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

CALIFORNIA PACIFIC MEDICAL CTR-DAVIES CAMPUS HOSP

San Francisco, CA · CCN 050008 · Rates published

Your selected procedure

You selected 27447 (HCPCS)

Total knee arthroplasty

This hospital’s price: $41,650 across 2 payers · range $18,560-$64,740

Source: https://edge.sitecorecloud.io/sutterhealt962c-sutterhealt8fce-production57cc-4860/media/Project/SutterHealth/SutterHealth/Files/billing-insurance/costs-and-charges/940562680-1659439834_california-pacific-medical-center-davies-campus_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.

9,656 distinct procedures filed
9 distinct payers
84,010 rate rows
2026-04-01 last MRF observed
Data quality

43,388 of 84,010 rate rows are consumer-grade (51.6%)

40,622 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 40,560
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 32
placeholder amount (≤ $0.02) — excluded from medians 30
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/940562680-1659439834_california-pacific-medical-center-davies-campus_standardcharges.csv
Found on page https://www.sutterhealth.org/cms-hpt.txt
Discovered viaDiscovered by HANK (automated)
Last fetch not_modified · 2026-08-01
Content fingerprint aca607a07f6a4b74… · 18,701,330 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
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 2 $591,726.20 $1,476,857.10 $1,034,291.65 nat. median
$691,418
1.5× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 2 $533,230.17 $1,340,483.41 $936,856.79 nat. median
$588,565
1.6× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 5 $482,625.57 $482,625.57 $482,625.57 nat. median
$370,165
1.3× median
215
MS_DRG 		Other Heart Assist System Implant 8 $111,888.95 $572,437.00 $441,110.00 nat. median
$98,002
outlier · 4.5×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 8 $88,588.62 $421,727.00 $317,340.00 nat. median
$77,385
outlier · 4.1×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 5 $313,481.13 $313,481.13 $313,481.13 nat. median
$261,939
1.2× median
22
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 8 $36,241.53 $421,727.00 $309,113.00 nat. median
$34,270
outlier · 9.0×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 8 $109,945.21 $418,096.00 $306,437.00 nat. median
$92,900
outlier · 3.3×
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 8 $74,155.62 $347,020.00 $283,582.00 nat. median
$63,840
outlier · 4.4×
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 8 $74,155.62 $326,115.00 $269,459.00 nat. median
$60,895
outlier · 4.4×
21
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 8 $59,856.52 $316,241.00 $262,177.00 nat. median
$54,267
outlier · 4.8×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 8 $101,317.77 $357,388.00 $261,827.00 nat. median
$81,124
outlier · 3.2×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 8 $123,763.39 $357,388.00 $261,827.00 nat. median
$96,835
outlier · 2.7×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 8 $94,849.42 $316,576.00 $260,227.00 nat. median
$79,040
outlier · 3.3×
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 8 $68,434.87 $320,729.00 $260,227.00 nat. median
$59,257
outlier · 4.4×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 8 $80,349.48 $330,743.00 $243,321.00 nat. median
$68,581
outlier · 3.5×
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 8 $69,169.07 $429,000.00 $241,650.00 nat. median
$60,162
outlier · 4.0×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 5 $239,018.70 $239,018.70 $239,018.70 nat. median
$205,166
1.2× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 5 $237,620.59 $237,620.59 $237,620.59 nat. median
$199,832
1.2× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 8 $94,553.73 $312,613.00 $228,907.00 nat. median
$80,459
outlier · 2.8×
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 8 $67,324.63 $312,613.00 $228,907.00 nat. median
$57,394
outlier · 4.0×
458
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 8 $47,346.07 $312,613.00 $228,907.00 nat. median
$42,100
outlier · 5.4×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 8 $86,463.00 $300,312.00 $220,053.00 nat. median
$74,472
outlier · 3.0×
209
MS_DRG 		Complex Aortic Arch Procedures 6 $127,084.04 $285,542.01 $220,032.00 nat. median
$96,134
outlier · 2.3×
230
MS_DRG 		Other Cardiothoracic Procedures Without Cc/mcc 1 $178,847.00 $235,989.00 $207,418.00 nat. median
$27,929
outlier · 7.4×
234
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 8 $61,741.12 $283,168.00 $207,185.00 nat. median
$53,013
outlier · 3.9×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 8 $86,093.67 $283,168.00 $207,185.00 nat. median
