Price Transparency Hospital negotiated rates

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

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Hospital

ERLANGER BLEDSOE HOSPITAL

Pikeville, TN · CCN 441306 · Rates published

21,333 distinct procedures filed
37 distinct payers
1,940,651 rate rows
2026-01-25 last MRF observed
Data quality

316,853 of 1,940,651 rate rows are consumer-grade (16.3%)

1,623,798 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
professional (physician) fee — not the facility price 1,605,598
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 12,680
per-diem day rate — not a per-procedure price 1,961
exceeds 10× this hospital's gross charge — excluded from medians 1,510
percent-of-charges filed in the dollar field — excluded from medians 1,499
placeholder amount (≤ $0.02) — excluded from medians 410
template filing: same amount across many unrelated codes — excluded 140
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://erlanger.pt.panaceainc.com/MRFDownload/erlanger/bledsoe
Found on page https://www.erlanger.org/patient-and-family-resources/billing-and-insurance/price-transparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint cffd990751d24d46… · 35,934,213 bytes · first seen 2026-05-08

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
J3391
HCPCS 		Inj, Atidarsagene Autotemcel 2 $4,552,600.00 $4,596,375.00 $4,574,487.50 nat. median
$4,505,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 4 $3,832,677.34 $4,606,583.34 $4,168,556.00 nat. median
$3,710,000
1.1× median
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 4 $3,858,400.00 $4,637,500.00 $4,168,556.00 nat. median
$3,710,000
1.1× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 4 $3,457,554.78 $4,155,714.88 $3,732,353.70 nat. median
$3,325,455
1.1× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 4 $3,391,809.20 $4,076,693.75 $3,587,654.80 nat. median
$3,286,000
1.1× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 5 $3,068,714.14 $4,957,153.61 $3,334,844.80 nat. median
$3,006,423
1.1× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 5 $2,425,280.00 $3,917,760.00 $2,620,235.20 nat. median
$2,448,600
1.1× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 5 $2,111,746.07 $4,119,554.21 $2,574,721.38 nat. median
$2,469,189
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 5 $801,444.80 $1,294,641.60 $872,400.00 nat. median
$824,563
1.1× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 4 $417,418.89 $971,585.29 $621,387.88 nat. median
$754,974
0.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 5 $575,513.98 $929,676.43 $619,461.29 nat. median
$675,122
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 5 $562,910.87 $909,317.56 $593,611.85 nat. median
$625,184
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 5 $563,301.09 $909,947.91 $580,323.64 nat. median
$674,188
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 5 $375,611.00 $895,568.49 $554,399.54 nat. median
$634,511
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 5 $375,611.00 $822,729.60 $548,374.68 nat. median
$620,080
0.9× median
C9076
HCPCS 		Lisocabtagene Car Pos T 1 $401,478.55 $486,000.35 $443,739.45 nat. median
$30,475
outlier · 14.6×
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 5 $281,190.00 $630,000.00 $337,968.75 nat. median
$324,450
1.0× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell Immunotherapy 7 $139,696.89 $492,227.47 $299,758.99 nat. median
$370,174
0.8× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 7 $104,341.86 $367,652.65 $222,584.65 nat. median
$265,286
0.8× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 6 $114,920.31 $279,725.24 $178,953.86 nat. median
$202,986
0.9× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 6 $127,206.16 $272,622.42 $168,004.87 nat. median
$206,368
0.8× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 1 $147,938.11 $147,938.11 $147,938.11 nat. median
$111,989
1.3× median
001
OTHER 		Heart Transplant Or Implant Of Heart Assist System With Mcc 1 $134,792.16 $134,792.16 $134,792.16 nat. median
$263,894
0.5× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 $116,214.09 $136,724.92 $119,634.30 nat. median
$98,905
1.2× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 6 $75,767.74 $184,424.76 $117,985.50 nat. median
$133,176
0.9× median
018
OTHER 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 $111,223.40 $111,223.40 $111,223.40 nat. median
$424,868
outlier · 0.3×
927
OTHER 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 1 $109,361.59 $109,361.59 $109,361.59 nat. median
$146,562
0.7× median
850
MS_DRG 		Acute Leukemia With Other Procedures 1 $102,196.82 $120,233.72 $105,204.51 nat. median
$83,442
1.3× median
612
OTHER 		Neonate, Birth Weight <750 Grams, Discharged Alive 1 $103,648.72 $103,648.72 $103,648.72 nat. median
$2,164
outlier · 47.9×
7
MS_DRG 		Lung Transplant 7 $48,409.84 $170,573.98 $102,727.51 nat. median
