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 MEDICAL CENTER, SACRAMENTO

Sacramento, CA · CCN 050108 · Rates published

Your selected procedure

You selected 27447 (HCPCS)

Total knee arthroplasty

This hospital’s price: $64,740 across 1 payer

Source: https://edge.sitecorecloud.io/sutterhealt962c-sutterhealt8fce-production57cc-4860/media/Project/SutterHealth/SutterHealth/Files/billing-insurance/costs-and-charges/941156621-1811946734_sutter-medical-center-sacramento_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.

2,651 distinct procedures filed
7 distinct payers
26,882 rate rows
2026-04-01 last MRF observed
Data quality

8,807 of 26,882 rate rows are consumer-grade (32.8%)

18,075 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 18,054
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/941156621-1811946734_sutter-medical-center-sacramento_standardcharges.csv
Found on page https://www.sutterhealth.org/cms-hpt.txt
Discovered viaDiscovered by HANK (automated)
Last fetch not_modified · 2026-08-12
Content fingerprint 79ef2a6031ce1835… · 16,401,920 bytes · first seen 2026-05-14

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 1 $1,476,857.10 $1,476,857.10 $1,476,857.10 nat. median
$691,418
outlier · 2.1×
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 1 $1,340,483.41 $1,340,483.41 $1,340,483.41 nat. median
$588,565
outlier · 2.3×
789
MS_DRG 		Neonates, Died Or Transferred To Another Acute Care Facility 2 $54,211.21 $995,490.00 $524,850.60 nat. median
$16,147
outlier · 32.5×
215
MS_DRG 		Other Heart Assist System Implant 6 $346,792.00 $533,607.00 $474,944.00 nat. median
$98,002
outlier · 4.8×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 6 $240,736.00 $454,107.07 $335,730.00 nat. median
$92,900
outlier · 3.6×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 6 $234,357.00 $414,588.00 $334,028.50 nat. median
$77,385
outlier · 4.3×
22
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 6 $234,357.00 $414,588.00 $334,028.50 nat. median
$34,270
outlier · 9.7×
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 6 $72,430.98 $341,227.00 $300,936.00 nat. median
$63,840
outlier · 4.7×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 1 $289,186.00 $289,186.00 $289,186.00 nat. median
$261,939
1.1× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 6 $205,801.00 $351,279.00 $286,898.50 nat. median
$96,835
outlier · 3.0×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 6 $205,801.00 $351,279.00 $286,898.50 nat. median
$81,124
outlier · 3.5×
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 6 $204,627.00 $320,672.00 $285,371.50 nat. median
$60,895
outlier · 4.7×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 6 $198,310.00 $325,194.00 $283,017.00 nat. median
$68,581
outlier · 4.1×
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 6 $201,127.00 $315,727.00 $279,861.00 nat. median
$59,257
outlier · 4.7×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 6 $92,512.26 $311,639.00 $276,285.00 nat. median
$79,040
outlier · 3.5×
21
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 6 $79,535.74 $310,887.00 $270,200.50 nat. median
$54,267
outlier · 5.0×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 2 $237,084.79 $507,270.57 $258,092.05 nat. median
$199,832
1.3× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 6 $179,909.00 $440,208.85 $251,682.00 nat. median
$80,459
outlier · 3.1×
458
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 6 $179,909.00 $307,570.00 $250,782.50 nat. median
$42,100
outlier · 6.0×
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 6 $81,508.41 $307,570.00 $249,883.00 nat. median
$57,394
outlier · 4.4×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 6 $91,868.08 $295,319.00 $241,267.00 nat. median
$74,472
outlier · 3.2×
209
MS_DRG 		Complex Aortic Arch Procedures 5 $173,063.00 $266,222.00 $240,376.00 nat. median
$96,134
outlier · 2.5×
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 6 $67,162.59 $436,419.00 $235,088.00 nat. median
$60,162
outlier · 3.9×
837
MS_DRG 		Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 1 $231,250.00 $231,250.00 $231,250.00 nat. median
$46,754
outlier · 4.9×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 6 $163,033.00 $278,368.00 $227,249.00 nat. median
