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

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Hospital

VANDERBILT WILSON COUNTY HOSPITAL

Lebanon, TN · CCN 440193 · Rates published

16,147 distinct procedures filed
33 distinct payers
2,304,073 rate rows
2025-10-01 last MRF observed
Data quality

2,173,429 of 2,304,073 rate rows are consumer-grade (94.3%)

130,644 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
placeholder amount (≤ $0.02) — excluded from medians 122,722
per-diem day rate — not a per-procedure price 4,046
exceeds 10× this hospital's gross charge — excluded from medians 3,565
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 201
template filing: same amount across many unrelated codes — excluded 110
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://finance.vumc.org/assets/pub/pt/352528741_vanderbilt-wilson-county-hospital_standardcharges.json
Found on page https://www.vumc.org/pricetransparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-17
Content fingerprint e1ef31ac6d5983bd… · 1,312,230,456 bytes · first seen 2026-05-14

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
J1413
HCPCS 		Elevidys 1.33 X 10exp13 Vg/ml Intravenous Suspension 15 $891,274.23 $4,944,226.50 $2,688,064.50 nat. median
$3,325,455
0.8× median
Q2056
HCPCS 		Carvykti 0.5x 10exp6 To 1x 10exp8 Cell Intravenous Suspension 17 $593,564.48 $2,410,257.31 $1,081,999.96 nat. median
$674,867
1.6× median
J3399
HCPCS 		Zolgensma 2 X 10exp13 Vg/ml Intravenous Suspension, Kit 17 $431,613.35 $4,687,893.65 $1,003,170.94 nat. median
$2,468,984
outlier · 0.4×
Q2041
HCPCS 		Yescarta Intravenous Suspension 17 $539,560.68 $2,185,747.20 $982,364.18 nat. median
$634,303
1.5× median
Q2053
HCPCS 		Tecartus 2x10exp6 To 2x10exp8 Cell Intravenous Suspension 17 $525,137.54 $2,005,290.00 $928,664.29 nat. median
$619,808
1.5× median
633
OTHER 		Neonate, Birth Weight 1000-1499 Grams, With Significant O.r. Procedures, Dischar… 1 $348,392.33 $348,392.33 $348,392.33 nat. median
$4,769
outlier · 73.1×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 16 $119,841.64 $956,481.22 $320,869.14 nat. median
$202,976
1.6× median
612
OTHER 		Neonate, Birth Weight <750 Grams, Discharged Alive 1 $319,253.42 $319,253.42 $319,253.42 nat. median
$2,164
outlier · 147.5×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 16 $62,623.12 $497,637.45 $281,466.42 nat. median
$206,474
1.4× median
927
OTHER 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 1 $269,585.61 $269,585.61 $269,585.61 nat. median
$146,562
1.8× median
003
OTHER 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 1 $264,692.95 $264,692.95 $264,692.95 nat. median
$218,232
1.2× median
631
OTHER 		Neonate, Birth Weight 750-999 Grams, Discharged Alive 1 $231,493.72 $231,493.72 $231,493.72 nat. median
$5,302
outlier · 43.7×
81200001
CDM 		Hc Organ For Transplant-dble Lung 20 $200,653.61 $553,527.20 $228,329.97 nat. median
$102,196
outlier · 2.2×
J2326
HCPCS 		Spinraza (pf) 12 Mg/5 Ml Intrathecal Solution 17 $119,376.28 $393,986.55 $219,910.08 nat. median
$2,675
outlier · 82.2×
636
OTHER 		Neonate, Birth Weight 1500-1999 Grams, With Significant O.r. Procedures, With Mu… 1 $204,709.51 $204,709.51 $204,709.51 nat. median
$53
outlier · 3897.7×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 16 $77,260.28 $330,094.81 $200,813.95 nat. median
$133,161
1.5× median
J0225
HCPCS 		Amvuttra 25 Mg/0.5 Ml Subcutaneous Syringe 17 $100,319.34 $325,819.48 $186,380.20 nat. median
$8,223
outlier · 22.7×
81200000
CDM 		Hc Organ For Transplant-lung 20 $155,838.46 $429,899.20 $177,333.42 nat. median
$41,850
outlier · 4.2×
81200005
CDM 		Hc Organ For Transplant-heart 20 $149,826.76 $413,315.20 $170,492.52 nat. median
$98,622
1.7× median
004
OTHER 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 1 $161,345.54 $161,345.54 $161,345.54 nat. median
$150,232
1.1× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 $50,961.54 $256,882.13 $157,503.97 nat. median
$98,894
1.6× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 16 $28,703.92 $254,371.62 $155,238.65 nat. median
$102,358
1.5× median
215
MS_DRG 		Other Heart Assist System Implant 16 $31,984.26 $283,441.79 $142,295.49 nat. median
$99,019
1.4× median
005
OTHER 		Liver Transplant With Mcc Or Intestinal Transplant 1 $139,537.53 $139,537.53 $139,537.53 nat. median
$104,489
1.3× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 $26,205.74 $232,233.05 $139,512.51 nat. median
$93,672
1.5× median
681
OTHER 		Neonate, Birth Weight >2499 Grams, With Significant O.r. Procedures, With Multip… 1 $139,433.10 $139,433.10 $139,433.10 nat. median
$0
850
MS_DRG 		Acute Leukemia With Other Procedures 16 $42,816.91 $217,557.44 $130,187.18 nat. median
$83,470
1.6× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 16 $50,739.73 $292,000.59 $128,992.19 nat. median
$81,118
1.6× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 16 $40,549.08 $209,995.76 $128,756.19 nat. median
$82,711
1.6× median
020
OTHER 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 1 $126,666.73 $126,666.73 $126,666.73 nat. median
$82,426
1.5× median
81100001
