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

PENINSULA MEDICAL CENTER

Burlingame, CA · CCN 050007 · Rates published

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You selected 45378 (HCPCS)

Diagnostic colonoscopy

This hospital’s price: $2,997 across 6 payers · range $1,350-$3,783

Source: https://edge.sitecorecloud.io/sutterhealt962c-sutterhealt8fce-production57cc-4860/media/Project/SutterHealth/SutterHealth/Files/billing-insurance/costs-and-charges/940562680-1043670334_mills-peninsula-medical-center_standardcharges.csv · observed 2026-04-01

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

9,978 distinct procedures filed
9 distinct payers
41,838 rate rows
2026-04-01 last MRF observed
Data quality

22,449 of 41,838 rate rows are consumer-grade (53.7%)

19,389 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 19,368
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 11
placeholder amount (≤ $0.02) — excluded from medians 10
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://edge.sitecorecloud.io/sutterhealt962c-sutterhealt8fce-production57cc-4860/media/Project/SutterHealth/SutterHealth/Files/billing-insurance/costs-and-charges/940562680-1043670334_mills-peninsula-medical-center_standardcharges.csv
Found on page https://www.sutterhealth.org/cms-hpt.txt
Discovered viaDiscovered by HANK (automated)
Last fetch success · 2026-09-23
Content fingerprint f39a84beac54aaed… · 18,532,238 bytes · first seen 2026-09-23

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
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 2 $591,726.20 $1,476,857.10 $1,034,291.65 nat. median
$621,313
1.7× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 2 $533,230.17 $1,340,483.41 $936,856.79 nat. median
$562,501
1.7× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 6 $468,106.69 $468,106.69 $468,106.69 nat. median
$168,055
outlier · 2.8×
215
MS_DRG 		Other Heart Assist System Implant 9 $108,266.84 $572,869.00 $441,110.00 nat. median
$73,023
outlier · 6.0×
22
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 9 $34,842.87 $421,727.00 $309,856.00 nat. median
$23,282
outlier · 13.3×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 9 $85,651.35 $421,727.00 $309,856.00 nat. median
$56,428
outlier · 5.5×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 9 $106,380.23 $418,096.00 $306,437.00 nat. median
$69,822
outlier · 4.4×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 6 $303,933.78 $303,933.78 $303,933.78 nat. median
$186,516
1.6× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 9 $71,642.58 $347,020.00 $279,861.00 nat. median
$47,458
outlier · 5.9×
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 9 $71,642.58 $326,115.00 $268,219.00 nat. median
$45,446
outlier · 5.9×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 9 $119,792.27 $357,388.00 $262,445.50 nat. median
$2,736
outlier · 95.9×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 9 $98,006.37 $357,388.00 $262,445.50 nat. median
$2,596
outlier · 101.1×
21
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 9 $57,763.76 $316,241.00 $257,637.00 nat. median
$38,173
outlier · 6.7×
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 9 $66,089.97 $320,729.00 $257,611.50 nat. median
$43,803
outlier · 5.9×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 9 $91,728.14 $316,576.00 $256,222.00 nat. median
$60,505
outlier · 4.2×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 9 $77,654.38 $330,743.00 $253,526.00 nat. median
$51,518
outlier · 4.9×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 6 $231,659.96 $231,659.96 $231,659.96 nat. median
$131,925
1.8× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 6 $150.00 $305,147.89 $230,302.95 nat. median
$145,435
1.6× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 9 $91,441.14 $312,613.00 $229,474.00 nat. median
$59,651
outlier · 3.8×
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 9 $65,012.37 $312,613.00 $229,474.00 nat. median
$42,674
outlier · 5.4×
458
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 9 $45,621.01 $312,613.00 $229,474.00 nat. median
$30,649
outlier · 7.5×
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 9 $65,250.46 $429,000.00 $222,279.00 nat. median
$44,036
outlier · 5.0×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 9 $83,588.21 $300,312.00 $220,603.50 nat. median
$55,923
outlier · 3.9×
234
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 9 $59,592.97 $283,168.00 $207,688.00 nat. median
$39,159
outlier · 5.3×
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 9 $65,483.48 $280,345.00 $206,705.00 nat. median
$43,533
outlier · 4.7×
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 9 $78,609.60 $263,064.00 $206,030.50 nat. median
