Price Transparencybeta Hospital negotiated rates

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

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Hospital

Houston Methodist Continuing Care Hospital

Katy, TX · CCN 452118 · Rates published

10,148 distinct procedures filed
12 distinct payers
50,025 rate rows
2026-04-01 last MRF observed
Data quality

17,348 of 50,025 rate rows are consumer-grade (34.7%)

32,677 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 31,653
template filing: same amount across many unrelated codes — excluded 1,011
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 11
placeholder amount (≤ $0.02) — excluded from medians 2
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.houstonmethodist.org/-/media/files/patient-resources/452118_houston-methodist-continuing-care-hospital_standard-charges.ashx
Found on page https://www.houstonmethodist.org/for-patients/patient-resources/billing-insurance/pricing-transparency/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-16
Content fingerprint 0ac9b44617bcaf82… · 22,486,420 bytes · first seen 2026-05-09

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
Q2057
HCPCS 		Afamitresgene Autoleucel 1 $4,558,217.30 $4,558,217.30 $4,558,217.30 nat. median
$824,563
outlier · 5.5×
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 1 $3,423,431.17 $3,423,431.17 $3,423,431.17 nat. median
$753,246
outlier · 4.5×
Q2056
HCPCS 		Ciltacabtagene Car-pos T 1 $3,271,996.41 $3,271,996.41 $3,271,996.41 nat. median
$674,867
outlier · 4.8×
Q2055
HCPCS 		Idecabtagene Vicleucel Car 1 $3,120,886.85 $3,120,886.85 $3,120,886.85 nat. median
$625,184
outlier · 5.0×
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 1 $3,054,756.15 $3,054,756.15 $3,054,756.15 nat. median
$673,137
outlier · 4.5×
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 1 $2,974,302.92 $2,974,302.92 $2,974,302.92 nat. median
$634,303
outlier · 4.7×
Q2053
HCPCS 		Brexucabtagene Car Pos T 1 $2,894,796.03 $2,894,796.03 $2,894,796.03 nat. median
$619,808
outlier · 4.7×
J7330
HCPCS 		Cultured Chondrocytes Implnt 1 $467,204.56 $467,204.56 $467,204.56 nat. median
$76,329
outlier · 6.1×
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 1 $386,868.94 $409,570.48 $386,868.94 nat. median
$370,174
1.0× median
J9029
HCPCS 		Inj, Adstiladrin, Per Tx Dos 1 $374,038.63 $374,038.63 $374,038.63 nat. median
$69,774
outlier · 5.4×
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 1 $337,256.15 $337,256.15 $337,256.15 nat. median
$66,682
outlier · 5.1×
A9543
HCPCS 		Y90 Ibritumomab, Rx 1 $336,117.21 $336,117.21 $336,117.21 nat. median
$62,507
outlier · 5.4×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 1 $288,959.10 $305,915.27 $288,959.10 nat. median
$265,286
1.1× median
A9699
HCPCS 		Radiopharm Rx Agent Noc 1 $267,482.51 $267,482.51 $267,482.51 nat. median
$21,806
outlier · 12.3×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 1 $243,372.21 $257,653.33 $243,372.21 nat. median
$206,474
1.2× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 1 $219,852.42 $232,753.40 $219,852.42 nat. median
$202,976
1.1× median
J9226
HCPCS 		Supprelin La Implant 2 $103,649.52 $267,429.22 $185,539.37 nat. median
$60,368
outlier · 3.1×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 2 $144,950.44 $293,667.52 $153,456.16 nat. median
$133,161
1.2× median
J9600
HCPCS 		Porfimer Sodium Injection 1 $143,311.10 $143,311.10 $143,311.10 nat. median
$31,627
outlier · 4.5×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 1 $134,402.13 $142,288.87 $134,402.13 nat. median
$117,357
1.1× median
7
MS_DRG 		Lung Transplant 1 $134,063.59 $141,930.46 $134,063.59 nat. median
$122,708
1.1× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 1 $113,051.10 $119,684.96 $113,051.10 nat. median
$108,660
1.0× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 3 $10,243.00 $118,309.96 $111,752.31 nat. median
$102,358
1.1× median
J9266
HCPCS 		Pegaspargase Injection 2 $61,991.51 $160,122.18 $111,056.85 nat. median
$34,109
outlier · 3.3×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 1 $109,243.99 $115,654.44 $109,243.99 nat. median
$100,136
1.1× median
215
MS_DRG 		Other Heart Assist System Implant 2 $34,387.00 $115,063.61 $108,685.90 nat. median
$99,019
1.1× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 $107,530.73 $113,840.66 $107,530.73 nat. median
$98,894
1.1× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 $10,243.00 $104,812.99 $99,003.45 nat. median
$93,672
