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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

YAKIMA VALLEY MEMORIAL

Yakima, WA · CCN 500036 · Rates published

15,542 distinct procedures filed
18 distinct payers
497,774 rate rows
2025-07-29 last MRF observed
Data quality

496,177 of 497,774 rate rows are consumer-grade (99.7%)

1,597 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
per-diem day rate — not a per-procedure price 584
template filing: same amount across many unrelated codes — excluded 457
exceeds 10× this hospital's gross charge — excluded from medians 362
percent-of-charges filed in the dollar field — excluded from medians 133
placeholder amount (≤ $0.02) — excluded from medians 41
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 20
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sthpiprd.blob.core.windows.net/machine-readable-files/11188/910567263-1053373480_multicare-yakima-valley-memorial-hospital-association_standardcharges.csv
Found on page https://search.hospitalpriceindex.com/hpi2/machineReadable/YakimaMemorial/11188
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint 7c7c1a7c9fed1f65… · 1,304,344,866 bytes · first seen 2026-05-06

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
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 7 $3,708,516.00 $4,072,096.00 $3,817,590.00 nat. median
$3,710,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 7 $3,683,792.56 $4,044,948.69 $3,792,139.40 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 7 $3,321,144.31 $3,646,746.69 $3,418,825.02 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 7 $3,284,685.60 $3,606,713.60 $3,381,294.00 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 8 $2,947,034.05 $4,940,615.90 $3,033,711.52 nat. median
$3,006,423
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 10 $2,422,161.98 $4,260,151.64 $2,845,047.08 nat. median
$2,469,189
1.2× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 9 $2,331,067.20 $4,314,200.00 $2,491,042.40 nat. median
$2,448,600
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 8 $770,311.75 $1,291,405.00 $792,967.98 nat. median
$824,563
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 10 $513,669.89 $1,388,296.99 $618,243.31 nat. median
$754,974
0.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 9 $552,948.03 $1,268,032.18 $607,158.62 nat. median
$675,122
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 9 $527,411.41 $1,215,118.59 $579,118.41 nat. median
$625,184
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 9 $516,235.71 $1,187,917.73 $566,847.05 nat. median
$674,188
0.8× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 9 $489,203.40 $1,122,518.47 $537,164.51 nat. median
$620,080
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 10 $472,518.64 $1,277,077.40 $537,134.46 nat. median
$634,511
0.8× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 11 $321,345.11 $957,905.12 $529,904.64 nat. median
$370,174
1.4× median
5834
APR_DRG 		Neonate With Ecmo 5 $373,931.23 $434,420.11 $421,589.14 nat. median
$309,665
1.4× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 13 $220,942.54 $715,474.82 $382,802.70 nat. median
$265,286
1.4× median
5833
APR_DRG 		Neonate With Ecmo 5 $300,396.95 $348,990.58 $338,682.84 nat. median
$244,017
1.4× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 5 $296,198.52 $344,112.99 $333,949.31 nat. median
$246,434
1.4× median
C9301
HCPCS 		Fee Schedule 8 $278,138.70 $466,291.35 $286,319.25 nat. median
$459,112
0.6× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mo… 13 $163,733.57 $544,362.64 $278,504.18 nat. median
$202,986
1.4× median
1614
APR_DRG 		Implantable Heart Assist Systems 5 $229,328.66 $266,425.94 $258,556.82 nat. median
$207,730
1.2× median
8414
APR_DRG 		DRG 5 $206,448.00 $239,844.00 $232,760.00 nat. median
$160,267
1.5× median
5832
APR_DRG 		Neonate With Ecmo 5 $203,823.73 $236,795.22 $229,801.27 nat. median
$156,126
1.5× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 5 $202,228.58 $234,942.02 $228,002.81 nat. median
$164,279
1.4× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 $198,103.26 $230,149.37 $223,351.71 nat. median
$162,982
1.4× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours With Skin Graft 12 $110,140.03 $602,559.12 $210,273.98 nat. median
$206,368
1.0× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 5 $180,551.28 $209,758.11 $203,562.72 nat. median
$182,736
1.1× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 5 $178,311.78 $207,156.34 $201,037.80 nat. median
$164,834
1.2× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 5 $176,620.50 $205,191.46 $199,130.95 nat. median
$122,924
1.6× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 5 $170,105.61 $197,622.70 $191,785.74 nat. median
