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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 TRACY COMMUNITY HOSPITAL

Tracy, CA · CCN 050313 · Rates published

9,136 distinct procedures filed
9 distinct payers
39,953 rate rows
2026-04-01 last MRF observed
Data quality

21,765 of 39,953 rate rows are consumer-grade (54.5%)

18,188 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 18,178
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/941156621-1821442864_sutter-tracy-community-hospital_standardcharges.csv
Discovered viaDiscovered by HANK (automated)
Last fetch success · 2026-05-19
Content fingerprint de5695e1251a5efe… · 16,504,137 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 $1,476,857.10 nat. median
$754,974
2.0× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 2 $533,230.17 $1,340,483.41 $1,340,483.41 nat. median
$634,511
outlier · 2.1×
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 6 $424,881.91 $424,881.91 $424,881.91 nat. median
$370,174
1.1× median
215
MS_DRG 		Other Heart Assist System Implant 8 $98,752.90 $518,072.00 $398,916.00 nat. median
$99,019
outlier · 4.0×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 8 $78,256.09 $393,675.00 $279,531.00 nat. median
$77,576
outlier · 3.6×
22
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 8 $32,207.49 $393,675.00 $279,531.00 nat. median
$34,274
outlier · 8.2×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 8 $97,043.03 $390,452.00 $277,130.00 nat. median
$93,672
outlier · 3.0×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 6 $276,089.19 $276,089.19 $276,089.19 nat. median
$265,286
1.0× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 8 $65,559.70 $324,073.00 $238,079.00 nat. median
$64,510
outlier · 3.7×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 8 $109,198.59 $333,633.00 $236,697.00 nat. median
$98,905
outlier · 2.4×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 8 $89,453.66 $333,633.00 $236,697.00 nat. median
$82,712
outlier · 2.9×
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 8 $65,559.70 $304,551.00 $224,854.00 nat. median
$61,920
outlier · 3.6×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 8 $71,008.30 $308,880.00 $223,351.00 nat. median
$68,887
outlier · 3.2×
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 8 $60,527.27 $299,833.00 $220,063.00 nat. median
$59,899
outlier · 3.7×
21
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 8 $52,981.09 $295,204.00 $218,763.00 nat. median
$54,066
outlier · 4.0×
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 8 $61,173.14 $434,524.00 $218,637.00 nat. median
$60,726
outlier · 3.6×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 8 $83,763.59 $295,952.00 $217,433.00 nat. median
$79,312
outlier · 2.7×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 6 $210,586.20 $210,586.20 $210,586.20 nat. median
$206,368
1.0× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 6 $209,356.31 $209,356.31 $209,356.31 nat. median
$202,986
1.0× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 8 $83,503.48 $291,930.00 $206,970.00 nat. median
$81,118
outlier · 2.6×
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 8 $59,550.63 $291,930.00 $206,970.00 nat. median
$58,024
outlier · 3.6×
458
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 8 $41,975.91 $291,930.00 $206,970.00 nat. median
$42,730
outlier · 4.8×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 8 $76,386.23 $280,449.00 $199,137.00 nat. median
$74,915
outlier · 2.7×
A9543
HCPCS 		Y90 Ibritumomab, Rx 2 $56,824.55 $189,311.16 $189,311.16 nat. median
$62,507
outlier · 3.0×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 8 $76,061.34 $264,329.00 $187,472.00 nat. median
$73,807
outlier · 2.5×
234
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 8 $54,638.93 $264,329.00 $187,472.00 nat. median
$53,268
outlier · 3.5×
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 8 $59,977.60 $262,113.00 $186,033.00 nat. median
$59,099
outlier · 3.1×
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 8 $57,265.57 $236,205.00 $181,877.00 nat. median
$55,929
outlier · 3.3×
230
MS_DRG 		Other Cardiothoracic Procedures Without Cc/mcc 1 $140,240.00 $222,612.00 $181,426.00 nat. median
$29,793
outlier · 6.1×
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 1 $180,742.00 $180,742.00 $180,742.00 nat. median
$65,381
outlier · 2.8×
24
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 8 $39,417.00 $232,976.00 $179,392.00 nat. median
$38,489
outlier · 4.7×
209
MS_DRG 		Complex Aortic Arch Procedures 7 $112,119.69 $258,596.00 $175,866.50 nat. median
$98,017
1.8× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 8 $71,874.03 $231,554.00 $172,624.00 nat. median
$68,090
outlier · 2.5×
229
MS_DRG 		Other Cardiothoracic Procedures Without Mcc 8 $31,933.64 $217,671.00 $165,433.00 nat. median
$33,154
outlier · 5.0×
430
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 8 $57,626.78 $215,741.00 $161,915.00 nat. median
