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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

2,649 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 success · 2026-10-17
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
$738,272
outlier · 2.0×
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 1 $1,340,483.41 $1,340,483.41 $1,340,483.41 nat. median
$608,101
outlier · 2.2×
789
MS_DRG 		Neonates, Died Or Transferred To Another Acute Care Facility 2 $54,211.21 $995,490.00 $524,850.60 nat. median
$16,213
outlier · 32.4×
215
MS_DRG 		Other Heart Assist System Implant 6 $346,792.00 $533,607.00 $474,944.00 nat. median
$93,917
outlier · 5.1×
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
$90,581
outlier · 3.7×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 6 $234,357.00 $414,588.00 $334,028.50 nat. median
$74,460
outlier · 4.5×
22
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 6 $234,357.00 $414,588.00 $334,028.50 nat. median
$32,364
outlier · 10.3×
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
$62,038
outlier · 4.9×
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
$249,124
1.2× 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
$93,270
outlier · 3.1×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 6 $205,801.00 $351,279.00 $286,898.50 nat. median
$78,037
outlier · 3.7×
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
$59,558
outlier · 4.8×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 6 $198,310.00 $325,194.00 $283,017.00 nat. median
$66,649
outlier · 4.2×
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 6 $201,127.00 $315,727.00 $279,861.00 nat. median
$57,804
outlier · 4.8×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 6 $92,512.26 $311,639.00 $276,285.00 nat. median
$77,043
outlier · 3.6×
21
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 6 $79,535.74 $310,887.00 $270,200.50 nat. median
$51,590
outlier · 5.2×
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
$190,557
1.4× 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
$77,696
outlier · 3.2×
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
$40,320
outlier · 6.2×
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
$55,188
outlier · 4.5×
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
$72,473
outlier · 3.3×
209
MS_DRG 		Complex Aortic Arch Procedures 5 $173,063.00 $266,222.00 $240,376.00 nat. median
$92,655
outlier · 2.6×
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 6 $67,162.59 $436,419.00 $235,088.00 nat. median
$58,331
outlier · 4.0×
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
$45,443
outlier · 5.1×
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
$71,758
outlier · 3.2×
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 6 $161,544.00 $275,916.00 $225,270.50 nat. median
$56,686
outlier · 4.0×
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
$51,613
outlier · 4.3×
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
$53,532
outlier · 4.1×
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
$50,083
outlier · 4.4×
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
$63,648
outlier · 3.4×
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
$36,642
outlier · 5.8×
229
MS_DRG 		Other Cardiothoracic Procedures Without Mcc 6 $70,445.37 $231,802.00 $207,855.00 nat. median
$30,783
outlier · 6.8×
430
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 6 $147,148.00 $227,150.00 $207,581.50 nat. median
$51,243
outlier · 4.1×
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
$38,719
outlier · 5.4×
834
MS_DRG 		Acute Leukemia With Mcc 2 $128,797.68 $330,559.00 $203,500.00 nat. median
$50,391
outlier · 4.0×
277
MS_DRG 		Cardiac Defibrillator Implant Without Mcc 6 $50,977.09 $242,459.00 $202,598.00 nat. median
$44,167
outlier · 4.6×
228
MS_DRG 		Other Cardiothoracic Procedures With Mcc 6 $144,720.00 $228,310.00 $201,969.00 nat. median
$47,451
outlier · 4.3×
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
$36,896
outlier · 5.4×
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 1 $73,511.26 $257,828.00 $198,740.00 nat. median
$59,384
outlier · 3.3×
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 1 $192,725.00 $192,725.00 $192,725.00 nat. median
$52,841
outlier · 3.6×
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
$49,960
outlier · 3.8×
230
MS_DRG 		Other Cardiothoracic Procedures Without Cc/mcc 1 $159,032.00 $220,890.00 $189,961.00 nat. median
$12,593
outlier · 15.1×
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
$50,590
outlier · 3.8×
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
$60,543
outlier · 3.0×
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
$48,243
outlier · 3.8×
405
MS_DRG 		Pancreas, Liver And Shunt Procedures With Mcc 6 $123,491.00 $183,808.00 $175,698.00 nat. median
$50,825
outlier · 3.5×
16
MS_DRG 		Autologous Bone Marrow Transplant With Cc/Mcc 2 $157,356.00 $192,058.00 $174,814.42 nat. median
$53,907
outlier · 3.2×
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 6 $138,200.00 $208,354.00 $171,337.00 nat. median
$57,560
outlier · 3.0×
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
$63,896
outlier · 2.7×

Other procedures at this hospital

Browse this hospital's 2,649 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
             
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
100 MS_DRG Seizures With Mcc 2 2 — — $19,763.67 $71,613.50 $45,688.58 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
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
131 MS_DRG Cranial/Facial Procedures W Cc/Mcc 2 1 — — $49,308.00 $68,486.00 $58,897.00 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
