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

STANFORD HEALTH CARE TRI-VALLEY

Pleasanton, CA · CCN 050283 · Rates published

Your selected procedure

You selected 27447 (HCPCS)

Total knee arthroplasty

This hospital’s price: $10,155 across 5 payers · range $6,448-$18,781

Source: https://stanfordhealthcare.org/content/dam/valleycare/patients-visitors/941429628_stanford-health-care---tri-valley_standardcharges.json · 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.

15,438 distinct procedures filed
8 distinct payers
84,286 rate rows
2026-04-01 last MRF observed
Data quality

68,852 of 84,286 rate rows are consumer-grade (81.7%)

15,434 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 15,411
placeholder amount (≤ $0.02) — excluded from medians 15
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 8
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://stanfordhealthcare.org/content/dam/valleycare/patients-visitors/941429628_stanford-health-care---tri-valley_standardcharges.json
Found on page https://stanfordhealthcare.org/for-patients-visitors/price-transparency.html
Discovered viaDiscovered by HANK
Last fetch success · 2026-08-12
Content fingerprint 943ea067763abb1d… · 45,240,568 bytes · first seen 2026-05-08

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 1 $3,685,266.67 $3,685,266.67 $3,685,266.67 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 1 $3,316,462.59 $3,316,462.59 $3,316,462.59 nat. median
$3,324,572
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 1 $3,248,445.72 $3,248,445.72 $3,248,445.72 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 1 $2,945,740.00 $2,945,740.00 $2,945,740.00 nat. median
$2,997,086
1.0× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 3 $557,317.93 $1,384,229.88 $1,365,136.90 nat. median
$610,161
outlier · 2.2×
Q2056
HCPCS 		Ciltacabtagene Car-pos T 3 $565,868.94 $1,385,638.43 $1,238,582.74 nat. median
$631,793
2.0× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 3 $562,538.19 $1,358,307.10 $1,212,773.02 nat. median
$624,417
1.9× median
C9073
HCPCS 		Brexucabtagene Autoleucel Ca 1 $1,179,463.30 $1,179,463.30 $1,179,463.30 nat. median
$27,071
outlier · 43.6×
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 3 $533,230.17 $1,286,622.73 $1,169,133.54 nat. median
$588,565
2.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 3 $1,711.00 $1,365,317.58 $1,125,423.00 nat. median
$691,418
1.6× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 3 $489,304.61 $1,210,586.70 $1,088,441.35 nat. median
$577,541
1.9× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 2 $474,961.29 $474,961.29 $474,961.29 nat. median
$370,165
1.3× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 3 $308,519.69 $666,032.50 $308,519.69 nat. median
$261,939
1.2× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 1 $299,538.24 $299,538.24 $299,538.24 nat. median
$83,623
outlier · 3.6×
222
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 1 $238,128.96 $238,128.96 $238,128.96 nat. median
$58,534
outlier · 4.1×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 3 $235,247.13 $332,017.73 $235,247.13 nat. median
$205,166
1.1× median
224
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 1 $211,648.85 $211,648.85 $211,648.85 nat. median
$51,048
outlier · 4.1×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 5 $31,643.30 $493,575.75 $210,783.67 nat. median
$199,832
1.1× median
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 1 $200,988.78 $200,988.78 $200,988.78 nat. median
$57,648
outlier · 3.5×
226
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 1 $186,249.56 $186,249.56 $186,249.56 nat. median
$46,826
outlier · 4.0×
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 2 $108,243.35 $250,459.38 $179,351.36 nat. median
$111,503
1.6× median
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 1 $178,088.54 $178,088.54 $178,088.54 nat. median
$62,767
outlier · 2.8×
223
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 1 $173,669.25 $173,669.25 $173,669.25 nat. median
$40,712
outlier · 4.3×
225
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 1 $163,250.58 $163,250.58 $163,250.58 nat. median
$45,104
outlier · 3.6×
J7330
HCPCS 		Cultured Chondrocytes Implnt 2 $155,889.64 $156,515.70 $155,889.64 nat. median
$75,807
outlier · 2.1×
455
MS_DRG 		Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 1 $154,850.90 $154,850.90 $154,850.90 nat. median
$46,399
outlier · 3.3×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 4 $76,000.00 $299,697.34 $152,908.55 nat. median
$132,706
1.2× median
J9029
