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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

INOVA MOUNT VERNON HOSPITAL

Alexandria, VA · CCN 490122 · Rates published

8,281 distinct procedures filed
10 distinct payers
532,644 rate rows
2026-08-01 last MRF observed
Data quality

528,722 of 532,644 rate rows are consumer-grade (99.3%)

3,922 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
exceeds 10× this hospital's gross charge — excluded from medians 2,825
per-diem day rate — not a per-procedure price 810
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 124
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 112
placeholder amount (≤ $0.02) — excluded from medians 31
percent-of-charges filed in the dollar field — excluded from medians 18
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 2
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.inova.org/sites/default/files/patient_visitor/price_transparency/2025/june-2025/csv/540620889_inova-mount-vernon-hospital_standardcharges.csv
Found on page https://www.inova.org/patient-and-visitor-information/hospital-charges
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-08-01
Content fingerprint ebb644fd8df8f1ba… · 14,472,311 bytes · first seen 2026-08-01

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 9 $287,571.59 $1,007,423.91 $711,263.41 nat. median
$168,055
outlier · 4.2×
583 SOI-4
OTHER 		Neonate With Ecmo 7 $559,218.72 $623,747.04 $584,054.04 —
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 9 $221,744.64 $752,461.21 $552,267.69 nat. median
$186,516
outlier · 3.0×
Q2041
HCPCS 		Axicabtagene Ciloleucel 200000000 Cells Susp 1 Each Package 8 $55,195.16 $1,374,773.40 $549,227.07 nat. median
$562,501
1.0× median
589 SOI-1
OTHER 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 7 $512,145.96 $571,242.54 $534,890.74 —
589 SOI-2
OTHER 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 7 $494,026.11 $551,031.83 $515,966.17 —
583 SOI-3
OTHER 		Neonate With Ecmo 7 $491,192.10 $547,870.82 $513,006.31 —
588 SOI-4
OTHER 		Neonate Birth Weight < 1500 Grams With Major Procedure 7 $395,073.92 $440,661.54 $412,619.44 —
161 SOI-4
OTHER 		Implantable Heart Assist Systems 7 $382,634.12 $426,786.31 $399,627.18 —
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 9 $153,934.61 $537,260.88 $369,462.22 nat. median
$131,925
outlier · 2.8×
630 SOI-4
OTHER 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 7 $346,301.05 $386,260.77 $361,680.54 —
583 SOI-2
OTHER 		Neonate With Ecmo 7 $337,972.21 $376,970.86 $352,981.81 —
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 8 $163,951.78 $572,503.40 $350,449.52 nat. median
$145,435
outlier · 2.4×
609 SOI-4
OTHER 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 7 $330,581.52 $368,727.35 $345,262.89 —
841 SOI-4
OTHER 		Extensive Third Degree Burns With Skin Graft 7 $324,255.46 $361,671.33 $338,655.88 —
160 SOI-4
OTHER 		Major Cardiothoracic Repair Of Heart Anomaly 7 $307,337.27 $342,800.95 $320,986.34 —
591 SOI-4
OTHER 		Neonate Birth Weight 500-749 Grams Without Major Procedure 7 $292,134.24 $325,843.64 $305,108.14 —
631 SOI-4
OTHER 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 7 $276,220.45 $308,093.56 $288,487.61 —
593 SOI-4
OTHER 		Neonate Birth Weight 750-999 Grams Without Major Procedure 7 $255,021.15 $284,448.06 $266,346.82 —
009 SOI-4
OTHER 		Extracorporeal Membrane Oxygenation (ecmo) 7 $231,441.09 $258,147.11 $241,719.56 —
589 SOI-3
OTHER 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 7 $229,599.44 $256,092.95 $239,796.12 —
603 SOI-4
OTHER 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 7 $228,140.28 $254,465.41 $238,272.16 —
004 SOI-4
OTHER 		Tracheostomy With Mv >96 Hours With Extensive Procedure 7 $222,109.36 $247,738.59 $231,973.40 —
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 8 $108,512.24 $424,888.36 $231,053.76 nat. median
$97,418
outlier · 2.4×
583 SOI-1
OTHER 		Neonate With Ecmo 7 $211,547.35 $235,957.83 $220,942.33 —
14
MS_DRG 		Allogeneic Bone Marrow Transplant 9 $104,060.65 $349,989.04 $219,623.96 nat. median
$72,715
outlier · 3.0×
7
MS_DRG 		Lung Transplant 9 $103,802.89 $349,107.51 $219,070.79 nat. median
$70,649
outlier · 3.1×
792 SOI-4
OTHER 		Extensive O.r. Procedures For Other Complications Of Treatment 7 $190,186.92 $212,132.61 $198,633.26 —
212
MS_DRG 		Concomitant Aortic And Mitral Valve�procedures 9 $86,814.81 $291,009.30 $198,369.14 nat. median
$74,509
outlier · 2.7×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 9 $83,545.92 $279,829.88 $195,505.38 nat. median
$2,736
outlier · 71.5×
161 SOI-3
OTHER 		Implantable Heart Assist Systems 7 $185,553.43 $206,964.46 $193,794.00 —
161 SOI-2
OTHER 		Implantable Heart Assist Systems 7 $181,154.85 $202,058.33 $189,200.07 —
215
MS_DRG 		Other Heart Assist System Implant 9 $81,670.19 $283,019.42 $188,708.67 nat. median
$73,023
outlier · 2.6×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 9 $75,181.15 $643,159.00 $184,384.63 nat. median
$65,418
outlier · 2.8×
593 SOI-3
