 97 23 — — $5,929.59 $132,130.27 $42,181.75 2026-03-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically 97 23 — — $5,582.27 $124,391.00 $39,090.38 2026-03-01
C1767 HCPCS Ipg Nrstm 44mm 51mm 36 6 $87,407.00 $87,407.00 $5,512.15 $74,020.58 $30,942.03 2026-03-01
C1820 HCPCS Device Neurostimulator 36 6 $83,210.00 $83,210.00 $5,247.41 $68,260.90 $29,062.06 2026-03-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 97 23 — — $4,426.19 $98,629.70 $31,396.91 2026-03-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 91 21 — — $4,259.25 $94,909.83 $29,547.71 2026-03-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 103 22 — — $4,189.55 $49,384.70 $28,459.02 2026-03-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 46 20 — — $3,727.44 $85,366.68 $25,728.55 2026-03-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 97 23 — — $3,345.01 $74,537.50 $24,257.41 2026-03-01
0888T CPT Histotripsy (ie, Non-thermal Ablation Via Acoustic Energy Delivery) Of Malignant… 13 3 — — $2,435.00 $23,625.68 $23,625.68 2026-03-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 91 21 — — $2,253.12 $695,721.34 $201,403.93 2026-03-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 104 23 — — $2,253.12 $526,936.82 $152,893.30 2026-03-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 46 21 — — $2,253.12 $530,047.51 $151,547.72 2026-03-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 57 22 — — $2,253.12 $343,874.86 $100,279.09 2026-03-01
7 MS_DRG Lung Transplant 80 21 — — $2,253.12 $321,501.67 $92,937.63 2026-03-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 91 21 — — $2,253.12 $532,754.00 $81,501.99 2026-03-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 103 23 — — $2,253.12 $269,960.41 $78,267.87 2026-03-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 12 3 — — $2,253.12 $92,326.93 $75,756.11 2026-03-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 80 21 — — $2,253.12 $257,216.93 $75,742.06 2026-03-01
215 MS_DRG Other Heart Assist System Implant 102 23 — — $2,253.12 $440,200.00 $75,029.79 2026-03-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 102 23 — — $2,253.12 $242,867.79 $70,556.74 2026-03-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 103 23 — — $2,253.12 $122,606.57 $62,002.24 2026-03-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 54 22 — — $2,253.12 $214,454.00 $61,894.15 2026-03-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 103 23 — — $2,253.12 $195,350.83 $57,623.38 2026-03-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 53 22 — — $2,253.12 $190,621.48 $56,778.21 2026-03-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 12 3 — — $2,253.12 $69,101.93 $56,699.54 2026-03-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 103 23 — — $2,253.12 $189,799.74 $55,906.60 2026-03-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 83 21 — — $2,253.12 $191,469.44 $55,573.20 2026-03-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 103 23 — — $2,253.12 $189,171.64 $54,731.77 2026-03-01
10 MS_DRG Pancreas Transplant 80 21 — — $2,253.12 $192,578.15 $53,157.20 2026-03-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 12 3 — — $2,253.12 $63,725.73 $52,288.25 2026-03-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 103 23 — — $2,253.12 $251,878.00 $51,814.86 2026-03-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 54 22 — — $2,253.12 $170,750.75 $50,521.18 2026-03-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 103 23 — — $2,253.12 $167,106.29 $48,993.39 2026-03-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 87 22 — — $2,253.12 $178,069.45 $48,867.25 2026-03-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 102 23 — — $2,253.12 $163,238.40 $47,740.30 2026-03-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 102 23 — — $2,253.12 $163,238.40 $47,223.12 2026-03-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 103 23 — — $2,253.12 $162,645.06 $45,711.76 2026-03-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 103 23 — — $2,253.12 $152,753.80 $45,439.68 2026-03-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 103 23 — — $2,253.12 $163,798.00 $44,734.34 2026-03-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 103 23 — — $2,253.12 $214,454.00 $44,703.78 2026-03-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 102 23 — — $2,253.12 $164,347.00 $44,367.54 2026-03-01
