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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 ROSEVILLE MEDICAL CENTER

Roseville, CA · CCN 050309 · Rates published

9,473 distinct procedures filed
10 distinct payers
43,227 rate rows
2026-04-01 last MRF observed
Data quality

23,476 of 43,227 rate rows are consumer-grade (54.3%)

19,751 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 19,741
placeholder amount (≤ $0.02) — excluded from medians 10
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://edge.sitecorecloud.io/sutterhealt962c-sutterhealt8fce-production57cc-4860/media/Project/SutterHealth/SutterHealth/Files/billing-insurance/costs-and-charges/941156621-1356390264_sutter-roseville-medical-center_standardcharges.csv
Found on page https://www.sutterhealth.org/cms-hpt.txt
Discovered viaDiscovered by HANK (automated)
Last fetch not_modified · 2026-05-19
Content fingerprint 6694d41e21d4d0a6… · 18,994,215 bytes · first seen 2026-05-17

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 $1,476,857.10 nat. median
$753,246
2.0× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 2 $533,230.17 $1,340,483.41 $1,340,483.41 nat. median
$634,303
outlier · 2.1×
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 7 $445,786.22 $445,786.22 $445,786.22 nat. median
$370,174
1.2× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 7 $289,419.28 $289,419.28 $289,419.28 nat. median
$265,286
1.1× median
215
MS_DRG 		Other Heart Assist System Implant 9 $103,055.77 $518,072.00 $280,495.46 nat. median
$99,019
outlier · 2.8×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 9 $101,258.86 $390,452.00 $244,703.50 nat. median
$93,672
outlier · 2.6×
22
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 9 $33,122.91 $393,675.00 $242,662.50 nat. median
$34,274
outlier · 7.1×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 9 $81,515.59 $393,675.00 $242,662.50 nat. median
$77,570
outlier · 3.1×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 7 $220,581.89 $220,581.89 $220,581.89 nat. median
$206,474
1.1× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 7 $1,475.00 $231,755.20 $219,289.40 nat. median
$202,976
1.1× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 9 $68,172.89 $324,073.00 $214,564.50 nat. median
$64,508
outlier · 3.3×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 9 $93,283.16 $333,633.00 $209,094.00 nat. median
$82,711
outlier · 2.5×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 9 $114,033.20 $333,633.00 $209,094.00 nat. median
$98,894
outlier · 2.1×
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 9 $68,172.89 $304,551.00 $202,645.00 nat. median
$61,920
outlier · 3.3×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 9 $73,898.85 $308,880.00 $199,044.50 nat. median
$68,886
outlier · 2.9×
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 9 $62,884.29 $299,833.00 $198,710.00 nat. median
$59,898
outlier · 3.3×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 9 $87,303.44 $295,952.00 $196,420.00 nat. median
$79,312
outlier · 2.5×
21
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 9 $54,953.97 $295,204.00 $193,757.00 nat. median
$54,045
outlier · 3.6×
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 9 $63,563.03 $434,524.00 $193,084.50 nat. median
$60,726
outlier · 3.2×
A9543
HCPCS 		Y90 Ibritumomab, Rx 2 $56,824.55 $189,311.16 $189,311.16 nat. median
$62,507
outlier · 3.0×
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 2 $180,742.00 $195,036.80 $187,889.40 nat. median
$65,393
outlier · 2.9×
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 9 $61,857.93 $291,930.00 $182,814.00 nat. median
$58,020
outlier · 3.2×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 9 $87,030.09 $291,930.00 $182,814.00 nat. median
$81,118
outlier · 2.3×
458
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 9 $43,388.58 $291,930.00 $181,667.83 nat. median
$42,730
outlier · 4.3×
230
MS_DRG 		Other Cardiothoracic Procedures Without Cc/mcc 1 $140,240.00 $222,612.00 $181,426.00 nat. median
$29,847
outlier · 6.1×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 9 $79,550.55 $280,449.00 $175,876.00 nat. median
$74,915
outlier · 2.3×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 9 $79,209.11 $264,329.00 $165,624.00 nat. median
$73,807
outlier · 2.2×
234
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 9 $56,696.21 $264,329.00 $165,624.00 nat. median
$53,268
outlier · 3.1×
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 9 $62,306.64 $262,113.00 $164,241.50 nat. median
$59,099
outlier · 2.8×