$73,475
outlier · 2.8×
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 8 $81,333.62 $248,038.00 $206,945.00 nat. median
$66,640
outlier · 3.1×
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 8 $67,810.01 $280,345.00 $205,686.00 nat. median
$58,419
outlier · 3.5×
277
MS_DRG 		Cardiac Defibrillator Implant Without Mcc 8 $52,321.46 $281,441.00 $203,065.00 nat. median
$45,772
outlier · 4.4×
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 8 $64,727.03 $260,849.00 $201,006.00 nat. median
$55,685
outlier · 3.6×
430
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 8 $65,137.65 $242,289.00 $194,107.00 nat. median
$53,268
outlier · 3.6×
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 1 $192,725.00 $192,725.00 $192,725.00 nat. median
$62,767
outlier · 3.1×
24
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 8 $43,471.38 $257,283.00 $192,136.00 nat. median
$38,059
outlier · 5.0×
229
MS_DRG 		Other Cardiothoracic Procedures Without Mcc 8 $35,930.22 $231,802.00 $187,252.00 nat. median
$32,689
outlier · 5.7×
228
MS_DRG 		Other Cardiothoracic Procedures With Mcc 8 $55,991.36 $232,428.00 $187,252.00 nat. median
$50,071
outlier · 3.7×
402
MS_DRG 		Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 8 $45,648.92 $242,289.00 $187,215.00 nat. median
$38,854
outlier · 4.8×
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 8 $75,341.73 $287,303.00 $182,680.00 nat. median
$62,262
outlier · 2.9×
267
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 8 $53,909.26 $239,033.00 $182,394.00 nat. median
$47,266
outlier · 3.9×
428
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 8 $63,518.61 $222,938.00 $181,268.00 nat. median
$53,080
outlier · 3.4×
450
MS_DRG 		Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically… 8 $60,255.98 $273,285.00 $176,915.00 nat. median
$50,178
outlier · 3.5×
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 8 $75,396.40 $219,500.00 $163,332.00 nat. median
$59,832
outlier · 2.7×
405
MS_DRG 		Pancreas, Liver And Shunt Procedures With Mcc 7 $61,828.16 $210,500.00 $159,242.50 nat. median
$52,517
outlier · 3.0×
319
MS_DRG 		Other Endovascular Cardiac Valve Procedures With Mcc 7 $50,585.26 $208,452.00 $157,691.50 nat. median
$43,221
outlier · 3.6×
220
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 8 $60,291.69 $203,642.00 $156,987.00 nat. median
$52,372
outlier · 3.0×
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 8 $77,532.06 $213,184.00 $156,226.00 nat. median
$65,792
outlier · 2.4×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 5 $155,343.03 $155,343.03 $155,343.03 nat. median
$132,706
1.2× median
40
MS_DRG 		Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 7 $43,871.44 $203,911.00 $154,257.50 nat. median
$37,498
outlier · 4.1×
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 8 $66,270.19 $207,134.00 $151,882.00 nat. median
$57,082
outlier · 2.7×
236
MS_DRG 		Coronary Bypass Without Cardiac Catheterization Without Mcc 8 $47,526.83 $197,101.00 $151,882.00 nat. median
$41,718
outlier · 3.6×

Other procedures at this hospital

Browse this hospital's 9,656 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 4 2 — — $591,726.20 $1,476,857.10 $1,034,291.65 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 4 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 10 5 — — $482,625.57 $482,625.57 $482,625.57 2026-04-01
215 MS_DRG Other Heart Assist System Implant 30 8 — — $111,888.95 $572,437.00 $441,110.00 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 32 8 — — $88,588.62 $421,727.00 $317,340.00 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 10 5 — — $313,481.13 $313,481.13 $313,481.13 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 30 8 — — $36,241.53 $421,727.00 $309,113.00 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 30 8 — — $109,945.21 $418,096.00 $306,437.00 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 30 8 — — $74,155.62 $347,020.00 $283,582.00 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 30 8 — — $74,155.62 $326,115.00 $269,459.00 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 30 8 — — $59,856.52 $316,241.00 $262,177.00 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 30 8 — — $101,317.77 $357,388.00 $261,827.00 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 30 8 — — $123,763.39 $357,388.00 $261,827.00 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 30 8 — — $68,434.87 $320,729.00 $260,227.00 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 30 8 — — $94,849.42 $316,576.00 $260,227.00 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 30 8 — — $80,349.48 $330,743.00 $243,321.00 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 