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Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

SUTTER AMADOR HOSPITAL

Jackson, CA · CCN 050014 · Rates published

5,552 distinct procedures filed
6 distinct payers
22,030 rate rows
2026-04-01 last MRF observed
Data quality

8,032 of 22,030 rate rows are consumer-grade (36.5%)

13,998 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 7,775
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 6,223
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/941156621-1447494323_sutter-amador-hospital_standardcharges.csv
Found on page https://www.sutterhealth.org/cms-hpt.txt
Discovered viaDiscovered by HANK (automated)
Last fetch not_modified · 2026-07-31
Content fingerprint 7dd1254630a21627… · 7,330,877 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
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 4 $427,508.89 $427,508.89 $427,508.89 nat. median
$370,165
1.2× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 4 $277,436.07 $277,436.07 $277,436.07 nat. median
$261,939
1.1× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 4 $211,369.54 $211,369.54 $211,369.54 nat. median
$205,166
1.0× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 4 $210,129.07 $210,129.07 $210,129.07 nat. median
$199,832
1.1× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 4 $137,128.59 $137,128.59 $137,128.59 nat. median
$132,706
1.0× median
7
MS_DRG 		Lung Transplant 4 $128,206.73 $128,206.73 $128,206.73 nat. median
$122,690
1.0× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 4 $118,976.98 $118,976.98 $118,976.98 nat. median
$114,305
1.0× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 4 $112,184.60 $112,184.60 $112,184.60 nat. median
$108,240
1.0× median
209
MS_DRG 		Complex Aortic Arch Procedures 4 $112,055.90 $112,055.90 $112,055.90 nat. median
$96,134
1.2× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 4 $109,109.67 $109,109.67 $109,109.67 nat. median
$96,835
1.1× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 4 $107,653.38 $107,653.38 $107,653.38 nat. median
$100,978
1.1× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 4 $102,073.75 $102,073.75 $102,073.75 nat. median
$99,646
1.0× median
215
MS_DRG 		Other Heart Assist System Implant 4 $98,574.11 $98,574.11 $98,574.11 nat. median
$98,002
1.0× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 4 $96,849.53 $96,849.53 $96,849.53 nat. median
$92,900
1.0× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 4 $89,194.87 $89,194.87 $89,194.87 nat. median
$81,124
1.1× median
850
MS_DRG 		Acute Leukemia With Other Procedures 4 $85,728.88 $85,728.88 $85,728.88 nat. median
$81,364
1.1× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 4 $83,455.85 $83,455.85 $83,455.85 nat. median
$79,040
1.1× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 4 $83,193.50 $83,193.50 $83,193.50 nat. median
$80,459
1.0× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 4 $77,900.97 $77,900.97 $77,900.97 nat. median
$77,385
1.0× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 4 $76,015.02 $76,015.02 $76,015.02 nat. median
$74,472
1.0× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 4 $75,687.33 $75,687.33 $75,687.33 nat. median
$73,475
1.0× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 4 $75,436.86 $75,436.86 $75,436.86 nat. median
$71,485
1.1× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 4 $71,464.00 $71,464.00 $71,464.00 nat. median
$66,640
1.1× median
10
MS_DRG 		Pancreas Transplant 4 $71,039.29 $71,039.29 $71,039.29 nat. median
$67,750
1.0× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 4 $71,009.59 $71,009.59 $71,009.59 nat. median
$62,911
1.1× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 4 $70,632.40 $70,632.40 $70,632.40 nat. median
$69,153
1.0× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 4 $70,590.82 $70,590.82 $70,590.82 nat. median
$68,581
1.0× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 4 $68,426.69 $68,426.69 $68,426.69 nat. median
$65,958
1.0× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 4 $68,091.08 $68,091.08 $68,091.08 nat. median
$65,792
1.0× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 4 $66,637.76 $66,637.76 $66,637.76 nat. median
$64,357
1.0× median
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 4 $66,196.22 $66,196.22 $66,196.22 nat. median
$59,832
1.1× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 4 $66,147.71 $66,147.71 $66,147.71 nat. median
$62,262