$150,721
1.3× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 5 $167,892.29 $195,051.34 $189,290.33 nat. median
$151,838
1.2× median
5831
APR_DRG 		Neonate With Ecmo 5 $161,045.57 $187,097.06 $181,570.98 nat. median
$145,122
1.3× median
1613
APR_DRG 		Implantable Heart Assist Systems 5 $159,883.17 $185,746.63 $180,260.44 nat. median
$119,796
1.5× median
4
MS_DRG 		Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mouth And… 13 $99,418.41 $358,902.00 $179,076.74 nat. median
$133,176
1.3× median
6034
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 5 $157,280.96 $182,723.46 $177,326.57 nat. median
$109,499
1.6× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 5 $156,557.23 $181,882.67 $176,510.61 nat. median
$105,658
1.7× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 12 $93,540.72 $332,785.72 $170,675.72 nat. median
$117,303
1.5× median
7
MS_DRG 		Lung Transplant 13 $89,826.10 $331,947.52 $169,950.11 nat. median
$122,708
1.4× median
C2624
HCPCS 		Hc Kit Impl Hrtmt 3 Str Lf 18 $29,701.35 $249,713.52 $163,173.36 nat. median
$32,760
outlier · 5.0×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 10 $93,210.02 $276,705.06 $156,263.86 nat. median
$102,358
1.5× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 13 $94,280.14 $279,900.38 $152,974.16 nat. median
$108,660
1.4× median
6024
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 5 $129,923.16 $150,940.15 $146,482.00 nat. median
$118,620
1.2× median
215
MS_DRG 		Other Heart Assist System Implant 13 $90,665.73 $269,107.92 $144,406.67 nat. median
$99,019
1.5× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 13 $91,130.18 $270,494.76 $144,198.10 nat. median
$100,136
1.4× median
5891
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 5 $124,901.25 $145,105.86 $140,820.04 nat. median
$93,260
1.5× median
5892
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 5 $120,482.55 $139,972.37 $135,838.17 nat. median
$89,790
1.5× median
5913
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 5 $120,186.04 $139,627.90 $135,503.87 nat. median
$102,636
1.3× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 13 $82,638.14 $245,137.94 $134,084.43 nat. median
$93,672
1.4× median
5933
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 5 $116,269.13 $135,077.37 $131,087.74 nat. median
$108,996
1.2× median

Other procedures at this hospital

Browse this hospital's 15,542 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
             
0266T CPT Fee Schedule 21 11 — — $26,934.83 $157,786.53 $72,796.85 2025-07-29
0268T CPT Fee Schedule 21 11 — — $26,934.83 $103,739.24 $54,595.70 2025-07-29
0302T CPT Fee Schedule 1 1 — — $51,138.92 $51,138.92 $51,138.92 2025-07-29
0408T CPT Insj/rplc Cardiac Modulj Sys 21 11 — — $21,009.42 $109,909.29 $57,440.70 2025-07-29
0571T CPT Hc Insert Or Replacement Implantable Icd System With Substernal Electrode(s) Inc… 59 18 $102,678.00 $41,071.20 60% off $29,861.44 $109,909.29 $57,499.68 2025-07-29
0614T CPT Hc Rmvl&rplcmt Substernal Impltbl Defibrillator Pg 59 18 $124,117.00 $49,646.80 60% off $21,009.42 $106,368.27 $69,505.52 2025-07-29
0620T CPT Evasc Ven Artlz Tibl/prnl Vn 18 10 — — $39,975.07 $122,723.26 $63,729.34 2025-07-29
0775T CPT Fee Schedule 1 1 — — $66,787.77 $66,787.77 $66,787.77 2025-07-29
0809T CPT Fee Schedule 1 1 — — $66,787.77 $66,787.77 $66,787.77 2025-07-29
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 24 13 — — $220,942.54 $715,474.82 $382,802.70 2025-07-29
10 MS_DRG Pancreas Transplant 24 13 — — $32,425.45 $202,514.20 $70,709.17 2025-07-29
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 24 13 — — $44,961.99 $137,055.86 $72,108.68 2025-07-29
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 24 13 — — $28,170.87 $104,233.98 $55,061.48 2025-07-29
1204 APR_DRG Major Respiratory And Chest Procedures 5 5 — — $54,402.76 $63,203.20 $61,336.44 2025-07-29
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 5 5 — — $51,208.00 $59,491.65 $57,734.51 2025-07-29
14 MS_DRG Allogeneic Bone Marrow Transplant 23 12 — — $93,540.72 $332,785.72 $170,675.72 2025-07-29
140 MS_DRG Major Head And Neck Procedures With Mcc 22 11 — — $35,678.12 $107,421.68 $56,447.74 2025-07-29
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 23 12 — — $51,885.43 $153,311.86 $86,984.39 2025-07-29
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 5 5 — — $51,413.94 $59,730.90 $57,966.69 2025-07-29
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 5 5 — — $108,383.50 $125,916.13 $122,197.09 2025-07-29
1611 APR_DRG Implantable Heart Assist Systems 5 5 — — $111,982.01 $130,096.75 $126,254.23 2025-07-29
1612 APR_DRG Implantable Heart Assist Systems 5 5 — — $111,982.01 $130,096.75 $126,254.23 2025-07-29
1613 APR_DRG Implantable Heart Assist Systems 5 5 — — $159,883.17 $185,746.63 $180,260.44 2025-07-29
