Price Transparency Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

Export CSV
Hospital

PROVIDENCE SANTA ROSA MEMORIAL HOSPITAL

Santa Rosa, CA · CCN 050174 · Rates published

14,595 distinct procedures filed
25 distinct payers
356,982 rate rows
2026-04-01 last MRF observed
Data quality

233,946 of 356,982 rate rows are consumer-grade (65.5%)

123,036 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 120,372
template filing: same amount across many unrelated codes — excluded 2,614
placeholder amount (≤ $0.02) — excluded from medians 50
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://pricetransparency.providence.org/norcal/live/814791043_providence-santa-rosa-memorial-hospital_standardcharges.json
Found on page https://www.providence.org/billing-support/pricing-transparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-18
Content fingerprint 2cb01402d6598ad8… · 189,005,348 bytes · first seen 2026-05-09

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
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 2 $3,617,621.00 $3,691,450.00 $3,654,535.50 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 2 $3,254,948.85 $3,321,376.38 $3,288,162.62 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 2 $3,180,473.76 $3,245,381.39 $3,212,927.58 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 2 $2,879,553.60 $2,938,320.00 $2,908,936.80 nat. median
$3,006,423
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 2 $2,535,345.51 $2,587,087.26 $2,561,216.38 nat. median
$2,469,189
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 2 $2,285,360.00 $2,332,000.00 $2,308,680.00 nat. median
$2,448,600
0.9× median
Q2057
HCPCS 		Afamitresgene Autoleucel 3 $755,207.60 $1,656,833.00 $1,213,726.50 nat. median
$824,563
1.5× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 3 $576,724.91 $1,189,314.00 $1,106,338.60 nat. median
$675,122
1.6× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 3 $548,585.46 $1,134,388.29 $1,055,244.92 nat. median
$625,184
1.7× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 3 $551,015.62 $1,110,350.92 $1,032,884.57 nat. median
$674,188
1.5× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 3 $521,212.14 $1,081,107.57 $1,005,681.46 nat. median
$634,511
1.6× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 3 $479,504.79 $1,052,208.19 $978,798.31 nat. median
$620,080
1.6× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 4 $691.00 $1,244,357.91 $614,180.81 nat. median
$754,974
0.8× median
C9301
HCPCS 		Obecabtagene Car Pos T 1 $598,237.50 $598,237.50 $598,237.50 nat. median
$459,112
1.3× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 14 $460,193.66 $1,240,891.84 $469,585.37 nat. median
$370,174
1.3× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 14 $298,909.62 $926,843.56 $305,009.82 nat. median
$265,286
1.1× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 4 $15,184.00 $293,772.29 $243,289.74 nat. median
$87,411
outlier · 2.8×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 14 $227,907.58 $780,622.46 $232,558.75 nat. median
$206,368
1.1× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 15 $6,836.64 $705,182.16 $231,198.41 nat. median
$202,986
1.1× median
5432
OTHER 		Level 2 Nerve Procedures 1 $182,536.92 $182,536.92 $182,536.92 nat. median
$5,788
outlier · 31.5×
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 4 $15,184.00 $218,242.46 $182,089.80 nat. median
$65,381
outlier · 2.8×
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 4 $15,184.00 $201,262.97 $167,923.02 nat. median
$62,270
outlier · 2.7×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 15 $75,548.00 $464,932.16 $151,143.31 nat. median
$133,176
1.1× median
7
MS_DRG 		Lung Transplant 14 $138,532.07 $430,012.32 $141,359.26 nat. median
$122,708
1.2× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 14 $128,612.81 $431,098.22 $131,237.56 nat. median
$117,303
1.1× median
455
MS_DRG 		Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 4 $15,184.00 $153,091.61 $126,446.75 nat. median
$48,483
outlier · 2.6×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 14 $121,313.00 $509,059.17 $123,788.78 nat. median
$108,660
1.1× median
209
MS_DRG 		Complex Aortic Arch Procedures 14 $121,174.70 $123,647.65 $123,647.65 nat. median
$98,017
1.3× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 $6,836.64 $344,907.53 $120,416.69 nat. median
$98,905
1.2× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 14 $116,443.28 $358,448.35 $118,819.67 nat. median
$102,358
1.2× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 15 $58,111.44 $350,402.83 $112,700.84 nat. median