$122,708
0.8× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 7 $48,532.08 $171,004.69 $101,093.49 nat. median
$117,303
0.9× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 7 $40,819.50 $143,829.12 $96,159.71 nat. median
$108,660
0.9× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 1 $92,530.62 $108,861.51 $95,253.82 nat. median
$82,712
1.2× median
636
OTHER 		Neonate, Birth Weight 1500-1999 Grams, With Significant O.r. Procedures, With Mu… 1 $95,111.19 $95,111.19 $95,111.19 nat. median
$53
outlier · 1811.0×
003
OTHER 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 1 $90,283.81 $90,283.81 $90,283.81 nat. median
$218,232
outlier · 0.4×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 7 $40,353.51 $142,187.18 $87,917.84 nat. median
$102,358
0.9× median
633
OTHER 		Neonate, Birth Weight 1000-1499 Grams, With Significant O.r. Procedures, Dischar… 1 $85,451.57 $85,451.57 $85,451.57 nat. median
$4,769
outlier · 17.9×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 7 $39,447.83 $138,995.97 $85,285.50 nat. median
$100,136
0.9× median
215
MS_DRG 		Other Heart Assist System Implant 7 $39,245.58 $138,283.33 $84,539.64 nat. median
$99,019
0.9× median
631
OTHER 		Neonate, Birth Weight 750-999 Grams, Discharged Alive 1 $83,244.39 $83,244.39 $83,244.39 nat. median
$5,302
outlier · 15.7×
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 $78,797.35 $92,704.44 $81,116.39 nat. median
$68,090
1.2× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 7 $35,749.89 $125,966.16 $78,647.99 nat. median
$93,672
0.8× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 4 $52,042.99 $78,986.40 $77,920.41 nat. median
$76,377
1.0× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 1 $74,381.94 $87,509.74 $76,571.02 nat. median
$63,738
1.2× median
C9150
HCPCS 		Xe129 Xenon, Diagnostic 1 $72,134.40 $72,134.40 $72,134.40 nat. median
$775
outlier · 93.1×
J9029
HCPCS 		Instill Adstiladrin, Tx Dose 5 $65,968.29 $106,564.16 $71,238.53 nat. median
$69,774
1.0× median
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 1 $68,631.92 $80,744.89 $70,651.78 nat. median
$60,691
1.2× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 7 $31,389.27 $110,601.34 $67,642.09 nat. median
$79,312
0.9× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 7 $29,860.17 $105,213.48 $67,210.33 nat. median
$77,576
0.9× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 7 $31,371.86 $110,540.00 $66,934.28 nat. median
$81,118
0.8× median

Other procedures at this hospital

Browse this hospital's 21,333 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
             
001 OTHER Heart Transplant Or Implant Of Heart Assist System With Mcc 2 1 — — $134,792.16 $134,792.16 $134,792.16 2026-01-25
002 OTHER Heart Transplant Or Implant Of Heart Assist System Without Mcc 2 1 — — $50,800.58 $50,800.58 $50,800.58 2026-01-25
003 OTHER Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 2 1 — — $90,283.81 $90,283.81 $90,283.81 2026-01-25
004 OTHER Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 2 1 — — $63,480.72 $63,480.72 $63,480.72 2026-01-25
005 OTHER Liver Transplant With Mcc Or Intestinal Transplant 2 1 — — $41,758.07 $41,758.07 $41,758.07 2026-01-25
006 OTHER Liver Transplant Without Mcc 2 1 — — $27,245.64 $27,245.64 $27,245.64 2026-01-25
007 OTHER Lung Transplant 2 1 — — $50,892.90 $50,892.90 $50,892.90 2026-01-25
014 OTHER Allogeneic Bone Marrow Transplant 2 1 — — $58,984.51 $58,984.51 $58,984.51 2026-01-25
017 OTHER Autologous Bone Marrow Transplant Without Cc/mcc 2 1 — — $25,628.29 $25,628.29 $25,628.29 2026-01-25
018 OTHER Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 1 — — $111,223.40 $111,223.40 $111,223.40 2026-01-25
019 OTHER Simultaneous Pancreas And Kidney Transplant With Hemodialysis 2 1 — — $33,164.84 $33,164.84 $33,164.84 2026-01-25
020 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 2 1 — — $43,330.94 $43,330.94 $43,330.94 2026-01-25
021 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 2 1 — — $34,000.24 $34,000.24 $34,000.24 2026-01-25
0266T HCPCS Implt/rpl Crtd Sns Dev Total 6 4 — — $46,800.52 $75,600.84 $47,250.53 2026-01-25
0268T HCPCS Implt/rpl Crtd Sns Dev Gen 6 4 — — $31,692.53 $51,195.63 $31,997.27 2026-01-25
0408T HCPCS Insj/rplc Cardiac Modulj Sys 6 4 — — $33,344.04 $53,863.45 $33,664.66 2026-01-25
0409T HCPCS Insj/rplc Car Modulj Pls Gn 6 4 — — $23,344.04 $37,709.60 $23,568.50 2026-01-25
0515T HCPCS Insj Wcs Lv Compl Sys 6 4 — — $23,344.04 $37,709.60 $23,568.50 2026-01-25
0571T HCPCS Insj/rplcmt Icds Ss Eltrd 6 4 — — $33,344.04 $53,863.45 $33,664.66 2026-01-25
0620T HCPCS Evasc Ven Artlz Tibl/prnl Vn 8 4 — — $15,260.80 $58,800.84 $36,575.52 2026-01-25
0674T HCPCS Laps Insj Nw/rpcmt Prm Isdss 6 4 — — $31,692.53 $51,195.63 $31,997.27 2026-01-25
0888T HCPCS Histotripsy Mal Renal Tissue 10 4 — — $18,200.52 $39,376.13 $25,638.24 2026-01-25