30 8 — — $69,169.07 $429,000.00 $241,650.00 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 10 5 — — $239,018.70 $239,018.70 $239,018.70 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 10 5 — — $237,620.59 $237,620.59 $237,620.59 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 30 8 — — $94,553.73 $312,613.00 $228,907.00 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 30 8 — — $67,324.63 $312,613.00 $228,907.00 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 30 8 — — $47,346.07 $312,613.00 $228,907.00 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 30 8 — — $86,463.00 $300,312.00 $220,053.00 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 26 6 — — $127,084.04 $285,542.01 $220,032.00 2026-04-01
230 MS_DRG Other Cardiothoracic Procedures Without Cc/mcc 4 1 — — $178,847.00 $235,989.00 $207,418.00 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 30 8 — — $61,741.12 $283,168.00 $207,185.00 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 30 8 — — $86,093.67 $283,168.00 $207,185.00 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 30 8 — — $81,333.62 $248,038.00 $206,945.00 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 30 8 — — $67,810.01 $280,345.00 $205,686.00 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 30 8 — — $52,321.46 $281,441.00 $203,065.00 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 34 8 — — $64,727.03 $260,849.00 $201,006.00 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 30 8 — — $65,137.65 $242,289.00 $194,107.00 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 2 1 — — $192,725.00 $192,725.00 $192,725.00 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 32 8 — — $43,471.38 $257,283.00 $192,136.00 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 30 8 — — $35,930.22 $231,802.00 $187,252.00 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 30 8 — — $55,991.36 $232,428.00 $187,252.00 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 30 8 — — $45,648.92 $242,289.00 $187,215.00 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 30 8 — — $75,341.73 $287,303.00 $182,680.00 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 30 8 — — $53,909.26 $239,033.00 $182,394.00 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 30 8 — — $63,518.61 $222,938.00 $181,268.00 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 30 8 — — $60,255.98 $273,285.00 $176,915.00 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 30 8 — — $75,396.40 $219,500.00 $163,332.00 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 28 7 — — $61,828.16 $210,500.00 $159,242.50 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 24 7 — — $50,585.26 $208,452.00 $157,691.50 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 30 8 — — $60,291.69 $203,642.00 $156,987.00 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 30 8 — — $77,532.06 $213,184.00 $156,226.00 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 10 5 — — $155,343.03 $155,343.03 $155,343.03 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 28 7 — — $43,871.44 $203,911.00 $154,257.50 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 30 8 — — $66,270.19 $207,134.00 $151,882.00 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 30 8 — — $47,526.83 $197,101.00 $151,882.00 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 2 1 — — $146,326.57 $146,326.57 $146,326.57 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 8 2 — — $63,342.28 $145,441.90 $145,441.90 2026-04-01
7 MS_DRG Lung Transplant 10 5 — — $145,287.36 $145,287.36 $145,287.36 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 2 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… 30 8 — — $57,026.83 $203,642.00 $143,127.00 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 30 8 — — $67,828.98 $190,594.00 $139,686.00 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 34 8 — — $51,520.31 $459,287.34 $139,312.00 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 30 8 — — $59,661.26 $168,499.00 $138,594.00 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 28 7 — — $50,796.15 $181,752.00 $137,494.00 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 30 8 — — $48,107.05 $206,516.00 $137,260.00 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 10 5 — — $134,884.67 $134,884.67 $134,884.67 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 10 3 — — $55,272.32 $162,691.22 $131,139.34 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 10 5 — — $127,229.10 $127,229.10 $127,229.10 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 30 8 — — $36,413.36 $166,687.00 $126,635.00 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 