OTHER 		Neonate Birth Weight 750-999 Grams Without Major Procedure 7 $175,834.70 $196,124.28 $183,643.65 —
680 SOI-4
OTHER 		Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 7 $175,075.75 $195,277.76 $182,850.99 —
681 SOI-4
OTHER 		Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 7 $172,823.00 $192,765.07 $180,498.20 —
161 SOI-1
OTHER 		Implantable Heart Assist Systems 7 $172,056.53 $191,910.15 $179,697.69 —
602 SOI-4
OTHER 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 7 $172,052.01 $191,905.11 $179,692.97 —
591 SOI-3
OTHER 		Neonate Birth Weight 500-749 Grams Without Major Procedure 7 $171,538.52 $191,332.36 $179,156.67 —
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 9 $84,905.03 $284,477.95 $178,514.66 nat. median
$69,922
outlier · 2.6×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 9 $74,504.87 $257,810.32 $173,395.73 nat. median
$69,822
outlier · 2.5×
005 SOI-4
OTHER 		Tracheostomy With Mv >96 Hours Without Extensive Procedure 7 $161,892.06 $180,572.81 $169,081.81 —
842 SOI-4
OTHER 		Burns With Skin Graft Except Extensive Third Degree Burns 7 $159,807.97 $178,248.23 $166,905.16 —
609 SOI-3
OTHER 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 7 $159,707.08 $178,135.70 $166,799.79 —
850
MS_DRG 		Acute Leukemia With Other Procedures 9 $73,676.76 $246,077.95 $164,786.86 nat. median
$2,633
outlier · 62.6×
602 SOI-3
OTHER 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 7 $155,629.25 $173,587.32 $162,540.86 —
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 9 $66,871.06 $222,802.86 $157,637.24 nat. median
$2,596
outlier · 60.7×
588 SOI-3
OTHER 		Neonate Birth Weight < 1500 Grams With Major Procedure 7 $145,671.08 $162,480.09 $152,140.44 —
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 9 $65,566.63 $226,363.71 $150,932.38 nat. median
$60,505
outlier · 2.5×

Other procedures at this hospital

Browse this hospital's 8,281 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
             
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 54 9 — — $287,571.59 $1,007,423.91 $711,263.41 2026-08-01
583 SOI-4 OTHER Neonate With Ecmo 13 7 — — $559,218.72 $623,747.04 $584,054.04 2026-08-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 23 9 — — $221,744.64 $752,461.21 $552,267.69 2026-07-15
Q2041 HCPCS Axicabtagene Ciloleucel 200000000 Cells Susp 1 Each Package 20 8 $1,762,530.00 $881,265.00 50% off $55,195.16 $1,374,773.40 $549,227.07 2026-07-15
589 SOI-1 OTHER Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 13 7 — — $512,145.96 $571,242.54 $534,890.74 2026-08-01
589 SOI-2 OTHER Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 13 7 — — $494,026.11 $551,031.83 $515,966.17 2026-08-01
583 SOI-3 OTHER Neonate With Ecmo 13 7 — — $491,192.10 $547,870.82 $513,006.31 2026-08-01
588 SOI-4 OTHER Neonate Birth Weight < 1500 Grams With Major Procedure 13 7 — — $395,073.92 $440,661.54 $412,619.44 2026-08-01
161 SOI-4 OTHER Implantable Heart Assist Systems 13 7 — — $382,634.12 $426,786.31 $399,627.18 2026-08-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 54 9 — — $153,934.61 $537,260.88 $369,462.22 2026-08-01
630 SOI-4 OTHER Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 13 7 — — $346,301.05 $386,260.77 $361,680.54 2026-08-01
583 SOI-2 OTHER Neonate With Ecmo 13 7 — — $337,972.21 $376,970.86 $352,981.81 2026-08-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 32 8 — — $163,951.78 $572,503.40 $350,449.52 2026-08-01
609 SOI-4 OTHER Neonate Birth Weight 1500-2499 Grams With Major Procedure 13 7 — — $330,581.52 $368,727.35 $345,262.89 2026-08-01
841 SOI-4 OTHER Extensive Third Degree Burns With Skin Graft 13 7 — — $324,255.46 $361,671.33 $338,655.88 2026-08-01
160 SOI-4 OTHER Major Cardiothoracic Repair Of Heart Anomaly 13 7 — — $307,337.27 $342,800.95 $320,986.34 2026-08-01
591 SOI-4 OTHER Neonate Birth Weight 500-749 Grams Without Major Procedure 13 7 — — $292,134.24 $325,843.64 $305,108.14 2026-08-01
631 SOI-4 OTHER Neonate Birth Weight > 2499 Grams With Other Major Procedure 13 7 — — $276,220.45 $308,093.56 $288,487.61 2026-08-01
593 SOI-4 OTHER Neonate Birth Weight 750-999 Grams Without Major Procedure 13 7 — — $255,021.15 $284,448.06 $266,346.82 2026-08-01
009 SOI-4 OTHER Extracorporeal Membrane Oxygenation (ecmo) 13 7 — — $231,441.09 $258,147.11 $241,719.56 2026-08-01
589 SOI-3 OTHER Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 13 7 — — $229,599.44 $256,092.95 $239,796.12 2026-08-01
603 SOI-4 OTHER Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 13 7 — — $228,140.28 $254,465.41 $238,272.16 2026-08-01
004 SOI-4 OTHER Tracheostomy With Mv >96 Hours With Extensive Procedure 13 7 — — $222,109.36 $247,738.59 $231,973.40 2026-08-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 33 8 — — $108,512.24 $424,888.36 $231,053.76 2026-08-01
583 SOI-1 OTHER Neonate With Ecmo 13 7 — — $211,547.35 $235,957.83 $220,942.33 2026-08-01
14 MS_DRG Allogeneic Bone Marrow Transplant 23 9 — — $104,060.65 $349,989.04 $219,623.96 2026-07-15
7 MS_DRG Lung Transplant 23 9 — — $103,802.89 $349,107.51 $219,070.79 2026-07-15