0915T HCPCS Insj Perm Ccm-d Sys Pg&eltrd 6 4 — — $33,344.04 $53,863.45 $33,664.66 2026-01-25
0923T HCPCS Rmvl&rplcmt Perm Ccm-d Pg 6 4 — — $23,344.04 $37,709.60 $23,568.50 2026-01-25
0956T HCPCS Prt Crn Ch Cr&tun Elt S-sclp 6 4 — — $23,400.52 $37,800.84 $23,625.53 2026-01-25
0960T HCPCS Rpl S-sclp Eltr Ra Rcvr&tlmt 6 4 — — $23,400.52 $37,800.84 $23,625.53 2026-01-25
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 18 7 — — $104,341.86 $367,652.65 $222,584.65 2026-01-25
10 MS_DRG Pancreas Transplant 18 7 — — $29,533.83 $104,063.60 $61,519.67 2026-01-25
11 MS_DRG Tracheostomy For Face,mouth & Neck Diagnoses W Mcc 18 7 — — $19,987.65 $70,427.29 $43,456.98 2026-01-25
12 MS_DRG Tracheostomy For Face,mouth & Neck Diagnoses W Cc 18 7 — — $15,201.05 $53,561.49 $33,651.45 2026-01-25
14 MS_DRG Allogeneic Bone Marrow Transplant 18 7 — — $48,532.08 $171,004.69 $101,093.49 2026-01-25
140 MS_DRG Major Head And Neck Procedures With Mcc 18 7 — — $15,665.93 $55,199.52 $33,306.62 2026-01-25
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 18 7 — — $12,231.00 $43,096.40 $27,832.71 2026-01-25
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 18 7 — — $22,358.36 $78,780.57 $50,038.90 2026-01-25
163 MS_DRG Major Chest Procedures With Mcc 18 7 — — $17,073.54 $60,159.28 $38,476.68 2026-01-25
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 18 7 — — $14,262.40 $50,254.12 $33,442.29 2026-01-25
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 18 7 — — $22,358.36 $78,780.57 $50,038.90 2026-01-25
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 18 7 — — $11,366.80 $40,051.37 $25,912.80 2026-01-25
18 MS_DRG Chimeric Antigen Receptor (car) T-cell Immunotherapy 18 7 — — $139,696.89 $492,227.47 $299,758.99 2026-01-25
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 18 7 — — $29,364.54 $103,467.12 $64,893.85 2026-01-25
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 18 7 — — $40,819.50 $143,829.12 $96,159.71 2026-01-25
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 18 7 — — $29,860.17 $105,213.48 $67,210.33 2026-01-25
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 18 7 — — $23,956.00 $84,409.89 $55,278.42 2026-01-25
207 OTHER Respiratory System Diagnosis With Ventilator Support >96 Hours 2 1 — — $24,705.06 $24,705.06 $24,705.06 2026-01-25
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 18 7 — — $20,474.39 $72,142.32 $49,136.08 2026-01-25
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 18 7 — — $40,353.51 $142,187.18 $87,917.84 2026-01-25
215 MS_DRG Other Heart Assist System Implant 18 7 — — $39,245.58 $138,283.33 $84,539.64 2026-01-25
215 OTHER Other Heart Assist System Implant 2 1 — — $38,748.01 $38,748.01 $38,748.01 2026-01-25
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 18 7 — — $35,749.89 $125,966.16 $78,647.99 2026-01-25
216 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 1 — — $37,507.80 $37,507.80 $37,507.80 2026-01-25
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 18 7 — — $23,921.55 $84,288.51 $52,522.07 2026-01-25
217 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 1 — — $37,299.23 $37,299.23 $37,299.23 2026-01-25
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 18 7 — — $22,037.58 $77,650.26 $47,837.50 2026-01-25
218 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 1 — — $23,635.29 $23,635.29 $23,635.29 2026-01-25
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 18 7 — — $28,661.48 $100,989.85 $63,020.04 2026-01-25
219 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 2 1 — — $28,578.55 $28,578.55 $28,578.55 2026-01-25
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 18 7 — — $13,077.41 $46,078.78 $29,234.58 2026-01-25
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 18 7 — — $19,620.20 $69,132.53 $43,381.07 2026-01-25
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 18 7 — — $17,012.05 $59,942.62 $38,158.38 2026-01-25
228 MS_DRG Other Cardiothoracic Procedures With Mcc 18 7 — — $18,459.29 $65,042.03 $41,283.90 2026-01-25
228 OTHER Other Cardiothoracic Procedures With Mcc 2 1 — — $24,002.35 $24,002.35 $24,002.35 2026-01-25
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 18 7 — — $11,506.45 $40,543.43 $26,714.17 2026-01-25
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 18 7 — — $21,133.00 $74,462.97 $46,711.09 2026-01-25
231 MS_DRG Coronary Bypass With Ptca With Mcc 18 7 — — $31,389.27 $110,601.34 $67,642.09 2026-01-25
231 OTHER Coronary Bypass With Ptca With Mcc 2 1 — — $33,669.82 $33,669.82 $33,669.82 2026-01-25
232 MS_DRG Coronary Bypass With Ptca Without Mcc 18 7 — — $22,628.03 $79,730.75 $49,467.93 2026-01-25
232 OTHER Coronary Bypass With Ptca Without Mcc 2 1 — — $28,581.16 $28,581.16 $28,581.16 2026-01-25
233 MS_DRG Coronary Bypass With Cardiac Catheterization With Mcc 18 7 — — $28,953.74 $102,019.65 $63,688.08 2026-01-25
233 OTHER Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 2 1 — — $28,149.07 $28,149.07 $28,149.07 2026-01-25