30 8 — — $62,413.96 $170,626.00 $124,983.00 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 4 2 — — $56,824.55 $189,311.16 $123,067.85 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 30 8 — — $36,832.91 $168,567.00 $122,400.00 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 10 5 — — $122,122.04 $122,122.04 $122,122.04 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 30 8 — — $39,710.58 $157,419.00 $121,304.00 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 10 5 — — $115,833.34 $115,833.34 $115,833.34 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 30 8 — — $31,146.74 $157,146.00 $115,001.00 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 26 6 — — $39,156.02 $149,225.16 $114,990.00 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 2 1 — — $108,243.35 $108,243.35 $108,243.35 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 26 6 — — $64,465.93 $138,362.23 $106,618.00 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 32 8 — — $29,597.94 $153,323.00 $105,881.50 2026-04-01
J9226 HCPCS Supprelin La Implant 14 3 — — $45,020.65 $129,708.04 $103,987.69 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 30 8 — — $40,137.94 $138,961.00 $101,756.00 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 30 8 — — $54,666.89 $124,929.00 $100,815.00 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 28 7 — — $40,632.24 $132,043.00 $99,889.50 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 10 5 — — $97,411.32 $97,411.32 $97,411.32 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 32 8 — — $48,533.54 $136,342.00 $96,195.00 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 30 8 — — $47,910.67 $130,491.00 $95,741.00 2026-04-01
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 30 8 — — $20,459.52 $128,589.00 $94,339.00 2026-04-01
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 26 6 — — $27,726.79 $122,414.23 $94,330.00 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 30 8 — — $58,870.15 $115,257.00 $94,167.00 2026-04-01
32 MS_DRG Ventricular Shunt Procedures With Cc 34 8 — — $24,114.43 $124,311.00 $92,471.00 2026-04-01
5115 OTHER Level 5 Musculoskeletal Procedures 6 3 — — $76,327.44 $235,710.31 $91,678.35 2026-04-01
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 30 8 — — $24,564.58 $124,237.00 $91,061.00 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 30 8 — — $40,469.33 $138,594.00 $90,953.00 2026-04-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 24 7 — — $27,626.37 $119,342.00 $90,280.50 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 30 8 — — $31,450.24 $106,866.00 $88,323.00 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 30 8 — — $35,480.55 $113,837.00 $87,721.00 2026-04-01
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 32 8 — — $25,321.10 $111,025.00 $86,226.50 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 30 8 — — $38,854.76 $129,264.00 $86,015.00 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 10 5 — — $85,811.37 $85,811.37 $85,811.37 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 30 8 — — $37,521.36 $106,141.00 $81,789.00 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 30 8 — — $29,749.75 $105,379.00 $81,202.00 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 30 8 — — $33,660.66 $100,815.00 $81,134.00 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 30 8 — — $46,820.52 $105,281.00 $81,128.00 2026-04-01
5094 OTHER Level 4 Breast/Lymphatic Surgery And Related Procedures 10 4 — — $27,396.07 $211,425.44 $81,000.00 2026-04-01
10 MS_DRG Pancreas Transplant 10 5 — — $80,854.94 $80,854.94 $80,854.94 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 10 5 — — $80,821.47 $80,821.47 $80,821.47 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 30 8 — — $29,274.42 $124,247.00 $80,478.00 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 10 5 — — $80,396.34 $80,396.34 $80,396.34 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 30 8 — — $34,632.53 $109,518.00 $80,367.00 2026-04-01
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/Mcc 30 8 — — $20,956.06 $94,407.00 $78,175.00 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 12 6 — — $40,611.03 $77,910.32 $77,910.32 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 30 8 — — $28,938.56 $102,235.00 $77,391.00 2026-04-01
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 30 8 — — $24,158.43 $105,280.00 $77,027.00 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 30 8 — — $33,283.52 $105,280.00 $77,027.00 2026-04-01
5378 OTHER Level 8 Urology And Related Services 4 2 — — $75,671.78 $76,526.23 $76,099.01 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 10 5 — — $75,894.05 $75,894.05 $75,894.05 2026-04-01