$100,136
1.1× median
215
MS_DRG 		Other Heart Assist System Implant 14 $15,236.00 $394,103.13 $108,863.00 nat. median
$99,019
1.1× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 15 $15,236.00 $333,283.42 $106,971.76 nat. median
$93,672
1.1× median
J9029
HCPCS 		Inj, Adstiladrin, Per Tx Dos 4 $62,996.65 $135,956.56 $102,636.69 nat. median
$69,774
1.5× median
460
MS_DRG 		Spinal Fusion Except Cervical Without Mcc 4 $15,184.00 $125,665.50 $100,427.64 nat. median
$39,075
outlier · 2.6×
5611
OTHER 		Level 1 Therapeutic Radiation Treatment Preparation 1 $99,121.10 $99,121.10 $99,121.10 nat. median
$143
outlier · 692.6×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 14 $96,605.82 $274,436.04 $98,577.37 nat. median
$82,712
1.2× median
5661
OTHER 		Therapeutic Nuclear Medicine 2 $99.34 $195,557.75 $97,828.54 nat. median
$252
outlier · 388.3×
A9699
HCPCS 		Radiopharm Rx Agent Noc 1 $97,225.26 $97,225.26 $97,225.26 nat. median
$21,806
outlier · 4.5×
A9543
HCPCS 		Y90 Ibritumomab, Rx 4 $55,688.06 $122,172.78 $95,068.35 nat. median
$62,507
1.5× median
850
MS_DRG 		Acute Leukemia With Other Procedures 15 $71,104.00 $514,704.25 $94,776.44 nat. median
$83,442
1.1× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 15 $13,673.28 $278,825.70 $92,283.74 nat. median
$79,312
1.2× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 14 $15,184.00 $278,667.75 $91,996.04 nat. median
$81,118
1.1× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 2 $74,761.35 $169,820.76 $89,382.93 nat. median
$76,377
1.2× median
C9150
HCPCS 		Xe129 Xenon, Diagnostic 1 $74,400.77 $88,951.82 $88,951.82 nat. median
$775
outlier · 114.8×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 15 $54,693.12 $329,768.48 $86,192.05 nat. median
$77,576
1.1× median
338
MS_DRG 		Appendectomy With Complicated Principal Diagnosis With Mcc 1 $79,553.09 $89,432.86 $84,492.98 nat. median
$27,044
outlier · 3.1×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 14 $15,236.00 $257,392.67 $84,123.85 nat. median
$74,915
1.1× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 15 $10,254.96 $335,772.78 $83,764.49 nat. median
$73,807
1.1× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 15 $57,772.00 $685,207.70 $83,489.82 nat. median
$72,138
1.2× median

Other procedures at this hospital

Browse this hospital's 14,595 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
             
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 4 2 — — $3,617,621.00 $3,691,450.00 $3,654,535.50 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 4 2 — — $3,254,948.85 $3,321,376.38 $3,288,162.62 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 4 2 — — $3,180,473.76 $3,245,381.39 $3,212,927.58 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 4 2 — — $2,879,553.60 $2,938,320.00 $2,908,936.80 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 4 2 — — $2,535,345.51 $2,587,087.26 $2,561,216.38 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 4 2 — — $2,285,360.00 $2,332,000.00 $2,308,680.00 2026-04-01
Q2057 HCPCS Afamitresgene Autoleucel 8 3 — — $755,207.60 $1,656,833.00 $1,213,726.50 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 10 3 — — $576,724.91 $1,189,314.00 $1,106,338.60 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 10 3 — — $548,585.46 $1,134,388.29 $1,055,244.92 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 10 3 — — $551,015.62 $1,110,350.92 $1,032,884.57 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 10 3 — — $521,212.14 $1,081,107.57 $1,005,681.46 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 10 3 — — $479,504.79 $1,052,208.19 $978,798.31 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 14 4 — — $691.00 $1,244,357.91 $614,180.81 2026-04-01
C9301 HCPCS Obecabtagene Car Pos T 4 1 — — $598,237.50 $598,237.50 $598,237.50 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 40 14 — — $460,193.66 $1,240,891.84 $469,585.37 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 40 14 — — $298,909.62 $926,843.56 $305,009.82 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 14 4 — — $15,184.00 $293,772.29 $243,289.74 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 40 14 — — $227,907.58 $780,622.46 $232,558.75 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 52 15 — — $6,836.64 $705,182.16 $231,198.41 2026-04-01
5432 OTHER Level 2 Nerve Procedures 2 1 — — $182,536.92 $182,536.92 $182,536.92 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 14 4 — — $15,184.00 $218,242.46 $182,089.80 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 14 4 — — $15,184.00 $201,262.97 $167,923.02 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 46 15 — — $75,548.00 $464,932.16 $151,143.31 2026-04-01
