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

ALTA BATES SUMMIT MEDICAL CENTER

Oakland, CA · CCN 050043 · Rates published

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You selected 27447 (HCPCS)

Total knee arthroplasty

This hospital’s price: $41,498 across 2 payers · range $18,255-$64,740

Source: https://edge.sitecorecloud.io/sutterhealt962c-sutterhealt8fce-production57cc-4860/media/Project/SutterHealth/SutterHealth/Files/billing-insurance/costs-and-charges/940562680-1295181477_alta-bates-summit-medical-center-summit-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.

9,173 distinct procedures filed
10 distinct payers
39,515 rate rows
2026-04-01 last MRF observed
Data quality

20,637 of 39,515 rate rows are consumer-grade (52.2%)

18,878 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 17,968
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 889
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/940562680-1295181477_alta-bates-summit-medical-center-summit-campus_standardcharges.csv
Found on page https://www.sutterhealth.org/cms-hpt.txt
Discovered viaDiscovered by HANK (automated)
Last fetch not_modified · 2026-08-05
Content fingerprint 5e7f6c5a75380d9e… · 17,061,635 bytes · first seen 2026-05-09

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 6 $483,200.74 $483,200.74 $483,200.74 nat. median
$370,165
1.3× median
215
MS_DRG 		Other Heart Assist System Implant 8 $111,670.81 $632,993.00 $370,391.00 nat. median
$98,002
outlier · 3.8×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 7 $26,325.00 $313,694.36 $313,694.36 nat. median
$261,939
1.2× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 8 $88,320.61 $443,317.00 $295,300.50 nat. median
$77,385
outlier · 3.8×
22
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 8 $35,861.51 $443,317.00 $295,300.50 nat. median
$34,270
outlier · 8.6×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 9 $62,041.80 $439,371.00 $257,063.00 nat. median
$92,900
outlier · 2.8×
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 8 $73,856.73 $361,050.00 $254,683.50 nat. median
$63,840
outlier · 4.0×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 8 $123,570.66 $375,417.00 $254,463.50 nat. median
$96,835
outlier · 2.6×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 8 $101,077.01 $375,417.00 $254,463.50 nat. median
$81,124
outlier · 3.1×
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 8 $73,856.73 $340,991.00 $240,532.50 nat. median
$60,895
outlier · 3.9×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 6 $239,072.59 $239,072.59 $239,072.59 nat. median
$205,166
1.2× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 7 $144,386.25 $237,671.49 $237,671.49 nat. median
$199,832
1.2× median
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 8 $68,123.74 $333,955.00 $235,949.00 nat. median
$59,257
outlier · 4.0×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 8 $94,594.82 $329,966.00 $233,234.00 nat. median
$79,040
outlier · 3.0×
21
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 8 $59,527.04 $331,857.00 $229,957.00 nat. median
$54,267
outlier · 4.2×
458
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 8 $46,989.81 $328,544.00 $222,569.00 nat. median
$42,100
outlier · 5.3×
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 8 $67,011.13 $328,544.00 $222,569.00 nat. median
$57,394
outlier · 3.9×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 8 $94,298.50 $328,544.00 $222,569.00 nat. median
$80,459
outlier · 2.8×
234
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 8 $61,415.67 $297,444.00 $221,800.00 nat. median
$53,013
outlier · 4.2×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 9 $34,830.00 $344,774.00 $211,588.00 nat. median
$68,581
outlier · 3.1×
230
MS_DRG 		Other Cardiothoracic Procedures Without Cc/mcc 1 $169,905.00 $235,989.00 $202,947.00 nat. median
$27,929
outlier · 7.3×
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 9 $62,041.80 $429,000.00 $202,908.00 nat. median
$60,162
outlier · 3.4×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 9 $75,648.40 $297,444.00 $200,535.50 nat. median
$73,475
outlier · 2.7×
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 8 $67,497.55 $295,034.00 $199,814.00 nat. median
$58,419
outlier · 3.4×
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 8 $64,407.97 $288,240.00 $194,989.50 nat. median
$55,685
outlier · 3.5×
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×
209
MS_DRG 		Complex Aortic Arch Procedures 7 $126,898.41 $315,590.00 $184,855.00 nat. median