HCPCS 		Inj, Adstiladrin, Per Tx Dos 3 $63,342.28 $166,539.39 $151,531.48 nat. median
$69,291
outlier · 2.2×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 7 $14,000.00 $303,431.27 $146,736.59 nat. median
$74,472
2.0× median
7
MS_DRG 		Lung Transplant 3 $143,013.56 $270,781.27 $143,013.56 nat. median
$122,690
1.2× median
227
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 1 $141,274.80 $141,274.80 $141,274.80 nat. median
$38,383
outlier · 3.7×
981
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 4 $52,338.03 $689,133.96 $139,006.17 nat. median
$45,808
outlier · 3.0×
234
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 7 $18,000.00 $283,723.28 $133,961.98 nat. median
$53,013
outlier · 2.5×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 3 $132,777.10 $281,979.01 $132,777.10 nat. median
$114,305
1.2× median
215
MS_DRG 		Other Heart Assist System Implant 6 $55.00 $462,852.06 $130,104.42 nat. median
$98,002
1.3× median
220
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 4 $59,376.08 $238,993.24 $126,773.50 nat. median
$52,372
outlier · 2.4×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 3 $125,243.86 $383,225.04 $125,243.86 nat. median
$108,240
1.2× median
209
MS_DRG 		Complex Aortic Arch Procedures 2 $125,101.13 $125,101.13 $125,101.13 nat. median
$96,134
1.3× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 2 $121,833.54 $223,476.14 $121,833.54 nat. median
$96,835
1.3× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 2 $120,218.41 $120,218.41 $120,218.41 nat. median
$100,978
1.2× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 3 $55,272.32 $144,617.39 $119,352.48 nat. median
$65,655
1.8× median
237
MS_DRG 		Major Cardiovasc Procedures W Mcc 2 $96,429.00 $140,509.45 $118,469.23 nat. median
$2,024
outlier · 58.5×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 6 $44,000.00 $924,327.00 $118,374.36 nat. median
$65,958
1.8× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 3 $114,030.20 $287,525.76 $114,030.20 nat. median
$99,646
1.1× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 5 $12,000.00 $265,876.43 $113,676.58 nat. median
$92,900
1.2× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 3 $56,824.55 $140,774.65 $109,568.61 nat. median
$63,643
1.7× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 4 $71,474.71 $217,504.00 $108,340.26 nat. median
$62,218
1.7× median
460
MS_DRG 		Spinal Fusion Except Cervical Without Mcc 1 $105,832.66 $105,832.66 $105,832.66 nat. median
$37,051
outlier · 2.9×
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 6 $12,000.00 $229,147.30 $105,026.76 nat. median
$57,082
1.8× median
230
MS_DRG 		Other Cardiothoracic Procedures Without Cc/mcc 1 $100,409.35 $100,409.35 $100,409.35 nat. median
$27,929
outlier · 3.6×

Other procedures at this hospital

Browse this hospital's 15,438 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 1 1 — — $3,685,266.67 $3,685,266.67 $3,685,266.67 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 1 1 — — $3,316,462.59 $3,316,462.59 $3,316,462.59 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 1 1 — — $3,248,445.72 $3,248,445.72 $3,248,445.72 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 1 1 — — $2,945,740.00 $2,945,740.00 $2,945,740.00 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 5 3 — — $557,317.93 $1,384,229.88 $1,365,136.90 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 4 3 — — $565,868.94 $1,385,638.43 $1,238,582.74 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 4 3 — — $562,538.19 $1,358,307.10 $1,212,773.02 2026-04-01
C9073 HCPCS Brexucabtagene Autoleucel Ca 1 1 — — $1,179,463.30 $1,179,463.30 $1,179,463.30 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 4 3 — — $533,230.17 $1,286,622.73 $1,169,133.54 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 7 3 — — $1,711.00 $1,365,317.58 $1,125,423.00 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 4 3 — — $489,304.61 $1,210,586.70 $1,088,441.35 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 2 2 — — $474,961.29 $474,961.29 $474,961.29 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 3 3 — — $308,519.69 $666,032.50 $308,519.69 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 1 1 — — $299,538.24 $299,538.24 $299,538.24 2026-04-01
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 1 1 — — $238,128.96 $238,128.96 $238,128.96 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 3 3 — — $235,247.13 $332,017.73 $235,247.13 2026-04-01
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 1 1 — — $211,648.85 $211,648.85 $211,648.85 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 6 5 — — $31,643.30 $493,575.75 $210,783.67 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 1 1 — — $200,988.78 $200,988.78 $200,988.78 2026-04-01