7 MS_DRG Lung Transplant 40 14 — — $138,532.07 $430,012.32 $141,359.26 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 40 14 — — $128,612.81 $431,098.22 $131,237.56 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 14 4 — — $15,184.00 $153,091.61 $126,446.75 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 40 14 — — $121,313.00 $509,059.17 $123,788.78 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 28 14 — — $121,174.70 $123,647.65 $123,647.65 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 38 15 — — $6,836.64 $344,907.53 $120,416.69 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 36 14 — — $116,443.28 $358,448.35 $118,819.67 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 42 15 — — $58,111.44 $350,402.83 $112,700.84 2026-04-01
215 MS_DRG Other Heart Assist System Implant 54 14 — — $15,236.00 $394,103.13 $108,863.00 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 54 15 — — $15,236.00 $333,283.42 $106,971.76 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 16 4 — — $62,996.65 $135,956.56 $102,636.69 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 14 4 — — $15,184.00 $125,665.50 $100,427.64 2026-04-01
5611 OTHER Level 1 Therapeutic Radiation Treatment Preparation 2 1 — — $99,121.10 $99,121.10 $99,121.10 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 36 14 — — $96,605.82 $274,436.04 $98,577.37 2026-04-01
5661 OTHER Therapeutic Nuclear Medicine 4 2 — — $99.34 $195,557.75 $97,828.54 2026-04-01
A9699 HCPCS Radiopharm Rx Agent Noc 4 1 — — $97,225.26 $97,225.26 $97,225.26 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 14 4 — — $55,688.06 $122,172.78 $95,068.35 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 40 15 — — $71,104.00 $514,704.25 $94,776.44 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 48 15 — — $13,673.28 $278,825.70 $92,283.74 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 46 14 — — $15,184.00 $278,667.75 $91,996.04 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 10 2 — — $74,761.35 $169,820.76 $89,382.93 2026-04-01
C9150 HCPCS Xe129 Xenon, Diagnostic 6 1 — — $74,400.77 $88,951.82 $88,951.82 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 42 15 — — $54,693.12 $329,768.48 $86,192.05 2026-04-01
338 MS_DRG Appendectomy With Complicated Principal Diagnosis With Mcc 4 1 — — $79,553.09 $89,432.86 $84,492.98 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 48 14 — — $15,236.00 $257,392.67 $84,123.85 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 56 15 — — $10,254.96 $335,772.78 $83,764.49 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 50 15 — — $57,772.00 $685,207.70 $83,489.82 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 40 15 — — $4,444.00 $233,589.82 $79,133.03 2026-04-01
10 MS_DRG Pancreas Transplant 40 14 — — $77,093.92 $262,346.38 $78,667.27 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 40 14 — — $77,062.01 $219,762.72 $78,634.70 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 40 14 — — $76,656.64 $260,835.99 $78,221.06 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 42 14 — — $59,181.88 $232,530.25 $78,175.47 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 54 15 — — $20,509.92 $377,139.95 $75,802.19 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 50 14 — — $15,236.00 $222,227.29 $75,434.15 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 44 14 — — $72,363.58 $683,884.64 $73,840.39 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 46 15 — — $185.00 $203,556.52 $73,356.18 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 40 15 — — $22,220.00 $731,409.18 $73,302.98 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 46 14 — — $15,236.00 $195,761.08 $72,148.91 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 48 14 — — $15,236.00 $212,487.20 $72,148.91 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 42 14 — — $66,944.71 $202,628.57 $71,889.44 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 50 15 — — $14,847.16 $212,826.14 $70,622.46 2026-04-01
