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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 SANTA ROSA REGIONAL HOSPITAL

Santa Rosa, CA · CCN 050291 · Rates published

8,886 distinct procedures filed
6 distinct payers
33,091 rate rows
2026-04-01 last MRF observed
Data quality

18,951 of 33,091 rate rows are consumer-grade (57.3%)

14,140 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 14,119
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/940562680-1740413798_sutter-santa-rosa-regional-hospital_standardcharges.csv
Found on page https://www.sutterhealth.org/cms-hpt.txt
Discovered viaDiscovered by HANK (automated)
Last fetch not_modified · 2026-10-25
Content fingerprint 31ac172a9dabc0ac… · 14,631,526 bytes · first seen 2026-05-15

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 2 $591,726.20 $1,476,857.10 $1,034,291.65 nat. median
$739,658
1.4× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 2 $533,230.17 $1,340,483.41 $936,856.79 nat. median
$608,239
1.5× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 4 $525,410.73 $525,410.73 $525,410.73 nat. median
$359,244
1.5× median
215
MS_DRG 		Other Heart Assist System Implant 6 $121,535.91 $533,607.00 $459,855.00 nat. median
$93,787
outlier · 4.9×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 4 $341,147.36 $341,147.36 $341,147.36 nat. median
$248,541
1.4× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 6 $96,152.89 $414,588.00 $325,512.00 nat. median
$74,298
outlier · 4.4×
22
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 6 $39,126.77 $414,588.00 $325,512.00 nat. median
$32,286
outlier · 10.1×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 6 $119,418.43 $411,119.00 $325,384.00 nat. median
$90,512
outlier · 3.6×
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 6 $80,429.80 $341,227.00 $292,847.00 nat. median
$61,995
outlier · 4.7×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 6 $110,019.83 $351,279.00 $277,982.00 nat. median
$77,936
outlier · 3.6×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 6 $134,471.75 $351,279.00 $277,982.00 nat. median
$93,226
outlier · 3.0×
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 6 $80,429.80 $320,672.00 $276,578.00 nat. median
$59,493
outlier · 4.6×
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 6 $74,197.70 $315,727.00 $270,645.00 nat. median
$57,798
outlier · 4.7×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 6 $87,177.30 $325,194.00 $269,935.00 nat. median
$66,584
outlier · 4.1×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 6 $102,973.31 $311,639.00 $267,411.00 nat. median
$76,979
outlier · 3.5×
21
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 6 $64,852.58 $310,887.00 $266,920.00 nat. median
$51,462
outlier · 5.2×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 4 $260,029.12 $260,029.12 $260,029.12 nat. median
$198,115
1.3× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 4 $258,506.05 $258,506.05 $258,506.05 nat. median
$190,359
1.4× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 6 $74,997.53 $436,419.00 $256,605.00 nat. median
$58,220
outlier · 4.4×
458
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 6 $51,223.88 $307,570.00 $242,806.00 nat. median
$40,320
outlier · 6.0×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 6 $102,651.20 $307,570.00 $238,901.00 nat. median
$77,487
outlier · 3.1×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 6 $93,837.27 $295,319.00 $233,679.00 nat. median
$72,247
outlier · 3.2×
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 6 $63,333.65 $307,570.00 $227,251.00 nat. median
$55,110
outlier · 4.1×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 6 $93,434.93 $278,368.00 $220,043.00 nat. median
$71,737
outlier · 3.1×
234
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 6 $66,905.64 $278,368.00 $220,043.00 nat. median
$51,559
outlier · 4.3×
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 6 $73,516.99 $275,916.00 $218,184.00 nat. median
$56,633
outlier · 3.9×
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 6 $70,158.44 $243,357.00 $213,618.00 nat. median
$53,419
outlier · 4.0×
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 6 $88,249.41 $243,801.00 $212,389.00 nat. median
$63,564
outlier · 3.3×
24
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 6 $48,054.96 $240,030.00 $210,697.00 nat. median
$36,527
outlier · 5.8×
209
MS_DRG 		Complex Aortic Arch Procedures 5 $138,089.22 $266,222.00 $206,669.00 nat. median
$92,645
outlier · 2.2×
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 1 $204,301.00 $204,301.00 $204,301.00 nat. median