$96,134
1.9× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 9 $12,617.61 $315,620.00 $184,855.00 nat. median
$74,472
outlier · 2.5×
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 8 $81,050.10 $261,891.00 $184,372.50 nat. median
$66,640
outlier · 2.8×
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 8 $75,045.38 $294,812.00 $176,386.50 nat. median
$62,262
outlier · 2.8×
430
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 8 $64,819.46 $245,643.00 $173,171.00 nat. median
$53,268
outlier · 3.3×
450
MS_DRG 		Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically… 8 $59,927.35 $280,428.00 $172,070.50 nat. median
$50,178
outlier · 3.4×
277
MS_DRG 		Cardiac Defibrillator Implant Without Mcc 8 $51,975.85 $252,808.00 $171,837.50 nat. median
$45,772
outlier · 3.8×
228
MS_DRG 		Other Cardiothoracic Procedures With Mcc 8 $55,653.60 $241,607.00 $170,325.50 nat. median
$50,071
outlier · 3.4×
402
MS_DRG 		Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 8 $45,289.03 $236,922.00 $167,201.50 nat. median
$38,854
outlier · 4.3×
236
MS_DRG 		Coronary Bypass Without Cardiac Catheterization Without Mcc 9 $47,170.96 $217,940.00 $166,448.00 nat. median
$41,718
outlier · 4.0×
24
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 9 $36,419.00 $284,296.00 $166,353.00 nat. median
$38,059
outlier · 4.4×
428
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 8 $63,196.96 $229,396.00 $158,522.00 nat. median
$53,080
outlier · 3.0×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 6 $155,217.87 $155,217.87 $155,217.87 nat. median
$132,706
1.2× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 8 $77,240.40 $224,287.00 $151,933.00 nat. median
$65,792
outlier · 2.3×
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 8 $75,100.17 $242,595.00 $150,911.00 nat. median
$59,832
outlier · 2.5×
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 9 $49,399.51 $217,940.00 $146,846.50 nat. median
$57,082
outlier · 2.6×
J7330
HCPCS 		Cultured Chondrocytes Implnt 1 $146,326.57 $146,326.57 $146,326.57 nat. median
$75,807
1.9× median
J9029
HCPCS 		Inj, Adstiladrin, Per Tx Dos 2 $63,342.28 $145,441.90 $145,441.90 nat. median
$69,291
outlier · 2.1×
7
MS_DRG 		Lung Transplant 6 $145,140.68 $145,140.68 $145,140.68 nat. median
$122,690
1.2× median
460
MS_DRG 		Spinal Fusion Except Cervical Without Mcc 1 $144,893.00 $144,893.00 $144,893.00 nat. median
$37,051
outlier · 3.9×
405
MS_DRG 		Pancreas, Liver And Shunt Procedures With Mcc 8 $61,502.89 $212,474.00 $142,929.00 nat. median
$52,517
outlier · 2.7×
220
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 8 $59,963.13 $198,727.00 $140,285.50 nat. median
$52,372
outlier · 2.7×

Other procedures at this hospital

Browse this hospital's 9,173 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 — — $483,200.74 $483,200.74 $483,200.74 2026-04-01
215 MS_DRG Other Heart Assist System Implant 15 8 — — $111,670.81 $632,993.00 $370,391.00 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 7 7 — — $26,325.00 $313,694.36 $313,694.36 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 14 8 — — $35,861.51 $443,317.00 $295,300.50 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 14 8 — — $88,320.61 $443,317.00 $295,300.50 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 15 9 — — $62,041.80 $439,371.00 $257,063.00 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 14 8 — — $73,856.73 $361,050.00 $254,683.50 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 8 — — $123,570.66 $375,417.00 $254,463.50 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 14 8 — — $101,077.01 $375,417.00 $254,463.50 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 14 8 — — $73,856.73 $340,991.00 $240,532.50 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 6 6 — — $239,072.59 $239,072.59 $239,072.59 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 7 7 — — $144,386.25 $237,671.49 $237,671.49 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 14 8 — — $68,123.74 $333,955.00 $235,949.00 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 14 8 — — $94,594.82 $329,966.00 $233,234.00 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 14 8 — — $59,527.04 $331,857.00 $229,957.00 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 14 8 — — $67,011.13 $328,544.00 $222,569.00 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 14 8 — — $46,989.81 $328,544.00 $222,569.00 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 14 8 — — $94,298.50 $328,544.00 $222,569.00 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 15 8 — — $61,415.67 $297,444.00 $221,800.00 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 17 9 — — $34,830.00 $344,774.00 $211,588.00 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