234 MS_DRG Coronary Bypass With Cardiac Catheterization Without Mcc 18 7 — — $19,707.24 $69,439.25 $43,300.29 2026-01-25
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 18 7 — — $21,796.43 $76,800.58 $48,270.16 2026-01-25
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 18 7 — — $15,232.16 $53,671.13 $33,825.57 2026-01-25
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 18 7 — — $18,657.84 $65,741.62 $40,619.35 2026-01-25
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 18 7 — — $14,082.37 $49,619.79 $31,562.81 2026-01-25
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 18 7 — — $10,787.46 $38,010.03 $24,096.65 2026-01-25
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 18 7 — — $12,564.75 $44,272.38 $28,824.84 2026-01-25
245 MS_DRG Aicd Generator Procedures 18 7 — — $18,101.83 $63,782.51 $38,937.72 2026-01-25
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 18 7 — — $16,566.43 $58,372.46 $36,765.13 2026-01-25
252 MS_DRG Other Vascular Procedures With Mcc 18 7 — — $12,706.99 $44,773.58 $28,346.30 2026-01-25
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 18 7 — — $11,329.76 $39,920.85 $25,259.10 2026-01-25
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 18 7 — — $12,617.35 $44,457.72 $28,097.40 2026-01-25
263 MS_DRG Vein Ligation And Stripping 18 7 — — $9,935.12 $35,006.77 $23,855.73 2026-01-25
264 MS_DRG Other Circulatory System O.r. Procedures 18 7 — — $12,946.65 $45,618.05 $28,280.10 2026-01-25
265 MS_DRG Aicd Lead Procedures 18 7 — — $13,213.73 $46,559.09 $29,608.10 2026-01-25
266 MS_DRG Endovascular Cardiac Valve Replacement W Mcc 18 7 — — $22,191.30 $78,191.92 $50,207.44 2026-01-25
267 MS_DRG Endovascular Cardiac Valve Replacement Without Mcc 18 7 — — $17,427.29 $61,405.74 $39,742.91 2026-01-25
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 18 7 — — $24,698.32 $87,025.52 $55,272.27 2026-01-25
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 18 7 — — $15,412.19 $54,305.46 $34,478.19 2026-01-25
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 18 7 — — $19,013.81 $66,995.92 $41,978.61 2026-01-25
271 MS_DRG Other Major Cardiovascular Procedures With Cc 18 7 — — $12,758.85 $44,956.31 $28,833.27 2026-01-25
273 MS_DRG Percutaneous Intracardiac Procedures W Mcc 18 7 — — $14,484.65 $51,037.24 $32,430.68 2026-01-25
274 MS_DRG Percutaneous Intracardiac Procedures Without Mcc 18 7 — — $11,560.90 $40,735.29 $27,183.03 2026-01-25
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 18 7 — — $26,177.79 $92,238.48 $57,633.49 2026-01-25
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 18 7 — — $22,945.48 $80,849.31 $50,827.82 2026-01-25
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 18 7 — — $17,231.71 $60,716.60 $38,993.65 2026-01-25
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 18 7 — — $18,533.37 $65,303.07 $39,152.13 2026-01-25
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 18 7 — — $11,869.83 $41,823.83 $26,875.05 2026-01-25
28 MS_DRG Spinal Procedures With Mcc 18 7 — — $22,519.87 $79,349.63 $49,642.90 2026-01-25
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 18 7 — — $12,433.99 $43,811.65 $28,618.75 2026-01-25
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 17 6 — — $114,920.31 $279,725.24 $178,953.86 2026-01-25
31 MS_DRG Ventricular Shunt Procedures With Mcc 18 7 — — $15,522.95 $54,695.71 $34,442.14 2026-01-25
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 4 1 — — $68,631.92 $80,744.89 $70,651.78 2026-01-25
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 18 7 — — $16,271.94 $57,334.83 $36,225.98 2026-01-25
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mmc Or 4+ A… 18 7 — — $10,545.20 $37,156.43 $24,378.24 2026-01-25
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 18 7 — — $15,777.80 $55,593.69 $34,819.01 2026-01-25
323 OTHER Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 2 1 — — $23,984.03 $23,984.03 $23,984.03 2026-01-25
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 18 7 — — $11,835.39 $41,702.45 $25,888.36 2026-01-25
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 18 7 — — $18,813.78 $66,291.11 $41,837.81 2026-01-25
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 18 7 — — $17,009.45 $59,933.48 $37,650.59 2026-01-25
332 MS_DRG Rectal Resection With Mcc 18 7 — — $12,848.86 $45,273.47 $30,146.41 2026-01-25
33231 HCPCS Pr Insj Implntbl Defib Pulse Gen W/exist Multileads 6 4 — — $33,344.04 $53,863.45 $33,664.66 2026-01-25
33249 HCPCS Pr Insj/rplcmt Perm Dfb W/trnsvns Lds 1/dual Chmbr 6 4 — — $33,344.04 $53,863.45 $33,664.66 2026-01-25
33264 HCPCS Pr Rmvl Impltbl Dfb Pls Gen W/rplcmt Pls Gen Mlt Ld 6 4 — — $33,344.04 $53,863.45 $33,664.66 2026-01-25
33270 HCPCS Pr Ins/rplcmnt Perm Subq Impltbl Dfb W/subq Eltrd 6 4 — — $33,344.04 $53,863.45 $33,664.66 2026-01-25