$9,905
outlier · 20.8×
230
MS_DRG 		Other Cardiothoracic Procedures Without Cc/mcc 1 $169,905.00 $235,989.00 $202,947.00 nat. median
$2,024
outlier · 100.3×
24
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 9 $25,926.70 $257,477.00 $196,207.33 nat. median
$27,920
outlier · 7.0×
430
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 9 $62,889.66 $263,064.00 $194,488.00 nat. median
$2,596
outlier · 74.9×
277
MS_DRG 		Cardiac Defibrillator Implant Without Mcc 9 $50,450.17 $252,808.00 $192,774.00 nat. median
$33,459
outlier · 5.8×
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 1 $192,725.00 $192,725.00 $192,725.00 nat. median
$2,106
outlier · 91.5×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 9 $3,388.83 $283,168.00 $190,668.00 nat. median
$55,935
outlier · 3.4×
402
MS_DRG 		Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 9 $43,973.75 $263,064.00 $187,644.00 nat. median
$12,698
outlier · 14.8×
228
MS_DRG 		Other Cardiothoracic Procedures With Mcc 9 $54,012.20 $232,428.00 $185,896.50 nat. median
$35,725
outlier · 5.2×
209
MS_DRG 		Complex Aortic Arch Procedures 7 $123,015.31 $285,757.00 $184,855.00 nat. median
$2,110
outlier · 87.6×
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 9 $56,484.56 $261,044.00 $184,520.00 nat. median
$40,301
outlier · 4.6×
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 9 $72,793.82 $287,303.00 $179,689.50 nat. median
$2,958
outlier · 60.8×
229
MS_DRG 		Other Cardiothoracic Procedures Without Mcc 9 $34,540.71 $231,802.00 $178,865.96 nat. median
$22,934
outlier · 7.8×
428
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 9 $61,318.21 $242,062.00 $177,504.00 nat. median
$10,799
outlier · 16.4×
450
MS_DRG 		Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically… 9 $58,151.48 $273,285.00 $175,373.50 nat. median
$2,736
outlier · 64.1×
267
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 9 $39,499.79 $242,829.00 $160,980.00 nat. median
$34,616
outlier · 4.7×
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 9 $74,919.77 $213,184.00 $156,635.50 nat. median
$49,569
outlier · 3.2×
455
MS_DRG 		Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 1 $156,434.73 $156,434.73 $156,434.73 nat. median
$2,106
outlier · 74.3×
220
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 9 $58,186.14 $221,154.00 $156,286.50 nat. median
$38,832
outlier · 4.0×
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 9 $72,846.89 $219,665.00 $152,776.50 nat. median
$2,633
outlier · 58.0×
236
MS_DRG 		Coronary Bypass Without Cardiac Catheterization Without Mcc 9 $45,796.46 $197,249.00 $152,255.50 nat. median
$30,358
outlier · 5.0×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 6 $150,443.71 $150,443.71 $150,443.71 nat. median
$97,418
1.5× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 1 $146,326.57 $146,326.57 $146,326.57 nat. median
$92,809
1.6× median
J9029
HCPCS 		Inj, Adstiladrin, Per Tx Dos 2 $63,342.28 $145,441.90 $145,441.90 nat. median
$66,211
outlier · 2.2×
460
MS_DRG 		Spinal Fusion Except Cervical Without Mcc 1 $144,893.00 $144,893.00 $144,893.00 nat. median
$2,106
outlier · 68.8×

Other procedures at this hospital

Browse this hospital's 9,978 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
             
Q2042 HCPCS Tisagenlecleucel Car-pos T 2 2 — — $591,726.20 $1,476,857.10 $1,034,291.65 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 2 2 — — $533,230.17 $1,340,483.41 $936,856.79 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 6 6 — — $468,106.69 $468,106.69 $468,106.69 2026-04-01
215 MS_DRG Other Heart Assist System Implant 17 9 — — $108,266.84 $572,869.00 $441,110.00 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 16 9 — — $85,651.35 $421,727.00 $309,856.00 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 16 9 — — $34,842.87 $421,727.00 $309,856.00 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 17 9 — — $106,380.23 $418,096.00 $306,437.00 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 6 6 — — $303,933.78 $303,933.78 $303,933.78 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 9 — — $71,642.58 $347,020.00 $279,861.00 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 9 — — $71,642.58 $326,115.00 $268,219.00 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 16 9 — — $98,006.37 $357,388.00 $262,445.50 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 9 — — $119,792.27 $357,388.00 $262,445.50 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 16 9 — — $57,763.76 $316,241.00 $257,637.00 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 16 9 — — $66,089.97 $320,729.00 $257,611.50 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 