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

CHEYENNE REGIONAL MEDICAL CENTER

Cheyenne, WY · CCN 530014 · Rates published

14,103 distinct procedures filed
10 distinct payers
432,992 rate rows
2026-03-25 last MRF observed
Data quality

238,802 of 432,992 rate rows are consumer-grade (55.2%)

194,190 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
professional (physician) fee — not the facility price 193,922
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 168
placeholder amount (≤ $0.02) — excluded from medians 44
percent-of-charges filed in the dollar field — excluded from medians 43
exceeds 10× this hospital's gross charge — excluded from medians 13
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sthpiprd.blob.core.windows.net/machine-readable-files/10177/836000194_memorial-hospital-of-laramie-county_standardcharges.csv
Found on page https://cheyenneregional.org/cms-hpt.txt
Discovered viaCMS hospital list
Last fetch not_modified · 2026-05-18
Content fingerprint a00aa79bd792288d… · 276,421,177 bytes · first seen 2026-05-14

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
J3391
HCPCS 		Inj, Atidarsagene Autotemcel 1 $4,730,250.00 $4,730,250.00 $4,730,250.00 nat. median
$4,505,000
1.1× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 1 $3,869,530.00 $3,869,530.00 $3,869,530.00 nat. median
$3,710,000
1.0× median
J3389
HCPCS 		Topi Adm Prad Zami Per Treat 1 $3,502,611.00 $3,502,611.00 $3,502,611.00 nat. median
$3,335,820
1.1× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 1 $3,482,285.72 $3,482,285.72 $3,482,285.72 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 1 $3,410,868.00 $3,410,868.00 $3,410,868.00 nat. median
$3,286,000
1.0× median
J3387
HCPCS 		Inj Elivaldogene Autotemecel 1 $3,244,500.00 $3,244,500.00 $3,244,500.00 nat. median
$3,180,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 1 $3,093,027.00 $3,093,027.00 $3,093,027.00 nat. median
$3,004,655
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 1 $2,577,866.14 $2,577,866.14 $2,577,866.14 nat. median
$2,468,984
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 1 $2,448,600.00 $2,448,600.00 $2,448,600.00 nat. median
$2,448,600
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 1 $809,151.00 $809,151.00 $809,151.00 nat. median
$824,563
1.0× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 $508,610.36 $818,644.79 $671,107.14 nat. median
$370,174
1.8× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 1 $621,312.51 $621,312.51 $621,312.51 nat. median
$753,246
0.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 1 $594,162.39 $594,162.39 $594,162.39 nat. median
$674,867
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 1 $590,665.09 $590,665.09 $590,665.09 nat. median
$673,137
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 1 $585,183.83 $585,183.83 $585,183.83 nat. median
$625,184
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 1 $559,891.68 $559,891.68 $559,891.68 nat. median
$634,303
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 1 $513,769.84 $513,769.84 $513,769.84 nat. median
$619,808
0.8× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 3 $330,094.46 $602,130.89 $470,967.01 nat. median
$265,286
1.8× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 3 $251,506.41 $585,690.31 $422,296.98 nat. median
$206,474
outlier · 2.0×
J0225
HCPCS 		Vutrisiran 25 Mg/0.5 Ml Subcutaneous Syringe 10 $5,103.71 $463,116.63 $420,181.86 nat. median
$8,223
outlier · 51.1×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 3 $250,030.85 $473,737.07 $365,560.88 nat. median
$202,976
1.8× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 1 $292,162.50 $292,162.50 $292,162.50 nat. median
$324,450
0.9× median
J3403
HCPCS 		Revakinagene, Per Implant 1 $270,375.00 $270,375.00 $270,375.00 nat. median
$265,000
1.0× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And… 3 $163,194.70 $326,634.00 $247,314.27 nat. median
$133,161
1.9× median
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 1 $215,922.00 $215,922.00 $215,922.00 nat. median
$209,753
1.0× median
7
MS_DRG 		Lung Transplant 3 $152,581.89 $272,559.41 $214,814.50 nat. median
$122,708
1.8× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 3 $133,523.12 $272,063.90 $204,757.09 nat. median
$108,660
1.9× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 3 $141,602.84 $254,661.20 $200,214.42 nat. median
$117,357
1.7× median
453
MS_DRG 		Inpatient Ms-DRG 1 $196,900.31 $196,900.31 $196,900.31 nat. median
$87,428
outlier · 2.3×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 3 $128,133.10 $239,324.95 $185,613.34 nat. median
$102,358
1.8× median
J0202
HCPCS 		Alemtuzumab 12 Mg/1.2 Ml Intravenous Solution 10 $2,478.49 $234,053.39 $180,416.15 nat. median
$4,053
outlier · 44.5×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 3 $121,495.97 $229,977.00 $177,523.20 nat. median
$100,136
1.8× median
215
MS_DRG 		Other Heart Assist System Implant 3 $117,333.04 $226,972.86 $173,878.43 nat. median