33276 HCPCS Insj Phrnc Nrv Stim Sys 6 4 — — $46,800.52 $75,600.84 $47,250.53 2026-01-25
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 6 4 — — $31,692.53 $51,195.63 $31,997.27 2026-01-25
335 MS_DRG Peritoneal Adhesiolysis With Mcc 18 7 — — $13,421.91 $47,292.62 $29,999.41 2026-01-25
34 MS_DRG Carotid Artery Stent Procedures With Mcc 18 7 — — $14,404.64 $50,755.31 $32,357.36 2026-01-25
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 18 7 — — $10,864.51 $38,281.52 $24,758.24 2026-01-25
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 18 7 — — $15,801.13 $55,675.92 $35,376.63 2026-01-25
359 OTHER Concomitant Aortic And Mitral Valve Procedures 2 1 — — $53,594.21 $53,594.21 $53,594.21 2026-01-25
360 OTHER Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 2 1 — — $24,207.55 $24,207.55 $24,207.55 2026-01-25
361 OTHER Cardiac Defibrillator Implant With Mcc 2 1 — — $25,030.62 $25,030.62 $25,030.62 2026-01-25
37 MS_DRG Extracranial Procedures With Mcc 18 7 — — $12,301.38 $43,344.39 $28,215.77 2026-01-25
38240 HCPCS Pr Trnsplj Allogeneic Hematopoietic Cells Per Donor 6 4 — — $61,508.02 $99,359.11 $62,099.45 2026-01-25
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 17 6 — — $75,767.74 $184,424.76 $117,985.50 2026-01-25
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 18 7 — — $13,972.73 $49,233.45 $31,854.11 2026-01-25
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 4 1 — — $43,401.95 $51,062.03 $44,679.28 2026-01-25
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 18 7 — — $20,109.15 $70,855.39 $44,531.20 2026-01-25
405 OTHER Pancreas, Liver And Shunt Procedures With Mcc 2 1 — — $25,587.93 $25,587.93 $25,587.93 2026-01-25
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 18 7 — — $10,402.96 $36,655.24 $23,962.85 2026-01-25
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 18 7 — — $12,969.62 $45,698.97 $30,053.51 2026-01-25
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 18 7 — — $12,978.88 $45,731.60 $29,309.31 2026-01-25
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 18 7 — — $13,074.08 $46,067.03 $26,876.58 2026-01-25
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 18 7 — — $15,066.59 $53,087.70 $32,316.85 2026-01-25
423 OTHER Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 2 1 — — $30,944.96 $30,944.96 $30,944.96 2026-01-25
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 4 1 — — $116,214.09 $136,724.92 $119,634.30 2026-01-25
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 4 1 — — $78,797.35 $92,704.44 $81,116.39 2026-01-25
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 4 1 — — $61,062.49 $71,839.51 $62,859.57 2026-01-25
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 4 1 — — $92,530.62 $108,861.51 $95,253.82 2026-01-25
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 4 1 — — $60,689.73 $71,400.97 $62,475.85 2026-01-25
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 4 1 — — $74,381.94 $87,509.74 $76,571.02 2026-01-25
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 4 1 — — $45,302.35 $53,297.84 $46,635.61 2026-01-25
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 4 1 — — $57,135.21 $67,219.11 $58,816.71 2026-01-25
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 4 1 — — $34,236.08 $40,278.47 $35,243.66 2026-01-25
453 OTHER Combined Anterior And Posterior Spinal Fusion With Mcc 2 1 — — $41,662.75 $41,662.75 $41,662.75 2026-01-25
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 18 7 — — $31,371.86 $110,540.00 $66,934.28 2026-01-25
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 18 7 — — $21,260.06 $74,910.65 $48,411.44 2026-01-25
457 OTHER Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 2 1 — — $24,179.15 $24,179.15 $24,179.15 2026-01-25
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 18 7 — — $15,994.87 $56,358.54 $36,561.45 2026-01-25
461 MS_DRG Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc 18 7 — — $22,731.75 $80,096.21 $52,748.00 2026-01-25
461 OTHER Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 2 1 — — $28,289.61 $28,289.61 $28,289.61 2026-01-25
462 MS_DRG Bilateral Or Multiple Major Joint Procs Of Lower Extremity Without Mcc 18 7 — — $10,608.17 $37,378.32 $24,036.70 2026-01-25
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 18 7 — — $20,006.55 $70,493.85 $45,421.93 2026-01-25
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 17 6 — — $15,810.95 $38,485.13 $25,348.93 2026-01-25
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 18 7 — — $18,871.57 $66,494.72 $42,090.33 2026-01-25
466 OTHER Revision Of Hip Or Knee Replacement With Mcc 2 1 — — $28,467.91 $28,467.91 $28,467.91 2026-01-25
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 18 7 — — $12,687.73 $44,705.71 $28,832.14 2026-01-25
469 MS_DRG Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc 18 7 — — $12,108.02 $42,663.07 $27,579.27 2026-01-25
471 MS_DRG Cervical Spinal Fusion With Mcc 18 7 — — $17,992.56 $63,397.48 $40,040.17 2026-01-25