341 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Mcc 4 1 — — $65,835.67 $74,011.85 $69,923.76 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 56 14 — — $15,236.00 $232,111.80 $67,297.06 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 40 14 — — $65,875.58 $208,094.25 $67,219.98 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 46 14 — — $15,236.00 $200,999.72 $66,582.69 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 42 14 — — $64,673.31 $200,038.86 $65,993.17 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 38 14 — — $64,655.22 $226,514.76 $65,974.71 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 50 14 — — $15,184.00 $207,764.91 $65,502.45 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 46 15 — — $62,221.92 $217,756.00 $65,289.65 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 40 14 — — $63,837.03 $214,928.99 $65,139.83 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 52 14 — — $15,236.00 $422,361.54 $64,476.49 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 40 14 — — $63,146.53 $191,575.44 $64,435.23 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 38 14 — — $62,107.04 $179,999.11 $63,374.53 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 48 15 — — $24,976.00 $825,394.96 $62,975.01 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 28 14 — — $61,466.54 $62,720.96 $62,720.96 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 48 15 — — $8,888.00 $581,201.81 $62,640.62 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 38 14 — — $60,563.25 $181,154.11 $61,799.23 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 40 14 — — $60,378.11 $179,034.96 $61,610.32 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 40 14 — — $54,477.06 $164,625.43 $61,193.42 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 48 15 — — $15,184.00 $201,934.25 $60,724.41 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 42 14 — — $59,157.76 $193,324.90 $60,365.06 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 44 15 — — $22,369.36 $183,112.40 $60,154.44 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 58 15 — — $4,444.00 $420,601.88 $60,069.76 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 40 14 — — $58,776.86 $177,547.61 $59,976.39 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 40 14 — — $58,544.92 $198,604.16 $59,739.71 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 56 15 — — $15,236.00 $211,527.33 $58,659.47 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 36 14 — — $57,452.24 $169,456.03 $58,624.73 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 42 15 — — $57,071.34 $240,664.75 $58,236.06 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 56 15 — — $15,236.00 $187,545.70 $58,046.07 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 46 15 — — $12,780.00 $170,794.13 $57,276.33 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 42 14 — — $36,701.37 $183,424.63 $57,178.62 2026-04-01
5627 OTHER Level 7 Radiation Therapy 4 2 — — $7,315.72 $104,136.48 $55,726.10 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 46 14 — — $15,236.00 $151,114.22 $55,482.80 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 14 4 — — $44,354.33 $122,586.77 $55,143.81 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 42 15 — — $23,928.24 $171,839.03 $54,909.57 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 62 15 — — $15,236.00 $201,735.45 $54,475.30 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 62 15 — — $33,373.36 $164,579.36 $54,379.76 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 44 14 — — $135.00 $165,731.07 $54,196.28 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 42 15 — — $23,928.24 $177,524.58 $53,973.72 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 48 14 — — $15,184.00 $160,306.83 $53,186.61 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 42 14 — — $51,863.28 $189,558.53 $52,921.71 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 52 14 — — $15,236.00 $216,379.66 $52,449.44 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 40 14 — — $50,768.46 $151,597.94 $51,804.55 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 48 15 — — $50,663.20 $156,445.00 $51,700.33 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 42 15 — — $27,346.56 $160,945.91 $51,548.34 2026-04-01
339 MS_DRG Appendectomy With Complicated Principal Diagnosis With Cc 4 1 — — $48,178.68 $54,162.03 $51,170.35 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 40 14 — — $50,083.27 $159,557.90 $51,105.38 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 38 14 — — $49,886.44 $153,085.29 $50,904.53 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 52 15 — — $26,664.00 $218,128.30 $50,665.69 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 42 14 — — $49,527.89 $160,185.51 $50,538.66 2026-04-01