$73,475
outlier · 3.1×
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 6 $161,544.00 $275,916.00 $225,270.50 nat. median
$58,419
outlier · 3.9×
234
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 6 $60,163.48 $278,368.00 $224,373.00 nat. median
$53,013
outlier · 4.2×
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 6 $1,289.31 $253,959.00 $221,144.00 nat. median
$55,685
outlier · 4.0×
11
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 1 $219,791.04 $219,791.04 $219,791.04 nat. median
$52,447
outlier · 4.2×
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 6 $156,408.00 $243,801.00 $218,623.00 nat. median
$66,640
outlier · 3.3×
24
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 6 $44,411.12 $240,030.00 $213,438.00 nat. median
$38,059
outlier · 5.6×
229
MS_DRG 		Other Cardiothoracic Procedures Without Mcc 6 $70,445.37 $231,802.00 $207,855.00 nat. median
$32,689
outlier · 6.4×
430
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 6 $147,148.00 $227,150.00 $207,581.50 nat. median
$53,268
outlier · 3.9×
12
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 1 $207,351.00 $207,351.00 $207,351.00 nat. median
$40,421
outlier · 5.1×
834
MS_DRG 		Acute Leukemia With Mcc 2 $128,797.68 $330,559.00 $203,500.00 nat. median
$52,155
outlier · 3.9×
277
MS_DRG 		Cardiac Defibrillator Implant Without Mcc 6 $50,977.09 $242,459.00 $202,598.00 nat. median
$45,772
outlier · 4.4×
228
MS_DRG 		Other Cardiothoracic Procedures With Mcc 6 $144,720.00 $228,310.00 $201,969.00 nat. median
$50,071
outlier · 4.0×
402
MS_DRG 		Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 6 $142,257.00 $219,136.00 $200,664.00 nat. median
$38,854
outlier · 5.2×
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 1 $73,511.26 $257,828.00 $198,740.00 nat. median
$62,218
outlier · 3.2×
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 1 $192,725.00 $192,725.00 $192,725.00 nat. median
$62,767
outlier · 3.1×
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
$51,984
outlier · 3.7×
230
MS_DRG 		Other Cardiothoracic Procedures Without Cc/mcc 1 $159,032.00 $220,890.00 $189,961.00 nat. median
$27,929
outlier · 6.8×
428
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 6 $131,440.00 $203,151.00 $189,917.00 nat. median
$53,080
outlier · 3.6×
A9543
HCPCS 		Hchg Y-90 Ibritumomab (zevalin) Therapeutic 1 $189,311.16 $189,311.16 $189,311.16 nat. median
$63,643
outlier · 3.0×
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 6 $147,288.00 $282,353.00 $183,195.50 nat. median
$62,262
outlier · 2.9×
450
MS_DRG 		Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically… 6 $147,288.00 $268,566.00 $183,195.50 nat. median
$50,178
outlier · 3.7×
405
MS_DRG 		Pancreas, Liver And Shunt Procedures With Mcc 6 $123,491.00 $183,808.00 $175,698.00 nat. median
$52,517
outlier · 3.3×
16
MS_DRG 		Autologous Bone Marrow Transplant With Cc/Mcc 2 $157,356.00 $192,058.00 $174,814.42 nat. median
$55,867
outlier · 3.1×
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 6 $138,200.00 $208,354.00 $171,337.00 nat. median
$59,832
outlier · 2.9×
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 6 $122,776.00 $209,543.00 $171,131.50 nat. median
$65,792
outlier · 2.6×

Other procedures at this hospital

Browse this hospital's 2,651 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
789 MS_DRG Neonates, Died Or Transferred To Another Acute Care Facility 2 2 — — $54,211.21 $995,490.00 $524,850.60 2026-04-01
215 MS_DRG Other Heart Assist System Implant 8 6 — — $346,792.00 $533,607.00 $474,944.00 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 6 — — $240,736.00 $454,107.07 $335,730.00 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 8 6 — — $234,357.00 $414,588.00 $334,028.50 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 8 6 — — $234,357.00 $414,588.00 $334,028.50 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 9 6 — — $72,430.98 $341,227.00 $300,936.00 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 1 1 — — $289,186.00 $289,186.00 $289,186.00 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 8 6 — — $205,801.00 $351,279.00 $286,898.50 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 