28 MS_DRG Spinal Procedures With Mcc 103 23 — — $2,253.12 $149,162.06 $43,886.08 2026-03-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 103 23 — — $2,253.12 $106,706.00 $43,566.70 2026-03-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 103 23 — — $2,253.12 $148,231.99 $43,261.09 2026-03-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 103 23 — — $2,253.12 $145,693.86 $42,898.96 2026-03-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 99 23 — — $2,253.12 $314,996.79 $42,451.79 2026-03-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 103 23 — — $2,253.12 $142,260.43 $41,921.72 2026-03-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective 103 23 — — $2,253.12 $141,495.79 $41,295.23 2026-03-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 80 21 — — $2,253.12 $139,139.80 $41,033.53 2026-03-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 54 22 — — $2,253.12 $135,616.99 $40,227.10 2026-03-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 54 22 — — $2,253.12 $135,810.63 $40,085.98 2026-03-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures 103 23 — — $2,253.12 $138,186.48 $39,962.94 2026-03-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 53 22 — — $2,253.12 $132,392.09 $39,879.91 2026-03-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 103 23 — — $2,253.12 $133,511.93 $39,850.87 2026-03-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 103 23 — — $2,253.12 $135,403.49 $39,578.23 2026-03-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 12 3 — — $2,253.12 $47,985.75 $39,373.27 2026-03-01
653 MS_DRG Major Bladder Procedures With Mcc 103 23 — — $2,253.12 $134,644.80 $39,271.22 2026-03-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 103 23 — — $2,253.12 $130,989.42 $38,334.22 2026-03-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 103 23 — — $2,253.12 $129,229.26 $37,838.15 2026-03-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 103 23 — — $2,253.12 $130,313.81 $37,123.99 2026-03-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 54 22 — — $2,253.12 $122,824.15 $37,103.28 2026-03-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 103 23 — — $2,253.12 $123,817.19 $36,703.56 2026-03-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 102 23 — — $2,253.12 $125,128.01 $36,500.68 2026-03-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 103 23 — — $2,253.12 $122,186.12 $36,407.49 2026-03-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 103 23 — — $2,253.12 $122,605.68 $36,327.57 2026-03-01
471 MS_DRG Cervical Spinal Fusion With Mcc 103 23 — — $2,253.12 $69,951.00 $35,837.33 2026-03-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 102 23 — — $2,253.12 $123,398.00 $35,071.23 2026-03-01
245 MS_DRG Aicd Generator Procedures 103 23 — — $2,253.12 $118,033.41 $35,008.50 2026-03-01
6 MS_DRG Liver Transplant Without Mcc 81 21 — — $2,253.12 $117,125.18 $34,866.98 2026-03-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 54 22 — — $2,253.12 $163,798.00 $34,733.69 2026-03-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 103 23 — — $2,253.12 $116,478.63 $34,583.68 2026-03-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. 99 23 — — $2,253.12 $241,075.40 $34,574.26 2026-03-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 84 21 — — $2,253.12 $116,716.96 $34,350.25 2026-03-01
799 MS_DRG Splenic Procedures With Mcc 103 23 — — $2,253.12 $114,844.95 $34,091.49 2026-03-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 99 23 — — $2,253.12 $234,521.98 $33,900.74 2026-03-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 103 23 — — $2,253.12 $114,112.71 $33,750.05 2026-03-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 103 23 — — $2,253.12 $112,876.37 $33,401.38 2026-03-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 103 23 — — $2,253.12 $112,926.03 $33,364.40 2026-03-01