1.1× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 4 $65,095.34 $65,095.34 $65,095.34 nat. median
$60,895
1.1× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 4 $65,095.34 $65,095.34 $65,095.34 nat. median
$63,840
1.0× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 4 $64,858.73 $64,858.73 $64,858.73 nat. median
$59,159
1.1× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 4 $63,703.41 $63,703.41 $63,703.41 nat. median
$62,218
1.0× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 4 $60,671.04 $60,671.04 $60,671.04 nat. median
$60,162
1.0× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 4 $60,600.75 $60,600.75 $60,600.75 nat. median
$60,294
1.0× median
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 4 $60,019.62 $60,019.62 $60,019.62 nat. median
$59,257
1.0× median
28
MS_DRG 		Spinal Procedures With Mcc 4 $59,482.05 $59,482.05 $59,482.05 nat. median
$56,970
1.0× median
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 4 $59,465.22 $59,465.22 $59,465.22 nat. median
$58,419
1.0× median
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 4 $59,034.58 $59,034.58 $59,034.58 nat. median
$57,394
1.0× median
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 4 $58,840.54 $58,840.54 $58,840.54 nat. median
$51,433
1.1× median
16
MS_DRG 		Autologous Bone Marrow Transplant With Cc/Mcc 4 $58,703.92 $58,703.92 $58,703.92 nat. median
$55,867
1.1× median
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 4 $58,099.03 $58,099.03 $58,099.03 nat. median
$57,082
1.0× median
820
MS_DRG 		Lymphoma And Leukemia With Major O.r. Procedures With Mcc 4 $58,061.41 $58,061.41 $58,061.41 nat. median
$56,397
1.0× median
430
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 4 $57,094.18 $57,094.18 $57,094.18 nat. median
$53,268
1.1× median
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 4 $56,729.86 $56,729.86 $56,729.86 nat. median
$55,685
1.0× median
213
MS_DRG 		Endovascular Abdominal Aorta With Iliac Branch Procedures 4 $56,498.20 $56,498.20 $56,498.20 nat. median
$50,294
1.1× median
463
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 4 $56,424.94 $56,424.94 $56,424.94 nat. median
$51,984
1.1× median

Other procedures at this hospital

Browse this hospital's 5,552 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 4 4 — — $427,508.89 $427,508.89 $427,508.89 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 4 4 — — $277,436.07 $277,436.07 $277,436.07 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 4 4 — — $211,369.54 $211,369.54 $211,369.54 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 4 4 — — $210,129.07 $210,129.07 $210,129.07 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 4 4 — — $137,128.59 $137,128.59 $137,128.59 2026-04-01
7 MS_DRG Lung Transplant 4 4 — — $128,206.73 $128,206.73 $128,206.73 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 4 4 — — $118,976.98 $118,976.98 $118,976.98 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 4 4 — — $112,184.60 $112,184.60 $112,184.60 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 4 4 — — $112,055.90 $112,055.90 $112,055.90 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 4 4 — — $109,109.67 $109,109.67 $109,109.67 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 4 4 — — $107,653.38 $107,653.38 $107,653.38 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 4 4 — — $102,073.75 $102,073.75 $102,073.75 2026-04-01
215 MS_DRG Other Heart Assist System Implant 4 4 — — $98,574.11 $98,574.11 $98,574.11 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 4 4 — — $96,849.53 $96,849.53 $96,849.53 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 4 4 — — $89,194.87 $89,194.87 $89,194.87 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 4 4 — — $85,728.88 $85,728.88 $85,728.88 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 4 4 — — $83,455.85 $83,455.85 $83,455.85 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 4 4 — — $83,193.50 $83,193.50 $83,193.50 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 4 4 — — $77,900.97 $77,900.97 $77,900.97 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 4 4 — — $76,015.02 $76,015.02 $76,015.02 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 4 4 — — $75,687.33 $75,687.33 $75,687.33 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 4 4 — — $75,436.86 $75,436.86 $75,436.86 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 4 4 — — $71,464.00 $71,464.00 $71,464.00 2026-04-01