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 9 $59,456.56 $432,706.94 $160,323.50 nat. median
$55,916
outlier · 2.9×
24
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 9 $37,652.53 $259,464.00 $158,387.50 nat. median
$38,489
outlier · 4.1×
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 9 $74,808.65 $231,554.00 $155,278.50 nat. median
$68,090
outlier · 2.3×
209
MS_DRG 		Complex Aortic Arch Procedures 8 $117,103.00 $258,596.00 $152,615.00 nat. median
$98,047
1.6× median
229
MS_DRG 		Other Cardiothoracic Procedures Without Mcc 9 $32,835.11 $217,671.00 $149,331.00 nat. median
$33,143
outlier · 4.5×
J7330
HCPCS 		Cultured Chondrocytes Implnt 1 $146,326.57 $146,326.57 $146,326.57 nat. median
$76,329
1.9× median
430
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 9 $59,836.15 $215,741.00 $145,839.50 nat. median
$54,592
outlier · 2.7×
J9029
HCPCS 		Inj, Adstiladrin, Per Tx Dos 2 $63,342.28 $145,441.90 $145,441.90 nat. median
$69,774
outlier · 2.1×
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 9 $69,269.40 $268,156.00 $144,957.50 nat. median
$63,724
outlier · 2.3×
277
MS_DRG 		Cardiac Defibrillator Implant Without Mcc 9 $47,988.13 $240,740.00 $144,758.00 nat. median
$46,109
outlier · 3.1×
228
MS_DRG 		Other Cardiothoracic Procedures With Mcc 9 $51,380.79 $216,912.00 $143,443.50 nat. median
$50,672
outlier · 2.8×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 8 $1,563.93 $265,772.37 $143,227.25 nat. median
$133,161
1.1× median
450
MS_DRG 		Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically… 9 $55,323.26 $255,061.00 $141,400.50 nat. median
$51,319
outlier · 2.8×
402
MS_DRG 		Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 9 $41,819.64 $207,389.00 $140,809.00 nat. median
$39,414
outlier · 3.6×
267
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 9 $49,455.98 $227,751.00 $137,284.50 nat. median
$47,651
outlier · 2.9×
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 1 $65,754.33 $207,561.33 $136,657.83 nat. median
$62,372
outlier · 2.2×
7
MS_DRG 		Lung Transplant 7 $133,931.20 $133,931.20 $133,931.20 nat. median
$122,708
1.1× median
428
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 9 $58,339.42 $200,134.00 $133,559.50 nat. median
$54,210
outlier · 2.5×
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 9 $69,319.94 $207,206.00 $133,139.50 nat. median
$60,691
outlier · 2.2×
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 3 $55,272.32 $162,691.22 $131,139.34 nat. median
$66,682
2.0× median
460
MS_DRG 		Spinal Fusion Except Cervical Without Mcc 5 $31,589.26 $136,084.00 $129,300.00 nat. median
$39,075
outlier · 3.3×

Other procedures at this hospital

Browse this hospital's 9,473 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
             
Q2042 HCPCS Tisagenlecleucel Car-pos T 3 2 — — $591,726.20 $1,476,857.10 $1,476,857.10 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 3 2 — — $533,230.17 $1,340,483.41 $1,340,483.41 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 7 7 — — $445,786.22 $445,786.22 $445,786.22 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 7 7 — — $289,419.28 $289,419.28 $289,419.28 2026-04-01
215 MS_DRG Other Heart Assist System Implant 18 9 — — $103,055.77 $518,072.00 $280,495.46 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 9 — — $101,258.86 $390,452.00 $244,703.50 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 16 9 — — $81,515.59 $393,675.00 $242,662.50 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 16 9 — — $33,122.91 $393,675.00 $242,662.50 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 7 7 — — $220,581.89 $220,581.89 $220,581.89 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 10 7 — — $1,475.00 $231,755.20 $219,289.40 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 9 — — $68,172.89 $324,073.00 $214,564.50 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 16 9 — — $93,283.16 $333,633.00 $209,094.00 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 9 — — $114,033.20 $333,633.00 $209,094.00 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 9 — — $68,172.89 $304,551.00 $202,645.00 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 16 9 — — $73,898.85 $308,880.00 $199,044.50 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 16 9 — — $62,884.29 $299,833.00 $198,710.00 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 16 9 — — $87,303.44 $295,952.00 $196,420.00 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 16 9 — — $54,953.97 $295,204.00 $193,757.00 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 16 9 — — $63,563.03 $434,524.00 $193,084.50 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 3 2 — — $56,824.55 $189,311.16 $189,311.16 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 2 2 — — $180,742.00 $195,036.80 $187,889.40 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 16 9 — — $87,030.09 $291,930.00 $182,814.00 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 16 9 — — $61,857.93 $291,930.00 $182,814.00 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 17 9 — — $43,388.58 $291,930.00 $181,667.83 2026-04-01
