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 CENTER - MISSION BERNAL

San Francisco, CA · CCN 050055 · 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/940562680-1730238007_california-pacific-medical-center-mission-bernal-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.

8,433 distinct procedures filed
9 distinct payers
37,267 rate rows
2026-04-01 last MRF observed
Data quality

20,194 of 37,267 rate rows are consumer-grade (54.2%)

17,073 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 17,042
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 16
placeholder amount (≤ $0.02) — excluded from medians 15
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/940562680-1730238007_california-pacific-medical-center-mission-bernal-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 fca8a7ccd9140dbd… · 16,311,844 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 4 $503,731.80 $503,731.80 $503,731.80 nat. median
$370,165
1.4× median
215
MS_DRG 		Other Heart Assist System Implant 7 $116,918.49 $572,437.00 $466,244.00 nat. median
$98,002
outlier · 4.8×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 7 $92,607.76 $421,727.00 $330,644.00 nat. median
$77,385
outlier · 4.3×
22
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 7 $37,990.68 $421,727.00 $330,644.00 nat. median
$34,270
outlier · 9.6×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 7 $114,890.46 $418,096.00 $327,783.00 nat. median
$92,900
outlier · 3.5×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 4 $327,252.55 $327,252.55 $327,252.55 nat. median
$261,939
1.2× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 7 $77,548.88 $347,020.00 $285,309.00 nat. median
$63,840
outlier · 4.5×
21
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 7 $62,629.72 $316,241.00 $283,878.00 nat. median
$54,267
outlier · 5.2×
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 7 $77,548.88 $326,115.00 $283,582.00 nat. median
$60,895
outlier · 4.7×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 7 $105,888.90 $357,388.00 $280,063.00 nat. median
$81,124
outlier · 3.5×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 7 $129,307.86 $357,388.00 $280,063.00 nat. median
$96,835
outlier · 2.9×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 7 $84,011.33 $330,743.00 $266,267.00 nat. median
$68,581
outlier · 3.9×
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 7 $71,580.05 $320,729.00 $263,589.00 nat. median
$59,257
outlier · 4.4×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 7 $99,140.06 $316,576.00 $260,441.00 nat. median
$79,040
outlier · 3.3×
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 7 $72,346.09 $429,000.00 $258,481.00 nat. median
$60,162
outlier · 4.3×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 4 $249,561.12 $249,561.12 $249,561.12 nat. median
$205,166
1.2× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 4 $248,102.38 $248,102.38 $248,102.38 nat. median
$199,832
1.2× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 7 $98,831.55 $312,613.00 $244,853.00 nat. median
$80,459
outlier · 3.0×
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 7 $70,421.68 $312,613.00 $244,853.00 nat. median
$57,394
outlier · 4.3×
458
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 7 $49,576.76 $312,613.00 $244,853.00 nat. median
$42,100
outlier · 5.8×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 7 $90,389.96 $300,312.00 $235,380.00 nat. median
$74,472
outlier · 3.2×
209
MS_DRG 		Complex Aortic Arch Procedures 5 $132,772.50 $285,542.01 $235,357.34 nat. median
$96,134
outlier · 2.4×
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 7 $85,038.16 $248,038.00 $226,883.00 nat. median
$66,640
outlier · 3.4×
234
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 7 $64,596.04 $283,168.00 $221,621.00 nat. median
$53,013
outlier · 4.2×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 7 $90,004.61 $283,168.00 $221,621.00 nat. median
$73,475
outlier · 3.0×
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 7 $70,928.10 $280,345.00 $220,011.00 nat. median
$58,419
outlier · 3.8×
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 7 $67,711.43 $260,849.00 $215,009.00 nat. median
$55,685
outlier · 3.9×
430
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 7 $68,139.86 $242,289.00 $212,809.00 nat. median
$53,268
outlier · 4.0×
24
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 7 $46,541.70 $257,283.00 $212,067.00 nat. median
$38,059
outlier · 5.6×
277
MS_DRG 		Cardiac Defibrillator Implant Without Mcc 7 $54,767.90 $281,441.00 $210,584.00 nat. median