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 19 9 — — $62,041.80 $429,000.00 $202,908.00 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 18 9 — — $75,648.40 $297,444.00 $200,535.50 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 14 8 — — $67,497.55 $295,034.00 $199,814.00 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 14 8 — — $64,407.97 $288,240.00 $194,989.50 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
209 MS_DRG Complex Aortic Arch Procedures 13 7 — — $126,898.41 $315,590.00 $184,855.00 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 15 9 — — $12,617.61 $315,620.00 $184,855.00 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 8 — — $81,050.10 $261,891.00 $184,372.50 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 14 8 — — $75,045.38 $294,812.00 $176,386.50 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 14 8 — — $64,819.46 $245,643.00 $173,171.00 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 14 8 — — $59,927.35 $280,428.00 $172,070.50 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 14 8 — — $51,975.85 $252,808.00 $171,837.50 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 14 8 — — $55,653.60 $241,607.00 $170,325.50 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 14 8 — — $45,289.03 $236,922.00 $167,201.50 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 17 9 — — $47,170.96 $217,940.00 $166,448.00 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 15 9 — — $36,419.00 $284,296.00 $166,353.00 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 8 — — $63,196.96 $229,396.00 $158,522.00 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 6 6 — — $155,217.87 $155,217.87 $155,217.87 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 14 8 — — $77,240.40 $224,287.00 $151,933.00 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 14 8 — — $75,100.17 $242,595.00 $150,911.00 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 16 9 — — $49,399.51 $217,940.00 $146,846.50 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
7 MS_DRG Lung Transplant 6 6 — — $145,140.68 $145,140.68 $145,140.68 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
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 14 8 — — $61,502.89 $212,474.00 $142,929.00 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 14 8 — — $59,963.13 $198,727.00 $140,285.50 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 14 8 — — $43,507.75 $205,824.00 $138,455.50 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 14 8 — — $67,516.56 $200,413.00 $135,775.50 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 14 8 — — $47,752.42 $211,914.00 $134,737.50 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 6 6 — — $134,715.73 $134,715.73 $134,715.73 2026-04-01
5093 OTHER Level 3 Breast/Lymphatic Surgery And Related Procedures 3 3 — — $3,606.97 $181,059.34 $131,871.02 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 4 3 — — $55,272.32 $162,691.22 $131,139.34 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 14 8 — — $56,691.29 $181,184.00 $127,986.00 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 6 6 — — $127,043.78 $127,043.78 $127,043.78 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 14 8 — — $51,172.99 $173,817.00 $125,010.50 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 — — $121,925.79 $121,925.79 $121,925.79 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 14 8 — — $62,089.95 $179,387.00 $121,480.50 2026-04-01
5232 OTHER Level 2 Icd And Similar Procedures 4 3 — — $44,882.82 $186,184.84 $120,022.24 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 14 8 — — $36,454.16 $172,973.00 $118,549.00 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 17 9 — — $42,841.00 $182,576.00 $116,738.00 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 6 6 — — $115,623.63 $115,623.63 $115,623.63 2026-04-01
J9226 HCPCS Supprelin La Implant 6 3 — — $45,020.65 $129,708.04 $113,470.54 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 16 9 — — $30,755.83 $164,969.00 $111,256.00 2026-04-01