$54,596
outlier · 3.0×
277
MS_DRG 		Cardiac Defibrillator Implant Without Mcc 8 $46,352.66 $240,740.00 $160,908.00 nat. median
$46,109
outlier · 3.5×
228
MS_DRG 		Other Cardiothoracic Procedures With Mcc 8 $49,580.99 $216,912.00 $159,270.00 nat. median
$50,673
outlier · 3.1×
402
MS_DRG 		Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 8 $40,482.97 $207,389.00 $156,166.00 nat. median
$39,420
outlier · 4.0×
267
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 8 $47,749.41 $227,751.00 $152,270.00 nat. median
$47,651
outlier · 3.2×
428
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 8 $56,202.55 $200,134.00 $151,206.00 nat. median
$54,211
outlier · 2.8×
J7330
HCPCS 		Cultured Chondrocytes Implnt 1 $146,326.57 $146,326.57 $146,326.57 nat. median
$76,377
1.9× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 8 $66,603.09 $268,156.00 $145,914.00 nat. median
$63,738
outlier · 2.3×
J9029
HCPCS 		Inj, Adstiladrin, Per Tx Dos 2 $63,342.28 $145,441.90 $145,441.90 nat. median
$69,774
outlier · 2.1×
450
MS_DRG 		Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically… 8 $53,332.49 $255,061.00 $144,001.00 nat. median
$51,319
outlier · 2.8×
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 8 $68,529.88 $199,051.00 $141,282.00 nat. median
$65,950
outlier · 2.1×
405
MS_DRG 		Pancreas, Liver And Shunt Procedures With Mcc 8 $54,715.50 $179,704.00 $138,373.00 nat. median
$52,836
outlier · 2.6×
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 8 $66,651.19 $207,206.00 $138,200.00 nat. median
$60,691
outlier · 2.3×
236
MS_DRG 		Coronary Bypass Without Cardiac Catheterization Without Mcc 8 $42,134.92 $178,295.00 $137,287.00 nat. median
$42,002
outlier · 3.3×
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 8 $58,623.06 $193,613.00 $137,287.00 nat. median
$57,424
outlier · 2.4×
319
MS_DRG 		Other Endovascular Cardiac Valve Procedures With Mcc 8 $44,825.36 $177,951.00 $137,022.00 nat. median
$43,762
outlier · 3.1×

Other procedures at this hospital

Browse this hospital's 9,136 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
             
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 6 6 — — $424,881.91 $424,881.91 $424,881.91 2026-04-01
215 MS_DRG Other Heart Assist System Implant 15 8 — — $98,752.90 $518,072.00 $398,916.00 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 15 8 — — $78,256.09 $393,675.00 $279,531.00 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 15 8 — — $32,207.49 $393,675.00 $279,531.00 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 15 8 — — $97,043.03 $390,452.00 $277,130.00 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 6 6 — — $276,089.19 $276,089.19 $276,089.19 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 15 8 — — $65,559.70 $324,073.00 $238,079.00 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 15 8 — — $89,453.66 $333,633.00 $236,697.00 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 8 — — $109,198.59 $333,633.00 $236,697.00 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 15 8 — — $65,559.70 $304,551.00 $224,854.00 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 15 8 — — $71,008.30 $308,880.00 $223,351.00 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 15 8 — — $60,527.27 $299,833.00 $220,063.00 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 15 8 — — $52,981.09 $295,204.00 $218,763.00 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 15 8 — — $61,173.14 $434,524.00 $218,637.00 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 15 8 — — $83,763.59 $295,952.00 $217,433.00 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 6 6 — — $210,586.20 $210,586.20 $210,586.20 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 6 6 — — $209,356.31 $209,356.31 $209,356.31 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 15 8 — — $41,975.91 $291,930.00 $206,970.00 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 15 8 — — $59,550.63 $291,930.00 $206,970.00 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 15 8 — — $83,503.48 $291,930.00 $206,970.00 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 15 8 — — $76,386.23 $280,449.00 $199,137.00 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 3 2 — — $56,824.55 $189,311.16 $189,311.16 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 15 8 — — $54,638.93 $264,329.00 $187,472.00 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 15 8 — — $76,061.34 $264,329.00 $187,472.00 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 15 8 — — $59,977.60 $262,113.00 $186,033.00 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 15 8 — — $57,265.57 $236,205.00 $181,877.00 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