14 MS_DRG Allogeneic Bone Marrow Transplant 1 1 — — $147,359.63 $147,359.63 $147,359.63 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
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
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
150 MS_DRG Epistaxis With Mcc 2 1 — — $49,934.00 $64,780.00 $57,357.00 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
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 3 2 — — $157,356.00 $192,058.00 $174,814.42 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
164 MS_DRG Major Chest Procedures With Cc 9 6 — — $2,600.00 $75,301.00 $71,975.00 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
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
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 11 7 — — $11,602.01 $43,875.00 $40,937.00 2026-04-01
199 MS_DRG Pneumothorax With Mcc 3 1 — — $24,519.45 $78,665.00 $60,635.00 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
200 MS_DRG Pneumothorax With Cc 2 1 — — $40,912.00 $53,076.00 $46,994.00 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
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
209 MS_DRG Complex Aortic Arch Procedures 7 5 — — $173,063.00 $266,222.00 $240,376.00 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
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 7 5 — — $83,755.00 $129,109.00 $116,332.00 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
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
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
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
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
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
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
228 MS_DRG Other Cardiothoracic Procedures With Mcc 8 6 — — $144,720.00 $228,310.00 $201,969.00 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
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
230 MS_DRG Other Cardiothoracic Procedures Without Cc/mcc 2 1 — — $159,032.00 $220,890.00 $189,961.00 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
232 MS_DRG Coronary Bypass With Ptca Without Mcc 8 6 — — $201,127.00 $315,727.00 $279,861.00 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
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
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 10 6 — — $650.00 $203,824.00 $163,362.00 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
23615 HCPCS Treat Humerus Fracture 4 3 — — $45,585.00 $55,255.00 $50,832.00 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
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 11 6 — — $38,237.87 $372,960.96 $143,446.00 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
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/Mcc 9 6 — — $20,314.02 $92,805.00 $82,438.00 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
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
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
252 MS_DRG Other Vascular Procedures With Mcc 11 6 — — $2,346.13 $146,761.00 $128,952.00 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
254 MS_DRG Other Vascular Procedures Without Cc/Mcc 9 6 — — $20,514.07 $75,360.00 $61,471.00 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
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 11 6 — — $68,998.00 $122,020.84 $97,842.00 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
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
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
264 MS_DRG Other Circulatory System O.r. Procedures 2 1 — — $73,548.00 $95,518.00 $84,533.00 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
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
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
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
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
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 13 6 — — $56,027.26 $168,499.00 $149,336.00 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
27130 HCPCS Total Hip Arthroplasty 1 1 — — $63,249.00 $63,249.00 $63,249.00 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
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 12 6 — — $45,590.16 $97,942.00 $85,520.50 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
27427 HCPCS Reconstruction Knee 5 4 — — $39,146.00 $45,428.00 $43,269.00 2026-04-01
27447 HCPCS Total Knee Arthroplasty 1 1 — — $64,740.00 $64,740.00 $64,740.00 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
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
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 11 6 — — $50,977.09 $242,459.00 $202,598.00 2026-04-01
27814 HCPCS Treatment Of Ankle Fracture 5 4 — — $37,064.00 $44,925.00 $39,943.00 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 9 6 — — $109,755.00 $187,485.00 $153,627.00 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
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
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 9 6 — — $65,854.00 $100,553.00 $91,467.00 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
29916 HCPCS Hip Arthro W/labral Repair 4 3 — — $39,536.00 $48,425.00 $43,251.00 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
30 MS_DRG Spinal Procedures Without Cc/Mcc 13 6 — — $2,702.00 $88,843.00 $72,773.00 2026-04-01
304 MS_DRG Hypertension With Mcc 8 6 — — $30,838.00 $45,898.00 $43,908.50 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
31 MS_DRG Ventricular Shunt Procedures With Mcc 8 6 — — $78,518.00 $134,179.00 $109,514.50 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
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 7 5 — — $53,145.00 $81,897.00 $73,816.00 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