230 MS_DRG Other Cardiothoracic Procedures Without Cc/mcc 2 1 — — $140,240.00 $222,612.00 $181,426.00 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 16 9 — — $79,550.55 $280,449.00 $175,876.00 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 16 9 — — $79,209.11 $264,329.00 $165,624.00 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 16 9 — — $56,696.21 $264,329.00 $165,624.00 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 16 9 — — $62,306.64 $262,113.00 $164,241.50 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 18 9 — — $59,456.56 $432,706.94 $160,323.50 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 18 9 — — $37,652.53 $259,464.00 $158,387.50 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 9 — — $74,808.65 $231,554.00 $155,278.50 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 15 8 — — $117,103.00 $258,596.00 $152,615.00 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 16 9 — — $32,835.11 $217,671.00 $149,331.00 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 2 1 — — $146,326.57 $146,326.57 $146,326.57 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 16 9 — — $59,836.15 $215,741.00 $145,839.50 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 3 2 — — $63,342.28 $145,441.90 $145,441.90 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 16 9 — — $69,269.40 $268,156.00 $144,957.50 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 16 9 — — $47,988.13 $240,740.00 $144,758.00 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 16 9 — — $51,380.79 $216,912.00 $143,443.50 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 9 8 — — $1,563.93 $265,772.37 $143,227.25 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 16 9 — — $55,323.26 $255,061.00 $141,400.50 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 16 9 — — $41,819.64 $207,389.00 $140,809.00 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 16 9 — — $49,455.98 $227,751.00 $137,284.50 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 2 1 — — $65,754.33 $207,561.33 $136,657.83 2026-04-01
7 MS_DRG Lung Transplant 7 7 — — $133,931.20 $133,931.20 $133,931.20 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 9 — — $58,339.42 $200,134.00 $133,559.50 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 16 9 — — $69,319.94 $207,206.00 $133,139.50 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 5 3 — — $55,272.32 $162,691.22 $131,139.34 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 5 5 — — $31,589.26 $136,084.00 $129,300.00 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 7 7 — — $124,314.35 $124,314.35 $124,314.35 2026-04-01
J9226 HCPCS Supprelin La Implant 7 4 — — $45,020.65 $129,708.04 $122,953.40 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 16 9 — — $56,776.67 $179,704.00 $122,529.50 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 16 9 — — $43,555.69 $178,295.00 $121,234.00 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 16 9 — — $60,883.15 $193,613.00 $121,234.00 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 16 9 — — $40,176.43 $174,076.00 $118,691.50 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 16 9 — — $55,356.27 $173,767.00 $118,196.50 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 7 7 — — $117,237.09 $117,237.09 $117,237.09 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 7 7 — — $112,515.83 $112,515.83 $112,515.83 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 16 9 — — $62,324.18 $178,098.00 $111,521.00 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 16 9 — — $44,092.08 $192,732.00 $110,758.50 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 16 9 — — $54,773.46 $158,060.00 $108,301.50 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 17 9 — — $65,842.77 $199,051.00 $108,275.00 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 7 7 — — $106,702.19 $106,702.19 $106,702.19 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 16 9 — — $46,578.04 $155,154.00 $105,792.50 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 16 9 — — $33,281.76 $155,550.00 $102,306.50 