Price Transparency 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

SAN ANTONIO REGIONAL HOSPITAL

Upland, CA · CCN 050099 · Rates published

6,247 distinct procedures filed
72 distinct payers
674,897 rate rows
2026-04-02 last MRF observed
Data quality

661,195 of 674,897 rate rows are consumer-grade (98.0%)

13,702 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
per-diem day rate — not a per-procedure price 12,816
exceeds 10× this hospital's gross charge — excluded from medians 423
template filing: same amount across many unrelated codes — excluded 295
percent-of-charges filed in the dollar field — excluded from medians 91
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 44
placeholder amount (≤ $0.02) — excluded from medians 33
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbSACHUPLANDCA&type=CDMWithoutLabel
Found on page https://www.arh.org/hospital-price-transparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint 136f2b7576396e3c… · 436,876,238 bytes · first seen 2026-05-04

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
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 53 $5,009.00 $1,040,704.30 $277,931.79 nat. median
$265,286
1.0× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 52 $206,294.51 $1,499,864.75 $224,845.13 nat. median
$202,986
1.1× median
C1816
HCPCS 		Receiver And/or Transmitter, Neurostimulator (implantable) 46 $2,730.00 $324,727.23 $166,118.96 nat. median
$13,332
outlier · 12.5×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 50 $134,626.19 $913,456.15 $144,228.28 nat. median
$133,176
1.1× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 56 $89,643.81 $1,029,504.70 $130,723.49 nat. median
$102,358
1.3× median
215
MS_DRG 		Other Heart Assist System Implant 59 $57,069.33 $381,359.51 $98,750.24 nat. median
$99,019
1.0× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 61 $54,956.98 $529,027.87 $97,022.58 nat. median
$93,672
1.0× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 59 $78,085.20 $521,795.73 $89,642.10 nat. median
$87,411
1.0× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 61 $10,425.47 $378,686.58 $83,604.97 nat. median
$79,312
1.1× median
C1882
HCPCS 		Cardioverter-defibrillator, Other Than Single Or Dual Chamber (implantable) 46 $2,730.00 $180,491.81 $81,712.50 nat. median
$27,112
outlier · 3.0×
222
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 56 $25,012.00 $574,452.78 $79,942.96 nat. median
$63,570
1.3× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 50 $50,140.33 $335,057.25 $78,040.16 nat. median
$77,576
1.0× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 61 $6,215.16 $487,084.98 $77,339.00 nat. median
$73,807
1.0× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 56 $44,887.38 $524,709.76 $77,094.21 nat. median
$68,887
1.1× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 61 $41,585.09 $465,110.88 $76,562.72 nat. median
$74,915
1.0× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 50 $67,178.00 $493,987.18 $72,661.88 nat. median
$66,526
1.1× median
C1721
HCPCS 		Cardioverter-defibrillator, Dual Chamber (implantable) 46 $2,730.00 $245,009.86 $71,794.75 nat. median
$22,210
outlier · 3.2×
224
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 56 $40,996.00 $444,518.55 $71,714.49 nat. median
$54,196
1.3× median
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 56 $46,657.99 $450,384.40 $68,675.78 nat. median
$59,099
1.2× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 59 $27,964.85 $233,674.78 $68,212.74 nat. median
$65,950
1.0× median
C1824
HCPCS 		Generator, Cardiac Contractility Modulation (implantable) 47 $2,730.00 $137,215.31 $67,207.50 nat. median
$37,950
1.8× median
C1772
HCPCS 		Infusion Pump, Programmable (implantable) 46 $2,730.00 $130,761.46 $66,892.94 nat. median
$8,320
outlier · 8.0×
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 61 $45,132.00 $384,892.75 $66,515.87 nat. median
$64,510
1.0× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 61 $39,110.57 $261,352.05 $65,698.50 nat. median
$61,920
1.1× median
C2622
HCPCS 		Prosthesis, Penile, Non-inflatable 46 $2,730.00 $127,326.44 $65,135.70 nat. median
$10,427
outlier · 6.2×
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 50 $58,076.29 $388,088.42 $64,329.22 nat. median
$62,134
1.0× median
226
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 54 $9,098.11 $177,114.82 $63,482.01 nat. median
$49,935
1.3× median
C1767
HCPCS 		Generator, Neurostimulator (implantable), Non-rechargeable 46 $2,730.00 $121,582.23 $62,197.17 nat. median
$22,478
outlier · 2.8×
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 60 $39,840.00 $334,290.66 $61,995.02 nat. median
$60,726
1.0× median
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 61 $6,233.36 $398,236.90 $61,329.38 nat. median
$59,899
1.0× median
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 61 $4,348.02 $383,283.88 $60,542.68 nat. median
$57,424
1.1× median
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 52 $54,689.98 $365,459.77 $59,642.43 nat. median
$55,929
1.1× median
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 59 $29,472.62 $196,947.55 $59,140.06 nat. median
$58,024
1.0× median
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 49 $39,472.27 $263,769.10 $58,945.67 nat. median
$52,278
1.1× median
820
MS_DRG 		Lymphoma And Leukemia With Major O.r. Procedures With Mcc 52 $31,423.28 $209,982.58 $58,165.15 nat. median
$56,697
1.0× median
405
MS_DRG 		Pancreas, Liver And Shunt Procedures With Mcc 52 $53,169.54 $358,577.71 $56,967.33 nat. median
$52,836
1.1× median
463
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 50 $14,139.62 $157,706.87 $56,525.76 nat. median
$52,753
1.1× median
278
MS_DRG 		Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures… 52 $36,251.14 $356,871.23 $56,324.89 nat. median
$50,270
1.1× median
C1722
HCPCS 		Cardioverter-defibrillator, Single Chamber (implantable) 46 $2,730.00 $197,828.93 $55,894.30 nat. median