245 MS_DRG Aicd Generator Procedures 48 15 — — $8,888.00 $172,998.96 $50,295.47 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 44 14 — — $16,687.55 $148,448.84 $50,146.74 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 54 14 — — $35,861.20 $411,978.74 $50,125.02 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 40 14 — — $48,933.13 $164,368.18 $49,931.77 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 52 15 — — $17,776.00 $310,783.11 $49,420.42 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 40 14 — — $48,418.18 $139,514.36 $49,406.31 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 46 14 — — $15,236.00 $144,539.61 $49,215.23 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 44 14 — — $47,485.10 $140,357.25 $48,454.18 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 40 15 — — $13,673.28 $140,153.24 $47,744.15 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 44 14 — — $46,422.20 $147,563.67 $47,369.59 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 42 15 — — $13,332.00 $139,159.47 $47,069.95 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 42 15 — — $26,664.00 $134,361.78 $46,803.96 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 56 14 — — $15,236.00 $137,868.73 $46,612.88 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 40 14 — — $45,604.02 $135,026.48 $46,534.71 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 52 15 — — $26,664.00 $442,052.10 $46,511.92 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 46 14 — — $23,845.59 $137,876.14 $46,378.38 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 40 14 — — $45,397.61 $145,780.16 $46,324.09 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 48 14 — — $15,236.00 $135,302.89 $46,239.41 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 46 14 — — $15,184.00 $160,326.00 $46,063.53 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 50 15 — — $4,487.03 $137,237.76 $46,030.96 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 42 15 — — $26,664.00 $133,831.99 $45,850.74 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 42 14 — — $44,641.14 $128,662.46 $45,552.18 2026-04-01
791 MS_DRG Prematurity With Major Problems 48 15 — — $100.00 $133,601.65 $44,830.21 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 42 14 — — $42,011.30 $157,411.50 $44,412.23 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 40 14 — — $43,136.71 $118,507.80 $44,017.05 2026-04-01
5232 OTHER Level 2 Icd And Similar Procedures 16 5 — — $14,562.13 $68,019.79 $43,815.90 2026-04-01
C8007 HCPCS Opn Mplnt Hpgls Ns Ary Ps Gn 4 2 — — $42,937.38 $43,813.66 $43,375.52 2026-04-01
C8011 HCPCS Opn Mplnt Hpgls Ns Ary Rec 4 2 — — $42,937.38 $43,813.66 $43,375.52 2026-04-01
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 4 2 — — $42,937.38 $43,813.66 $43,375.52 2026-04-01
342 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Cc 4 1 — — $40,734.43 $45,793.28 $43,263.85 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 46 15 — — $4,444.00 $125,659.11 $43,233.19 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 40 14 — — $42,180.21 $142,374.39 $43,041.03 2026-04-01
77 MS_DRG Hypertensive Encephalopathy With Mcc 12 4 — — $32,833.56 $50,879.26 $42,996.82 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 40 14 — — $41,930.18 $127,954.98 $42,785.90 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 40 14 — — $41,868.47 $129,300.84 $42,722.93 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 48 15 — — $41,716.85 $290,803.32 $42,682.76 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 48 14 — — $41,596.10 $265,710.47 $42,445.00 2026-04-01
509 MS_DRG Arthroscopy 18 5 — — $15,184.00 $57,799.39 $42,182.35 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 54 15 — — $34,294.23 $2,146,473.98 $41,616.63 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 42 15 — — $8,888.00 $108,645.74 $41,438.58 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 44 15 — — $40,515.12 $126,721.01 $41,341.96 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 50 15 — — $4,444.00 $390,170.83 $41,337.62 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 40 14 — — $40,399.15 $129,856.95 $41,223.62 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 40 14 — — $40,175.72 $118,025.29 $40,995.63 2026-04-01
J9226 HCPCS Supprelin La Implant 16 4 — — $20,865.60 $97,205.89 $40,761.69 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 44 15 — — $13,332.00 $268,661.82 $40,640.62 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 56 14 — — $15,184.00 $308,390.46 $40,624.33 2026-04-01