CDM 		Hc Organ Acq Liver Living Donor 20 $111,216.45 $306,804.00 $126,556.65 nat. median
$67,930
1.9× median
81200004
CDM 		Hc Organ For Transplant-liver 20 $111,216.45 $306,804.00 $126,556.65 nat. median
$121,379
1.0× median
634
OTHER 		Neonate, Birth Weight 1000-1499 Grams, Without Significant O.r. Procedures, Disc… 1 $124,874.91 $124,874.91 $124,874.91 nat. median
$414
outlier · 301.6×
359
OTHER 		Concomitant Aortic And Mitral Valve Procedures 1 $122,682.02 $122,682.02 $122,682.02 nat. median
$2,225
outlier · 55.1×
Q2043
HCPCS 		Provenge 50 Million Cell/250 Ml Intravenous Suspension 17 $61,180.78 $292,916.96 $122,298.92 nat. median
$66,682
1.8× median
81200003
CDM 		Hc Organ For Transplant-pancreas 20 $106,943.01 $295,015.20 $121,693.77 nat. median
$150,283
0.8× median
007
OTHER 		Lung Transplant 1 $121,587.54 $121,587.54 $121,587.54 nat. median
$141,082
0.9× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 16 $16,186.14 $196,484.11 $120,218.80 nat. median
$79,312
1.5× median
212
OTHER 		Testes Procedures Age 0-17 1 $117,607.99 $117,607.99 $117,607.99 nat. median
$90,581
1.3× median
632
OTHER 		Neonate, Birth Weight 750-999 Grams, Died 1 $113,612.27 $113,612.27 $113,612.27 nat. median
$8,778
outlier · 12.9×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 16 $35,823.53 $183,405.99 $112,216.96 nat. median
$77,570
1.4× median
216
OTHER 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 $111,628.49 $111,628.49 $111,628.49 nat. median
$90,130
1.2× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 16 $28,993.87 $205,552.92 $109,730.59 nat. median
$74,915
1.5× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 16 $45,811.47 $177,604.63 $108,895.99 nat. median
$72,135
1.5× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 16 $13,901.97 $178,194.32 $108,826.62 nat. median
$73,807
1.5× median
81100000
CDM 		Hc Organ Acq Kidney Living Donor 20 $93,219.63 $257,157.60 $106,077.51 nat. median
$37,200
outlier · 2.9×
81200002
CDM 		Hc Organ Acq Kidney Cadaver Rela 20 $93,219.63 $257,157.60 $106,077.51 nat. median
$56,338
1.9× median
447
OTHER 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 1 $104,216.35 $104,216.35 $104,216.35 nat. median
$54,322
1.9× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 $34,513.88 $168,251.13 $103,161.01 nat. median
$68,090
1.5× median
215
OTHER 		Other Heart Assist System Implant 1 $103,159.14 $103,159.14 $103,159.14 nat. median
$92,359
1.1× median

Other procedures at this hospital

Browse this hospital's 16,147 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
             
003 OTHER Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 1 1 — — $264,692.95 $264,692.95 $264,692.95 2025-10-01
004 OTHER Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 1 1 — — $161,345.54 $161,345.54 $161,345.54 2025-10-01
005 OTHER Liver Transplant With Mcc Or Intestinal Transplant 1 1 — — $139,537.53 $139,537.53 $139,537.53 2025-10-01
006 OTHER Liver Transplant Without Mcc 1 1 — — $67,883.98 $67,883.98 $67,883.98 2025-10-01
007 OTHER Lung Transplant 1 1 — — $121,587.54 $121,587.54 $121,587.54 2025-10-01
008 OTHER Simultaneous Pancreas And Kidney Transplant 1 1 — — $61,832.40 $61,832.40 $61,832.40 2025-10-01
011 OTHER Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 1 1 — — $64,091.99 $64,091.99 $64,091.99 2025-10-01
012 OTHER Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 1 1 — — $42,606.42 $42,606.42 $42,606.42 2025-10-01
019 OTHER Simultaneous Pancreas And Kidney Transplant With Hemodialysis 1 1 — — $90,085.74 $90,085.74 $90,085.74 2025-10-01
020 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 1 1 — — $126,666.73 $126,666.73 $126,666.73 2025-10-01
021 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 1 1 — — $52,952.87 $52,952.87 $52,952.87 2025-10-01
023 OTHER Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 1 1 — — $61,560.33 $61,560.33 $61,560.33 2025-10-01
028 OTHER Spinal Procedures With Mcc 1 1 — — $43,235.69 $43,235.69 $43,235.69 2025-10-01
034 OTHER Carotid Artery Stent Procedures With Mcc 1 1 — — $41,982.01 $41,982.01 $41,982.01 2025-10-01
037 OTHER Extracranial Procedures With Mcc 1 1 — — $44,322.07 $44,322.07 $44,322.07 2025-10-01
040 OTHER Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 1 1 — — $48,662.76 $48,662.76 $48,662.76 2025-10-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 35 16 — — $19,280.83 $127,124.16 $77,780.92 2025-10-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 35 16 — — $15,092.99 $98,266.53 $60,124.38 2025-10-01
140 MS_DRG Major Head And Neck Procedures With Mcc 35 16 — — $25,753.88 $99,415.61 $60,827.44 2025-10-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 35 16 — — $21,297.87 $87,325.75 $53,542.66 2025-10-01
163 MS_DRG Major Chest Procedures With Mcc 35 16 — — $18,866.23 $104,461.79 $63,914.95 2025-10-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 35 16 — — $16,208.97 $87,118.31 $53,303.34 2025-10-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 33 16 — — $14,292.60 $72,622.28 $43,457.44 2025-10-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 24 14 — — $54,222.96 $152,204.16 $97,355.65 2025-10-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 35 16 — — $35,823.53 $183,405.99 $112,216.96 2025-10-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 35 16 — — $27,834.55 $149,979.99 $91,765.26 2025-10-01