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 1 1 — — $186,249.56 $186,249.56 $186,249.56 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 2 2 — — $108,243.35 $250,459.38 $179,351.36 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 1 1 — — $178,088.54 $178,088.54 $178,088.54 2026-04-01
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 1 1 — — $173,669.25 $173,669.25 $173,669.25 2026-04-01
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 1 1 — — $163,250.58 $163,250.58 $163,250.58 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 3 2 — — $155,889.64 $156,515.70 $155,889.64 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 1 1 — — $154,850.90 $154,850.90 $154,850.90 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 4 4 — — $76,000.00 $299,697.34 $152,908.55 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 4 3 — — $63,342.28 $166,539.39 $151,531.48 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 10 7 — — $14,000.00 $303,431.27 $146,736.59 2026-04-01
7 MS_DRG Lung Transplant 3 3 — — $143,013.56 $270,781.27 $143,013.56 2026-04-01
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 1 1 — — $141,274.80 $141,274.80 $141,274.80 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 5 4 — — $52,338.03 $689,133.96 $139,006.17 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 8 7 — — $18,000.00 $283,723.28 $133,961.98 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 3 3 — — $132,777.10 $281,979.01 $132,777.10 2026-04-01
215 MS_DRG Other Heart Assist System Implant 8 6 — — $55.00 $462,852.06 $130,104.42 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 6 4 — — $59,376.08 $238,993.24 $126,773.50 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 3 3 — — $125,243.86 $383,225.04 $125,243.86 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 2 2 — — $125,101.13 $125,101.13 $125,101.13 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 3 2 — — $121,833.54 $223,476.14 $121,833.54 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 2 2 — — $120,218.41 $120,218.41 $120,218.41 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 5 3 — — $55,272.32 $144,617.39 $119,352.48 2026-04-01
237 MS_DRG Major Cardiovasc Procedures W Mcc 2 2 — — $96,429.00 $140,509.45 $118,469.23 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 6 6 — — $44,000.00 $924,327.00 $118,374.36 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 3 3 — — $114,030.20 $287,525.76 $114,030.20 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 6 5 — — $12,000.00 $265,876.43 $113,676.58 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 3 3 — — $56,824.55 $140,774.65 $109,568.61 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 4 4 — — $71,474.71 $217,504.00 $108,340.26 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 1 1 — — $105,832.66 $105,832.66 $105,832.66 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 10 6 — — $12,000.00 $229,147.30 $105,026.76 2026-04-01
230 MS_DRG Other Cardiothoracic Procedures Without Cc/mcc 1 1 — — $100,409.35 $100,409.35 $100,409.35 2026-04-01
A9699 HCPCS Radiopharm Rx Agent Noc 1 1 — — $100,053.67 $100,053.67 $100,053.67 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 2 2 — — $99,746.58 $99,746.58 $99,746.58 2026-04-01
984 MS_DRG Prostatic O.r. Procedure Unrelated To Principal Diagnosis W Mcc 1 1 — — $96,818.50 $96,818.50 $96,818.50 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 2 2 — — $95,902.56 $95,902.56 $95,902.56 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 9 6 — — $16,000.00 $190,155.34 $95,631.00 2026-04-01
J9226 HCPCS Supprelin La Implant 5 3 — — $45,020.65 $119,211.17 $94,940.24 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 4 3 — — $85,201.00 $216,943.23 $93,381.60 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 3 3 — — $93,090.63 $269,250.57 $93,090.63 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 4 3 — — $55,144.46 $201,474.32 $92,427.23 2026-04-01
A9545 HCPCS I-131 Tositumomab, Rx, Per Dose 1 1 — — $90,930.21 $90,930.21 $90,930.21 2026-04-01
338 MS_DRG Appendectomy With Complicated Principal Diagnosis With Mcc 1 1 — — $89,535.30 $89,535.30 $89,535.30 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 3 3 — — $87,220.83 $233,262.53 $87,220.83 2026-04-01
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 1 1 — — $87,033.51 $87,033.51 $87,033.51 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 7 5 — — $22,000.00 $195,913.86 $84,765.75 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 4 4 — — $30,000.00 $181,097.83 $84,487.96 2026-04-01