5213 OTHER Level 3 Electrophysiologic Procedures 9 6 — — $4,056.87 $195,823.35 $104,547.86 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 12 8 — — $50,235.94 $210,406.00 $102,028.97 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 15 9 — — $39,337.99 $173,909.00 $101,943.00 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 14 8 — — $30,075.96 $157,333.00 $101,920.50 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 14 8 — — $39,766.26 $145,872.00 $98,891.50 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 16 9 — — $33,559.70 $250,956.00 $98,479.27 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 14 8 — — $50,432.74 $143,467.00 $97,201.00 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 6 6 — — $97,162.20 $97,162.20 $97,162.20 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 13 7 — — $38,782.25 $164,953.00 $96,570.00 2026-04-01
32 MS_DRG Ventricular Shunt Procedures With Cc 14 8 — — $24,160.70 $137,541.00 $93,241.00 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 14 8 — — $47,555.62 $137,771.00 $93,224.50 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 14 8 — — $54,326.30 $129,365.00 $91,474.00 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 15 9 — — $37,144.09 $154,612.80 $90,348.00 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 13 7 — — $64,146.31 $153,328.00 $89,508.00 2026-04-01
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 15 8 — — $24,917.72 $116,021.00 $89,335.00 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 18 9 — — $39,239.90 $130,577.00 $88,190.50 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 6 6 — — $85,537.42 $85,537.42 $85,537.42 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 14 8 — — $35,098.90 $125,940.00 $85,355.50 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 14 8 — — $58,538.55 $119,792.00 $84,576.50 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 15 8 — — $32,897.17 $110,172.00 $84,556.00 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 15 9 — — $26,292.00 $133,280.00 $81,876.00 2026-04-01
10 MS_DRG Pancreas Transplant 6 6 — — $80,570.39 $80,570.39 $80,570.39 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 6 6 — — $80,536.84 $80,536.84 $80,536.84 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 6 6 — — $80,110.81 $80,110.81 $80,110.81 2026-04-01
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 13 7 — — $27,328.55 $135,473.00 $79,289.00 2026-04-01
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 21 9 — — $19,616.47 $135,486.00 $79,289.00 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 14 8 — — $31,059.98 $111,750.00 $78,918.50 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 17 9 — — $3,520.00 $102,473.00 $78,903.00 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 7 7 — — $77,051.66 $77,619.47 $77,619.47 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 14 8 — — $38,480.33 $108,920.00 $77,103.50 2026-04-01
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 17 9 — — $14,652.80 $130,762.00 $76,286.00 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 6 6 — — $75,598.88 $75,598.88 $75,598.88 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 16 9 — — $32,271.82 $115,646.00 $74,306.50 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 16 9 — — $36,033.72 $172,104.00 $74,163.27 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 17 9 — — $30,000.00 $183,454.00 $73,605.07 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 6 6 — — $73,589.48 $73,589.48 $73,589.48 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 14 8 — — $33,275.12 $102,654.00 $72,490.00 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 8 6 — — $72,284.55 $283,321.00 $72,284.55 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 14 8 — — $40,874.39 $105,353.00 $71,397.50 2026-04-01
5116 OTHER Level 6 Musculoskeletal Procedures 2 2 — — $26,133.68 $113,978.06 $70,055.87 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 7 7 — — $30,048.00 $68,780.12 $68,780.12 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 14 8 — — $28,542.91 $110,763.00 $68,315.50 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 15 9 — — $27,416.03 $116,526.00 $68,130.00 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 15 9 — — $46,463.14 $116,306.00 $68,099.00 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 14 8 — — $31,327.23 $100,315.00 $67,929.00 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 14 8 — — $28,879.49 $137,771.00 $66,968.00 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 6 6 — — $66,791.96 $66,791.96 $66,791.96 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 6 6 — — $66,637.65 $66,637.65 $66,637.65 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 6 6 — — $65,911.94 $65,911.94 $65,911.94 2026-04-01