1.1× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 8 $24,503.56 $453,977.33 $95,404.95 nat. median
$62,134
1.5× median
850
MS_DRG 		Acute Leukemia With Other Procedures 1 $94,498.73 $100,043.93 $94,498.73 nat. median
$83,470
1.1× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 3 $10,243.00 $92,029.60 $86,928.61 nat. median
$79,312
1.1× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 $86,879.37 $91,977.46 $86,879.37 nat. median
$81,118
1.1× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 1 $85,560.06 $90,580.74 $85,560.06 nat. median
$82,711
1.0× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 2 $48,674.00 $87,545.09 $82,692.67 nat. median
$77,570
1.1× median
949
MS_DRG 		Aftercare With Cc/Mcc 9 $11,068.44 $310,616.92 $81,850.04 nat. median
$12,475
outlier · 6.6×
10
MS_DRG 		Pancreas Transplant 1 $81,790.90 $86,590.41 $81,790.90 nat. median
$68,884
1.2× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 1 $81,320.02 $86,091.89 $81,320.02 nat. median
$71,271
1.1× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 3 $10,243.00 $84,887.40 $80,182.29 nat. median
$73,807
1.1× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 3 $10,243.00 $84,031.56 $79,373.88 nat. median
$74,915
1.1× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 1 $76,570.10 $81,063.25 $76,570.10 nat. median
$72,135
1.1× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 $72,825.56 $77,098.98 $72,825.56 nat. median
$68,090
1.1× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 3 $10,243.00 $76,749.26 $72,495.22 nat. median
$68,886
1.1× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 2 $70,143.22 $75,554.55 $71,366.73 nat. median
$66,526
1.1× median
J1412
HCPCS 		Inj Roctavian Ml 2x10^13vc G 1 $71,026.20 $71,026.20 $71,026.20 nat. median
$13,558
outlier · 5.2×
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 1 $70,047.43 $74,157.82 $70,047.43 nat. median
$64,732
1.1× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 1 $68,778.39 $72,814.32 $68,778.39 nat. median
$63,724
1.1× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 1 $68,514.73 $72,535.19 $68,514.73 nat. median
$64,023
1.1× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 3 $10,243.00 $72,412.46 $68,398.80 nat. median
$65,950
1.0× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 $10,243.00 $70,133.82 $66,246.47 nat. median
$64,508
1.0× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 1 $64,876.89 $68,683.88 $64,876.89 nat. median
$60,185
1.1× median

Other procedures at this hospital

Browse this hospital's 10,148 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
189 MS_DRG Pulmonary Edema And Respiratory Failure 19 9 — — $8,096.01 $149,958.96 $27,293.98 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 17 8 — — $24,503.56 $453,977.33 $95,404.95 2026-04-01
949 MS_DRG Aftercare With Cc/Mcc 16 9 — — $11,068.44 $310,616.92 $81,850.04 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 11 6 — — $7,168.47 $522,120.07 $27,536.18 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 8 5 — — $20,824.23 $1,353,742.75 $54,059.23 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 7 4 — — $30,197.65 $460,423.55 $51,636.45 2026-04-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 6 4 — — $25,688.54 $137,503.18 $59,551.92 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 5 2 — — $144,950.44 $293,667.52 $153,456.16 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 5 3 — — $10,243.00 $118,309.96 $111,752.31 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 5 3 — — $10,243.00 $104,812.99 $99,003.45 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 5 3 — — $10,243.00 $92,029.60 $86,928.61 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 5 3 — — $10,243.00 $84,887.40 $80,182.29 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 5 3 — — $10,243.00 $84,031.56 $79,373.88 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 5 3 — — $10,243.00 $76,749.26 $72,495.22 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 5 3 — — $10,243.00 $72,412.46 $68,398.80 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 5 3 — — $10,243.00 $70,133.82 $66,246.47 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 5 3 — — $10,243.00 $67,273.03 $63,544.25 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 5 3 — — $10,243.00 $66,342.25 $62,665.05 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 5 3 — — $10,243.00 $65,061.73 $61,455.51 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 