5661 OTHER Therapeutic Nuclear Medicine 4 2 — — $47,401.93 $102,397.60 $74,899.76 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 10 5 — — $73,888.94 $73,888.94 $73,888.94 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 30 8 — — $41,243.70 $100,037.00 $73,353.00 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 28 7 — — $33,148.51 $96,123.00 $72,716.00 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 18 5 — — $15,954.00 $280,748.00 $72,586.79 2026-04-01
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 32 8 — — $21,913.16 $95,390.00 $71,713.50 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 30 8 — — $37,516.90 $92,759.00 $71,479.00 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 30 8 — — $31,716.92 $95,597.00 $70,010.00 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 10 5 — — $69,089.85 $69,089.85 $69,089.85 2026-04-01
L8702 HCPCS Pow Ue Rom Dev Ewhf Uprt Cus 2 1 — — $68,801.71 $68,801.71 $68,801.71 2026-04-01
496 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 30 8 — — $20,915.89 $82,572.00 $67,876.00 2026-04-01
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 30 8 — — $25,140.34 $92,573.00 $67,837.00 2026-04-01
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 26 6 — — $27,814.94 $88,026.82 $67,830.00 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 30 7 — — $30,364.56 $92,596.00 $67,694.00 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 10 5 — — $67,105.94 $67,105.94 $67,105.94 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 10 5 — — $66,951.95 $66,951.95 $66,951.95 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 10 5 — — $66,227.79 $66,227.79 $66,227.79 2026-04-01
30 MS_DRG Spinal Procedures Without Cc/Mcc 30 8 — — $25,282.05 $90,559.00 $66,167.00 2026-04-01
58546 HCPCS Laparo-myomectomy Complex 14 5 — — $15,367.22 $72,146.00 $65,788.00 2026-04-01
42 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/Mcc 30 8 — — $20,065.64 $84,955.00 $65,465.00 2026-04-01
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/Mcc 28 7 — — $24,554.54 $86,472.00 $65,414.00 2026-04-01
50544 HCPCS Laparoscopy Pyeloplasty 14 5 — — $15,367.22 $68,899.00 $65,254.00 2026-04-01
55866 HCPCS Laparo Radical Prostatectomy 14 5 — — $15,367.22 $69,572.00 $65,254.00 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 28 7 — — $28,950.83 $86,238.00 $65,238.50 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 30 8 — — $41,755.86 $87,733.00 $64,496.00 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 16 5 — — $64,383.36 $233,762.00 $64,383.36 2026-04-01
131 MS_DRG Cranial/Facial Procedures W Cc/Mcc 4 1 — — $54,860.00 $72,388.00 $63,624.00 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 10 5 — — $63,324.46 $63,324.46 $63,324.46 2026-04-01
38 MS_DRG Extracranial Procedures With Cc 30 8 — — $18,892.92 $75,844.00 $63,003.00 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 10 5 — — $62,895.99 $62,895.99 $62,895.99 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 30 8 — — $28,028.06 $84,129.00 $62,084.00 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 10 5 — — $62,044.62 $62,044.62 $62,044.62 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 30 8 — — $35,847.65 $84,508.00 $61,987.00 2026-04-01
259 MS_DRG Cardiac Pacemaker Device Replacement Without Mcc 30 8 — — $23,350.58 $84,508.00 $61,987.00 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 10 5 — — $61,645.16 $61,645.16 $61,645.16 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 10 5 — — $61,401.92 $61,401.92 $61,401.92 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 24 7 — — $33,168.59 $81,042.00 $61,308.50 2026-04-01
J9266 HCPCS Pegaspargase Injection 14 3 — — $28,424.06 $62,262.23 $61,062.67 2026-04-01
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/Mcc 28 7 — — $24,673.93 $79,743.00 $60,324.50 2026-04-01
251 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc 30 8 — — $17,463.57 $77,723.00 $59,205.00 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 10 5 — — $58,769.72 $58,769.72 $58,769.72 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 28 7 — — $16,851.81 $116,934.00 $58,519.39 2026-04-01
62 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 24 7 — — $20,394.80 $76,994.00 $58,245.00 2026-04-01
582 MS_DRG Mastectomy For Malignancy With Cc/Mcc 28 7 — — $22,284.99 $76,784.00 $58,086.50 2026-04-01
336 MS_DRG Peritoneal Adhesiolysis With Cc 28 7 — — $24,316.87 $76,530.00 $57,894.00 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 30 8 — — $42,488.95 $77,851.00 $56,810.00 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 10 5 — — $56,437.68 $56,437.68 $56,437.68 2026-04-01