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 1 1 — — $80,639.11 $80,639.11 $80,639.11 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 8 6 — — $24,000.00 $225,546.00 $80,215.18 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 6 5 — — $31,382.64 $233,487.37 $80,081.77 2026-04-01
L7181 HCPCS Electronic Elbo Simultaneous 2 2 — — $48,155.50 $111,424.85 $79,790.18 2026-04-01
10 MS_DRG Pancreas Transplant 3 3 — — $79,610.74 $106,710.48 $79,610.74 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 3 3 — — $79,577.80 $134,167.17 $79,577.80 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 2 2 — — $79,159.47 $79,159.47 $79,159.47 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 3 2 — — $79,113.35 $105,926.00 $79,113.35 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 3 2 — — $76,340.96 $106,609.00 $76,340.96 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 3 3 — — $74,729.12 $149,583.95 $74,729.12 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 5 4 — — $54,709.67 $150,434.81 $74,239.42 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 2 2 — — $74,185.62 $74,185.62 $74,185.62 2026-04-01
L7180 HCPCS Electronic Elbow Sequential 2 2 — — $44,356.85 $102,635.38 $73,496.12 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 4 4 — — $2,000.00 $141,916.71 $73,018.47 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 5 4 — — $2,000.00 $178,272.34 $73,018.47 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 3 3 — — $72,756.05 $93,951.86 $72,756.05 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 4 4 — — $41,862.21 $332,965.00 $72,121.96 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 4 3 — — $67,389.13 $155,512.01 $70,614.07 2026-04-01
245 MS_DRG Aicd Generator Procedures 4 4 — — $50,917.24 $115,123.87 $69,458.62 2026-04-01
238 MS_DRG Major Cardiovasc Procedures Without Mcc 2 2 — — $51,301.00 $84,981.59 $68,141.29 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 4 3 — — $26,000.00 $185,878.00 $68,111.60 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 3 3 — — $68,033.64 $154,052.63 $68,033.64 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 3 3 — — $66,792.93 $154,924.96 $66,792.93 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 4 3 — — $10,000.00 $110,834.00 $66,774.26 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 5 4 — — $39,510.76 $174,372.13 $66,296.64 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 7 6 — — $22,174.48 $178,514.00 $66,081.44 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 3 3 — — $65,929.92 $173,169.99 $65,929.92 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 4 4 — — $38,466.16 $183,274.00 $65,920.97 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 3 3 — — $65,217.33 $166,558.87 $65,217.33 2026-04-01
341 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Mcc 1 1 — — $64,657.22 $64,657.22 $64,657.22 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 3 3 — — $11,575.00 $64,144.60 $64,144.60 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 3 3 — — $63,740.54 $147,104.10 $63,740.54 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 2 2 — — $63,483.62 $63,483.62 $63,483.62 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 3 3 — — $63,402.37 $138,361.52 $63,402.37 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 3 3 — — $62,360.38 $140,386.00 $62,360.38 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 5 3 — — $47,500.00 $404,674.98 $61,938.76 2026-04-01
131 MS_DRG Cranial/Facial Procedures W Cc/Mcc 1 1 — — $61,881.11 $61,881.11 $61,881.11 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 3 3 — — $61,464.43 $148,091.65 $61,464.43 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 4 3 — — $35,571.88 $190,979.75 $61,260.18 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 5 4 — — $40,000.00 $147,051.98 $61,101.00 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 6 5 — — $47,000.27 $164,763.84 $60,887.99 2026-04-01
129 MS_DRG Major Head & Neck Procedures W Cc/Mcc Or Major Device 1 1 — — $60,742.68 $60,742.68 $60,742.68 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 3 3 — — $60,707.93 $137,069.47 $60,707.93 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 3 3 — — $60,468.57 $118,572.08 $60,468.57 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 2 2 — — $59,340.94 $59,340.94 $59,340.94 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 4 4 — — $46,422.12 $115,192.45 $59,037.06 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 3 3 — — $58,947.86 $176,577.04 $58,947.86 2026-04-01