472 MS_DRG Cervical Spinal Fusion With Cc 18 7 — — $10,731.90 $37,814.25 $24,594.06 2026-01-25
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 18 7 — — $16,612.36 $58,534.30 $35,319.29 2026-01-25
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 18 7 — — $12,738.85 $44,885.83 $28,165.21 2026-01-25
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 18 7 — — $10,894.14 $38,385.93 $24,752.03 2026-01-25
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 18 7 — — $11,925.03 $42,018.30 $27,235.89 2026-01-25
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 18 7 — — $13,154.46 $46,350.26 $28,878.47 2026-01-25
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 18 7 — — $13,041.11 $45,950.87 $29,593.96 2026-01-25
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 18 7 — — $39,447.83 $138,995.97 $85,285.50 2026-01-25
500 MS_DRG Soft Tissue Procedures With Mcc 18 7 — — $11,737.59 $41,357.87 $26,828.51 2026-01-25
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 18 7 — — $11,454.96 $40,362.00 $26,198.51 2026-01-25
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 18 7 — — $13,275.96 $46,778.37 $30,129.11 2026-01-25
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 18 7 — — $10,796.72 $38,042.66 $25,293.77 2026-01-25
570 MS_DRG Skin Debridement With Mcc 18 7 — — $11,150.47 $39,289.13 $24,742.15 2026-01-25
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 18 7 — — $22,811.39 $80,376.83 $49,992.92 2026-01-25
573 OTHER Skin Graft For Skin Ulcer Or Cellulitis With Mcc 2 1 — — $25,798.74 $25,798.74 $25,798.74 2026-01-25
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 18 7 — — $12,834.79 $45,223.87 $28,447.14 2026-01-25
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 18 7 — — $19,985.43 $70,419.46 $45,472.45 2026-01-25
576 OTHER Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 2 1 — — $23,578.85 $23,578.85 $23,578.85 2026-01-25
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 18 7 — — $12,073.57 $42,541.69 $27,587.94 2026-01-25
6 MS_DRG Liver Transplant Without Mcc 18 7 — — $17,962.55 $63,291.76 $39,950.99 2026-01-25
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 18 7 — — $10,014.02 $35,284.78 $23,827.40 2026-01-25
612 OTHER Neonate, Birth Weight <750 Grams, Discharged Alive 2 1 — — $103,648.72 $103,648.72 $103,648.72 2026-01-25
613 OTHER Neonate, Birth Weight <750 Grams, Died 2 1 — — $36,762.11 $36,762.11 $36,762.11 2026-01-25
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 18 7 — — $14,316.85 $50,445.98 $32,474.08 2026-01-25
61886 HCPCS Pr Insj/rplcmt Cranial Neurostim Gener 2/> Eltrds 6 4 — — $31,692.53 $51,195.63 $31,997.27 2026-01-25
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 18 7 — — $13,861.23 $48,840.58 $31,454.52 2026-01-25
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 18 7 — — $10,620.40 $37,421.39 $24,337.40 2026-01-25
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 18 7 — — $14,615.78 $51,499.28 $33,028.57 2026-01-25
631 OTHER Neonate, Birth Weight 750-999 Grams, Discharged Alive 2 1 — — $83,244.39 $83,244.39 $83,244.39 2026-01-25
632 OTHER Neonate, Birth Weight 750-999 Grams, Died 2 1 — — $30,897.49 $30,897.49 $30,897.49 2026-01-25
633 OTHER Neonate, Birth Weight 1000-1499 Grams, With Significant O.r. Procedures, Dischar… 2 1 — — $85,451.57 $85,451.57 $85,451.57 2026-01-25
634 OTHER Neonate, Birth Weight 1000-1499 Grams, Without Significant O.r. Procedures, Disc… 2 1 — — $38,473.65 $38,473.65 $38,473.65 2026-01-25
635 OTHER Neonate, Birth Weight 1000-1499 Grams, Died 2 1 — — $40,533.93 $40,533.93 $40,533.93 2026-01-25
636 OTHER Neonate, Birth Weight 1500-1999 Grams, With Significant O.r. Procedures, With Mu… 2 1 — — $95,111.19 $95,111.19 $95,111.19 2026-01-25
63685 HCPCS Pr Insj/rplcmt Spi Npgr Dir/induxive Coupling 6 4 — — $31,692.53 $51,195.63 $31,997.27 2026-01-25
64568 HCPCS Pr Open Implantation Cranial Nerve Nea & Pulse Gen 6 4 — — $31,692.53 $51,195.63 $31,997.27 2026-01-25
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 6 4 — — $31,692.53 $51,195.63 $31,997.27 2026-01-25
647 OTHER Neonate, Birth Weight 1500-1999 Grams, Without Significant O.r. Procedures, With… 2 1 — — $24,850.46 $24,850.46 $24,850.46 2026-01-25
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 18 7 — — $17,066.50 $60,134.48 $37,640.96 2026-01-25
651 OTHER Neonate, Birth Weight 2000-2499 Grams, With Significant O.r. Procedures, With Mu… 2 1 — — $57,442.29 $57,442.29 $57,442.29 2026-01-25
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 18 7 — — $12,862.94 $45,323.07 $28,922.75 2026-01-25
652 MS_DRG Kidney Transplant 18 7 — — $11,377.17 $40,087.91 $25,371.91 2026-01-25
653 MS_DRG Major Bladder Procedures With Mcc 18 7 — — $20,649.60 $72,759.68 $43,829.43 2026-01-25
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 18 7 — — $12,068.38 $42,523.42 $26,392.39 2026-01-25