5 3 — — $10,243.00 $64,613.18 $61,031.82 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 5 3 — — $10,243.00 $63,903.95 $60,361.90 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 5 3 — — $10,243.00 $57,779.43 $54,576.85 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 5 3 — — $10,243.00 $57,523.11 $54,334.74 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 5 3 — — $10,243.00 $55,747.34 $52,657.40 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 5 3 — — $10,243.00 $54,119.28 $51,119.57 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 5 3 — — $10,243.00 $51,094.49 $48,262.44 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 5 3 — — $10,243.00 $50,527.54 $47,726.92 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 5 3 — — $10,243.00 $49,876.97 $47,112.41 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 5 3 — — $10,243.00 $47,706.94 $45,062.66 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 5 3 — — $10,243.00 $45,186.10 $42,681.54 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 5 3 — — $10,243.00 $44,658.26 $42,182.96 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 5 3 — — $10,243.00 $42,466.51 $40,112.69 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 5 3 — — $10,243.00 $37,409.63 $35,336.10 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 5 3 — — $19,946.00 $46,070.67 $35,190.42 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 5 3 — — $10,243.00 $40,706.00 $34,798.53 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 5 2 — — $32,560.01 $922,092.04 $34,470.64 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 5 3 — — $10,243.00 $36,654.00 $32,016.29 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 5 3 — — $10,243.00 $33,735.35 $31,865.48 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 5 3 — — $10,243.00 $40,706.00 $29,204.30 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 5 3 — — $18,089.00 $30,530.00 $27,970.14 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 5 3 — — $10,243.00 $27,174.22 $25,668.02 2026-04-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 5 3 — — $10,243.00 $25,138.87 $23,745.48 2026-04-01
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 5 3 — — $10,243.00 $37,086.00 $23,725.99 2026-04-01
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 5 3 — — $10,243.00 $40,706.00 $23,110.45 2026-04-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 5 3 — — $21,659.83 $510,027.13 $22,930.83 2026-04-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 5 3 — — $10,243.00 $24,038.65 $22,706.24 2026-04-01
592 MS_DRG Skin Ulcers With Mcc 5 2 — — $21,094.56 $175,745.89 $22,332.39 2026-04-01
215 MS_DRG Other Heart Assist System Implant 4 2 — — $34,387.00 $115,063.61 $108,685.90 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 4 2 — — $48,674.00 $87,545.09 $82,692.67 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 4 2 — — $70,143.22 $75,554.55 $71,366.73 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 4 2 — — $58,551.00 $67,186.15 $63,462.17 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 4 2 — — $54,736.00 $61,958.75 $58,524.52 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 4 2 — — $55,346.28 $230,009.51 $56,970.15 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 4 2 — — $48,674.00 $60,032.01 $56,704.57 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 4 2 — — $51,310.39 $186,462.70 $52,815.84 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 4 2 — — $41,561.00 $55,329.19 $52,262.42 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 4 2 — — $36,312.00 $54,336.50 $51,324.75 2026-04-01
245 MS_DRG Aicd Generator Procedures 4 2 — — $19,946.00 $53,072.28 $50,130.60 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 4 2 — — $46,281.43 $204,256.00 $47,639.33 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 4 2 — — $45,878.25 $54,736.00 $47,224.32 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 4 2 — — $42,988.29 $54,736.00 $44,249.57 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 4 2 — — $10,243.00 $46,259.17 $43,695.13 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 4 2 — — $38,998.56 $54,736.00 $40,142.79 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 4 2 — — $37,428.94 $58,920.00 $38,527.10 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 4 2 — — $23,184.61 $40,663.58 $38,409.70 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 4 2 — — $36,218.37 $48,674.00 $37,281.02 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 4 2 — — $26,502.00 $38,923.65 $36,766.20 2026-04-01