$49,522
outlier · 4.1×
229
MS_DRG 		Other Cardiothoracic Procedures Without Mcc 6 $38,787.63 $231,802.00 $203,477.00 nat. median
$30,744
outlier · 6.6×
430
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 6 $70,605.76 $227,150.00 $199,213.00 nat. median
$51,152
outlier · 3.9×
277
MS_DRG 		Cardiac Defibrillator Implant Without Mcc 6 $56,644.00 $242,459.00 $197,796.00 nat. median
$44,088
outlier · 4.5×
228
MS_DRG 		Other Cardiothoracic Procedures With Mcc 6 $60,641.93 $228,310.00 $195,897.00 nat. median
$47,347
outlier · 4.1×
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 1 $192,725.00 $192,725.00 $192,725.00 nat. median
$52,917
outlier · 3.6×
402
MS_DRG 		Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 6 $49,375.04 $219,136.00 $192,255.00 nat. median
$36,864
outlier · 5.2×
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×
267
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 6 $58,373.72 $229,372.00 $186,896.00 nat. median
$45,843
outlier · 4.1×
428
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 6 $68,842.00 $203,151.00 $177,398.00 nat. median
$50,496
outlier · 3.5×
405
MS_DRG 		Pancreas, Liver And Shunt Procedures With Mcc 6 $67,000.45 $183,808.00 $171,523.00 nat. median
$50,728
outlier · 3.4×
450
MS_DRG 		Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically… 6 $65,287.75 $268,566.00 $168,901.00 nat. median
$48,227
outlier · 3.5×
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 6 $81,721.93 $282,353.00 $168,901.00 nat. median
$60,517
outlier · 2.8×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 4 $168,874.13 $168,874.13 $168,874.13 nat. median
$126,461
1.3× median
319
MS_DRG 		Other Endovascular Cardiac Valve Procedures With Mcc 6 $54,752.61 $182,013.00 $167,176.00 nat. median
$41,514
outlier · 4.0×
40
MS_DRG 		Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 6 $47,438.67 $178,051.00 $165,972.00 nat. median
$35,821
outlier · 4.6×
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 3 $48,463.41 $265,993.23 $165,945.38 nat. median
$70,795
outlier · 2.3×
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 6 $84,108.04 $209,543.00 $165,796.00 nat. median
$63,829
outlier · 2.6×
220
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 6 $65,326.65 $183,588.00 $161,147.00 nat. median
$50,558
outlier · 3.2×
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 6 $71,839.54 $203,824.00 $161,046.00 nat. median
$55,425
outlier · 2.9×

Other procedures at this hospital

Browse this hospital's 8,886 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
             
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 4 3 — — $55,272.32 $162,691.22 $131,139.34 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 2 2 — — $591,726.20 $1,476,857.10 $1,034,291.65 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 2 2 — — $533,230.17 $1,340,483.41 $936,856.79 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 2 2 — — $24,228.42 $74,101.05 $49,164.74 2026-04-01
J9266 HCPCS Pegaspargase Injection 6 3 — — $28,424.06 $62,262.23 $61,049.99 2026-04-01
J9226 HCPCS Supprelin La Implant 6 3 — — $45,020.65 $129,708.04 $113,470.54 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 3 2 — — $63,342.28 $145,441.90 $145,441.90 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 1 1 — — $146,326.57 $146,326.57 $146,326.57 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 2 2 — — $56,824.55 $189,311.16 $123,067.85 2026-04-01
999 MS_DRG Ungroupable 1 1 — — $56,760.00 $56,760.00 $56,760.00 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 4 4 — — $42,177.79 $42,177.79 $42,177.79 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 5 4 — — $49,936.58 $57,535.00 $57,535.00 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 6 4 — — $44,407.10 $179,231.00 $44,407.10 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 4 4 — — $74,911.22 $74,911.22 $74,911.22 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 4 4 — — $51,725.90 $51,725.90 $51,725.90 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 4 4 — — $93,127.39 $93,127.39 $93,127.39 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 4 4 — — $46,245.01 $46,245.01 $46,245.01 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 4 4 — — $82,323.62 $82,323.62 $82,323.62 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 6 4 — — $43,283.94 $114,567.00 $43,283.94 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 4 4 — — $44,610.10 $44,610.10 $44,610.10 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 4 4 — — $47,839.80 $47,839.80 $47,839.80 