792 SOI-4 OTHER Extensive O.r. Procedures For Other Complications Of Treatment 13 7 — — $190,186.92 $212,132.61 $198,633.26 2026-08-01
212 MS_DRG Concomitant Aortic And Mitral Valve�procedures 26 9 — — $86,814.81 $291,009.30 $198,369.14 2026-07-15
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 26 9 — — $83,545.92 $279,829.88 $195,505.38 2026-07-15
161 SOI-3 OTHER Implantable Heart Assist Systems 13 7 — — $185,553.43 $206,964.46 $193,794.00 2026-08-01
161 SOI-2 OTHER Implantable Heart Assist Systems 13 7 — — $181,154.85 $202,058.33 $189,200.07 2026-08-01
215 MS_DRG Other Heart Assist System Implant 54 9 — — $81,670.19 $283,019.42 $188,708.67 2026-08-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 23 9 — — $75,181.15 $643,159.00 $184,384.63 2026-07-15
593 SOI-3 OTHER Neonate Birth Weight 750-999 Grams Without Major Procedure 13 7 — — $175,834.70 $196,124.28 $183,643.65 2026-08-01
680 SOI-4 OTHER Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 13 7 — — $175,075.75 $195,277.76 $182,850.99 2026-08-01
681 SOI-4 OTHER Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 13 7 — — $172,823.00 $192,765.07 $180,498.20 2026-08-01
161 SOI-1 OTHER Implantable Heart Assist Systems 13 7 — — $172,056.53 $191,910.15 $179,697.69 2026-08-01
602 SOI-4 OTHER Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 13 7 — — $172,052.01 $191,905.11 $179,692.97 2026-08-01
591 SOI-3 OTHER Neonate Birth Weight 500-749 Grams Without Major Procedure 13 7 — — $171,538.52 $191,332.36 $179,156.67 2026-08-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 23 9 — — $84,905.03 $284,477.95 $178,514.66 2026-07-15
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 54 9 — — $74,504.87 $257,810.32 $173,395.73 2026-08-01
005 SOI-4 OTHER Tracheostomy With Mv >96 Hours Without Extensive Procedure 13 7 — — $161,892.06 $180,572.81 $169,081.81 2026-08-01
842 SOI-4 OTHER Burns With Skin Graft Except Extensive Third Degree Burns 13 7 — — $159,807.97 $178,248.23 $166,905.16 2026-08-01
609 SOI-3 OTHER Neonate Birth Weight 1500-2499 Grams With Major Procedure 13 7 — — $159,707.08 $178,135.70 $166,799.79 2026-08-01
850 MS_DRG Acute Leukemia With Other Procedures 26 9 — — $73,676.76 $246,077.95 $164,786.86 2026-07-15
602 SOI-3 OTHER Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 13 7 — — $155,629.25 $173,587.32 $162,540.86 2026-08-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 26 9 — — $66,871.06 $222,802.86 $157,637.24 2026-07-15
588 SOI-3 OTHER Neonate Birth Weight < 1500 Grams With Major Procedure 13 7 — — $145,671.08 $162,480.09 $152,140.44 2026-08-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 54 9 — — $65,566.63 $226,363.71 $150,932.38 2026-08-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 54 9 — — $65,530.94 $226,238.16 $150,848.66 2026-08-01
630 SOI-3 OTHER Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 13 7 — — $142,846.11 $159,329.14 $149,190.02 2026-08-01
591 SOI-2 OTHER Neonate Birth Weight 500-749 Grams Without Major Procedure 13 7 — — $141,644.45 $157,988.82 $147,934.98 2026-08-01
588 SOI-1 OTHER Neonate Birth Weight < 1500 Grams With Major Procedure 13 7 — — $139,585.96 $155,692.80 $145,785.07 2026-08-01
588 SOI-2 OTHER Neonate Birth Weight < 1500 Grams With Major Procedure 13 7 — — $139,585.96 $155,692.80 $145,785.07 2026-08-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 54 9 — — $62,432.33 $215,336.57 $143,579.82 2026-08-01
607 SOI-4 OTHER Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 13 7 — — $134,947.95 $150,519.61 $140,941.09 2026-08-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 54 9 — — $60,574.37 $208,799.88 $139,221.35 2026-08-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 54 9 — — $59,975.30 $206,692.22 $137,816.04 2026-08-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 54 9 — — $57,900.19 $199,391.55 $134,558.39 2026-08-01
10 MS_DRG Pancreas Transplant 23 9 — — $63,999.75 $212,983.15 $133,650.48 2026-07-15
613 SOI-4 OTHER Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 13 7 — — $127,858.42 $142,612.02 $133,536.71 2026-08-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 23 9 — — $63,642.79 $211,762.36 $132,884.42 2026-07-15
612 SOI-4 OTHER Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 13 7 — — $126,220.06 $140,784.61 $131,825.59 2026-08-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 26 9 — — $57,201.86 $189,734.78 $130,419.21 2026-07-15
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 26 9 — — $56,923.01 $188,781.12 $129,326.46 2026-07-15
440 SOI-4 OTHER Kidney Transplant 13 7 — — $122,413.28 $136,538.56 $127,849.75 2026-08-01
440 SOI-3 OTHER Kidney Transplant 13 7 — — $119,586.81 $133,385.94 $124,897.75 2026-08-01
593 SOI-2 OTHER Neonate Birth Weight 750-999 Grams Without Major Procedure 13 7 — — $119,160.65 $132,910.61 $124,452.67 2026-08-01
004 SOI-3 OTHER Tracheostomy With Mv >96 Hours With Extensive Procedure 13 7 — — $118,636.62 $132,326.11 $123,905.36 2026-08-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 54 9 — — $54,045.32 $185,829.33 $123,905.30 2026-08-01