265 MS_DRG Aicd Lead Procedures 4 2 — — $19,946.00 $38,740.10 $36,592.83 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 4 2 — — $35,544.36 $137,480.00 $36,587.24 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 4 2 — — $35,136.05 $41,561.00 $36,166.94 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 4 2 — — $19,946.00 $37,001.25 $34,950.36 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 4 2 — — $33,531.54 $41,561.00 $34,515.36 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 4 2 — — $32,489.00 $34,800.82 $32,871.89 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 4 2 — — $10,243.00 $34,700.90 $32,777.51 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 4 2 — — $31,376.13 $54,736.00 $32,296.71 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 4 2 — — $29,900.88 $41,561.00 $30,778.18 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 4 2 — — $10,243.00 $31,084.18 $29,361.26 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 4 2 — — $19,946.00 $30,469.45 $28,780.60 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 4 1 — — $27,869.60 $99,722.23 $28,687.29 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 4 2 — — $25,327.00 $29,359.46 $27,732.13 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 4 2 — — $26,911.41 $41,561.00 $27,701.00 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 4 2 — — $19,946.00 $27,727.05 $26,190.20 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 4 2 — — $25,315.11 $42,596.00 $26,057.85 2026-04-01
32 MS_DRG Ventricular Shunt Procedures With Cc 4 2 — — $21,908.09 $54,736.00 $22,550.88 2026-04-01
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 4 2 — — $21,628.02 $41,561.00 $22,262.59 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 3 1 — — $386,868.94 $409,570.48 $386,868.94 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 3 1 — — $288,959.10 $305,915.27 $288,959.10 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 3 1 — — $243,372.21 $257,653.33 $243,372.21 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 3 1 — — $219,852.42 $232,753.40 $219,852.42 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 3 1 — — $134,402.13 $142,288.87 $134,402.13 2026-04-01
7 MS_DRG Lung Transplant 3 1 — — $134,063.59 $141,930.46 $134,063.59 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 3 1 — — $113,051.10 $119,684.96 $113,051.10 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 3 1 — — $109,243.99 $115,654.44 $109,243.99 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 3 1 — — $107,530.73 $113,840.66 $107,530.73 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 3 1 — — $94,498.73 $100,043.93 $94,498.73 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 3 1 — — $86,879.37 $91,977.46 $86,879.37 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 3 1 — — $85,560.06 $90,580.74 $85,560.06 2026-04-01
10 MS_DRG Pancreas Transplant 3 1 — — $81,790.90 $86,590.41 $81,790.90 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 3 1 — — $81,320.02 $86,091.89 $81,320.02 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 3 1 — — $76,570.10 $81,063.25 $76,570.10 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 3 1 — — $72,825.56 $77,098.98 $72,825.56 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 3 1 — — $70,047.43 $74,157.82 $70,047.43 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 3 1 — — $68,778.39 $72,814.32 $68,778.39 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 3 1 — — $68,514.73 $72,535.19 $68,514.73 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 3 1 — — $64,876.89 $68,683.88 $64,876.89 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 3 1 — — $63,172.87 $66,879.87 $63,172.87 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 3 1 — — $62,956.41 $66,650.70 $62,956.41 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 3 1 — — $62,365.49 $66,025.11 $62,365.49 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 3 1 — — $61,918.19 $65,551.57 $61,918.19 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 3 1 — — $61,918.19 $65,551.57 $61,918.19 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 3 1 — — $60,989.76 $64,568.65 $60,989.76 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 3 1 — — $59,726.87 $63,231.66 $59,726.87 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 3 1 — — $58,876.40 $62,331.28 $58,876.40 