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 4 4 — — $39,654.32 $39,654.32 $39,654.32 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 4 4 — — $87,691.47 $87,691.47 $87,691.47 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 4 4 — — $260,029.12 $260,029.12 $260,029.12 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 5 4 — — $47,172.47 $55,366.98 $47,172.47 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 4 4 — — $45,152.23 $45,152.23 $45,152.23 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 4 4 — — $51,515.61 $51,515.61 $51,515.61 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 4 4 — — $47,483.65 $47,483.65 $47,483.65 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 5 4 — — $84,520.11 $171,925.59 $84,520.11 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 4 4 — — $55,795.55 $55,795.55 $55,795.55 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 8 5 — — $48,330.04 $77,601.00 $60,534.96 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 4 4 — — $105,764.21 $105,764.21 $105,764.21 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 4 4 — — $39,825.71 $39,825.71 $39,825.71 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 4 4 — — $58,902.49 $58,902.49 $58,902.49 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 4 4 — — $67,236.27 $67,236.27 $67,236.27 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 4 4 — — $38,915.27 $38,915.27 $38,915.27 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 4 4 — — $57,364.82 $57,364.82 $57,364.82 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 4 4 — — $56,234.36 $56,234.36 $56,234.36 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 4 4 — — $71,793.35 $71,793.35 $71,793.35 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 4 4 — — $48,932.58 $48,932.58 $48,932.58 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 4 4 — — $68,630.50 $68,630.50 $68,630.50 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 4 4 — — $55,554.87 $55,554.87 $55,554.87 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 4 4 — — $51,187.42 $51,187.42 $51,187.42 2026-04-01
791 MS_DRG Prematurity With Major Problems 4 4 — — $49,843.02 $49,843.02 $49,843.02 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 4 4 — — $72,749.98 $72,749.98 $72,749.98 2026-04-01
744 MS_DRG D&c, Conization, Laparoscopy And Tubal Interruption With Cc/Mcc 13 6 — — $25,411.77 $45,535.00 $42,490.00 2026-04-01
740 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Cc 13 6 — — $22,500.54 $53,542.00 $49,966.00 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 4 4 — — $44,054.59 $44,054.59 $44,054.59 2026-04-01
737 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 13 6 — — $25,551.56 $60,844.00 $56,778.00 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 4 4 — — $43,953.70 $43,953.70 $43,953.70 2026-04-01
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/Mcc 13 6 — — $26,395.15 $75,504.00 $70,457.00 2026-04-01
716 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy Without Cc/Mcc 13 6 — — $18,384.70 $49,208.00 $45,916.00 2026-04-01
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/Mcc 13 6 — — $27,699.43 $59,980.00 $55,969.00 2026-04-01
708 MS_DRG Major Male Pelvic Procedures Without Cc/Mcc 13 6 — — $19,152.92 $44,115.00 $38,583.00 2026-04-01
7 MS_DRG Lung Transplant 4 4 — — $157,919.63 $157,919.63 $157,919.63 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 5 4 — — $25,165.83 $51,576.39 $51,576.39 2026-04-01
665 MS_DRG Prostatectomy With Mcc 4 4 — — $38,443.64 $38,443.64 $38,443.64 2026-04-01
658 MS_DRG Kidney And Ureter Procedures For Neoplasm Without Cc/Mcc 13 6 — — $19,366.86 $49,493.00 $43,293.00 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 6 4 — — $39,204.57 $154,627.00 $39,204.57 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 4 4 — — $63,668.64 $63,668.64 $63,668.64 2026-04-01
652 MS_DRG Kidney Transplant 4 4 — — $39,760.07 $39,760.07 $39,760.07 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 4 4 — — $45,549.72 $45,549.72 $45,549.72 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 4 4 — — $57,651.69 $57,651.69 $57,651.69 2026-04-01
63 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 11 6 — — $17,567.85 $45,264.00 $42,598.00 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 6 4 — — $45,804.98 $108,019.00 $45,804.98 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 6 4 — — $43,767.73 $106,125.00 $43,767.73 2026-04-01
62 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 11 6 — — $21,863.59 $67,226.00 $63,262.00 2026-04-01