1614 APR_DRG Implantable Heart Assist Systems 5 5 — — $229,328.66 $266,425.94 $258,556.82 2025-07-29
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 5 5 — — $45,706.99 $53,100.77 $51,532.40 2025-07-29
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 5 5 — — $61,331.86 $71,253.19 $69,148.66 2025-07-29
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 5 5 — — $94,563.68 $109,860.75 $106,615.92 2025-07-29
163 MS_DRG Major Chest Procedures With Mcc 24 13 — — $39,749.20 $117,073.68 $64,495.02 2025-07-29
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 5 5 — — $50,099.71 $58,204.08 $56,484.97 2025-07-29
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 5 5 — — $78,663.60 $91,388.59 $88,689.35 2025-07-29
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 5 5 — — $49,555.33 $57,571.63 $55,871.20 2025-07-29
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 5 5 — — $72,599.01 $84,342.97 $81,851.83 2025-07-29
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 24 13 — — $33,293.61 $97,797.62 $53,082.05 2025-07-29
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 5 5 — — $62,563.64 $72,684.22 $70,537.43 2025-07-29
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 5 5 — — $76,130.66 $88,445.91 $85,833.59 2025-07-29
1694 APR_DRG Major Abdominal Vascular Procedures 5 5 — — $61,212.84 $71,114.91 $69,014.47 2025-07-29
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 23 12 — — $39,333.84 $153,311.86 $71,669.64 2025-07-29
1764 APR_DRG Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 5 5 — — $52,487.37 $60,977.97 $59,176.94 2025-07-29
1782 APR_DRG External Heart Assist Systems 5 5 — — $47,472.15 $55,151.47 $53,522.52 2025-07-29
1783 APR_DRG External Heart Assist Systems 5 5 — — $55,725.21 $64,739.58 $62,827.45 2025-07-29
1784 APR_DRG External Heart Assist Systems 5 5 — — $79,453.83 $92,306.65 $89,580.30 2025-07-29
1793 APR_DRG Defibrillator Implants 5 5 — — $45,982.44 $53,420.77 $51,842.95 2025-07-29
1794 APR_DRG Defibrillator Implants 5 5 — — $62,248.37 $72,317.96 $70,181.98 2025-07-29
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 22 11 — — $321,345.11 $957,905.12 $529,904.64 2025-07-29
1814 APR_DRG Lower Extremity Arterial Procedures 5 5 — — $53,326.54 $61,952.89 $60,123.06 2025-07-29
1833 APR_DRG Percutaneous Structural Cardiac Procedures 5 5 — — $48,160.98 $55,951.73 $54,299.15 2025-07-29
1834 APR_DRG Percutaneous Structural Cardiac Procedures 5 5 — — $70,030.11 $81,358.51 $78,955.51 2025-07-29
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 22 11 — — $59,710.61 $201,353.42 $110,292.17 2025-07-29
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 24 13 — — $94,280.14 $279,900.38 $152,974.16 2025-07-29
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 24 13 — — $69,112.80 $204,751.94 $112,138.90 2025-07-29
204 APR_DRG Open Craniotomy For Trauma 5 5 — — $57,449.18 $66,742.43 $64,771.13 2025-07-29
207 MS_DRG Respiratory System Diagnosis With Ventilator Support &gt;96 Hours 24 13 — — $48,169.03 $164,266.88 $84,306.73 2025-07-29
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 24 13 — — $47,559.02 $140,393.42 $77,166.84 2025-07-29
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 19 10 — — $93,210.02 $276,705.06 $156,263.86 2025-07-29
214 APR_DRG Open Craniotomy Except Trauma 5 5 — — $64,228.98 $74,618.96 $72,415.03 2025-07-29
215 MS_DRG Other Heart Assist System Implant 24 13 — — $90,665.73 $269,107.92 $144,406.67 2025-07-29
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 24 13 — — $82,638.14 $245,137.94 $134,084.43 2025-07-29
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 24 13 — — $55,475.17 $164,030.66 $89,184.15 2025-07-29
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 24 13 — — $46,098.50 $151,112.22 $76,702.83 2025-07-29
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 24 13 — — $66,360.09 $196,532.50 $107,378.85 2025-07-29
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 24 13 — — $45,597.42 $134,536.18 $73,395.30 2025-07-29
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 5 5 — — $57,285.97 $66,552.82 $64,587.12 2025-07-29
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 24 13 — — $39,607.99 $116,652.04 $63,447.88 2025-07-29
222 MS_DRG DRG 6 4 — — $75,478.32 $125,568.24 $83,620.99 2025-07-29
223 MS_DRG DRG 6 4 — — $55,679.05 $88,379.55 $61,174.01 2025-07-29
224 MS_DRG DRG 6 4 — — $65,987.40 $116,262.88 $74,364.43 2025-07-29
224 APR_DRG Ventricular Shunt Procedures 5 5 — — $57,393.61 $66,677.87 $64,708.48 2025-07-29
225 MS_DRG DRG 6 4 — — $50,433.01 $82,946.28 $57,413.18 2025-07-29
226 MS_DRG DRG 6 4 — — $59,261.56 $104,974.76 $64,939.68 2025-07-29
228 MS_DRG Other Cardiothoracic Procedures With Mcc 24 13 — — $42,931.48 $126,575.82 $72,141.87 2025-07-29