985 MS_DRG Prostatic O.r. Procedure Unrelated To Principal Diagnosis W Cc 1 1 — — $58,265.57 $58,265.57 $58,265.57 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 5 3 — — $24,228.42 $59,932.65 $58,210.70 2026-04-01
J9266 HCPCS Pegaspargase Injection 5 3 — — $8,213.48 $71,159.75 $58,081.95 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 3 3 — — $57,977.25 $136,644.28 $57,977.25 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 3 3 — — $57,878.43 $162,531.86 $57,878.43 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 5 3 — — $50,766.82 $136,029.80 $57,875.00 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 6 5 — — $30,857.05 $148,138.38 $56,910.95 2026-04-01
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 5 5 — — $20,623.99 $75,775.44 $56,441.34 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 4 3 — — $35,403.89 $127,701.45 $56,226.44 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 3 3 — — $56,163.39 $119,776.34 $56,163.39 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 3 3 — — $55,583.66 $155,821.99 $55,583.66 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 10 7 — — $18,797.28 $149,965.26 $55,047.84 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 3 3 — — $54,862.28 $130,030.42 $54,862.28 2026-04-01
484 MS_DRG Major Joint & Limb Reattachment Proc Of Upper Extremity Without Cc/mcc 1 1 — — $54,696.66 $54,696.66 $54,696.66 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 3 3 — — $54,637.20 $95,836.44 $54,637.20 2026-04-01
247 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent Without Mcc 1 1 — — $54,392.17 $54,392.17 $54,392.17 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 3 3 — — $53,841.16 $124,661.98 $53,841.16 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 3 3 — — $53,573.26 $178,458.88 $53,573.26 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 2 2 — — $52,443.43 $52,443.43 $52,443.43 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 3 3 — — $52,184.31 $138,633.10 $52,184.31 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 4 3 — — $35,814.54 $88,704.12 $52,046.90 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 3 3 — — $51,736.34 $140,065.05 $51,736.34 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 5 3 — — $30,000.00 $315,727.63 $51,533.21 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 6 5 — — $2,000.00 $139,568.00 $51,361.82 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 7 5 — — $28,100.00 $204,087.42 $51,291.65 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 3 3 — — $51,163.19 $122,341.23 $51,163.19 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 3 3 — — $50,744.86 $128,730.15 $50,744.86 2026-04-01
339 MS_DRG Appendectomy With Complicated Principal Diagnosis With Cc 1 1 — — $50,705.31 $50,705.31 $50,705.31 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 4 4 — — $30,399.00 $137,711.38 $50,549.42 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 6 5 — — $36,647.05 $62,551.43 $50,056.86 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 3 3 — — $50,018.00 $122,151.95 $50,018.00 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 3 2 — — $49,824.75 $69,496.00 $49,824.75 2026-04-01
249 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent Without Mcc 1 1 — — $49,739.70 $49,739.70 $49,739.70 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 6 5 — — $28,536.03 $139,094.38 $49,737.00 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 4 4 — — $28,721.59 $95,007.99 $49,478.79 2026-04-01
490 MS_DRG Back & Neck Proc Exc Spinal Fusion W Cc/mcc Or Disc Device/neurostim 1 1 — — $49,341.94 $49,341.94 $49,341.94 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 5 5 — — $12,451.82 $108,707.53 $49,055.07 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 7 6 — — $5,620.00 $108,798.06 $48,565.00 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 5 5 — — $8,000.00 $306,888.23 $48,336.99 2026-04-01
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 10 7 — — $5,620.00 $250,832.61 $48,148.89 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 3 3 — — $47,958.19 $98,996.60 $47,958.19 2026-04-01
L5856 HCPCS Elec Knee-shin Swing/stance 2 2 — — $28,851.23 $66,757.58 $47,804.40 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 2 2 — — $47,655.15 $47,655.15 $47,655.15 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 7 4 — — $22,000.00 $362,081.57 $47,500.00 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 2 2 — — $47,386.14 $47,386.14 $47,386.14 2026-04-01