$99,019
1.8× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 $115,281.59 $215,651.77 $167,162.00 nat. median
$93,672
1.8× median
J2351
HCPCS 		Ocrelizumab 920 Mg-hyaluronidase-ocsq 23,000 Unit/23 Ml Subcut Soln 10 $48.18 $167,370.26 $151,853.64 nat. median
$78
outlier · 1948.1×
459
MS_DRG 		Inpatient Ms-DRG 1 $147,369.71 $147,369.71 $147,369.71 nat. median
$65,393
outlier · 2.3×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 3 $99,037.35 $187,301.27 $144,625.74 nat. median
$81,118
1.8× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 3 $92,741.75 $187,812.33 $141,640.89 nat. median
$77,570
1.8× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 3 $99,349.44 $180,319.74 $141,295.61 nat. median
$79,312
1.8× median
454
MS_DRG 		Inpatient Ms-DRG 1 $135,904.19 $135,904.19 $135,904.19 nat. median
$62,372
outlier · 2.2×
209
MS_DRG 		Complex Aortic Arch Procedures 2 $133,370.02 $137,292.67 $135,331.35 nat. median
$98,047
1.4× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 3 $90,108.54 $173,307.11 $133,032.95 nat. median
$73,807
1.8× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 3 $90,498.37 $171,342.86 $132,251.47 nat. median
$74,915
1.8× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 3 $84,095.57 $177,615.57 $132,092.27 nat. median
$71,271
1.9× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 2 $129,865.39 $133,684.96 $131,775.17 nat. median
$98,894
1.3× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 3 $89,810.62 $160,706.15 $126,579.13 nat. median
$72,135
1.8× median
L8699
HCPCS 		Hc Tag Tbe Aortic Component 12mm X 45mm X 15cm 10 $24,996.66 $165,580.80 $122,358.08 nat. median
$1,704
outlier · 71.8×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 3 $84,046.12 $156,335.48 $121,426.78 nat. median
$68,886
1.8× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 3 $84,544.25 $153,755.73 $120,393.29 nat. median
$64,023
1.9× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 3 $81,471.81 $154,760.08 $119,314.06 nat. median
$66,526
1.8× median

Other procedures at this hospital

Browse this hospital's 14,103 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
             
C1882 HCPCS Hc Icd Defib Unify Crt Cd3231-40q 448 10 $100,091.41 $70,063.99 30% off $47,068.12 $166,263.82 $84,438.99 2026-03-25
C1721 HCPCS Hc Icd Defib Fortify Dr 2231-40q 304 10 $87,110.47 $60,977.33 30% off $41,846.59 $129,360.00 $71,292.65 2026-03-25
C1767 HCPCS Interstim Ins 16370 292 10 $87,506.65 $61,254.66 30% off $30,670.99 $202,551.89 $75,318.30 2026-03-25
C1722 HCPCS Hc Intica Neo 7 Vr-t Dx Df-1 Promri 244 10 $62,209.75 $43,546.83 30% off $32,116.75 $116,015.82 $56,514.77 2026-03-25
C1820 HCPCS Generator Pulse Restore Sensor Sure Scan 29408 220 10 $102,410.00 $71,687.00 30% off $53,290.00 $139,191.36 $83,718.02 2026-03-25
C1813 HCPCS Implant Penile Ambicore 72401450 208 10 $51,323.58 $35,926.51 30% off $10,486.57 $93,708.38 $42,367.50 2026-03-25
L8699 HCPCS Hc Tag Tbe Aortic Component 12mm X 45mm X 15cm 40 10 $140,480.00 $98,336.00 30% off $24,996.66 $165,580.80 $122,358.08 2026-03-25
C1875 HCPCS Hc Stent Graft Relaypro Thoracic 200mm 40 10 $80,997.17 $56,698.02 30% off $56,069.48 $90,552.00 $68,223.93 2026-03-25
J0202 HCPCS Alemtuzumab 12 Mg/1.2 Ml Intravenous Solution 28 10 $243,805.61 $170,663.93 30% off $2,478.49 $234,053.39 $180,416.15 2026-03-25
J9316 HCPCS Pertuzumab 1,200 Mg-trastuzumab 600 Mg-hyaluron-zzxf/15 Ml Subcut Soln 28 10 $84,068.69 $58,848.09 30% off $63.34 $80,705.94 $62,210.83 2026-03-25
J9022 HCPCS Atezolizumab 1,200 Mg/20 Ml (60 Mg/ml) Intravenous Solution 28 10 $83,346.78 $58,342.75 30% off $93.17 $80,012.91 $61,676.62 2026-03-25
J9309 HCPCS Polatuzumab Vedotin-piiq 140 Mg Intravenous Solution 28 10 $78,248.02 $54,773.62 30% off $139.40 $75,118.10 $57,903.54 2026-03-25
C1772 HCPCS Pump Synchromed Ii 40mm 16566 28 10 $57,953.28 $40,567.30 30% off $42,305.89 $60,809.55 $50,741.74 2026-03-25
33249 CPT Hc Insrt Pace Defib W Lead 20 10 $77,023.29 $53,916.31 30% off $32,710.10 $73,942.36 $67,087.29 2026-03-25
93653 CPT Pr Compre Ep Eval Abltj 3d Mapg Tx Svt 20 10 $50,759.18 $35,531.43 30% off $27,238.07 $48,728.81 $44,211.25 2026-03-25
93656 CPT Pr Compre Ep Eval Abltj Atr Fib Pulm Vein Isolation 19 10 $68,982.51 $48,287.76 30% off $27,238.07 $66,223.21 $60,083.76 2026-03-25
33263 CPT Hc Remv Replc Cvd Gen Dual Lead 19 10 $65,333.24 $45,733.27 30% off $23,179.87 $62,719.91 $56,905.25 2026-03-25
33264 CPT Hc Remv Replc Cvd Gen Mult Lead 19 10 $57,711.12 $40,397.79 30% off $32,710.10 $55,402.68 $50,266.39 2026-03-25
A9543 HCPCS Hc Nm Yttruim 90 Zev To 40mci 18 10 $119,875.67 $83,912.97 30% off $57,961.04 $115,080.64 $104,411.71 2026-03-25
J9266 HCPCS Pegaspargase 750 Unit/ml Injection Solution 18 10 $108,327.27 $75,829.09 30% off $28,992.54 $103,994.18 $94,353.05 2026-03-25
33270 CPT Hc Insert/replace Subseq Defibrillator 18 10 $64,170.35 $44,919.25 30% off $32,710.10 $61,603.54 $55,892.38 2026-03-25