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 24 13 — — $48,798.75 $144,909.54 $78,766.20 2025-07-29
2304 APR_DRG Major Small Bowel Procedures 5 5 — — $49,435.49 $57,432.41 $55,736.09 2025-07-29
231 MS_DRG Coronary Bypass With Ptca With Mcc 24 13 — — $71,966.44 $215,237.06 $115,190.85 2025-07-29
232 MS_DRG Coronary Bypass With Ptca Without Mcc 24 13 — — $51,587.90 $155,160.98 $83,137.71 2025-07-29
2324 APR_DRG Gastric Fundoplication 5 5 — — $66,306.40 $77,032.44 $74,757.22 2025-07-29
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 24 13 — — $64,990.38 $198,536.56 $108,006.90 2025-07-29
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 24 13 — — $43,965.74 $135,133.08 $73,217.00 2025-07-29
234 APR_DRG Spinal Procedures 5 5 — — $58,135.80 $67,540.13 $65,545.27 2025-07-29
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 24 13 — — $50,594.99 $149,458.68 $81,878.59 2025-07-29
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 24 13 — — $34,325.20 $104,447.34 $56,856.93 2025-07-29
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 24 13 — — $43,100.38 $127,937.26 $68,236.04 2025-07-29
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 24 13 — — $32,880.20 $96,563.18 $52,974.93 2025-07-29
245 MS_DRG Aicd Generator Procedures 24 13 — — $38,189.97 $124,124.72 $65,542.99 2025-07-29
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 24 13 — — $38,584.66 $113,596.42 $61,949.49 2025-07-29
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 5 5 — — $67,465.57 $78,379.12 $76,064.12 2025-07-29
2614 APR_DRG Major Biliary Tract Procedures 5 5 — — $53,018.76 $61,595.33 $59,776.05 2025-07-29
264 APR_DRG Other Nervous System And Related Procedures 5 5 — — $49,066.77 $57,004.04 $55,320.38 2025-07-29
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 22 11 — — $51,501.78 $152,166.32 $87,989.51 2025-07-29
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 22 11 — — $40,561.57 $119,499.38 $69,018.01 2025-07-29
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 22 11 — — $57,258.99 $169,357.04 $97,182.40 2025-07-29
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 22 11 — — $35,934.03 $105,681.78 $59,961.21 2025-07-29
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 22 11 — — $44,204.90 $130,378.20 $73,145.10 2025-07-29
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 22 11 — — $33,804.00 $99,321.62 $55,258.85 2025-07-29
274 APR_DRG Other Open Craniotomy 5 5 — — $58,719.54 $68,218.29 $66,203.40 2025-07-29
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 19 10 — — $60,656.48 $179,501.80 $101,688.81 2025-07-29
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 19 10 — — $53,233.71 $157,337.76 $89,244.75 2025-07-29
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 19 10 — — $40,112.43 $118,158.26 $68,632.22 2025-07-29
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 19 10 — — $43,101.61 $127,083.82 $67,610.37 2025-07-29
28 MS_DRG Spinal Procedures With Mcc 24 13 — — $51,393.16 $154,419.30 $82,385.91 2025-07-29
294 APR_DRG Other Percutaneous Intracranial Procedures 5 5 — — $46,122.59 $53,583.59 $52,000.96 2025-07-29
3 MS_DRG Ecmo Or Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mo… 24 13 — — $163,733.57 $544,362.64 $278,504.18 2025-07-29
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 5 5 — — $51,098.40 $59,364.31 $57,610.94 2025-07-29
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 5 5 — — $73,072.72 $84,893.30 $82,385.91 2025-07-29
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 5 5 — — $95,155.36 $110,548.14 $107,283.01 2025-07-29
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 5 5 — — $52,845.90 $61,394.50 $59,581.16 2025-07-29
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 5 5 — — $47,152.30 $54,779.87 $53,161.90 2025-07-29
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 5 5 — — $68,146.26 $79,169.92 $76,831.57 2025-07-29
31 MS_DRG Ventricular Shunt Procedures With Mcc 24 13 — — $36,188.37 $106,441.24 $57,921.71 2025-07-29
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 5 5 — — $67,467.42 $78,381.27 $76,066.21 2025-07-29
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 14 9 — — $53,165.66 $157,134.56 $70,887.54 2025-07-29
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 22 11 — — $37,908.39 $111,577.12 $61,999.26 2025-07-29
3214 APR_DRG Cervical Spinal Fusion And Other Back Or Neck Procedures Except Disc Excision Or… 5 5 — — $51,290.41 $59,587.39 $57,827.42 2025-07-29
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 19 10 — — $36,773.62 $108,188.76 $61,649.90 2025-07-29
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 24 13 — — $43,745.55 $129,006.60 $70,754.60 2025-07-29
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 24 13 — — $39,602.03 $116,634.26 $63,470.72 2025-07-29