10 MS_DRG Pancreas Transplant 4 4 — — $71,039.29 $71,039.29 $71,039.29 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 4 4 — — $71,009.59 $71,009.59 $71,009.59 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 4 4 — — $70,632.40 $70,632.40 $70,632.40 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 4 4 — — $70,590.82 $70,590.82 $70,590.82 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 4 4 — — $68,426.69 $68,426.69 $68,426.69 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 4 4 — — $68,091.08 $68,091.08 $68,091.08 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 4 4 — — $66,637.76 $66,637.76 $66,637.76 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 4 4 — — $66,196.22 $66,196.22 $66,196.22 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 4 4 — — $66,147.71 $66,147.71 $66,147.71 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 4 4 — — $65,095.34 $65,095.34 $65,095.34 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 4 4 — — $65,095.34 $65,095.34 $65,095.34 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 4 4 — — $64,858.73 $64,858.73 $64,858.73 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 4 4 — — $63,703.41 $63,703.41 $63,703.41 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 4 4 — — $60,671.04 $60,671.04 $60,671.04 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 4 4 — — $60,600.75 $60,600.75 $60,600.75 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 4 4 — — $60,019.62 $60,019.62 $60,019.62 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 4 4 — — $59,482.05 $59,482.05 $59,482.05 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 4 4 — — $59,465.22 $59,465.22 $59,465.22 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 4 4 — — $59,034.58 $59,034.58 $59,034.58 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 4 4 — — $58,840.54 $58,840.54 $58,840.54 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 4 4 — — $58,703.92 $58,703.92 $58,703.92 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 4 4 — — $58,099.03 $58,099.03 $58,099.03 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 4 4 — — $58,061.41 $58,061.41 $58,061.41 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 4 4 — — $57,094.18 $57,094.18 $57,094.18 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 4 4 — — $56,729.86 $56,729.86 $56,729.86 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 4 4 — — $56,498.20 $56,498.20 $56,498.20 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 4 4 — — $56,424.94 $56,424.94 $56,424.94 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 4 4 — — $55,657.69 $55,657.69 $55,657.69 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 4 4 — — $55,485.43 $55,485.43 $55,485.43 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 4 4 — — $55,105.27 $55,105.27 $55,105.27 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 4 4 — — $54,677.59 $54,677.59 $54,677.59 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 4 4 — — $54,349.90 $54,349.90 $54,349.90 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 4 4 — — $54,157.84 $54,157.84 $54,157.84 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 4 4 — — $54,080.63 $54,080.63 $54,080.63 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 4 4 — — $53,995.49 $53,995.49 $53,995.49 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 4 4 — — $53,779.67 $53,779.67 $53,779.67 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 4 4 — — $52,794.62 $52,794.62 $52,794.62 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 4 4 — — $52,762.94 $52,762.94 $52,762.94 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 4 4 — — $52,408.52 $52,408.52 $52,408.52 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 4 4 — — $52,235.27 $52,235.27 $52,235.27 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 4 4 — — $51,533.36 $51,533.36 $51,533.36 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 4 4 — — $51,444.26 $51,444.26 $51,444.26 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 4 4 — — $49,897.88 $49,897.88 $49,897.88 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 4 4 — — $49,375.16 $49,375.16 $49,375.16 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 4 4 — — $48,979.16 $48,979.16 $48,979.16 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 7 4 — — $48,892.05 $109,905.94 $48,892.05 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 4 4 — — $48,724.74 $48,724.74 $48,724.74 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 4 4 — — $48,521.79 $48,521.79 $48,521.79 