J9144 HCPCS Daratumumab 1,800 Mg-hyaluronidase-fihj 30,000 Unit/15 Ml Subcut Soln 18 10 $60,808.16 $42,565.72 30% off $56.68 $58,375.83 $52,963.90 2026-03-25
33262 CPT Hc Remv Replac Cvd Gen Single Lead 18 10 $60,617.61 $42,432.33 30% off $23,179.87 $58,192.91 $52,797.94 2026-03-25
93654 CPT Hc Ep & Ablate Ventric Tachy 18 10 $57,380.40 $40,166.28 30% off $27,238.07 $55,085.18 $49,978.32 2026-03-25
J2327 HCPCS Risankizumab-rzaa 60 Mg/ml Intravenous Solution 18 10 $51,512.99 $36,059.10 30% off $15.24 $49,452.47 $44,867.82 2026-03-25
C9767 HCPCS Hc Revasc Low Ext Lithotrip-stent-ather Incl Angiopl 18 10 $49,501.70 $34,651.19 30% off $19,103.26 $47,521.63 $43,115.98 2026-03-25
37284 CPT Hc Revsc Evasc Tpvt St Sf 1st 18 10 $46,821.73 $32,775.22 30% off $19,103.26 $44,948.86 $40,781.72 2026-03-25
37292 CPT Hc Rvsc Evsc Tpvt St Athrc Sf 1 18 10 $46,821.73 $32,775.22 30% off $19,103.26 $44,948.86 $40,781.72 2026-03-25
37290 CPT Hc Revsc Evsc Tpvt Athrc Cplx 1 18 10 $46,821.73 $32,775.22 30% off $19,103.26 $44,948.86 $40,781.72 2026-03-25
J0225 HCPCS Vutrisiran 25 Mg/0.5 Ml Subcutaneous Syringe 17 10 $482,413.16 $337,689.22 30% off $5,103.71 $463,116.63 $420,181.86 2026-03-25
J2351 HCPCS Ocrelizumab 920 Mg-hyaluronidase-ocsq 23,000 Unit/23 Ml Subcut Soln 17 10 $174,344.02 $122,040.82 30% off $48.18 $167,370.26 $151,853.64 2026-03-25
J2507 HCPCS Pegloticase 8 Mg/ml Intravenous Solution 17 10 $128,487.15 $89,941.01 30% off $3,734.05 $123,347.66 $111,912.30 2026-03-25
J9298 HCPCS Nivolumab 240 Mg-relatlimab-rmbw 80 Mg/20 Ml Intravenous Solution 17 10 $125,637.85 $87,946.50 30% off $201.79 $120,612.34 $109,430.57 2026-03-25
J9229 HCPCS Inotuzumab Ozogamicin 0.9 Mg(0.25 Mg/ml Initial Concentration) IV Soln 17 10 $96,755.63 $67,728.95 30% off $2,752.01 $92,885.40 $84,274.15 2026-03-25
J0638 HCPCS Canakinumab (pf) 150 Mg/ml Subcutaneous Solution 17 10 $89,539.46 $62,677.63 30% off $144.44 $85,957.88 $77,988.87 2026-03-25
J2350 HCPCS Ocrelizumab 30 Mg/ml Intravenous Solution 17 10 $86,125.96 $60,288.18 30% off $60.60 $82,680.92 $75,015.71 2026-03-25
J3241 HCPCS Teprotumumab-trbw 500 Mg Intravenous Solution 17 10 $74,256.33 $51,979.44 30% off $366.38 $71,286.08 $64,677.26 2026-03-25
J9334 HCPCS Efgartigimod Alfa 1008 Mg-hyaluron-qvfc 11,200 Unit/5.6 Ml Subcut Soln 17 10 $65,878.86 $46,115.21 30% off $34.57 $63,243.71 $57,380.49 2026-03-25
J9043 HCPCS Cabazitaxel 10 Mg/ml (first Dilution) Intravenous Solution 17 10 $58,908.11 $41,235.68 30% off $231.82 $56,551.79 $51,308.96 2026-03-25
J9042 HCPCS Brentuximab Vedotin 50 Mg Intravenous Solution 17 10 $52,237.16 $36,566.02 30% off $263.81 $50,147.67 $45,498.57 2026-03-25
J9272 HCPCS Dostarlimab-gxly 50 Mg/ml Intravenous Solution 17 10 $48,670.31 $34,069.22 30% off $248.59 $46,723.50 $42,391.84 2026-03-25
J9271 HCPCS Pembrolizumab 25 Mg/ml Intravenous Solution 17 10 $47,720.30 $33,404.21 30% off $61.50 $45,811.49 $41,564.38 2026-03-25
J2329 HCPCS Ublituximab-xiiy 25 Mg/ml Intravenous Solution 17 10 $46,930.15 $32,851.11 30% off $72.17 $45,052.94 $40,876.16 2026-03-25
J3590 HCPCS Depemokimab-ulaa 100 Mg/ml Subcutaneous Syringe 16 10 $130,831.55 $91,582.09 30% off $95,507.03 $125,598.29 $113,954.28 2026-03-25
C1822 HCPCS Pulse Generator Implantable 301328 16 10 $122,838.10 $85,986.67 30% off $89,671.81 $117,924.58 $106,991.99 2026-03-25
C1824 HCPCS Hc Generatr Optimizer Smart Mini Ccm 16 10 $114,086.70 $79,860.69 30% off $83,283.29 $109,523.23 $99,369.51 2026-03-25
C2624 HCPCS Hc Sensor Cardiomems Pa 16 10 $96,718.55 $67,702.99 30% off $70,604.54 $92,849.81 $84,241.86 2026-03-25
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 5 4 — — $36,700.00 $115,246.25 $63,181.92 2026-03-25
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 5 4 — — $36,700.00 $77,465.59 $42,830.38 2026-03-25
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 4 3 — — $508,610.36 $818,644.79 $671,107.14 2026-03-25
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 4 3 — — $330,094.46 $602,130.89 $470,967.01 2026-03-25
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 4 3 — — $251,506.41 $585,690.31 $422,296.98 2026-03-25
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 4 3 — — $250,030.85 $473,737.07 $365,560.88 2026-03-25
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And … 4 3 — — $163,194.70 $326,634.00 $247,314.27 2026-03-25
7 MS_DRG Lung Transplant 4 3 — — $152,581.89 $272,559.41 $214,814.50 2026-03-25
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 4 3 — — $133,523.12 $272,063.90 $204,757.09 2026-03-25
14 MS_DRG Allogeneic Bone Marrow Transplant 4 3 — — $141,602.84 $254,661.20 $200,214.42 2026-03-25
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 4 3 — — $128,133.10 $239,324.95 $185,613.34 2026-03-25
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 4 3 — — $121,495.97 $229,977.00 $177,523.20 2026-03-25
215 MS_DRG Other Heart Assist System Implant 4 3 — — $117,333.04 $226,972.86 $173,878.43 2026-03-25