33249 CPT C Insert Or Replacement Permanent Implantable Defibrillator System,w/transvenous… 64 18 $111,730.00 $44,692.00 60% off $16,886.47 $109,909.29 $62,568.80 2025-07-29
33276 CPT Insj Phrnc Nrv Stim Sys 18 10 — — $51,396.36 $157,786.53 $96,061.33 2025-07-29
33287 CPT Rmv&rplcmt Phrnc Nrv Stim Pg 18 10 — — $34,804.76 $103,739.24 $64,006.51 2025-07-29
33289 CPT Tcat Impl Wrls P-art Prs Snr 21 11 — — $26,382.42 $97,098.88 $54,433.00 2025-07-29
34 MS_DRG Carotid Artery Stent Procedures With Mcc 24 13 — — $31,852.73 $98,772.98 $54,363.32 2025-07-29
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 24 13 — — $36,061.48 $108,348.78 $59,410.96 2025-07-29
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 5 5 — — $56,940.51 $66,151.48 $64,197.64 2025-07-29
38240 CPT Transplt Allo Hct/donor 26 14 — — $2,838.96 $182,561.10 $72,183.80 2025-07-29
4 MS_DRG Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mouth And … 24 13 — — $99,418.41 $358,902.00 $179,076.74 2025-07-29
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 24 13 — — $32,628.40 $95,811.34 $52,941.18 2025-07-29
4044 APR_DRG Thyroid, Parathyroid And Thyroglossal Procedures 5 5 — — $45,556.37 $52,925.79 $51,362.58 2025-07-29
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 24 13 — — $46,720.28 $137,888.98 $75,805.94 2025-07-29
4054 APR_DRG Other Procedures For Endocrine, Nutritional And Metabolic Disorders 5 5 — — $51,000.88 $59,251.02 $57,500.99 2025-07-29
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 5 5 — — $63,164.66 $73,382.47 $71,215.06 2025-07-29
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 5 5 — — $74,985.04 $87,114.98 $84,541.96 2025-07-29
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 24 13 — — $35,140.37 $103,311.96 $55,623.74 2025-07-29
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 9 — — $89,650.05 $266,075.16 $119,533.40 2025-07-29
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 9 — — $60,960.17 $180,408.58 $81,280.22 2025-07-29
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 9 — — $47,361.67 $139,804.14 $63,148.89 2025-07-29
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 14 9 — — $71,490.37 $211,851.24 $95,320.49 2025-07-29
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 5 5 — — $107,052.10 $124,369.35 $120,696.00 2025-07-29
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 14 9 — — $47,075.85 $138,950.70 $62,767.80 2025-07-29
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 5 5 — — $156,557.23 $181,882.67 $176,510.61 2025-07-29
4414 APR_DRG Major Bladder Procedures 5 5 — — $56,305.79 $65,414.08 $63,482.02 2025-07-29
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 14 9 — — $57,574.58 $170,299.38 $76,766.10 2025-07-29
4474 APR_DRG Other Kidney, Urinary Tract And Related Procedures 5 5 — — $46,710.09 $54,266.13 $52,663.33 2025-07-29
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 14 9 — — $44,350.37 $130,812.54 $59,133.82 2025-07-29
453 MS_DRG DRG 11 6 — — $82,402.24 $150,138.72 $130,797.35 2025-07-29
454 MS_DRG DRG 11 6 — — $54,657.27 $99,890.76 $87,775.02 2025-07-29
455 MS_DRG DRG 11 6 — — $42,941.73 $78,523.20 $68,161.56 2025-07-29
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 24 13 — — $72,584.30 $215,117.68 $117,414.02 2025-07-29
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 24 13 — — $49,363.25 $145,780.76 $80,094.29 2025-07-29
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 24 13 — — $37,272.10 $109,677.20 $60,475.82 2025-07-29
459 MS_DRG DRG 11 6 — — $59,077.20 $108,781.20 $95,773.32 2025-07-29
460 MS_DRG DRG 11 6 — — $35,107.80 $61,762.40 $54,473.45 2025-07-29
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 24 13 — — $47,452.24 $155,872.18 $84,590.01 2025-07-29
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 24 13 — — $45,898.58 $137,185.40 $74,625.32 2025-07-29
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 24 13 — — $43,878.25 $129,402.84 $71,194.62 2025-07-29
471 MS_DRG Cervical Spinal Fusion With Mcc 24 13 — — $41,354.04 $123,375.42 $67,919.35 2025-07-29
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 24 13 — — $32,840.08 $113,911.38 $59,317.07 2025-07-29
4804 APR_DRG Major Male Pelvic Procedures 5 5 — — $45,740.22 $53,139.37 $51,569.85 2025-07-29
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 24 13 — — $91,130.18 $270,494.76 $144,198.10 2025-07-29
5104 APR_DRG Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced… 5 5 — — $48,879.70 $56,786.71 $55,109.47 2025-07-29
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 22 11 — — $31,028.33 $91,033.60 $51,505.96 2025-07-29
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 5 5 — — $56,809.25 $65,998.98 $64,049.64 2025-07-29