459 MS_DRG Spinal Fusion Except Cervical With Mcc 1 1 — — $180,742.00 $180,742.00 $180,742.00 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 15 8 — — $39,417.00 $232,976.00 $179,392.00 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 14 7 — — $112,119.69 $258,596.00 $175,866.50 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 8 — — $71,874.03 $231,554.00 $172,624.00 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 15 8 — — $31,933.64 $217,671.00 $165,433.00 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 15 8 — — $57,626.78 $215,741.00 $161,915.00 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 15 8 — — $46,352.66 $240,740.00 $160,908.00 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 15 8 — — $49,580.99 $216,912.00 $159,270.00 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 15 8 — — $40,482.97 $207,389.00 $156,166.00 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 15 8 — — $47,749.41 $227,751.00 $152,270.00 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 8 — — $56,202.55 $200,134.00 $151,206.00 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 2 1 — — $146,326.57 $146,326.57 $146,326.57 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 15 8 — — $66,603.09 $268,156.00 $145,914.00 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 3 2 — — $63,342.28 $145,441.90 $145,441.90 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 15 8 — — $53,332.49 $255,061.00 $144,001.00 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 15 8 — — $68,529.88 $199,051.00 $141,282.00 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 15 8 — — $54,715.50 $179,704.00 $138,373.00 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 15 8 — — $66,651.19 $207,206.00 $138,200.00 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 15 8 — — $58,623.06 $193,613.00 $137,287.00 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 15 8 — — $42,134.92 $178,295.00 $137,287.00 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 13 8 — — $44,825.36 $177,951.00 $137,022.00 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 6 6 — — $136,978.52 $136,978.52 $136,978.52 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 15 8 — — $38,919.35 $174,076.00 $134,039.00 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 5 3 — — $55,272.32 $162,691.22 $131,139.34 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 15 8 — — $53,363.90 $173,767.00 $131,088.00 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 3 3 — — $59,627.92 $136,030.00 $129,300.00 2026-04-01
7 MS_DRG Lung Transplant 6 6 — — $128,132.76 $128,132.76 $128,132.76 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 15 8 — — $59,994.29 $178,098.00 $126,259.00 2026-04-01
J9226 HCPCS Supprelin La Implant 7 3 — — $45,020.65 $129,708.04 $122,953.40 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 15 8 — — $52,809.32 $158,060.00 $120,237.00 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 15 8 — — $50,491.87 $157,131.00 $119,512.00 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 15 8 — — $45,010.88 $155,154.00 $119,471.00 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 6 6 — — $118,981.73 $118,981.73 $118,981.73 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 15 8 — — $32,358.65 $155,550.00 $113,537.00 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 15 8 — — $42,645.33 $192,732.00 $113,316.00 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 15 8 — — $55,230.81 $159,364.00 $113,154.00 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 6 6 — — $112,247.29 $112,247.29 $112,247.29 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 15 8 — — $35,259.14 $142,591.00 $109,796.00 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 15 8 — — $32,727.72 $157,198.00 $108,201.00 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 6 6 — — $107,754.72 $107,754.72 $107,754.72 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 15 8 — — $45,647.90 $164,136.00 $106,796.00 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 15 8 — — $27,725.72 $146,911.00 $104,093.00 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 6 6 — — $102,222.69 $102,222.69 $102,222.69 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 15 8 — — $35,635.08 $129,545.00 $92,058.00 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 14 7 — — $34,771.31 $135,172.00 $91,919.50 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 15 8 — — $44,998.12 $127,330.00 $90,461.00 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 15 8 — — $27,128.93 $143,204.00 $87,487.00 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 15 8 — — $36,069.91 $112,721.00 $86,794.00 2026-04-01
32 MS_DRG Ventricular Shunt Procedures With Cc 15 8 — — $21,936.52 $113,156.00 $86,725.00 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 15 8 — — $42,472.58 $121,888.00 $86,625.00 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 6 6 — — $86,017.24 $86,017.24 $86,017.24 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 15 8 — — $48,415.89 $119,144.00 $85,396.00 2026-04-01