8 6 — — $205,801.00 $351,279.00 $286,898.50 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 8 6 — — $204,627.00 $320,672.00 $285,371.50 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 8 6 — — $198,310.00 $325,194.00 $283,017.00 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 8 6 — — $201,127.00 $315,727.00 $279,861.00 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 9 6 — — $92,512.26 $311,639.00 $276,285.00 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 10 6 — — $79,535.74 $310,887.00 $270,200.50 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 3 2 — — $237,084.79 $507,270.57 $258,092.05 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 9 6 — — $179,909.00 $440,208.85 $251,682.00 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 8 6 — — $179,909.00 $307,570.00 $250,782.50 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 9 6 — — $81,508.41 $307,570.00 $249,883.00 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 10 6 — — $91,868.08 $295,319.00 $241,267.00 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 7 5 — — $173,063.00 $266,222.00 $240,376.00 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 13 6 — — $67,162.59 $436,419.00 $235,088.00 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 1 1 — — $231,250.00 $231,250.00 $231,250.00 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 8 6 — — $163,033.00 $278,368.00 $227,249.00 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 8 6 — — $161,544.00 $275,916.00 $225,270.50 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 10 6 — — $60,163.48 $278,368.00 $224,373.00 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 11 6 — — $1,289.31 $253,959.00 $221,144.00 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 1 1 — — $219,791.04 $219,791.04 $219,791.04 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 8 6 — — $156,408.00 $243,801.00 $218,623.00 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 10 6 — — $44,411.12 $240,030.00 $213,438.00 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 9 6 — — $70,445.37 $231,802.00 $207,855.00 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 8 6 — — $147,148.00 $227,150.00 $207,581.50 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 1 1 — — $207,351.00 $207,351.00 $207,351.00 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 3 2 — — $128,797.68 $330,559.00 $203,500.00 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 11 6 — — $50,977.09 $242,459.00 $202,598.00 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 8 6 — — $144,720.00 $228,310.00 $201,969.00 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 8 6 — — $142,257.00 $219,136.00 $200,664.00 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 3 1 — — $73,511.26 $257,828.00 $198,740.00 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 1 1 — — $192,725.00 $192,725.00 $192,725.00 2026-04-01
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
230 MS_DRG Other Cardiothoracic Procedures Without Cc/mcc 2 1 — — $159,032.00 $220,890.00 $189,961.00 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 8 6 — — $131,440.00 $203,151.00 $189,917.00 2026-04-01
A9543 HCPCS Hchg Y-90 Ibritumomab (zevalin) Therapeutic 1 1 — — $189,311.16 $189,311.16 $189,311.16 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 8 6 — — $147,288.00 $282,353.00 $183,195.50 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 8 6 — — $147,288.00 $268,566.00 $183,195.50 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 9 6 — — $123,491.00 $183,808.00 $175,698.00 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 3 2 — — $157,356.00 $192,058.00 $174,814.42 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 8 6 — — $138,200.00 $208,354.00 $171,337.00 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 8 6 — — $122,776.00 $209,543.00 $171,131.50 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 6 5 — — $140,151.00 $182,013.00 $170,696.00 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 3 3 — — $79,311.50 $230,767.00 $170,058.58 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 12 6 — — $53,230.01 $229,372.00 $169,930.00 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 10 6 — — $46,275.26 $183,626.00 $166,337.50 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 9 6 — — $69,778.03 $178,051.00 $166,154.00 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 10 6 — — $650.00 $203,824.00 $163,362.00 2026-04-01