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 3 1 — — $57,185.72 $60,541.39 $57,185.72 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 3 1 — — $56,700.47 $60,027.66 $56,700.47 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 3 1 — — $56,477.85 $59,791.98 $56,477.85 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 3 1 — — $56,117.76 $59,410.76 $56,117.76 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 3 1 — — $55,817.17 $59,092.53 $55,817.17 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 3 1 — — $55,689.96 $58,957.85 $55,689.96 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 3 1 — — $55,405.78 $58,657.00 $55,405.78 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 3 1 — — $55,353.46 $58,601.61 $55,353.46 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 3 1 — — $52,830.77 $55,930.89 $52,830.77 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 3 1 — — $52,102.38 $55,159.76 $52,102.38 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 3 1 — — $51,669.45 $54,701.43 $51,669.45 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 3 1 — — $51,364.76 $54,378.85 $51,364.76 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 3 1 — — $49,827.96 $52,751.88 $49,827.96 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 3 1 — — $49,744.87 $52,663.90 $49,744.87 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 3 1 — — $48,988.78 $51,863.45 $48,988.78 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 3 1 — — $48,776.42 $51,638.62 $48,776.42 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 3 1 — — $48,003.91 $50,820.79 $48,003.91 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 3 1 — — $47,282.71 $50,057.26 $47,282.71 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 3 1 — — $47,263.21 $50,036.63 $47,263.21 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 3 1 — — $47,106.25 $49,870.45 $47,106.25 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 3 1 — — $46,005.46 $48,705.07 $46,005.46 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 3 1 — — $45,449.42 $48,116.40 $45,449.42 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 3 1 — — $44,387.62 $46,992.29 $44,387.62 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 3 1 — — $44,295.28 $46,894.54 $44,295.28 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 3 1 — — $43,758.74 $46,326.51 $43,758.74 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 3 1 — — $43,385.31 $45,931.17 $43,385.31 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 3 1 — — $42,985.21 $45,507.59 $42,985.21 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 3 1 — — $42,786.19 $45,296.89 $42,786.19 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 3 1 — — $42,159.36 $44,633.28 $42,159.36 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 3 1 — — $42,096.78 $44,567.03 $42,096.78 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 3 1 — — $41,889.55 $44,347.64 $41,889.55 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 3 1 — — $41,724.38 $44,172.77 $41,724.38 2026-04-01
791 MS_DRG Prematurity With Major Problems 3 1 — — $41,652.57 $44,096.75 $41,652.57 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 3 1 — — $40,866.73 $43,264.79 $40,866.73 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 3 1 — — $40,838.00 $43,234.38 $40,838.00 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 3 1 — — $40,485.09 $42,860.76 $40,485.09 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 3 1 — — $40,392.76 $42,763.02 $40,392.76 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 3 1 — — $40,311.71 $42,677.21 $40,311.71 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 3 1 — — $40,309.66 $42,675.04 $40,309.66 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 3 1 — — $39,892.12 $42,233.00 $39,892.12 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 3 1 — — $39,650.01 $41,976.68 $39,650.01 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 3 1 — — $39,608.97 $41,933.23 $39,608.97 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 3 1 — — $39,211.95 $41,512.91 $39,211.95 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 3 1 — — $38,694.90 $40,965.52 $38,694.90 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 3 1 — — $37,177.59 $39,359.18 $37,177.59 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 3 1 — — $36,776.46 $38,934.51 $36,776.46 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 3 1 — — $36,774.41 $38,932.34 $36,774.41 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 