207 OTHER Respiratory System Diagnosis With Ventilator Support >96 Hours 1 1 — — $65,406.94 $65,406.94 $65,406.94 2025-10-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 35 16 — — $31,151.36 $158,283.50 $75,653.70 2025-10-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 34 16 — — $28,703.92 $254,371.62 $155,238.65 2025-10-01
212 OTHER Testes Procedures Age 0-17 1 1 — — $117,607.99 $117,607.99 $117,607.99 2025-10-01
215 MS_DRG Other Heart Assist System Implant 35 16 — — $31,984.26 $283,441.79 $142,295.49 2025-10-01
215 OTHER Other Heart Assist System Implant 1 1 — — $103,159.14 $103,159.14 $103,159.14 2025-10-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 35 16 — — $26,205.74 $232,233.05 $139,512.51 2025-10-01
216 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $111,628.49 $111,628.49 $111,628.49 2025-10-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 35 16 — — $16,801.23 $153,257.09 $93,770.35 2025-10-01
217 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $51,081.60 $51,081.60 $51,081.60 2025-10-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 35 16 — — $15,273.91 $153,257.09 $93,770.35 2025-10-01
218 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $64,227.18 $64,227.18 $64,227.18 2025-10-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 35 16 — — $28,993.87 $205,552.92 $109,730.59 2025-10-01
219 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 1 — — $73,984.24 $73,984.24 $73,984.24 2025-10-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 35 16 — — $19,185.14 $132,455.94 $45,408.22 2025-10-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 35 16 — — $15,116.41 $124,296.90 $76,051.06 2025-10-01
220 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 1 — — $50,978.51 $50,978.51 $50,978.51 2025-10-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 35 16 — — $11,484.28 $117,476.98 $71,878.29 2025-10-01
221 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 1 — — $42,438.16 $42,438.16 $42,438.16 2025-10-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 35 16 — — $19,515.26 $224,824.39 $70,703.29 2025-10-01
228 OTHER Other Cardiothoracic Procedures With Mcc 1 1 — — $62,845.12 $62,845.12 $62,845.12 2025-10-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 35 16 — — $12,845.30 $113,833.94 $45,009.50 2025-10-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 36 16 — — $27,310.34 $170,302.19 $81,805.76 2025-10-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 35 16 — — $16,186.14 $196,484.11 $120,218.80 2025-10-01
231 OTHER Coronary Bypass With Ptca With Mcc 1 1 — — $57,619.38 $57,619.38 $57,619.38 2025-10-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 35 16 — — $12,172.39 $141,307.08 $86,458.74 2025-10-01
232 OTHER Coronary Bypass With Ptca Without Mcc 1 1 — — $65,948.67 $65,948.67 $65,948.67 2025-10-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 35 16 — — $13,901.97 $178,194.32 $108,826.62 2025-10-01
233 OTHER Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 1 1 — — $76,324.30 $76,324.30 $76,324.30 2025-10-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 35 16 — — $9,424.24 $127,324.61 $72,015.48 2025-10-01
234 OTHER Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 1 1 — — $62,601.00 $62,601.00 $62,601.00 2025-10-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 35 16 — — $12,763.48 $136,785.33 $83,692.10 2025-10-01
235 OTHER Coronary Bypass Without Cardiac Catheterization With Mcc 1 1 — — $58,816.64 $58,816.64 $58,816.64 2025-10-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 35 16 — — $8,533.06 $97,632.55 $59,095.59 2025-10-01
236 OTHER Coronary Bypass Without Cardiac Catheterization Without Mcc 1 1 — — $47,536.50 $47,536.50 $47,536.50 2025-10-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 35 16 — — $22,704.08 $165,167.85 $70,336.01 2025-10-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 36 16 — — $19,528.22 $105,570.35 $57,976.32 2025-10-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 35 16 — — $13,376.17 $118,538.45 $45,628.30 2025-10-01
245 MS_DRG Aicd Generator Procedures 35 16 — — $12,100.43 $107,232.99 $65,064.39 2025-10-01
245 OTHER Aicd Generator Procedures 1 1 — — $52,756.41 $52,756.41 $52,756.41 2025-10-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 34 16 — — $21,366.06 $112,419.28 $65,934.78 2025-10-01
252 MS_DRG Other Vascular Procedures With Mcc 35 16 — — $11,774.77 $104,346.99 $49,851.30 2025-10-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 35 16 — — $6,109.78 $73,236.07 $44,809.49 2025-10-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 35 16 — — $14,808.68 $75,515.36 $44,433.58 2025-10-01
260 OTHER Cardiac Pacemaker Revision Except Device Replacement With Mcc 1 1 — — $57,463.76 $57,463.76 $57,463.76 2025-10-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 35 16 — — $14,894.15 $131,990.69 $46,485.76 2025-10-01
263 MS_DRG Vein Ligation And Stripping 35 16 — — $10,282.77 $71,261.88 $43,601.58 2025-10-01