32 MS_DRG Ventricular Shunt Procedures With Cc 8 6 — — $75,380.00 $119,247.00 $105,064.00 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
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
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
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 1 1 — — $57,417.72 $57,417.72 $57,417.72 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
33 MS_DRG Ventricular Shunt Procedures Without Cc/Mcc 9 6 — — $14,141.29 $72,298.00 $58,939.00 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
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
334 MS_DRG Rectal Resection Without Cc/Mcc 9 6 — — $31,110.00 $47,258.00 $41,557.00 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 8 6 — — $77,465.00 $115,294.00 $110,303.50 2026-04-01
336 MS_DRG Peritoneal Adhesiolysis With Cc 9 6 — — $23,990.43 $66,822.00 $63,881.00 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
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
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
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
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
37 MS_DRG Extracranial Procedures With Mcc 10 6 — — $37,443.54 $99,461.00 $88,937.00 2026-04-01
374 MS_DRG Digestive Malignancy With Mcc 3 2 — — $18,500.00 $100,257.00 $77,280.00 2026-04-01
375 MS_DRG Digestive Malignancy With Cc 2 1 — — $41,344.00 $53,636.00 $47,490.00 2026-04-01
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 4 2 — — $14,333.41 $91,217.00 $45,595.56 2026-04-01
38 MS_DRG Extracranial Procedures With Cc 8 6 — — $47,944.00 $74,507.00 $66,805.50 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
39 MS_DRG Extracranial Procedures Without Cc/Mcc 9 6 — — $13,423.90 $52,820.00 $46,577.00 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
393 MS_DRG Other Digestive System Diagnoses With Mcc 3 2 — — $18,044.22 $79,373.00 $61,182.00 2026-04-01
397 MS_DRG Appendix Procedures With Mcc 8 6 — — $45,336.00 $70,496.00 $62,480.50 2026-04-01
398 MS_DRG Appendix Procedures With Cc 9 6 — — $32,882.00 $56,774.00 $46,512.00 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
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
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 9 6 — — $123,491.00 $183,808.00 $175,698.00 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
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
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
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
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
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
412 MS_DRG Cholecystectomy With C.d.e. With Cc 2 1 — — $51,483.00 $66,862.00 $59,172.50 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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
459 MS_DRG Spinal Fusion Except Cervical With Mcc 1 1 — — $192,725.00 $192,725.00 $192,725.00 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
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
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
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
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
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
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
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
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
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
471 MS_DRG Cervical Spinal Fusion With Mcc 8 6 — — $77,991.00 $122,600.00 $109,867.00 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
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 9 6 — — $47,381.00 $80,633.00 $67,220.00 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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
49656 HCPCS Lap Inc Hernia Repair Recur 1 1 — — $52,171.00 $52,171.00 $52,171.00 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
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
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
501 MS_DRG Soft Tissue Procedures With Cc 8 6 — — $31,714.00 $47,206.00 $45,160.00 2026-04-01
503 MS_DRG Foot Procedures With Mcc 8 6 — — $36,257.00 $61,677.00 $50,588.50 2026-04-01
504 MS_DRG Foot Procedures With Cc 11 6 — — $20,204.05 $61,677.00 $49,069.00 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
50544 HCPCS Laparoscopy Pyeloplasty 5 4 — — $57,619.00 $68,899.00 $65,254.00 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
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
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
5094 OTHER Level 4 Breast/Lymphatic Surgery And Related Procedures 1 1 — — $41,564.96 $41,564.96 $41,564.96 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
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
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
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
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
5184 OTHER Level 4 Vascular Procedures 6 4 — — $7,638.27 $90,513.68 $40,909.30 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
5194 OTHER Level 4 Endovascular Procedures 2 2 — — $56,501.11 $89,984.65 $73,242.88 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
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
5212 OTHER Level 2 Electrophysiologic Procedures 2 2 — — $32,092.89 $58,380.17 $45,236.53 2026-04-01
5213 OTHER Level 3 Electrophysiologic Procedures 12 6 — — $652.50 $149,723.55 $78,013.21 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
5232 OTHER Level 2 Icd And Similar Procedures 2 2 — — $45,304.12 $82,334.00 $63,819.06 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