16 9 — — $91,728.14 $316,576.00 $256,222.00 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 16 9 — — $77,654.38 $330,743.00 $253,526.00 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 6 6 — — $231,659.96 $231,659.96 $231,659.96 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 10 6 — — $150.00 $305,147.89 $230,302.95 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 16 9 — — $91,441.14 $312,613.00 $229,474.00 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 16 9 — — $65,012.37 $312,613.00 $229,474.00 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 16 9 — — $45,621.01 $312,613.00 $229,474.00 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 18 9 — — $65,250.46 $429,000.00 $222,279.00 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 18 9 — — $83,588.21 $300,312.00 $220,603.50 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 16 9 — — $59,592.97 $283,168.00 $207,688.00 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 16 9 — — $65,483.48 $280,345.00 $206,705.00 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 9 — — $78,609.60 $263,064.00 $206,030.50 2026-04-01
230 MS_DRG Other Cardiothoracic Procedures Without Cc/mcc 2 1 — — $169,905.00 $235,989.00 $202,947.00 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 18 9 — — $25,926.70 $257,477.00 $196,207.33 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 16 9 — — $62,889.66 $263,064.00 $194,488.00 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 16 9 — — $50,450.17 $252,808.00 $192,774.00 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 1 1 — — $192,725.00 $192,725.00 $192,725.00 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 20 9 — — $3,388.83 $283,168.00 $190,668.00 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 16 9 — — $43,973.75 $263,064.00 $187,644.00 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 16 9 — — $54,012.20 $232,428.00 $185,896.50 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 13 7 — — $123,015.31 $285,757.00 $184,855.00 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 20 9 — — $56,484.56 $261,044.00 $184,520.00 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 16 9 — — $72,793.82 $287,303.00 $179,689.50 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 18 9 — — $34,540.71 $231,802.00 $178,865.96 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 9 — — $61,318.21 $242,062.00 $177,504.00 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 16 9 — — $58,151.48 $273,285.00 $175,373.50 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 19 9 — — $39,499.79 $242,829.00 $160,980.00 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 16 9 — — $74,919.77 $213,184.00 $156,635.50 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 1 1 — — $156,434.73 $156,434.73 $156,434.73 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 16 9 — — $58,186.14 $221,154.00 $156,286.50 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 16 9 — — $72,846.89 $219,665.00 $152,776.50 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 16 9 — — $45,796.46 $197,249.00 $152,255.50 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 6 6 — — $150,443.71 $150,443.71 $150,443.71 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 1 1 — — $146,326.57 $146,326.57 $146,326.57 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 3 2 — — $63,342.28 $145,441.90 $145,441.90 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 1 1 — — $144,893.00 $144,893.00 $144,893.00 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 16 9 — — $55,017.24 $221,154.00 $142,489.00 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 14 8 — — $59,677.44 $210,500.00 $142,208.50 2026-04-01
7 MS_DRG Lung Transplant 6 6 — — $140,683.59 $140,683.59 $140,683.59 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 16 9 — — $65,501.89 $190,594.00 $140,040.50 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 18 9 — — $63,458.45 $207,134.00 $139,656.00 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 14 8 — — $42,248.51 $203,911.00 $137,756.00 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 17 9 — — $35,009.65 $166,687.00 $137,534.00 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 16 9 — — $46,359.63 $217,045.00 $137,255.00 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 4 3 — — $55,272.32 $162,691.22 $131,139.34 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 6 6 — — $130,586.66 $130,586.66 $130,586.66 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 16 9 — — $35,416.86 $168,567.00 $126,287.50 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 16 9 — — $60,246.03 $170,626.00 $125,294.00 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 17 9 — — $48,663.55 $173,817.00 $125,144.00 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 6 6 — — $123,156.11 $123,156.11 $123,156.11 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 2 2 — — $56,824.55 $189,311.16 $123,067.85 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 6 6 — — $118,199.15 $118,199.15 $118,199.15 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 19 9 — — $900.00 $168,499.00 $116,738.00 2026-04-01