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 15 8 — — $18,324.40 $120,194.00 $85,287.00 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 14 7 — — $57,035.89 $125,265.00 $85,151.00 2026-04-01
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 15 8 — — $21,935.53 $116,047.00 $82,309.00 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 15 8 — — $31,538.07 $103,161.00 $79,434.00 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 15 8 — — $52,113.40 $107,448.00 $79,034.00 2026-04-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 13 8 — — $24,628.92 $101,880.00 $78,448.00 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 15 8 — — $35,926.60 $113,045.00 $77,170.00 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 13 8 — — $28,082.02 $99,825.00 $76,865.00 2026-04-01
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 15 8 — — $22,601.03 $102,030.00 $76,459.00 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 6 6 — — $75,813.01 $75,813.01 $75,813.01 2026-04-01
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 14 7 — — $24,717.26 $110,751.00 $75,392.00 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 16 8 — — $29,937.16 $90,347.00 $74,494.00 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 3 2 — — $24,228.42 $74,101.05 $74,101.05 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 15 8 — — $33,333.33 $96,124.00 $74,014.00 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 15 8 — — $27,992.70 $99,624.00 $73,730.00 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 15 8 — — $41,513.60 $95,318.00 $73,394.00 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 15 8 — — $26,496.81 $95,273.00 $73,359.00 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 15 8 — — $30,792.09 $102,547.00 $72,718.00 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 15 8 — — $25,783.22 $97,371.00 $71,991.00 2026-04-01
5115 OTHER Level 5 Musculoskeletal Procedures 4 4 — — $17,205.22 $104,780.49 $71,801.04 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 15 8 — — $34,506.29 $94,410.00 $71,740.00 2026-04-01
10 MS_DRG Pancreas Transplant 6 6 — — $71,452.95 $71,452.95 $71,452.95 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 6 6 — — $71,423.50 $71,423.50 $71,423.50 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 6 6 — — $71,049.53 $71,049.53 $71,049.53 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 15 8 — — $26,078.67 $112,500.00 $70,511.00 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 17 8 — — $24,232.24 $98,118.00 $69,684.00 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 7 7 — — $68,862.63 $71,125.15 $68,862.63 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 6 6 — — $67,088.96 $67,088.96 $67,088.96 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 15 8 — — $36,607.80 $93,682.00 $66,324.00 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 6 6 — — $65,325.11 $65,325.11 $65,325.11 2026-04-01
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 15 8 — — $19,952.80 $89,320.00 $65,317.00 2026-04-01
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/Mcc 15 8 — — $18,761.19 $88,182.00 $65,200.00 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 15 8 — — $33,329.41 $86,229.00 $64,663.00 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 8 6 — — $64,179.64 $252,143.00 $64,179.64 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 15 8 — — $28,227.29 $89,252.00 $63,289.00 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 15 8 — — $29,486.63 $82,057.00 $63,182.00 2026-04-01
27447 HCPCS Total Knee Arthroplasty 3 2 — — $16,933.74 $61,651.00 $61,651.00 2026-04-01
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 15 8 — — $22,442.02 $86,229.00 $61,369.00 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 6 6 — — $61,103.45 $61,103.45 $61,103.45 2026-04-01
J9266 HCPCS Pegaspargase Injection 7 3 — — $28,424.06 $62,262.23 $61,062.67 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 15 8 — — $27,037.65 $79,043.00 $60,865.00 2026-04-01
50544 HCPCS Laparoscopy Pyeloplasty 7 5 — — $14,020.35 $63,415.00 $60,400.00 2026-04-01
55866 HCPCS Laparo Radical Prostatectomy 7 5 — — $14,020.35 $63,415.00 $60,400.00 2026-04-01
30 MS_DRG Spinal Procedures Without Cc/Mcc 15 8 — — $22,566.67 $84,417.00 $59,773.00 2026-04-01
27130 HCPCS Total Hip Arthroplasty 3 2 — — $16,933.74 $59,605.00 $59,605.00 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 6 6 — — $59,358.24 $59,358.24 $59,358.24 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 6 6 — — $59,222.79 $59,222.79 $59,222.79 2026-04-01
42 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/Mcc 15 8 — — $17,977.91 $76,937.00 $59,211.00 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 6 6 — — $58,585.76 $58,585.76 $58,585.76 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 15 8 — — $37,058.33 $82,199.00 $58,335.00 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 8 6 — — $56,963.25 $209,944.00 $56,963.25 2026-04-01