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 4 3 — — $115,281.59 $215,651.77 $167,162.00 2026-03-25
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 4 3 — — $99,037.35 $187,301.27 $144,625.74 2026-03-25
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 4 3 — — $92,741.75 $187,812.33 $141,640.89 2026-03-25
231 MS_DRG Coronary Bypass With Ptca With Mcc 4 3 — — $99,349.44 $180,319.74 $141,295.61 2026-03-25
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 4 3 — — $90,108.54 $173,307.11 $133,032.95 2026-03-25
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 4 3 — — $90,498.37 $171,342.86 $132,251.47 2026-03-25
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 4 3 — — $84,095.57 $177,615.57 $132,092.27 2026-03-25
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 4 3 — — $89,810.62 $160,706.15 $126,579.13 2026-03-25
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 4 3 — — $84,046.12 $156,335.48 $121,426.78 2026-03-25
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 4 3 — — $84,544.25 $153,755.73 $120,393.29 2026-03-25
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 4 3 — — $81,471.81 $154,760.08 $119,314.06 2026-03-25
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 4 3 — — $81,072.59 $152,311.43 $117,884.26 2026-03-25
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 4 3 — — $75,853.33 $153,495.76 $115,790.04 2026-03-25
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 4 3 — — $72,162.63 $152,709.17 $113,497.12 2026-03-25
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 4 3 — — $77,509.10 $141,436.97 $110,612.88 2026-03-25
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 4 3 — — $65,116.87 $151,507.07 $109,269.57 2026-03-25
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 4 3 — — $77,227.66 $138,166.18 $108,832.62 2026-03-25
955 MS_DRG Craniotomy For Multiple Significant Trauma 4 3 — — $79,343.84 $135,324.24 $108,500.86 2026-03-25
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 4 3 — — $72,246.25 $138,788.34 $106,579.74 2026-03-25
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 4 3 — — $70,811.90 $137,990.64 $105,442.62 2026-03-25
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 4 3 — — $69,906.29 $137,252.94 $104,607.65 2026-03-25
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 4 3 — — $70,299.63 $134,993.17 $103,680.22 2026-03-25
28 MS_DRG Spinal Procedures With Mcc 4 3 — — $70,831.91 $133,899.94 $103,407.57 2026-03-25
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 4 3 — — $77,509.10 $126,580.67 $103,184.73 2026-03-25
232 MS_DRG Coronary Bypass With Ptca Without Mcc 4 3 — — $71,471.37 $132,177.89 $102,875.68 2026-03-25
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 4 3 — — $69,142.02 $134,357.67 $102,766.64 2026-03-25
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 4 3 — — $64,048.77 $137,252.94 $101,592.75 2026-03-25
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 4 3 — — $69,186.77 $130,666.93 $100,944.30 2026-03-25
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 4 3 — — $62,417.75 $136,461.91 $100,357.74 2026-03-25
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 4 3 — — $67,558.10 $125,960.74 $97,752.92 2026-03-25
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 4 3 — — $67,195.40 $125,847.41 $97,509.57 2026-03-25
10 MS_DRG Pancreas Transplant 4 3 — — $84,579.56 $106,958.19 $97,012.70 2026-03-25
834 MS_DRG Acute Leukemia With Mcc 4 3 — — $64,727.06 $124,409.78 $95,520.29 2026-03-25
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 4 3 — — $64,498.62 $122,325.54 $94,360.59 2026-03-25
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 4 3 — — $57,794.34 $126,278.48 $92,886.33 2026-03-25
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 4 3 — — $66,077.84 $116,914.97 $92,468.14 2026-03-25
653 MS_DRG Major Bladder Procedures With Mcc 4 3 — — $61,270.73 $120,290.19 $91,681.50 2026-03-25
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 4 3 — — $64,406.75 $115,497.34 $90,899.20 2026-03-25
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 4 3 — — $62,877.02 $116,535.01 $90,630.68 2026-03-25
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 4 3 — — $64,305.49 $114,572.99 $90,384.91 2026-03-25
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 4 3 — — $62,211.67 $112,364.32 $88,202.87 2026-03-25
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 4 3 — — $58,809.50 $112,855.38 $86,697.29 2026-03-25
228 MS_DRG Other Cardiothoracic Procedures With Mcc 4 3 — — $58,338.43 $111,959.91 $86,007.09 2026-03-25
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 4 3 — — $58,234.79 $111,084.45 $85,516.01 2026-03-25
471 MS_DRG Cervical Spinal Fusion With Mcc 4 3 — — $56,940.59 $109,300.18 $83,957.75 2026-03-25
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 4 3 — — $65,625.61 $99,110.09 $83,332.93 2026-03-25
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 4 3 — — $58,035.78 $106,807.10 $83,274.90 2026-03-25