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 5 5 — — $72,224.86 $83,908.29 $81,429.99 2025-07-29
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 5 5 — — $102,750.81 $119,372.27 $115,846.51 2025-07-29
5484 APR_DRG Postpartum And Post Abortion Diagnosis With O.r. Procedure 5 5 — — $46,431.97 $53,943.02 $52,349.77 2025-07-29
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 24 13 — — $31,166.59 $156,418.28 $80,899.99 2025-07-29
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 24 13 — — $31,791.76 $137,040.62 $72,415.54 2025-07-29
5831 APR_DRG Neonate With Ecmo 5 5 — — $161,045.57 $187,097.06 $181,570.98 2025-07-29
5832 APR_DRG Neonate With Ecmo 5 5 — — $203,823.73 $236,795.22 $229,801.27 2025-07-29
5833 APR_DRG Neonate With Ecmo 5 5 — — $300,396.95 $348,990.58 $338,682.84 2025-07-29
5834 APR_DRG Neonate With Ecmo 5 5 — — $373,931.23 $434,420.11 $421,589.14 2025-07-29
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 5 5 — — $87,164.30 $101,264.41 $98,273.48 2025-07-29
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 5 5 — — $87,164.30 $101,264.41 $98,273.48 2025-07-29
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 5 5 — — $180,551.28 $209,758.11 $203,562.72 2025-07-29
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 5 5 — — $296,198.52 $344,112.99 $333,949.31 2025-07-29
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 5 5 — — $124,901.25 $145,105.86 $140,820.04 2025-07-29
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 5 5 — — $120,482.55 $139,972.37 $135,838.17 2025-07-29
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 5 5 — — $109,529.80 $127,247.86 $123,489.48 2025-07-29
5911 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 5 5 — — $78,391.65 $91,072.65 $88,382.74 2025-07-29
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 5 5 — — $108,726.28 $126,314.35 $122,583.55 2025-07-29
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 5 5 — — $120,186.04 $139,627.90 $135,503.87 2025-07-29
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 5 5 — — $202,228.58 $234,942.02 $228,002.81 2025-07-29
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 5 5 — — $100,718.44 $117,011.13 $113,555.11 2025-07-29
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 5 5 — — $116,269.13 $135,077.37 $131,087.74 2025-07-29
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 5 5 — — $167,892.29 $195,051.34 $189,290.33 2025-07-29
6 MS_DRG Liver Transplant Without Mcc 24 13 — — $41,790.76 $123,169.68 $66,151.48 2025-07-29
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $79,388.04 $92,230.23 $89,506.13 2025-07-29
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $88,578.17 $102,906.99 $99,867.55 2025-07-29
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $129,923.16 $150,940.15 $146,482.00 2025-07-29
6032 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 5 5 — — $49,451.65 $57,451.18 $55,754.31 2025-07-29
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 5 5 — — $75,825.48 $88,091.37 $85,489.52 2025-07-29
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 5 5 — — $157,280.96 $182,723.46 $177,326.57 2025-07-29
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $55,755.44 $64,774.70 $62,861.52 2025-07-29
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $69,481.80 $80,721.50 $78,337.32 2025-07-29
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $108,312.65 $125,833.82 $122,117.20 2025-07-29
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 5 5 — — $59,088.96 $68,647.46 $66,619.90 2025-07-29
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 5 5 — — $95,946.81 $111,467.61 $108,175.32 2025-07-29
6091 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 5 — — $53,705.82 $62,393.53 $60,550.68 2025-07-29
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 5 — — $53,705.82 $62,393.53 $60,550.68 2025-07-29
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 5 — — $79,223.11 $92,038.62 $89,320.18 2025-07-29
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 5 — — $198,103.26 $230,149.37 $223,351.71 2025-07-29
6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 5 5 — — $50,330.73 $58,472.47 $56,745.43 2025-07-29
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 5 5 — — $87,296.60 $101,418.11 $98,422.64 2025-07-29
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $47,365.43 $55,027.49 $53,402.20 2025-07-29
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $71,657.12 $83,248.71 $80,789.89 2025-07-29
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 5 5 — — $72,014.24 $83,663.60 $81,192.52 2025-07-29
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 5 5 — — $56,152.26 $65,235.72 $63,308.93 2025-07-29
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 24 13 — — $33,418.66 $98,171.00 $54,223.41 2025-07-29