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 17 6 — — $11,532.14 $52,477.00 $47,888.00 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 4 4 — — $42,894.96 $42,894.96 $42,894.96 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 11 6 — — $34,017.83 $102,102.00 $96,081.00 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 4 4 — — $56,868.88 $56,868.88 $56,868.88 2026-04-01
58573 HCPCS Tlh W/t/o Uterus Over 250 G 7 5 — — $14,617.22 $47,427.00 $41,853.00 2026-04-01
58571 HCPCS Tlh W/t/o 250 G Or Less 7 5 — — $14,617.22 $44,246.00 $39,047.00 2026-04-01
58546 HCPCS Laparo-myomectomy Complex 7 5 — — $14,617.22 $72,146.00 $65,788.00 2026-04-01
58544 HCPCS Lsh W/t/o Uterus Above 250 G 7 5 — — $14,617.22 $59,137.00 $53,926.00 2026-04-01
585 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/Mcc 13 6 — — $23,953.11 $59,265.00 $47,789.00 2026-04-01
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/Mcc 13 6 — — $26,525.21 $69,626.00 $59,650.00 2026-04-01
583 MS_DRG Mastectomy For Malignancy Without Cc/Mcc 13 6 — — $21,464.89 $52,220.00 $44,264.00 2026-04-01
582 MS_DRG Mastectomy For Malignancy With Cc/Mcc 13 6 — — $23,922.73 $67,463.00 $58,132.00 2026-04-01
581 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/Mcc 13 6 — — $18,045.56 $56,142.00 $47,788.00 2026-04-01
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 14 6 — — $1,375.00 $68,747.00 $46,480.00 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 13 6 — — $34,508.00 $51,364.00 $47,931.00 2026-04-01
578 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis Without Cc/Mcc 13 6 — — $20,030.55 $47,334.00 $44,167.00 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 13 6 — — $32,724.49 $80,847.00 $75,452.00 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 4 4 — — $60,080.35 $60,080.35 $60,080.35 2026-04-01
57425 HCPCS Laparoscopy Surg Colpopexy 7 5 — — $14,617.22 $43,300.00 $39,484.00 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 4 4 — — $42,700.48 $42,700.48 $42,700.48 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 4 4 — — $80,139.29 $80,139.29 $80,139.29 2026-04-01
55866 HCPCS Laparo Radical Prostatectomy 7 5 — — $14,617.22 $69,572.00 $65,254.00 2026-04-01
5362 OTHER Level 2 Laparoscopy And Related Services 5 3 — — $14,241.53 $54,319.06 $47,798.12 2026-04-01
5232 OTHER Level 2 Icd And Similar Procedures 1 1 — — $43,858.76 $43,858.76 $43,858.76 2026-04-01
520 MS_DRG Back And Neck Procedures Except Spinal Fusion Without Cc/Mcc 13 6 — — $18,663.06 $50,038.00 $39,529.00 2026-04-01
5192 OTHER Level 2 Endovascular Procedures 1 1 — — $56,609.49 $56,609.49 $56,609.49 2026-04-01
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 13 6 — — $24,817.37 $67,038.00 $57,211.00 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 13 6 — — $44,759.00 $76,178.00 $60,221.00 2026-04-01
5165 OTHER Level 5 ENT Procedures 5 4 — — $9,983.16 $62,083.05 $40,920.40 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 6 4 — — $39,242.25 $92,202.00 $39,242.25 2026-04-01
5115 OTHER Level 5 Musculoskeletal Procedures 8 4 — — $18,175.99 $59,174.22 $42,451.44 2026-04-01
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 14 6 — — $22,434.35 $49,430.00 $40,481.50 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 13 6 — — $37,219.58 $65,274.00 $54,468.00 2026-04-01
5092 OTHER Level 2 Breast/Lymphatic Surgery And Related Procedures 2 2 — — $46,566.92 $61,466.28 $54,016.60 2026-04-01
508 MS_DRG Major Shoulder Or Elbow Joint Procedures Without Cc/Mcc 13 6 — — $18,912.25 $59,024.00 $46,792.00 2026-04-01
507 MS_DRG Major Shoulder Or Elbow Joint Procedures With Cc/Mcc 13 6 — — $22,461.64 $59,024.00 $46,792.00 2026-04-01
506 MS_DRG Major Thumb Or Joint Procedures 13 6 — — $16,904.16 $55,405.00 $47,566.00 2026-04-01
50544 HCPCS Laparoscopy Pyeloplasty 7 5 — — $14,617.22 $68,899.00 $65,254.00 2026-04-01
505 MS_DRG Foot Procedures Without Cc/Mcc 13 6 — — $22,296.32 $50,095.00 $43,288.00 2026-04-01
504 MS_DRG Foot Procedures With Cc 13 6 — — $23,225.00 $61,677.00 $49,069.00 2026-04-01
503 MS_DRG Foot Procedures With Mcc 13 6 — — $34,431.12 $61,677.00 $49,069.00 2026-04-01
501 MS_DRG Soft Tissue Procedures With Cc 13 6 — — $21,752.98 $47,206.00 $44,050.00 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 4 4 — — $38,973.61 $38,973.61 $38,973.61 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 4 4 — — $125,832.87 $125,832.87 $125,832.87 2026-04-01
499 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Without… 13 6 — — $24,994.84 $58,149.00 $49,741.00 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 13 6 — — $37,174.61 $66,375.00 $52,576.00 2026-04-01