5200 OTHER Implantation Wireless Pa Pressure Monitor 6 3 — — $22,483.66 $40,560.52 $40,186.29 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 40 14 — — $39,353.28 $108,202.63 $40,156.41 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 46 14 — — $15,184.00 $116,127.23 $40,126.01 2026-04-01
332 MS_DRG Rectal Resection With Mcc 40 14 — — $39,270.29 $132,919.05 $40,071.72 2026-04-01
265 MS_DRG Aicd Lead Procedures 46 14 — — $15,236.00 $117,372.41 $40,044.58 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 44 14 — — $39,173.21 $216,376.41 $39,975.10 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 38 15 — — $8,888.00 $105,437.41 $39,916.47 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 46 14 — — $11,964.00 $130,988.91 $39,660.26 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 46 14 — — $11,964.00 $136,066.52 $39,570.15 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 40 14 — — $38,740.44 $124,313.84 $39,531.06 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 40 14 — — $38,684.05 $119,811.52 $39,473.52 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 42 14 — — $38,652.13 $115,849.23 $39,440.95 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 42 15 — — $38,615.96 $123,200.06 $39,404.04 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 50 15 — — $15,236.00 $113,903.23 $39,372.55 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 44 14 — — $37,937.22 $234,466.45 $39,050.11 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 42 15 — — $37,601.52 $120,054.25 $38,971.94 2026-04-01
5623 OTHER Level 3 Radiation Therapy 26 7 — — $900.00 $138,834.40 $38,910.00 2026-04-01
5045 OTHER Trauma Response With Critical Care 40 11 — — $1,021.76 $118,215.00 $38,894.82 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 56 15 — — $140.00 $112,874.16 $38,634.30 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 44 15 — — $37,852.04 $127,458.12 $38,624.53 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 46 15 — — $17,091.60 $114,009.42 $38,450.82 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 40 14 — — $37,503.06 $113,157.15 $38,268.43 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 28 14 — — $37,332.83 $38,094.72 $38,094.72 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 54 15 — — $21,557.75 $285,153.63 $37,983.98 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 46 14 — — $37,045.56 $332,845.86 $37,801.59 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 42 15 — — $10,254.96 $116,131.86 $37,752.73 2026-04-01
340 MS_DRG Appendectomy With Complicated Principal Diagnosis Without Cc/Mcc 4 1 — — $34,916.04 $39,252.29 $37,084.17 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 56 15 — — $15,236.00 $238,064.26 $37,030.76 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 40 14 — — $35,893.29 $119,904.19 $36,625.81 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 40 14 — — $35,774.13 $109,270.95 $36,504.21 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 54 14 — — $34,617.22 $125,063.96 $36,499.87 2026-04-01
A9545 HCPCS I-131 Tositumomab, Rx, Per Dose 6 1 — — $30,333.81 $36,266.40 $36,266.40 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 48 15 — — $15,236.00 $114,529.53 $36,077.55 2026-04-01
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 66 15 — — $14,532.24 $186,018.00 $35,933.62 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 42 15 — — $13,332.00 $107,243.94 $35,922.30 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 44 14 — — $25,797.38 $104,950.40 $35,883.21 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 42 14 — — $34,319.52 $101,541.33 $35,834.36 2026-04-01
652 MS_DRG Kidney Transplant 40 14 — — $35,108.10 $101,674.43 $35,824.59 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 46 14 — — $15,184.00 $108,886.45 $35,798.53 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 40 14 — — $35,015.53 $104,647.66 $35,730.13 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 38 15 — — $8,888.00 $94,176.97 $35,617.22 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 56 15 — — $8,888.00 $118,948.77 $35,426.14 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 48 14 — — $15,184.00 $101,751.93 $35,362.09 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 44 14 — — $25.00 $301,671.60 $35,328.43 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 42 15 — — $34,553.77 $155,283.66 $35,258.95 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 46 14 — — $18,826.04 $443,661.21 $35,122.16 2026-04-01