J9226 HCPCS Supprelin La Implant 6 3 — — $45,020.65 $129,708.04 $113,470.54 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 15 8 — — $24,257.50 $181,752.00 $112,697.00 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 6 6 — — $112,095.29 $112,095.29 $112,095.29 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 20 9 — — $30,493.34 $157,539.00 $111,623.50 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 16 9 — — $29,239.35 $153,323.00 $109,477.00 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 20 9 — — $29,890.64 $157,146.00 $105,785.50 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 17 9 — — $1,082.00 $138,961.00 $101,756.00 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 12 8 — — $48,765.00 $208,452.00 $100,579.50 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 17 9 — — $48,955.61 $136,342.00 $100,401.00 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 16 9 — — $52,726.67 $124,929.00 $99,865.00 2026-04-01
32 MS_DRG Ventricular Shunt Procedures With Cc 16 9 — — $23,510.21 $124,405.00 $98,096.00 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 13 7 — — $37,671.70 $149,337.00 $96,570.00 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 15 8 — — $39,104.52 $132,043.00 $96,534.00 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 17 9 — — $45,407.10 $130,491.00 $95,741.00 2026-04-01
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 25 9 — — $19,149.27 $128,589.00 $95,279.00 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 6 6 — — $94,214.74 $94,214.74 $94,214.74 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 16 9 — — $56,806.38 $115,257.00 $92,897.50 2026-04-01
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 16 9 — — $23,509.13 $124,237.00 $91,301.00 2026-04-01
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 16 9 — — $24,243.41 $120,530.00 $91,189.00 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 13 7 — — $62,237.69 $138,465.00 $89,508.00 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 16 9 — — $34,104.25 $113,923.00 $87,932.00 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 16 9 — — $30,192.41 $106,866.00 $87,918.00 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 16 9 — — $38,946.40 $157,045.00 $87,647.00 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 16 9 — — $37,379.28 $140,395.00 $85,626.50 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 6 6 — — $82,955.73 $82,955.73 $82,955.73 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 16 9 — — $32,337.86 $109,487.00 $81,267.00 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 16 9 — — $33,281.16 $109,518.00 $80,563.00 2026-04-01
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 13 7 — — $26,578.39 $122,506.00 $79,289.00 2026-04-01
10 MS_DRG Pancreas Transplant 6 6 — — $78,144.99 $78,144.99 $78,144.99 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 6 6 — — $78,112.50 $78,112.50 $78,112.50 2026-04-01
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/Mcc 16 9 — — $20,006.67 $94,407.00 $77,833.50 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 6 6 — — $77,699.87 $77,699.87 $77,699.87 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 16 9 — — $27,754.54 $102,235.00 $77,108.50 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 19 9 — — $31,971.80 $105,280.00 $77,027.00 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 7 6 — — $75,286.92 $75,678.14 $75,286.92 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 17 9 — — $27,498.97 $124,339.00 $75,270.00 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 17 9 — — $35,336.42 $106,220.00 $74,740.00 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 16 9 — — $39,698.01 $100,037.00 $73,514.00 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 6 6 — — $73,329.91 $73,329.91 $73,329.91 2026-04-01
5213 OTHER Level 3 Electrophysiologic Procedures 11 7 — — $2,468.37 $197,501.11 $73,278.08 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 6 6 — — $71,383.74 $71,383.74 $71,383.74 2026-04-01
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 18 9 — — $22,863.99 $105,280.00 $70,880.00 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 16 9 — — $30,451.25 $95,597.00 $70,192.00 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 8 6 — — $70,119.86 $280,466.00 $70,119.86 2026-04-01