$20,768
outlier · 2.7×
270
MS_DRG 		Other Major Cardiovascular Procedures With Mcc 59 $40,909.09 $339,978.69 $54,945.01 nat. median
$51,307
1.1× median
834
MS_DRG 		Acute Leukemia With Mcc 50 $27,554.92 $184,132.74 $54,447.02 nat. median
$53,173
1.0× median
234
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 61 $5,409.78 $303,210.75 $54,177.26 nat. median
$53,268
1.0× median
220
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 61 $24,103.06 $331,656.73 $53,946.71 nat. median
$52,879
1.0× median
461
MS_DRG 		Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 59 $7,571.00 $148,329.41 $53,164.66 nat. median
$55,736
1.0× median
21
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 52 $18,616.74 $146,481.03 $52,502.16 nat. median
$54,066
1.0× median
269
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 59 $39,840.00 $349,922.90 $52,364.93 nat. median
$41,527
1.3× median
C1820
HCPCS 		Generator, Neurostimulator (implantable), With Rechargeable Battery And Charging… 46 $872.51 $300,217.73 $51,958.35 nat. median
$22,013
outlier · 2.4×
223
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 56 $32,012.47 $213,919.78 $51,757.34 nat. median
$44,728
1.2× median
466
MS_DRG 		Revision Of Hip Or Knee Replacement With Mcc 57 $14,657.12 $144,034.98 $51,625.44 nat. median
$49,191
1.0× median
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 52 $46,689.92 $312,000.23 $51,125.46 nat. median
$48,170
1.1× median

Other procedures at this hospital

Browse this hospital's 6,247 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
             
3728153 CDM Valve Aor 23mm Sapien 3 Bvn Transcatheter Strl [9600tfx23a] 35 35 $167,375.00 $83,687.50 50% off $1,575.00 $150,637.50 $50,212.50 2026-04-02
3728155 CDM Valve Aor 26mm Sapien 3 Bvn Transcatheter Strl [9600tfx26a] 35 35 $167,375.00 $83,687.50 50% off $1,575.00 $150,637.50 $50,212.50 2026-04-02
3728157 CDM Valve Aor 29mm Sapien 3 Bvn Transcatheter Strl [9600tfx29a] 35 35 $167,375.00 $83,687.50 50% off $1,575.00 $150,637.50 $50,212.50 2026-04-02
3545811 CDM Impella Cp 14f Percutaneous [0048-0007] 35 35 $128,750.00 $64,375.00 50% off $1,575.00 $115,875.00 $38,625.00 2026-04-02
3728524 CDM Defibrillator Cardiac Unify Assura Crt Cardioverter Next Gen [cd3357-40q] 35 35 $96,562.50 $48,281.25 50% off $1,575.00 $86,906.25 $28,968.75 2026-04-02
3349434 CDM Evera Xt Dr System - Mmem [everaxtdrm Mem] 35 35 $94,888.80 $47,444.40 50% off $1,575.00 $85,399.92 $28,466.64 2026-04-02
4830363 CDM Device Epi Sense St Guided Coagulation 30cm Cannula [epist-30] 36 36 $73,950.00 $36,975.00 50% off $161.65 $66,555.00 $22,185.00 2026-04-02
4809820 CDM Mitraclip Delivery System 37 37 $154,500.00 $157,590.00 $2,000.00 $157,590.00 $46,350.00 2026-04-02
3565804 CDM Pump Iab Impella 5l/min Catheter Microaxial [005062] 37 37 $144,200.00 $147,084.00 $2,000.00 $147,084.00 $43,260.00 2026-04-02
3899560 CDM Pump Perfusion Impella Cardiopulmonary Bypass Nonroller [005082] 37 37 $128,750.00 $131,325.00 $2,000.00 $131,325.00 $38,625.00 2026-04-02
4762951 CDM Edwards Sapien 3 Ultra & Delivery System 37 37 $126,072.00 $128,593.44 $2,000.00 $128,593.44 $37,821.60 2026-04-02
3565805 CDM Set Ventricular Assist 2.5in Impella Sterile Latex Free Disp [005042] 37 37 $103,000.00 $105,060.00 $2,000.00 $105,060.00 $30,900.00 2026-04-02
3839545 CDM Aortic Valve, Medium-zorc [hva-m] 37 37 $70,889.80 $72,307.60 $2,000.00 $72,307.60 $21,266.94 2026-04-02
0523T HCPCS Measurement Fractional Flow Reserve In Arteries Of Heart With 3d Functional Mapp… 43 43 $33,672.85 $16,836.43 50% off $73.61 $61,873.86 $30,305.57 2026-04-02
37225 HCPCS Removal Of Plaque In Arteries Of Leg 44 44 $53,413.00 $12,275.00 77% off $1,700.00 $77,448.85 $46,736.38 2026-04-02
93641 HCPCS Evaluation Of Single Or Dual Chamber Pacing Cardioverter-defibrillator And Gener… 44 44 $35,904.00 $1,182.00 97% off $1,151.00 $65,973.60 $32,313.60 2026-04-02
37224 HCPCS Balloon Dilation Of Artery Of Leg 44 44 $32,556.00 $6,754.00 79% off $1,700.00 $47,206.20 $28,486.50 2026-04-02
92978 HCPCS Ultrasound Evaluation Of Heart Blood Vessel Or Graft With Review By Radiologist,… 44 44 $31,360.00 $1,182.00 96% off $1,151.00 $57,624.00 $28,224.00 2026-04-02
93623 HCPCS Programming Of Heart Rhythm Stimulation After Drug Infusion 44 44 $23,308.00 $1,182.00 95% off $1,151.00 $42,828.45 $20,977.20 2026-04-02
93571 HCPCS Ultrasound Evaluation Of Heart Blood Vessel During Diagnosis Or Treatment, Initi… 44 44 $23,268.00 $11,634.00 50% off $50.86 $42,754.95 $20,941.20 2026-04-02
C9606 HCPCS Percutaneous Transluminal Revascularization Of Acute Total/subtotal Occlusion Du… 45 45 $54,151.00 $27,075.50 50% off $2,325.00 $99,502.46 $48,735.90 2026-04-02
37229 HCPCS Removal Of Plaque In Artery Of Leg, Initial Vessel 51 45 $55,990.00 $12,275.00 78% off $272.00 $102,881.63 $41,992.50 2026-04-02
37226 HCPCS Insertion Of Stent In Arteries Of Leg 51 45 $53,121.00 $12,275.00 77% off $272.00 $97,609.84 $39,840.75 2026-04-02
22523 HCPCS Kyphoplasty Thoracic 45 45 $42,953.00 $281.00 99% off $93.90 $78,926.14 $38,657.70 2026-04-02
37228 HCPCS Balloon Dilation Of Artery Of Leg, Initial Vessel 51 45 $45,315.00 $6,754.00 85% off $272.00 $83,266.31 $33,986.25 2026-04-02
37232 HCPCS Balloon Dilation Of Artery Of Leg, Each Additional Vessel 51 45 $40,656.00 $281.00 99% off $272.00 $74,705.40 $30,492.00 2026-04-02
37221 HCPCS Insertion Of Stent In Groin Artery, Initial Vessel 51 45 $39,281.00 $12,275.00 69% off $272.00 $72,178.84 $29,460.75 2026-04-02
37220 HCPCS Balloon Dilation Of Groin Artery, Initial Vessel 51 45 $36,408.00 $6,754.00 81% off $272.00 $66,899.70 $27,306.00 2026-04-02
37231 HCPCS Removal Of Plaque And Insertion Of Stents In Artery Of Leg, Initial Vessel 51 45 $33,800.00 $12,432.00 63% off $272.00 $62,107.50 $27,040.00 2026-04-02
37227 HCPCS Removal Of Plaque And Insertion Of Stents In Arteries Of Leg 51 45 $31,799.00 $12,432.00 61% off $272.00 $58,430.66 $25,439.20 2026-04-02
