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

SUTTER SOLANO MEDICAL CENTER

Vallejo, CA · CCN 050101 · Rates published

2,599 distinct procedures filed
8 distinct payers
20,744 rate rows
2026-04-01 last MRF observed
Data quality

7,765 of 20,744 rate rows are consumer-grade (37.4%)

12,979 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 12,969
placeholder amount (≤ $0.02) — excluded from medians 10
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://edge.sitecorecloud.io/sutterhealt962c-sutterhealt8fce-production57cc-4860/media/Project/SutterHealth/SutterHealth/Files/billing-insurance/costs-and-charges/941156621-1366686248_sutter-solano-medical-center_standardcharges.csv
Found on page https://www.sutterhealth.org/cms-hpt.txt
Discovered viaDiscovered by HANK (automated)
Last fetch not_modified · 2026-05-19
Content fingerprint 7cd7318c351799a6… · 11,201,091 bytes · first seen 2026-05-17

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 1 $1,476,857.10 $1,476,857.10 $1,476,857.10 nat. median
$753,246
2.0× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 1 $1,340,483.41 $1,340,483.41 $1,340,483.41 nat. median
$634,303
outlier · 2.1×
215
MS_DRG 		Other Heart Assist System Implant 6 $305,822.00 $529,900.00 $475,010.00 nat. median
$99,019
outlier · 4.8×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 6 $212,277.00 $390,452.00 $335,836.50 nat. median
$93,672
outlier · 3.6×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 6 $205,794.00 $393,675.00 $332,831.00 nat. median
$77,570
outlier · 4.3×
22
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 6 $205,794.00 $393,675.00 $332,831.00 nat. median
$34,274
outlier · 9.7×
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 6 $191,050.00 $324,073.00 $302,252.00 nat. median
$64,508
outlier · 4.7×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 6 $181,491.00 $333,633.00 $286,999.00 nat. median
$82,711
outlier · 3.5×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 6 $181,491.00 $333,633.00 $286,999.00 nat. median
$98,894
outlier · 2.9×
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 6 $180,436.00 $304,551.00 $285,460.50 nat. median
$61,920
outlier · 4.6×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 6 $174,738.00 $308,880.00 $282,957.00 nat. median
$68,886
outlier · 4.1×
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 6 $177,357.00 $299,833.00 $279,959.00 nat. median
$59,898
outlier · 4.7×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 6 $175,407.00 $295,952.00 $276,751.00 nat. median
$79,312
outlier · 3.5×
21
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 6 $168,751.00 $295,204.00 $272,877.50 nat. median
$54,045
outlier · 5.0×
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 6 $167,532.00 $434,524.00 $267,508.00 nat. median
$60,726
outlier · 4.4×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 6 $158,658.00 $291,930.00 $250,877.50 nat. median
$81,118
outlier · 3.1×
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 6 $158,658.00 $291,930.00 $250,877.50 nat. median
$58,020
outlier · 4.3×
458
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 6 $158,658.00 $291,930.00 $250,877.50 nat. median
$42,730
outlier · 5.9×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 6 $152,615.00 $280,449.00 $241,352.50 nat. median
$74,915
outlier · 3.2×
209
MS_DRG 		Complex Aortic Arch Procedures 5 $152,615.00 $264,499.00 $240,792.00 nat. median
$98,047
outlier · 2.5×
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 1 $198,740.00 $257,828.00 $228,284.00 nat. median
$62,134
outlier · 3.7×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 6 $143,776.00 $264,329.00 $227,335.50 nat. median
$73,807
outlier · 3.1×
234
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 6 $143,776.00 $264,329.00 $227,335.50 nat. median
$53,268
outlier · 4.3×
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 6 $142,450.00 $262,113.00 $225,340.00 nat. median
$59,099
outlier · 3.8×
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 6 $138,770.00 $241,597.00 $219,935.00 nat. median
$55,916
outlier · 3.9×
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 6 $137,933.00 $231,554.00 $218,697.00 nat. median
$68,090
outlier · 3.2×
24
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 6 $137,383.00 $238,294.00 $213,642.00 nat. median
$38,489
outlier · 5.6×
430
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 6 $129,764.00 $215,741.00 $207,637.50 nat. median
$54,592
outlier · 3.8×
277
MS_DRG 		Cardiac Defibrillator Implant Without Mcc 6 $128,608.00 $240,740.00 $207,037.50 nat. median
$46,109
outlier · 4.5×
229
MS_DRG 		Other Cardiothoracic Procedures Without Mcc 6 $133,229.00 $217,671.00 $206,384.00 nat. median