999 MS_DRG Ungroupable 4 3 — — $35,875.71 $198,406.00 $163,322.50 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 13 6 — — $59,909.30 $183,588.00 $161,147.00 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 1 1 — — $159,969.47 $159,969.47 $159,969.47 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 9 6 — — $109,755.00 $187,485.00 $153,627.00 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 8 6 — — $109,030.00 $167,382.00 $151,844.00 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 10 6 — — $30,897.54 $167,879.00 $151,828.00 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 13 6 — — $56,027.26 $168,499.00 $149,336.00 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 1 1 — — $147,359.63 $147,359.63 $147,359.63 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 11 6 — — $38,237.87 $372,960.96 $143,446.00 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 8 6 — — $110,671.00 $202,907.00 $137,715.00 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 8 6 — — $98,238.00 $167,674.00 $137,042.00 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 8 6 — — $98,226.00 $165,463.00 $134,672.00 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 13 6 — — $250.00 $163,471.00 $131,297.00 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 3 2 — — $131,139.34 $162,691.22 $131,139.34 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 11 6 — — $2,346.13 $146,761.00 $128,952.00 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 8 6 — — $90,441.00 $154,635.00 $126,075.00 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 7 5 — — $90,441.00 $139,144.00 $125,618.00 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 8 6 — — $87,888.00 $150,671.00 $123,246.50 2026-04-01
J9226 HCPCS Supprelin La Implant 5 3 — — $103,987.69 $129,708.04 $122,953.40 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 3 2 — — $30,575.12 $159,186.00 $122,703.00 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 5 4 — — $35,074.63 $179,714.80 $121,765.90 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 3 1 — — $38,282.36 $154,627.00 $119,189.00 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 7 5 — — $83,755.00 $129,109.00 $116,332.00 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
92 MS_DRG Other Disorders Of Nervous System With Cc 1 1 — — $112,186.08 $112,186.08 $112,186.08 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 8 6 — — $77,465.00 $115,294.00 $110,303.50 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 8 6 — — $77,991.00 $122,600.00 $109,867.00 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 8 6 — — $78,518.00 $134,179.00 $109,514.50 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 11 6 — — $33,315.17 $136,629.00 $108,048.00 2026-04-01
32 MS_DRG Ventricular Shunt Procedures With Cc 8 6 — — $75,380.00 $119,247.00 $105,064.00 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 10 6 — — $46,360.82 $128,461.00 $104,938.50 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
562 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 1 1 — — $103,894.00 $103,894.00 $103,894.00 2026-04-01
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 7 5 — — $74,264.00 $114,017.00 $103,151.00 2026-04-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 3 2 — — $79,407.00 $105,060.00 $103,016.00 2026-04-01
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 14 6 — — $20,269.70 $126,540.00 $101,532.50 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 — — $72,010.00 $113,324.00 $100,329.00 2026-04-01
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 9 6 — — $23,844.78 $122,131.00 $99,323.00 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 6 5 — — $78,620.00 $102,102.00 $98,144.00 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 11 6 — — $68,998.00 $122,020.84 $97,842.00 2026-04-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 6 5 — — $80,238.00 $104,205.00 $97,725.50 2026-04-01