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 4 3 — — $56,140.97 $108,438.04 $83,115.11 2026-03-25
799 MS_DRG Splenic Procedures With Mcc 4 3 — — $53,410.06 $110,091.21 $82,536.08 2026-03-25
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 4 3 — — $59,431.26 $103,291.89 $82,235.57 2026-03-25
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 4 3 — — $56,653.24 $105,691.65 $82,005.58 2026-03-25
6 MS_DRG Liver Transplant Without Mcc 4 3 — — $54,683.06 $107,475.92 $81,883.65 2026-03-25
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 4 3 — — $54,465.21 $106,264.93 $81,166.02 2026-03-25
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 4 3 — — $55,328.41 $105,331.69 $81,143.71 2026-03-25
163 MS_DRG Major Chest Procedures With Mcc 4 3 — — $52,855.39 $104,736.19 $79,573.07 2026-03-25
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 4 3 — — $55,441.45 $99,934.45 $78,503.26 2026-03-25
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 4 3 — — $54,206.13 $100,363.30 $78,081.86 2026-03-25
245 MS_DRG Aicd Generator Procedures 4 3 — — $53,804.55 $100,687.71 $78,037.38 2026-03-25
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 4 3 — — $54,068.34 $100,032.22 $77,845.40 2026-03-25
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 4 3 — — $55,163.56 $97,519.14 $77,152.58 2026-03-25
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 4 3 — — $53,643.22 $98,399.05 $76,810.01 2026-03-25
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 4 3 — — $53,619.67 $98,123.52 $76,660.12 2026-03-25
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 4 3 — — $49,214.13 $100,678.82 $75,670.21 2026-03-25
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 4 3 — — $52,632.81 $96,921.42 $75,551.12 2026-03-25
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 4 3 — — $51,807.29 $95,072.71 $74,201.87 2026-03-25
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 4 3 — — $50,630.83 $95,608.22 $73,864.10 2026-03-25
901 MS_DRG Wound Debridements For Injuries With Mcc 4 3 — — $49,496.78 $96,163.72 $73,558.14 2026-03-25
31 MS_DRG Ventricular Shunt Procedures With Mcc 4 3 — — $52,840.07 $91,470.85 $72,932.52 2026-03-25
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 4 3 — — $51,037.13 $91,990.80 $72,264.51 2026-03-25
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 4 3 — — $49,810.03 $92,404.09 $71,839.56 2026-03-25
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 4 3 — — $49,700.50 $89,875.46 $70,518.87 2026-03-25
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 4 3 — — $49,404.92 $89,795.46 $70,326.74 2026-03-25
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 4 3 — — $49,725.24 $88,988.88 $70,088.32 2026-03-25
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 4 3 — — $48,983.33 $86,900.20 $68,662.10 2026-03-25
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 4 3 — — $48,659.48 $86,591.34 $68,340.99 2026-03-25
140 MS_DRG Major Head And Neck Procedures With Mcc 4 3 — — $50,305.80 $83,949.38 $67,867.38 2026-03-25
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 4 3 — — $44,092.63 $90,164.32 $67,776.90 2026-03-25
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 4 3 — — $43,964.26 $89,202.19 $67,229.76 2026-03-25
34 MS_DRG Carotid Artery Stent Procedures With Mcc 4 3 — — $45,658.88 $86,689.11 $66,845.45 2026-03-25
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 4 3 — — $49,555.65 $82,169.56 $66,591.36 2026-03-25
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 4 3 — — $45,547.00 $85,558.11 $66,222.37 2026-03-25
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 4 3 — — $44,390.57 $86,173.60 $65,934.89 2026-03-25
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 4 3 — — $46,144.07 $84,187.14 $65,844.19 2026-03-25
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 4 3 — — $41,145.03 $87,940.09 $65,147.63 2026-03-25
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 4 3 — — $45,590.57 $82,913.93 $64,922.70 2026-03-25
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 4 3 — — $42,170.75 $86,373.58 $64,892.32 2026-03-25
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 4 3 — — $45,289.11 $82,647.29 $64,634.21 2026-03-25
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 4 3 — — $41,990.56 $85,004.83 $64,115.21 2026-03-25
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 4 3 — — $44,087.93 $81,143.00 $63,263.82 2026-03-25
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 4 3 — — $42,065.93 $82,707.28 $63,005.22 2026-03-25
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 4 3 — — $42,610.00 $80,811.92 $62,337.58 2026-03-25
332 MS_DRG Rectal Resection With Mcc 4 3 — — $42,714.80 $80,605.27 $62,288.19 2026-03-25
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 4 3 — — $42,268.47 $80,354.19 $61,932.93 2026-03-25
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 4 3 — — $46,994.32 $75,332.47 $61,854.49 2026-03-25
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 4 3 — — $42,773.69 $79,574.26 $61,803.00 2026-03-25