54 MS_DRG Nervous System Neoplasms With Mcc 2 2 — — $15,427.24 $73,615.00 $44,521.12 2026-04-01
540 MS_DRG Osteomyelitis With Cc 2 1 — — $39,144.00 $50,782.00 $44,963.00 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
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
5464 OTHER Level 4 Neurostimulator And Related Procedures 3 3 — — $30,405.53 $75,903.52 $69,146.58 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
55866 HCPCS Laparo Radical Prostatectomy 5 4 — — $57,619.00 $69,572.00 $65,254.00 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
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
57425 HCPCS Laparoscopy Surg Colpopexy 5 4 — — $35,722.00 $43,300.00 $39,484.00 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
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
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
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
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
582 MS_DRG Mastectomy For Malignancy With Cc/Mcc 9 6 — — $20,118.94 $67,463.00 $59,911.00 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
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
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
58544 HCPCS Lsh W/t/o Uterus Above 250 G 5 4 — — $48,788.00 $59,137.00 $53,926.00 2026-04-01
58546 HCPCS Laparo-myomectomy Complex 5 4 — — $59,520.00 $72,146.00 $65,788.00 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
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
614 MS_DRG Adrenal And Pituitary Procedures With Cc/Mcc 2 1 — — $54,020.00 $70,156.00 $62,088.00 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
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
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
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
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
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
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
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 6 3 — — $22,567.61 $133,759.00 $65,747.77 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
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
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
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
663 MS_DRG Minor Bladder Procedures With Cc 2 1 — — $36,158.00 $46,959.00 $41,558.50 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
682 MS_DRG Renal Failure With Mcc 7 3 — — $16,754.49 $151,282.78 $46,371.44 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
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
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
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
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
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
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
787 MS_DRG Cesarean Section Without Sterilization With Cc 7 5 — — $8,939.39 $52,776.00 $45,051.00 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
793 MS_DRG Full Term Neonate With Major Problems 3 3 — — $10,920.17 $204,624.00 $61,574.75 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
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
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
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
834 MS_DRG Acute Leukemia With Mcc 3 2 — — $128,797.68 $330,559.00 $203,500.00 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
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
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
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
849 MS_DRG Radiotherapy 2 1 — — $39,144.00 $50,782.00 $44,963.00 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
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
863 MS_DRG Postoperative And Post-traumatic Infections Without Mcc 1 1 — — $42,459.31 $42,459.31 $42,459.31 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
894 MS_DRG Alcohol, Drug Abuse Or Dependence, Left Ama 1 1 — — $44,925.00 $44,925.00 $44,925.00 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
906 MS_DRG Hand Procedures For Injuries 2 1 — — $71,477.00 $92,727.00 $82,102.00 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
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
92 MS_DRG Other Disorders Of Nervous System With Cc 1 1 — — $112,186.08 $112,186.08 $112,186.08 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
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
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
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
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
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
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
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
999 MS_DRG Ungroupable 4 3 — — $35,875.71 $198,406.00 $163,322.50 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
A9604 HCPCS Hchg Sm 153 Lexidronam 150mci 1 1 — — $54,373.92 $54,373.92 $54,373.92 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
J9226 HCPCS Supprelin La Implant 5 3 — — $103,987.69 $129,708.04 $122,953.40 2026-04-01
J9266 HCPCS Pegaspargase Injection 5 3 — — $60,432.98 $62,262.23 $61,062.67 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 1 1 — — $74,101.05 $74,101.05 $74,101.05 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
Q2042 HCPCS Tisagenlecleucel Car-pos T 1 1 — — $1,476,857.10 $1,476,857.10 $1,476,857.10 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 3 2 — — $131,139.34 $162,691.22 $131,139.34 2026-04-01
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