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 8 6 — — $69,724.00 $107,384.00 $97,116.00 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
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 9 6 — — $30,567.49 $105,073.00 $93,350.00 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 12 6 — — $37,942.72 $120,510.00 $92,792.00 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 9 6 — — $65,854.00 $100,553.00 $91,467.00 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 10 6 — — $37,443.54 $99,461.00 $88,937.00 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 9 6 — — $63,807.00 $98,227.00 $88,626.00 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 8 6 — — $63,153.00 $107,835.00 $88,105.00 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 11 6 — — $32,595.09 $95,168.00 $87,665.00 2026-04-01
5378 OTHER Level 8 Urology And Related Services 3 3 — — $33,512.92 $95,991.13 $87,526.68 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 1 1 — — $87,177.61 $87,177.61 $87,177.61 2026-04-01
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 3 1 — — $66,495.00 $91,345.00 $86,267.00 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 12 6 — — $45,590.16 $97,942.00 $85,520.50 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 — — $60,625.00 $103,546.00 $84,436.00 2026-04-01
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 10 6 — — $250.00 $103,546.00 $82,981.50 2026-04-01
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 10 6 — — $21,616.06 $93,924.00 $82,864.50 2026-04-01
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/Mcc 9 6 — — $20,314.02 $92,805.00 $82,438.00 2026-04-01
906 MS_DRG Hand Procedures For Injuries 2 1 — — $71,477.00 $92,727.00 $82,102.00 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 3 2 — — $39,448.36 $106,517.00 $82,019.00 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
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 10 6 — — $29,100.35 $249,906.63 $81,040.50 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 8 6 — — $57,782.00 $98,644.00 $80,445.00 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 8 6 — — $56,387.00 $83,930.00 $80,292.00 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
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 3 2 — — $26,169.00 $101,902.00 $78,549.00 2026-04-01
5213 OTHER Level 3 Electrophysiologic Procedures 12 6 — — $652.50 $149,723.55 $78,013.21 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 13 6 — — $28,113.42 $149,683.00 $77,786.00 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 8 6 — — $54,323.00 $80,847.00 $77,351.00 2026-04-01
374 MS_DRG Digestive Malignancy With Mcc 3 2 — — $18,500.00 $100,257.00 $77,280.00 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 3 2 — — $55,500.00 $100,097.00 $77,076.00 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 8 6 — — $54,969.00 $93,948.00 $76,703.00 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 11 6 — — $22,722.06 $90,885.00 $76,114.00 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 1 1 — — $74,101.05 $74,101.05 $74,101.05 2026-04-01
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 9 6 — — $53,145.00 $90,885.00 $73,816.00 2026-04-01
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 7 5 — — $53,145.00 $81,897.00 $73,816.00 2026-04-01
5194 OTHER Level 4 Endovascular Procedures 2 2 — — $56,501.11 $89,984.65 $73,242.88 2026-04-01
30 MS_DRG Spinal Procedures Without Cc/Mcc 13 6 — — $2,702.00 $88,843.00 $72,773.00 2026-04-01
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/Mcc 8 6 — — $50,727.00 $75,504.00 $72,233.50 2026-04-01
496 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 8 6 — — $52,006.00 $81,423.00 $72,216.50 2026-04-01
42 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/Mcc 11 6 — — $51,589.00 $132,636.73 $72,037.00 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 9 6 — — $2,600.00 $75,301.00 $71,975.00 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 — — $50,619.00 $86,388.00 $70,585.00 2026-04-01
920 MS_DRG Complications Of Treatment With Cc 2 2 — — $13,848.00 $126,156.00 $70,002.00 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
5464 OTHER Level 4 Neurostimulator And Related Procedures 3 3 — — $30,405.53 $75,903.52 $69,146.58 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