850 SOI-4 OTHER Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 13 7 — — $118,603.49 $132,289.16 $123,870.76 2026-08-01
631 SOI-3 OTHER Neonate Birth Weight > 2499 Grams With Other Major Procedure 13 7 — — $118,359.54 $132,017.06 $123,615.98 2026-08-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 54 9 — — $51,937.56 $178,413.79 $123,386.92 2026-08-01
602 SOI-2 OTHER Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 13 7 — — $117,456.04 $131,009.30 $122,672.34 2026-08-01
303 SOI-4 OTHER Dorsal And Lumbar Fusion Procedure For Curvature Of Back 13 7 — — $116,936.52 $130,429.84 $122,129.76 2026-08-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 26 9 — — $54,093.09 $179,102.99 $121,995.27 2026-07-15
955 MS_DRG Craniotomy For Multiple Significant Trauma 54 9 — — $53,071.93 $182,404.72 $121,621.88 2026-08-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 54 9 — — $51,851.77 $178,111.93 $120,797.71 2026-08-01
603 SOI-3 OTHER Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 13 7 — — $113,942.90 $127,090.78 $119,003.18 2026-08-01
009 SOI-3 OTHER Extracorporeal Membrane Oxygenation (ecmo) 13 7 — — $112,078.66 $125,011.43 $117,056.15 2026-08-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 26 9 — — $50,044.67 $165,257.61 $116,955.64 2026-07-15
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 54 9 — — $50,259.56 $172,510.21 $116,271.89 2026-08-01
690 SOI-4 OTHER Acute Leukemia 13 7 — — $110,730.92 $123,508.18 $115,648.57 2026-08-01
162 SOI-4 OTHER Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 13 7 — — $110,592.39 $123,353.65 $115,503.88 2026-08-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 54 9 — — $50,330.17 $172,758.64 $115,190.16 2026-08-01
863 SOI-4 OTHER Neonatal Aftercare 13 7 — — $109,425.36 $122,051.96 $114,285.02 2026-08-01
0812 RC — 65 4 $168,442.00 $84,221.00 50% off $45,661.01 $328,071.12 $113,392.00 2026-08-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 54 9 — — $47,984.00 $164,504.30 $113,244.44 2026-08-01
841 SOI-3 OTHER Extensive Third Degree Burns With Skin Graft 13 7 — — $108,347.17 $120,849.36 $113,158.95 2026-08-01
611 SOI-4 OTHER Neonate Birth Weight 1500-1999 Grams With Major Anomaly 13 7 — — $108,321.57 $120,820.81 $113,132.21 2026-08-01
910 SOI-4 OTHER Craniotomy For Multiple Significant Trauma 13 7 — — $107,966.19 $120,424.42 $112,761.05 2026-08-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 54 9 — — $49,245.16 $168,941.34 $112,644.90 2026-08-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc 26 9 — — $50,107.16 $165,471.32 $112,641.71 2026-07-15
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 54 9 — — $46,397.86 $158,923.95 $111,475.79 2026-08-01
630 SOI-2 OTHER Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 13 7 — — $106,546.18 $118,840.55 $111,277.97 2026-08-01
312 SOI-4 OTHER Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 13 7 — — $104,992.14 $117,107.20 $109,654.92 2026-08-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 54 9 — — $47,608.15 $163,182.01 $108,804.76 2026-08-01
28 MS_DRG Spinal Procedures With Mcc 54 9 — — $47,386.44 $162,401.99 $108,284.67 2026-08-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 54 9 — — $46,712.96 $160,032.54 $108,103.57 2026-08-01
304 SOI-4 OTHER Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 13 7 — — $102,737.89 $114,592.83 $107,300.56 2026-08-01
004 SOI-2 OTHER Tracheostomy With Mv >96 Hours With Extensive Procedure 13 7 — — $102,259.03 $114,058.71 $106,800.43 2026-08-01
625 SOI-4 OTHER Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 13 7 — — $102,231.93 $114,028.48 $106,772.12 2026-08-01
591 SOI-1 OTHER Neonate Birth Weight 500-749 Grams Without Major Procedure 13 7 — — $102,125.01 $113,909.23 $106,660.46 2026-08-01
020 SOI-4 OTHER Open Craniotomy For Trauma 13 7 — — $101,947.32 $113,711.03 $106,474.88 2026-08-01
890 SOI-4 OTHER HIV With Multiple Major HIV Related Conditions 13 7 — — $101,849.44 $113,601.86 $106,372.65 2026-08-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 54 9 — — $46,712.96 $160,032.54 $106,068.40 2026-08-01
607 SOI-3 OTHER Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 13 7 — — $100,498.70 $112,095.25 $104,961.92 2026-08-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 54 9 — — $45,903.57 $157,184.93 $104,910.42 2026-08-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 54 9 — — $44,804.13 $153,316.88 $104,340.79 2026-08-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 54 9 — — $45,433.58 $155,531.39 $104,294.71 2026-08-01
633 SOI-4 OTHER Neonate Birth Weight > 2499 Grams With Major Anomaly 13 7 — — $98,218.84 $109,552.33 $102,580.82 2026-08-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 26 9 — — $44,452.79 $146,133.74 $102,194.95 2026-07-15
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 54 9 — — $44,543.70 $152,400.62 $102,056.82 2026-08-01
163 SOI-4 OTHER Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 13 7 — — $97,337.92 $108,569.76 $101,660.77 2026-08-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 26 9 — — $44,715.24 $147,031.30 $101,302.37 2026-07-15