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 21 9 — — $20,772.77 $112,316.48 $69,052.00 2026-04-01
42 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/Mcc 16 9 — — $19,142.42 $85,019.00 $68,230.00 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 19 9 — — $42,695.94 $105,360.00 $68,143.00 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 19 9 — — $26,889.45 $105,458.00 $68,130.00 2026-04-01
2050 OTHER Cath Coronary Drug-delivery 1 1 — — $67,057.33 $67,057.33 $67,057.33 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 6 6 — — $66,725.70 $66,725.70 $66,725.70 2026-04-01
30 MS_DRG Spinal Procedures Without Cc/Mcc 16 9 — — $24,205.51 $90,559.00 $66,331.00 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 16 8 — — $31,840.75 $96,123.00 $64,936.50 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 6 6 — — $64,800.10 $64,800.10 $64,800.10 2026-04-01
58546 HCPCS Laparo-myomectomy Complex 6 5 — — $15,434.33 $72,146.00 $64,728.00 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 16 9 — — $40,195.12 $87,733.00 $64,669.50 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 6 6 — — $64,650.64 $64,650.64 $64,650.64 2026-04-01
5094 OTHER Level 4 Breast/Lymphatic Surgery And Related Procedures 3 3 — — $60,023.39 $121,110.94 $64,604.43 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 6 6 — — $63,947.77 $63,947.77 $63,947.77 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 22 9 — — $34,157.77 $92,830.00 $63,863.00 2026-04-01
38 MS_DRG Extracranial Procedures With Cc 16 9 — — $18,004.17 $75,844.00 $62,723.00 2026-04-01
55866 HCPCS Laparo Radical Prostatectomy 6 5 — — $15,434.33 $69,572.00 $62,602.50 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 14 8 — — $29,138.63 $92,596.00 $62,555.50 2026-04-01
50544 HCPCS Laparoscopy Pyeloplasty 6 5 — — $15,434.33 $68,899.00 $62,311.50 2026-04-01
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 18 9 — — $18,699.04 $92,573.00 $62,293.00 2026-04-01
131 MS_DRG Cranial/Facial Procedures W Cc/Mcc 2 1 — — $52,116.00 $72,388.00 $62,252.00 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 16 9 — — $26,870.80 $84,129.00 $62,193.50 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 10 6 — — $21,510.38 $233,527.00 $62,157.55 2026-04-01
259 MS_DRG Cardiac Pacemaker Device Replacement Without Mcc 16 9 — — $22,330.81 $84,508.00 $62,146.50 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 16 9 — — $34,460.56 $84,508.00 $62,146.50 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 6 6 — — $61,129.77 $61,129.77 $61,129.77 2026-04-01
J9266 HCPCS Pegaspargase Injection 6 3 — — $28,424.06 $62,262.23 $61,049.99 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 6 6 — — $60,713.89 $60,713.89 $60,713.89 2026-04-01
496 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 17 9 — — $19,967.68 $82,572.00 $59,969.00 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 6 6 — — $59,887.55 $59,887.55 $59,887.55 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 6 6 — — $59,499.83 $59,499.83 $59,499.83 2026-04-01
0764 OTHER Ketorolac Tromethamine Inj 1 1 — — $59,379.60 $59,379.60 $59,379.60 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 6 6 — — $59,263.73 $59,263.73 $59,263.73 2026-04-01
251 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc 16 9 — — $16,616.83 $77,723.00 $59,232.00 2026-04-01
5342 OTHER Level 2 Abdominal/Peritoneal/Biliary And Related Procedures 1 1 — — $58,665.10 $58,665.10 $58,665.10 2026-04-01
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/Mcc 14 8 — — $23,499.38 $86,472.00 $58,416.00 2026-04-01
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/Mcc 15 8 — — $23,615.27 $79,743.00 $58,299.00 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 16 8 — — $27,588.59 $86,238.00 $58,257.00 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 17 9 — — $40,906.66 $77,851.00 $57,127.00 2026-04-01
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 17 9 — — $22,093.63 $70,091.00 $57,127.00 2026-04-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 12 8 — — $26,480.92 $119,342.00 $56,863.96 2026-04-01
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 13 7 — — $26,663.95 $88,092.00 $56,749.00 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 6 6 — — $56,708.91 $56,708.91 $56,708.91 2026-04-01
254 MS_DRG Other Vascular Procedures Without Cc/Mcc 18 9 — — $16,927.42 $76,843.00 $56,441.00 2026-04-01
582 MS_DRG Mastectomy For Malignancy With Cc/Mcc 15 8 — — $21,296.54 $76,784.00 $56,136.00 2026-04-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 20 9 — — $17,938.71 $75,635.00 $54,597.50 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 7 6 — — $27,559.60 $54,445.41 $54,445.41 2026-04-01