264 MS_DRG Other Circulatory System O.r. Procedures 35 16 — — $14,529.18 $77,862.70 $47,640.30 2025-10-01
265 MS_DRG Aicd Lead Procedures 35 16 — — $5,888.05 $84,333.01 $51,045.57 2025-10-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 35 16 — — $23,963.68 $212,364.06 $87,580.96 2025-10-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 34 15 — — $17,993.28 $159,454.90 $67,965.18 2025-10-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 35 16 — — $16,738.07 $160,310.09 $98,085.73 2025-10-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 35 16 — — $10,404.43 $98,434.35 $60,227.06 2025-10-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 34 15 — — $12,618.51 $122,980.00 $75,324.46 2025-10-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 35 16 — — $8,375.03 $82,890.24 $50,716.39 2025-10-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 35 16 — — $9,460.48 $96,157.15 $58,833.76 2025-10-01
273 OTHER Percutaneous And Other Intracardiac Procedures With Mcc 1 1 — — $48,661.79 $48,661.79 $48,661.79 2025-10-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 35 16 — — $6,448.50 $76,722.94 $46,942.93 2025-10-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 34 16 — — $18,750.41 $166,195.36 $101,793.59 2025-10-01
275 OTHER Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 1 1 — — $63,335.31 $63,335.31 $63,335.31 2025-10-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 34 16 — — $16,550.18 $146,666.29 $85,750.22 2025-10-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 34 16 — — $12,745.10 $112,945.94 $65,933.70 2025-10-01
277 OTHER Other Major Cardiovascular Procedures With Mcc 1 1 — — $52,107.69 $52,107.69 $52,107.69 2025-10-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 33 16 — — $11,886.97 $129,736.99 $79,546.56 2025-10-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 33 16 — — $8,529.60 $84,057.97 $51,539.06 2025-10-01
28 MS_DRG Spinal Procedures With Mcc 35 16 — — $14,397.64 $140,041.46 $79,208.20 2025-10-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 35 16 — — $14,164.32 $79,517.57 $48,652.83 2025-10-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 36 16 — — $119,841.64 $956,481.22 $320,869.14 2025-10-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 35 16 — — $21,268.82 $137,767.41 $64,030.83 2025-10-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 33 16 — — $16,486.76 $155,848.94 $95,556.77 2025-10-01
317 OTHER Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 1 1 — — $69,605.62 $69,605.62 $69,605.62 2025-10-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 35 16 — — $10,928.37 $104,021.27 $63,645.42 2025-10-01
319 OTHER Other Endovascular Cardiac Valve Procedures With Mcc 1 1 — — $47,423.68 $47,423.68 $47,423.68 2025-10-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 34 16 — — $11,033.10 $100,863.04 $61,777.96 2025-10-01
323 OTHER Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 1 1 — — $51,440.49 $51,440.49 $51,440.49 2025-10-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 34 16 — — $7,911.32 $73,443.51 $44,983.68 2025-10-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 34 16 — — $7,047.06 $74,828.00 $45,831.67 2025-10-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 35 16 — — $22,618.56 $116,246.32 $71,125.31 2025-10-01
326 OTHER Stomach, Esophageal And Duodenal Procedures Age >17 With Mcc 1 1 — — $46,995.73 $46,995.73 $46,995.73 2025-10-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 35 16 — — $16,895.02 $107,135.22 $64,847.42 2025-10-01
332 MS_DRG Rectal Resection With Mcc 35 16 — — $13,838.96 $84,391.28 $51,634.80 2025-10-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 35 16 — — $18,483.24 $93,915.36 $51,031.73 2025-10-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 35 16 — — $11,823.58 $90,218.28 $54,607.84 2025-10-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 35 16 — — $15,367.22 $102,387.38 $62,645.72 2025-10-01
359 OTHER Concomitant Aortic And Mitral Valve Procedures 1 1 — — $122,682.02 $122,682.02 $122,682.02 2025-10-01
360 OTHER Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 1 1 — — $66,785.10 $66,785.10 $66,785.10 2025-10-01
361 OTHER Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 1 1 — — $45,273.27 $45,273.27 $45,273.27 2025-10-01
362 OTHER Cardiac Defibrillator Implant Without Mcc 1 1 — — $42,226.13 $42,226.13 $42,226.13 2025-10-01
365 OTHER Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 1 — — $94,026.48 $94,026.48 $94,026.48 2025-10-01
366 OTHER Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 1 — — $71,561.51 $71,561.51 $71,561.51 2025-10-01
367 OTHER Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 1 — — $54,835.81 $54,835.81 $54,835.81 2025-10-01
37 MS_DRG Extracranial Procedures With Mcc 35 16 — — $10,499.37 $76,732.27 $46,948.64 2025-10-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 36 16 — — $77,260.28 $330,094.81 $200,813.95 2025-10-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 35 16 — — $19,158.22 $109,625.39 $55,180.41 2025-10-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 33 16 — — $18,183.91 $93,709.81 $57,456.97 2025-10-01