3 1 — — $36,429.71 $38,567.41 $36,429.71 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 3 1 — — $36,206.06 $38,330.64 $36,206.06 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 3 1 — — $36,114.76 $38,233.98 $36,114.76 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 3 1 — — $35,943.43 $38,052.60 $35,943.43 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 3 1 — — $35,937.28 $38,046.08 $35,937.28 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 3 1 — — $35,917.78 $38,025.45 $35,917.78 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 3 1 — — $35,854.18 $37,958.11 $35,854.18 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 3 1 — — $35,621.30 $37,711.56 $35,621.30 2026-04-01
332 MS_DRG Rectal Resection With Mcc 3 1 — — $35,583.34 $37,671.38 $35,583.34 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 3 1 — — $35,278.65 $37,348.81 $35,278.65 2026-04-01
665 MS_DRG Prostatectomy With Mcc 3 1 — — $35,223.25 $37,290.16 $35,223.25 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 3 1 — — $34,434.33 $36,454.95 $34,434.33 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 3 1 — — $34,067.06 $36,066.12 $34,067.06 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 3 1 — — $33,872.14 $35,859.76 $33,872.14 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 3 1 — — $33,435.11 $35,397.09 $33,435.11 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 3 1 — — $33,420.74 $35,381.88 $33,420.74 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 3 1 — — $33,070.91 $35,011.52 $33,070.91 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 3 1 — — $32,720.05 $34,640.07 $32,720.05 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 3 1 — — $32,625.67 $34,540.15 $32,625.67 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 3 1 — — $32,505.64 $34,413.08 $32,505.64 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 3 1 — — $32,001.92 $33,879.80 $32,001.92 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 3 1 — — $31,722.88 $33,584.38 $31,722.88 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 3 1 — — $31,657.22 $33,514.87 $31,657.22 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 3 1 — — $31,634.65 $33,490.98 $31,634.65 2026-04-01
652 MS_DRG Kidney Transplant 3 1 — — $31,507.44 $33,356.30 $31,507.44 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 3 1 — — $31,478.72 $33,325.89 $31,478.72 2026-04-01
570 MS_DRG Skin Debridement With Mcc 3 1 — — $30,883.69 $32,695.95 $30,883.69 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 3 1 — — $30,633.37 $32,430.95 $30,633.37 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 3 1 — — $30,249.69 $32,024.74 $30,249.69 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 3 1 — — $30,171.72 $31,942.20 $30,171.72 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 3 1 — — $30,087.60 $31,853.14 $30,087.60 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 3 1 — — $29,916.27 $31,671.76 $29,916.27 2026-04-01
800 MS_DRG Splenic Procedures With Cc 3 1 — — $29,890.62 $31,644.61 $29,890.62 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 3 1 — — $29,874.21 $31,627.23 $29,874.21 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 3 1 — — $29,720.32 $31,464.32 $29,720.32 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 3 1 — — $29,411.53 $31,137.40 $29,411.53 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 3 1 — — $29,377.67 $31,101.56 $29,377.67 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 3 1 — — $29,320.22 $31,040.74 $29,320.22 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 3 1 — — $28,949.87 $30,648.66 $28,949.87 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 3 1 — — $28,809.32 $30,499.86 $28,809.32 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 3 1 — — $28,072.73 $29,720.04 $28,072.73 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 3 1 — — $28,020.41 $29,664.65 $28,020.41 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 3 1 — — $27,641.85 $29,263.88 $27,641.85 2026-04-01
263 MS_DRG Vein Ligation And Stripping 3 1 — — $27,513.61 $29,128.12 $27,513.61 2026-04-01
849 MS_DRG Radiotherapy 3 1 — — $27,400.76 $29,008.64 $27,400.76 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 3 1 — — $27,315.61 $28,918.50 $27,315.61 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 3 1 — — $27,219.18 $28,816.41 $27,219.18 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 3 1 — — $27,184.30 $28,779.48 $27,184.30 2026-04-01