163 MS_DRG Major Chest Procedures With Mcc 54 22 — — $2,253.12 $111,265.17 $33,262.07 2026-03-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 102 23 — — $2,253.12 $110,795.96 $32,827.22 2026-03-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 103 23 — — $2,253.12 $111,232.89 $32,766.21 2026-03-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 103 23 — — $2,253.12 $108,320.68 $32,387.89 2026-03-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 103 23 — — $2,253.12 $109,055.65 $31,834.25 2026-03-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 103 23 — — $2,253.12 $106,706.00 $31,824.27 2026-03-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 103 23 — — $2,253.12 $107,432.03 $31,695.01 2026-03-01
901 MS_DRG Wound Debridements For Injuries With Mcc 103 23 — — $2,253.12 $107,011.48 $31,694.09 2026-03-01
140 MS_DRG Major Head And Neck Procedures With Mcc 103 23 — — $2,253.12 $105,890.34 $31,345.00 2026-03-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 12 3 — — $2,253.12 $38,111.66 $31,271.39 2026-03-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 103 23 — — $2,253.12 $104,845.16 $31,150.95 2026-03-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 103 23 — — $2,253.12 $104,308.92 $31,066.02 2026-03-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 103 23 — — $2,253.12 $103,991.15 $30,799.95 2026-03-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 103 23 — — $2,253.12 $104,614.28 $30,783.34 2026-03-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 54 22 — — $2,253.12 $103,102.38 $30,776.51 2026-03-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 103 23 — — $2,253.12 $104,666.42 $30,609.48 2026-03-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 102 23 — — $2,253.12 $102,419.66 $30,023.77 2026-03-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 103 23 — — $2,253.12 $96,094.00 $28,909.26 2026-03-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 54 22 — — $2,253.12 $95,858.15 $28,855.41 2026-03-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 103 23 — — $2,253.12 $97,116.83 $28,787.87 2026-03-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 54 22 — — $2,253.12 $95,314.46 $28,559.90 2026-03-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 103 23 — — $2,253.12 $95,322.88 $28,476.88 2026-03-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 103 23 — — $2,253.12 $98,909.27 $28,334.26 2026-03-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 103 23 — — $2,253.12 $82,962.00 $28,318.45 2026-03-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 103 23 — — $2,253.12 $93,020.90 $28,090.22 2026-03-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 103 23 — — $2,253.12 $93,420.24 $28,020.77 2026-03-01
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 103 23 — — $2,253.12 $93,260.04 $27,883.61 2026-03-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 103 23 — — $2,253.12 $95,105.48 $27,473.79 2026-03-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 84 21 — — $2,253.12 $92,000.19 $27,260.86 2026-03-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 54 22 — — $2,253.12 $90,011.63 $27,183.21 2026-03-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 103 23 — — $2,253.12 $90,436.32 $27,101.90 2026-03-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 103 23 — — $2,253.12 $92,782.21 $27,020.37 2026-03-01
265 MS_DRG Aicd Lead Procedures 103 23 — — $2,253.12 $89,825.43 $26,864.59 2026-03-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 102 23 — — $2,253.12 $91,151.14 $26,749.75 2026-03-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 54 22 — — $2,253.12 $88,445.11 $26,735.15 2026-03-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 103 23 — — $2,253.12 $88,651.16 $26,663.38 2026-03-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures 103 23 — — $2,253.12 $107,268.00 $26,650.37 2026-03-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 105 23 — — $2,253.12 $88,288.70 $26,560.22 2026-03-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 103 23 — — $2,253.12 $88,519.59 $26,364.90 2026-03-01
332 MS_DRG Rectal Resection With Mcc 103 23 — — $2,253.12 $89,887.50 $26,220.70 2026-03-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 54 22 — — $2,253.12 $86,578.19 $26,201.18 2026-03-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 103 23 — — $2,253.12 $93,013.09 $26,098.22 2026-03-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 102 23 — — $2,253.12 $87,551.37 $26,092.03 2026-03-01