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 4 4 — — $47,804.04 $47,804.04 $47,804.04 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 4 4 — — $47,562.48 $47,562.48 $47,562.48 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 4 4 — — $47,131.83 $47,131.83 $47,131.83 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 4 4 — — $46,543.77 $46,543.77 $46,543.77 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 4 4 — — $46,448.73 $46,448.73 $46,448.73 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 4 4 — — $46,310.13 $46,310.13 $46,310.13 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 4 4 — — $45,906.21 $45,906.21 $45,906.21 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 4 4 — — $45,723.06 $45,723.06 $45,723.06 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 7 4 — — $45,505.26 $100,428.01 $45,505.26 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 4 4 — — $45,389.43 $45,389.43 $45,389.43 2026-04-01
245 MS_DRG Aicd Generator Procedures 4 4 — — $45,167.67 $45,167.67 $45,167.67 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 4 4 — — $45,032.04 $45,032.04 $45,032.04 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 4 4 — — $45,012.24 $45,012.24 $45,012.24 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 4 4 — — $44,836.02 $44,836.02 $44,836.02 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 4 4 — — $44,369.73 $44,369.73 $44,369.73 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 4 4 — — $44,356.86 $44,356.86 $44,356.86 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 4 4 — — $44,182.62 $44,182.62 $44,182.62 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 4 4 — — $43,488.64 $43,488.64 $43,488.64 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 4 4 — — $42,841.18 $42,841.18 $42,841.18 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 4 4 — — $42,499.63 $42,499.63 $42,499.63 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 4 4 — — $42,226.39 $42,226.39 $42,226.39 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 4 4 — — $41,983.84 $41,983.84 $41,983.84 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 4 4 — — $41,809.60 $41,809.60 $41,809.60 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 4 4 — — $41,738.32 $41,738.32 $41,738.32 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 4 4 — — $41,717.53 $41,717.53 $41,717.53 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 4 4 — — $41,595.76 $41,595.76 $41,595.76 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 4 4 — — $41,546.26 $41,546.26 $41,546.26 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 4 4 — — $41,469.04 $41,469.04 $41,469.04 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 4 4 — — $41,308.66 $41,308.66 $41,308.66 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 4 4 — — $41,278.96 $41,278.96 $41,278.96 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 4 4 — — $41,114.62 $41,114.62 $41,114.62 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 4 4 — — $40,842.37 $40,842.37 $40,842.37 2026-04-01
791 MS_DRG Prematurity With Major Problems 4 4 — — $40,184.02 $40,184.02 $40,184.02 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 4 4 — — $39,802.87 $39,802.87 $39,802.87 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 4 4 — — $39,442.51 $39,442.51 $39,442.51 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 4 4 — — $38,727.73 $38,727.73 $38,727.73 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 4 4 — — $38,552.51 $38,552.51 $38,552.51 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 4 4 — — $38,319.86 $38,319.86 $38,319.86 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 4 4 — — $38,262.44 $38,262.44 $38,262.44 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 4 4 — — $38,225.81 $38,225.81 $38,225.81 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 4 4 — — $38,009.00 $38,009.00 $38,009.00 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 4 4 — — $37,253.63 $37,253.63 $37,253.63 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 4 4 — — $37,091.27 $37,091.27 $37,091.27 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 4 4 — — $37,003.16 $37,003.16 $37,003.16 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 4 4 — — $36,999.20 $36,999.20 $36,999.20 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 5 4 — — $36,895.25 $50,638.98 $36,895.25 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 4 4 — — $36,687.35 $36,687.35 $36,687.35 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 4 4 — — $36,363.62 $36,363.62 $36,363.62 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 4 4 — — $36,348.77 $36,348.77 $36,348.77 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 4 4 — — $35,922.08 $35,922.08 $35,922.08 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 4 4 — — $35,894.36 $35,894.36 $35,894.36 2026-04-01