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 23 9 — — $48,869.12 $161,237.30 $101,179.10 2026-07-15
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 23 9 — — $48,869.12 $161,237.30 $101,179.10 2026-07-15
440 SOI-2 OTHER Kidney Transplant 13 7 — — $96,806.36 $107,976.86 $101,105.60 2026-08-01
608 SOI-4 OTHER Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 13 7 — — $96,731.07 $107,892.88 $101,026.97 2026-08-01
653 MS_DRG Major Bladder Procedures With Mcc 54 9 — — $43,552.84 $148,914.57 $99,276.98 2026-08-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 54 9 — — $42,234.73 $144,277.18 $98,929.77 2026-08-01
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 54 9 — — $43,193.70 $147,651.04 $98,449.18 2026-08-01
361 SOI-4 OTHER Skin Graft For Skin And Subcutaneous Tissue Diagnoses 13 7 — — $94,223.83 $105,096.33 $98,408.38 2026-08-01
621 SOI-4 OTHER Neonate Birth Weight 2000-2499 Grams With Major Anomaly 13 7 — — $93,139.62 $103,887.02 $97,276.02 2026-08-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 54 9 — — $42,445.05 $145,017.13 $97,262.46 2026-08-01
950 SOI-4 OTHER Extensive O.r. Procedure Unrelated To Principal Diagnosis 13 7 — — $92,927.30 $103,650.19 $97,054.27 2026-08-01
005 SOI-3 OTHER Tracheostomy With Mv >96 Hours Without Extensive Procedure 13 7 — — $92,839.96 $103,552.77 $96,963.05 2026-08-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 54 9 — — $42,196.01 $144,140.95 $96,815.04 2026-08-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 54 9 — — $41,621.24 $142,118.77 $96,173.61 2026-08-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 26 9 — — $40,803.51 $133,653.40 $95,923.10 2026-07-15
177 SOI-4 OTHER Cardiac Pacemaker And Defibrillator Revision Except Device Replacement 13 7 — — $91,466.63 $102,020.97 $95,528.73 2026-08-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 26 9 — — $41,950.16 $137,574.88 $95,369.65 2026-07-15
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 54 9 — — $41,778.41 $142,671.73 $95,129.13 2026-08-01
651 SOI-4 OTHER Other Procedures Of Blood And Blood-forming Organs 13 7 — — $90,858.27 $101,342.41 $94,893.35 2026-08-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 54 9 — — $41,442.80 $141,491.01 $94,858.05 2026-08-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 54 9 — — $42,191.45 $144,124.92 $94,788.68 2026-08-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 23 9 — — $44,223.15 $145,348.38 $94,398.28 2026-07-15
441 SOI-4 OTHER Major Bladder Procedures 13 7 — — $89,195.81 $99,488.13 $93,157.06 2026-08-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 54 9 — — $40,199.86 $137,118.09 $92,838.55 2026-08-01
183 SOI-4 OTHER Percutaneous Structural Cardiac Procedures 13 7 — — $88,057.39 $98,218.34 $91,968.09 2026-08-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 54 9 — — $39,908.30 $136,092.30 $91,879.36 2026-08-01
162 SOI-3 OTHER Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 13 7 — — $87,724.60 $97,847.15 $91,620.51 2026-08-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 54 9 — — $39,789.85 $135,675.58 $90,464.32 2026-08-01
169 SOI-4 OTHER Major Abdominal Vascular Procedures 13 7 — — $86,599.73 $96,592.49 $90,445.69 2026-08-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 54 9 — — $39,470.20 $134,550.96 $89,714.45 2026-08-01
911 SOI-4 OTHER Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 13 7 — — $85,715.80 $95,606.56 $89,522.50 2026-08-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 54 9 — — $39,244.69 $133,757.58 $89,185.45 2026-08-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 54 9 — — $39,199.89 $133,599.98 $89,080.37 2026-08-01
167 SOI-4 OTHER Other Cardiothoracic And Thoracic Vascular Procedures 13 7 — — $85,027.63 $94,838.98 $88,803.77 2026-08-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 54 9 — — $39,063.22 $133,119.14 $88,759.76 2026-08-01
614 SOI-4 OTHER Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 13 7 — — $84,675.26 $94,445.95 $88,435.75 2026-08-01
130 SOI-4 OTHER Respiratory System Diagnosis With Ventilator Support > 96 Hours 13 7 — — $83,884.69 $93,564.15 $87,610.07 2026-08-01
245 MS_DRG Aicd Generator Procedures 54 9 — — $38,330.52 $130,541.33 $87,040.96 2026-08-01
023 SOI-4 OTHER Spinal Procedures 13 7 — — $82,969.14 $92,542.95 $86,653.86 2026-08-01
471 MS_DRG Cervical Spinal Fusion With Mcc 54 9 — — $38,106.53 $129,753.30 $86,515.52 2026-08-01
612 SOI-3 OTHER Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 13 7 — — $82,613.76 $92,146.57 $86,282.69 2026-08-01
120 SOI-4 OTHER Major Respiratory And Chest Procedures 13 7 — — $82,542.98 $92,067.63 $86,208.78 2026-08-01
178 SOI-4 OTHER External Heart Assist Systems 13 7 — — $82,259.88 $91,751.86 $85,913.10 2026-08-01
401 SOI-4 OTHER Adrenal Procedures 13 7 — — $82,205.67 $91,691.39 $85,856.49 2026-08-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 54 9 — — $36,096.72 $122,682.35 $85,754.26 2026-08-01
230 SOI-4 OTHER Major Small Bowel Procedures 13 7 — — $82,047.56 $91,515.03 $85,691.35 2026-08-01