254 MS_DRG Other Vascular Procedures Without Cc/Mcc 30 8 — — $20,668.18 $76,843.00 $56,308.00 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 12 5 — — $43,313.00 $55,893.17 $55,893.17 2026-04-01
33 MS_DRG Ventricular Shunt Procedures Without Cc/Mcc 32 8 — — $19,342.60 $73,615.00 $55,849.50 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 10 5 — — $55,704.60 $55,704.60 $55,704.60 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 10 5 — — $55,475.85 $55,475.85 $55,475.85 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 10 5 — — $54,394.63 $54,394.63 $54,394.63 2026-04-01
5377 OTHER Level 7 Urology And Related Services 2 1 — — $53,973.69 $53,973.69 $53,973.69 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 30 8 — — $37,082.85 $73,615.00 $53,969.00 2026-04-01
261 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Cc 30 8 — — $21,882.18 $73,615.00 $53,969.00 2026-04-01
262 MS_DRG Cardiac Pacemaker Revision Except Device Replacement Without Cc/Mcc 30 8 — — $18,974.38 $73,615.00 $53,969.00 2026-04-01
58544 HCPCS Lsh W/t/o Uterus Above 250 G 14 5 — — $15,367.22 $59,137.00 $53,926.00 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 32 8 — — $28,452.00 $67,232.00 $53,613.00 2026-04-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 32 8 — — $25,478.43 $75,635.00 $53,407.00 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 10 5 — — $53,246.47 $53,246.47 $53,246.47 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 12 5 — — $9,638.00 $53,139.35 $53,139.35 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 10 5 — — $52,983.14 $52,983.14 $52,983.14 2026-04-01
737 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 28 7 — — $23,780.17 $69,678.00 $52,711.50 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 10 5 — — $52,527.89 $52,527.89 $52,527.89 2026-04-01
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 30 8 — — $19,662.83 $71,801.00 $52,468.00 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 30 8 — — $27,415.48 $71,801.00 $52,468.00 2026-04-01
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 32 8 — — $21,170.33 $70,038.00 $52,193.50 2026-04-01
49656 HCPCS Lap Inc Hernia Repair Recur 2 1 — — $52,171.00 $52,171.00 $52,171.00 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 12 5 — — $52,075.98 $65,168.58 $52,075.98 2026-04-01
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/Mcc 28 7 — — $25,751.81 $68,693.00 $51,964.50 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 10 5 — — $51,945.43 $51,945.43 $51,945.43 2026-04-01
245 MS_DRG Aicd Generator Procedures 10 5 — — $51,695.49 $51,695.49 $51,695.49 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 10 5 — — $51,542.63 $51,542.63 $51,542.63 2026-04-01
397 MS_DRG Appendix Procedures With Mcc 30 8 — — $27,510.32 $75,685.00 $51,538.00 2026-04-01
585 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/Mcc 28 7 — — $22,312.88 $67,870.00 $51,343.00 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 10 5 — — $51,321.70 $51,321.70 $51,321.70 2026-04-01
23615 HCPCS Treat Humerus Fracture 12 4 — — $18,560.48 $55,255.00 $50,832.00 2026-04-01
165 MS_DRG Major Chest Procedures Without Cc/Mcc 30 8 — — $22,146.63 $65,483.00 $50,422.00 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 10 5 — — $49,803.08 $49,803.08 $49,803.08 2026-04-01
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/Mcc 32 8 — — $12,236.04 $70,792.00 $49,698.50 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 30 8 — — $34,449.54 $67,767.00 $49,629.00 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 4 2 — — $24,228.42 $74,101.05 $49,164.74 2026-04-01
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 30 7 — — $20,068.99 $68,830.00 $49,127.00 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 10 5 — — $49,073.34 $49,073.34 $49,073.34 2026-04-01
906 MS_DRG Hand Procedures For Injuries 20 5 — — $22,705.65 $100,971.00 $49,001.32 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 18 5 — — $48,688.39 $144,501.00 $48,688.39 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 10 5 — — $48,380.42 $48,380.42 $48,380.42 2026-04-01
L7181 HCPCS Electronic Elbo Simultaneous 2 1 — — $48,155.50 $48,155.50 $48,155.50 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 10 5 — — $47,830.33 $47,830.33 $47,830.33 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 10 5 — — $47,806.90 $47,806.90 $47,806.90 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 10 5 — — $47,669.65 $47,669.65 $47,669.65 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 10 5 — — $47,613.86 $47,613.86 $47,613.86 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 10 5 — — $47,312.59 $47,312.59 $47,312.59 2026-04-01