252 MS_DRG Other Vascular Procedures With Mcc 103 23 — — $2,253.12 $103,562.00 $25,877.31 2026-03-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 103 23 — — $2,253.12 $85,247.83 $25,756.04 2026-03-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 103 23 — — $2,253.12 $86,180.98 $25,705.80 2026-03-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 103 23 — — $2,253.12 $85,763.90 $25,692.38 2026-03-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 103 23 — — $2,253.12 $85,113.46 $25,656.48 2026-03-01
264 MS_DRG Other Circulatory System O.r. Procedures 104 23 — — $2,253.12 $84,419.31 $25,591.88 2026-03-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 103 23 — — $2,253.12 $85,276.81 $25,587.60 2026-03-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 103 23 — — $2,253.12 $84,696.38 $25,287.40 2026-03-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 103 23 — — $2,253.12 $90,081.14 $25,212.62 2026-03-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 103 23 — — $2,253.12 $82,291.25 $24,973.79 2026-03-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 103 23 — — $2,253.12 $81,933.76 $24,697.37 2026-03-01
37 MS_DRG Extracranial Procedures With Mcc 103 23 — — $2,253.12 $81,729.67 $24,608.65 2026-03-01
652 MS_DRG Kidney Transplant 83 22 — — $2,253.12 $80,175.57 $24,251.05 2026-03-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 54 22 — — $2,253.12 $80,115.98 $24,234.09 2026-03-01
665 MS_DRG Prostatectomy With Mcc 103 23 — — $2,253.12 $82,933.78 $24,176.55 2026-03-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 103 23 — — $2,253.12 $80,399.00 $24,172.24 2026-03-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 102 23 — — $2,253.12 $81,719.74 $24,085.40 2026-03-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 99 23 — — $2,253.12 $163,450.13 $23,928.13 2026-03-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 54 22 — — $2,253.12 $78,226.73 $23,812.52 2026-03-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 102 23 — — $2,253.12 $78,950.62 $23,768.17 2026-03-01
500 MS_DRG Soft Tissue Procedures With Mcc 103 23 — — $2,253.12 $78,569.32 $23,758.82 2026-03-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 103 23 — — $2,253.12 $79,117.98 $23,715.23 2026-03-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 87 22 — — $2,253.12 $79,959.58 $23,613.25 2026-03-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 103 23 — — $2,253.12 $90,520.00 $23,536.60 2026-03-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 99 23 — — $2,253.12 $164,294.06 $23,294.08 2026-03-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective 103 23 — — $2,253.12 $77,325.54 $23,210.07 2026-03-01
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 79 21 — — $1,854.72 $1,072,056.19 $293,637.84 2026-03-01
14 MS_DRG Allogeneic Bone Marrow Transplant 80 21 — — $1,854.72 $316,452.24 $90,706.92 2026-03-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 103 23 — — $1,854.72 $171,592.35 $49,877.90 2026-03-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 103 23 — — $1,854.72 $159,747.86 $46,448.56 2026-03-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 80 21 — — $1,854.72 $147,210.73 $43,373.50 2026-03-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 77 20 — — $1,854.72 $74,716.76 $43,200.81 2026-03-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 80 21 — — $1,854.72 $145,787.50 $42,565.01 2026-03-01
834 MS_DRG Acute Leukemia With Mcc 103 23 — — $1,854.72 $136,292.26 $39,848.06 2026-03-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 54 22 — — $1,854.72 $119,271.55 $35,378.61 2026-03-01
793 MS_DRG Full Term Neonate With Major Problems 78 21 — — $1,854.72 $52,416.10 $30,610.39 2026-03-01
791 MS_DRG Prematurity With Major Problems 77 20 — — $1,854.72 $51,027.34 $29,847.01 2026-03-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 87 22 — — $1,854.72 $104,511.44 $29,515.43 2026-03-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 103 23 — — $1,854.72 $89,666.55 $26,479.69 2026-03-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 103 23 — — $1,854.72 $88,127.10 $26,407.36 2026-03-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 103 23 — — $1,854.72 $80,309.63 $23,812.95 2026-03-01
See an error in this hospital's data? Submit a correction