091 SOI-4 OTHER Other Major Head And Neck Procedures 13 7 — — $81,921.07 $91,373.95 $85,559.24 2026-08-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 54 9 — — $37,485.44 $127,568.17 $85,058.54 2026-08-01
027 SOI-4 OTHER Other Open Craniotomy 13 7 — — $81,192.24 $90,561.02 $84,798.04 2026-08-01
799 MS_DRG Splenic Procedures With Mcc 54 9 — — $37,328.27 $127,015.21 $84,689.85 2026-08-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 54 9 — — $37,321.44 $126,991.17 $84,673.82 2026-08-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 26 9 — — $38,058.73 $124,266.44 $84,592.20 2026-07-15
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 54 9 — — $36,947.87 $125,676.89 $84,458.39 2026-08-01
912 SOI-4 OTHER Musculoskeletal And Other Procedures For Multiple Significant Trauma 13 7 — — $80,726.93 $90,042.02 $84,312.07 2026-08-01
021 SOI-4 OTHER Open Craniotomy Except Trauma 13 7 — — $80,300.78 $89,566.69 $83,866.99 2026-08-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 54 9 — — $36,756.53 $125,003.72 $83,348.64 2026-08-01
004 SOI-1 OTHER Tracheostomy With Mv >96 Hours With Extensive Procedure 13 7 — — $79,123.20 $88,253.24 $82,637.12 2026-08-01
163 MS_DRG Major Chest Procedures With Mcc 54 9 — — $36,222.76 $123,125.79 $82,096.50 2026-08-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 54 9 — — $36,091.40 $122,663.65 $82,011.04 2026-08-01
092 SOI-4 OTHER Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 13 7 — — $78,439.55 $87,490.70 $81,923.11 2026-08-01
005 SOI-2 OTHER Tracheostomy With Mv >96 Hours Without Extensive Procedure 13 7 — — $78,242.28 $87,270.67 $81,717.08 2026-08-01
178 SOI-3 OTHER External Heart Assist Systems 13 7 — — $78,028.45 $87,032.17 $81,493.75 2026-08-01
6 MS_DRG Liver Transplant Without Mcc 23 9 — — $39,599.84 $129,536.92 $81,286.58 2026-07-15
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 54 9 — — $35,481.70 $120,518.60 $80,851.26 2026-08-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 54 9 — — $35,183.30 $119,468.77 $80,463.83 2026-08-01
089 SOI-4 OTHER Major Cranial Or Facial Bone Procedures 13 7 — — $76,653.62 $85,498.68 $80,057.86 2026-08-01
160 SOI-3 OTHER Major Cardiothoracic Repair Of Heart Anomaly 13 7 — — $76,486.47 $85,312.25 $79,883.29 2026-08-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 54 9 — — $35,277.46 $119,800.02 $79,878.98 2026-08-01
165 SOI-4 OTHER Coronary Bypass With Ami Or Complex Principal Diagnosis 13 7 — — $75,983.51 $84,751.26 $79,358.00 2026-08-01
178 SOI-2 OTHER External Heart Assist Systems 13 7 — — $75,891.66 $84,648.80 $79,262.06 2026-08-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 23 9 — — $37,710.36 $123,075.04 $79,185.68 2026-07-15
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 54 9 — — $34,579.68 $117,345.09 $79,008.42 2026-08-01
901 MS_DRG Wound Debridements For Injuries With Mcc 54 9 — — $34,865.93 $118,352.17 $78,913.60 2026-08-01
022 SOI-4 OTHER Ventricular Shunt Procedures 13 7 — — $75,361.60 $84,057.58 $78,708.46 2026-08-01
404 SOI-4 OTHER Thyroid, Parathyroid And Thyroglossal Procedures 13 7 — — $75,287.81 $83,975.28 $78,631.40 2026-08-01
405 SOI-4 OTHER Other Procedures For Endocrine, Nutritional And Metabolic Disorders 13 7 — — $75,095.06 $83,760.29 $78,430.09 2026-08-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 26 9 — — $34,992.93 $113,781.57 $78,198.10 2026-07-15
121 SOI-4 OTHER Other Respiratory And Chest Procedures 13 7 — — $74,471.64 $83,064.94 $77,778.98 2026-08-01
611 SOI-3 OTHER Neonate Birth Weight 1500-1999 Grams With Major Anomaly 13 7 — — $74,449.06 $83,039.74 $77,755.39 2026-08-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 54 9 — — $33,044.41 $111,943.71 $77,249.89 2026-08-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 54 9 — — $33,614.63 $113,949.86 $77,219.51 2026-08-01
607 SOI-2 OTHER Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 13 7 — — $73,906.95 $82,435.08 $77,189.21 2026-08-01
608 SOI-3 OTHER Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 13 7 — — $73,881.35 $82,406.53 $77,162.48 2026-08-01
179 SOI-4 OTHER Defibrillator Implants 13 7 — — $73,659.99 $82,159.63 $76,931.29 2026-08-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 54 9 — — $34,011.74 $115,346.95 $76,909.81 2026-08-01
026 SOI-4 OTHER Other Nervous System And Related Procedures 13 7 — — $72,866.41 $81,274.47 $76,102.46 2026-08-01
140 MS_DRG Major Head And Neck Procedures With Mcc 54 9 — — $33,337.50 $112,974.83 $75,801.58 2026-08-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 26 9 — — $33,618.98 $109,082.74 $75,744.45 2026-07-15
261 SOI-4 OTHER Major Biliary Tract Procedures 13 7 — — $72,441.76 $80,800.83 $75,658.95 2026-08-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 54 9 — — $34,079.31 $115,584.70 $75,649.65 2026-08-01
232 SOI-4 OTHER Gastric Fundoplication 13 7 — — $71,880.08 $80,174.33 $75,072.33 2026-08-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 54 9 — — $33,036.82 $111,916.99 $74,891.71 2026-08-01
447 SOI-4 OTHER Other Kidney, Urinary Tract And Related Procedures 13 7 — — $71,672.27 $79,942.55 $74,855.29 2026-08-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 54 9 — — $32,817.39 $111,144.99 $74,801.08 2026-08-01