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 6 5 — — $54,489.00 $70,764.00 $68,020.00 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 8 6 — — $48,775.00 $83,123.00 $67,992.00 2026-04-01
259 MS_DRG Cardiac Pacemaker Device Replacement Without Mcc 8 6 — — $48,775.00 $83,123.00 $67,992.00 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 9 6 — — $47,381.00 $80,633.00 $67,220.00 2026-04-01
38 MS_DRG Extracranial Procedures With Cc 8 6 — — $47,944.00 $74,507.00 $66,805.50 2026-04-01
58546 HCPCS Laparo-myomectomy Complex 5 4 — — $59,520.00 $72,146.00 $65,788.00 2026-04-01
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 6 3 — — $22,567.61 $133,759.00 $65,747.77 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
62 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 7 5 — — $51,764.00 $67,226.00 $64,369.00 2026-04-01
336 MS_DRG Peritoneal Adhesiolysis With Cc 9 6 — — $23,990.43 $66,822.00 $63,881.00 2026-04-01
5232 OTHER Level 2 Icd And Similar Procedures 2 2 — — $45,304.12 $82,334.00 $63,819.06 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
27130 HCPCS Total Hip Arthroplasty 1 1 — — $63,249.00 $63,249.00 $63,249.00 2026-04-01
251 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc 8 6 — — $44,642.00 $74,671.00 $63,242.50 2026-04-01
397 MS_DRG Appendix Procedures With Mcc 8 6 — — $45,336.00 $70,496.00 $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 — — $44,759.00 $76,178.00 $62,336.50 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
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/Mcc 8 6 — — $42,944.00 $69,626.00 $61,816.50 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 3 3 — — $10,920.17 $204,624.00 $61,574.75 2026-04-01
254 MS_DRG Other Vascular Procedures Without Cc/Mcc 9 6 — — $20,514.07 $75,360.00 $61,471.00 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
393 MS_DRG Other Digestive System Diagnoses With Mcc 3 2 — — $18,044.22 $79,373.00 $61,182.00 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
199 MS_DRG Pneumothorax With Mcc 3 1 — — $24,519.45 $78,665.00 $60,635.00 2026-04-01
582 MS_DRG Mastectomy For Malignancy With Cc/Mcc 9 6 — — $20,118.94 $67,463.00 $59,911.00 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
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 1 1 — — $59,740.10 $59,740.10 $59,740.10 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 4 2 — — $38,539.51 $92,619.93 $59,572.85 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 9 6 — — $42,434.00 $72,298.00 $59,422.00 2026-04-01
262 MS_DRG Cardiac Pacemaker Revision Except Device Replacement Without Cc/Mcc 9 6 — — $42,434.00 $72,298.00 $59,422.00 2026-04-01
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 9 6 — — $42,521.00 $67,038.00 $59,383.00 2026-04-01
261 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Cc 8 6 — — $42,434.00 $72,298.00 $59,180.50 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
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 11 6 — — $25,307.45 $74,542.00 $58,995.00 2026-04-01
33 MS_DRG Ventricular Shunt Procedures Without Cc/Mcc 9 6 — — $14,141.29 $72,298.00 $58,939.00 2026-04-01
131 MS_DRG Cranial/Facial Procedures W Cc/Mcc 2 1 — — $49,308.00 $68,486.00 $58,897.00 2026-04-01
5465 OTHER Level 5 Neurostimulator And Related Procedures 2 2 — — $34,404.30 $83,258.20 $58,831.25 2026-04-01
737 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 10 6 — — $22,881.76 $64,362.00 $58,209.50 2026-04-01
385 MS_DRG Inflammatory Bowel Disease With Mcc 3 2 — — $44,366.00 $114,675.48 $57,556.00 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 1 1 — — $57,417.72 $57,417.72 $57,417.72 2026-04-01
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/Mcc 8 6 — — $40,298.00 $59,980.00 $57,383.00 2026-04-01
150 MS_DRG Epistaxis With Mcc 2 1 — — $49,934.00 $64,780.00 $57,357.00 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 9 6 — — $26,630.27 $70,664.00 $56,899.00 2026-04-01
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/Mcc 9 6 — — $24,105.87 $69,643.00 $56,589.00 2026-04-01
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 10 6 — — $26,603.41 $70,664.00 $56,290.50 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