$45,772
outlier · 4.6×
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×
402
MS_DRG 		Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 7 $47,806.02 $242,289.00 $205,376.00 nat. median
$38,854
outlier · 5.3×
229
MS_DRG 		Other Cardiothoracic Procedures Without Mcc 7 $37,665.87 $231,802.00 $198,244.00 nat. median
$32,689
outlier · 6.1×
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×
428
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 7 $66,450.61 $222,938.00 $191,487.00 nat. median
$53,080
outlier · 3.6×
228
MS_DRG 		Other Cardiothoracic Procedures With Mcc 7 $58,596.94 $232,428.00 $190,858.00 nat. median
$50,071
outlier · 3.8×
267
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 7 $56,424.56 $239,033.00 $189,507.00 nat. median
$47,266
outlier · 4.0×
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 7 $78,786.42 $287,303.00 $185,999.00 nat. median
$62,262
outlier · 3.0×
450
MS_DRG 		Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically… 7 $63,046.50 $273,285.00 $182,680.00 nat. median
$50,178
outlier · 3.6×
220
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 7 $63,083.75 $203,642.00 $172,044.00 nat. median
$52,372
outlier · 3.3×
405
MS_DRG 		Pancreas, Liver And Shunt Procedures With Mcc 6 $64,686.85 $210,500.00 $171,229.50 nat. median
$52,517
outlier · 3.3×
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 7 $81,071.74 $213,184.00 $167,107.00 nat. median
$65,792
outlier · 2.5×
319
MS_DRG 		Other Endovascular Cardiac Valve Procedures With Mcc 6 $52,956.42 $208,452.00 $166,538.00 nat. median
$43,221
outlier · 3.9×
40
MS_DRG 		Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 6 $45,951.45 $203,911.00 $165,424.00 nat. median
$37,498
outlier · 4.4×
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 7 $78,843.47 $219,500.00 $163,332.00 nat. median
$59,832
outlier · 2.7×
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 7 $69,321.51 $207,134.00 $162,459.00 nat. median
$57,082
outlier · 2.8×
236
MS_DRG 		Coronary Bypass Without Cardiac Catheterization Without Mcc 7 $49,765.36 $197,101.00 $162,459.00 nat. median
$41,718
outlier · 3.9×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 5 $162,256.92 $270,796.53 $162,256.92 nat. median
$132,706
1.2× median

Other procedures at this hospital

Browse this hospital's 8,433 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 4 4 — — $503,731.80 $503,731.80 $503,731.80 2026-04-01
215 MS_DRG Other Heart Assist System Implant 15 7 — — $116,918.49 $572,437.00 $466,244.00 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 15 7 — — $92,607.76 $421,727.00 $330,644.00 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 15 7 — — $37,990.68 $421,727.00 $330,644.00 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 15 7 — — $114,890.46 $418,096.00 $327,783.00 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 4 4 — — $327,252.55 $327,252.55 $327,252.55 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 15 7 — — $77,548.88 $347,020.00 $285,309.00 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 15 7 — — $62,629.72 $316,241.00 $283,878.00 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 15 7 — — $77,548.88 $326,115.00 $283,582.00 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 7 — — $129,307.86 $357,388.00 $280,063.00 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 15 7 — — $105,888.90 $357,388.00 $280,063.00 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 15 7 — — $84,011.33 $330,743.00 $266,267.00 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 15 7 — — $71,580.05 $320,729.00 $263,589.00 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 15 7 — — $99,140.06 $316,576.00 $260,441.00 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 15 7 — — $72,346.09 $429,000.00 $258,481.00 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 4 4 — — $249,561.12 $249,561.12 $249,561.12 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 4 4 — — $248,102.38 $248,102.38 $248,102.38 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 15 7 — — $98,831.55 $312,613.00 $244,853.00 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 15 7 — — $49,576.76 $312,613.00 $244,853.00 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 15 7 — — $70,421.68 $312,613.00 $244,853.00 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 15 7 — — $90,389.96 $300,312.00 $235,380.00 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 13 5 — — $132,772.50 $285,542.01 $235,357.34 