623 SOI-4 OTHER Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 13 7 — — $71,294.31 $79,520.97 $74,460.54 2026-08-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 54 9 — — $32,430.92 $109,785.29 $74,242.77 2026-08-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 54 9 — — $32,384.60 $109,622.34 $74,202.93 2026-08-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 54 9 — — $32,448.38 $109,846.73 $74,053.09 2026-08-01
229 SOI-4 OTHER Other Digestive System And Abdominal Procedures 13 7 — — $70,880.20 $79,059.07 $74,028.04 2026-08-01
841 SOI-1 OTHER Extensive Third Degree Burns With Skin Graft 13 7 — — $70,407.36 $78,531.68 $73,534.21 2026-08-01
841 SOI-2 OTHER Extensive Third Degree Burns With Skin Graft 13 7 — — $70,407.36 $78,531.68 $73,534.21 2026-08-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 54 9 — — $32,108.98 $108,652.66 $73,330.07 2026-08-01
009 SOI-2 OTHER Extracorporeal Membrane Oxygenation (ecmo) 13 7 — — $69,446.63 $77,460.09 $72,530.81 2026-08-01
009 SOI-1 OTHER Extracorporeal Membrane Oxygenation (ecmo) 13 7 — — $69,446.63 $77,460.09 $72,530.81 2026-08-01
181 SOI-4 OTHER Lower Extremity Arterial Procedures 13 7 — — $69,294.54 $77,290.45 $72,371.97 2026-08-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 26 9 — — $32,280.96 $104,506.79 $72,209.93 2026-07-15
613 SOI-3 OTHER Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 13 7 — — $68,717.80 $76,647.16 $71,769.61 2026-08-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 54 9 — — $30,916.15 $104,456.04 $71,617.03 2026-08-01
951 SOI-4 OTHER Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 13 7 — — $68,425.67 $76,321.32 $71,464.50 2026-08-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 54 9 — — $31,473.47 $106,416.78 $70,955.44 2026-08-01
176 SOI-4 OTHER Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 13 7 — — $67,400.19 $75,177.50 $70,393.48 2026-08-01
710 SOI-4 OTHER Infectious And Parasitic Diseases Including HIV With O.r. Procedure 13 7 — — $67,327.91 $75,096.88 $70,317.99 2026-08-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 54 9 — — $31,184.94 $105,401.68 $70,278.60 2026-08-01
695 SOI-4 OTHER Chemotherapy For Acute Leukemia 13 7 — — $66,821.94 $74,532.53 $69,789.56 2026-08-01
263 SOI-4 OTHER Cholecystectomy 13 7 — — $66,767.73 $74,472.07 $69,732.94 2026-08-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 54 9 — — $31,452.21 $106,341.98 $69,600.33 2026-08-01
260 SOI-4 OTHER Major Pancreas, Liver And Shunt Procedures 13 7 — — $66,597.57 $74,282.27 $69,555.22 2026-08-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 54 9 — — $30,752.15 $103,879.04 $69,267.54 2026-08-01
603 SOI-2 OTHER Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 13 7 — — $66,276.83 $73,924.52 $69,220.23 2026-08-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 54 9 — — $31,123.44 $105,185.31 $69,153.47 2026-08-01
220 SOI-4 OTHER Major Stomach, Esophageal And Duodenal Procedures 13 7 — — $65,909.40 $73,514.69 $68,836.49 2026-08-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 54 9 — — $30,091.58 $101,555.00 $68,794.10 2026-08-01
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 54 9 — — $30,542.59 $103,141.76 $68,771.76 2026-08-01
163 SOI-3 OTHER Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 13 7 — — $65,814.53 $73,408.88 $68,737.40 2026-08-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 54 9 — — $30,460.59 $102,853.26 $68,579.40 2026-08-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 54 9 — — $31,062.70 $104,971.60 $68,421.97 2026-08-01
177 SOI-3 OTHER Cardiac Pacemaker And Defibrillator Revision Except Device Replacement 13 7 — — $65,410.96 $72,958.74 $68,315.91 2026-08-01
167 SOI-3 OTHER Other Cardiothoracic And Thoracic Vascular Procedures 13 7 — — $65,410.96 $72,958.74 $68,315.91 2026-08-01
511 SOI-4 OTHER Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 13 7 — — $65,400.42 $72,946.99 $68,304.91 2026-08-01
510 SOI-4 OTHER Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced… 13 7 — — $65,385.37 $72,930.19 $68,289.18 2026-08-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 54 9 — — $29,866.83 $100,764.30 $68,088.00 2026-08-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 54 9 — — $30,248.75 $102,107.96 $68,082.46 2026-08-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 54 9 — — $30,572.20 $103,245.94 $67,664.10 2026-08-01
863 SOI-3 OTHER Neonatal Aftercare 13 7 — — $64,680.63 $72,144.13 $67,553.14 2026-08-01
029 SOI-4 OTHER Other Percutaneous Intracranial Procedures 13 7 — — $64,674.61 $72,137.42 $67,546.85 2026-08-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 54 9 — — $28,444.70 $95,760.94 $67,356.76 2026-08-01
609 SOI-2 OTHER Neonate Birth Weight 1500-2499 Grams With Major Procedure 13 7 — — $64,097.87 $71,494.13 $66,944.50 2026-08-01
609 SOI-1 OTHER Neonate Birth Weight 1500-2499 Grams With Major Procedure 13 7 — — $64,097.87 $71,494.13 $66,944.50 2026-08-01