294 MS_DRG Deep Vein Thrombophlebitis With Cc/Mcc 12 4 — — $26,074.46 $40,968.22 $35,077.20 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 40 14 — — $34,368.65 $102,434.94 $35,070.05 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 40 15 — — $4,458.93 $105,134.67 $34,972.33 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 64 15 — — $13,332.00 $136,404.29 $34,956.05 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 46 14 — — $15,236.00 $102,294.34 $34,875.71 2026-04-01
665 MS_DRG Prostatectomy With Mcc 42 14 — — $11,792.86 $112,979.46 $34,648.81 2026-04-01
5213 OTHER Level 3 Electrophysiologic Procedures 28 6 — — $1,851.61 $82,196.11 $34,597.73 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 48 14 — — $31,355.42 $97,026.63 $34,578.24 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 44 15 — — $13,332.00 $358,678.59 $34,518.53 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 42 15 — — $33,320.65 $102,646.98 $34,000.66 2026-04-01
263 MS_DRG Vein Ligation And Stripping 52 16 — — $10,724.99 $88,250.60 $33,956.15 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 44 15 — — $15,786.47 $107,553.26 $33,693.42 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 48 15 — — $15,184.00 $442,937.55 $33,555.54 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 42 15 — — $32,880.17 $94,338.21 $33,551.19 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 46 14 — — $15,184.00 $83,077.78 $33,515.37 2026-04-01
343 MS_DRG Appendectomy Without Complicated Principal Diagnosis Without Cc/Mcc 4 1 — — $31,533.59 $35,449.77 $33,491.68 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 36 14 — — $32,415.22 $100,968.77 $33,076.76 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 60 15 — — $15,184.00 $118,733.46 $32,747.80 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 42 14 — — $32,071.56 $240,759.50 $32,726.08 2026-04-01
570 MS_DRG Skin Debridement With Mcc 40 14 — — $32,039.64 $99,060.22 $32,693.51 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 40 14 — — $31,815.15 $95,957.19 $32,464.44 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 54 15 — — $15,184.00 $96,776.55 $32,380.84 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 42 15 — — $2,000.00 $96,506.72 $32,269.02 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 40 14 — — $31,604.49 $92,406.63 $32,249.48 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 40 14 — — $31,468.30 $97,814.39 $32,110.51 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 42 15 — — $31,453.40 $98,257.32 $32,095.31 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 40 14 — — $31,408.72 $87,194.32 $32,049.71 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 50 14 — — $30,590.99 $97,887.88 $31,923.78 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 44 15 — — $22,220.00 $95,822.27 $31,709.90 2026-04-01
800 MS_DRG Splenic Procedures With Cc 40 14 — — $30,638.42 $95,874.92 $31,263.69 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 40 14 — — $30,530.96 $92,857.44 $31,154.04 2026-04-01
503 MS_DRG Foot Procedures With Mcc 46 14 — — $15,184.00 $87,085.73 $31,065.01 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 48 15 — — $15,184.00 $83,847.78 $30,856.56 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 40 14 — — $30,081.96 $92,289.54 $30,695.88 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 60 15 — — $10,254.96 $174,082.92 $30,604.69 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 44 15 — — $23,928.24 $89,599.02 $30,597.09 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 50 14 — — $29,587.24 $234,559.50 $30,442.92 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 60 16 — — $8,888.00 $207,283.69 $30,301.78 2026-04-01
849 MS_DRG Radiotherapy 40 14 — — $29,575.52 $87,888.64 $30,179.10 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 40 14 — — $29,540.41 $89,876.16 $30,143.28 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 40 14 — — $29,446.79 $86,091.97 $30,047.74 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 48 15 — — $15,184.00 $100,469.77 $29,641.70 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 46 15 — — $28,949.92 $87,615.52 $29,540.73 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 40 14 — — $28,808.41 $94,107.73 $29,396.34 2026-04-01
S3865 HCPCS Comp Genet Test Hyp Cardiomy 2 1 — — $29,082.76 $29,082.76 $29,082.76 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 56 15 — — $10,254.96 $84,796.33 $28,942.53 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 42 14 — — $28,330.69 $92,371.50 $28,908.87 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 42 15 — — $17,737.80 $89,499.96 $28,803.56 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 40 14 — — $28,189.19 $78,875.68 $28,764.48 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 44 15 — — $4,444.00 $124,012.00 $28,764.48 2026-04-01