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 4 3 — — $41,521.85 $80,496.39 $61,619.74 2026-03-25
335 MS_DRG Peritoneal Adhesiolysis With Mcc 4 3 — — $42,128.35 $79,436.50 $61,401.96 2026-03-25
265 MS_DRG Aicd Lead Procedures 4 3 — — $42,685.36 $78,527.70 $61,234.25 2026-03-25
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 4 3 — — $43,716.98 $76,845.65 $60,924.21 2026-03-25
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 4 3 — — $42,030.62 $78,329.94 $60,798.38 2026-03-25
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 4 3 — — $43,314.21 $76,927.86 $60,758.01 2026-03-25
271 MS_DRG Other Major Cardiovascular Procedures With Cc 4 3 — — $41,956.40 $76,796.76 $59,993.59 2026-03-25
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 4 3 — — $44,197.44 $73,894.83 $59,696.10 2026-03-25
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 4 3 — — $40,956.58 $75,676.88 $58,919.04 2026-03-25
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 4 3 — — $40,252.38 $76,174.60 $58,805.44 2026-03-25
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 4 3 — — $43,331.88 $72,352.76 $58,479.55 2026-03-25
252 MS_DRG Other Vascular Procedures With Mcc 4 3 — — $41,155.62 $74,521.44 $58,443.76 2026-03-25
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 4 3 — — $40,758.77 $74,859.18 $58,408.37 2026-03-25
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 4 3 — — $40,450.23 $75,030.27 $58,335.11 2026-03-25
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 4 3 — — $37,494.36 $77,252.27 $57,924.71 2026-03-25
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 4 3 — — $37,675.72 $76,772.32 $57,778.08 2026-03-25
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 4 3 — — $42,806.68 $71,443.97 $57,754.83 2026-03-25
37 MS_DRG Extracranial Procedures With Mcc 4 3 — — $38,845.11 $75,005.83 $57,496.72 2026-03-25
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 4 3 — — $42,546.38 $71,117.33 $57,457.54 2026-03-25
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 4 3 — — $45,935.63 $67,371.04 $57,328.86 2026-03-25
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 4 3 — — $38,213.90 $74,263.68 $56,800.76 2026-03-25
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 4 3 — — $38,382.30 $73,663.74 $56,587.47 2026-03-25
264 MS_DRG Other Circulatory System O.r. Procedures 4 3 — — $39,416.26 $72,570.52 $56,573.04 2026-03-25
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 4 3 — — $40,199.38 $71,121.78 $56,251.75 2026-03-25
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 4 3 — — $38,079.64 $73,192.68 $56,196.15 2026-03-25
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 4 3 — — $38,840.40 $72,010.58 $55,996.67 2026-03-25
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 4 3 — — $38,005.46 $71,448.41 $55,285.84 2026-03-25
500 MS_DRG Soft Tissue Procedures With Mcc 4 3 — — $37,345.98 $72,055.02 $55,249.71 2026-03-25
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 4 3 — — $37,606.22 $70,248.53 $54,480.40 2026-03-25
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 4 3 — — $37,165.81 $70,650.71 $54,454.82 2026-03-25
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 4 3 — — $38,171.51 $69,441.94 $54,368.07 2026-03-25
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 4 3 — — $37,289.45 $70,077.44 $54,231.82 2026-03-25
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 4 3 — — $37,569.75 $69,717.47 $54,196.10 2026-03-25
665 MS_DRG Prostatectomy With Mcc 4 3 — — $36,832.54 $68,639.80 $53,277.82 2026-03-25
652 MS_DRG Kidney Transplant 4 3 — — $38,107.91 $66,757.77 $52,993.26 2026-03-25
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 4 3 — — $36,755.99 $66,691.11 $52,264.07 2026-03-25
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 4 3 — — $35,127.33 $68,326.50 $52,243.49 2026-03-25
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 4 3 — — $37,183.48 $65,962.29 $52,119.70 2026-03-25
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 4 3 — — $38,976.98 $64,004.71 $52,064.04 2026-03-25
662 MS_DRG Minor Bladder Procedures With Mcc 4 3 — — $36,129.50 $66,586.67 $51,889.40 2026-03-25
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 4 3 — — $36,691.22 $65,617.88 $51,694.12 2026-03-25
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 4 3 — — $35,641.96 $64,909.06 $50,799.66 2026-03-25
472 MS_DRG Cervical Spinal Fusion With Cc 4 3 — — $34,770.50 $65,668.99 $50,731.08 2026-03-25
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 4 3 — — $33,876.68 $66,531.12 $50,702.08 2026-03-25
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 4 3 — — $34,372.47 $65,524.56 $50,453.99 2026-03-25
570 MS_DRG Skin Debridement With Mcc 4 3 — — $34,711.62 $64,931.28 $50,331.92 2026-03-25
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 4 3 — — $34,251.16 $64,977.95 $50,118.25 2026-03-25
263 MS_DRG Vein Ligation And Stripping 4 3 — — $36,081.20 $62,775.94 $49,959.18 2026-03-25