503 MS_DRG Foot Procedures With Mcc 3 1 — — $27,150.44 $28,743.64 $27,150.44 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 3 1 — — $27,121.72 $28,713.23 $27,121.72 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 3 1 — — $26,840.62 $28,415.63 $26,840.62 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 3 1 — — $26,554.40 $28,112.61 $26,554.40 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 3 1 — — $26,511.31 $28,067.00 $26,511.31 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 3 1 — — $26,197.38 $27,734.65 $26,197.38 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 3 1 — — $26,140.96 $27,674.91 $26,140.96 2026-04-01
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 3 1 — — $26,007.59 $27,533.72 $26,007.59 2026-04-01
545 MS_DRG Connective Tissue Disorders With Mcc 3 1 — — $25,921.42 $27,442.49 $25,921.42 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 3 1 — — $25,900.90 $27,420.77 $25,900.90 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 3 1 — — $25,819.85 $27,334.96 $25,819.85 2026-04-01
397 MS_DRG Appendix Procedures With Mcc 3 1 — — $25,417.70 $26,909.21 $25,417.70 2026-04-01
792 MS_DRG Prematurity Without Major Problems 3 1 — — $25,132.50 $26,607.28 $25,132.50 2026-04-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 3 1 — — $25,119.16 $26,593.16 $25,119.16 2026-04-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 3 1 — — $24,909.88 $26,371.59 $24,909.88 2026-04-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 3 1 — — $24,824.73 $26,281.45 $24,824.73 2026-04-01
135 MS_DRG Sinus And Mastoid Procedures With Cc/Mcc 3 1 — — $24,733.42 $26,184.78 $24,733.42 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 3 1 — — $24,631.86 $26,077.26 $24,631.86 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 3 1 — — $24,590.82 $26,033.82 $24,590.82 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 3 1 — — $24,590.82 $26,033.82 $24,590.82 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 3 1 — — $24,380.51 $25,811.17 $24,380.51 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 3 1 — — $24,285.10 $25,710.16 $24,285.10 2026-04-01
347 MS_DRG Anal And Stomal Procedures With Mcc 3 1 — — $24,278.95 $25,703.64 $24,278.95 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 3 1 — — $24,249.20 $25,672.15 $24,249.20 2026-04-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 3 1 — — $24,208.16 $25,628.70 $24,208.16 2026-04-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 3 1 — — $23,989.65 $25,397.36 $23,989.65 2026-04-01
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 3 1 — — $23,801.91 $25,198.61 $23,801.91 2026-04-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 3 1 — — $23,680.85 $25,070.45 $23,680.85 2026-04-01
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 3 1 — — $23,533.12 $24,914.05 $23,533.12 2026-04-01
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 3 1 — — $23,497.21 $24,876.03 $23,497.21 2026-04-01
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 3 1 — — $23,422.32 $24,796.75 $23,422.32 2026-04-01
614 MS_DRG Adrenal And Pituitary Procedures With Cc/Mcc 3 1 — — $23,378.21 $24,750.05 $23,378.21 2026-04-01
35 MS_DRG Carotid Artery Stent Procedures With Cc 3 1 — — $23,335.12 $24,704.43 $23,335.12 2026-04-01
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 3 1 — — $23,245.87 $24,609.94 $23,245.87 2026-04-01
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 3 1 — — $23,170.98 $24,530.65 $23,170.98 2026-04-01
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/Mcc 3 1 — — $23,166.87 $24,526.31 $23,166.87 2026-04-01
113 MS_DRG Orbital Procedures With Cc/Mcc 3 1 — — $23,150.46 $24,508.93 $23,150.46 2026-04-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 3 1 — — $23,102.24 $24,457.89 $23,102.24 2026-04-01
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 3 1 — — $23,083.78 $24,438.34 $23,083.78 2026-04-01
709 MS_DRG Penis Procedures With Cc/Mcc 3 1 — — $23,051.97 $24,404.67 $23,051.97 2026-04-01
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 3 1 — — $22,900.14 $24,243.92 $22,900.14 2026-04-01
30 MS_DRG Spinal Procedures Without Cc/Mcc 3 1 — — $22,828.33 $24,167.90 $22,828.33 2026-04-01
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 3 1 — — $22,562.62 $23,886.60 $22,562.62 2026-04-01
935 MS_DRG Non-extensive Burns 3 1 — — $22,531.84 $23,854.01 $22,531.84 2026-04-01
906 MS_DRG Hand Procedures For Injuries 3 1 — — $22,389.24 $23,703.05 $22,389.24 2026-04-01