403 OTHER Concomitant Left Atrial Appendage Closure And Cardiac Ablation 1 1 — — $52,453.93 $52,453.93 $52,453.93 2025-10-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 35 16 — — $14,037.42 $127,506.41 $72,118.31 2025-10-01
405 OTHER Pancreas, Liver And Shunt Procedures With Mcc 1 1 — — $46,690.34 $46,690.34 $46,690.34 2025-10-01
408 OTHER Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 1 1 — — $56,725.56 $56,725.56 $56,725.56 2025-10-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 35 16 — — $17,326.22 $192,381.72 $50,955.99 2025-10-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 35 16 — — $15,862.69 $80,600.10 $47,207.46 2025-10-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 35 16 — — $16,610.54 $129,579.39 $50,913.12 2025-10-01
420 OTHER Hepatobiliary Diagnostic Procedures With Mcc 1 1 — — $55,693.64 $55,693.64 $55,693.64 2025-10-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 35 16 — — $6,682.89 $79,412.69 $44,916.24 2025-10-01
423 OTHER Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 1 1 — — $59,427.43 $59,427.43 $59,427.43 2025-10-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 35 16 — — $14,112.26 $96,798.12 $59,225.93 2025-10-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 33 16 — — $50,961.54 $256,882.13 $157,503.97 2025-10-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 33 16 — — $34,513.88 $168,251.13 $103,161.01 2025-10-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 33 16 — — $25,583.06 $131,037.58 $80,344.00 2025-10-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 33 16 — — $40,549.08 $209,995.76 $128,756.19 2025-10-01
429 OTHER Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 1 1 — — $90,043.71 $90,043.71 $90,043.71 2025-10-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 33 16 — — $25,426.88 $134,419.57 $82,417.63 2025-10-01
430 OTHER Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 1 1 — — $55,020.61 $55,020.61 $55,020.61 2025-10-01
447 OTHER Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 1 1 — — $104,216.35 $104,216.35 $104,216.35 2025-10-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 33 16 — — $32,595.82 $158,344.90 $95,486.75 2025-10-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 33 16 — — $18,980.11 $98,844.57 $60,605.27 2025-10-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 33 16 — — $25,037.84 $124,222.32 $76,165.31 2025-10-01
450 OTHER Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 1 1 — — $59,285.43 $59,285.43 $59,285.43 2025-10-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 33 16 — — $14,343.73 $75,294.16 $46,165.65 2025-10-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 35 16 — — $50,739.73 $292,000.59 $128,992.19 2025-10-01
456 OTHER Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 1 — — $68,986.08 $68,986.08 $68,986.08 2025-10-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 35 16 — — $36,005.20 $183,029.39 $91,533.59 2025-10-01
457 OTHER Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 1 — — $61,753.87 $61,753.87 $61,753.87 2025-10-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 35 16 — — $22,821.74 $153,463.27 $59,630.63 2025-10-01
458 OTHER Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 1 — — $47,536.50 $47,536.50 $47,536.50 2025-10-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 35 16 — — $17,822.76 $128,730.08 $78,763.50 2025-10-01
461 OTHER Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 1 1 — — $66,250.18 $66,250.18 $66,250.18 2025-10-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 35 16 — — $19,676.38 $132,843.95 $81,280.57 2025-10-01
463 OTHER Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 1 1 — — $56,802.40 $56,802.40 $56,802.40 2025-10-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 35 16 — — $13,059.95 $72,597.43 $44,418.74 2025-10-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 35 16 — — $16,457.64 $121,327.46 $73,868.17 2025-10-01
466 OTHER Revision Of Hip Or Knee Replacement With Mcc 1 1 — — $45,864.61 $45,864.61 $45,864.61 2025-10-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 35 16 — — $14,219.16 $82,197.99 $50,292.84 2025-10-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 35 16 — — $14,769.95 $75,047.74 $43,347.46 2025-10-01
471 MS_DRG Cervical Spinal Fusion With Mcc 35 16 — — $24,282.77 $143,525.23 $69,006.95 2025-10-01
471 OTHER Cervical Spinal Fusion With Mcc 1 1 — — $42,844.70 $42,844.70 $42,844.70 2025-10-01
472 MS_DRG Cervical Spinal Fusion With Cc 35 16 — — $14,787.77 $86,969.60 $42,102.72 2025-10-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 35 16 — — $18,839.76 $125,059.10 $61,349.83 2025-10-01
474 OTHER Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 1 1 — — $56,103.10 $56,103.10 $56,103.10 2025-10-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 35 16 — — $15,827.27 $100,346.27 $49,369.69 2025-10-01
477 OTHER Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 1 1 — — $43,445.77 $43,445.77 $43,445.77 2025-10-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 35 16 — — $11,739.92 $75,217.25 $46,021.67 2025-10-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 35 16 — — $14,589.14 $85,577.65 $52,360.69 2025-10-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 35 16 — — $16,689.30 $97,880.66 $51,814.88 2025-10-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 35 16 — — $10,862.38 $70,315.57 $43,022.58 2025-10-01