$33,143
outlier · 6.2×
228
MS_DRG 		Other Cardiothoracic Procedures With Mcc 6 $127,617.00 $216,912.00 $202,036.00 nat. median
$50,672
outlier · 4.0×
402
MS_DRG 		Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 6 $125,452.00 $207,389.00 $201,440.00 nat. median
$39,414
outlier · 5.1×
267
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 6 $122,299.00 $227,751.00 $190,678.50 nat. median
$47,651
outlier · 4.0×
463
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 1 $165,478.00 $214,679.00 $190,078.50 nat. median
$52,746
outlier · 3.6×
A9543
HCPCS 		Y90 Ibritumomab, Rx 1 $189,311.16 $189,311.16 $189,311.16 nat. median
$62,507
outlier · 3.0×
428
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 6 $115,913.00 $200,134.00 $186,878.00 nat. median
$54,210
outlier · 3.4×
450
MS_DRG 		Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically… 6 $138,800.00 $255,061.00 $182,575.50 nat. median
$51,319
outlier · 3.6×
230
MS_DRG 		Other Cardiothoracic Procedures Without Cc/mcc 1 $140,240.00 $222,612.00 $181,426.00 nat. median
$29,847
outlier · 6.1×
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 1 $180,742.00 $180,742.00 $180,742.00 nat. median
$65,393
outlier · 2.8×
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 6 $145,914.00 $268,156.00 $177,304.00 nat. median
$63,724
outlier · 2.8×
405
MS_DRG 		Pancreas, Liver And Shunt Procedures With Mcc 6 $106,686.00 $183,808.00 $171,848.00 nat. median
$52,836
outlier · 3.3×
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 6 $108,275.00 $199,051.00 $171,197.00 nat. median
$65,950
outlier · 2.6×
319
MS_DRG 		Other Endovascular Cardiac Valve Procedures With Mcc 5 $140,151.00 $182,013.00 $167,458.00 nat. median
$43,757
outlier · 3.8×
220
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 6 $105,305.00 $173,767.00 $166,486.50 nat. median
$52,879
outlier · 3.1×
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 6 $105,181.00 $193,613.00 $166,396.00 nat. median
$57,424
outlier · 2.9×
236
MS_DRG 		Coronary Bypass Without Cardiac Catheterization Without Mcc 6 $105,181.00 $182,366.00 $166,396.00 nat. median
$42,002
outlier · 4.0×
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 6 $128,079.00 $208,354.00 $165,788.00 nat. median
$60,691
outlier · 2.7×
40
MS_DRG 		Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 6 $103,344.00 $178,051.00 $165,490.00 nat. median
$37,698
outlier · 4.4×
97
MS_DRG 		Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 1 $138,156.00 $179,231.00 $158,693.50 nat. median
$35,069
outlier · 4.5×
28
MS_DRG 		Spinal Procedures With Mcc 6 $96,783.00 $178,098.00 $153,091.00 nat. median
$57,822
outlier · 2.6×

Other procedures at this hospital

Browse this hospital's 2,599 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
             
Q2042 HCPCS Tisagenlecleucel Car-pos T 1 1 — — $1,476,857.10 $1,476,857.10 $1,476,857.10 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 1 1 — — $1,340,483.41 $1,340,483.41 $1,340,483.41 2026-04-01
215 MS_DRG Other Heart Assist System Implant 8 6 — — $305,822.00 $529,900.00 $475,010.00 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 8 6 — — $212,277.00 $390,452.00 $335,836.50 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 8 6 — — $205,794.00 $393,675.00 $332,831.00 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 8 6 — — $205,794.00 $393,675.00 $332,831.00 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 8 6 — — $191,050.00 $324,073.00 $302,252.00 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 8 6 — — $181,491.00 $333,633.00 $286,999.00 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 8 6 — — $181,491.00 $333,633.00 $286,999.00 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 8 6 — — $180,436.00 $304,551.00 $285,460.50 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 8 6 — — $174,738.00 $308,880.00 $282,957.00 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 8 6 — — $177,357.00 $299,833.00 $279,959.00 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 8 6 — — $175,407.00 $295,952.00 $276,751.00 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 8 6 — — $168,751.00 $295,204.00 $272,877.50 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 8 6 — — $167,532.00 $434,524.00 $267,508.00 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 8 6 — — $158,658.00 $291,930.00 $250,877.50 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 8 6 — — $158,658.00 $291,930.00 $250,877.50 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 8 6 — — $158,658.00 $291,930.00 $250,877.50 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 8 6 — — $152,615.00 $280,449.00 $241,352.50 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 7 5 — — $152,615.00 $264,499.00 $240,792.00 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 2 1 — — $198,740.00 $257,828.00 $228,284.00 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 8 6 — — $143,776.00 $264,329.00 $227,335.50 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 8 6 — — $143,776.00 $264,329.00 $227,335.50 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 8 6 — — $142,450.00 $262,113.00 $225,340.00 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 8 6 — — $138,770.00 $241,597.00 $219,935.00 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 8 6 — — $137,933.00 $231,554.00 $218,697.00 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 8 6 — — $137,383.00 $238,294.00 $213,642.00 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 8 6 — — $129,764.00 $215,741.00 $207,637.50 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 8 6 — — $128,608.00 $240,740.00 $207,037.50 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 8 6 — — $133,229.00 $217,671.00 $206,384.00 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 8 6 — — $127,617.00 $216,912.00 $202,036.00 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 8 6 — — $125,452.00 $207,389.00 $201,440.00 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 8 6 — — $122,299.00 $227,751.00 $190,678.50 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 2 1 — — $165,478.00 $214,679.00 $190,078.50 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 1 1 — — $189,311.16 $189,311.16 $189,311.16 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 8 6 — — $115,913.00 $200,134.00 $186,878.00 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 8 6 — — $138,800.00 $255,061.00 $182,575.50 2026-04-01
230 MS_DRG Other Cardiothoracic Procedures Without Cc/mcc 2 1 — — $140,240.00 $222,612.00 $181,426.00 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 1 1 — — $180,742.00 $180,742.00 $180,742.00 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 8 6 — — $145,914.00 $268,156.00 $177,304.00 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 8 6 — — $106,686.00 $183,808.00 $171,848.00 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 8 6 — — $108,275.00 $199,051.00 $171,197.00 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 6 5 — — $140,151.00 $182,013.00 $167,458.00 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 8 6 — — $105,305.00 $173,767.00 $166,486.50 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 8 6 — — $105,181.00 $193,613.00 $166,396.00 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 8 6 — — $105,181.00 $182,366.00 $166,396.00 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 8 6 — — $128,079.00 $208,354.00 $165,788.00 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 8 6 — — $103,344.00 $178,051.00 $165,490.00 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 2 1 — — $138,156.00 $179,231.00 $158,693.50 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 8 6 — — $96,783.00 $178,098.00 $153,091.00 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 8 6 — — $96,149.00 $157,131.00 $151,898.50 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 8 6 — — $96,366.00 $158,060.00 $149,923.00 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 8 6 — — $92,114.00 $158,698.00 $148,377.00 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 2 1 — — $145,441.90 $145,441.90 $145,441.90 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 8 6 — — $91,076.00 $155,550.00 $144,139.50 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 2 1 — — $122,703.00 $159,186.00 $140,944.50 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 8 6 — — $103,401.00 $164,136.00 $139,944.00 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 2 1 — — $119,189.00 $154,627.00 $136,908.00 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 9 6 — — $86,620.00 $159,364.00 $136,659.00 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 8 6 — — $86,616.00 $157,198.00 $135,201.00 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 8 6 — — $110,671.00 $192,732.00 $133,404.50 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 8 6 — — $84,116.00 $145,849.00 $133,098.50 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 3 2 — — $131,139.34 $162,691.22 $131,139.34 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 8 6 — — $79,756.00 $146,911.00 $126,118.00 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 7 5 — — $79,756.00 $138,258.00 $125,815.00 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 8 6 — — $84,024.00 $143,204.00 $123,253.00 2026-04-01