662 MS_DRG Minor Bladder Procedures With Mcc 18 7 — — $11,555.72 $40,717.02 $25,312.91 2026-01-25
665 MS_DRG Prostatectomy With Mcc 18 7 — — $12,718.84 $44,815.35 $26,020.82 2026-01-25
668 MS_DRG Transurethral Procedures With Mcc 18 7 — — $10,802.65 $38,063.55 $23,943.85 2026-01-25
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 18 7 — — $15,519.24 $54,682.66 $30,685.76 2026-01-25
681 OTHER Neonate, Birth Weight >2499 Grams, With Significant O.r. Procedures, With Multip… 2 1 — — $49,046.42 $49,046.42 $49,046.42 2026-01-25
69930 HCPCS Pr Cochlear Device Implantation W/wo Mastoidectomy 6 4 — — $33,080.13 $53,437.14 $33,398.21 2026-01-25
7 MS_DRG Lung Transplant 18 7 — — $48,409.84 $170,573.98 $102,727.51 2026-01-25
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 18 7 — — $14,585.78 $51,393.56 $32,135.27 2026-01-25
739 MS_DRG Uterine,adnexa Proc For Non-ovarian/adnexal Malig W Mcc 18 7 — — $14,746.17 $51,958.71 $30,059.84 2026-01-25
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 11 5 — — $35,646.27 $77,591.53 $62,854.37 2026-01-25
791 MS_DRG Prematurity With Major Problems 11 5 — — $24,344.01 $52,989.81 $42,925.32 2026-01-25
792 MS_DRG Prematurity Without Major Problems 11 5 — — $14,688.92 $31,973.48 $25,900.68 2026-01-25
793 MS_DRG Full Term Neonate With Major Problems 11 5 — — $25,007.19 $54,433.37 $44,094.70 2026-01-25
799 MS_DRG Splenic Procedures With Mcc 18 7 — — $17,612.87 $62,059.65 $40,007.75 2026-01-25
8 MS_DRG Simultaneous Pancreas/kidney Transplant 18 7 — — $20,155.09 $71,017.24 $44,049.44 2026-01-25
800 MS_DRG Splenic Procedures With Cc 18 7 — — $10,793.39 $38,030.92 $23,941.55 2026-01-25
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 18 7 — — $13,278.92 $46,788.81 $28,328.39 2026-01-25
81100000 CDM Hc Kidney Acq Live Donor 40 20 $133,965.00 $38,715.89 71% off $16,544.68 $107,172.00 $34,830.90 2026-01-25
81200000 CDM Hc Kidney Acq Cadaveric 40 20 $133,965.00 $38,715.89 71% off $16,544.68 $107,172.00 $34,830.90 2026-01-25
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 18 7 — — $21,567.14 $75,992.66 $48,647.99 2026-01-25
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 18 7 — — $17,333.94 $61,076.83 $36,844.65 2026-01-25
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 18 7 — — $17,689.55 $62,329.83 $35,978.17 2026-01-25
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 18 7 — — $11,423.10 $40,249.76 $26,133.12 2026-01-25
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 18 7 — — $20,474.39 $72,142.32 $45,249.83 2026-01-25
834 OTHER Acute Leukemia Without Major O.r. Procedures Age >17 With Mcc 2 1 — — $31,668.22 $31,668.22 $31,668.22 2026-01-25
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 18 7 — — $18,547.82 $65,353.97 $38,795.98 2026-01-25
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 18 7 — — $11,812.79 $41,622.83 $26,297.39 2026-01-25
850 MS_DRG Acute Leukemia With Other Procedures 4 1 — — $102,196.82 $120,233.72 $105,204.51 2026-01-25
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 17 6 — — $26,817.92 $65,276.97 $40,655.37 2026-01-25
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 18 7 — — $16,712.00 $58,885.40 $36,281.55 2026-01-25
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 18 7 — — $25,768.48 $90,796.24 $55,714.35 2026-01-25
870 OTHER Septicemia Or Severe Sepsis With Mv >96 Hours 2 1 — — $28,050.40 $28,050.40 $28,050.40 2026-01-25
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 18 7 — — $14,556.14 $51,289.14 $30,942.41 2026-01-25
901 MS_DRG Wound Debridements For Injuries With Mcc 18 7 — — $16,411.59 $57,826.89 $35,510.83 2026-01-25
90288 HCPCS Botulism Ig IV 1 1 — — $66,238.80 $66,238.80 $66,238.80 2026-01-25
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 18 7 — — $14,302.40 $50,395.08 $27,322.67 2026-01-25
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 18 7 — — $14,756.54 $51,995.25 $30,850.48 2026-01-25
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 13 6 — — $127,206.16 $272,622.42 $168,004.87 2026-01-25
927 OTHER Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 2 1 — — $109,361.59 $109,361.59 $109,361.59 2026-01-25
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 13 6 — — $35,813.53 $76,753.92 $47,299.97 2026-01-25
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 13 6 — — $23,201.66 $49,724.73 $28,948.43 2026-01-25
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 18 7 — — $11,757.23 $41,427.05 $26,745.28 2026-01-25
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 18 7 — — $13,515.62 $47,622.83 $30,287.76 2026-01-25
955 MS_DRG Craniotomy For Multiple Significant Trauma 17 6 — — $36,614.64 $89,122.97 $49,013.05 2026-01-25
955 OTHER Craniotomy For Multiple Significant Trauma 2 1 — — $47,015.30 $47,015.30 $47,015.30 2026-01-25
956 OTHER Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 2 1 — — $32,637.81 $32,637.81 $32,637.81 2026-01-25