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 7 — — $85,038.16 $248,038.00 $226,883.00 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 15 7 — — $64,596.04 $283,168.00 $221,621.00 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 15 7 — — $90,004.61 $283,168.00 $221,621.00 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 15 7 — — $70,928.10 $280,345.00 $220,011.00 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 15 7 — — $67,711.43 $260,849.00 $215,009.00 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 15 7 — — $68,139.86 $242,289.00 $212,809.00 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 15 7 — — $46,541.70 $257,283.00 $212,067.00 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 15 7 — — $54,767.90 $281,441.00 $210,584.00 2026-04-01
230 MS_DRG Other Cardiothoracic Procedures Without Cc/mcc 2 1 — — $178,847.00 $235,989.00 $207,418.00 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 15 7 — — $47,806.02 $242,289.00 $205,376.00 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 15 7 — — $37,665.87 $231,802.00 $198,244.00 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 1 1 — — $192,725.00 $192,725.00 $192,725.00 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 7 — — $66,450.61 $222,938.00 $191,487.00 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 15 7 — — $58,596.94 $232,428.00 $190,858.00 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 15 7 — — $56,424.56 $239,033.00 $189,507.00 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 15 7 — — $78,786.42 $287,303.00 $185,999.00 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 15 7 — — $63,046.50 $273,285.00 $182,680.00 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 15 7 — — $63,083.75 $203,642.00 $172,044.00 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 14 6 — — $64,686.85 $210,500.00 $171,229.50 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 15 7 — — $81,071.74 $213,184.00 $167,107.00 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 12 6 — — $52,956.42 $208,452.00 $166,538.00 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 14 6 — — $45,951.45 $203,911.00 $165,424.00 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 15 7 — — $78,843.47 $219,500.00 $163,332.00 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 15 7 — — $49,765.36 $197,101.00 $162,459.00 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 15 7 — — $69,321.51 $207,134.00 $162,459.00 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 5 5 — — $162,256.92 $270,796.53 $162,256.92 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 15 7 — — $59,677.32 $203,642.00 $156,856.00 2026-04-01
7 MS_DRG Lung Transplant 4 4 — — $151,765.19 $151,765.19 $151,765.19 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 15 7 — — $70,947.90 $190,594.00 $149,413.00 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 14 6 — — $53,176.45 $181,752.00 $147,844.00 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 4 2 — — $63,342.28 $145,441.90 $145,441.90 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 1 1 — — $144,893.00 $144,893.00 $144,893.00 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 15 7 — — $50,370.74 $206,516.00 $144,475.00 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 15 7 — — $62,425.98 $168,499.00 $144,087.00 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 4 4 — — $140,911.40 $140,911.40 $140,911.40 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 15 7 — — $53,932.01 $173,817.00 $139,312.00 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 15 7 — — $38,169.97 $166,687.00 $136,122.00 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 15 7 — — $65,298.05 $170,626.00 $133,685.00 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 4 4 — — $132,923.85 $132,923.85 $132,923.85 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 5 3 — — $55,272.32 $162,691.22 $131,139.34 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 15 7 — — $41,610.17 $157,419.00 $129,754.00 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 15 7 — — $38,607.71 $168,567.00 $127,965.00 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 4 4 — — $127,595.33 $127,595.33 $127,595.33 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 2 2 — — $56,824.55 $189,311.16 $123,067.85 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 15 7 — — $32,674.96 $157,146.00 $123,007.00 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 13 5 — — $41,031.56 $149,225.16 $122,995.53 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 4 4 — — $121,033.92 $121,033.92 $121,033.92 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 13 5 — — $67,439.01 $138,362.23 $114,045.82 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 16 7 — — $31,967.13 $153,323.00 $110,846.50 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 14 6 — — $42,571.79 $132,043.00 $107,409.50 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 15 7 — — $53,161.32 $136,342.00 $106,878.00 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 16 7 — — $41,136.17 $138,961.00 $105,300.00 2026-04-01