583 MS_DRG Mastectomy For Malignancy Without Cc/Mcc 32 7 — — $20,028.82 $59,804.00 $47,246.50 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 10 5 — — $47,127.37 $47,127.37 $47,127.37 2026-04-01
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/Mcc 28 7 — — $25,554.31 $62,248.00 $47,090.00 2026-04-01
581 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/Mcc 28 7 — — $16,890.05 $61,975.00 $46,883.50 2026-04-01
740 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Cc 28 7 — — $20,979.49 $61,319.00 $46,388.50 2026-04-01
503 MS_DRG Foot Procedures With Mcc 30 8 — — $31,931.16 $62,724.00 $46,115.00 2026-04-01
504 MS_DRG Foot Procedures With Cc 30 8 — — $21,644.51 $62,724.00 $46,115.00 2026-04-01
791 MS_DRG Prematurity With Major Problems 10 5 — — $46,078.51 $46,078.51 $46,078.51 2026-04-01
499 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Without… 30 8 — — $23,269.13 $59,368.00 $45,933.00 2026-04-01
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 28 7 — — $21,656.78 $60,099.00 $45,465.50 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 10 5 — — $45,242.77 $45,242.77 $45,242.77 2026-04-01
132 MS_DRG Cranial/Facial Procedures Without Cc/Mcc 14 4 — — $24,867.00 $54,032.00 $44,826.00 2026-04-01
L7180 HCPCS Electronic Elbow Sequential 2 1 — — $44,356.85 $44,356.85 $44,356.85 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 10 5 — — $44,239.65 $44,239.65 $44,239.65 2026-04-01
39 MS_DRG Extracranial Procedures Without Cc/Mcc 32 8 — — $13,904.14 $53,667.00 $44,149.00 2026-04-01
507 MS_DRG Major Shoulder Or Elbow Joint Procedures With Cc/Mcc 30 8 — — $20,943.78 $60,104.00 $44,112.00 2026-04-01
508 MS_DRG Major Shoulder Or Elbow Joint Procedures Without Cc/Mcc 30 8 — — $17,685.62 $60,104.00 $44,112.00 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 10 5 — — $43,977.44 $43,977.44 $43,977.44 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 18 5 — — $41,593.00 $164,351.24 $43,912.72 2026-04-01
5415 OTHER Level 5 Gynecologic Procedures 2 1 — — $43,775.40 $43,775.40 $43,775.40 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 10 5 — — $43,627.07 $43,627.07 $43,627.07 2026-04-01
27427 HCPCS Reconstruction Knee 14 5 — — $10,490.08 $45,428.00 $43,269.00 2026-04-01
29916 HCPCS Hip Arthro W/labral Repair 12 4 — — $10,490.08 $48,425.00 $43,251.00 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 30 7 — — $36,231.02 $58,823.00 $43,006.00 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 10 5 — — $42,775.71 $42,775.71 $42,775.71 2026-04-01
506 MS_DRG Major Thumb Or Joint Procedures 32 8 — — $15,842.30 $56,459.00 $42,635.00 2026-04-01
716 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy Without Cc/Mcc 28 7 — — $17,201.36 $56,355.00 $42,632.00 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 16 5 — — $42,592.72 $110,431.00 $42,592.72 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 10 5 — — $42,493.41 $42,493.41 $42,493.41 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 16 5 — — $42,371.79 $121,593.00 $42,371.79 2026-04-01
398 MS_DRG Appendix Procedures With Cc 30 8 — — $17,676.69 $57,681.00 $42,274.00 2026-04-01
287 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization Without Mcc 30 8 — — $12,728.08 $57,681.00 $42,274.00 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 10 5 — — $42,137.47 $42,137.47 $42,137.47 2026-04-01
505 MS_DRG Foot Procedures Without Cc/Mcc 30 8 — — $20,792.03 $50,945.00 $42,088.00 2026-04-01
5432 OTHER Level 2 Nerve Procedures 2 1 — — $41,966.98 $41,966.98 $41,966.98 2026-04-01
58573 HCPCS Tlh W/t/o Uterus Over 250 G 14 5 — — $15,367.22 $47,427.00 $41,853.00 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 30 8 — — $29,085.84 $57,075.00 $41,773.00 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 10 5 — — $41,772.60 $41,772.60 $41,772.60 2026-04-01
658 MS_DRG Kidney And Ureter Procedures For Neoplasm Without Cc/Mcc 30 8 — — $18,102.93 $54,096.00 $41,653.00 2026-04-01
27447 HCPCS Total Knee Arthroplasty 4 2 — — $18,560.48 $64,740.00 $41,650.24 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 10 5 — — $41,274.95 $41,274.95 $41,274.95 2026-04-01
332 MS_DRG Rectal Resection With Mcc 10 5 — — $41,187.91 $41,187.91 $41,187.91 2026-04-01
265 MS_DRG Aicd Lead Procedures 10 5 — — $41,160.02 $41,160.02 $41,160.02 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 18 5 — — $2,308.36 $195,166.00 $41,088.61 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 10 5 — — $41,028.35 $41,028.35 $41,028.35 2026-04-01
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 30 8 — — $23,989.94 $53,157.00 $40,961.00 2026-04-01
27130 HCPCS Total Hip Arthroplasty 4 2 — — $18,560.48 $63,249.00 $40,904.74 2026-04-01