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 14 8 — — $24,736.57 $97,251.00 $65,816.50 2026-04-01
58546 HCPCS Laparo-myomectomy Complex 6 5 — — $15,114.39 $72,146.00 $65,041.00 2026-04-01
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 15 8 — — $23,253.81 $110,172.00 $64,733.00 2026-04-01
30 MS_DRG Spinal Procedures Without Cc/Mcc 14 8 — — $24,878.58 $95,060.00 $64,462.50 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 8 6 — — $64,063.56 $235,905.00 $64,063.56 2026-04-01
42 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/Mcc 14 8 — — $19,651.01 $93,727.00 $63,658.00 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 15 8 — — $28,555.21 $87,046.00 $63,638.00 2026-04-01
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/Mcc 15 8 — — $20,508.40 $99,080.00 $63,320.00 2026-04-01
55866 HCPCS Laparo Radical Prostatectomy 6 5 — — $15,114.39 $69,572.00 $63,051.00 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 6 6 — — $63,002.39 $63,002.39 $63,002.39 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 14 8 — — $29,971.97 $93,463.00 $62,873.50 2026-04-01
50544 HCPCS Laparoscopy Pyeloplasty 6 5 — — $15,114.39 $68,899.00 $62,758.00 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 6 6 — — $62,573.01 $62,573.01 $62,573.01 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 14 8 — — $41,387.64 $92,213.00 $62,516.50 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
834 MS_DRG Acute Leukemia With Mcc 8 8 — — $61,719.82 $177,509.49 $61,719.82 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 6 6 — — $61,319.51 $61,319.51 $61,319.51 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 6 6 — — $61,075.74 $61,075.74 $61,075.74 2026-04-01
J9266 HCPCS Pegaspargase Injection 6 3 — — $28,424.06 $62,262.23 $61,049.99 2026-04-01
496 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 14 8 — — $20,503.08 $86,131.00 $60,915.00 2026-04-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 19 9 — — $24,538.28 $79,074.00 $60,622.00 2026-04-01
259 MS_DRG Cardiac Pacemaker Device Replacement Without Mcc 14 8 — — $22,942.98 $88,928.00 $60,316.00 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 14 8 — — $35,466.79 $88,928.00 $60,316.00 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 15 9 — — $19,345.00 $97,023.00 $59,599.00 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 12 8 — — $31,161.73 $118,030.00 $58,725.87 2026-04-01
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/Mcc 14 8 — — $24,149.52 $87,281.00 $58,712.50 2026-04-01
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 19 9 — — $19,892.07 $99,360.00 $58,478.00 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 6 6 — — $58,437.91 $58,437.91 $58,437.91 2026-04-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 12 8 — — $27,227.91 $120,460.00 $57,646.96 2026-04-01
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 13 7 — — $27,416.89 $97,242.00 $56,749.00 2026-04-01
38 MS_DRG Extracranial Procedures With Cc 14 8 — — $18,475.79 $79,774.00 $56,347.00 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 6 6 — — $56,100.88 $56,100.88 $56,100.88 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 14 8 — — $27,630.47 $84,129.00 $55,587.00 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 9 7 — — $35,204.12 $55,986.66 $55,555.20 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 7 6 — — $250.00 $55,366.23 $55,366.23 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 14 8 — — $42,122.30 $81,701.00 $55,326.00 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 6 6 — — $55,137.00 $55,137.00 $55,137.00 2026-04-01
254 MS_DRG Other Vascular Procedures Without Cc/Mcc 14 8 — — $20,254.84 $80,606.00 $54,650.00 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 8 8 — — $19,345.00 $141,189.98 $54,053.46 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 18 9 — — $43,730.80 $239,033.00 $53,567.05 2026-04-01
58544 HCPCS Lsh W/t/o Uterus Above 250 G 6 5 — — $15,114.39 $59,137.00 $53,314.50 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 6 6 — — $52,902.84 $52,902.84 $52,902.84 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 7 7 — — $26,335.75 $52,795.49 $52,795.49 2026-04-01
251 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc 14 8 — — $17,043.38 $77,723.00 $52,675.50 2026-04-01
49656 HCPCS Lap Inc Hernia Repair Recur 1 1 — — $52,668.00 $52,668.00 $52,668.00 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 7 7 — — $44,454.01 $52,638.94 $52,638.94 2026-04-01