J9226 HCPCS Supprelin La Implant 7 3 — — $45,020.65 $129,708.04 $103,987.69 2026-04-01
32 MS_DRG Ventricular Shunt Procedures With Cc 15 7 — — $25,808.54 $124,311.00 $102,465.00 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 15 7 — — $50,165.84 $130,491.00 $102,411.00 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 15 7 — — $57,215.04 $124,929.00 $102,247.00 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 4 4 — — $101,813.05 $101,813.05 $101,813.05 2026-04-01
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 15 7 — — $21,524.30 $128,589.00 $100,909.00 2026-04-01
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 13 5 — — $29,106.70 $122,414.23 $100,899.00 2026-04-01
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 15 7 — — $26,596.70 $111,025.00 $100,452.00 2026-04-01
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 15 7 — — $25,807.37 $124,237.00 $97,403.00 2026-04-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 12 6 — — $29,001.93 $119,342.00 $95,345.00 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 12 6 — — $33,097.57 $116,934.00 $95,329.50 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 15 7 — — $61,600.57 $115,257.00 $94,681.00 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 15 7 — — $32,991.63 $106,866.00 $94,167.00 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 15 7 — — $37,196.70 $113,837.00 $93,830.00 2026-04-01
5073 OTHER Level 3 Excision/ Biopsy/ Incision And Drainage 1 1 — — $92,767.48 $92,767.48 $92,767.48 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 15 7 — — $42,401.82 $138,594.00 $90,953.00 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 16 7 — — $37,249.43 $129,264.00 $90,071.00 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 4 4 — — $89,710.07 $89,710.07 $89,710.07 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 15 7 — — $35,297.90 $100,815.00 $88,899.00 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 15 7 — — $39,326.01 $106,141.00 $87,485.00 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 15 7 — — $31,217.39 $105,379.00 $86,859.00 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 15 7 — — $49,028.42 $105,281.00 $86,779.00 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 15 7 — — $36,311.91 $109,518.00 $85,968.00 2026-04-01
0764 OTHER Ketorolac Tromethamine Inj 1 1 — — $84,798.92 $84,798.92 $84,798.92 2026-04-01
10 MS_DRG Pancreas Transplant 4 4 — — $84,538.72 $84,538.72 $84,538.72 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 4 4 — — $84,503.79 $84,503.79 $84,503.79 2026-04-01
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/Mcc 15 7 — — $22,042.37 $94,407.00 $84,267.00 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 4 4 — — $84,060.23 $84,060.23 $84,060.23 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 15 7 — — $30,371.02 $102,235.00 $82,572.00 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 15 7 — — $30,721.44 $124,247.00 $81,485.00 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 6 5 — — $69,579.36 $150,765.18 $81,466.40 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 16 7 — — $15,469.39 $105,280.00 $79,709.50 2026-04-01
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 16 7 — — $24,141.89 $105,280.00 $79,709.50 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 4 4 — — $79,362.70 $79,362.70 $79,362.70 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 15 7 — — $43,209.77 $100,037.00 $78,461.00 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 14 6 — — $34,763.53 $96,123.00 $78,185.50 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 4 4 — — $77,270.64 $77,270.64 $77,270.64 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 15 7 — — $39,321.36 $92,759.00 $76,457.00 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 7 4 — — $75,912.03 $280,748.00 $75,912.03 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 14 6 — — $31,858.86 $92,596.00 $75,322.50 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 15 7 — — $33,269.87 $95,597.00 $74,889.00 2026-04-01