37230 HCPCS Insertion Of Stent In Artery Of Leg, Initial Vessel 51 45 $27,982.00 $12,275.00 56% off $272.00 $51,416.93 $20,986.50 2026-04-02
C1816 HCPCS Receiver And/or Transmitter, Neurostimulator (implantable) 46 46 $176,722.30 $180,256.75 $2,730.00 $324,727.23 $166,118.96 2026-04-02
C1882 HCPCS Cardioverter-defibrillator, Other Than Single Or Dual Chamber (implantable) 226 46 $83,868.50 $85,545.87 $2,730.00 $180,491.81 $81,712.50 2026-04-02
C1721 HCPCS Cardioverter-defibrillator, Dual Chamber (implantable) 406 46 $73,950.75 $75,429.77 $2,730.00 $245,009.86 $71,794.75 2026-04-02
C1772 HCPCS Infusion Pump, Programmable (implantable) 46 46 $71,162.70 $72,585.95 $2,730.00 $130,761.46 $66,892.94 2026-04-02
C2622 HCPCS Prosthesis, Penile, Non-inflatable 46 46 $69,293.30 $70,679.17 $2,730.00 $127,326.44 $65,135.70 2026-04-02
C1767 HCPCS Generator, Neurostimulator (implantable), Non-rechargeable 46 46 $66,167.20 $67,490.54 $2,730.00 $121,582.23 $62,197.17 2026-04-02
C1722 HCPCS Cardioverter-defibrillator, Single Chamber (implantable) 361 46 $64,422.88 $65,711.33 $2,730.00 $197,828.93 $55,894.30 2026-04-02
C1820 HCPCS Generator, Neurostimulator (implantable), With Rechargeable Battery And Charging… 182 46 $57,731.50 $58,886.13 $872.51 $300,217.73 $51,958.35 2026-04-02
L8686 HCPCS Implantable Neurostimulator Pulse Generator, Single Array, Non-rechargeable, Inc… 46 46 $49,234.00 $50,218.68 $2,730.00 $90,467.48 $46,279.96 2026-04-02
C1815 HCPCS Prosthesis, Urinary Sphincter (implantable) 181 46 $40,685.00 $41,498.70 $2,730.00 $77,029.84 $36,822.50 2026-04-02
C2621 HCPCS Pacemaker, Other Than Single Or Dual Chamber (implantable) 136 46 $31,477.50 $32,107.05 $2,730.00 $70,880.83 $31,262.00 2026-04-02
C2620 HCPCS Pacemaker, Single Chamber, Non Rate-responsive (implantable) 46 46 $32,107.00 $32,749.14 $2,730.00 $58,996.61 $30,180.58 2026-04-02
C1817 HCPCS Septal Defect Implant System, Intracardiac 182 46 $41,592.38 $42,424.22 $899.63 $83,493.15 $28,150.14 2026-04-02
C1786 HCPCS Pacemaker, Single Chamber, Rate-responsive (implantable) 496 46 $23,175.00 $23,638.50 $2,730.00 $134,565.64 $21,409.38 2026-04-02
C1813 HCPCS Prosthesis, Penile, Inflatable 633 46 $40,376.00 $56,270.14 $0.95 $139,770.36 $20,900.01 2026-04-02
C1824 HCPCS Generator, Cardiac Contractility Modulation (implantable) 47 47 $74,675.00 $76,168.50 $2,730.00 $137,215.31 $67,207.50 2026-04-02
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 49 49 $310,316.59 $316,522.92 $39,472.27 $263,769.10 $58,945.67 2026-04-02
793 MS_DRG Full Term Neonate With Major Problems 49 49 $70,595.83 $72,007.74 $8,979.79 $115,374.08 $41,352.72 2026-04-02
791 MS_DRG Prematurity With Major Problems 49 49 $245,845.86 $250,762.78 $31,271.59 $208,968.98 $40,255.82 2026-04-02
792 MS_DRG Prematurity Without Major Problems 49 49 $73,471.47 $74,940.90 $9,345.57 $67,770.10 $24,290.36 2026-04-02
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 50 50 $1,074,654.29 $1,096,147.38 $134,626.19 $913,456.15 $144,228.28 2026-04-02
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 50 50 $394,185.00 $402,068.70 $50,140.33 $335,057.25 $78,040.16 2026-04-02
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 50 50 $581,161.38 $592,784.61 $67,178.00 $493,987.18 $72,661.88 2026-04-02
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 50 50 $456,574.61 $465,706.10 $58,076.29 $388,088.42 $64,329.22 2026-04-02
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 50 50 $111,160.54 $113,383.75 $14,139.62 $157,706.87 $56,525.76 2026-04-02
834 MS_DRG Acute Leukemia With Mcc 50 50 $216,626.75 $220,959.29 $27,554.92 $184,132.74 $54,447.02 2026-04-02
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 50 50 $78,667.00 $80,240.34 $10,006.44 $132,936.42 $47,647.46 2026-04-02
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 50 50 $350,803.14 $357,819.20 $44,622.16 $298,182.67 $47,471.13 2026-04-02
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 50 50 $168,841.00 $172,217.82 $21,476.58 $143,514.85 $46,392.88 2026-04-02
799 MS_DRG Splenic Procedures With Mcc 50 50 $328,954.00 $335,533.08 $41,842.95 $279,610.90 $45,814.44 2026-04-02
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 50 50 $176,199.89 $179,723.88 $22,412.63 $149,769.90 $43,566.34 2026-04-02
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 50 50 $160,917.17 $164,135.51 $20,468.66 $136,779.59 $42,575.57 2026-04-02
140 MS_DRG Major Head And Neck Procedures With Mcc 50 50 $92,589.38 $94,441.17 $11,777.37 $118,022.13 $42,301.84 2026-04-02
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 50 50 $296,756.36 $302,691.49 $37,747.41 $252,242.91 $41,982.62 2026-04-02
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 50 50 $139,686.50 $142,480.23 $17,768.12 $118,733.53 $39,512.99 2026-04-02
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 50 50 $348,318.00 $355,284.36 $36,327.90 $296,070.30 $39,293.43 2026-04-02
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 50 50 $217,498.50 $221,848.47 $27,665.81 $184,873.73 $38,796.93 2026-04-02
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 50 50 $123,555.00 $126,026.10 $15,716.20 $106,942.94 $38,330.80 2026-04-02
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 50 50 $207,793.00 $211,948.86 $26,431.27 $176,624.05 $38,294.11 2026-04-02
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 50 50 $221,832.28 $226,268.93 $28,217.07 $188,557.44 $38,076.91 2026-04-02
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 50 50 $335,848.00 $342,564.96 $35,104.24 $285,470.80 $37,969.88 2026-04-02
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 50 50 $78,327.20 $79,893.74 $9,963.22 $103,669.55 $37,157.54 2026-04-02
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 50 50 $286,661.33 $292,394.56 $34,593.00 $243,662.13 $37,063.91 2026-04-02
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 50 50 $51,674.00 $52,707.48 $6,572.93 $101,635.78 $36,428.59 2026-04-02