262 MS_DRG Cardiac Pacemaker Revision Except Device Replacement Without Cc/Mcc 16 9 — — $18,083.23 $73,615.00 $54,114.00 2026-04-01
261 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Cc 16 9 — — $20,905.57 $73,615.00 $54,114.00 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 16 9 — — $35,659.46 $73,615.00 $54,114.00 2026-04-01
33 MS_DRG Ventricular Shunt Procedures Without Cc/Mcc 16 9 — — $18,440.63 $73,615.00 $54,114.00 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 15 8 — — $1,400.00 $80,988.00 $53,916.90 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 8 6 — — $33,337.57 $184,707.59 $53,733.87 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 6 6 — — $53,511.85 $53,511.85 $53,511.85 2026-04-01
58544 HCPCS Lsh W/t/o Uterus Above 250 G 6 5 — — $15,434.33 $59,137.00 $53,058.00 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 20 9 — — $13,914.56 $71,801.00 $52,696.00 2026-04-01
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 18 9 — — $18,751.45 $71,801.00 $52,696.00 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 6 6 — — $52,462.41 $52,462.41 $52,462.41 2026-04-01
49656 HCPCS Lap Inc Hernia Repair Recur 1 1 — — $52,171.00 $52,171.00 $52,171.00 2026-04-01
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/Mcc 17 9 — — $1,087.38 $70,792.00 $51,630.00 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 6 6 — — $51,347.99 $51,347.99 $51,347.99 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 7 6 — — $39,671.63 $51,244.02 $51,244.02 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 6 6 — — $51,092.40 $51,092.40 $51,092.40 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 6 6 — — $50,650.53 $50,650.53 $50,650.53 2026-04-01
165 MS_DRG Major Chest Procedures Without Cc/Mcc 17 9 — — $21,162.24 $65,483.00 $50,643.00 2026-04-01
5212 OTHER Level 2 Electrophysiologic Procedures 1 1 — — $50,427.42 $50,427.42 $50,427.42 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 9 6 — — $36,138.30 $68,555.57 $50,211.91 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 6 6 — — $50,085.20 $50,085.20 $50,085.20 2026-04-01
245 MS_DRG Aicd Generator Procedures 6 6 — — $49,842.60 $49,842.60 $49,842.60 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 16 9 — — $33,103.55 $67,767.00 $49,750.00 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 7 6 — — $9,638.00 $49,694.23 $49,694.23 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 6 6 — — $49,479.79 $49,479.79 $49,479.79 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 2 2 — — $24,228.42 $74,101.05 $49,164.74 2026-04-01
23615 HCPCS Treat Humerus Fracture 5 4 — — $18,641.54 $55,255.00 $48,763.00 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 6 6 — — $48,005.81 $48,005.81 $48,005.81 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 8 6 — — $46,337.77 $50,319.17 $47,297.52 2026-04-01
5092 OTHER Level 2 Breast/Lymphatic Surgery And Related Procedures 7 6 — — $1,361.77 $101,451.69 $47,119.41 2026-04-01
737 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 14 8 — — $22,747.77 $69,678.00 $47,073.50 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 10 6 — — $21,575.91 $139,655.00 $46,923.88 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 6 6 — — $46,624.97 $46,624.97 $46,624.97 2026-04-01
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/Mcc 14 8 — — $24,661.46 $68,693.00 $46,404.50 2026-04-01
499 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Without… 16 9 — — $22,251.75 $59,368.00 $46,370.00 2026-04-01
504 MS_DRG Foot Procedures With Cc 16 9 — — $20,674.89 $62,724.00 $46,230.00 2026-04-01
503 MS_DRG Foot Procedures With Mcc 16 9 — — $30,659.19 $62,724.00 $46,230.00 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 6 6 — — $46,091.04 $46,091.04 $46,091.04 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 6 6 — — $46,068.30 $46,068.30 $46,068.30 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 10 6 — — $10,363.90 $96,239.00 $45,935.09 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 6 6 — — $45,880.94 $45,880.94 $45,880.94 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 7 6 — — $10,839.88 $45,588.52 $45,588.52 2026-04-01
0915T OTHER Insj Perm Ccm-d Sys Pg&eltrd 1 1 — — $45,576.08 $45,576.08 $45,576.08 2026-04-01
0408T OTHER Insj/rplc Cardiac Modulj Sys 1 1 — — $45,576.08 $45,576.08 $45,576.08 2026-04-01
33270 HCPCS Hchg Ins/rep Subq Defibrillator 1 1 — — $45,576.08 $45,576.08 $45,576.08 2026-04-01
33249 HCPCS Hchg Insrt/rplc Perm Imp Defib W Tv Leads Sngl/dual 1 1 — — $45,576.08 $45,576.08 $45,576.08 2026-04-01
33231 HCPCS Hchg Insrt Imp Defib Pulse Gen Only W Multi Leads 1 1 — — $45,576.08 $45,576.08 $45,576.08 2026-04-01