J9226 HCPCS Supprelin La Implant 5 3 — — $103,987.69 $129,708.04 $122,953.40 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 7 5 — — $73,848.00 $128,124.00 $116,722.00 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 2 1 — — $98,844.00 $128,369.00 $113,606.50 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 8 6 — — $70,562.00 $129,545.00 $111,555.00 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 8 6 — — $68,772.00 $119,144.00 $110,287.50 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 8 6 — — $69,236.00 $127,330.00 $109,549.50 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 8 6 — — $66,922.00 $115,294.00 $107,798.50 2026-04-01
32 MS_DRG Ventricular Shunt Procedures With Cc 8 6 — — $66,463.00 $115,202.00 $105,095.50 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 8 6 — — $66,290.00 $121,888.00 $104,968.50 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 2 1 — — $91,006.00 $118,188.00 $104,597.00 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 8 6 — — $69,297.00 $113,045.00 $103,731.50 2026-04-01
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 8 6 — — $65,506.00 $120,194.00 $103,477.00 2026-04-01
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 7 5 — — $65,506.00 $113,279.00 $103,119.00 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 2 1 — — $88,217.00 $114,567.00 $101,392.00 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 8 6 — — $63,506.00 $107,448.00 $100,368.00 2026-04-01
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 9 6 — — $25,402.30 $116,047.00 $99,509.00 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 6 5 — — $78,620.00 $102,102.00 $97,199.50 2026-04-01
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 8 6 — — $61,483.00 $102,030.00 $97,146.00 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 8 6 — — $60,841.00 $105,515.00 $96,257.50 2026-04-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 6 5 — — $80,238.00 $104,205.00 $95,872.50 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 2 1 — — $83,174.00 $108,019.00 $95,596.50 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 2 1 — — $82,019.00 $106,517.00 $94,268.00 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 2 1 — — $81,717.00 $106,125.00 $93,921.00 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 8 6 — — $59,272.00 $99,624.00 $93,653.00 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 8 6 — — $58,069.00 $94,410.00 $91,491.00 2026-04-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 2 1 — — $79,407.00 $103,016.00 $91,211.50 2026-04-01
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 3 2 — — $20,189.66 $117,926.00 $90,899.00 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 2 1 — — $78,549.00 $101,902.00 $90,225.50 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 2 1 — — $78,174.00 $101,416.00 $89,795.00 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 8 6 — — $56,717.00 $98,318.00 $88,976.50 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 8 6 — — $56,274.00 $97,449.00 $88,956.50 2026-04-01
374 MS_DRG Digestive Malignancy With Mcc 2 1 — — $77,280.00 $100,257.00 $88,768.50 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 2 1 — — $77,076.00 $100,097.00 $88,586.50 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 8 6 — — $55,685.00 $102,547.00 $88,126.00 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 8 6 — — $54,412.00 $90,347.00 $87,389.00 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 8 6 — — $56,215.00 $97,493.00 $87,171.00 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 2 1 — — $73,548.00 $95,518.00 $84,533.00 2026-04-01
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 10 7 — — $10,695.00 $103,911.54 $84,481.50 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 8 6 — — $53,477.00 $98,118.00 $84,481.50 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 2 2 — — $30,220.46 $136,030.00 $83,125.23 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 1 1 — — $83,001.80 $83,001.80 $83,001.80 2026-04-01
906 MS_DRG Hand Procedures For Injuries 2 1 — — $71,477.00 $92,727.00 $82,102.00 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 2 1 — — $70,993.00 $92,202.00 $81,597.50 2026-04-01
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/Mcc 10 6 — — $21,271.56 $88,182.00 $81,312.50 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 8 6 — — $50,971.00 $93,682.00 $80,488.00 2026-04-01
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 12 6 — — $22,464.18 $89,320.00 $79,690.50 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 8 6 — — $49,379.00 $97,371.00 $79,511.50 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 2 1 — — $69,026.00 $89,645.00 $79,335.50 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 8 6 — — $48,711.00 $83,930.00 $78,466.00 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 8 6 — — $48,393.00 $115,067.00 $78,237.00 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 8 6 — — $49,190.00 $86,229.00 $77,468.50 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 9 6 — — $30,204.07 $89,252.00 $76,514.00 2026-04-01