500 MS_DRG Soft Tissue Procedures With Mcc 35 16 — — $14,103.89 $93,161.98 $45,228.16 2025-10-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 35 16 — — $15,334.75 $110,898.35 $45,543.99 2025-10-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 35 16 — — $22,009.28 $87,108.99 $53,409.75 2025-10-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 35 16 — — $21,181.87 $152,700.03 $93,429.52 2025-10-01
573 OTHER Skin Graft For Skin Ulcer Or Cellulitis With Mcc 1 1 — — $66,482.63 $66,482.63 $66,482.63 2025-10-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 35 16 — — $7,195.57 $80,911.39 $45,763.92 2025-10-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 35 16 — — $11,511.24 $114,237.17 $64,613.16 2025-10-01
576 OTHER Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 1 1 — — $58,246.70 $58,246.70 $58,246.70 2025-10-01
577 OTHER Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 1 1 — — $48,258.16 $48,258.16 $48,258.16 2025-10-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 35 16 — — $12,093.63 $75,482.96 $46,184.25 2025-10-01
612 OTHER Neonate, Birth Weight <750 Grams, Discharged Alive 1 1 — — $319,253.42 $319,253.42 $319,253.42 2025-10-01
613 OTHER Neonate, Birth Weight <750 Grams, Died 1 1 — — $44,759.79 $44,759.79 $44,759.79 2025-10-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 35 16 — — $14,617.50 $81,284.32 $49,733.81 2025-10-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 35 16 — — $18,356.48 $128,193.08 $50,864.53 2025-10-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 35 16 — — $14,221.84 $77,107.14 $43,160.25 2025-10-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 35 16 — — $17,937.38 $136,477.92 $53,259.70 2025-10-01
628 OTHER Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 1 1 — — $51,178.86 $51,178.86 $51,178.86 2025-10-01
631 OTHER Neonate, Birth Weight 750-999 Grams, Discharged Alive 1 1 — — $231,493.72 $231,493.72 $231,493.72 2025-10-01
632 OTHER Neonate, Birth Weight 750-999 Grams, Died 1 1 — — $113,612.27 $113,612.27 $113,612.27 2025-10-01
633 OTHER Neonate, Birth Weight 1000-1499 Grams, With Significant O.r. Procedures, Dischar… 1 1 — — $348,392.33 $348,392.33 $348,392.33 2025-10-01
634 OTHER Neonate, Birth Weight 1000-1499 Grams, Without Significant O.r. Procedures, Disc… 1 1 — — $124,874.91 $124,874.91 $124,874.91 2025-10-01
635 OTHER Neonate, Birth Weight 1000-1499 Grams, Died 1 1 — — $69,501.56 $69,501.56 $69,501.56 2025-10-01
636 OTHER Neonate, Birth Weight 1500-1999 Grams, With Significant O.r. Procedures, With Mu… 1 1 — — $204,709.51 $204,709.51 $204,709.51 2025-10-01
646 OTHER Neonate, Birth Weight 1500-1999 Grams, With Significant O.r. Procedures, Without… 1 1 — — $64,851.53 $64,851.53 $64,851.53 2025-10-01
647 OTHER Neonate, Birth Weight 1500-1999 Grams, Without Significant O.r. Procedures, With… 1 1 — — $69,646.93 $69,646.93 $69,646.93 2025-10-01
648 OTHER Neonate, Birth Weight 1500-1999 Grams, Without Significant O.r. Procedures, With… 1 1 — — $48,549.84 $48,549.84 $48,549.84 2025-10-01
653 MS_DRG Major Bladder Procedures With Mcc 35 16 — — $21,246.01 $121,117.69 $74,105.86 2025-10-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 35 16 — — $15,853.04 $101,014.63 $45,499.69 2025-10-01
662 MS_DRG Minor Bladder Procedures With Mcc 35 16 — — $9,470.30 $71,357.44 $43,191.64 2025-10-01
665 MS_DRG Prostatectomy With Mcc 35 16 — — $9,943.47 $72,748.93 $44,511.43 2025-10-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 35 16 — — $16,220.59 $97,930.89 $59,919.02 2025-10-01
677 OTHER Neonate, Birth Weight 2000-2499 Grams, Without Significant O.r. Procedures, With… 1 1 — — $45,988.33 $45,988.33 $45,988.33 2025-10-01
681 OTHER Neonate, Birth Weight >2499 Grams, With Significant O.r. Procedures, With Multip… 1 1 — — $139,433.10 $139,433.10 $139,433.10 2025-10-01
691 OTHER Kidney Transplant With Hemodialysis With Mcc 1 1 — — $53,797.75 $53,797.75 $53,797.75 2025-10-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 35 16 — — $10,970.21 $83,314.45 $50,429.05 2025-10-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 35 16 — — $6,933.42 $83,507.90 $47,232.52 2025-10-01
739 OTHER Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 1 1 — — $42,976.98 $42,976.98 $42,976.98 2025-10-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 26 15 — — $14,663.42 $127,051.76 $76,909.27 2025-10-01
791 MS_DRG Prematurity With Major Problems 26 15 — — $10,348.16 $86,767.57 $49,234.14 2025-10-01
793 OTHER Neonatal Aftercare For Weight Gain 1 1 — — $47,393.99 $47,393.99 $47,393.99 2025-10-01
793 MS_DRG Full Term Neonate With Major Problems 26 15 — — $2,864.88 $89,131.83 $47,128.18 2025-10-01
799 MS_DRG Splenic Procedures With Mcc 35 16 — — $18,365.64 $105,559.60 $64,586.64 2025-10-01
799 OTHER Splenic Procedures Age >17 With Mcc 1 1 — — $51,331.56 $51,331.56 $51,331.56 2025-10-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 35 16 — — $12,986.51 $92,861.40 $56,817.25 2025-10-01