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 5 5 — — $67,716.12 $78,670.20 $76,346.60 2025-07-29
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 24 13 — — $32,372.36 $95,046.80 $51,089.74 2025-07-29
6224 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $52,286.73 $60,744.88 $58,950.72 2025-07-29
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 5 5 — — $60,927.49 $70,783.41 $68,692.76 2025-07-29
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 5 5 — — $73,940.65 $85,901.63 $83,364.45 2025-07-29
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 24 13 — — $29,598.66 $100,220.78 $53,055.56 2025-07-29
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 5 5 — — $47,273.61 $54,920.81 $53,298.68 2025-07-29
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 5 5 — — $84,931.78 $98,670.74 $95,756.41 2025-07-29
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 5 5 — — $170,105.61 $197,622.70 $191,785.74 2025-07-29
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 5 5 — — $58,860.59 $68,382.15 $66,362.43 2025-07-29
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 5 5 — — $176,620.50 $205,191.46 $199,130.95 2025-07-29
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 5 5 — — $66,621.31 $77,398.29 $75,112.26 2025-07-29
64582 CPT Opn Mpltj Hpglsl Nstm Ary Pg 18 10 — — $34,804.76 $103,739.24 $64,006.51 2025-07-29
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 22 11 — — $39,733.04 $117,025.42 $64,375.75 2025-07-29
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 5 5 — — $66,426.76 $77,172.27 $74,892.92 2025-07-29
653 MS_DRG Major Bladder Procedures With Mcc 24 13 — — $47,961.38 $141,594.84 $76,379.65 2025-07-29
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 24 13 — — $27,186.25 $106,415.84 $51,169.76 2025-07-29
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 5 5 — — $73,333.70 $85,196.51 $82,680.15 2025-07-29
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 5 5 — — $64,832.32 $75,319.91 $73,095.27 2025-07-29
6904 APR_DRG Acute Leukemia 5 5 — — $69,458.54 $80,694.48 $78,311.10 2025-07-29
6954 APR_DRG Chemotherapy For Acute Leukemia 5 5 — — $63,385.17 $73,638.65 $71,463.67 2025-07-29
7 MS_DRG Lung Transplant 24 13 — — $89,826.10 $331,947.52 $169,950.11 2025-07-29
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 5 5 — — $47,920.24 $55,672.05 $54,027.73 2025-07-29
7114 APR_DRG Post-operative, Post-trauma, Other Device Infections With O.r. Procedure 5 5 — — $47,429.16 $55,101.53 $53,474.05 2025-07-29
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 24 13 — — $34,036.23 $100,015.04 $54,587.68 2025-07-29
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 24 13 — — $30,641.52 $101,114.86 $52,875.73 2025-07-29
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 24 13 — — $50,794.22 $150,997.92 $85,896.33 2025-07-29
791 MS_DRG Prematurity With Major Problems 24 13 — — $34,690.40 $103,121.46 $58,805.47 2025-07-29
7924 APR_DRG HIV With Major HIV Related Condition 5 5 — — $51,080.60 $59,343.64 $57,590.88 2025-07-29
799 MS_DRG Splenic Procedures With Mcc 24 13 — — $40,987.74 $120,771.92 $66,504.62 2025-07-29
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 24 13 — — $46,570.16 $138,203.94 $74,481.42 2025-07-29
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 24 13 — — $50,068.44 $147,886.42 $79,725.98 2025-07-29
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 24 13 — — $40,307.51 $118,859.30 $63,634.99 2025-07-29
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 24 13 — — $41,163.83 $121,297.70 $65,491.41 2025-07-29
834 MS_DRG Acute Leukemia With Mcc 24 13 — — $45,470.47 $140,393.42 $77,166.84 2025-07-29
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 24 13 — — $43,134.79 $127,182.88 $68,589.33 2025-07-29
8411 APR_DRG DRG 5 5 — — $53,293.16 $61,914.12 $60,085.43 2025-07-29
8412 APR_DRG DRG 5 5 — — $53,293.16 $61,914.12 $60,085.43 2025-07-29
8413 APR_DRG DRG 5 5 — — $82,009.69 $95,275.96 $92,461.90 2025-07-29
8414 APR_DRG DRG 5 5 — — $206,448.00 $239,844.00 $232,760.00 2025-07-29
8424 APR_DRG DRG 5 5 — — $102,665.25 $119,272.86 $115,750.04 2025-07-29
8434 APR_DRG DRG 5 5 — — $51,097.60 $59,363.39 $57,610.04 2025-07-29
850 MS_DRG Acute Leukemia With Other Procedures 14 9 — — $78,902.08 $233,982.26 $105,202.78 2025-07-29
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 24 13 — — $43,084.60 $127,033.02 $68,965.25 2025-07-29
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 24 13 — — $38,918.96 $114,594.64 $62,300.66 2025-07-29
8634 APR_DRG DRG 5 5 — — $103,256.51 $119,959.77 $116,416.65 2025-07-29
870 MS_DRG Septicemia Or Severe Sepsis With Mv &gt;96 Hours 24 13 — — $53,088.49 $176,695.10 $92,539.30 2025-07-29
894 APR_DRG Major Cranial Or Facial Bone Procedures 5 5 — — $60,921.44 $70,776.38 $68,685.94 2025-07-29