332 MS_DRG Rectal Resection With Mcc 4 4 — — $35,844.86 $35,844.86 $35,844.86 2026-04-01
265 MS_DRG Aicd Lead Procedures 4 4 — — $35,820.11 $35,820.11 $35,820.11 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 4 4 — — $35,756.75 $35,756.75 $35,756.75 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 4 4 — — $35,703.29 $35,703.29 $35,703.29 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 4 4 — — $35,469.65 $35,469.65 $35,469.65 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 4 4 — — $35,387.48 $35,387.48 $35,387.48 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 5 4 — — $35,351.84 $45,378.61 $35,351.84 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 4 4 — — $35,299.37 $35,299.37 $35,299.37 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 4 4 — — $35,269.67 $35,269.67 $35,269.67 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 4 4 — — $35,236.01 $35,236.01 $35,236.01 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 4 4 — — $35,207.30 $35,207.30 $35,207.30 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 4 4 — — $34,913.27 $34,913.27 $34,913.27 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 4 4 — — $34,841.99 $34,841.99 $34,841.99 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 4 4 — — $34,534.10 $34,534.10 $34,534.10 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 4 4 — — $34,525.19 $34,525.19 $34,525.19 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 4 4 — — $34,366.79 $34,366.79 $34,366.79 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 4 4 — — $34,200.47 $34,200.47 $34,200.47 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 4 4 — — $34,042.07 $34,042.07 $34,042.07 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 4 4 — — $33,941.09 $33,941.09 $33,941.09 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 4 4 — — $33,774.77 $33,774.77 $33,774.77 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 4 4 — — $33,730.22 $33,730.22 $33,730.22 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 4 4 — — $33,071.88 $33,071.88 $33,071.88 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 4 4 — — $32,702.61 $32,702.61 $32,702.61 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 4 4 — — $32,591.73 $32,591.73 $32,591.73 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 4 4 — — $32,587.77 $32,587.77 $32,587.77 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 4 4 — — $32,202.66 $32,202.66 $32,202.66 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 4 4 — — $32,061.09 $32,061.09 $32,061.09 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 4 4 — — $32,025.45 $32,025.45 $32,025.45 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 4 4 — — $31,980.90 $31,980.90 $31,980.90 2026-04-01
652 MS_DRG Kidney Transplant 4 4 — — $31,971.99 $31,971.99 $31,971.99 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 4 4 — — $31,948.23 $31,948.23 $31,948.23 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 4 4 — — $31,885.86 $31,885.86 $31,885.86 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 4 4 — — $31,782.90 $31,782.90 $31,782.90 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 4 4 — — $31,608.66 $31,608.66 $31,608.66 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 4 4 — — $31,550.25 $31,550.25 $31,550.25 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 4 4 — — $31,519.56 $31,519.56 $31,519.56 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 4 4 — — $31,456.20 $31,456.20 $31,456.20 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 4 4 — — $31,331.46 $31,331.46 $31,331.46 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 4 4 — — $31,283.94 $31,283.94 $31,283.94 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 4 4 — — $31,194.84 $31,194.84 $31,194.84 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 4 4 — — $31,179.99 $31,179.99 $31,179.99 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 4 4 — — $31,106.73 $31,106.73 $31,106.73 2026-04-01
665 MS_DRG Prostatectomy With Mcc 4 4 — — $30,899.82 $30,899.82 $30,899.82 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 4 4 — — $30,835.47 $30,835.47 $30,835.47 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 4 4 — — $30,781.02 $30,781.02 $30,781.02 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 4 4 — — $30,308.79 $30,308.79 $30,308.79 2026-04-01