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 21 7 — — $22,751.04 $95,390.00 $72,949.70 2026-04-01
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 15 7 — — $26,408.10 $92,573.00 $72,563.00 2026-04-01
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 13 5 — — $29,198.68 $88,026.82 $72,555.84 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 4 4 — — $72,263.44 $72,263.44 $72,263.44 2026-04-01
30 MS_DRG Spinal Procedures Without Cc/Mcc 15 7 — — $26,555.95 $90,559.00 $70,774.00 2026-04-01
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/Mcc 14 6 — — $25,796.90 $86,472.00 $70,336.50 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 4 4 — — $70,193.50 $70,193.50 $70,193.50 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 14 6 — — $30,383.83 $86,238.00 $70,147.50 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 4 4 — — $70,032.84 $70,032.84 $70,032.84 2026-04-01
42 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/Mcc 15 7 — — $21,113.34 $84,955.00 $70,025.00 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 4 4 — — $69,277.28 $69,277.28 $69,277.28 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 15 7 — — $43,744.14 $87,733.00 $68,989.00 2026-04-01
38 MS_DRG Extracranial Procedures With Cc 15 7 — — $19,889.77 $75,844.00 $68,803.00 2026-04-01
496 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 15 7 — — $22,000.45 $82,572.00 $67,946.00 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 15 7 — — $29,421.04 $84,129.00 $67,876.00 2026-04-01
58546 HCPCS Laparo-myomectomy Complex 8 5 — — $15,367.22 $72,146.00 $67,430.00 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 7 4 — — $67,352.86 $233,762.00 $67,352.86 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 15 7 — — $37,579.72 $84,508.00 $66,306.00 2026-04-01
259 MS_DRG Cardiac Pacemaker Device Replacement Without Mcc 15 7 — — $24,540.73 $84,508.00 $66,306.00 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 4 4 — — $66,248.04 $66,248.04 $66,248.04 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 12 6 — — $34,784.49 $81,042.00 $66,069.00 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 4 4 — — $65,800.99 $65,800.99 $65,800.99 2026-04-01
50544 HCPCS Laparoscopy Pyeloplasty 8 5 — — $15,367.22 $68,899.00 $65,254.00 2026-04-01
55866 HCPCS Laparo Radical Prostatectomy 8 5 — — $15,367.22 $69,572.00 $65,254.00 2026-04-01
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/Mcc 14 6 — — $25,921.47 $79,743.00 $65,191.50 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 4 4 — — $64,912.71 $64,912.71 $64,912.71 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 4 4 — — $64,495.92 $64,495.92 $64,495.92 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 4 4 — — $64,242.13 $64,242.13 $64,242.13 2026-04-01
131 MS_DRG Cranial/Facial Procedures W Cc/Mcc 2 1 — — $54,860.00 $72,388.00 $63,624.00 2026-04-01
582 MS_DRG Mastectomy For Malignancy With Cc/Mcc 14 6 — — $23,428.92 $76,784.00 $63,113.50 2026-04-01
251 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc 15 7 — — $18,398.43 $77,723.00 $62,782.00 2026-04-01
62 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 12 6 — — $21,456.78 $76,994.00 $62,767.50 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 4 4 — — $61,495.79 $61,495.79 $61,495.79 2026-04-01
J9266 HCPCS Pegaspargase Injection 7 3 — — $28,424.06 $62,262.23 $61,062.67 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 15 7 — — $44,509.01 $77,851.00 $60,764.00 2026-04-01
254 MS_DRG Other Vascular Procedures Without Cc/Mcc 15 7 — — $21,742.00 $76,843.00 $60,229.00 2026-04-01
336 MS_DRG Peritoneal Adhesiolysis With Cc 15 6 — — $25,548.92 $76,530.00 $59,838.00 2026-04-01
33 MS_DRG Ventricular Shunt Procedures Without Cc/Mcc 16 7 — — $20,358.94 $73,615.00 $59,806.50 2026-04-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 15 7 — — $26,760.85 $75,635.00 $59,336.00 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 4 4 — — $59,062.62 $59,062.62 $59,062.62 2026-04-01
5115 OTHER Level 5 Musculoskeletal Procedures 9 4 — — $11,755.76 $67,811.78 $58,856.81 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 7 5 — — $26,430.72 $74,007.99 $58,494.50 2026-04-01
397 MS_DRG Appendix Procedures With Mcc 15 7 — — $28,880.85 $75,685.00 $58,322.00 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 5 4 — — $58,297.75 $59,404.15 $58,297.75 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 4 4 — — $58,059.09 $58,059.09 $58,059.09 2026-04-01