497 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 13 6 — — $15,191.46 $49,424.00 $39,104.00 2026-04-01
49656 HCPCS Lap Inc Hernia Repair Recur 1 1 — — $52,171.00 $52,171.00 $52,171.00 2026-04-01
496 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 13 6 — — $22,431.25 $81,423.00 $69,689.00 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 13 6 — — $44,576.06 $98,644.00 $77,828.00 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 13 6 — — $31,331.48 $56,164.00 $44,509.00 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 13 6 — — $45,134.00 $86,388.00 $68,518.00 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 6 4 — — $39,730.90 $100,097.00 $39,730.90 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 13 6 — — $34,197.73 $93,948.00 $74,306.00 2026-04-01
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/Mcc 14 6 — — $17,767.14 $69,643.00 $51,294.00 2026-04-01
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 13 6 — — $25,963.63 $103,546.00 $81,759.00 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 14 6 — — $35,276.19 $103,546.00 $76,517.00 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 6 4 — — $42,496.26 $89,645.00 $42,496.26 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 6 4 — — $52,686.19 $128,369.00 $52,686.19 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 17 6 — — $26,318.34 $80,633.00 $61,205.72 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 13 6 — — $36,315.21 $95,168.00 $83,303.00 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 13 6 — — $59,199.08 $122,600.00 $104,980.00 2026-04-01
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 19 6 — — $20,820.88 $94,904.00 $79,497.00 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 13 6 — — $37,373.95 $107,835.00 $85,496.00 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 13 6 — — $33,907.22 $105,073.00 $90,656.00 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 14 6 — — $28,435.72 $136,629.00 $101,103.50 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 13 6 — — $63,778.04 $113,324.00 $97,181.00 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 6 4 — — $38,364.62 $81,039.00 $38,364.62 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 6 4 — — $69,784.05 $214,679.00 $69,784.05 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 13 6 — — $32,837.54 $150,671.00 $107,632.00 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 13 6 — — $67,638.61 $167,674.00 $132,878.00 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 2 2 — — $120,841.00 $144,893.00 $132,867.00 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 1 1 — — $192,725.00 $192,725.00 $192,725.00 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 13 6 — — $51,223.88 $307,570.00 $242,806.00 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 14 6 — — $63,333.65 $307,570.00 $227,251.00 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 14 6 — — $102,651.20 $307,570.00 $238,901.00 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 1 1 — — $43,191.72 $43,191.72 $43,191.72 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 1 1 — — $204,301.00 $204,301.00 $204,301.00 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 4 3 — — $48,463.41 $265,993.23 $165,945.38 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 13 6 — — $39,771.01 $165,463.00 $131,702.00 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 13 6 — — $65,287.75 $268,566.00 $168,901.00 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 13 6 — — $52,052.89 $202,907.00 $127,301.00 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 13 6 — — $81,721.93 $282,353.00 $168,901.00 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 13 6 — — $70,605.76 $227,150.00 $199,213.00 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 13 6 — — $110,019.83 $351,279.00 $277,982.00 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 13 6 — — $68,842.00 $203,151.00 $177,398.00 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 13 6 — — $88,249.41 $243,801.00 $212,389.00 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 13 6 — — $134,471.75 $351,279.00 $277,982.00 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 4 4 — — $50,985.64 $50,985.64 $50,985.64 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 4 4 — — $41,918.88 $41,918.88 $41,918.88 2026-04-01
42 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/Mcc 13 6 — — $21,505.00 $80,966.00 $69,410.00 2026-04-01