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 14 8 — — $22,698.10 $77,621.00 $52,562.00 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 14 8 — — $36,704.64 $77,322.00 $52,452.00 2026-04-01
33 MS_DRG Ventricular Shunt Procedures Without Cc/Mcc 14 8 — — $18,926.42 $77,322.00 $52,452.00 2026-04-01
261 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Cc 14 8 — — $21,471.44 $77,322.00 $52,452.00 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 6 6 — — $52,182.72 $52,182.72 $52,182.72 2026-04-01
582 MS_DRG Mastectomy For Malignancy With Cc/Mcc 14 8 — — $21,875.11 $77,505.00 $52,158.50 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 9 6 — — $73.98 $182,989.00 $51,729.85 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 6 6 — — $51,599.02 $51,599.02 $51,599.02 2026-04-01
245 MS_DRG Aicd Generator Procedures 6 6 — — $51,348.54 $51,348.54 $51,348.54 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 7 6 — — $51,195.35 $278,432.40 $51,195.35 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 14 8 — — $27,016.58 $75,349.00 $51,097.00 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 6 6 — — $50,973.95 $50,973.95 $50,973.95 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 14 8 — — $34,107.06 $74,562.00 $50,004.50 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 7 6 — — $49,452.08 $67,348.00 $49,452.08 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 2 2 — — $24,228.42 $74,101.05 $49,164.74 2026-04-01
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/Mcc 15 9 — — $7,512.00 $80,490.00 $48,982.00 2026-04-01
23615 HCPCS Treat Humerus Fracture 5 4 — — $18,255.12 $55,255.00 $48,763.00 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 6 6 — — $48,720.78 $48,720.78 $48,720.78 2026-04-01
397 MS_DRG Appendix Procedures With Mcc 14 8 — — $27,111.62 $83,706.00 $48,696.50 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 8 6 — — $48,335.00 $154,322.00 $48,335.00 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 14 8 — — $34,065.69 $71,185.00 $48,218.50 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 6 6 — — $48,026.38 $48,026.38 $48,026.38 2026-04-01
585 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/Mcc 15 8 — — $21,903.06 $68,506.00 $47,982.00 2026-04-01
5094 OTHER Level 4 Breast/Lymphatic Surgery And Related Procedures 6 6 — — $4,870.76 $111,788.21 $47,912.81 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 6 6 — — $47,475.11 $47,475.11 $47,475.11 2026-04-01
336 MS_DRG Peritoneal Adhesiolysis With Cc 15 9 — — $23,911.34 $77,249.00 $47,454.00 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 6 6 — — $47,451.63 $47,451.63 $47,451.63 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 7 7 — — $24,256.40 $47,314.09 $47,314.09 2026-04-01
737 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 14 8 — — $23,373.49 $70,331.00 $47,312.00 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 6 6 — — $47,258.18 $47,258.18 $47,258.18 2026-04-01
132 MS_DRG Cranial/Facial Procedures Without Cc/Mcc 5 3 — — $36,047.00 $54,539.00 $47,036.00 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 6 6 — — $46,956.27 $46,956.27 $46,956.27 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 7 6 — — $46,770.65 $407,062.03 $46,770.65 2026-04-01
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/Mcc 14 8 — — $25,349.34 $69,337.00 $46,640.00 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 12 8 — — $32,782.00 $81,803.00 $46,293.50 2026-04-01
581 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/Mcc 17 9 — — $13,478.01 $62,556.00 $45,733.00 2026-04-01
791 MS_DRG Prematurity With Major Problems 6 6 — — $45,719.54 $45,719.54 $45,719.54 2026-04-01
262 MS_DRG Cardiac Pacemaker Revision Except Device Replacement Without Cc/Mcc 15 8 — — $18,166.45 $77,322.00 $45,366.00 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 6 6 — — $44,882.01 $44,882.01 $44,882.01 2026-04-01
503 MS_DRG Foot Procedures With Mcc 14 8 — — $31,541.92 $65,927.00 $44,752.00 2026-04-01
504 MS_DRG Foot Procedures With Cc 14 8 — — $21,233.26 $65,927.00 $44,752.00 2026-04-01
33264 HCPCS Hchg Remove Replace Imp Defib Puls Gen Sys Mult Lead 1 1 — — $44,631.33 $44,631.33 $44,631.33 2026-04-01
33249 HCPCS Hchg Insrt/rplc Perm Imp Defib W Tv Leads Sngl/dual 1 1 — — $44,631.33 $44,631.33 $44,631.33 2026-04-01
0915T CPT Insj Perm Ccm-d Sys Pg&eltrd 1 1 — — $44,631.33 $44,631.33 $44,631.33 2026-04-01
33270 HCPCS Hchg Ins/rep Subq Defibrillator 1 1 — — $44,631.33 $44,631.33 $44,631.33 2026-04-01