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 8 6 — — $40,679.00 $65,274.00 $55,808.50 2026-04-01
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 5 3 — — $11,281.35 $77,326.00 $55,558.95 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
896 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 2 1 — — $20,026.42 $88,913.35 $54,469.89 2026-04-01
165 MS_DRG Major Chest Procedures Without Cc/Mcc 8 6 — — $40,840.00 $59,914.00 $54,432.50 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 — — $38,934.00 $66,375.00 $54,356.50 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
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
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 1 1 — — $52,990.00 $52,990.00 $52,990.00 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
585 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/Mcc 9 6 — — $34,407.00 $59,265.00 $52,463.00 2026-04-01
49656 HCPCS Lap Inc Hernia Repair Recur 1 1 — — $52,171.00 $52,171.00 $52,171.00 2026-04-01
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/Mcc 8 6 — — $36,518.00 $54,351.00 $52,000.00 2026-04-01
499 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Without… 8 6 — — $36,987.00 $58,149.00 $51,532.50 2026-04-01
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 10 6 — — $18,193.77 $68,747.00 $51,492.00 2026-04-01
740 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Cc 9 6 — — $35,974.00 $53,542.00 $51,182.00 2026-04-01
23615 HCPCS Treat Humerus Fracture 4 3 — — $45,585.00 $55,255.00 $50,832.00 2026-04-01
503 MS_DRG Foot Procedures With Mcc 8 6 — — $36,257.00 $61,677.00 $50,588.50 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 2 2 — — $49,761.09 $50,958.33 $50,359.71 2026-04-01
581 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/Mcc 8 6 — — $34,406.00 $56,142.00 $49,538.00 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 1 1 — — $49,315.93 $49,315.93 $49,315.93 2026-04-01
839 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Without Cc/Mcc 1 1 — — $49,205.00 $49,205.00 $49,205.00 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 8 6 — — $34,508.00 $51,364.00 $49,139.00 2026-04-01
504 MS_DRG Foot Procedures With Cc 11 6 — — $20,204.05 $61,677.00 $49,069.00 2026-04-01
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 11 6 — — $4,224.89 $52,477.00 $48,970.00 2026-04-01
506 MS_DRG Major Thumb Or Joint Procedures 8 6 — — $34,967.00 $55,405.00 $48,909.50 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
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 3 2 — — $26,192.29 $62,942.00 $48,466.00 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
140 MS_DRG Major Head And Neck Procedures With Mcc 1 1 — — $48,231.33 $48,231.33 $48,231.33 2026-04-01
508 MS_DRG Major Shoulder Or Elbow Joint Procedures Without Cc/Mcc 8 6 — — $34,581.00 $59,024.00 $48,224.50 2026-04-01
507 MS_DRG Major Shoulder Or Elbow Joint Procedures With Cc/Mcc 8 6 — — $34,581.00 $59,024.00 $48,224.50 2026-04-01
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 4 3 — — $13,997.20 $58,855.00 $48,080.00 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
375 MS_DRG Digestive Malignancy With Cc 2 1 — — $41,344.00 $53,636.00 $47,490.00 2026-04-01
716 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy Without Cc/Mcc 8 6 — — $33,058.00 $49,208.00 $47,076.50 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 9 6 — — $13,423.90 $52,820.00 $46,577.00 2026-04-01
398 MS_DRG Appendix Procedures With Cc 9 6 — — $32,882.00 $56,774.00 $46,512.00 2026-04-01
682 MS_DRG Renal Failure With Mcc 7 3 — — $16,754.49 $151,282.78 $46,371.44 2026-04-01
287 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization Without Mcc 13 6 — — $12,701.50 $56,774.00 $46,171.00 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 8 6 — — $32,907.00 $56,164.00 $45,865.00 2026-04-01
100 MS_DRG Seizures With Mcc 2 2 — — $19,763.67 $71,613.50 $45,688.58 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 1 1 — — $45,613.65 $45,613.65 $45,613.65 2026-04-01
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 4 2 — — $14,333.41 $91,217.00 $45,595.56 2026-04-01
838 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Che… 2 2 — — $37,000.00 $54,121.96 $45,560.98 2026-04-01