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 2 1 — — $66,495.00 $86,267.00 $76,381.00 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 8 6 — — $46,931.00 $80,847.00 $75,598.50 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 1 1 — — $74,812.00 $74,812.00 $74,812.00 2026-04-01
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 8 6 — — $46,847.00 $86,229.00 $74,254.00 2026-04-01
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 7 5 — — $46,847.00 $81,513.00 $74,251.00 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 1 1 — — $74,101.05 $74,101.05 $74,101.05 2026-04-01
5116 OTHER Level 6 Musculoskeletal Procedures 1 1 — — $72,659.71 $72,659.71 $72,659.71 2026-04-01
30 MS_DRG Spinal Procedures Without Cc/Mcc 8 6 — — $45,961.00 $84,417.00 $72,606.00 2026-04-01
496 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 8 6 — — $45,873.00 $77,326.00 $72,256.00 2026-04-01
42 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/Mcc 8 6 — — $45,486.00 $78,656.00 $71,863.00 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 2 1 — — $62,466.00 $81,039.00 $71,752.50 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 8 6 — — $44,636.00 $82,199.00 $70,610.00 2026-04-01
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/Mcc 8 6 — — $43,821.00 $75,504.00 $70,588.50 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 8 6 — — $43,702.00 $75,301.00 $70,397.00 2026-04-01
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 3 2 — — $9,692.00 $91,217.00 $70,311.00 2026-04-01
393 MS_DRG Other Digestive System Diagnoses With Mcc 2 1 — — $61,182.00 $79,373.00 $70,277.50 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 2 1 — — $60,799.00 $78,961.00 $69,880.00 2026-04-01
199 MS_DRG Pneumothorax With Mcc 2 1 — — $60,635.00 $78,665.00 $69,650.00 2026-04-01
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 3 2 — — $19,304.12 $90,062.00 $69,423.00 2026-04-01
299 MS_DRG Peripheral Vascular Disorders With Mcc 2 1 — — $59,875.00 $77,678.00 $68,776.50 2026-04-01
347 MS_DRG Anal And Stomal Procedures With Mcc 2 1 — — $59,769.00 $77,621.00 $68,695.00 2026-04-01
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 4 2 — — $16,130.97 $100,091.14 $68,465.50 2026-04-01
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 1 1 — — $68,286.12 $68,286.12 $68,286.12 2026-04-01
682 MS_DRG Renal Failure With Mcc 3 2 — — $11,976.00 $88,360.00 $68,109.00 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 8 6 — — $43,012.00 $78,978.00 $68,014.00 2026-04-01
259 MS_DRG Cardiac Pacemaker Device Replacement Without Mcc 8 6 — — $43,012.00 $78,978.00 $68,014.00 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 7 5 — — $33,612.62 $70,764.00 $66,972.00 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 8 6 — — $41,797.00 $80,066.00 $66,962.00 2026-04-01
38 MS_DRG Extracranial Procedures With Cc 8 6 — — $42,280.00 $70,781.00 $66,832.50 2026-04-01
58546 HCPCS Laparo-myomectomy Complex 5 4 — — $59,520.00 $72,146.00 $65,788.00 2026-04-01
55866 HCPCS Laparo Radical Prostatectomy 5 4 — — $57,619.00 $69,572.00 $65,254.00 2026-04-01
50544 HCPCS Laparoscopy Pyeloplasty 5 4 — — $57,619.00 $68,899.00 $65,254.00 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 2 1 — — $56,566.00 $73,463.00 $65,014.50 2026-04-01
27447 HCPCS Total Knee Arthroplasty 1 1 — — $64,740.00 $64,740.00 $64,740.00 2026-04-01
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 2 1 — — $55,389.00 $71,933.00 $63,661.00 2026-04-01
62 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 7 5 — — $20,643.83 $67,226.00 $63,627.00 2026-04-01
251 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc 8 6 — — $39,350.00 $74,145.00 $63,471.50 2026-04-01
27130 HCPCS Total Hip Arthroplasty 1 1 — — $63,249.00 $63,249.00 $63,249.00 2026-04-01
397 MS_DRG Appendix Procedures With Mcc 8 6 — — $40,421.00 $70,000.00 $62,716.50 2026-04-01
336 MS_DRG Peritoneal Adhesiolysis With Cc 8 6 — — $38,789.00 $66,822.00 $62,480.50 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 8 6 — — $39,479.00 $72,328.00 $62,363.50 2026-04-01
614 MS_DRG Adrenal And Pituitary Procedures With Cc/Mcc 2 1 — — $54,020.00 $70,156.00 $62,088.00 2026-04-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 2 1 — — $53,873.00 $69,966.00 $61,919.50 2026-04-01
254 MS_DRG Other Vascular Procedures Without Cc/Mcc 8 6 — — $39,038.00 $71,723.00 $61,659.50 2026-04-01
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/Mcc 8 6 — — $37,817.00 $69,626.00 $61,413.50 2026-04-01