33231 HCPCS Hchg Insrt Imp Defib Pulse Gen Only W Multi Leads 1 1 — — $44,631.33 $44,631.33 $44,631.33 2026-04-01
0571T CPT Insj/rplcmt Icds Ss Eltrd 1 1 — — $44,631.33 $44,631.33 $44,631.33 2026-04-01
0408T CPT Insj/rplc Cardiac Modulj Sys 1 1 — — $44,631.33 $44,631.33 $44,631.33 2026-04-01
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 17 9 — — $18,835.19 $75,349.00 $44,176.00 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 6 6 — — $43,876.75 $43,876.75 $43,876.75 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 6 6 — — $43,613.98 $43,613.98 $43,613.98 2026-04-01
165 MS_DRG Major Chest Procedures Without Cc/Mcc 15 9 — — $21,692.00 $66,097.00 $43,592.00 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 6 6 — — $43,549.12 $43,549.12 $43,549.12 2026-04-01
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/Mcc 15 8 — — $500.00 $74,252.00 $43,496.00 2026-04-01
499 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Without… 14 8 — — $22,861.36 $61,491.00 $43,446.00 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 15 8 — — $36,474.00 $59,374.00 $43,408.00 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 7 7 — — $43,262.86 $55,886.40 $43,262.86 2026-04-01
507 MS_DRG Major Shoulder Or Elbow Joint Procedures With Cc/Mcc 14 8 — — $20,531.03 $63,301.00 $42,805.50 2026-04-01
508 MS_DRG Major Shoulder Or Elbow Joint Procedures Without Cc/Mcc 14 8 — — $17,265.90 $63,301.00 $42,805.50 2026-04-01
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 14 8 — — $19,654.37 $68,830.00 $42,479.00 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 6 6 — — $42,409.68 $42,409.68 $42,409.68 2026-04-01
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/Mcc 14 8 — — $25,151.42 $62,832.00 $42,267.00 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 8 6 — — $42,226.29 $111,443.00 $42,226.29 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 7 7 — — $42,126.77 $44,531.00 $42,126.77 2026-04-01
29916 HCPCS Hip Arthro W/labral Repair 5 4 — — $10,317.50 $48,425.00 $42,124.00 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 8 6 — — $42,004.89 $129,858.00 $42,004.89 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 6 6 — — $41,770.07 $41,770.07 $41,770.07 2026-04-01
58573 HCPCS Tlh W/t/o Uterus Over 250 G 6 5 — — $15,114.39 $47,427.00 $41,749.50 2026-04-01
27427 HCPCS Reconstruction Knee 6 5 — — $10,317.50 $45,428.00 $41,707.00 2026-04-01
740 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Cc 14 8 — — $20,566.81 $61,894.00 $41,637.00 2026-04-01
27447 HCPCS Total Knee Arthroplasty 2 2 — — $18,255.12 $64,740.00 $41,497.56 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 6 6 — — $41,404.42 $41,404.42 $41,404.42 2026-04-01
506 MS_DRG Major Thumb Or Joint Procedures 14 8 — — $15,418.64 $58,651.00 $41,226.00 2026-04-01
27130 HCPCS Total Hip Arthroplasty 2 2 — — $18,255.12 $63,770.00 $41,012.56 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 6 6 — — $40,905.70 $40,905.70 $40,905.70 2026-04-01
332 MS_DRG Rectal Resection With Mcc 6 6 — — $40,818.48 $40,818.48 $40,818.48 2026-04-01
265 MS_DRG Aicd Lead Procedures 6 6 — — $40,790.53 $40,790.53 $40,790.53 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 9 7 — — $15,476.00 $196,953.00 $40,718.96 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 6 6 — — $40,658.58 $40,658.58 $40,658.58 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 14 8 — — $28,690.52 $59,798.00 $40,608.50 2026-04-01
583 MS_DRG Mastectomy For Malignancy Without Cc/Mcc 14 8 — — $19,614.11 $60,364.00 $40,432.00 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 6 6 — — $40,394.69 $40,394.69 $40,394.69 2026-04-01
5092 OTHER Level 2 Breast/Lymphatic Surgery And Related Procedures 5 5 — — $2,757.30 $64,165.68 $40,349.11 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 6 6 — — $40,301.88 $40,301.88 $40,301.88 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 8 6 — — $40,202.36 $142,084.00 $40,202.36 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 8 6 — — $40,168.81 $128,055.00 $40,168.81 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 8 6 — — $40,130.79 $127,582.00 $40,130.79 2026-04-01
27814 HCPCS Treatment Of Ankle Fracture 6 5 — — $10,317.50 $44,925.00 $39,985.00 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 8 6 — — $39,685.75 $137,731.00 $39,685.75 2026-04-01
39 MS_DRG Extracranial Procedures Without Cc/Mcc 14 8 — — $13,476.33 $56,091.00 $39,486.00 2026-04-01