974 MS_DRG HIV With Major Related Condition With Mcc 4 3 — — $34,062.75 $64,804.63 $49,934.61 2026-03-25
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 4 3 — — $34,229.99 $64,158.03 $49,697.39 2026-03-25
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 4 3 — — $37,078.67 $60,185.09 $49,177.15 2026-03-25
668 MS_DRG Transurethral Procedures With Mcc 4 3 — — $34,463.13 $62,615.96 $49,046.35 2026-03-25
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 4 3 — — $37,882.98 $58,756.35 $48,876.77 2026-03-25
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 4 3 — — $35,646.66 $60,451.73 $48,573.42 2026-03-25
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 4 3 — — $33,644.69 $62,420.42 $48,527.33 2026-03-25
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 4 3 — — $32,117.29 $63,875.83 $48,468.88 2026-03-25
800 MS_DRG Splenic Procedures With Cc 4 3 — — $33,160.68 $62,609.29 $48,372.64 2026-03-25
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 4 3 — — $32,544.77 $62,278.22 $47,890.10 2026-03-25
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 4 3 — — $31,401.30 $63,244.79 $47,784.83 2026-03-25
654 MS_DRG Major Bladder Procedures With Cc 4 3 — — $33,041.73 $60,827.25 $47,420.40 2026-03-25
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 4 3 — — $34,013.29 $59,676.25 $47,344.96 2026-03-25
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 4 3 — — $35,603.08 $58,016.42 $47,333.32 2026-03-25
963 MS_DRG Other Multiple Significant Trauma With Mcc 4 3 — — $32,270.39 $60,756.15 $46,987.83 2026-03-25
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 4 3 — — $31,841.74 $61,047.23 $46,912.75 2026-03-25
503 MS_DRG Foot Procedures With Mcc 4 3 — — $32,945.17 $59,591.82 $46,752.99 2026-03-25
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 4 3 — — $32,445.86 $60,078.44 $46,739.29 2026-03-25
849 MS_DRG Radiotherapy 4 3 — — $31,984.23 $59,802.91 $46,363.93 2026-03-25
619 MS_DRG O.r. Procedures For Obesity With Mcc 4 3 — — $34,079.24 $57,516.47 $46,299.02 2026-03-25
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 4 3 — — $30,492.18 $60,891.69 $46,140.35 2026-03-25
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 4 3 — — $34,746.94 $56,269.93 $46,019.42 2026-03-25
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 4 3 — — $31,291.77 $58,863.00 $45,537.56 2026-03-25
288 MS_DRG Acute And Subacute Endocarditis With Mcc 4 3 — — $31,945.36 $57,616.46 $45,250.69 2026-03-25
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 4 3 — — $19,331.40 $72,129.68 $44,700.12 2026-03-25
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 4 3 — — $32,719.06 $55,198.92 $44,440.15 2026-03-25
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 4 3 — — $29,998.74 $57,525.36 $44,203.21 2026-03-25
253 MS_DRG Other Vascular Procedures With Cc 4 3 — — $30,642.89 $56,685.44 $44,114.79 2026-03-25
164 MS_DRG Major Chest Procedures With Cc 4 3 — — $29,799.72 $56,669.89 $43,673.04 2026-03-25
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 4 3 — — $30,313.16 $55,932.18 $43,568.45 2026-03-25
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 4 3 — — $30,606.40 $54,305.68 $42,906.13 2026-03-25
545 MS_DRG Connective Tissue Disorders With Mcc 4 3 — — $29,301.58 $55,398.90 $42,781.15 2026-03-25
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 4 3 — — $31,135.15 $53,425.77 $42,738.33 2026-03-25
135 MS_DRG Sinus And Mastoid Procedures With Cc/mcc 4 3 — — $25,630.92 $58,929.66 $42,657.22 2026-03-25
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 4 3 — — $30,141.22 $54,205.69 $42,616.71 2026-03-25
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 4 3 — — $28,859.98 $55,492.23 $42,600.52 2026-03-25
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 4 3 — — $29,028.37 $55,238.92 $42,560.54 2026-03-25
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 4 3 — — $29,786.77 $54,059.04 $42,360.95 2026-03-25
347 MS_DRG Anal And Stomal Procedures With Mcc 4 3 — — $27,110.00 $56,641.00 $42,274.18 2026-03-25
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 4 3 — — $28,825.83 $54,674.53 $42,174.09 2026-03-25
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 4 3 — — $30,449.77 $52,976.92 $42,161.14 2026-03-25
113 MS_DRG Orbital Procedures With Cc/mcc 4 3 — — $27,763.58 $55,712.21 $42,146.18 2026-03-25
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 4 3 — — $29,942.22 $53,365.77 $42,094.32 2026-03-25
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 4 3 — — $29,421.71 $53,328.00 $41,807.53 2026-03-25
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 4 3 — — $29,036.61 $52,965.81 $41,428.21 2026-03-25
330 MS_DRG Major Small And Large Bowel Procedures With Cc 4 3 — — $28,306.48 $52,708.06 $40,923.54 2026-03-25
453 MS_DRG Inpatient Ms-DRG 2 1 — — $196,900.31 $196,900.31 $196,900.31 2026-03-25
459 MS_DRG Inpatient Ms-DRG 2 1 — — $147,369.71 $147,369.71 $147,369.71 2026-03-25
454 MS_DRG Inpatient Ms-DRG 2 1 — — $135,904.19 $135,904.19 $135,904.19 2026-03-25