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 50 50 $262,118.67 $267,361.04 $33,341.49 $222,800.87 $35,972.28 2026-04-02
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 50 50 $71,909.00 $73,347.18 $9,146.82 $100,324.21 $35,958.50 2026-04-02
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 50 50 $256,931.00 $262,069.62 $32,681.62 $218,391.35 $35,949.79 2026-04-02
335 MS_DRG Peritoneal Adhesiolysis With Mcc 50 50 $252,155.67 $257,198.78 $32,074.20 $214,332.32 $35,680.63 2026-04-02
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 50 50 $243,609.67 $248,481.86 $30,987.15 $207,068.22 $35,627.67 2026-04-02
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 50 50 $99,243.33 $101,228.20 $12,623.75 $98,907.49 $35,450.71 2026-04-02
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 50 50 $83,026.00 $84,686.52 $10,560.91 $97,573.78 $34,972.68 2026-04-02
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 50 50 $200,191.25 $204,195.08 $25,464.33 $170,162.56 $34,586.88 2026-04-02
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 50 50 $108,934.00 $111,112.68 $13,856.40 $96,054.68 $34,428.20 2026-04-02
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 50 50 $211,556.63 $215,787.77 $26,910.00 $179,823.14 $34,001.74 2026-04-02
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 50 50 $73,509.26 $74,979.44 $9,350.38 $94,275.48 $33,790.49 2026-04-02
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 50 50 $262,800.44 $268,056.45 $31,476.02 $223,380.38 $33,724.28 2026-04-02
264 MS_DRG Other Circulatory System O.r. Procedures 50 50 $199,549.42 $203,540.41 $25,382.69 $169,617.01 $33,130.97 2026-04-02
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 50 50 $210,941.00 $215,159.82 $26,831.70 $179,299.85 $32,761.04 2026-04-02
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 50 50 $206,305.90 $210,432.02 $26,242.11 $175,360.02 $32,082.67 2026-04-02
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 50 50 $166,940.00 $170,278.80 $21,234.77 $141,899.00 $31,575.88 2026-04-02
500 MS_DRG Soft Tissue Procedures With Mcc 50 50 $160,259.00 $163,464.18 $20,384.94 $136,220.15 $31,387.44 2026-04-02
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 50 50 $170,119.67 $173,522.06 $21,639.22 $144,601.72 $31,339.84 2026-04-02
665 MS_DRG Prostatectomy With Mcc 50 50 $143,550.00 $146,421.00 $18,259.56 $122,017.50 $30,955.03 2026-04-02
668 MS_DRG Transurethral Procedures With Mcc 50 50 $306,146.50 $312,269.43 $28,380.41 $260,224.53 $30,697.17 2026-04-02
570 MS_DRG Skin Debridement With Mcc 50 50 $237,323.00 $242,069.46 $28,585.49 $201,724.55 $30,627.29 2026-04-02
662 MS_DRG Minor Bladder Procedures With Mcc 50 50 $40,197.22 $41,001.17 $5,113.09 $84,712.62 $30,362.95 2026-04-02
974 MS_DRG HIV With Major Related Condition With Mcc 50 50 $482,011.17 $491,651.39 $28,049.96 $409,709.49 $30,339.74 2026-04-02
263 MS_DRG Vein Ligation And Stripping 50 50 $156,152.82 $159,275.88 $19,862.64 $132,729.90 $30,322.28 2026-04-02
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 50 50 $136,434.00 $139,162.68 $17,354.40 $115,968.90 $29,952.36 2026-04-02
800 MS_DRG Splenic Procedures With Cc 50 50 $702,871.00 $716,928.42 $27,305.46 $597,440.35 $29,534.47 2026-04-02
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 50 50 $188,624.54 $192,397.03 $23,993.04 $160,330.86 $28,763.23 2026-04-02
963 MS_DRG Other Multiple Significant Trauma With Mcc 50 50 $278,965.50 $284,544.81 $26,570.68 $237,120.68 $28,739.70 2026-04-02
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 50 50 $211,471.47 $215,700.90 $26,715.49 $179,750.75 $28,501.18 2026-04-02
288 MS_DRG Acute And Subacute Endocarditis With Mcc 50 50 $438,042.00 $446,802.84 $26,302.42 $372,335.70 $28,449.55 2026-04-02
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 50 50 $205,398.00 $209,505.96 $26,126.63 $174,588.30 $28,184.45 2026-04-02
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 50 50 $306,829.00 $312,965.58 $25,068.07 $260,804.65 $27,114.44 2026-04-02
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 50 50 $190,870.22 $194,687.62 $24,278.69 $162,239.69 $26,952.57 2026-04-02
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 50 50 $203,850.00 $207,927.00 $24,695.82 $173,272.50 $26,459.79 2026-04-02
338 MS_DRG Appendectomy With Complicated Principal Diagnosis With Mcc 50 50 $26,175.00 $26,698.50 $3,329.46 $73,506.15 $26,346.29 2026-04-02
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 50 50 $205,146.17 $209,249.09 $24,219.57 $174,374.24 $26,022.06 2026-04-02
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 50 50 $82,264.00 $83,909.28 $10,463.98 $71,046.26 $25,464.61 2026-04-02
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 50 50 $188,523.50 $192,293.97 $23,755.96 $160,244.98 $25,375.95 2026-04-02
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 50 50 $181,534.80 $185,165.49 $23,091.23 $154,304.58 $25,019.84 2026-04-02
397 MS_DRG Appendix Procedures With Mcc 50 50 $194,166.88 $198,050.21 $23,276.80 $165,041.84 $24,939.41 2026-04-02
330 MS_DRG Major Small And Large Bowel Procedures With Cc 50 50 $182,871.50 $186,528.93 $23,261.25 $155,440.77 $24,751.99 2026-04-02
545 MS_DRG Connective Tissue Disorders With Mcc 50 50 $124,735.50 $127,230.21 $15,866.36 $106,025.17 $24,612.68 2026-04-02
56 MS_DRG Degenerative Nervous System Disorders With Mcc 50 50 $333,494.50 $340,164.39 $22,578.95 $283,470.33 $24,422.12 2026-04-02
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 50 50 $194,469.57 $198,358.96 $22,304.87 $165,299.13 $24,125.67 2026-04-02
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 50 50 $200,383.40 $204,391.07 $22,214.48 $170,325.89 $24,027.90 2026-04-02
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 50 50 $239,838.20 $244,634.96 $22,081.32 $203,862.47 $23,883.87 2026-04-02
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 50 50 $184,406.80 $188,094.94 $22,020.09 $156,745.78 $23,592.94 2026-04-02