263 MS_DRG Vein Ligation And Stripping 4 4 — — $30,268.20 $30,268.20 $30,268.20 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 4 4 — — $30,028.62 $30,028.62 $30,028.62 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 4 4 — — $29,902.89 $29,902.89 $29,902.89 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 4 4 — — $29,898.93 $29,898.93 $29,898.93 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 4 4 — — $29,866.26 $29,866.26 $29,866.26 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 4 4 — — $29,466.30 $29,466.30 $29,466.30 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 4 4 — — $29,166.33 $29,166.33 $29,166.33 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 4 4 — — $29,146.53 $29,146.53 $29,146.53 2026-04-01
570 MS_DRG Skin Debridement With Mcc 4 4 — — $29,116.83 $29,116.83 $29,116.83 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 4 4 — — $28,907.94 $28,907.94 $28,907.94 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 4 4 — — $28,831.71 $28,831.71 $28,831.71 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 4 4 — — $28,729.74 $28,729.74 $28,729.74 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 4 4 — — $28,711.92 $28,711.92 $28,711.92 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 4 4 — — $28,585.20 $28,585.20 $28,585.20 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 5 4 — — $28,571.34 $73,554.79 $28,571.34 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 4 4 — — $28,529.76 $28,529.76 $28,529.76 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 4 4 — — $28,414.92 $28,414.92 $28,414.92 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 4 4 — — $28,219.90 $28,219.90 $28,219.90 2026-04-01
800 MS_DRG Splenic Procedures With Cc 4 4 — — $27,813.01 $27,813.01 $27,813.01 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 4 4 — — $27,713.02 $27,713.02 $27,713.02 2026-04-01
503 MS_DRG Foot Procedures With Mcc 4 4 — — $27,631.84 $27,631.84 $27,631.84 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 4 4 — — $27,441.76 $27,441.76 $27,441.76 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 6 4 — — $5,067.33 $79,609.73 $27,295.24 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 6 4 — — $550.00 $35,478.87 $27,212.08 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 4 4 — — $27,205.15 $27,205.15 $27,205.15 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 4 4 — — $27,064.57 $27,064.57 $27,064.57 2026-04-01
9512 OTHER Rbc Leukocytes Reduced 1 1 — — $27,045.80 $27,045.80 $27,045.80 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 4 4 — — $26,935.87 $26,935.87 $26,935.87 2026-04-01
849 MS_DRG Radiotherapy 4 4 — — $26,824.00 $26,824.00 $26,824.00 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 4 4 — — $26,791.33 $26,791.33 $26,791.33 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 4 4 — — $26,704.21 $26,704.21 $26,704.21 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 4 4 — — $26,333.95 $26,333.95 $26,333.95 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 4 4 — — $26,241.88 $26,241.88 $26,241.88 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 4 4 — — $26,110.21 $26,110.21 $26,110.21 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 4 4 — — $25,696.39 $25,696.39 $25,696.39 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 4 4 — — $25,665.70 $25,665.70 $25,665.70 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 4 4 — — $25,569.67 $25,569.67 $25,569.67 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 4 4 — — $25,534.03 $25,534.03 $25,534.03 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 4 4 — — $25,534.03 $25,534.03 $25,534.03 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 4 4 — — $25,419.19 $25,419.19 $25,419.19 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 4 4 — — $25,274.65 $25,274.65 $25,274.65 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 4 4 — — $25,154.86 $25,154.86 $25,154.86 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 5 4 — — $25,107.34 $33,916.79 $25,107.34 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 4 4 — — $24,987.55 $24,987.55 $24,987.55 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 4 4 — — $24,976.66 $24,976.66 $24,976.66 2026-04-01