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 16 9 — — $57,318.22 $159,364.00 $99,887.00 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 1 1 — — $97,485.44 $97,485.44 $97,485.44 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 16 9 — — $33,669.61 $157,198.00 $97,408.50 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 17 9 — — $52,338.04 $157,131.00 $96,149.00 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 17 9 — — $36,724.97 $129,545.00 $92,058.00 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 14 9 — — $46,383.08 $177,951.00 $91,702.54 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 7 7 — — $89,671.81 $89,671.81 $89,671.81 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 16 9 — — $27,785.83 $143,204.00 $85,755.50 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 17 9 — — $34,000.26 $142,591.00 $84,116.00 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 16 9 — — $46,564.63 $127,330.00 $79,848.50 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 15 8 — — $35,817.23 $135,172.00 $79,756.00 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 8 7 — — $78,948.14 $786,462.24 $78,948.14 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 16 9 — — $37,181.93 $112,721.00 $76,858.00 2026-04-01
32 MS_DRG Ventricular Shunt Procedures With Cc 16 9 — — $22,329.09 $113,156.00 $76,594.00 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 18 9 — — $41,192.96 $121,888.00 $76,457.50 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 20 9 — — $1,620.00 $164,136.00 $75,324.25 2026-04-01
10 MS_DRG Pancreas Transplant 7 7 — — $74,366.13 $74,366.13 $74,366.13 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 7 7 — — $74,335.19 $74,335.19 $74,335.19 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 3 2 — — $24,228.42 $74,101.05 $74,101.05 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 7 7 — — $73,942.18 $73,942.18 $73,942.18 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 15 8 — — $59,215.18 $125,265.00 $73,848.00 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 16 9 — — $37,031.33 $113,045.00 $73,233.50 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 17 9 — — $26,371.61 $97,371.00 $71,991.00 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 8 7 — — $63,093.37 $71,643.95 $71,643.95 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 16 9 — — $54,042.11 $107,448.00 $71,270.00 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 17 9 — — $26,682.10 $112,500.00 $70,511.00 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 7 7 — — $69,780.00 $69,780.00 $69,780.00 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 17 9 — — $48,035.87 $119,144.00 $68,772.00 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 7 7 — — $67,926.36 $67,926.36 $67,926.36 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 9 7 — — $66,722.58 $252,143.00 $66,722.58 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 20 9 — — $28,839.13 $90,347.00 $66,692.50 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 16 9 — — $28,693.56 $99,624.00 $66,501.00 2026-04-01
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 15 8 — — $25,251.38 $110,751.00 $65,506.00 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 16 9 — — $34,306.06 $96,124.00 $65,365.50 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 16 9 — — $27,121.53 $95,273.00 $64,816.50 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 16 9 — — $42,902.74 $95,318.00 $64,804.50 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 16 9 — — $31,635.46 $102,547.00 $64,201.50 2026-04-01
30 MS_DRG Spinal Procedures Without Cc/Mcc 18 9 — — $22,991.33 $227,618.13 $64,192.00 2026-04-01
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 26 9 — — $17,394.59 $120,194.00 $63,555.00 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 7 7 — — $63,489.80 $63,489.80 $63,489.80 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 8 7 — — $42,488.23 $61,655.75 $61,655.75 2026-04-01
27447 HCPCS Total Knee Arthroplasty 3 2 — — $16,662.22 $61,651.00 $61,651.00 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 7 7 — — $61,513.40 $61,513.40 $61,513.40 2026-04-01
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 17 9 — — $19,909.15 $102,030.00 $61,483.00 2026-04-01
J9266 HCPCS Pegaspargase Injection 7 4 — — $28,424.06 $62,262.23 $61,062.67 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 7 7 — — $60,843.95 $60,843.95 $60,843.95 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 17 9 — — $32,419.41 $103,161.00 $60,841.00 2026-04-01
50544 HCPCS Laparoscopy Pyeloplasty 7 5 — — $13,795.55 $63,415.00 $60,400.00 2026-04-01