9 MS_DRG DRG 1 1 — — $68,055.39 $68,055.39 $68,055.39 2025-07-29
901 MS_DRG Wound Debridements For Injuries With Mcc 24 13 — — $37,337.30 $112,534.70 $60,302.76 2025-07-29
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 24 13 — — $34,428.38 $101,185.98 $53,691.92 2025-07-29
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 5 5 — — $47,246.19 $54,888.96 $53,267.76 2025-07-29
9104 APR_DRG DRG 5 5 — — $71,759.65 $83,367.83 $80,905.49 2025-07-29
9114 APR_DRG DRG 5 5 — — $70,443.27 $81,838.50 $79,421.33 2025-07-29
9124 APR_DRG DRG 5 5 — — $66,068.88 $76,756.49 $74,489.42 2025-07-29
914 APR_DRG Other Major Head And Neck Procedures 5 5 — — $61,248.51 $71,156.36 $69,054.70 2025-07-29
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 5 5 — — $47,246.19 $54,888.96 $53,267.76 2025-07-29
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 5 5 — — $46,207.09 $53,681.76 $52,096.22 2025-07-29
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours With Skin Graft 19 12 — — $110,140.03 $602,559.12 $210,273.98 2025-07-29
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 19 12 — — $44,507.19 $169,644.06 $59,604.33 2025-07-29
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 5 5 — — $78,919.37 $91,685.74 $88,977.72 2025-07-29
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 5 5 — — $178,311.78 $207,156.34 $201,037.80 2025-07-29
9504 APR_DRG DRG 5 5 — — $56,818.48 $66,009.70 $64,060.05 2025-07-29
955 MS_DRG Craniotomy For Multiple Significant Trauma 19 12 — — $49,621.39 $173,438.82 $60,925.04 2025-07-29
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 24 13 — — $33,053.02 $97,088.96 $53,304.93 2025-07-29
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 24 13 — — $20,394.00 $189,590.68 $85,380.35 2025-07-29
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 24 13 — — $51,103.78 $160,637.22 $83,787.26 2025-07-29
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 24 13 — — $40,980.09 $120,749.06 $64,918.83 2025-07-29
A9543 HCPCS C Yttrium Y-90 Ibritumomab Tiuxetan Tx To 40 Mci 64 18 $134,156.00 $53,662.40 60% off $27,022.30 $209,963.66 $75,127.36 2025-07-29
C2624 HCPCS Hc Kit Impl Hrtmt 3 Str Lf 52 18 $291,381.00 $116,552.40 60% off $29,701.35 $249,713.52 $163,173.36 2025-07-29
C9301 HCPCS Fee Schedule 9 8 — — $278,138.70 $466,291.35 $286,319.25 2025-07-29
C9741 HCPCS Fee Schedule 1 1 — — $90,028.59 $90,028.59 $90,028.59 2025-07-29
C9767 HCPCS C Revascularization,any Vessel,w/intravascular Lithotripsy Stent Placement And A… 59 18 $93,806.00 $37,522.40 60% off $14,744.47 $80,391.74 $52,531.36 2025-07-29
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 7 7 — — $3,683,792.56 $4,044,948.69 $3,792,139.40 2025-07-29
J1413 HCPCS Inj Delandistrogene Mox Rokl 7 7 — — $3,321,144.31 $3,646,746.69 $3,418,825.02 2025-07-29
J1414 HCPCS Inj, Beqvez, Per Tx Dose 7 7 — — $3,708,516.00 $4,072,096.00 $3,817,590.00 2025-07-29
J3392 HCPCS Inj, Exagamglogene Autotem 12 9 — — $2,331,067.20 $4,314,200.00 $2,491,042.40 2025-07-29
J3393 HCPCS Inj, Betibeglogene Autotemce 9 8 — — $2,947,034.05 $4,940,615.90 $3,033,711.52 2025-07-29
J3394 HCPCS Inj, Lovotibeglogene Autotem 7 7 — — $3,284,685.60 $3,606,713.60 $3,381,294.00 2025-07-29
J3399 HCPCS Inj Onase Abepar-xioi Treat 14 10 — — $2,422,161.98 $4,260,151.64 $2,845,047.08 2025-07-29
J9029 HCPCS Instill Adstiladrin, Tx Dose 18 10 — — $63,210.31 $196,847.92 $110,150.11 2025-07-29
J9226 HCPCS Supprelin La Implant 26 14 — — $19,366.71 $148,876.90 $55,084.45 2025-07-29
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 5 2 — — $91,031.93 $91,031.93 $91,031.93 2025-07-29
L6700 HCPCS Ue Add Ext Power Myoel 1 1 — — $88,241.26 $88,241.26 $88,241.26 2025-07-29
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 14 9 — — $65,871.74 $113,037.17 $68,747.76 2025-07-29
Q0480 HCPCS Driver Pneumatic Vad, Rep 20 11 — — $97,943.74 $264,712.80 $102,899.91 2025-07-29
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 16 10 — — $472,518.64 $1,277,077.40 $537,134.46 2025-07-29
Q2042 HCPCS Tisagenlecleucel Car-pos T 16 10 — — $513,669.89 $1,388,296.99 $618,243.31 2025-07-29
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 26 14 — — $19,366.71 $183,785.56 $68,000.66 2025-07-29
Q2053 HCPCS Brexucabtagene Car Pos T 13 9 — — $489,203.40 $1,122,518.47 $537,164.51 2025-07-29
Q2054 HCPCS Lisocabtagene Mara Car Pos T 13 9 — — $516,235.71 $1,187,917.73 $566,847.05 2025-07-29
Q2055 HCPCS Idecabtagene Vicleucel Car 13 9 — — $527,411.41 $1,215,118.59 $579,118.41 2025-07-29
Q2056 HCPCS Ciltacabtagene Car-pos T 13 9 — — $552,948.03 $1,268,032.18 $607,158.62 2025-07-29
Q2057 HCPCS Afamitresgene Autoleucel 9 8 — — $770,311.75 $1,291,405.00 $792,967.98 2025-07-29
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