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 2 1 — — $53,260.00 $69,169.00 $61,214.50 2026-04-01
J9266 HCPCS Pegaspargase Injection 5 3 — — $60,432.98 $62,262.23 $61,062.67 2026-04-01
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 2 1 — — $53,016.00 $68,852.00 $60,934.00 2026-04-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 8 6 — — $38,450.00 $70,713.00 $60,840.00 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 2 2 — — $58,647.06 $61,626.00 $60,136.53 2026-04-01
582 MS_DRG Mastectomy For Malignancy With Cc/Mcc 8 6 — — $36,855.00 $67,044.00 $59,973.50 2026-04-01
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 2 1 — — $52,072.00 $67,554.00 $59,813.00 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 1 1 — — $59,622.62 $59,622.62 $59,622.62 2026-04-01
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 8 6 — — $37,506.00 $64,942.00 $59,245.00 2026-04-01
33 MS_DRG Ventricular Shunt Procedures Without Cc/Mcc 8 6 — — $37,417.00 $68,702.00 $59,197.50 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 8 6 — — $37,417.00 $68,702.00 $59,197.50 2026-04-01
262 MS_DRG Cardiac Pacemaker Revision Except Device Replacement Without Cc/Mcc 8 6 — — $37,417.00 $68,702.00 $59,197.50 2026-04-01
412 MS_DRG Cholecystectomy With C.d.e. With Cc 2 1 — — $51,483.00 $66,862.00 $59,172.50 2026-04-01
261 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Cc 9 6 — — $22,156.90 $68,702.00 $59,001.00 2026-04-01
811 MS_DRG Red Blood Cell Disorders With Mcc 1 1 — — $57,816.00 $57,816.00 $57,816.00 2026-04-01
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 8 6 — — $36,535.00 $67,089.00 $57,667.00 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 8 6 — — $36,535.00 $67,089.00 $57,667.00 2026-04-01
150 MS_DRG Epistaxis With Mcc 2 1 — — $49,934.00 $64,780.00 $57,357.00 2026-04-01
737 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 8 6 — — $35,316.00 $60,844.00 $56,886.00 2026-04-01
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/Mcc 8 6 — — $35,945.00 $66,283.00 $56,720.50 2026-04-01
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/Mcc 8 6 — — $34,811.00 $59,980.00 $56,076.00 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 8 6 — — $35,852.00 $62,248.00 $56,014.00 2026-04-01
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 2 1 — — $48,589.00 $63,102.00 $55,845.50 2026-04-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 2 1 — — $48,466.00 $62,942.00 $55,704.00 2026-04-01
131 MS_DRG Cranial/Facial Procedures W Cc/Mcc 2 1 — — $42,598.00 $67,619.00 $55,108.50 2026-04-01
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 2 1 — — $47,842.00 $62,133.00 $54,987.50 2026-04-01
A9604 HCPCS Hchg Sm 153 Lexidronam 150mci 1 1 — — $54,373.92 $54,373.92 $54,373.92 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 8 6 — — $34,324.00 $63,060.00 $54,365.00 2026-04-01
58544 HCPCS Lsh W/t/o Uterus Above 250 G 5 4 — — $48,788.00 $59,137.00 $53,926.00 2026-04-01
165 MS_DRG Major Chest Procedures Without Cc/Mcc 8 6 — — $35,579.00 $59,914.00 $53,802.50 2026-04-01
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 2 1 — — $46,139.00 $59,922.00 $53,030.50 2026-04-01
920 MS_DRG Complications Of Treatment With Cc 1 1 — — $52,862.00 $52,862.00 $52,862.00 2026-04-01
415 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 2 1 — — $45,927.00 $59,646.00 $52,786.50 2026-04-01
803 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Cc 2 1 — — $45,746.00 $59,411.00 $52,578.50 2026-04-01
49656 HCPCS Lap Inc Hernia Repair Recur 1 1 — — $52,171.00 $52,171.00 $52,171.00 2026-04-01
585 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/Mcc 8 6 — — $32,279.00 $59,265.00 $52,156.50 2026-04-01
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 8 6 — — $31,545.00 $61,990.00 $51,600.50 2026-04-01
499 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Without… 8 6 — — $32,607.00 $55,246.00 $51,540.00 2026-04-01
385 MS_DRG Inflammatory Bowel Disease With Mcc 2 1 — — $44,366.00 $57,556.00 $50,961.00 2026-04-01
23615 HCPCS Treat Humerus Fracture 4 3 — — $45,585.00 $55,255.00 $50,832.00 2026-04-01
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/Mcc 8 6 — — $31,549.00 $54,351.00 $50,820.00 2026-04-01
504 MS_DRG Foot Procedures With Cc 8 6 — — $31,968.00 $58,627.00 $50,603.50 2026-04-01
503 MS_DRG Foot Procedures With Mcc 8 6 — — $31,968.00 $58,627.00 $50,603.50 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 1 1 — — $50,128.27 $50,128.27 $50,128.27 2026-04-01
740 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Cc 8 6 — — $31,078.00 $53,542.00 $50,059.50 2026-04-01
581 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/Mcc 8 6 — — $30,484.00 $54,115.00 $49,397.50 2026-04-01