55866 HCPCS Laparo Radical Prostatectomy 7 5 — — $13,795.55 $63,415.00 $60,400.00 2026-04-01
2040 OTHER Endo, Single, Urinary Tract 1 1 — — $60,221.11 $60,221.11 $60,221.11 2026-04-01
27130 HCPCS Total Hip Arthroplasty 3 2 — — $16,662.22 $59,605.00 $59,605.00 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 11 7 — — $53,383.96 $209,944.00 $59,138.85 2026-04-01
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 18 9 — — $18,803.95 $89,320.00 $58,829.50 2026-04-01
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/Mcc 18 9 — — $17,825.06 $88,182.00 $58,766.00 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 16 9 — — $37,747.21 $93,682.00 $58,647.50 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 19 9 — — $30,259.56 $184,616.11 $58,335.00 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 7 7 — — $58,159.94 $58,159.94 $58,159.94 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 17 9 — — $33,275.31 $94,410.00 $58,069.00 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 7 7 — — $57,763.83 $57,763.83 $57,763.83 2026-04-01
5193 OTHER Level 3 Endovascular Procedures 6 5 — — $14,605.59 $106,186.79 $57,657.53 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 7 7 — — $56,976.78 $56,976.78 $56,976.78 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 16 9 — — $34,301.93 $86,229.00 $56,926.50 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 7 7 — — $56,607.50 $56,607.50 $56,607.50 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 7 7 — — $56,382.63 $56,382.63 $56,382.63 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 16 9 — — $30,263.54 $82,057.00 $55,946.50 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 21 9 — — $26,659.72 $146,911.00 $55,399.00 2026-04-01
131 MS_DRG Cranial/Facial Procedures W Cc/Mcc 2 1 — — $42,598.00 $67,619.00 $55,108.50 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 3 3 — — $41,265.50 $173,035.00 $54,724.05 2026-04-01
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 20 9 — — $17,796.60 $67,089.00 $54,639.50 2026-04-01
58546 HCPCS Laparo-myomectomy Complex 7 5 — — $13,795.55 $59,884.00 $54,607.00 2026-04-01
A9604 HCPCS Sm 153 Lexidronam 3 2 — — $3,159.80 $54,373.92 $54,373.92 2026-04-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 20 9 — — $22,030.34 $70,713.00 $54,041.00 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 7 7 — — $53,949.28 $53,949.28 $53,949.28 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 16 9 — — $27,689.90 $79,043.00 $53,898.00 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 19 9 — — $29,186.31 $165,236.05 $53,477.00 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 14 9 — — $28,787.43 $99,825.00 $52,826.21 2026-04-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 14 9 — — $25,158.55 $101,880.00 $51,803.27 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 8 7 — — $51,793.40 $841,550.80 $51,793.40 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 17 9 — — $38,898.38 $72,328.00 $51,463.00 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 14 9 — — $48,113.28 $80,754.00 $51,290.02 2026-04-01
496 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 16 9 — — $18,954.99 $77,326.00 $51,281.00 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 7 7 — — $51,115.69 $51,115.69 $51,115.69 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 7 7 — — $50,904.23 $50,904.23 $50,904.23 2026-04-01
254 MS_DRG Other Vascular Procedures Without Cc/Mcc 17 9 — — $18,725.99 $71,723.00 $50,824.00 2026-04-01
5661 OTHER Therapeutic Nuclear Medicine 3 2 — — $8,224.36 $91,007.84 $50,433.08 2026-04-01
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/Mcc 16 9 — — $22,318.78 $73,819.00 $50,331.50 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 20 9 — — $25,015.66 $73,621.00 $50,195.50 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 7 7 — — $49,904.69 $49,904.69 $49,904.69 2026-04-01
259 MS_DRG Cardiac Pacemaker Device Replacement Without Mcc 16 9 — — $21,205.77 $78,978.00 $49,555.00 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 16 9 — — $32,758.78 $78,978.00 $49,555.00 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 7 7 — — $48,843.26 $48,843.26 $48,843.26 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 9 7 — — $48,744.23 $301,278.20 $48,744.23 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 7 7 — — $48,599.82 $48,599.82 $48,599.82 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 17 9 — — $26,635.87 $89,252.00 $48,464.00 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 7 7 — — $48,178.96 $48,178.96 $48,178.96 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 10 7 — — $47,761.19 $655,526.96 $47,761.19 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 8 7 — — $47,640.50 $92,006.63 $47,640.50 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 19 9 — — $23,424.96 $67,089.00 $47,471.00 2026-04-01
