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

Your selected procedure

You selected 45378 (HCPCS)

Diagnostic colonoscopy

This hospital’s price: $3,054 across 6 payers · range $1,958-$3,783

Source: 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 · observed 2026-04-01

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

2,597 distinct procedures filed
8 distinct payers
20,744 rate rows
2026-04-01 last MRF observed
Data quality

7,754 of 20,744 rate rows are consumer-grade (37.4%)

12,990 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
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 11
placeholder amount (≤ $0.02) — excluded from medians 10
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://edge.sitecorecloud.io/sutterhealt962c-sutterhealt8fce-production57cc-4860/media/Project/SutterHealth/SutterHealth/Files/billing-insurance/costs-and-charges/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 success · 2026-09-20
Content fingerprint 08bd9648577a9c51… · 11,201,093 bytes · first seen 2026-09-20

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
$621,313
outlier · 2.4×
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 1 $1,340,483.41 $1,340,483.41 $1,340,483.41 nat. median
$562,501
outlier · 2.4×
215
MS_DRG 		Other Heart Assist System Implant 6 $305,822.00 $529,900.00 $475,010.00 nat. median
$73,023
outlier · 6.5×
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
$69,822
outlier · 4.8×
22
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 6 $205,794.00 $393,675.00 $332,831.00 nat. median
$23,282
outlier · 14.3×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 6 $205,794.00 $393,675.00 $332,831.00 nat. median
$56,428
outlier · 5.9×
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
$47,458
outlier · 6.4×
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
$2,736
outlier · 104.9×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 6 $181,491.00 $333,633.00 $286,999.00 nat. median
$2,596
outlier · 110.6×
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
$45,446
outlier · 6.3×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 6 $174,738.00 $308,880.00 $282,957.00 nat. median
$51,518
outlier · 5.5×
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 6 $177,357.00 $299,833.00 $279,959.00 nat. median
$43,803
outlier · 6.4×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 6 $175,407.00 $295,952.00 $276,751.00 nat. median
$60,505
outlier · 4.6×
21
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 6 $168,751.00 $295,204.00 $272,877.50 nat. median
$38,173
outlier · 7.1×
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 6 $167,532.00 $434,524.00 $267,508.00 nat. median
$44,036
outlier · 6.1×
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
$30,649
outlier · 8.2×
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
$59,651
outlier · 4.2×
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
$42,674
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
$55,923
outlier · 4.3×
209
MS_DRG 		Complex Aortic Arch Procedures 5 $152,615.00 $264,499.00 $240,792.00 nat. median
$2,110
outlier · 114.1×
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 1 $198,740.00 $257,828.00 $228,284.00 nat. median
$47,121
outlier · 4.8×
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
$55,935
outlier · 4.1×
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
$39,159
outlier · 5.8×
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 6 $142,450.00 $262,113.00 $225,340.00 nat. median
$43,533
outlier · 5.2×
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
$40,301
outlier · 5.5×
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
$9,905
outlier · 22.1×
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
$27,920
outlier · 7.7×
430
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 6 $129,764.00 $215,741.00 $207,637.50 nat. median
$2,596
outlier · 80.0×
277
MS_DRG 		Cardiac Defibrillator Implant Without Mcc 6 $128,608.00 $240,740.00 $207,037.50 nat. median
$33,459
outlier · 6.2×
229
MS_DRG 		Other Cardiothoracic Procedures Without Mcc 6 $133,229.00 $217,671.00 $206,384.00 nat. median
$22,934
outlier · 9.0×
228
MS_DRG 		Other Cardiothoracic Procedures With Mcc 6 $127,617.00 $216,912.00 $202,036.00 nat. median
$35,725
outlier · 5.7×
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
$12,698
outlier · 15.9×
267
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 6 $122,299.00 $227,751.00 $190,678.50 nat. median
$34,616
outlier · 5.5×
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
$38,795
outlier · 4.9×
A9543
HCPCS 		Y90 Ibritumomab, Rx 1 $189,311.16 $189,311.16 $189,311.16 nat. median
$65,477
outlier · 2.9×
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
$10,799
outlier · 17.3×
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
$2,736
outlier · 66.7×
230
MS_DRG 		Other Cardiothoracic Procedures Without Cc/mcc 1 $140,240.00 $222,612.00 $181,426.00 nat. median
$2,024
outlier · 89.6×
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 1 $180,742.00 $180,742.00 $180,742.00 nat. median
$2,106
outlier · 85.8×
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
$2,958
outlier · 60.0×
405
MS_DRG 		Pancreas, Liver And Shunt Procedures With Mcc 6 $106,686.00 $183,808.00 $171,848.00 nat. median
$38,859
outlier · 4.4×
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
$49,569
outlier · 3.5×
319
MS_DRG 		Other Endovascular Cardiac Valve Procedures With Mcc 5 $140,151.00 $182,013.00 $167,458.00 nat. median
$31,388
outlier · 5.3×
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
$38,832
outlier · 4.3×
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 6 $105,181.00 $193,613.00 $166,396.00 nat. median
$43,023
outlier · 3.9×
236
MS_DRG 		Coronary Bypass Without Cardiac Catheterization Without Mcc 6 $105,181.00 $182,366.00 $166,396.00 nat. median
$30,358
outlier · 5.5×
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 6 $128,079.00 $208,354.00 $165,788.00 nat. median
$2,633
outlier · 63.0×
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
$27,156
outlier · 6.1×
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
$24,748
outlier · 6.4×
28
MS_DRG 		Spinal Procedures With Mcc 6 $96,783.00 $178,098.00 $153,091.00 nat. median
$41,895
outlier · 3.7×

Other procedures at this hospital

Browse this hospital's 2,597 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
Q2042 HCPCS Tisagenlecleucel Car-pos T 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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
50544 HCPCS Laparoscopy Pyeloplasty 5 4 — — $57,619.00 $68,899.00 $65,254.00 2026-04-01
55866 HCPCS Laparo Radical Prostatectomy 5 4 — — $57,619.00 $69,572.00 $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
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
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
33 MS_DRG Ventricular Shunt Procedures 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
540 MS_DRG Osteomyelitis With Cc 2 1 — — $39,144.00 $50,782.00 $44,963.00 2026-04-01
849 MS_DRG Radiotherapy 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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