262 MS_DRG Cardiac Pacemaker Revision Except Device Replacement Without Cc/Mcc 15 7 — — $19,974.75 $73,615.00 $57,730.00 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 15 7 — — $38,868.49 $73,615.00 $57,730.00 2026-04-01
261 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Cc 15 7 — — $23,008.65 $73,615.00 $57,730.00 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 4 4 — — $56,930.98 $56,930.98 $56,930.98 2026-04-01
737 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 14 6 — — $24,988.95 $69,678.00 $56,682.00 2026-04-01
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 17 7 — — $20,693.06 $71,801.00 $56,122.00 2026-04-01
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/Mcc 14 6 — — $27,046.08 $68,693.00 $55,876.00 2026-04-01
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 18 7 — — $23,219.37 $70,038.00 $55,849.50 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 4 4 — — $55,733.02 $55,733.02 $55,733.02 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 4 4 — — $55,621.26 $55,621.26 $55,621.26 2026-04-01
585 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/Mcc 14 6 — — $23,458.03 $67,870.00 $55,486.00 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 4 4 — — $55,458.27 $55,458.27 $55,458.27 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 15 7 — — $28,452.00 $67,232.00 $55,419.00 2026-04-01
58544 HCPCS Lsh W/t/o Uterus Above 250 G 8 5 — — $15,367.22 $59,137.00 $55,272.00 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 4 4 — — $54,983.28 $54,983.28 $54,983.28 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 4 4 — — $54,511.78 $54,511.78 $54,511.78 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 4 4 — — $54,375.57 $54,375.57 $54,375.57 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 16 7 — — $28,069.85 $71,801.00 $54,295.00 2026-04-01
245 MS_DRG Aicd Generator Procedures 4 4 — — $54,114.79 $54,114.79 $54,114.79 2026-04-01
165 MS_DRG Major Chest Procedures Without Cc/Mcc 15 7 — — $23,284.56 $65,483.00 $54,086.00 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 4 4 — — $53,955.30 $53,955.30 $53,955.30 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 4 4 — — $53,724.79 $53,724.79 $53,724.79 2026-04-01
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/Mcc 16 7 — — $19,263.62 $70,792.00 $53,429.00 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 15 7 — — $36,120.98 $67,767.00 $53,081.00 2026-04-01
23615 HCPCS Treat Humerus Fracture 7 4 — — $18,560.48 $55,255.00 $52,901.00 2026-04-01
49656 HCPCS Lap Inc Hernia Repair Recur 1 1 — — $52,171.00 $52,171.00 $52,171.00 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 5 4 — — $50,870.61 $52,140.32 $52,140.32 2026-04-01
581 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/Mcc 14 6 — — $17,800.04 $61,975.00 $51,740.50 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 4 4 — — $51,378.93 $51,378.93 $51,378.93 2026-04-01
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 14 6 — — $21,116.83 $68,830.00 $51,365.50 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 7 4 — — $50,977.28 $144,501.00 $50,977.28 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 4 4 — — $50,655.97 $50,655.97 $50,655.97 2026-04-01
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/Mcc 14 6 — — $26,840.02 $62,248.00 $50,637.00 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 4 4 — — $50,082.02 $50,082.02 $50,082.02 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 4 4 — — $50,057.57 $50,057.57 $50,057.57 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 4 4 — — $49,914.37 $49,914.37 $49,914.37 2026-04-01
740 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Cc 14 6 — — $22,066.81 $61,319.00 $49,880.50 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 4 4 — — $49,856.16 $49,856.16 $49,856.16 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 4 4 — — $49,541.83 $49,541.83 $49,541.83 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 4 4 — — $49,348.57 $49,348.57 $49,348.57 2026-04-01
504 MS_DRG Foot Procedures With Cc 15 7 — — $22,760.67 $62,724.00 $49,328.00 2026-04-01
503 MS_DRG Foot Procedures With Mcc 15 7 — — $33,493.39 $62,724.00 $49,328.00 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 2 2 — — $24,228.42 $74,101.05 $49,164.74 2026-04-01
499 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Without… 15 7 — — $24,455.74 $59,368.00 $48,568.00 2026-04-01
583 MS_DRG Mastectomy For Malignancy Without Cc/Mcc 14 6 — — $21,074.92 $59,804.00 $48,382.00 2026-04-01