38 MS_DRG Extracranial Procedures With Cc 16 9 — — $17,084.85 $70,781.00 $47,444.00 2026-04-01
245 MS_DRG Aicd Generator Procedures 7 7 — — $47,409.44 $47,409.44 $47,409.44 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 9 7 — — $43,857.62 $47,268.13 $47,268.13 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 8 7 — — $44,176.82 $47,063.89 $47,063.89 2026-04-01
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 15 8 — — $25,332.87 $79,695.00 $46,847.00 2026-04-01
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 17 9 — — $14,044.76 $86,229.00 $46,847.00 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 22 9 — — $1,164.43 $80,066.00 $46,797.00 2026-04-01
397 MS_DRG Appendix Procedures With Mcc 18 9 — — $25,051.27 $68,437.00 $46,181.00 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 9 8 — — $30,000.00 $49,672.14 $45,659.99 2026-04-01
5094 OTHER Level 4 Breast/Lymphatic Surgery And Related Procedures 3 2 — — $35,728.78 $56,763.26 $45,632.14 2026-04-01
42 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/Mcc 17 9 — — $18,168.97 $76,937.00 $45,486.00 2026-04-01
49656 HCPCS Lap Inc Hernia Repair Recur 1 1 — — $45,468.00 $45,468.00 $45,468.00 2026-04-01
504 MS_DRG Foot Procedures With Cc 18 9 — — $19,628.57 $74,833.93 $45,392.00 2026-04-01
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/Mcc 16 9 — — $22,429.15 $68,071.00 $45,116.50 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 7 7 — — $44,985.37 $44,985.37 $44,985.37 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 9 7 — — $44,629.50 $125,562.00 $44,629.50 2026-04-01
336 MS_DRG Peritoneal Adhesiolysis With Cc 16 9 — — $22,099.06 $65,331.00 $44,546.50 2026-04-01
132 MS_DRG Cranial/Facial Procedures Without Cc/Mcc 5 3 — — $29,482.00 $48,334.00 $44,389.00 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 7 7 — — $44,344.80 $44,344.80 $44,344.80 2026-04-01
23615 HCPCS Treat Humerus Fracture 5 4 — — $16,662.22 $50,020.00 $44,143.00 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 7 7 — — $43,836.26 $43,836.26 $43,836.26 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 7 7 — — $43,814.60 $43,814.60 $43,814.60 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 8 7 — — $43,687.72 $76,215.00 $43,687.72 2026-04-01
165 MS_DRG Major Chest Procedures Without Cc/Mcc 19 9 — — $18,592.47 $58,575.00 $43,678.00 2026-04-01
582 MS_DRG Mastectomy For Malignancy With Cc/Mcc 16 9 — — $20,220.67 $65,548.00 $43,662.50 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 7 7 — — $43,636.15 $43,636.15 $43,636.15 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 9 7 — — $15,475.55 $43,357.64 $43,357.64 2026-04-01
58544 HCPCS Lsh W/t/o Uterus Above 250 G 7 5 — — $13,795.55 $47,497.00 $43,313.00 2026-04-01
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 18 9 — — $19,658.11 $63,650.00 $43,197.00 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 7 7 — — $43,186.41 $43,186.41 $43,186.41 2026-04-01
261 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Cc 16 9 — — $19,848.29 $68,702.00 $43,161.50 2026-04-01
262 MS_DRG Cardiac Pacemaker Revision Except Device Replacement Without Cc/Mcc 16 9 — — $17,160.15 $68,702.00 $43,161.50 2026-04-01
791 MS_DRG Prematurity With Major Problems 7 7 — — $42,216.78 $42,216.78 $42,216.78 2026-04-01
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 20 10 — — $21,783.42 $146,857.82 $42,050.00 2026-04-01
503 MS_DRG Foot Procedures With Mcc 17 9 — — $29,138.15 $186,706.37 $41,715.00 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 7 7 — — $41,444.17 $41,444.17 $41,444.17 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 16 9 — — $31,504.45 $62,143.00 $41,356.00 2026-04-01
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/Mcc 16 9 — — $17,171.50 $66,283.00 $41,306.00 2026-04-01
5045 OTHER Trauma Response With Critical Care 5 3 — — $3,080.10 $46,915.41 $41,174.00 2026-04-01
737 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 16 9 — — $21,602.90 $59,484.00 $40,559.00 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 7 7 — — $40,516.83 $40,516.83 $40,516.83 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 7 7 — — $40,274.43 $40,274.43 $40,274.43 2026-04-01