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 15 6 — — $2,358.34 $70,664.00 $48,748.53 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 13 6 — — $29,511.80 $70,664.00 $55,682.00 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 6 4 — — $43,809.05 $106,517.00 $43,809.05 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 4 4 — — $40,657.14 $40,657.14 $40,657.14 2026-04-01
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 13 6 — — $27,230.23 $107,384.00 $94,119.00 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 6 4 — — $43,845.52 $118,188.00 $43,845.52 2026-04-01
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/Mcc 13 6 — — $27,484.27 $54,351.00 $50,723.00 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 13 6 — — $35,757.28 $83,930.00 $78,319.00 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 13 6 — — $67,000.45 $183,808.00 $171,523.00 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 13 6 — — $49,375.04 $219,136.00 $192,255.00 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 13 6 — — $47,438.67 $178,051.00 $165,972.00 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 4 4 — — $168,874.13 $168,874.13 $168,874.13 2026-04-01
398 MS_DRG Appendix Procedures With Cc 14 6 — — $18,902.52 $56,774.00 $44,933.00 2026-04-01
397 MS_DRG Appendix Procedures With Mcc 13 6 — — $29,615.13 $70,496.00 $53,900.00 2026-04-01
39 MS_DRG Extracranial Procedures Without Cc/Mcc 14 6 — — $14,486.82 $52,820.00 $41,230.50 2026-04-01
38 MS_DRG Extracranial Procedures With Cc 13 6 — — $20,227.47 $74,507.00 $64,599.00 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 13 6 — — $40,521.00 $99,461.00 $86,753.00 2026-04-01
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 12 5 — — $29,850.94 $114,017.00 $93,569.50 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 12 5 — — $42,301.78 $139,144.00 $114,230.50 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 4 4 — — $53,900.52 $53,900.52 $53,900.52 2026-04-01
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 13 6 — — $20,954.36 $41,031.00 $38,290.00 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 11 6 — — $35,779.16 $70,764.00 $66,588.00 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 4 4 — — $47,554.15 $47,554.15 $47,554.15 2026-04-01
336 MS_DRG Peritoneal Adhesiolysis With Cc 14 6 — — $100.00 $66,822.00 $56,907.00 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 13 6 — — $43,909.94 $115,294.00 $107,595.00 2026-04-01
334 MS_DRG Rectal Resection Without Cc/Mcc 13 6 — — $20,413.44 $45,779.00 $40,454.00 2026-04-01
33270 HCPCS Hchg Ins/rep Subq Defibrillator 1 1 — — $43,163.23 $43,163.23 $43,163.23 2026-04-01
33264 HCPCS Hchg Remove Replace Imp Defib Puls Gen Sys Mult Lead 1 1 — — $43,163.23 $43,163.23 $43,163.23 2026-04-01
33249 HCPCS Hchg Insrt/rplc Perm Imp Defib W Tv Leads Sngl/dual 1 1 — — $43,163.23 $43,163.23 $43,163.23 2026-04-01
33231 HCPCS Hchg Insrt Imp Defib Pulse Gen Only W Multi Leads 1 1 — — $43,163.23 $43,163.23 $43,163.23 2026-04-01
332 MS_DRG Rectal Resection With Mcc 4 4 — — $44,515.29 $44,515.29 $44,515.29 2026-04-01
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/Mcc 14 6 — — $20,960.44 $45,669.00 $39,097.58 2026-04-01
33 MS_DRG Ventricular Shunt Procedures Without Cc/Mcc 13 6 — — $20,717.33 $72,298.00 $57,134.00 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 5 4 — — $56,376.58 $59,550.42 $56,376.58 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 5 4 — — $56,000.14 $61,128.15 $61,128.15 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 4 4 — — $39,527.90 $39,527.90 $39,527.90 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 4 4 — — $38,805.87 $38,805.87 $38,805.87 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 4 4 — — $53,105.55 $53,105.55 $53,105.55 2026-04-01
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 15 6 — — $20,203.65 $126,540.00 $87,233.00 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 14 6 — — $29,166.00 $154,635.00 $114,235.50 2026-04-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 11 6 — — $29,741.54 $104,205.00 $95,710.00 2026-04-01
32 MS_DRG Ventricular Shunt Procedures With Cc 13 6 — — $26,407.30 $119,247.00 $101,800.00 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 11 6 — — $54,752.61 $182,013.00 $167,176.00 2026-04-01
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 12 5 — — $29,946.97 $81,897.00 $65,233.00 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 13 6 — — $81,781.49 $208,354.00 $140,740.00 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 13 6 — — $54,966.55 $134,179.00 $106,186.00 2026-04-01
304 MS_DRG Hypertension With Mcc 13 6 — — $14,969.01 $45,898.00 $42,831.00 2026-04-01