791 MS_DRG Prematurity With Major Problems 4 4 — — $48,254.23 $48,254.23 $48,254.23 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 14 6 — — $38,394.00 $58,823.00 $47,848.00 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 4 4 — — $47,382.25 $47,382.25 $47,382.25 2026-04-01
507 MS_DRG Major Shoulder Or Elbow Joint Procedures With Cc/Mcc 15 7 — — $22,029.56 $60,104.00 $47,184.00 2026-04-01
508 MS_DRG Major Shoulder Or Elbow Joint Procedures Without Cc/Mcc 15 7 — — $18,630.11 $60,104.00 $47,184.00 2026-04-01
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 15 6 — — $22,216.12 $60,099.00 $46,993.00 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 4 4 — — $46,335.64 $46,335.64 $46,335.64 2026-04-01
506 MS_DRG Major Thumb Or Joint Procedures 15 7 — — $16,706.86 $56,459.00 $46,333.00 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 4 4 — — $46,062.05 $46,062.05 $46,062.05 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 6 5 — — $45,994.53 $54,954.00 $45,994.53 2026-04-01
132 MS_DRG Cranial/Facial Procedures Without Cc/Mcc 8 4 — — $24,867.00 $54,032.00 $45,931.00 2026-04-01
716 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy Without Cc/Mcc 14 6 — — $18,124.85 $56,355.00 $45,841.00 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 4 4 — — $45,696.49 $45,696.49 $45,696.49 2026-04-01
501 MS_DRG Soft Tissue Procedures With Cc 15 6 — — $21,350.83 $54,064.00 $45,679.00 2026-04-01
398 MS_DRG Appendix Procedures With Cc 15 7 — — $18,620.79 $57,681.00 $45,219.00 2026-04-01
287 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization Without Mcc 15 7 — — $13,457.59 $57,681.00 $45,219.00 2026-04-01
658 MS_DRG Kidney And Ureter Procedures For Neoplasm Without Cc/Mcc 15 7 — — $19,065.52 $54,096.00 $44,826.00 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 4 4 — — $44,808.21 $44,808.21 $44,808.21 2026-04-01
29916 HCPCS Hip Arthro W/labral Repair 7 4 — — $10,490.08 $48,425.00 $44,774.00 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 15 7 — — $30,524.70 $57,075.00 $44,682.00 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 7 4 — — $44,617.28 $110,431.00 $44,617.28 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 4 4 — — $44,513.67 $44,513.67 $44,513.67 2026-04-01
5362 OTHER Level 2 Laparoscopy And Related Services 10 6 — — $867.29 $80,439.43 $44,506.31 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 7 4 — — $44,386.77 $121,593.00 $44,386.77 2026-04-01
39 MS_DRG Extracranial Procedures Without Cc/Mcc 15 7 — — $14,684.65 $53,667.00 $44,284.00 2026-04-01
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 15 6 — — $25,192.68 $52,625.00 $44,177.00 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 4 4 — — $44,142.29 $44,142.29 $44,142.29 2026-04-01
578 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis Without Cc/Mcc 14 6 — — $19,701.17 $54,208.00 $44,093.50 2026-04-01
27427 HCPCS Reconstruction Knee 8 5 — — $10,490.08 $45,428.00 $44,021.50 2026-04-01
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 15 7 — — $25,207.81 $53,157.00 $43,816.00 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 4 4 — — $43,761.60 $43,761.60 $43,761.60 2026-04-01
58573 HCPCS Tlh W/t/o Uterus Over 250 G 8 5 — — $15,367.22 $47,427.00 $43,630.00 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 4 4 — — $43,242.37 $43,242.37 $43,242.37 2026-04-01
332 MS_DRG Rectal Resection With Mcc 4 4 — — $43,151.56 $43,151.56 $43,151.56 2026-04-01
265 MS_DRG Aicd Lead Procedures 4 4 — — $43,122.46 $43,122.46 $43,122.46 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 7 4 — — $43,047.95 $195,166.00 $43,047.95 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 4 4 — — $42,985.08 $42,985.08 $42,985.08 2026-04-01
304 MS_DRG Hypertension With Mcc 14 6 — — $14,853.46 $52,567.00 $42,758.50 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 4 4 — — $42,710.33 $42,710.33 $42,710.33 2026-04-01
505 MS_DRG Foot Procedures Without Cc/Mcc 15 7 — — $21,871.23 $50,945.00 $42,678.00 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 4 4 — — $42,613.70 $42,613.70 $42,613.70 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 7 4 — — $42,510.09 $133,042.00 $42,510.09 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 7 4 — — $42,475.16 $119,906.00 $42,475.16 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 7 4 — — $42,435.58 $119,464.00 $42,435.58 2026-04-01
744 MS_DRG D&c, Conization, Laparoscopy And Tubal Interruption With Cc/Mcc 14 6 — — $24,855.06 $52,147.00 $42,417.50 2026-04-01