133 MS_DRG Other Ear, Nose, Mouth & Throat O.r. Procedures W Cc/Mcc 1 1 — — $47,295.51 $47,295.51 $47,295.51 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 3 3 — — $47,113.84 $84,921.24 $47,113.84 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 3 3 — — $47,090.78 $102,845.31 $47,090.78 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 7 5 — — $10,236.00 $312,330.27 $46,955.73 2026-04-01
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 4 4 — — $23,805.94 $81,888.00 $46,910.32 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 4 4 — — $19,947.46 $112,553.50 $46,900.83 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 7 6 — — $20,163.00 $66,930.52 $46,696.00 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 3 3 — — $46,637.32 $138,709.91 $46,637.32 2026-04-01
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/Mcc 4 3 — — $24,209.99 $227,715.78 $45,871.04 2026-04-01
368 MS_DRG Major Esophageal Disorders With Mcc 5 4 — — $18,301.76 $100,000.00 $45,639.00 2026-04-01
77 MS_DRG Hypertensive Encephalopathy With Mcc 1 1 — — $45,501.46 $45,501.46 $45,501.46 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 6 5 — — $28,816.19 $139,656.31 $45,488.13 2026-04-01
791 MS_DRG Prematurity With Major Problems 7 6 — — $12,000.00 $338,678.84 $45,390.01 2026-04-01
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 1 1 — — $45,139.64 $45,139.64 $45,139.64 2026-04-01
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 7 5 — — $12,000.00 $81,888.00 $45,046.02 2026-04-01
545 MS_DRG Connective Tissue Disorders With Mcc 4 4 — — $28,071.59 $67,858.54 $44,743.79 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 3 3 — — $44,567.63 $95,123.20 $44,567.63 2026-04-01
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 10 7 — — $8,000.00 $292,171.26 $44,369.37 2026-04-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 6 4 — — $27,659.84 $75,355.70 $43,968.00 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 10 6 — — $16,988.03 $71,298.23 $43,884.00 2026-04-01
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 10 7 — — $12,000.00 $61,416.00 $43,842.00 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 3 3 — — $43,774.89 $99,652.23 $43,774.89 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 3 3 — — $43,580.54 $62,682.12 $43,580.54 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 3 3 — — $43,322.52 $96,020.23 $43,322.52 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 3 3 — — $43,258.84 $77,684.68 $43,258.84 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 4 3 — — $3,262.00 $110,636.00 $43,218.21 2026-04-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 6 6 — — $2,000.00 $81,942.00 $42,517.39 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 3 3 — — $42,140.00 $99,638.51 $42,140.00 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 2 2 — — $41,959.93 $41,959.93 $41,959.93 2026-04-01
691 MS_DRG Urinary Stones W Esw Lithotripsy W Cc/Mcc 1 1 — — $41,940.78 $41,940.78 $41,940.78 2026-04-01
177 MS_DRG Respiratory Infections And Inflammations With Mcc 8 5 — — $17,981.15 $227,725.72 $41,905.79 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 2 2 — — $41,857.82 $41,857.82 $41,857.82 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 3 3 — — $41,742.53 $89,225.32 $41,742.53 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 2 2 — — $41,511.95 $41,511.95 $41,511.95 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 3 3 — — $41,152.91 $85,195.56 $41,152.91 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 3 3 — — $41,136.44 $83,662.11 $41,136.44 2026-04-01
5232 OTHER Level 2 Icd And Similar Procedures 4 4 — — $27,692.80 $80,817.56 $40,825.96 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 3 3 — — $40,663.21 $84,095.54 $40,663.21 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 3 3 — — $40,632.47 $79,528.11 $40,632.47 2026-04-01
332 MS_DRG Rectal Resection With Mcc 3 3 — — $40,577.57 $133,569.15 $40,577.57 2026-04-01
265 MS_DRG Aicd Lead Procedures 3 3 — — $40,550.12 $63,458.45 $40,550.12 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 3 3 — — $40,479.85 $88,163.70 $40,479.85 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 4 2 — — $32,247.00 $93,378.71 $40,420.56 2026-04-01