5115 OTHER Level 5 Musculoskeletal Procedures 11 5 — — $1,402.56 $63,448.44 $40,267.88 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 7 7 — — $40,214.60 $40,214.60 $40,214.60 2026-04-01
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/Mcc 16 9 — — $23,425.60 $58,640.00 $39,982.50 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 8 7 — — $22,973.15 $39,950.53 $39,950.53 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 16 9 — — $31,466.29 $63,060.00 $39,617.00 2026-04-01
251 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc 17 9 — — $15,763.47 $74,145.00 $39,350.00 2026-04-01
27427 HCPCS Reconstruction Knee 7 5 — — $9,417.22 $42,642.00 $39,330.00 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 8 7 — — $39,163.48 $40,620.58 $39,163.48 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 9 7 — — $38,994.31 $99,179.00 $38,994.31 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 8 7 — — $37,253.99 $38,902.51 $38,902.51 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 10 7 — — $38,790.07 $105,658.00 $38,790.07 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 7 7 — — $38,573.45 $38,573.45 $38,573.45 2026-04-01
29916 HCPCS Hip Arthro W/labral Repair 5 4 — — $9,417.22 $44,666.00 $38,488.00 2026-04-01
585 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/Mcc 16 9 — — $20,246.45 $57,941.00 $38,447.00 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 7 7 — — $38,236.15 $38,236.15 $38,236.15 2026-04-01
58573 HCPCS Tlh W/t/o Uterus Over 250 G 7 5 — — $13,795.55 $43,799.00 $38,234.00 2026-04-01
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 20 9 — — $17,543.85 $98,118.00 $38,199.07 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 19 9 — — $24,873.06 $53,391.00 $37,880.00 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 7 7 — — $37,776.09 $37,776.09 $37,776.09 2026-04-01
332 MS_DRG Rectal Resection With Mcc 7 7 — — $37,695.63 $37,695.63 $37,695.63 2026-04-01
265 MS_DRG Aicd Lead Procedures 7 7 — — $37,669.84 $37,669.84 $37,669.84 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 10 7 — — $37,603.82 $214,605.28 $37,603.82 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 7 7 — — $37,548.12 $37,548.12 $37,548.12 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 17 9 — — $33,900.67 $68,702.00 $37,417.00 2026-04-01
33 MS_DRG Ventricular Shunt Procedures Without Cc/Mcc 17 9 — — $16,434.28 $68,702.00 $37,417.00 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 7 7 — — $37,304.68 $37,304.68 $37,304.68 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 7 7 — — $37,219.07 $37,219.07 $37,219.07 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 9 7 — — $37,127.26 $115,605.00 $37,127.26 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 9 7 — — $37,096.32 $104,189.00 $37,096.32 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 9 7 — — $37,061.25 $103,806.00 $37,061.25 2026-04-01
57425 HCPCS Laparoscopy Surg Colpopexy 7 5 — — $13,795.55 $40,554.00 $36,982.00 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 9 7 — — $36,650.70 $112,063.00 $36,650.70 2026-04-01
499 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Without… 16 9 — — $21,130.47 $55,246.00 $36,581.50 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 7 7 — — $36,320.62 $36,320.62 $36,320.62 2026-04-01
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/Mcc 16 9 — — $23,243.02 $53,139.00 $36,233.00 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 16 9 — — $29,814.00 $50,217.00 $36,210.58 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 8 7 — — $33,926.94 $36,155.57 $36,155.57 2026-04-01
658 MS_DRG Kidney And Ureter Procedures For Neoplasm Without Cc/Mcc 17 9 — — $16,354.53 $48,389.00 $36,082.00 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 10 7 — — $34,794.05 $87,685.00 $35,982.28 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 8 7 — — $31,862.10 $35,712.02 $35,712.02 2026-04-01
740 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Cc 16 9 — — $19,013.79 $52,347.00 $35,693.00 2026-04-01
581 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/Mcc 16 9 — — $15,233.27 $52,907.00 $35,611.50 2026-04-01
501 MS_DRG Soft Tissue Procedures With Cc 17 9 — — $18,379.40 $46,153.00 $35,537.00 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 7 7 — — $35,492.31 $35,492.31 $35,492.31 2026-04-01
304 MS_DRG Hypertension With Mcc 20 10 — — $10,591.53 $44,874.00 $35,462.62 2026-04-01
27814 HCPCS Treatment Of Ankle Fracture 7 5 — — $9,417.22 $39,838.00 $35,420.00 2026-04-01
507 MS_DRG Major Shoulder Or Elbow Joint Procedures With Cc/Mcc 16 9 — — $18,980.78 $56,211.00 $35,146.00 2026-04-01