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 3 1 — — $22,353.34 $23,665.03 $22,353.34 2026-04-01
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 3 1 — — $22,252.80 $23,558.60 $22,252.80 2026-04-01
J9226 HCPCS Supprelin La Implant 2 2 — — $103,649.52 $267,429.22 $185,539.37 2026-04-01
J9266 HCPCS Pegaspargase Injection 2 2 — — $61,991.51 $160,122.18 $111,056.85 2026-04-01
J0600 HCPCS Edetate Calcium Disodium Inj 2 2 — — $13,932.59 $38,211.08 $26,071.83 2026-04-01
Q2057 HCPCS Afamitresgene Autoleucel 1 1 — — $4,558,217.30 $4,558,217.30 $4,558,217.30 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 1 1 — — $3,423,431.17 $3,423,431.17 $3,423,431.17 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 1 1 — — $3,271,996.41 $3,271,996.41 $3,271,996.41 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 1 1 — — $3,120,886.85 $3,120,886.85 $3,120,886.85 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 1 1 — — $3,054,756.15 $3,054,756.15 $3,054,756.15 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 1 1 — — $2,974,302.92 $2,974,302.92 $2,974,302.92 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 1 1 — — $2,894,796.03 $2,894,796.03 $2,894,796.03 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 1 1 — — $467,204.56 $467,204.56 $467,204.56 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 1 1 — — $374,038.63 $374,038.63 $374,038.63 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 1 1 — — $337,256.15 $337,256.15 $337,256.15 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 1 1 — — $336,117.21 $336,117.21 $336,117.21 2026-04-01
A9699 HCPCS Radiopharm Rx Agent Noc 1 1 — — $267,482.51 $267,482.51 $267,482.51 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 1 1 — — $143,311.10 $143,311.10 $143,311.10 2026-04-01
J1412 HCPCS Inj Roctavian Ml 2x10^13vc G 1 1 — — $71,026.20 $71,026.20 $71,026.20 2026-04-01
J9216 HCPCS Interferon Gamma 1-b Inj 1 1 — — $60,046.60 $60,046.60 $60,046.60 2026-04-01
Q0224 HCPCS Inj, Pemivibart, 4500 Mg 1 1 — — $38,941.40 $38,941.40 $38,941.40 2026-04-01
J9015 HCPCS Aldesleukin Injection 1 1 — — $31,356.95 $31,356.95 $31,356.95 2026-04-01
92997 HCPCS Pul Art Balloon Repr Percut 1 1 — — $30,862.00 $30,862.00 $30,862.00 2026-04-01
92943 HCPCS Hc Prq Card Revasc Chronic 1vsl 1 1 — — $30,862.00 $30,862.00 $30,862.00 2026-04-01
92928 HCPCS Hc Prq Card Stent W/angio 1 Vsl 1 1 — — $30,862.00 $30,862.00 $30,862.00 2026-04-01
92933 HCPCS Hc Stent Pci W Ather/angio Sgl 1 1 — — $30,862.00 $30,862.00 $30,862.00 2026-04-01
92920 HCPCS Hc Cardiac Pci Angioplast Sgl Art 1 1 — — $30,862.00 $30,862.00 $30,862.00 2026-04-01
92937 HCPCS Hc Prq Revasc Byp Graft 1 Vsl 1 1 — — $30,862.00 $30,862.00 $30,862.00 2026-04-01
92924 HCPCS Hc Prq Card Angio/athrect Sgl Art/brnch 1 1 — — $30,862.00 $30,862.00 $30,862.00 2026-04-01
92941 HCPCS Hc Prq Card Revasc Mi 1 Vsl 1 1 — — $30,862.00 $30,862.00 $30,862.00 2026-04-01
93580 HCPCS Hc Cardiac Proc Atrial Sep Clos W 1 1 — — $30,862.00 $30,862.00 $30,862.00 2026-04-01
93581 HCPCS Transcath Closure Of Vsd 1 1 — — $30,862.00 $30,862.00 $30,862.00 2026-04-01
J0225 HCPCS Inj, Vutrisiran, 1 Mg 1 1 — — $29,316.57 $29,316.57 $29,316.57 2026-04-01
J0716 HCPCS Centruroides Immune F(ab) 1 1 — — $28,719.10 $28,719.10 $28,719.10 2026-04-01
Q4316 HCPCS Amchoplast, Per Sq Cm 1 1 — — $28,355.86 $28,355.86 $28,355.86 2026-04-01
A9571 HCPCS Indium In-111 Auto Platelet 1 1 — — $27,480.68 $27,480.68 $27,480.68 2026-04-01
J9225 HCPCS Vantas Implant 1 1 — — $26,977.49 $26,977.49 $26,977.49 2026-04-01
Q4351 HCPCS Enclose Tl Matrix, Per Sq Cm 1 1 — — $26,640.39 $26,640.39 $26,640.39 2026-04-01
A9604 HCPCS Sm 153 Lexidronam 1 1 — — $25,522.69 $25,522.69 $25,522.69 2026-04-01
Q4342 HCPCS Theramend, Per Sq Cm 1 1 — — $25,071.50 $25,071.50 $25,071.50 2026-04-01
Q4349 HCPCS Mantle Dl Matrix Per Sq Cm 1 1 — — $24,864.35 $24,864.35 $24,864.35 2026-04-01
Q4350 HCPCS Palisade Dm Matrix Per Sq Cm 1 1 — — $24,864.35 $24,864.35 $24,864.35 2026-04-01
Q4346 HCPCS Shelter Dm Matrix Per Sq Cm 1 1 — — $24,864.35 $24,864.35 $24,864.35 2026-04-01
Q4165 HCPCS Keramatrix, Per Square Cm 1 1 — — $24,844.66 $24,844.66 $24,844.66 2026-04-01
A9600 HCPCS Sr89 Strontium 1 1 — — $24,525.60 $24,525.60 $24,525.60 2026-04-01
J7310 HCPCS Ganciclovir Long Act Implant 1 1 — — $24,279.71 $24,279.71 $24,279.71 2026-04-01
J0801 HCPCS Inj. Acthar Gel To 40 Units 1 1 — — $23,029.64 $23,029.64 $23,029.64 2026-04-01
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