33264 HCPCS Hchg Remove Replace Imp Defib Puls Gen Sys Mult Lead 1 1 — — $45,576.08 $45,576.08 $45,576.08 2026-04-01
0571T OTHER Insj/rplcmt Icds Ss Eltrd 1 1 — — $45,576.08 $45,576.08 $45,576.08 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 12 8 — — $31,860.25 $81,042.00 $45,554.62 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 7 6 — — $19,276.00 $45,408.74 $45,408.74 2026-04-01
506 MS_DRG Major Thumb Or Joint Procedures 16 9 — — $15,043.22 $56,459.00 $44,535.00 2026-04-01
791 MS_DRG Prematurity With Major Problems 8 7 — — $44,390.71 $160,544.00 $44,390.71 2026-04-01
507 MS_DRG Major Shoulder Or Elbow Joint Procedures With Cc/Mcc 16 9 — — $19,994.75 $60,104.00 $44,201.50 2026-04-01
508 MS_DRG Major Shoulder Or Elbow Joint Procedures Without Cc/Mcc 16 9 — — $16,832.35 $60,104.00 $44,201.50 2026-04-01
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 17 8 — — $17,869.48 $60,099.00 $43,938.00 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 6 6 — — $43,579.53 $43,579.53 $43,579.53 2026-04-01
397 MS_DRG Appendix Procedures With Mcc 17 9 — — $26,368.29 $75,742.00 $42,712.00 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 6 6 — — $42,605.91 $42,605.91 $42,605.91 2026-04-01
287 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization Without Mcc 19 9 — — $9,905.24 $57,681.00 $42,508.00 2026-04-01
581 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/Mcc 14 8 — — $16,060.17 $61,975.00 $42,461.00 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 6 6 — — $42,351.40 $42,351.40 $42,351.40 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 10 6 — — $33,558.33 $53,108.00 $42,288.58 2026-04-01
398 MS_DRG Appendix Procedures With Cc 17 9 — — $10,511.02 $57,681.00 $42,274.00 2026-04-01
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 14 8 — — $19,145.67 $68,830.00 $42,263.00 2026-04-01
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/Mcc 14 8 — — $24,469.76 $62,248.00 $42,053.50 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 8 6 — — $17,697.37 $43,588.36 $42,011.33 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 17 9 — — $25,796.35 $57,075.00 $41,773.00 2026-04-01
505 MS_DRG Foot Procedures Without Cc/Mcc 16 9 — — $19,847.46 $50,945.00 $41,745.00 2026-04-01
29916 HCPCS Hip Arthro W/labral Repair 5 4 — — $10,535.90 $48,425.00 $41,728.00 2026-04-01
27447 HCPCS Total Knee Arthroplasty 2 2 — — $18,641.54 $64,740.00 $41,690.77 2026-04-01
585 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/Mcc 15 8 — — $21,323.61 $67,870.00 $41,689.00 2026-04-01
132 MS_DRG Cranial/Facial Procedures Without Cc/Mcc 7 4 — — $28,177.00 $54,032.00 $41,607.00 2026-04-01
58573 HCPCS Tlh W/t/o Uterus Over 250 G 6 5 — — $15,434.33 $47,427.00 $41,592.50 2026-04-01
740 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Cc 14 8 — — $20,029.41 $61,319.00 $41,427.00 2026-04-01
27427 HCPCS Reconstruction Knee 6 5 — — $10,535.90 $45,428.00 $41,402.50 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 7 6 — — $41,184.99 $41,910.94 $41,184.99 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 8 6 — — $41,007.38 $110,321.00 $41,007.38 2026-04-01
27130 HCPCS Total Hip Arthroplasty 2 2 — — $18,641.54 $63,249.00 $40,945.27 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 6 6 — — $40,910.99 $40,910.99 $40,910.99 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 10 6 — — $23,358.61 $117,515.00 $40,792.94 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 6 6 — — $40,565.51 $40,565.51 $40,565.51 2026-04-01
583 MS_DRG Mastectomy For Malignancy Without Cc/Mcc 14 8 — — $19,106.68 $59,804.00 $40,227.50 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 6 6 — — $40,211.36 $40,211.36 $40,211.36 2026-04-01
27814 HCPCS Treatment Of Ankle Fracture 6 5 — — $10,535.90 $44,925.00 $39,795.50 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 14 8 — — $35,504.59 $58,823.00 $39,740.00 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 6 6 — — $39,728.34 $39,728.34 $39,728.34 2026-04-01
332 MS_DRG Rectal Resection With Mcc 6 6 — — $39,643.86 $39,643.86 $39,643.86 2026-04-01
265 MS_DRG Aicd Lead Procedures 6 6 — — $39,616.79 $39,616.79 $39,616.79 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 8 6 — — $39,547.48 $194,967.00 $39,547.48 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 6 6 — — $39,488.99 $39,488.99 $39,488.99 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 6 6 — — $39,233.40 $39,233.40 $39,233.40 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 6 6 — — $39,143.51 $39,143.51 $39,143.51 2026-04-01
39 MS_DRG Extracranial Procedures Without Cc/Mcc 17 9 — — $10,335.47 $53,667.00 $39,088.00 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 8 6 — — $39,047.12 $128,580.00 $39,047.12 2026-04-01