508 MS_DRG Major Shoulder Or Elbow Joint Procedures Without Cc/Mcc 16 9 — — $15,968.74 $56,211.00 $35,146.00 2026-04-01
63042 HCPCS Laminotomy Single Lumbar 7 5 — — $9,417.22 $38,359.00 $34,980.00 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 10 7 — — $8,217.00 $93,430.00 $34,806.35 2026-04-01
506 MS_DRG Major Thumb Or Joint Procedures 16 9 — — $14,264.67 $52,740.00 $34,719.00 2026-04-01
62 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 14 9 — — $18,473.27 $65,726.00 $34,541.64 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 7 7 — — $34,421.59 $34,421.59 $34,421.59 2026-04-01
59151 HCPCS Treat Ectopic Pregnancy 7 5 — — $7,845.97 $36,108.00 $34,392.00 2026-04-01
27524 HCPCS Treat Kneecap Fracture 7 5 — — $9,417.22 $37,541.00 $34,234.00 2026-04-01
5222 OTHER Level 2 Pacemaker And Similar Procedures 1 1 — — $34,221.11 $34,221.11 $34,221.11 2026-04-01
58571 HCPCS Tlh W/t/o 250 G Or Less 7 5 — — $13,795.55 $39,760.00 $34,173.00 2026-04-01
583 MS_DRG Mastectomy For Malignancy Without Cc/Mcc 16 9 — — $18,134.93 $51,056.00 $33,827.50 2026-04-01
398 MS_DRG Appendix Procedures With Cc 18 9 — — $3,159.40 $53,792.00 $33,757.00 2026-04-01
520 MS_DRG Back And Neck Procedures Except Spinal Fusion Without Cc/Mcc 19 9 — — $14,791.50 $47,544.00 $33,725.00 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 8 7 — — $14,238.00 $33,716.03 $33,716.03 2026-04-01
652 MS_DRG Kidney Transplant 7 7 — — $33,660.33 $33,660.33 $33,660.33 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 9 7 — — $33,635.57 $97,910.00 $33,635.57 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 7 7 — — $33,570.59 $33,570.59 $33,570.59 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 7 7 — — $33,463.31 $33,463.31 $33,463.31 2026-04-01
23515 HCPCS Treat Clavicle Fracture 5 4 — — $9,417.22 $37,770.00 $33,332.00 2026-04-01
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/Mcc 19 9 — — $17,706.85 $44,651.00 $33,295.00 2026-04-01
39 MS_DRG Extracranial Procedures Without Cc/Mcc 16 9 — — $12,472.93 $50,104.00 $33,228.00 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 10 8 — — $33,220.90 $90,186.00 $33,220.90 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 9 7 — — $33,188.92 $151,217.00 $33,188.92 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 7 7 — — $32,992.93 $32,992.93 $32,992.93 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 9 8 — — $31,553.92 $183,983.15 $32,943.42 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 8 7 — — $30,192.20 $32,850.58 $32,850.58 2026-04-01
716 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy Without Cc/Mcc 16 9 — — $15,521.07 $48,110.00 $32,803.50 2026-04-01
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 16 9 — — $21,796.83 $48,119.00 $32,634.00 2026-04-01
665 MS_DRG Prostatectomy With Mcc 7 7 — — $32,543.19 $32,543.19 $32,543.19 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 9 7 — — $32,476.14 $79,252.00 $32,476.14 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 15 9 — — $30,282.10 $69,186.00 $32,104.59 2026-04-01
27380 HCPCS Repair Of Kneecap Tendon 7 5 — — $9,417.22 $36,056.00 $32,056.00 2026-04-01
27829 HCPCS Treat Lower Leg Joint 7 5 — — $9,417.22 $36,030.00 $32,034.00 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 7 7 — — $31,927.38 $31,927.38 $31,927.38 2026-04-01
263 MS_DRG Vein Ligation And Stripping 7 7 — — $31,885.08 $31,885.08 $31,885.08 2026-04-01
505 MS_DRG Foot Procedures Without Cc/Mcc 16 9 — — $18,840.49 $47,617.00 $31,629.50 2026-04-01
578 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis Without Cc/Mcc 16 9 — — $16,917.74 $46,278.00 $31,552.50 2026-04-01
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 17 9 — — $17,056.03 $61,990.00 $31,545.00 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 7 7 — — $31,500.33 $31,500.33 $31,500.33 2026-04-01
28297 HCPCS Correction Hallux Valgus 5 4 — — $16,662.22 $35,448.00 $31,282.00 2026-04-01
69310 HCPCS Rebuild Outer Ear Canal 7 5 — — $7,682.84 $34,137.00 $31,129.00 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 7 7 — — $31,049.55 $31,049.55 $31,049.55 2026-04-01
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 17 9 — — $17,701.70 $40,117.00 $30,889.00 2026-04-01
334 MS_DRG Rectal Resection Without Cc/Mcc 16 9 — — $17,242.67 $44,757.00 $30,783.50 2026-04-01
60240 HCPCS Removal Of Thyroid 5 4 — — $7,845.97 $34,827.00 $30,752.00 2026-04-01
47382 HCPCS Percut Ablate Liver Rf 5 4 — — $7,845.97 $34,827.00 $30,752.00 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 7 7 — — $30,716.37 $30,716.37 $30,716.37 2026-04-01
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