589 SOI-4 OTHER Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 13 7 — — $63,969.87 $71,351.36 $66,810.82 2026-08-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 54 9 — — $29,638.29 $99,960.23 $66,650.41 2026-08-01
442 SOI-4 OTHER Kidney And Urinary Tract Procedures For Malignancy 13 7 — — $63,423.25 $70,741.66 $66,239.92 2026-08-01
303 SOI-3 OTHER Dorsal And Lumbar Fusion Procedure For Curvature Of Back 13 7 — — $62,501.67 $69,713.74 $65,277.41 2026-08-01
231 SOI-4 OTHER Major Large Bowel Procedures 13 7 — — $62,498.66 $69,710.38 $65,274.27 2026-08-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 54 9 — — $28,438.63 $95,739.57 $65,270.79 2026-08-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 54 9 — — $28,929.88 $97,467.91 $64,988.61 2026-08-01
049 SOI-4 OTHER Bacterial And Tuberculous Infections Of Nervous System 13 7 — — $61,807.47 $68,939.45 $64,552.39 2026-08-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 54 9 — — $28,737.78 $96,792.07 $64,537.98 2026-08-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 54 9 — — $28,189.58 $94,863.38 $64,408.20 2026-08-01
325 SOI-4 OTHER Non-elective Or Complex Knee Joint Replacement 13 7 — — $61,592.14 $68,699.26 $64,327.49 2026-08-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 54 9 — — $28,443.18 $95,755.60 $64,219.56 2026-08-01
224 SOI-4 OTHER Peritoneal Adhesiolysis 13 7 — — $61,446.07 $68,536.34 $64,174.94 2026-08-01
265 MS_DRG Aicd Lead Procedures 54 9 — — $28,311.07 $95,290.79 $64,109.36 2026-08-01
64656 HCPCS Hc Revj/rplcmt Bat Mod Sys Pg 48 9 $150,541.50 $75,270.75 50% off $27,891.44 $117,422.37 $63,975.12 2026-07-15
952 SOI-4 OTHER Non-extensive O.r. Procedure Unrelated To Principal Diagnosis 13 7 — — $61,027.45 $68,069.41 $63,737.72 2026-08-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 54 9 — — $27,957.24 $94,045.96 $63,733.10 2026-08-01
178 SOI-1 OTHER External Heart Assist Systems 13 7 — — $60,908.48 $67,936.72 $63,613.47 2026-08-01
660 SOI-4 OTHER Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagula… 13 7 — — $60,739.83 $67,748.60 $63,437.33 2026-08-01
518 SOI-4 OTHER Other Female Reproductive System And Related Procedures 13 7 — — $60,631.41 $67,627.67 $63,324.09 2026-08-01
332 MS_DRG Rectal Resection With Mcc 54 9 — — $27,563.18 $92,659.56 $63,201.57 2026-08-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 54 9 — — $27,810.70 $93,530.40 $63,044.96 2026-08-01
170 SOI-4 OTHER Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock 13 7 — — $60,363.37 $67,328.70 $63,044.15 2026-08-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 54 9 — — $27,829.68 $93,597.18 $63,043.27 2026-08-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 54 9 — — $28,024.82 $94,283.71 $62,865.49 2026-08-01
303 SOI-2 OTHER Dorsal And Lumbar Fusion Procedure For Curvature Of Back 13 7 — — $59,926.67 $66,841.62 $62,588.06 2026-08-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 54 9 — — $27,378.67 $92,010.43 $62,430.07 2026-08-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 23 9 — — $28,846.48 $92,761.07 $62,416.79 2026-07-15
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 54 9 — — $27,821.33 $93,567.80 $62,388.14 2026-08-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 54 9 — — $26,296.70 $88,203.82 $62,273.83 2026-08-01
180 SOI-4 OTHER Other Circulatory System Procedures 13 7 — — $59,607.43 $66,485.54 $62,254.64 2026-08-01
264 MS_DRG Other Circulatory System O.r. Procedures 54 9 — — $27,763.63 $93,364.78 $62,252.77 2026-08-01
030 SOI-4 OTHER Percutaneous Intracranial And Extracranial Vascular Procedures 13 7 — — $59,538.16 $66,408.28 $62,182.30 2026-08-01
200 SOI-4 OTHER Cardiac Structural And Valvular Disorders 13 7 — — $59,386.07 $66,238.64 $62,023.45 2026-08-01
634 SOI-4 OTHER Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 13 7 — — $59,374.03 $66,225.20 $62,010.87 2026-08-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 54 9 — — $27,232.89 $91,497.54 $61,998.89 2026-08-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 54 9 — — $27,534.32 $92,558.05 $61,908.40 2026-08-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 26 9 — — $26,752.35 $85,599.30 $61,784.04 2026-07-15
252 MS_DRG Other Vascular Procedures With Mcc 54 9 — — $27,272.37 $91,636.45 $61,725.39 2026-08-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 54 9 — — $27,337.67 $91,866.18 $61,522.68 2026-08-01
440 SOI-1 OTHER Kidney Transplant 13 7 — — $58,643.69 $65,410.59 $61,248.10 2026-08-01
130 SOI-3 OTHER Respiratory System Diagnosis With Ventilator Support > 96 Hours 13 7 — — $58,560.87 $65,318.21 $61,161.60 2026-08-01
623 SOI-3 OTHER Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 13 7 — — $58,466.00 $65,212.40 $61,062.52 2026-08-01
073 SOI-4 OTHER Orbit And Eye Procedures 13 7 — — $58,306.38 $65,034.36 $60,895.81 2026-08-01
631 SOI-2 OTHER Neonate Birth Weight > 2499 Grams With Other Major Procedure 13 7 — — $58,265.72 $64,989.01 $60,853.35 2026-08-01
711 SOI-4 OTHER Post-operative, Post-trauma, Other Device Infections With O.r. Procedure 13 7 — — $58,152.78 $64,863.04 $60,735.39 2026-08-01
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