30 MS_DRG Spinal Procedures Without Cc/Mcc 13 6 — — $27,187.68 $88,843.00 $70,168.00 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 4 4 — — $258,506.05 $258,506.05 $258,506.05 2026-04-01
29916 HCPCS Hip Arthro W/labral Repair 6 4 — — $9,978.11 $48,425.00 $43,251.00 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 13 6 — — $41,973.58 $100,553.00 $88,220.00 2026-04-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 14 6 — — $27,401.62 $74,542.00 $58,995.00 2026-04-01
28297 HCPCS Correction Hallux Valgus 6 4 — — $17,654.63 $41,948.00 $38,591.00 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 13 6 — — $73,537.66 $187,485.00 $148,207.00 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 4 4 — — $44,341.46 $44,341.46 $44,341.46 2026-04-01
27814 HCPCS Treatment Of Ankle Fracture 7 5 — — $9,978.11 $44,925.00 $39,943.00 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 4 4 — — $68,163.73 $68,163.73 $68,163.73 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 13 6 — — $56,644.00 $242,459.00 $197,796.00 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 13 6 — — $73,516.99 $275,916.00 $218,184.00 2026-04-01
27524 HCPCS Treat Kneecap Fracture 7 5 — — $9,978.11 $41,400.00 $37,752.00 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 13 6 — — $87,177.30 $325,194.00 $269,935.00 2026-04-01
27447 HCPCS Total Knee Arthroplasty 2 2 — — $17,654.63 $64,740.00 $41,197.32 2026-04-01
27427 HCPCS Reconstruction Knee 7 5 — — $9,978.11 $45,428.00 $43,269.00 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 13 6 — — $40,516.14 $90,885.00 $76,114.00 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 13 6 — — $50,651.36 $97,942.00 $86,390.00 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 14 6 — — $31,536.90 $115,067.00 $75,276.00 2026-04-01
27130 HCPCS Total Hip Arthroplasty 2 2 — — $17,654.63 $63,249.00 $40,451.82 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 13 6 — — $43,732.48 $120,510.00 $78,577.00 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 14 6 — — $64,639.86 $168,499.00 $145,273.00 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 13 6 — — $31,171.02 $98,073.00 $75,821.00 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 14 6 — — $45,917.63 $128,461.00 $95,219.00 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 13 6 — — $84,108.04 $209,543.00 $165,796.00 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 13 6 — — $58,373.72 $229,372.00 $186,896.00 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 13 6 — — $74,997.53 $436,419.00 $256,605.00 2026-04-01
265 MS_DRG Aicd Lead Procedures 4 4 — — $44,484.90 $44,484.90 $44,484.90 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 6 4 — — $41,110.54 $95,518.00 $41,110.54 2026-04-01
262 MS_DRG Cardiac Pacemaker Revision Except Device Replacement Without Cc/Mcc 13 6 — — $20,316.20 $72,298.00 $57,134.00 2026-04-01
261 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Cc 13 6 — — $23,483.91 $72,298.00 $57,134.00 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 13 6 — — $40,043.29 $72,298.00 $57,134.00 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 13 6 — — $38,297.77 $106,164.00 $93,140.00 2026-04-01
259 MS_DRG Cardiac Pacemaker Device Replacement Without Mcc 13 6 — — $25,083.57 $83,123.00 $65,840.00 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 13 6 — — $38,697.68 $83,123.00 $65,840.00 2026-04-01
254 MS_DRG Other Vascular Procedures Without Cc/Mcc 13 6 — — $22,161.40 $75,360.00 $59,608.00 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 14 6 — — $27,846.61 $98,227.00 $80,572.50 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 13 6 — — $42,905.90 $146,761.00 $128,952.00 2026-04-01
251 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc 13 6 — — $18,670.35 $74,671.00 $60,943.00 2026-04-01
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 13 6 — — $27,033.31 $90,885.00 $72,237.00 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 13 6 — — $55,771.24 $163,471.00 $131,297.00 2026-04-01
245 MS_DRG Aicd Generator Procedures 4 4 — — $55,962.08 $55,962.08 $55,962.08 2026-04-01
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/Mcc 13 6 — — $22,475.01 $92,805.00 $80,044.00 2026-04-01
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 14 6 — — $25,059.34 $122,131.00 $90,321.00 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 13 6 — — $39,313.97 $163,692.00 $139,706.00 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 13 6 — — $48,054.96 $240,030.00 $210,697.00 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 4 4 — — $60,329.54 $60,329.54 $60,329.54 2026-04-01