144 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Cc 2 1 — — $42,716.00 $55,473.00 $49,094.50 2026-04-01
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 8 6 — — $30,457.00 $52,477.00 $49,063.00 2026-04-01
506 MS_DRG Major Thumb Or Joint Procedures 8 6 — — $30,825.00 $52,740.00 $48,913.00 2026-04-01
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 3 2 — — $15,871.04 $63,146.00 $48,673.00 2026-04-01
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 2 1 — — $42,307.00 $54,942.00 $48,624.50 2026-04-01
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Mcc 2 1 — — $42,166.00 $54,761.00 $48,463.50 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 1 1 — — $48,360.85 $48,360.85 $48,360.85 2026-04-01
507 MS_DRG Major Shoulder Or Elbow Joint Procedures With Cc/Mcc 8 6 — — $30,497.00 $56,211.00 $48,241.00 2026-04-01
508 MS_DRG Major Shoulder Or Elbow Joint Procedures Without Cc/Mcc 8 6 — — $30,497.00 $56,211.00 $48,241.00 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 9 6 — — $29,814.00 $51,364.00 $47,888.00 2026-04-01
543 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 2 1 — — $41,433.00 $53,752.00 $47,592.50 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 1 1 — — $47,565.64 $47,565.64 $47,565.64 2026-04-01
375 MS_DRG Digestive Malignancy With Cc 2 1 — — $41,344.00 $53,636.00 $47,490.00 2026-04-01
200 MS_DRG Pneumothorax With Cc 2 1 — — $40,912.00 $53,076.00 $46,994.00 2026-04-01
542 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 2 1 — — $40,882.00 $53,036.00 $46,959.00 2026-04-01
39 MS_DRG Extracranial Procedures Without Cc/Mcc 8 6 — — $29,566.00 $50,104.00 $46,790.50 2026-04-01
287 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization Without Mcc 8 6 — — $29,316.00 $53,792.00 $46,357.50 2026-04-01
65 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours 3 2 — — $12,378.22 $59,840.00 $46,125.00 2026-04-01
716 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy Without Cc/Mcc 8 6 — — $28,561.00 $49,208.00 $46,006.50 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 8 6 — — $29,019.00 $53,391.00 $45,883.50 2026-04-01
398 MS_DRG Appendix Procedures With Cc 10 7 — — $17,887.22 $53,792.00 $45,557.00 2026-04-01
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 3 2 — — $14,686.47 $58,855.00 $45,366.00 2026-04-01
583 MS_DRG Mastectomy For Malignancy Without Cc/Mcc 8 6 — — $28,343.00 $52,220.00 $45,258.00 2026-04-01
413 MS_DRG Cholecystectomy With C.d.e. Without Cc/Mcc 2 1 — — $39,127.00 $50,815.00 $44,971.00 2026-04-01
849 MS_DRG Radiotherapy 2 1 — — $39,144.00 $50,782.00 $44,963.00 2026-04-01
540 MS_DRG Osteomyelitis With Cc 2 1 — — $39,144.00 $50,782.00 $44,963.00 2026-04-01
505 MS_DRG Foot Procedures Without Cc/Mcc 8 6 — — $28,132.00 $47,617.00 $44,588.00 2026-04-01
132 MS_DRG Cranial/Facial Procedures Without Cc/Mcc 5 3 — — $29,482.00 $49,436.00 $44,389.00 2026-04-01
578 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis Without Cc/Mcc 8 6 — — $27,471.00 $47,334.00 $44,250.50 2026-04-01
501 MS_DRG Soft Tissue Procedures With Cc 8 6 — — $27,398.00 $47,206.00 $44,133.00 2026-04-01
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 8 6 — — $28,216.00 $49,217.00 $44,066.50 2026-04-01
658 MS_DRG Kidney And Ureter Procedures For Neoplasm Without Cc/Mcc 8 6 — — $29,258.00 $49,493.00 $43,604.00 2026-04-01
27427 HCPCS Reconstruction Knee 5 4 — — $39,146.00 $45,428.00 $43,269.00 2026-04-01
29916 HCPCS Hip Arthro W/labral Repair 4 3 — — $39,536.00 $48,425.00 $43,251.00 2026-04-01
63 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 6 5 — — $34,852.00 $45,264.00 $43,092.00 2026-04-01
304 MS_DRG Hypertension With Mcc 9 6 — — $26,640.00 $45,898.00 $43,029.00 2026-04-01
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 8 6 — — $26,669.00 $45,952.00 $42,958.50 2026-04-01
479 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue Without Cc/Mcc 2 1 — — $37,187.00 $48,294.00 $42,740.50 2026-04-01
487 MS_DRG Knee Procedures With Principal Diagnosis Of Infection Without Cc/Mcc 2 1 — — $37,077.00 $48,152.00 $42,614.50 2026-04-01
744 MS_DRG D&c, Conization, Laparoscopy And Tubal Interruption With Cc/Mcc 8 6 — — $26,429.00 $45,535.00 $42,571.00 2026-04-01
388 MS_DRG Gastrointestinal Obstruction With Mcc 2 1 — — $36,729.00 $47,699.00 $42,214.00 2026-04-01
378 MS_DRG Gastrointestinal Hemorrhage With Cc 3 2 — — $19,384.00 $54,663.00 $42,135.00 2026-04-01
58573 HCPCS Tlh W/t/o Uterus Over 250 G 5 4 — — $39,127.00 $47,427.00 $41,853.00 2026-04-01
663 MS_DRG Minor Bladder Procedures With Cc 2 1 — — $36,158.00 $46,959.00 $41,558.50 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 3 2 — — $38,768.00 $50,348.00 $41,085.00 2026-04-01