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 11 4 — — $19,230.71 $69,652.03 $24,830.33 2026-04-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 4 4 — — $24,669.76 $24,669.76 $24,669.76 2026-04-01
545 MS_DRG Connective Tissue Disorders With Mcc 4 4 — — $24,568.78 $24,568.78 $24,568.78 2026-04-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 4 4 — — $24,346.03 $24,346.03 $24,346.03 2026-04-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 5 4 — — $24,339.10 $26,746.34 $24,339.10 2026-04-01
783 MS_DRG Cesarean Section With Sterilization With Mcc 4 4 — — $24,305.44 $24,305.44 $24,305.44 2026-04-01
792 MS_DRG Prematurity Without Major Problems 4 4 — — $24,247.03 $24,247.03 $24,247.03 2026-04-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 4 4 — — $24,197.53 $24,197.53 $24,197.53 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 4 4 — — $24,168.82 $24,168.82 $24,168.82 2026-04-01
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 4 4 — — $23,979.73 $23,979.73 $23,979.73 2026-04-01
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 4 4 — — $23,901.52 $23,901.52 $23,901.52 2026-04-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 4 4 — — $23,812.42 $23,812.42 $23,812.42 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 5 4 — — $23,732.23 $29,902.11 $23,732.23 2026-04-01
397 MS_DRG Appendix Procedures With Mcc 4 4 — — $23,709.46 $23,709.46 $23,709.46 2026-04-01
35 MS_DRG Carotid Artery Stent Procedures With Cc 4 4 — — $23,665.90 $23,665.90 $23,665.90 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 4 4 — — $23,625.31 $23,625.31 $23,625.31 2026-04-01
113 MS_DRG Orbital Procedures With Cc/Mcc 4 4 — — $23,275.84 $23,275.84 $23,275.84 2026-04-01
333 MS_DRG Rectal Resection With Cc 4 4 — — $23,187.73 $23,187.73 $23,187.73 2026-04-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 4 4 — — $23,152.10 $23,152.10 $23,152.10 2026-04-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 4 4 — — $23,135.27 $23,135.27 $23,135.27 2026-04-01
709 MS_DRG Penis Procedures With Cc/Mcc 4 4 — — $23,038.25 $23,038.25 $23,038.25 2026-04-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 4 4 — — $23,022.41 $23,022.41 $23,022.41 2026-04-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 4 4 — — $22,998.65 $22,998.65 $22,998.65 2026-04-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 4 4 — — $22,880.84 $22,880.84 $22,880.84 2026-04-01
347 MS_DRG Anal And Stomal Procedures With Mcc 4 4 — — $22,726.40 $22,726.40 $22,726.40 2026-04-01
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 4 4 — — $22,719.47 $22,719.47 $22,719.47 2026-04-01
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 4 4 — — $22,627.40 $22,627.40 $22,627.40 2026-04-01
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 4 4 — — $22,587.80 $22,587.80 $22,587.80 2026-04-01
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 4 4 — — $22,529.39 $22,529.39 $22,529.39 2026-04-01
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 4 4 — — $22,491.77 $22,491.77 $22,491.77 2026-04-01
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 4 4 — — $22,429.40 $22,429.40 $22,429.40 2026-04-01
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 4 4 — — $22,162.10 $22,162.10 $22,162.10 2026-04-01
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/Mcc 4 4 — — $22,149.23 $22,149.23 $22,149.23 2026-04-01
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/Mcc 4 4 — — $21,974.00 $21,974.00 $21,974.00 2026-04-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 4 4 — — $21,906.68 $21,906.68 $21,906.68 2026-04-01
934 MS_DRG Full Thickness Burn Without Skin Graft Or Inhalation Injury 4 4 — — $21,884.90 $21,884.90 $21,884.90 2026-04-01
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 4 4 — — $21,858.17 $21,858.17 $21,858.17 2026-04-01
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 4 4 — — $21,767.09 $21,767.09 $21,767.09 2026-04-01
30 MS_DRG Spinal Procedures Without Cc/Mcc 4 4 — — $21,732.44 $21,732.44 $21,732.44 2026-04-01
614 MS_DRG Adrenal And Pituitary Procedures With Cc/Mcc 4 4 — — $21,698.78 $21,698.78 $21,698.78 2026-04-01
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 4 4 — — $21,660.17 $21,660.17 $21,660.17 2026-04-01
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 4 4 — — $21,606.71 $21,606.71 $21,606.71 2026-04-01
141 MS_DRG Major Head And Neck Procedures With Cc 4 4 — — $21,592.85 $21,592.85 $21,592.85 2026-04-01
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 4 4 — — $21,570.08 $21,570.08 $21,570.08 2026-04-01
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 4 4 — — $21,555.23 $21,555.23 $21,555.23 2026-04-01