5165 OTHER Level 5 ENT Procedures 5 3 — — $8,522.64 $54,139.61 $39,034.89 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 8 6 — — $39,014.63 $115,883.00 $39,014.63 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 8 6 — — $38,977.81 $115,456.00 $38,977.81 2026-04-01
57425 HCPCS Laparoscopy Surg Colpopexy 6 5 — — $15,434.33 $43,300.00 $38,848.50 2026-04-01
5116 OTHER Level 6 Musculoskeletal Procedures 4 3 — — $26,702.93 $85,373.90 $38,756.30 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 8 6 — — $38,546.77 $124,641.00 $38,546.77 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 16 9 — — $30,866.00 $67,282.00 $38,250.81 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 6 6 — — $38,200.21 $38,200.21 $38,200.21 2026-04-01
58571 HCPCS Tlh W/t/o 250 G Or Less 6 5 — — $15,434.33 $44,246.00 $38,147.50 2026-04-01
716 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy Without Cc/Mcc 14 8 — — $16,362.33 $56,355.00 $38,071.50 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 7 6 — — $37,237.97 $38,026.93 $38,026.93 2026-04-01
93653 HCPCS Ep & Ablate Supravent Arrhyt 1 1 — — $37,951.71 $37,951.71 $37,951.71 2026-04-01
93654 HCPCS Ep & Ablate Ventric Tachy 1 1 — — $37,951.71 $37,951.71 $37,951.71 2026-04-01
93656 HCPCS Hchg Ca Compre Ep Eval Abltj Atr Fib 1 1 — — $37,951.71 $37,951.71 $37,951.71 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 8 6 — — $37,844.98 $97,527.00 $37,844.98 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 7 6 — — $37,561.23 $38,366.00 $37,561.23 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 6 6 — — $37,330.55 $37,330.55 $37,330.55 2026-04-01
520 MS_DRG Back And Neck Procedures Except Spinal Fusion Without Cc/Mcc 17 9 — — $16,296.90 $50,825.00 $37,260.00 2026-04-01
27524 HCPCS Treat Kneecap Fracture 6 5 — — $10,535.90 $41,400.00 $37,143.50 2026-04-01
28297 HCPCS Correction Hallux Valgus 5 4 — — $18,641.54 $41,948.00 $37,020.00 2026-04-01
497 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 16 9 — — $13,517.25 $50,220.00 $37,004.50 2026-04-01
63042 HCPCS Laminotomy Single Lumbar 6 5 — — $10,535.90 $41,121.00 $36,894.00 2026-04-01
27829 HCPCS Treat Lower Leg Joint 6 5 — — $10,535.90 $41,626.00 $36,870.50 2026-04-01
23515 HCPCS Treat Clavicle Fracture 5 4 — — $10,535.90 $41,716.00 $36,813.00 2026-04-01
578 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis Without Cc/Mcc 14 8 — — $17,828.73 $54,208.00 $36,620.00 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 10 6 — — $33,265.76 $103,916.00 $36,610.34 2026-04-01
501 MS_DRG Soft Tissue Procedures With Cc 14 8 — — $19,363.36 $54,064.00 $36,522.00 2026-04-01
27380 HCPCS Repair Of Kneecap Tendon 6 5 — — $10,535.90 $41,185.00 $36,479.50 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 6 6 — — $36,206.38 $36,206.38 $36,206.38 2026-04-01
5194 OTHER Level 4 Endovascular Procedures 2 2 — — $2,070.41 $70,289.08 $36,179.74 2026-04-01
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/Mcc 19 9 — — $14,925.85 $49,914.00 $35,893.00 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 6 6 — — $35,465.60 $35,465.60 $35,465.60 2026-04-01
652 MS_DRG Kidney Transplant 6 6 — — $35,407.12 $35,407.12 $35,407.12 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 8 6 — — $35,381.12 $108,899.00 $35,381.12 2026-04-01
336 MS_DRG Peritoneal Adhesiolysis With Cc 16 8 — — $16,080.55 $76,530.00 $35,361.35 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 6 6 — — $35,312.89 $35,312.89 $35,312.89 2026-04-01
744 MS_DRG D&c, Conization, Laparoscopy And Tubal Interruption With Cc/Mcc 14 8 — — $22,623.23 $52,147.00 $35,229.00 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 6 6 — — $35,200.26 $35,200.26 $35,200.26 2026-04-01
334 MS_DRG Rectal Resection Without Cc/Mcc 16 9 — — $18,169.88 $50,039.00 $35,169.00 2026-04-01
59151 HCPCS Treat Ectopic Pregnancy 6 5 — — $8,778.00 $38,681.00 $34,950.00 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 8 6 — — $34,945.75 $100,309.00 $34,945.75 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 8 6 — — $34,912.18 $168,202.00 $34,912.18 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 6 6 — — $34,706.41 $34,706.41 $34,706.41 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 6 6 — — $34,654.42 $34,654.42 $34,654.42 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 9 6 — — $18,699.04 $34,952.23 $34,556.95 2026-04-01
665 MS_DRG Prostatectomy With Mcc 6 6 — — $34,234.21 $34,234.21 $34,234.21 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 8 6 — — $34,163.82 $88,154.00 $34,163.82 2026-04-01
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