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/mcc 50 50 $239,922.00 $244,720.44 $21,745.03 $203,933.70 $23,520.14 2026-04-02
113 MS_DRG Orbital Procedures With Cc/mcc 50 50 $118,251.00 $120,616.02 $15,041.53 $100,513.35 $23,317.43 2026-04-02
333 MS_DRG Rectal Resection With Cc 50 50 $127,384.00 $129,931.68 $16,203.24 $108,276.40 $23,229.17 2026-04-02
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 50 50 $248,303.50 $253,269.57 $21,369.87 $211,057.98 $23,114.34 2026-04-02
357 MS_DRG Other Digestive System O.r. Procedures With Cc 50 50 $96,312.38 $98,238.62 $12,250.93 $81,865.52 $23,063.54 2026-04-02
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 50 50 $241,139.67 $245,962.46 $21,264.90 $204,968.72 $23,000.81 2026-04-02
347 MS_DRG Anal And Stomal Procedures With Mcc 50 50 $79,746.50 $81,341.43 $10,143.75 $67,784.53 $22,767.00 2026-04-02
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 50 50 $99,890.33 $101,888.14 $12,706.05 $84,906.78 $22,569.64 2026-04-02
374 MS_DRG Digestive Malignancy With Mcc 50 50 $174,890.43 $178,388.24 $20,786.71 $148,656.87 $22,271.46 2026-04-02
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/mcc 50 50 $151,757.00 $154,792.14 $19,303.49 $128,993.45 $22,178.36 2026-04-02
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 50 50 $342,877.57 $349,735.12 $20,344.48 $291,445.93 $22,005.24 2026-04-02
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 50 50 $157,253.44 $160,398.51 $20,002.64 $133,665.42 $22,002.90 2026-04-02
336 MS_DRG Peritoneal Adhesiolysis With Cc 50 50 $166,235.42 $169,560.13 $20,495.13 $141,300.10 $21,959.05 2026-04-02
934 MS_DRG Full Thickness Burn Without Skin Graft Or Inhalation Injury 50 50 $77,584.00 $79,135.68 $9,868.68 $65,946.40 $21,924.00 2026-04-02
314 MS_DRG Other Circulatory System Diagnoses With Mcc 50 50 $174,659.76 $178,152.96 $20,266.73 $148,460.80 $21,921.14 2026-04-02
614 MS_DRG Adrenal And Pituitary Procedures With Cc/mcc 50 50 $154,950.20 $158,049.20 $19,709.67 $131,707.67 $21,900.58 2026-04-02
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 50 50 $57,837.22 $58,993.97 $7,356.89 $61,093.26 $21,897.22 2026-04-02
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 50 50 $113,037.39 $115,298.13 $14,378.36 $96,081.78 $21,238.69 2026-04-02
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/mcc 50 50 $143,748.00 $146,622.96 $18,284.75 $122,185.80 $21,230.76 2026-04-02
595 MS_DRG Major Skin Disorders With Mcc 50 50 $147,453.00 $150,402.06 $18,756.02 $125,335.05 $21,190.15 2026-04-02
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 50 50 $194,576.88 $198,468.42 $19,545.55 $165,390.35 $21,141.10 2026-04-02
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/mcc 50 50 $104,797.13 $106,893.07 $13,330.19 $89,077.56 $21,124.64 2026-04-02
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 50 50 $122,714.00 $125,168.28 $15,609.22 $104,306.90 $21,091.91 2026-04-02
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 50 50 $140,705.00 $143,519.10 $17,897.68 $119,599.25 $20,999.67 2026-04-02
655 MS_DRG Major Bladder Procedures Without Cc/mcc 50 50 $99,351.50 $101,338.53 $12,637.51 $84,448.78 $20,991.74 2026-04-02
135 MS_DRG Sinus And Mastoid Procedures With Cc/mcc 50 50 $129,023.00 $131,603.46 $16,411.73 $109,669.55 $20,977.86 2026-04-02
843 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 50 50 $229,340.00 $233,926.80 $19,388.10 $194,939.00 $20,970.79 2026-04-02
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 51 51 $84,905.00 $86,603.10 $10,799.92 $83,578.14 $29,956.32 2026-04-02
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 51 51 $186,986.41 $190,726.14 $14,814.00 $158,938.45 $24,850.90 2026-04-02
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 51 51 $168,065.00 $171,426.30 $21,377.87 $142,855.25 $22,645.72 2026-04-02
341 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Mcc 51 51 $87,751.00 $89,506.02 $11,161.93 $74,588.35 $22,404.02 2026-04-02
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 52 52 $1,764,546.76 $1,799,837.69 $206,294.51 $1,499,864.75 $224,845.13 2026-04-02
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 52 52 $429,952.67 $438,551.72 $54,689.98 $365,459.77 $59,642.43 2026-04-02
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 52 52 $247,038.33 $251,979.10 $31,423.28 $209,982.58 $58,165.15 2026-04-02
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 52 52 $421,856.13 $430,293.25 $53,169.54 $358,577.71 $56,967.33 2026-04-02
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 52 52 $419,848.50 $428,245.47 $36,251.14 $356,871.23 $56,324.89 2026-04-02
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 52 52 $146,358.00 $149,285.16 $18,616.74 $146,481.03 $52,502.16 2026-04-02
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 52 52 $367,059.09 $374,400.27 $46,689.92 $312,000.23 $51,125.46 2026-04-02
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 52 52 $410,025.00 $418,225.50 $44,561.14 $348,521.25 $50,404.33 2026-04-02
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 52 52 $333,401.21 $340,069.23 $42,408.63 $283,391.03 $49,752.79 2026-04-02
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 52 52 $338,387.78 $345,155.54 $43,042.93 $287,629.62 $49,666.01 2026-04-02
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 52 52 $372,869.26 $380,326.65 $44,190.83 $316,938.87 $47,839.07 2026-04-02
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 52 52 $339,304.12 $346,090.21 $43,159.49 $288,408.50 $47,468.88 2026-04-02
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 52 52 $212,681.78 $216,935.41 $27,053.12 $180,779.51 $45,112.51 2026-04-02
163 MS_DRG Major Chest Procedures With Mcc 52 52 $295,571.00 $301,482.42 $37,596.63 $251,235.35 $44,449.01 2026-04-02
31 MS_DRG Ventricular Shunt Procedures With Mcc 52 52 $261,407.00 $266,635.14 $33,250.97 $222,195.95 $44,436.12 2026-04-02
901 MS_DRG Wound Debridements For Injuries With Mcc 52 52 $212,198.50 $216,442.47 $26,991.65 $180,368.73 $41,620.49 2026-04-02