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 14 8 — — $23,583.71 $58,954.00 $39,456.50 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 6 6 — — $39,327.93 $39,327.93 $39,327.93 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 6 6 — — $39,149.01 $39,149.01 $39,149.01 2026-04-01
57425 HCPCS Laparoscopy Surg Colpopexy 6 5 — — $15,114.39 $43,300.00 $39,037.00 2026-04-01
658 MS_DRG Kidney And Ureter Procedures For Neoplasm Without Cc/Mcc 14 8 — — $17,684.10 $54,604.00 $39,003.50 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 8 6 — — $38,961.16 $107,770.00 $38,961.16 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 6 6 — — $38,668.19 $38,668.19 $38,668.19 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 6 6 — — $38,430.01 $38,430.01 $38,430.01 2026-04-01
716 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy Without Cc/Mcc 14 8 — — $16,780.60 $56,883.00 $38,264.50 2026-04-01
58571 HCPCS Tlh W/t/o 250 G Or Less 6 5 — — $15,114.39 $44,246.00 $38,147.50 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 8 6 — — $37,686.41 $114,830.00 $37,686.41 2026-04-01
505 MS_DRG Foot Procedures Without Cc/Mcc 14 8 — — $20,378.96 $53,104.00 $37,490.50 2026-04-01
708 MS_DRG Major Male Pelvic Procedures Without Cc/Mcc 15 8 — — $17,487.30 $48,665.00 $37,472.00 2026-04-01
27524 HCPCS Treat Kneecap Fracture 6 5 — — $10,317.50 $41,400.00 $37,323.00 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 6 6 — — $37,269.32 $37,269.32 $37,269.32 2026-04-01
93654 HCPCS Ep & Ablate Ventric Tachy 1 1 — — $37,165.01 $37,165.01 $37,165.01 2026-04-01
93656 HCPCS Hchg Ca Compre Ep Eval Abltj Atr Fib 1 1 — — $37,165.01 $37,165.01 $37,165.01 2026-04-01
93653 HCPCS Ep & Ablate Supravent Arrhyt 1 1 — — $37,165.01 $37,165.01 $37,165.01 2026-04-01
63042 HCPCS Laminotomy Single Lumbar 6 5 — — $10,317.50 $41,121.00 $37,072.50 2026-04-01
27829 HCPCS Treat Lower Leg Joint 6 5 — — $10,317.50 $41,626.00 $37,047.50 2026-04-01
28297 HCPCS Correction Hallux Valgus 5 4 — — $18,255.12 $41,948.00 $37,020.00 2026-04-01
23515 HCPCS Treat Clavicle Fracture 5 4 — — $10,317.50 $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 — — $18,294.64 $54,716.00 $36,805.50 2026-04-01
501 MS_DRG Soft Tissue Procedures With Cc 14 8 — — $19,879.12 $54,570.00 $36,706.50 2026-04-01
27380 HCPCS Repair Of Kneecap Tendon 6 5 — — $10,317.50 $41,185.00 $36,653.50 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 8 6 — — $36,504.48 $146,622.00 $36,504.48 2026-04-01
652 MS_DRG Kidney Transplant 6 6 — — $36,444.10 $36,444.10 $36,444.10 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 8 6 — — $36,417.26 $120,336.00 $36,417.26 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 6 6 — — $36,346.81 $36,346.81 $36,346.81 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 6 6 — — $36,230.52 $36,230.52 $36,230.52 2026-04-01
520 MS_DRG Back And Neck Procedures Except Spinal Fusion Without Cc/Mcc 14 8 — — $17,036.67 $53,231.00 $36,208.00 2026-04-01
334 MS_DRG Rectal Resection Without Cc/Mcc 14 8 — — $18,646.87 $50,508.00 $36,108.00 2026-04-01
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/Mcc 16 9 — — $11,607.00 $50,381.00 $36,051.50 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 8 6 — — $35,967.74 $110,842.00 $35,967.74 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 8 6 — — $35,933.08 $169,914.00 $35,933.08 2026-04-01
497 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 14 8 — — $13,843.10 $52,790.00 $35,869.50 2026-04-01
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 14 8 — — $23,569.17 $53,119.00 $35,731.50 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 6 6 — — $35,720.62 $35,720.62 $35,720.62 2026-04-01
304 MS_DRG Hypertension With Mcc 14 8 — — $13,638.47 $53,059.00 $35,692.00 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 7 7 — — $33,675.98 $35,666.95 $35,666.95 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 7 6 — — $35,566.31 $36,345.21 $35,566.31 2026-04-01
287 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization Without Mcc 15 9 — — $12,297.75 $60,671.00 $35,510.00 2026-04-01
744 MS_DRG D&c, Conization, Laparoscopy And Tubal Interruption With Cc/Mcc 14 8 — — $23,244.90 $52,635.00 $35,407.50 2026-04-01
665 MS_DRG Prostatectomy With Mcc 6 6 — — $35,233.09 $35,233.09 $35,233.09 2026-04-01
59151 HCPCS Treat Ectopic Pregnancy 6 5 — — $8,596.04 $38,681.00 $35,200.50 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 8 6 — — $35,160.41 $89,051.00 $35,160.41 2026-04-01
5222 OTHER Level 2 Pacemaker And Similar Procedures 2 2 — — $31,594.37 $38,064.98 $34,829.68 2026-04-01
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