209 MS_DRG Complex Aortic Arch Procedures 2 2 — — $133,370.02 $137,292.67 $135,331.35 2026-03-25
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 2 2 — — $129,865.39 $133,684.96 $131,775.17 2026-03-25
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 2 2 — — $106,176.16 $109,298.98 $107,737.57 2026-03-25
850 MS_DRG Acute Leukemia With Other Procedures 2 2 — — $102,053.28 $105,054.85 $103,554.07 2026-03-25
455 MS_DRG Inpatient Ms-DRG 2 1 — — $102,336.43 $102,336.43 $102,336.43 2026-03-25
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 2 2 — — $85,084.78 $87,587.27 $86,336.02 2026-03-25
460 MS_DRG Inpatient Ms-DRG 2 1 — — $81,278.54 $81,278.54 $81,278.54 2026-03-25
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 2 2 — — $78,818.62 $81,136.82 $79,977.72 2026-03-25
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 2 2 — — $78,760.90 $81,077.40 $79,919.15 2026-03-25
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 2 2 — — $67,991.48 $69,991.23 $68,991.35 2026-03-25
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 2 2 — — $67,282.54 $69,261.43 $68,271.98 2026-03-25
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 2 2 — — $66,282.73 $68,232.22 $67,257.48 2026-03-25
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 2 2 — — $62,839.33 $64,687.55 $63,763.44 2026-03-25
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 2 2 — — $50,017.30 $51,488.40 $50,752.85 2026-03-25
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 2 2 — — $47,422.99 $48,817.79 $48,120.39 2026-03-25
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 2 2 — — $40,570.33 $41,763.57 $41,166.95 2026-03-25
J3391 HCPCS Inj, Atidarsagene Autotemcel 1 1 — — $4,730,250.00 $4,730,250.00 $4,730,250.00 2026-03-25
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 1 1 — — $3,869,530.00 $3,869,530.00 $3,869,530.00 2026-03-25
J3389 HCPCS Topi Adm Prad Zami Per Treat 1 1 — — $3,502,611.00 $3,502,611.00 $3,502,611.00 2026-03-25
J1413 HCPCS Inj Delandistrogene Mox Rokl 1 1 — — $3,482,285.72 $3,482,285.72 $3,482,285.72 2026-03-25
J3394 HCPCS Inj, Lovotibeglogene Autotem 1 1 — — $3,410,868.00 $3,410,868.00 $3,410,868.00 2026-03-25
J3387 HCPCS Inj Elivaldogene Autotemecel 1 1 — — $3,244,500.00 $3,244,500.00 $3,244,500.00 2026-03-25
J3393 HCPCS Inj, Betibeglogene Autotemce 1 1 — — $3,093,027.00 $3,093,027.00 $3,093,027.00 2026-03-25
J3399 HCPCS Inj Onase Abepar-xioi Treat 1 1 — — $2,577,866.14 $2,577,866.14 $2,577,866.14 2026-03-25
J3392 HCPCS Inj, Exagamglogene Autotem 1 1 — — $2,448,600.00 $2,448,600.00 $2,448,600.00 2026-03-25
Q2057 HCPCS Afamitresgene Autoleucel 1 1 — — $809,151.00 $809,151.00 $809,151.00 2026-03-25
Q2042 HCPCS Tisagenlecleucel Car-pos T 1 1 — — $621,312.51 $621,312.51 $621,312.51 2026-03-25
Q2056 HCPCS Ciltacabtagene Car-pos T 1 1 — — $594,162.39 $594,162.39 $594,162.39 2026-03-25
Q2054 HCPCS Lisocabtagene Mara Car Pos T 1 1 — — $590,665.09 $590,665.09 $590,665.09 2026-03-25
Q2055 HCPCS Idecabtagene Vicleucel Car 1 1 — — $585,183.83 $585,183.83 $585,183.83 2026-03-25
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 1 1 — — $559,891.68 $559,891.68 $559,891.68 2026-03-25
Q2053 HCPCS Brexucabtagene Car Pos T 1 1 — — $513,769.84 $513,769.84 $513,769.84 2026-03-25
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 1 1 — — $292,162.50 $292,162.50 $292,162.50 2026-03-25
J3403 HCPCS Revakinagene, Per Implant 1 1 — — $270,375.00 $270,375.00 $270,375.00 2026-03-25
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 1 1 — — $215,922.00 $215,922.00 $215,922.00 2026-03-25
Q0480 HCPCS Pr Driver Pneumatic Vad, Rep 1 1 — — $117,959.07 $117,959.07 $117,959.07 2026-03-25
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 1 1 — — $99,835.08 $99,835.08 $99,835.08 2026-03-25
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 1 1 — — $72,241.80 $72,241.80 $72,241.80 2026-03-25
38240 CPT Pr Trnsplj Allogeneic Hematopoietic Cells Per Donor 1 1 — — $67,476.70 $67,476.70 $67,476.70 2026-03-25
J9029 HCPCS Instill Adstiladrin, Tx Dose 1 1 — — $66,509.40 $66,509.40 $66,509.40 2026-03-25
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 1 1 — — $58,035.94 $58,035.94 $58,035.94 2026-03-25
L7181 HCPCS Electronic Elbo Simultaneous 1 1 — — $52,373.10 $52,373.10 $52,373.10 2026-03-25
J9226 HCPCS Pr Supprelin La Implant 1 1 — — $47,271.68 $47,271.68 $47,271.68 2026-03-25
33276 CPT Pr Insertion Phrenic Nerve Stimulator System 1 1 — — $47,250.53 $47,250.53 $47,250.53 2026-03-25
64654 CPT Pr Initial Open Implantation Bat Modulation System 1 1 — — $47,250.53 $47,250.53 $47,250.53 2026-03-25
64568 CPT Pr Open Implantation Cranial Nerve Nea & Pulse Gen 1 1 — — $47,250.53 $47,250.53 $47,250.53 2026-03-25
L7180 HCPCS Electronic Elbow Sequential 1 1 — — $45,896.54 $45,896.54 $45,896.54 2026-03-25
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 1 1 — — $42,285.65 $42,285.65 $42,285.65 2026-03-25
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