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 52 52 $248,819.43 $253,795.82 $31,649.83 $211,496.51 $41,188.08 2026-04-02
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 52 52 $312,280.00 $318,525.60 $36,221.96 $265,438.00 $39,635.24 2026-04-02
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 52 52 $316,100.33 $322,422.34 $35,685.46 $268,685.28 $38,598.54 2026-04-02
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 52 52 $172,399.00 $175,846.98 $21,929.15 $146,539.15 $37,320.19 2026-04-02
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 52 52 $103,575.00 $105,646.50 $13,174.74 $99,790.17 $35,767.09 2026-04-02
252 MS_DRG Other Vascular Procedures With Mcc 52 52 $257,499.27 $262,649.26 $31,204.70 $218,874.38 $35,287.71 2026-04-02
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 52 52 $277,718.00 $283,272.36 $31,365.22 $236,060.30 $34,785.71 2026-04-02
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 52 52 $352,440.00 $359,488.80 $28,614.65 $299,574.00 $32,764.75 2026-04-02
37 MS_DRG Extracranial Procedures With Mcc 52 52 $176,184.80 $179,708.50 $22,410.71 $149,757.08 $32,649.96 2026-04-02
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 52 52 $140,483.88 $143,293.55 $17,869.55 $119,411.29 $30,890.57 2026-04-02
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 52 52 $191,783.80 $195,619.48 $24,394.90 $163,016.23 $30,836.02 2026-04-02
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 52 52 $133,295.67 $135,961.58 $16,955.21 $113,301.32 $29,919.63 2026-04-02
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 52 52 $209,235.15 $213,419.85 $26,614.71 $177,849.87 $29,388.69 2026-04-02
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 52 52 $180,324.89 $183,931.38 $22,937.33 $153,276.15 $28,781.08 2026-04-02
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 52 52 $199,398.70 $203,386.67 $25,363.51 $169,488.89 $28,765.06 2026-04-02
253 MS_DRG Other Vascular Procedures With Cc 52 52 $227,329.40 $231,875.99 $25,227.47 $193,229.99 $28,230.28 2026-04-02
503 MS_DRG Foot Procedures With Mcc 52 52 $196,845.75 $200,782.67 $25,038.78 $167,318.89 $28,165.63 2026-04-02
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 52 52 $203,817.33 $207,893.68 $24,520.87 $173,244.73 $26,522.57 2026-04-02
164 MS_DRG Major Chest Procedures With Cc 52 52 $180,722.00 $184,336.44 $22,987.84 $153,613.70 $25,470.26 2026-04-02
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 52 52 $148,838.07 $151,814.83 $18,932.20 $126,512.36 $25,152.20 2026-04-02
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 52 52 $137,891.00 $140,648.82 $17,539.73 $117,207.35 $23,193.46 2026-04-02
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 52 52 $164,033.00 $167,313.66 $20,324.07 $139,428.05 $21,842.01 2026-04-02
707 MS_DRG Major Male Pelvic Procedures With Cc/mcc 52 52 $174,394.33 $177,882.22 $19,441.56 $148,235.18 $21,704.98 2026-04-02
141 MS_DRG Major Head And Neck Procedures With Cc 52 52 $98,219.70 $100,184.09 $12,493.55 $83,486.75 $21,631.43 2026-04-02
165 MS_DRG Major Chest Procedures Without Cc/mcc 52 52 $262,748.11 $268,003.07 $18,604.72 $223,335.89 $21,303.04 2026-04-02
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 53 53 $1,224,358.00 $1,248,845.16 $5,009.00 $1,040,704.30 $277,931.79 2026-04-02
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 53 53 $162,948.00 $166,206.96 $20,726.99 $138,505.80 $34,261.58 2026-04-02
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 54 54 $71,526.00 $72,956.52 $9,098.11 $177,114.82 $63,482.01 2026-04-02
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 54 54 $192,296.08 $196,142.00 $24,460.06 $163,451.66 $28,877.78 2026-04-02
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 54 54 $137,899.84 $140,657.84 $17,540.86 $117,214.87 $21,160.18 2026-04-02
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 55 55 $379,259.88 $386,845.08 $42,059.39 $322,370.90 $48,241.86 2026-04-02
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 55 55 $271,747.25 $277,182.20 $30,625.58 $230,985.17 $36,047.12 2026-04-02
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 55 55 $219,682.67 $224,076.32 $27,943.64 $186,730.27 $32,238.74 2026-04-02
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 55 55 $74,428.50 $75,917.07 $2,750.00 $83,282.07 $29,850.20 2026-04-02
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 55 55 $170,288.00 $173,693.76 $21,660.63 $144,744.80 $24,877.32 2026-04-02
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 56 56 $1,211,182.00 $1,235,405.64 $89,643.81 $1,029,504.70 $130,723.49 2026-04-02
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 56 56 $675,826.80 $689,343.34 $25,012.00 $574,452.78 $79,942.96 2026-04-02
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 56 56 $617,305.60 $629,651.71 $44,887.38 $524,709.76 $77,094.21 2026-04-02
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 56 56 $522,963.00 $533,422.26 $40,996.00 $444,518.55 $71,714.49 2026-04-02
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 56 56 $529,864.00 $540,461.28 $46,657.99 $450,384.40 $68,675.78 2026-04-02
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 56 56 $251,670.33 $256,703.74 $32,012.47 $213,919.78 $51,757.34 2026-04-02
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 56 56 $292,037.00 $297,877.74 $14,392.00 $248,231.45 $50,160.60 2026-04-02
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 56 56 $178,832.33 $182,408.98 $9,100.00 $152,007.48 $49,793.65 2026-04-02
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 56 56 $327,578.00 $334,129.56 $39,382.81 $278,441.30 $46,720.84 2026-04-02
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 56 56 $313,077.34 $319,338.88 $15,582.60 $266,115.74 $32,708.22 2026-04-02
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 56 56 $210,894.81 $215,112.71 $15,315.12 $179,260.59 $21,193.99 2026-04-02
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 57 57 $115,228.93 $117,533.51 $14,657.12 $144,034.98 $51,625.44 2026-04-02