135 MS_DRG Sinus And Mastoid Procedures With Cc/Mcc 4 4 — — $21,482.96 $21,482.96 $21,482.96 2026-04-01
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 4 4 — — $21,200.81 $21,200.81 $21,200.81 2026-04-01
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/Mcc 4 4 — — $21,192.89 $21,192.89 $21,192.89 2026-04-01
374 MS_DRG Digestive Malignancy With Mcc 4 4 — — $21,173.09 $21,173.09 $21,173.09 2026-04-01
32 MS_DRG Ventricular Shunt Procedures With Cc 4 4 — — $21,096.86 $21,096.86 $21,096.86 2026-04-01
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 4 4 — — $21,095.87 $21,095.87 $21,095.87 2026-04-01
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/Mcc 4 4 — — $21,086.96 $21,086.96 $21,086.96 2026-04-01
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 4 4 — — $21,054.29 $21,054.29 $21,054.29 2026-04-01
595 MS_DRG Major Skin Disorders With Mcc 4 4 — — $20,994.89 $20,994.89 $20,994.89 2026-04-01
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 5 4 — — $20,965.19 $27,040.60 $20,965.19 2026-04-01
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 4 4 — — $20,962.22 $20,962.22 $20,962.22 2026-04-01
655 MS_DRG Major Bladder Procedures Without Cc/Mcc 4 4 — — $20,954.30 $20,954.30 $20,954.30 2026-04-01
336 MS_DRG Peritoneal Adhesiolysis With Cc 4 4 — — $20,876.09 $20,876.09 $20,876.09 2026-04-01
412 MS_DRG Cholecystectomy With C.d.e. With Cc 4 4 — — $20,814.71 $20,814.71 $20,814.71 2026-04-01
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 5 4 — — $20,735.51 $24,939.52 $20,735.51 2026-04-01
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 4 4 — — $20,722.64 $20,722.64 $20,722.64 2026-04-01
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 4 4 — — $20,701.85 $20,701.85 $20,701.85 2026-04-01
838 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Che… 4 4 — — $20,665.22 $20,665.22 $20,665.22 2026-04-01
835 MS_DRG Acute Leukemia With Cc 4 4 — — $20,649.38 $20,649.38 $20,649.38 2026-04-01
314 MS_DRG Other Circulatory System Diagnoses With Mcc 4 4 — — $20,643.44 $20,643.44 $20,643.44 2026-04-01
711 MS_DRG Testes Procedures With Cc/Mcc 4 4 — — $20,629.58 $20,629.58 $20,629.58 2026-04-01
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 4 4 — — $20,586.02 $20,586.02 $20,586.02 2026-04-01
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 4 4 — — $20,573.15 $20,573.15 $20,573.15 2026-04-01
886 MS_DRG Behavioral And Developmental Disorders 4 4 — — $20,545.43 $20,545.43 $20,545.43 2026-04-01
415 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 4 4 — — $20,460.29 $20,460.29 $20,460.29 2026-04-01
737 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 4 4 — — $20,399.90 $20,399.90 $20,399.90 2026-04-01
935 MS_DRG Non-extensive Burns 4 4 — — $20,393.96 $20,393.96 $20,393.96 2026-04-01
744 MS_DRG D&c, Conization, Laparoscopy And Tubal Interruption With Cc/Mcc 4 4 — — $20,286.05 $20,286.05 $20,286.05 2026-04-01
941 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/… 4 4 — — $20,074.19 $20,074.19 $20,074.19 2026-04-01
259 MS_DRG Cardiac Pacemaker Device Replacement Without Mcc 4 4 — — $20,018.75 $20,018.75 $20,018.75 2026-04-01
499 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Without… 4 4 — — $19,946.48 $19,946.48 $19,946.48 2026-04-01
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 5 4 — — $19,908.86 $25,549.07 $19,908.86 2026-04-01
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/Mcc 5 4 — — $19,864.31 $24,345.00 $19,864.31 2026-04-01
707 MS_DRG Major Male Pelvic Procedures With Cc/Mcc 4 4 — — $19,802.93 $19,802.93 $19,802.93 2026-04-01
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 4 4 — — $19,801.94 $19,801.94 $19,801.94 2026-04-01
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 5 4 — — $19,781.15 $28,840.54 $19,781.15 2026-04-01
908 MS_DRG Other O.r. Procedures For Injuries With Cc 4 4 — — $19,752.44 $19,752.44 $19,752.44 2026-04-01
843 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 4 4 — — $19,748.48 $19,748.48 $19,748.48 2026-04-01
283 MS_DRG Acute Myocardial Infarction, Expired With Mcc 4 4 — — $19,609.88 $19,609.88 $19,609.88 2026-04-01
539 MS_DRG Osteomyelitis With Mcc 4 4 — — $19,499.99 $19,499.99 $19,499.99 2026-04-01
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 4 4 — — $19,485.14 $19,485.14 $19,485.14 2026-04-01
883 MS_DRG Disorders Of Personality And Impulse Control 4 4 — — $19,466.33 $19,466.33 $19,466.33 2026-04-01
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