23615 HCPCS Treat Humerus Fracture 6 4 — — $17,654.63 $55,255.00 $50,832.00 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 13 6 — — $51,420.80 $183,626.00 $161,046.00 2026-04-01
23515 HCPCS Treat Clavicle Fracture 6 4 — — $9,978.11 $41,716.00 $38,375.50 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 13 6 — — $71,839.54 $203,824.00 $161,046.00 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 13 6 — — $66,905.64 $278,368.00 $220,043.00 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 13 6 — — $93,434.93 $278,368.00 $220,043.00 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 13 6 — — $74,197.70 $315,727.00 $270,645.00 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 13 6 — — $102,973.31 $311,639.00 $267,411.00 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
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 13 6 — — $70,158.44 $243,357.00 $213,618.00 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 13 6 — — $38,787.63 $231,802.00 $203,477.00 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 13 6 — — $60,641.93 $228,310.00 $195,897.00 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 13 6 — — $61,769.96 $167,382.00 $146,919.00 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 13 6 — — $65,326.65 $183,588.00 $161,147.00 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 13 6 — — $39,126.77 $414,588.00 $325,512.00 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 13 6 — — $93,837.27 $295,319.00 $233,679.00 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 13 6 — — $80,429.80 $320,672.00 $276,578.00 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 13 6 — — $80,429.80 $341,227.00 $292,847.00 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 13 6 — — $119,418.43 $411,119.00 $325,384.00 2026-04-01
215 MS_DRG Other Heart Assist System Implant 13 6 — — $121,535.91 $533,607.00 $459,855.00 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 12 5 — — $69,874.00 $129,109.00 $106,002.00 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 4 4 — — $132,683.69 $132,683.69 $132,683.69 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 13 6 — — $64,852.58 $310,887.00 $266,920.00 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 12 5 — — $138,089.22 $266,222.00 $206,669.00 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 6 4 — — $78,720.75 $257,828.00 $78,720.75 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 13 6 — — $96,152.89 $414,588.00 $325,512.00 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 4 4 — — $138,247.24 $138,247.24 $138,247.24 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 4 4 — — $87,228.35 $87,228.35 $87,228.35 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 4 4 — — $525,410.73 $525,410.73 $525,410.73 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 4 4 — — $66,536.11 $66,536.11 $66,536.11 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 4 4 — — $45,937.48 $45,937.48 $45,937.48 2026-04-01
165 MS_DRG Major Chest Procedures Without Cc/Mcc 13 6 — — $23,772.00 $59,914.00 $53,794.00 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 14 6 — — $11,394.34 $75,301.00 $64,123.00 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 13 6 — — $54,982.35 $158,698.00 $148,097.00 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 4 4 — — $72,582.24 $72,582.24 $72,582.24 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 6 4 — — $46,045.66 $101,416.00 $46,045.66 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 4 4 — — $52,350.69 $52,350.69 $52,350.69 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 4 4 — — $146,587.10 $146,587.10 $146,587.10 2026-04-01
132 MS_DRG Cranial/Facial Procedures Without Cc/Mcc 6 3 — — $33,844.00 $49,436.00 $44,389.00 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
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 4 4 — — $51,751.43 $51,751.43 $51,751.43 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 4 4 — — $66,801.10 $66,801.10 $66,801.10 2026-04-01
10 MS_DRG Pancreas Transplant 4 4 — — $87,727.94 $87,727.94 $87,727.94 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 4 4 — — $341,147.36 $341,147.36 $341,147.36 2026-04-01
0915T OTHER Insj Perm Ccm-d Sys Pg&eltrd 1 1 — — $43,163.23 $43,163.23 $43,163.23 2026-04-01
0763 OTHER Inj, Bupivacaine Liposome 1 1 — — $85,361.35 $85,361.35 $85,361.35 2026-04-01
0571T OTHER Insj/rplcmt Icds Ss Eltrd 1 1 — — $43,163.23 $43,163.23 $43,163.23 2026-04-01
0408T OTHER Insj/rplc Cardiac Modulj Sys 1 1 — — $43,163.23 $43,163.23 $43,163.23 2026-04-01
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