245 MS_DRG Aicd Generator Procedures 57 57 $291,397.00 $297,224.94 $37,065.70 $247,687.45 $45,248.38 2026-04-02
34 MS_DRG Carotid Artery Stent Procedures With Mcc 57 57 $237,377.00 $242,124.54 $21,983.04 $201,770.45 $38,388.33 2026-04-02
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 57 57 $263,571.30 $268,842.73 $33,526.27 $224,035.61 $38,216.48 2026-04-02
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 57 57 $236,257.50 $240,982.65 $30,051.95 $200,818.88 $35,500.31 2026-04-02
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 57 57 $205,355.50 $209,462.61 $2,750.00 $174,552.17 $29,707.39 2026-04-02
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 57 57 $158,144.81 $161,307.71 $12,409.00 $134,423.09 $27,253.76 2026-04-02
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 57 57 $95,582.67 $97,494.32 $12,158.12 $87,038.17 $24,332.06 2026-04-02
35 MS_DRG Carotid Artery Stent Procedures With Cc 57 57 $106,281.00 $108,406.62 $9,100.00 $90,338.85 $23,708.19 2026-04-02
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 57 57 $137,355.88 $140,103.00 $17,471.67 $116,752.50 $20,919.07 2026-04-02
783 MS_DRG Cesarean Section With Sterilization With Mcc 58 58 $106,109.00 $108,231.18 $4,200.00 $90,192.65 $24,348.87 2026-04-02
215 MS_DRG Other Heart Assist System Implant 59 59 $448,658.25 $457,631.42 $57,069.33 $381,359.51 $98,750.24 2026-04-02
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 59 59 $613,877.33 $626,154.88 $78,085.20 $521,795.73 $89,642.10 2026-04-02
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 59 59 $274,911.50 $280,409.73 $27,964.85 $233,674.78 $68,212.74 2026-04-02
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 59 59 $231,703.00 $236,337.06 $29,472.62 $196,947.55 $59,140.06 2026-04-02
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 59 59 $399,974.93 $407,974.43 $40,909.09 $339,978.69 $54,945.01 2026-04-02
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 59 59 $111,495.00 $113,724.90 $7,571.00 $148,329.41 $53,164.66 2026-04-02
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 59 59 $411,674.00 $419,907.48 $39,840.00 $349,922.90 $52,364.93 2026-04-02
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 59 59 $364,754.50 $372,049.59 $17,248.76 $310,041.33 $46,396.77 2026-04-02
271 MS_DRG Other Major Cardiovascular Procedures With Cc 59 59 $328,858.94 $335,436.12 $29,992.82 $279,530.10 $37,739.14 2026-04-02
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 59 59 $144,387.33 $147,275.08 $18,366.07 $122,729.23 $36,277.85 2026-04-02
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 59 59 $222,388.00 $226,835.76 $28,287.75 $189,029.80 $34,511.81 2026-04-02
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 59 59 $197,704.60 $201,658.69 $9,100.00 $168,048.91 $32,645.99 2026-04-02
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 59 59 $232,649.88 $237,302.87 $26,940.98 $197,752.39 $31,072.72 2026-04-02
472 MS_DRG Cervical Spinal Fusion With Cc 59 59 $214,151.67 $218,434.70 $27,240.09 $182,028.92 $30,679.36 2026-04-02
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 59 59 $77,000.90 $78,540.92 $9,794.51 $83,929.55 $30,082.28 2026-04-02
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 59 59 $132,214.67 $134,858.96 $14,546.00 $112,382.47 $26,776.73 2026-04-02
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 59 59 $168,406.63 $171,774.76 $21,421.32 $143,145.63 $25,826.20 2026-04-02
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 59 59 $152,650.33 $155,703.34 $15,870.20 $129,752.78 $24,212.01 2026-04-02
C9773 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Tibial/peroneal Artery(i… 59 59 $28,611.00 $14,305.50 50% off $1,575.00 $65,781.23 $23,577.50 2026-04-02
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 60 60 $393,283.13 $401,148.79 $39,840.00 $334,290.66 $61,995.02 2026-04-02
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 60 60 $300,692.15 $306,705.99 $38,248.04 $271,717.71 $48,160.35 2026-04-02
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 60 60 $289,655.50 $295,448.61 $14,108.07 $246,207.18 $34,195.81 2026-04-02
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 60 60 $241,160.08 $245,983.29 $18,049.05 $204,986.07 $33,248.38 2026-04-02
C9766 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Lower Extremity Artery(ie… 105 60 $28,611.00 $14,305.50 50% off $1,575.00 $65,781.23 $28,038.78 2026-04-02
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 60 60 $198,580.18 $202,551.79 $20,710.90 $168,793.16 $26,469.67 2026-04-02
C9774 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Tibial/peroneal Artery(ie… 84 60 $28,611.00 $14,305.50 50% off $1,575.00 $65,781.23 $25,749.90 2026-04-02
C9775 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Tibial/peroneal Artery(ie… 84 60 $28,611.00 $14,305.50 50% off $1,575.00 $94,927.15 $25,749.90 2026-04-02
C9765 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Lower Extremity Artery(ie… 85 60 $28,611.00 $14,305.50 50% off $1,575.00 $65,781.23 $25,227.93 2026-04-02
C9767 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Lower Extremity Artery(ie… 85 60 $28,611.00 $14,305.50 50% off $1,575.00 $65,781.23 $25,227.93 2026-04-02
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 61 61 $622,385.73 $634,833.45 $54,956.98 $529,027.87 $97,022.58 2026-04-02
231 MS_DRG Coronary Bypass With Ptca With Mcc 61 61 $445,513.63 $454,423.90 $10,425.47 $378,686.58 $83,604.97 2026-04-02
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 61 61 $573,041.15 $584,501.97 $6,215.16 $487,084.98 $77,339.00 2026-04-02
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 61 61 $547,189.27 $558,133.06 $41,585.09 $465,110.88 $76,562.72 2026-04-02
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 61 61 $452,815.00 $461,871.30 $45,132.00 $384,892.75 $66,515.87 2026-04-02