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 4 3 — — $23,782.88 $135,807.42 $40,202.63 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 4 4 — — $14,000.00 $92,369.03 $40,161.44 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 3 3 — — $40,070.30 $124,201.12 $40,070.30 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 5 5 — — $18,000.00 $184,248.00 $40,030.78 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 3 3 — — $39,972.58 $110,268.41 $39,972.58 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 3 3 — — $39,939.64 $100,645.26 $39,939.64 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 3 3 — — $39,902.31 $105,171.54 $39,902.31 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 4 4 — — $35,556.98 $88,981.18 $39,544.37 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 3 3 — — $39,465.32 $93,938.14 $39,465.32 2026-04-01
737 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 4 4 — — $23,447.99 $81,353.38 $39,459.12 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 4 4 — — $16,000.00 $120,517.01 $39,113.96 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 3 3 — — $38,938.29 $74,022.51 $38,938.29 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 3 3 — — $38,753.83 $94,903.75 $38,753.83 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 2 2 — — $38,578.15 $38,578.15 $38,578.15 2026-04-01
643 MS_DRG Endocrine Disorders With Mcc 8 6 — — $18,896.87 $114,250.06 $38,550.28 2026-04-01
509 MS_DRG Arthroscopy 1 1 — — $38,366.40 $38,366.40 $38,366.40 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 4 4 — — $26,780.52 $77,654.51 $38,281.70 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 3 3 — — $38,232.29 $104,537.87 $38,232.29 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 8 5 — — $712.06 $101,045.77 $37,868.57 2026-04-01
L6975 HCPCS Interscap-thor Myoelectronic 2 2 — — $22,747.26 $52,633.86 $37,690.56 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 3 3 — — $37,502.13 $70,171.06 $37,502.13 2026-04-01
Q0483 HCPCS Monitor Elec Vad, Rep 2 2 — — $22,533.92 $52,140.20 $37,337.06 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 4 3 — — $36,538.10 $99,569.93 $37,134.55 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 3 3 — — $37,092.58 $98,264.17 $37,092.58 2026-04-01
L5858 HCPCS Stance Phase Only 2 2 — — $22,336.47 $51,683.33 $37,009.90 2026-04-01
342 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Cc 1 1 — — $36,970.11 $36,970.11 $36,970.11 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 3 3 — — $36,969.61 $84,614.00 $36,969.61 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 4 3 — — $27,097.00 $57,875.00 $36,965.22 2026-04-01
81529 HCPCS Onc Cutan Mlnma Mrna 31 Gene 4 2 — — $7,193.00 $51,142.23 $36,612.37 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 4 3 — — $21,561.00 $46,120.17 $36,608.58 2026-04-01
E0764 HCPCS Functional Neuromuscularstim 1 1 — — $36,493.52 $36,493.52 $36,493.52 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 6 5 — — $22,451.73 $47,395.29 $36,386.63 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 3 3 — — $36,381.09 $73,888.09 $36,381.09 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 4 4 — — $36,000.00 $83,256.12 $36,341.57 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 3 2 — — $36,292.16 $44,528.71 $36,292.16 2026-04-01
652 MS_DRG Kidney Transplant 3 3 — — $36,282.28 $83,686.80 $36,282.28 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 3 3 — — $36,255.92 $86,205.06 $36,255.92 2026-04-01
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 4 3 — — $24,729.34 $63,422.78 $36,210.67 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 3 3 — — $36,186.75 $59,744.15 $36,186.75 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 2 2 — — $36,072.56 $36,072.56 $36,072.56 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 3 3 — — $35,780.50 $99,740.01 $35,780.50 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 3 3 — — $35,710.23 $113,842.80 $35,710.23 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 3 3 — — $35,519.18 $78,345.79 $35,519.18 2026-04-01
205 MS_DRG Other Respiratory System Diagnoses With Mcc 5 3 — — $20,927.03 $740,643.95 $35,440.51 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 5 5 — — $2,000.00 $62,661.78 $35,420.36 2026-04-01
314 MS_DRG Other Circulatory System Diagnoses With Mcc 8 6 — — $18,000.00 $93,648.00 $35,407.50 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 4 3 — — $35,028.00 $81,511.44 $35,322.64 2026-04-01
665 MS_DRG Prostatectomy With Mcc 3 3 — — $35,093.16 $92,651.58 $35,093.16 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 5 4 — — $10,000.00 $81,357.83 $35,021.80 2026-04-01
L5973 HCPCS Ank-foot Sys Dors-plant Flex 2 2 — — $21,127.66 $48,886.37 $35,007.01 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 3 3 — — $34,961.41 $81,665.06 $34,961.41 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 4 4 — — $34,126.94 $94,415.46 $34,563.47 2026-04-01
75 MS_DRG Viral Meningitis With Cc/Mcc 4 4 — — $21,876.79 $71,652.00 $34,524.43 2026-04-01