578 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis Without Cc/Mcc 8 6 — — $31,797.00 $47,334.00 $45,282.00 2026-04-01
583 MS_DRG Mastectomy For Malignancy Without Cc/Mcc 8 6 — — $31,868.00 $52,220.00 $45,274.00 2026-04-01
5212 OTHER Level 2 Electrophysiologic Procedures 2 2 — — $32,092.89 $58,380.17 $45,236.53 2026-04-01
501 MS_DRG Soft Tissue Procedures With Cc 8 6 — — $31,714.00 $47,206.00 $45,160.00 2026-04-01
787 MS_DRG Cesarean Section Without Sterilization With Cc 7 5 — — $8,939.39 $52,776.00 $45,051.00 2026-04-01
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 3 2 — — $10,730.52 $58,433.00 $44,993.00 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
894 MS_DRG Alcohol, Drug Abuse Or Dependence, Left Ama 1 1 — — $44,925.00 $44,925.00 $44,925.00 2026-04-01
505 MS_DRG Foot Procedures Without Cc/Mcc 8 6 — — $31,906.00 $50,095.00 $44,574.00 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 6 3 — — $11,656.00 $74,000.00 $44,558.00 2026-04-01
54 MS_DRG Nervous System Neoplasms With Mcc 2 2 — — $15,427.24 $73,615.00 $44,521.12 2026-04-01
658 MS_DRG Kidney And Ureter Procedures For Neoplasm Without Cc/Mcc 8 6 — — $33,586.00 $49,493.00 $44,507.50 2026-04-01
132 MS_DRG Cranial/Facial Procedures Without Cc/Mcc 5 3 — — $33,844.00 $49,436.00 $44,389.00 2026-04-01
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 8 6 — — $32,015.00 $49,430.00 $44,022.50 2026-04-01
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 9 6 — — $23,160.02 $45,952.00 $43,923.00 2026-04-01
304 MS_DRG Hypertension With Mcc 8 6 — — $30,838.00 $45,898.00 $43,908.50 2026-04-01
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 2 2 — — $14,435.61 $72,756.10 $43,595.86 2026-04-01
744 MS_DRG D&c, Conization, Laparoscopy And Tubal Interruption With Cc/Mcc 8 6 — — $30,591.00 $45,535.00 $43,561.00 2026-04-01
63 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 6 5 — — $34,852.00 $45,264.00 $43,511.50 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
99 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis Without Cc/Mcc 1 1 — — $42,798.00 $42,798.00 $42,798.00 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
863 MS_DRG Postoperative And Post-traumatic Infections Without Mcc 1 1 — — $42,459.31 $42,459.31 $42,459.31 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
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 2 2 — — $17,413.01 $65,977.32 $41,695.17 2026-04-01
5094 OTHER Level 4 Breast/Lymphatic Surgery And Related Procedures 1 1 — — $41,564.96 $41,564.96 $41,564.96 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
334 MS_DRG Rectal Resection Without Cc/Mcc 9 6 — — $31,110.00 $47,258.00 $41,557.00 2026-04-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 2 1 — — $18,308.86 $64,696.00 $41,502.43 2026-04-01
520 MS_DRG Back And Neck Procedures Except Spinal Fusion Without Cc/Mcc 10 6 — — $29,391.00 $105,361.62 $41,393.50 2026-04-01
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/Mcc 13 6 — — $8,511.17 $48,558.00 $41,005.00 2026-04-01
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 11 7 — — $11,602.01 $43,875.00 $40,937.00 2026-04-01
5184 OTHER Level 4 Vascular Procedures 6 4 — — $7,638.27 $90,513.68 $40,909.30 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 2 2 — — $40,283.68 $41,357.31 $40,820.49 2026-04-01
797 MS_DRG Vaginal Delivery With Sterilization And/Or D&c With Cc 3 3 — — $29,545.75 $52,776.00 $40,804.98 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
497 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 8 6 — — $29,057.00 $49,424.00 $40,454.50 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
708 MS_DRG Major Male Pelvic Procedures Without Cc/Mcc 8 6 — — $30,209.00 $44,115.00 $40,071.00 2026-04-01
27814 HCPCS Treatment Of Ankle Fracture 5 4 — — $37,064.00 $44,925.00 $39,943.00 2026-04-01
57425 HCPCS Laparoscopy Surg Colpopexy 5 4 — — $35,722.00 $43,300.00 $39,484.00 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 1 1 — — $39,364.00 $39,364.00 $39,364.00 2026-04-01
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 9 6 — — $18,950.19 $41,031.00 $39,224.00 2026-04-01
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