520 MS_DRG Back And Neck Procedures Except Spinal Fusion Without Cc/Mcc 8 6 — — $25,926.00 $47,544.00 $40,948.50 2026-04-01
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 9 6 — — $13,551.70 $43,875.00 $40,900.00 2026-04-01
683 MS_DRG Renal Failure With Cc 3 2 — — $10,872.12 $53,033.00 $40,881.00 2026-04-01
410 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 2 1 — — $35,452.00 $46,042.00 $40,747.00 2026-04-01
641 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou… 2 1 — — $35,461.00 $46,004.00 $40,732.50 2026-04-01
334 MS_DRG Rectal Resection Without Cc/Mcc 8 6 — — $27,102.00 $45,779.00 $40,629.00 2026-04-01
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/Mcc 9 6 — — $27,227.00 $45,669.00 $40,352.00 2026-04-01
497 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 9 6 — — $14,434.34 $46,941.00 $40,263.00 2026-04-01
154 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses With Mcc 2 1 — — $34,966.00 $45,411.00 $40,188.50 2026-04-01
425 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures Without Cc/Mcc 2 1 — — $34,874.00 $45,291.00 $40,082.50 2026-04-01
5115 OTHER Level 5 Musculoskeletal Procedures 6 4 — — $19,023.80 $66,700.24 $40,020.05 2026-04-01
27814 HCPCS Treatment Of Ankle Fracture 5 4 — — $37,064.00 $44,925.00 $39,943.00 2026-04-01
5612 OTHER Level 2 Therapeutic Radiation Treatment Preparation 3 2 — — $7,259.90 $77,960.48 $39,531.99 2026-04-01
57425 HCPCS Laparoscopy Surg Colpopexy 5 4 — — $35,722.00 $43,300.00 $39,484.00 2026-04-01
178 MS_DRG Respiratory Infections And Inflammations With Cc 2 1 — — $34,252.00 $44,437.00 $39,344.50 2026-04-01
638 MS_DRG Diabetes With Cc 5 4 — — $14,405.00 $52,951.00 $39,228.00 2026-04-01
708 MS_DRG Major Male Pelvic Procedures Without Cc/Mcc 8 6 — — $26,318.00 $45,228.00 $39,160.50 2026-04-01
58571 HCPCS Tlh W/t/o 250 G Or Less 5 4 — — $36,502.00 $44,246.00 $39,047.00 2026-04-01
28297 HCPCS Correction Hallux Valgus 4 3 — — $34,606.00 $41,948.00 $38,591.00 2026-04-01
23515 HCPCS Treat Clavicle Fracture 4 3 — — $34,416.00 $41,716.00 $38,375.50 2026-04-01
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 9 6 — — $23,816.00 $41,031.00 $38,257.00 2026-04-01
713 MS_DRG Transurethral Prostatectomy With Cc/Mcc 8 6 — — $23,639.00 $40,715.00 $38,075.00 2026-04-01
804 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs Without Cc/Mcc 2 1 — — $33,122.00 $43,016.00 $38,069.00 2026-04-01
27524 HCPCS Treat Kneecap Fracture 5 4 — — $34,154.00 $41,400.00 $37,752.00 2026-04-01
348 MS_DRG Anal And Stomal Procedures With Cc 2 1 — — $32,691.00 $42,456.00 $37,573.50 2026-04-01
63042 HCPCS Laminotomy Single Lumbar 5 4 — — $33,925.00 $41,121.00 $37,498.00 2026-04-01
541 MS_DRG Osteomyelitis Without Cc/Mcc 2 1 — — $32,590.00 $42,279.00 $37,434.50 2026-04-01
488 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection With Cc/Mcc 2 1 — — $32,482.00 $42,183.00 $37,332.50 2026-04-01
513 MS_DRG Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures With Cc/Mcc 8 6 — — $23,848.00 $41,209.00 $37,311.00 2026-04-01
735 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy Without Cc/Mcc 8 6 — — $24,814.00 $41,736.00 $37,049.00 2026-04-01
67 MS_DRG Precerebral Occlusion Without Infarction With Mcc 2 1 — — $32,231.00 $41,857.00 $37,044.00 2026-04-01
27829 HCPCS Treat Lower Leg Joint 5 4 — — $34,339.00 $41,626.00 $37,006.00 2026-04-01
416 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. Without Cc/Mcc 2 1 — — $32,153.00 $41,755.00 $36,954.00 2026-04-01
533 MS_DRG Fractures Of Femur With Mcc 2 1 — — $32,014.00 $41,577.00 $36,795.50 2026-04-01
27380 HCPCS Repair Of Kneecap Tendon 5 4 — — $33,976.00 $41,185.00 $36,615.00 2026-04-01
59151 HCPCS Treat Ectopic Pregnancy 5 4 — — $32,289.00 $38,681.00 $36,568.00 2026-04-01
657 MS_DRG Kidney And Ureter Procedures For Neoplasm With Cc 2 1 — — $31,808.00 $41,309.00 $36,558.50 2026-04-01
809 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 3 2 — — $14,969.25 $46,942.00 $36,184.00 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 1 1 — — $36,127.90 $36,127.90 $36,127.90 2026-04-01
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/Mcc 8 6 — — $22,401.00 $38,599.00 $36,085.00 2026-04-01
660 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Cc 8 6 — — $22,343.00 $38,497.00 $35,990.50 2026-04-01
194 MS_DRG Simple Pneumonia And Pleurisy With Cc 2 1 — — $31,233.00 $40,519.00 $35,876.00 2026-04-01
512 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures Without Cc/… 8 6 — — $22,699.00 $39,375.00 $35,651.00 2026-04-01
757 MS_DRG Infections, Female Reproductive System With Mcc 6 5 — — $28,662.00 $37,222.00 $35,432.50 2026-04-01
75 MS_DRG Viral Meningitis With Cc/Mcc 6 5 — — $28,554.00 $37,082.00 $35,302.50 2026-04-01
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