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 17 6 — — $20,496.44 $49,889.96 $32,066.32 2026-01-25
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 17 6 — — $40,024.46 $97,422.74 $57,764.51 2026-01-25
957 OTHER Other O.r. Procedures For Multiple Significant Trauma With Mcc 2 1 — — $32,252.07 $32,252.07 $32,252.07 2026-01-25
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 17 6 — — $22,037.53 $53,641.11 $33,342.69 2026-01-25
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 18 7 — — $23,426.66 $82,544.76 $53,907.57 2026-01-25
969 OTHER HIV With Extensive O.r. Procedures With Mcc 2 1 — — $28,514.26 $28,514.26 $28,514.26 2026-01-25
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 18 7 — — $13,278.18 $46,786.20 $30,217.66 2026-01-25
974 MS_DRG HIV With Major Related Condition With Mcc 18 7 — — $11,061.57 $38,975.88 $24,698.48 2026-01-25
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 18 7 — — $17,609.54 $62,047.90 $38,671.87 2026-01-25
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 18 7 — — $12,974.81 $45,717.24 $28,224.20 2026-01-25
A9543 HCPCS Y90 Ibritumomab, Rx 16 6 — — $38,883.25 $95,465.24 $63,848.06 2026-01-25
C9076 HCPCS Lisocabtagene Car Pos T 2 1 — — $401,478.55 $486,000.35 $443,739.45 2026-01-25
C9150 HCPCS Xe129 Xenon, Diagnostic 1 1 — — $72,134.40 $72,134.40 $72,134.40 2026-01-25
C9760 HCPCS Non-blind Interatrial Shunt 8 4 — — $11,875.48 $46,200.84 $28,738.03 2026-01-25
C9790 HCPCS Kidney Histotripsy W/image 1 1 — — $24,000.96 $24,000.96 $24,000.96 2026-01-25
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 12 4 — — $3,832,677.34 $4,606,583.34 $4,168,556.00 2026-01-25
J1413 HCPCS Inj Delandistrogene Mox Rokl 12 4 — — $3,457,554.78 $4,155,714.88 $3,732,353.70 2026-01-25
J1414 HCPCS Inj, Beqvez, Per Tx Dose 12 4 — — $3,858,400.00 $4,637,500.00 $4,168,556.00 2026-01-25
J3391 HCPCS Inj, Atidarsagene Autotemcel 4 2 — — $4,552,600.00 $4,596,375.00 $4,574,487.50 2026-01-25
J3392 HCPCS Inj, Exagamglogene Autotem 13 5 — — $2,425,280.00 $3,917,760.00 $2,620,235.20 2026-01-25
J3393 HCPCS Inj, Betibeglogene Autotemce 13 5 — — $3,068,714.14 $4,957,153.61 $3,334,844.80 2026-01-25
J3394 HCPCS Inj, Lovotibeglogene Autotem 12 4 — — $3,391,809.20 $4,076,693.75 $3,587,654.80 2026-01-25
J3399 HCPCS Inj Onase Abepar-xioi Treat 11 5 — — $2,111,746.07 $4,119,554.21 $2,574,721.38 2026-01-25
J7330 HCPCS Cultured Chondrocytes Implnt 7 4 — — $52,042.99 $78,986.40 $77,920.41 2026-01-25
J9029 HCPCS Instill Adstiladrin, Tx Dose 13 5 — — $65,968.29 $106,564.16 $71,238.53 2026-01-25
J9226 HCPCS Pr Supprelin La Implant 18 7 — — $19,109.69 $76,541.46 $50,856.16 2026-01-25
J9266 HCPCS Pegaspargase Injection 18 7 — — $5,890.78 $47,752.42 $30,416.45 2026-01-25
J9600 HCPCS Porfimer Sodium Injection 18 7 — — $19,002.09 $40,703.75 $27,223.06 2026-01-25
L5856 HCPCS Elec Knee-shin Swing/stance 1 1 — — $39,431.52 $39,431.52 $39,431.52 2026-01-25
L5858 HCPCS Stance Phase Only 1 1 — — $30,527.68 $30,527.68 $30,527.68 2026-01-25
L5859 HCPCS Knee-shin Pro Flex/ext Cont 1 1 — — $23,832.72 $23,832.72 $23,832.72 2026-01-25
L5973 HCPCS Ank-foot Sys Dors-plant Flex 1 1 — — $28,260.05 $28,260.05 $28,260.05 2026-01-25
L6970 HCPCS Interscapular-thor Switch CT 1 1 — — $24,421.99 $24,421.99 $24,421.99 2026-01-25
L6975 HCPCS Interscap-thor Myoelectronic 1 1 — — $26,709.77 $26,709.77 $26,709.77 2026-01-25
L7180 HCPCS Electronic Elbow Sequential 1 1 — — $53,060.90 $53,060.90 $53,060.90 2026-01-25
L7181 HCPCS Electronic Elbo Simultaneous 1 1 — — $65,814.91 $65,814.91 $65,814.91 2026-01-25
L8614 HCPCS Cochlear Device 1 1 — — $31,096.62 $31,096.62 $31,096.62 2026-01-25
Q0480 HCPCS Driver Pneumatic Vad, Rep 1 1 — — $147,938.11 $147,938.11 $147,938.11 2026-01-25
Q0481 HCPCS Microprcsr Cu Elec Vad, Rep 1 1 — — $23,868.11 $23,868.11 $23,868.11 2026-01-25
Q0483 HCPCS Monitor Elec Vad, Rep 1 1 — — $30,797.49 $30,797.49 $30,797.49 2026-01-25
Q0489 HCPCS Pwr Pck Base Combo Vad, Rep 1 1 — — $26,699.74 $26,699.74 $26,699.74 2026-01-25
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 15 5 — — $375,611.00 $895,568.49 $554,399.54 2026-01-25
Q2042 HCPCS Tisagenlecleucel Car-pos T 12 4 — — $417,418.89 $971,585.29 $621,387.88 2026-01-25
Q2043 HCPCS Pr Sipuleucel-t Auto Cd54+ 16 6 — — $33,037.18 $93,989.23 $62,400.81 2026-01-25
Q2053 HCPCS Brexucabtagene Car Pos T 15 5 — — $375,611.00 $822,729.60 $548,374.68 2026-01-25
Q2054 HCPCS Lisocabtagene Mara Car Pos T 13 5 — — $563,301.09 $909,947.91 $580,323.64 2026-01-25
Q2055 HCPCS Idecabtagene Vicleucel Car 13 5 — — $562,910.87 $909,317.56 $593,611.85 2026-01-25
Q2056 HCPCS Ciltacabtagene Car-pos T 13 5 — — $575,513.98 $929,676.43 $619,461.29 2026-01-25
Q2057 HCPCS Afamitresgene Autoleucel 9 5 — — $801,444.80 $1,294,641.60 $872,400.00 2026-01-25
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 9 5 — — $281,190.00 $630,000.00 $337,968.75 2026-01-25
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