385 MS_DRG Inflammatory Bowel Disease With Mcc 4 4 — — $18,196.36 $348,024.00 $34,507.07 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 3 3 — — $34,437.67 $81,563.57 $34,437.67 2026-04-01
263 MS_DRG Vein Ligation And Stripping 3 3 — — $34,392.65 $44,511.16 $34,392.65 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 3 3 — — $33,987.50 $61,738.46 $33,987.50 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 3 3 — — $33,983.11 $61,960.66 $33,983.11 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 3 3 — — $33,946.87 $55,678.73 $33,946.87 2026-04-01
340 MS_DRG Appendectomy With Complicated Principal Diagnosis Without Cc/Mcc 1 1 — — $33,763.31 $33,763.31 $33,763.31 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 3 3 — — $33,503.29 $63,939.94 $33,503.29 2026-04-01
740 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Cc 6 4 — — $20,692.07 $51,915.00 $33,238.50 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 5 5 — — $313.81 $76,551.74 $33,170.60 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 3 3 — — $33,148.64 $67,787.22 $33,148.64 2026-04-01
570 MS_DRG Skin Debridement With Mcc 3 3 — — $33,115.70 $69,013.43 $33,115.70 2026-04-01
C2616 HCPCS Brachytx, Non-str,yttrium-90 2 2 — — $17,771.01 $48,248.98 $33,010.00 2026-04-01
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 8 6 — — $8,000.00 $48,390.05 $32,913.00 2026-04-01
C9752 HCPCS Intraosseous Des Lumb/sacrum 1 1 — — $32,891.61 $32,891.61 $32,891.61 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 3 3 — — $32,884.03 $69,984.52 $32,884.03 2026-04-01
132 MS_DRG Cranial/Facial Procedures Without Cc/Mcc 1 1 — — $32,847.08 $32,847.08 $32,847.08 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 4 4 — — $22,000.00 $83,823.96 $32,799.48 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 3 3 — — $32,686.39 $77,997.41 $32,686.39 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 3 3 — — $32,666.63 $72,906.03 $32,666.63 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 4 3 — — $32,526.09 $95,883.07 $32,595.20 2026-04-01
130 MS_DRG Major Head & Neck Procedures Without Cc/Mcc 1 1 — — $32,528.87 $32,528.87 $32,528.87 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 3 3 — — $32,510.72 $74,239.22 $32,510.72 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 3 3 — — $32,464.60 $52,074.17 $32,464.60 2026-04-01
Q0489 HCPCS Pwr Pck Base Combo Vad, Rep 2 2 — — $19,535.67 $45,202.74 $32,369.20 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 3 3 — — $12,000.00 $32,337.24 $32,337.24 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 4 4 — — $31,257.92 $65,869.72 $32,202.52 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 3 3 — — $32,120.93 $71,496.02 $32,120.93 2026-04-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 5 5 — — $27,824.54 $105,354.00 $32,000.00 2026-04-01
L6970 HCPCS Interscapular-thor Switch CT 2 2 — — $19,237.24 $44,512.21 $31,874.72 2026-04-01
800 MS_DRG Splenic Procedures With Cc 3 3 — — $31,669.66 $69,608.70 $31,669.66 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 3 3 — — $31,558.77 $83,854.14 $31,558.77 2026-04-01
503 MS_DRG Foot Procedures With Mcc 3 3 — — $31,468.73 $63,153.95 $31,468.73 2026-04-01
388 MS_DRG Gastrointestinal Obstruction With Mcc 7 5 — — $14,000.00 $204,720.00 $31,304.22 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 4 4 — — $2,000.00 $79,015.13 $31,095.42 2026-04-01
682 MS_DRG Renal Failure With Mcc 6 5 — — $14,000.00 $83,064.00 $31,050.01 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 5 5 — — $26,000.00 $62,281.61 $31,003.19 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 3 3 — — $30,995.50 $70,500.24 $30,995.50 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 3 3 — — $30,839.59 $77,616.10 $30,839.59 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 9 6 — — $8,000.00 $84,390.65 $30,696.85 2026-04-01
291 MS_DRG Heart Failure And Shock With Mcc 9 6 — — $6,000.00 $126,783.88 $30,614.47 2026-04-01
849 MS_DRG Radiotherapy 3 3 — — $30,572.78 $36,009.99 $30,572.78 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 3 3 — — $30,536.55 $78,603.65 $30,536.55 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 3 3 — — $30,439.93 $69,106.69 $30,439.93 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 8 6 — — $6,000.00 $99,111.59 $30,399.38 2026-04-01
865 MS_DRG Viral Illness With Mcc 4 4 — — $17,274.06 $71,652.00 $30,320.65 2026-04-01
986 MS_DRG Prostatic O.r. Procedure Unrelated To Principal Diagnosis Without Cc/Mcc 1 1 — — $30,120.34 $30,120.34 $30,120.34 2026-04-01
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