63 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 12 6 — — $17,342.51 $51,842.00 $42,264.00 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 7 4 — — $41,972.23 $128,968.00 $41,972.23 2026-04-01
27447 HCPCS Total Knee Arthroplasty 2 2 — — $18,560.48 $64,740.00 $41,650.24 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 4 4 — — $41,599.69 $41,599.69 $41,599.69 2026-04-01
27814 HCPCS Treatment Of Ankle Fracture 8 5 — — $10,490.08 $44,925.00 $41,477.00 2026-04-01
334 MS_DRG Rectal Resection Without Cc/Mcc 15 7 — — $20,067.89 $50,039.00 $41,431.00 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 4 4 — — $41,413.42 $41,413.42 $41,413.42 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 7 4 — — $41,217.83 $100,912.00 $41,217.83 2026-04-01
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/Mcc 17 7 — — $20,446.90 $49,914.00 $41,163.00 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 4 4 — — $40,912.81 $40,912.81 $40,912.81 2026-04-01
27130 HCPCS Total Hip Arthroplasty 2 2 — — $18,560.48 $63,249.00 $40,904.74 2026-04-01
58571 HCPCS Tlh W/t/o 250 G Or Less 8 5 — — $15,367.22 $44,246.00 $40,704.00 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 4 4 — — $40,664.84 $40,664.84 $40,664.84 2026-04-01
57425 HCPCS Laparoscopy Surg Colpopexy 8 5 — — $15,367.22 $43,300.00 $40,469.50 2026-04-01
28297 HCPCS Correction Hallux Valgus 7 4 — — $18,560.48 $41,948.00 $40,162.00 2026-04-01
708 MS_DRG Major Male Pelvic Procedures Without Cc/Mcc 15 7 — — $18,860.62 $48,212.00 $39,998.00 2026-04-01
23515 HCPCS Treat Clavicle Fracture 7 4 — — $10,490.08 $41,716.00 $39,938.00 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 7 4 — — $39,890.65 $107,522.00 $39,890.65 2026-04-01
520 MS_DRG Back And Neck Procedures Except Spinal Fusion Without Cc/Mcc 15 7 — — $18,391.45 $50,825.00 $39,857.00 2026-04-01
497 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 15 7 — — $15,066.51 $50,220.00 $39,498.00 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 4 4 — — $39,456.40 $39,456.40 $39,456.40 2026-04-01
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 15 6 — — $25.31 $50,245.00 $39,287.00 2026-04-01
27524 HCPCS Treat Kneecap Fracture 8 5 — — $10,490.08 $41,400.00 $38,693.50 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 4 4 — — $38,660.09 $38,660.09 $38,660.09 2026-04-01
652 MS_DRG Kidney Transplant 4 4 — — $38,597.23 $38,597.23 $38,597.23 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 7 4 — — $38,569.29 $112,677.00 $38,569.29 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 4 4 — — $38,495.94 $38,495.94 $38,495.94 2026-04-01
63042 HCPCS Laminotomy Single Lumbar 8 5 — — $10,490.08 $41,121.00 $38,434.00 2026-04-01
27829 HCPCS Treat Lower Leg Joint 8 5 — — $10,490.08 $41,626.00 $38,429.00 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 4 4 — — $38,374.87 $38,374.87 $38,374.87 2026-04-01
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 14 6 — — $20,585.96 $46,994.00 $38,225.50 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 7 4 — — $38,101.28 $103,790.00 $38,101.28 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 7 4 — — $38,065.19 $168,372.00 $38,065.19 2026-04-01
27380 HCPCS Repair Of Kneecap Tendon 8 5 — — $10,490.08 $41,185.00 $38,022.00 2026-04-01
713 MS_DRG Transurethral Prostatectomy With Cc/Mcc 14 6 — — $18,502.05 $46,632.00 $37,934.50 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 4 4 — — $37,843.99 $37,843.99 $37,843.99 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 4 4 — — $37,788.11 $37,788.11 $37,788.11 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 4 4 — — $37,683.33 $37,683.33 $37,683.33 2026-04-01
735 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy Without Cc/Mcc 15 7 — — $16,663.78 $45,614.00 $37,514.00 2026-04-01
665 MS_DRG Prostatectomy With Mcc 4 4 — — $37,336.40 $37,336.40 $37,336.40 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 7 4 — — $37,260.73 $88,243.00 $37,260.73 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 4 4 — — $36,641.38 $36,641.38 $36,641.38 2026-04-01
263 MS_DRG Vein Ligation And Stripping 4 4 — — $36,593.65 $36,593.65 $36,593.65 2026-04-01
59151 HCPCS Treat Ectopic Pregnancy 8 5 — — $8,739.83 $38,681.00 $36,568.00 2026-04-01
60240 HCPCS Removal Of Thyroid 7 4 — — $8,739.83 $38,799.00 $36,568.00 2026-04-01
47382 HCPCS Percut Ablate Liver Rf 7 4 — — $8,739.83 $36,568.00 $36,546.00 2026-04-01
513 MS_DRG Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures With Cc/Mcc 15 7 — — $19,327.46 $44,300.00 $36,512.00 2026-04-01
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