501 MS_DRG Soft Tissue Procedures With Cc 28 7 — — $20,293.27 $54,064.00 $40,898.50 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 10 5 — — $40,765.02 $40,765.02 $40,765.02 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 10 5 — — $40,672.41 $40,672.41 $40,672.41 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 16 5 — — $40,573.10 $133,042.00 $40,573.10 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 16 5 — — $40,539.63 $119,906.00 $40,539.63 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 16 5 — — $40,501.69 $119,464.00 $40,501.69 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 18 5 — — $15,983.00 $128,968.00 $40,057.60 2026-04-01
27814 HCPCS Treatment Of Ankle Fracture 14 5 — — $10,490.08 $44,925.00 $39,943.00 2026-04-01
304 MS_DRG Hypertension With Mcc 28 7 — — $14,065.93 $52,567.00 $39,767.00 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 10 5 — — $39,700.54 $39,700.54 $39,700.54 2026-04-01
578 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis Without Cc/Mcc 30 7 — — $18,712.16 $54,208.00 $39,630.00 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 10 5 — — $39,522.01 $39,522.01 $39,522.01 2026-04-01
57425 HCPCS Laparoscopy Surg Colpopexy 14 5 — — $15,367.22 $43,300.00 $39,484.00 2026-04-01
744 MS_DRG D&c, Conization, Laparoscopy And Tubal Interruption With Cc/Mcc 28 7 — — $23,651.85 $52,147.00 $39,449.00 2026-04-01
5361 OTHER Level 1 Laparoscopy And Related Services 6 3 — — $35,423.73 $42,992.89 $39,426.85 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 16 5 — — $39,334.55 $100,912.00 $39,334.55 2026-04-01
63 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 24 7 — — $16,451.53 $51,842.00 $39,218.00 2026-04-01
58571 HCPCS Tlh W/t/o 250 G Or Less 14 5 — — $15,367.22 $44,246.00 $39,047.00 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 12 5 — — $30,038.68 $39,042.21 $39,042.21 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 10 5 — — $38,804.54 $38,804.54 $38,804.54 2026-04-01
28297 HCPCS Correction Hallux Valgus 12 4 — — $18,560.48 $41,948.00 $38,591.00 2026-04-01
334 MS_DRG Rectal Resection Without Cc/Mcc 30 8 — — $19,063.64 $50,039.00 $38,530.00 2026-04-01
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 30 7 — — $23,290.32 $52,625.00 $38,473.00 2026-04-01
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/Mcc 30 8 — — $19,565.76 $49,914.00 $38,433.00 2026-04-01
23515 HCPCS Treat Clavicle Fracture 12 4 — — $10,490.08 $41,716.00 $38,375.50 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 16 5 — — $38,062.53 $107,522.00 $38,062.53 2026-04-01
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 28 7 — — $13,147.62 $50,245.00 $38,009.50 2026-04-01
27524 HCPCS Treat Kneecap Fracture 14 5 — — $10,490.08 $41,400.00 $37,752.00 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 10 5 — — $37,646.33 $37,646.33 $37,646.33 2026-04-01
63042 HCPCS Laminotomy Single Lumbar 14 5 — — $10,490.08 $41,121.00 $37,498.00 2026-04-01
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 24 7 — — $15,244.23 $145,036.10 $37,308.50 2026-04-01
520 MS_DRG Back And Neck Procedures Except Spinal Fusion Without Cc/Mcc 30 8 — — $17,456.88 $50,825.00 $37,260.00 2026-04-01
708 MS_DRG Major Male Pelvic Procedures Without Cc/Mcc 30 8 — — $17,906.55 $48,212.00 $37,124.00 2026-04-01
27829 HCPCS Treat Lower Leg Joint 14 5 — — $10,490.08 $41,626.00 $37,006.00 2026-04-01
497 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 30 8 — — $14,270.13 $50,220.00 $36,926.00 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 10 5 — — $36,883.12 $36,883.12 $36,883.12 2026-04-01
652 MS_DRG Kidney Transplant 10 5 — — $36,822.87 $36,822.87 $36,822.87 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 16 5 — — $36,796.09 $112,677.00 $36,796.09 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 10 5 — — $36,725.79 $36,725.79 $36,725.79 2026-04-01
27380 HCPCS Repair Of Kneecap Tendon 14 5 — — $10,490.08 $41,185.00 $36,615.00 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 10 5 — — $36,609.75 $36,609.75 $36,609.75 2026-04-01
59151 HCPCS Treat Ectopic Pregnancy 14 5 — — $8,739.83 $38,681.00 $36,568.00 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 16 5 — — $36,347.53 $103,790.00 $36,347.53 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 16 5 — — $36,312.94 $168,372.00 $36,312.94 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 10 5 — — $36,100.94 $36,100.94 $36,100.94 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 12 5 — — $36,047.38 $503,073.36 $36,047.38 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 10 5 — — $35,946.96 $35,946.96 $35,946.96 2026-04-01
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