81100000 CDM Hc Organ Acq Kidney Living Donor 30 20 $321,447.00 $93,219.63 71% off $93,219.63 $257,157.60 $106,077.51 2025-10-01
81100001 CDM Hc Organ Acq Liver Living Donor 30 20 $383,505.00 $111,216.45 71% off $111,216.45 $306,804.00 $126,556.65 2025-10-01
81200000 CDM Hc Organ For Transplant-lung 30 20 $537,374.00 $155,838.46 71% off $155,838.46 $429,899.20 $177,333.42 2025-10-01
81200001 CDM Hc Organ For Transplant-dble Lung 30 20 $691,909.00 $200,653.61 71% off $200,653.61 $553,527.20 $228,329.97 2025-10-01
81200002 CDM Hc Organ Acq Kidney Cadaver Rela 30 20 $321,447.00 $93,219.63 71% off $93,219.63 $257,157.60 $106,077.51 2025-10-01
81200003 CDM Hc Organ For Transplant-pancreas 30 20 $368,769.00 $106,943.01 71% off $106,943.01 $295,015.20 $121,693.77 2025-10-01
81200004 CDM Hc Organ For Transplant-liver 30 20 $383,505.00 $111,216.45 71% off $111,216.45 $306,804.00 $126,556.65 2025-10-01
81200005 CDM Hc Organ For Transplant-heart 30 20 $516,644.00 $149,826.76 71% off $149,826.76 $413,315.20 $170,492.52 2025-10-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 35 16 — — $20,902.06 $138,067.34 $83,637.91 2025-10-01
820 OTHER Lymphoma And Leukemia With Major O.r. Procedures With Mcc 1 1 — — $47,992.64 $47,992.64 $47,992.64 2025-10-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 35 16 — — $20,567.23 $171,258.68 $65,521.38 2025-10-01
823 OTHER Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 1 1 — — $51,714.76 $51,714.76 $51,714.76 2025-10-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 35 16 — — $24,382.93 $214,829.68 $66,850.44 2025-10-01
826 OTHER Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 1 1 — — $50,867.63 $50,867.63 $50,867.63 2025-10-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 35 16 — — $10,387.82 $73,653.28 $45,064.76 2025-10-01
834 OTHER Acute Leukemia Age >17 With Mcc 1 1 — — $88,570.23 $88,570.23 $88,570.23 2025-10-01
834 MS_DRG Acute Leukemia With Mcc 35 16 — — $26,350.91 $174,059.65 $78,456.16 2025-10-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 35 16 — — $29,008.36 $206,259.07 $68,658.25 2025-10-01
837 OTHER Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 1 1 — — $49,484.60 $49,484.60 $49,484.60 2025-10-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 35 16 — — $10,285.56 $75,399.05 $46,132.91 2025-10-01
850 MS_DRG Acute Leukemia With Other Procedures 33 16 — — $42,816.91 $217,557.44 $130,187.18 2025-10-01
850 OTHER Acute Leukemia With Other Procedures 1 1 — — $93,290.23 $93,290.23 $93,290.23 2025-10-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 34 16 — — $24,351.80 $123,734.19 $70,503.45 2025-10-01
853 OTHER Infectious And Parasitic Diseases With O.r. Procedures With Mcc 1 1 — — $46,120.40 $46,120.40 $46,120.40 2025-10-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 35 16 — — $18,380.05 $106,021.10 $64,869.01 2025-10-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 35 16 — — $30,748.75 $177,125.14 $98,776.53 2025-10-01
870 OTHER Septicemia Or Severe Sepsis With Mv >96 Hours 1 1 — — $74,078.58 $74,078.58 $74,078.58 2025-10-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 35 16 — — $9,804.00 $90,083.09 $54,526.01 2025-10-01
901 MS_DRG Wound Debridements For Injuries With Mcc 35 16 — — $13,262.60 $97,814.35 $59,527.63 2025-10-01
904 OTHER Skin Grafts For Injuries With Cc/mcc 1 1 — — $64,455.74 $64,455.74 $64,455.74 2025-10-01
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 35 16 — — $9,956.02 $85,612.61 $50,587.61 2025-10-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 35 16 — — $12,599.80 $89,486.40 $51,215.83 2025-10-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 35 16 — — $62,623.12 $497,637.45 $281,466.42 2025-10-01
927 OTHER Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 1 1 — — $269,585.61 $269,585.61 $269,585.61 2025-10-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 35 16 — — $28,798.61 $167,181.29 $102,289.87 2025-10-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 35 16 — — $8,704.40 $75,070.41 $42,460.23 2025-10-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 35 16 — — $19,133.44 $90,766.01 $55,535.19 2025-10-01
933 OTHER Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 1 1 — — $49,171.27 $49,171.27 $49,171.27 2025-10-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 35 16 — — $10,073.15 $84,573.08 $51,182.76 2025-10-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 35 16 — — $17,429.30 $96,293.59 $50,295.75 2025-10-01
955 OTHER Craniotomy For Multiple Significant Trauma 1 1 — — $97,355.67 $97,355.67 $97,355.67 2025-10-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 35 16 — — $45,049.75 $192,473.83 $96,194.15 2025-10-01
956 OTHER Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 1 1 — — $69,111.55 $69,111.55 $69,111.55 2025-10-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 35 16 — — $28,598.80 $261,468.53 $61,198.13 2025-10-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 35 16 — — $45,811.47 $177,604.63 $108,895.99 2025-10-01
957 OTHER Other O.r. Procedures For Multiple Significant Trauma With Mcc 1 1 — — $64,867.15 $64,867.15 $64,867.15 2025-10-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 35 16 — — $30,894.77 $101,536.57 $60,220.84 2025-10-01