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 61 61 $307,473.00 $313,622.46 $39,110.57 $261,352.05 $65,698.50 2026-04-02
232 MS_DRG Coronary Bypass With Ptca Without Mcc 61 61 $468,514.00 $477,884.28 $6,233.36 $398,236.90 $61,329.38 2026-04-02
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 61 61 $450,922.21 $459,940.65 $4,348.02 $383,283.88 $60,542.68 2026-04-02
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 61 61 $356,718.53 $363,852.90 $5,409.78 $303,210.75 $54,177.26 2026-04-02
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 61 61 $390,184.38 $397,988.07 $24,103.06 $331,656.73 $53,946.71 2026-04-02
228 MS_DRG Other Cardiothoracic Procedures With Mcc 61 61 $238,238.40 $243,003.17 $30,303.93 $202,502.64 $50,048.00 2026-04-02
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 61 61 $223,942.67 $228,421.52 $16,837.92 $190,351.27 $49,987.04 2026-04-02
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 61 61 $309,199.18 $315,383.16 $7,169.36 $262,819.30 $42,373.98 2026-04-02
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 61 61 $246,262.48 $251,187.73 $30,611.00 $209,323.11 $34,457.05 2026-04-02
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 61 61 $191,483.63 $195,313.30 $2,750.00 $162,761.08 $23,160.49 2026-04-02
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 61 61 $209,514.13 $213,704.41 $1,800.00 $178,087.01 $23,043.10 2026-04-02
33264 HCPCS Removal And Replacement Of Multiple Lead Defibrillator 67 67 $121,906.00 $60,953.00 50% off $325.13 $176,763.70 $42,389.87 2026-04-02
33249 HCPCS Insertion Of Implantable Defibrillator System 67 67 $117,709.00 $58,854.50 50% off $895.01 $170,678.05 $42,389.87 2026-04-02
33231 HCPCS Insertion Of Defibrillator With Existing Multiple Leads 67 67 $42,338.00 $21,169.00 50% off $324.65 $112,635.93 $40,371.30 2026-04-02
93656 HCPCS Comprehensive Electrophysiologic Evaluation With Catheter Destruction Of Abnorma… 67 67 $118,197.00 $1,182.00 99% off $1,151.00 $171,385.65 $33,617.70 2026-04-02
93654 HCPCS Comprehensive Electrophysiologic Evaluation With Catheter Destruction Of Abnorma… 67 67 $110,736.00 $55,368.00 50% off $1,262.59 $160,567.20 $33,617.70 2026-04-02
93653 HCPCS Comprehensive Electrophysiologic Evaluation With Catheter Destruction Of Abnorma… 67 67 $102,839.00 $51,419.50 50% off $945.93 $149,116.55 $33,617.70 2026-04-02
33262 HCPCS Removal And Replacement Of Single Lead Defibrillator 67 67 $94,118.00 $47,059.00 50% off $301.74 $136,471.10 $30,611.63 2026-04-02
33263 HCPCS Removal And Replacement Of Dual Lead Defibrillator 67 67 $98,614.00 $49,307.00 50% off $313.48 $142,990.30 $30,611.63 2026-04-02
33240 HCPCS Insertion Of Defibrillator With Existing Single Lead 70 67 $32,919.00 $1,182.00 96% off $383.84 $79,819.11 $28,609.00 2026-04-02
33230 HCPCS Insertion Of Defibrillator With Existing Dual Leads 67 67 $31,678.00 $15,839.00 50% off $312.84 $79,819.11 $28,609.00 2026-04-02
0823T HCPCS Insertion Of Permanent Single-chamber Leadless Pacemaker For Pacing The Right Up… 67 67 $24,232.00 $12,116.00 50% off $52.97 $79,819.11 $25,443.60 2026-04-02
33274 HCPCS Insertion Of Permanent Leadless Pacemaker Using Imaging Guidance 67 67 $44,500.00 $22,250.00 50% off $417.92 $69,118.90 $24,773.80 2026-04-02
33221 HCPCS Insertion Of Pacemaker Pulse Generator With Existing Multiple Leads 67 67 $25,076.00 $12,538.00 50% off $291.26 $69,118.90 $24,773.80 2026-04-02
33229 HCPCS Removal And Replacement Of Multiple Lead Permanent Pacemaker 67 67 $57,121.00 $28,560.50 50% off $301.56 $82,825.45 $24,773.80 2026-04-02
93580 HCPCS Repair Of Congenital Abnormality In Wall Between Upper Heart Chambers With Impla… 67 67 $82,262.00 $1,182.00 99% off $866.26 $119,279.90 $23,577.50 2026-04-02
93581 HCPCS Repair Of Congenital Abnormality In Wall Between Lower Heart Chambers With Impla… 67 67 $38,115.00 $1,182.00 97% off $1,091.18 $65,781.23 $23,577.50 2026-04-02
93590 HCPCS Repair Of Leak Adjacent To Mitral Valve, First Closure Device 67 67 $22,566.00 $11,283.00 50% off $1,443.05 $65,781.23 $22,566.00 2026-04-02
93591 HCPCS Repair Of Leak Adjacent To Aortic Valve, First Closure Device 67 67 $22,566.00 $11,283.00 50% off $1,197.90 $65,781.23 $22,566.00 2026-04-02
92933 HCPCS Removal Of Plaque, Insertion Of Stent And Balloon Dilation Of Single Coronary Ar… 90 67 $73,184.00 $36,592.00 50% off $774.79 $106,116.80 $22,530.58 2026-04-02
33270 HCPCS Insertion Or Replacement Of Defibrillator With Electrode 68 68 $41,923.00 $43,305.00 $508.93 $112,635.93 $40,371.30 2026-04-02
C9602 HCPCS Percutaneous Transluminal Coronary Atherectomy, With Drug Eluting Intracoronary … 68 68 $73,184.00 $36,592.00 50% off $2,730.00 $106,116.80 $33,008.50 2026-04-02
0238T HCPCS Catheter Removal Of Plaque From Groin Artery, Accessed Through The Skin Or Open … 68 68 $46,794.00 $12,275.00 74% off $1,575.00 $67,851.30 $30,061.32 2026-04-02
C9607 HCPCS Percutaneous Transluminal Revascularization Of Chronic Total Occlusion, Coronary… 68 68 $27,609.00 $13,804.50 50% off $2,730.00 $65,781.23 $24,802.24 2026-04-02
37242 HCPCS Occlusion Of Artery With Review By Radiologist 68 68 $32,131.00 $12,275.00 62% off $428.15 $65,781.23 $23,577.50 2026-04-02
36906 HCPCS Removal And/or Dissolving Of Blood Clot In Hemodialysis Circuit And Balloon Dila… 72 68 $68,900.00 $12,432.00 82% off $1,151.00 $99,905.00 $23,577.50 2026-04-02
37184 HCPCS Primary Removal And Dissolving Of Blood Clot From Artery Or Artery Graft Using F… 68 68 $22,566.00 $6,754.00 70% off $1,700.00 $65,781.23 $22,566.00 2026-04-02
C9600 HCPCS Percutaneous Transcatheter Placement Of Drug Eluting Intracoronary Stent(s), Wit… 68 68 $70,589.00 $35,294.50 50% off $2,730.00 $102,354.05 $21,353.01 2026-04-02
L8679 HCPCS Implantable Neurostimulator, Pulse Generator, Any Type 171 69 $69,475.60 $70,865.11 $2,506.15 $357,204.67 $24,704.06 2026-04-02
J3101 HCPCS Injection, Tenecteplase, 1 Mg 101 70 $27,910.57 $13,955.28 50% off $100.12 $60,357.28 $23,650.20 2026-04-02
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