5231 OTHER Level 1 Icd And Similar Procedures 8 4 — — $921.98 $32,877.76 $28,653.81 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 40 14 — — $28,065.77 $86,512.26 $28,638.54 2026-04-01
81280 HCPCS Long Qt Synd Gene Full Seq 6 1 — — $23,930.24 $34,330.23 $28,608.39 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 48 14 — — $15,236.00 $85,917.92 $28,480.03 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 50 14 — — $3,547.20 $96,641.64 $28,348.67 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 68 15 — — $15,184.00 $491,313.11 $28,296.55 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 42 15 — — $10,254.96 $84,333.00 $28,165.19 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 40 14 — — $27,590.18 $81,198.85 $28,153.25 2026-04-01
J9266 HCPCS Pegaspargase Injection 16 4 — — $1,791.47 $58,201.64 $28,139.82 2026-04-01
5194 OTHER Level 4 Endovascular Procedures 16 6 — — $650.00 $107,603.82 $27,949.41 2026-04-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 40 14 — — $27,260.36 $79,625.94 $27,816.69 2026-04-01
545 MS_DRG Connective Tissue Disorders With Mcc 42 14 — — $14,875.27 $83,143.59 $27,705.95 2026-04-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 46 14 — — $17,716.00 $76,947.39 $27,461.67 2026-04-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 50 14 — — $13,433.86 $141,555.86 $27,454.07 2026-04-01
783 MS_DRG Cesarean Section With Sterilization With Mcc 40 14 — — $26,868.82 $60,612.85 $27,417.16 2026-04-01
792 MS_DRG Prematurity Without Major Problems 44 14 — — $5,136.00 $80,613.12 $27,353.11 2026-04-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 42 14 — — $26,752.84 $83,387.16 $27,298.82 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 50 14 — — $15,184.00 $81,169.55 $27,267.34 2026-04-01
78 MS_DRG Hypertensive Encephalopathy With Cc 12 4 — — $21,188.28 $32,833.61 $27,184.49 2026-04-01
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 28 14 — — $26,518.78 $27,059.98 $27,059.98 2026-04-01
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 28 14 — — $26,434.73 $26,974.21 $26,974.21 2026-04-01
5224 OTHER Level 4 Pacemaker And Similar Procedures 12 5 — — $2,296.43 $32,407.86 $26,959.17 2026-04-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 48 15 — — $15,236.00 $78,085.99 $26,876.50 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 58 15 — — $17,776.00 $217,341.19 $26,788.56 2026-04-01
397 MS_DRG Appendix Procedures With Mcc 36 14 — — $26,228.32 $81,527.91 $26,763.59 2026-04-01
35 MS_DRG Carotid Artery Stent Procedures With Cc 44 14 — — $23,989.51 $74,847.99 $26,715.82 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 46 14 — — $25,687.83 $78,201.11 $26,671.31 2026-04-01
113 MS_DRG Orbital Procedures With Cc/Mcc 42 15 — — $10,254.96 $74,255.68 $26,288.06 2026-04-01
333 MS_DRG Rectal Resection With Cc 40 14 — — $25,667.61 $69,928.54 $26,191.44 2026-04-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 44 14 — — $25,629.31 $76,063.30 $26,152.36 2026-04-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 40 14 — — $25,611.22 $70,861.19 $26,133.90 2026-04-01
5116 OTHER Level 6 Musculoskeletal Procedures 14 6 — — $682.58 $172,211.93 $26,104.84 2026-04-01
709 MS_DRG Penis Procedures With Cc/Mcc 40 14 — — $25,506.95 $73,939.78 $26,027.50 2026-04-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 40 14 — — $25,489.93 $74,101.02 $26,010.13 2026-04-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 54 15 — — $25,464.40 $124,057.32 $25,984.08 2026-04-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 40 14 — — $25,337.78 $79,808.31 $25,854.88 2026-04-01
37284 HCPCS Revsc Evasc Tpvt St Sf 1st 4 2 — — $25,507.82 $26,028.38 $25,768.10 2026-04-01
37290 HCPCS Revsc Evsc Tpvt Athrc Cplx 1 4 2 — — $25,507.82 $26,028.38 $25,768.10 2026-04-01
37286 HCPCS Revsc Evasc Tpvt St Cplx 1st 4 2 — — $25,507.82 $26,028.38 $25,768.10 2026-04-01
37292 HCPCS Rvsc Evsc Tpvt St Athrc Sf 1 4 2 — — $25,507.82 $26,028.38 $25,768.10 2026-04-01
37288 HCPCS Revsc Evsc Tpvt Athrc Sf 1st 4 2 — — $25,507.82 $26,028.38 $25,768.10 2026-04-01
37294 HCPCS Rvsc Evsc Tpvt St Athr Cpx 1 4 2 — — $25,507.82 $26,028.38 $25,768.10 2026-04-01
92930 HCPCS Prq Tcat Plmt Ntrac St 2+les 4 2 — — $25,507.82 $26,028.38 $25,768.10 2026-04-01
37277 HCPCS Rvsc Evsc Fpvt St Athr Cpx 1 4 2 — — $25,507.82 $26,028.38 $25,768.10 2026-04-01
See an error in this hospital's data? Submit a correction