958 OTHER Other O.r. Procedures For Multiple Significant Trauma With Cc 1 1 — — $50,285.05 $50,285.05 $50,285.05 2025-10-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 35 16 — — $20,660.47 $68,621.08 $42,074.13 2025-10-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 35 16 — — $36,932.45 $157,794.62 $87,479.50 2025-10-01
969 OTHER HIV With Extensive O.r. Procedures With Mcc 1 1 — — $68,276.09 $68,276.09 $68,276.09 2025-10-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 35 16 — — $10,332.04 $84,183.83 $50,955.27 2025-10-01
974 OTHER HIV With Major Related Condition With Mcc 1 1 — — $45,013.59 $45,013.59 $45,013.59 2025-10-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 35 16 — — $18,510.20 $109,356.47 $66,909.76 2025-10-01
981 OTHER Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 1 1 — — $54,443.86 $54,443.86 $54,443.86 2025-10-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 35 16 — — $11,455.46 $79,909.15 $48,892.41 2025-10-01
A9513 HCPCS Lutathera 8 Mci/ml (297 Mbq/ml) Intravenous Solution 40 17 $167,679.42 $48,627.03 71% off $50,303.83 $155,797.56 $91,321.07 2025-10-01
A9607 HCPCS Pluvicto 27 Mci/ml (1,000 Mbq/ml) Intravenous Solution 40 17 $121,595.00 $35,262.55 71% off $36,478.50 $126,329.14 $70,125.57 2025-10-01
C9293 HCPCS Voraxaze 1,000 Unit Intravenous Solution 22 11 $121,267.40 $35,167.55 71% off $36,380.22 $109,140.66 $67,801.64 2025-10-01
ERX30205 LOCAL Gliadel Wafer 7.7 Mg Implant 25 11 $116,459.89 $33,773.37 71% off $34,937.97 $104,813.90 $57,065.35 2025-10-01
J0223 HCPCS Givlaari 189 Mg/ml Subcutaneous Solution 40 17 $119,539.80 $34,666.54 71% off $35,861.94 $115,773.03 $66,448.43 2025-10-01
J0225 HCPCS Amvuttra 25 Mg/0.5 Ml Subcutaneous Syringe 40 17 $334,397.80 $96,975.36 71% off $100,319.34 $325,819.48 $186,380.20 2025-10-01
J1413 HCPCS Elevidys 1.33 X 10exp13 Vg/ml Intravenous Suspension 268 15 — $2,598,462.35 $891,274.23 $4,944,226.50 $2,688,064.50 2025-10-01
J1747 HCPCS Spevigo 60 Mg/ml Intravenous Solution 40 17 $78,344.18 $22,719.81 71% off $23,503.25 $72,694.42 $43,950.78 2025-10-01
J1823 HCPCS Uplizna 10 Mg/ml Intravenous Solution 49 17 $128,170.60 $37,169.47 71% off $38,451.18 $127,376.76 $72,681.21 2025-10-01
J2326 HCPCS Spinraza (pf) 12 Mg/5 Ml Intrathecal Solution 40 17 $397,920.92 $115,397.07 71% off $119,376.28 $393,986.55 $219,910.08 2025-10-01
J2351 HCPCS Ocrevus Zunovo 920 Mg-23,000 Unit/23 Ml Subcutaneous Solution 40 17 $115,804.63 $33,583.34 71% off $34,741.39 $109,317.64 $64,774.30 2025-10-01
J2507 HCPCS Krystexxa 8 Mg/ml Intravenous Solution 40 17 $84,277.86 $24,440.58 71% off $25,283.36 $75,000.92 $45,121.86 2025-10-01
J3399 HCPCS Zolgensma 2 X 10exp13 Vg/ml Intravenous Suspension, Kit 40 17 — $1,942,127.37 $431,613.35 $4,687,893.65 $1,003,170.94 2025-10-01
J9028 HCPCS Anktiva 400 Mcg/0.4 Ml Intravesical Solution 40 17 $98,750.00 $28,637.50 71% off $29,625.00 $99,482.11 $55,666.90 2025-10-01
J9118 HCPCS Asparlas 750 Unit/ml Intravenous Solution 40 17 $80,149.36 $23,243.31 71% off $24,044.81 $62,805.30 $44,715.65 2025-10-01
J9226 HCPCS Supprelin La 50 Mg (65 Mcg/day) Implant Kit 40 17 $136,763.64 $39,661.46 71% off $41,029.09 $118,886.38 $70,618.61 2025-10-01
J9359 HCPCS Zynlonta 10 Mg Intravenous Solution 40 17 $74,613.97 $21,638.05 71% off $22,384.19 $74,326.78 $42,393.58 2025-10-01
Q2041 HCPCS Yescarta Intravenous Suspension 38 17 $3,122,496.00 $905,523.84 71% off $539,560.68 $2,185,747.20 $982,364.18 2025-10-01
Q2043 HCPCS Provenge 50 Million Cell/250 Ml Intravenous Suspension 40 17 $418,452.80 $121,351.31 71% off $61,180.78 $292,916.96 $122,298.92 2025-10-01
Q2053 HCPCS Tecartus 2x10exp6 To 2x10exp8 Cell Intravenous Suspension 38 17 $2,864,700.00 $830,763.00 71% off $525,137.54 $2,005,290.00 $928,664.29 2025-10-01
Q2056 HCPCS Carvykti 0.5x 10exp6 To 1x 10exp8 Cell Intravenous Suspension 38 17 $3,443,224.73 $998,535.17 71% off $593,564.48 $2,410,257.31 $1,081,999.96 2025-10-01
SUP1000358 LOCAL Intrepid Valve Vl48m Study Ide#g160020 25 18 $128,700.00 $37,323.00 71% off $42,471.00 $128,700.00 $42,471.00 2025-10-01
SUP1016115 LOCAL Valve 29f 48mm Intrepid Ide G160020 25 18 $128,700.00 $37,323.00 71% off $42,471.00 $128,700.00 $42,471.00 2025-10-01
SUP1016116 LOCAL Valve 29f 42mm Intrepid Ide G160020 25 18 $128,700.00 $37,323.00 71% off $42,471.00 $128,700.00 $42,471.00 2025-10-01
SUP143146 LOCAL Valve 48mm Mitral Inte Ide G160020 25 18 $128,700.00 $37,323.00 71% off $42,471.00 $128,700.00 $42,471.00 2025-10-01
SUP143147 LOCAL Valve 42mm Mitral Inte Ide G160020 25 18 $128,700.00 $37,323.00 71% off $42,471.00 $128,700.00 $42,471.00 2025-10-01
SUP143150 LOCAL Trial Valve Mitral Intrep 50mm 25 18 $128,700.00 $37,323.00 71% off $42,471.00 $128,700.00 $42,471.00 2025-10-01
SUP143151 LOCAL Trial Valve Mitral Intrep 46mm 25 18 $128,700.00 $37,323.00 71% off $42,471.00 $128,700.00 $42,471.00 2025-10-01
SUP143152 LOCAL Trial Valve Mitral Intrep 43mm 25 18 $128,700.00 $37,323.00 71% off $42,471.00 $128,700.00 $42,471.00 2025-10-01
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