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/Mcc 15 8 — — $21,926.70 $73,819.00 $56,842.00 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 15 8 — — $25,794.02 $73,621.00 $56,689.00 2026-04-01
496 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 15 8 — — $18,725.85 $77,326.00 $56,689.00 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 15 8 — — $31,861.00 $78,978.00 $56,098.00 2026-04-01
259 MS_DRG Cardiac Pacemaker Device Replacement Without Mcc 15 8 — — $20,867.60 $78,978.00 $56,098.00 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 6 6 — — $56,031.76 $56,031.76 $56,031.76 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 6 6 — — $55,654.84 $55,654.84 $55,654.84 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
834 MS_DRG Acute Leukemia With Mcc 6 6 — — $54,905.92 $54,905.92 $54,905.92 2026-04-01
58546 HCPCS Laparo-myomectomy Complex 7 5 — — $14,020.35 $59,884.00 $54,607.00 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 6 6 — — $54,554.52 $54,554.52 $54,554.52 2026-04-01
A9604 HCPCS Sm 153 Lexidronam 3 2 — — $3,159.80 $54,373.92 $54,373.92 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 6 6 — — $54,340.54 $54,340.54 $54,340.54 2026-04-01
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 14 7 — — $24,794.80 $79,695.00 $54,105.50 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 13 8 — — $29,504.29 $69,186.00 $53,272.00 2026-04-01
38 MS_DRG Extracranial Procedures With Cc 15 8 — — $16,946.30 $70,781.00 $52,608.00 2026-04-01
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/Mcc 15 8 — — $22,031.73 $68,071.00 $52,416.00 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 6 6 — — $52,025.06 $52,025.06 $52,025.06 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 15 8 — — $24,982.28 $80,066.00 $51,797.00 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 15 8 — — $37,703.21 $72,328.00 $51,463.00 2026-04-01
254 MS_DRG Other Vascular Procedures Without Cc/Mcc 15 8 — — $18,507.95 $71,723.00 $50,824.00 2026-04-01
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 18 9 — — $17,623.57 $67,089.00 $50,766.00 2026-04-01
62 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 13 8 — — $18,267.47 $65,726.00 $50,610.00 2026-04-01
582 MS_DRG Mastectomy For Malignancy With Cc/Mcc 15 8 — — $19,930.22 $65,548.00 $50,470.00 2026-04-01
336 MS_DRG Peritoneal Adhesiolysis With Cc 15 8 — — $21,717.63 $65,331.00 $50,304.00 2026-04-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 15 8 — — $22,739.43 $70,713.00 $50,187.00 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 6 6 — — $49,973.61 $49,973.61 $49,973.61 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 10 7 — — $30,480.09 $109,554.00 $49,494.61 2026-04-01
251 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc 15 8 — — $15,688.93 $74,145.00 $49,423.00 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 6 6 — — $49,328.73 $49,328.73 $49,328.73 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 6 6 — — $49,127.51 $49,127.51 $49,127.51 2026-04-01
262 MS_DRG Cardiac Pacemaker Revision Except Device Replacement Without Cc/Mcc 15 8 — — $17,017.95 $68,702.00 $48,906.00 2026-04-01
33 MS_DRG Ventricular Shunt Procedures Without Cc/Mcc 15 8 — — $17,341.86 $68,702.00 $48,906.00 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 15 8 — — $32,947.58 $68,702.00 $48,906.00 2026-04-01
261 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Cc 15 8 — — $19,575.88 $68,702.00 $48,906.00 2026-04-01
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 15 8 — — $20,652.64 $63,650.00 $48,888.00 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 6 6 — — $48,176.39 $48,176.39 $48,176.39 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 17 9 — — $24,443.40 $67,089.00 $47,471.00 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 6 6 — — $47,166.37 $47,166.37 $47,166.37 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 6 6 — — $47,072.14 $47,072.14 $47,072.14 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 6 6 — — $46,934.72 $46,934.72 $46,934.72 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 15 8 — — $30,667.43 $62,143.00 $46,860.00 2026-04-01
5376 OTHER Level 6 Urology And Related Services 1 1 — — $46,740.62 $46,740.62 $46,740.62 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 6 6 — — $46,534.25 $46,534.25 $46,534.25 2026-04-01
397 MS_DRG Appendix Procedures With Mcc 15 8 — — $24,526.84 $68,437.00 $46,181.00 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 6 6 — — $46,136.72 $46,136.72 $46,136.72 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 6 6 — — $46,021.88 $46,021.88 $46,021.88 2026-04-01
245 MS_DRG Aicd Generator Procedures 6 6 — — $45,802.01 $45,802.01 $45,802.01 2026-04-01
737 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 15 8 — — $21,245.50 $59,484.00 $45,802.00 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 6 6 — — $45,667.54 $45,667.54 $45,667.54 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 6 6 — — $45,473.19 $45,473.19 $45,473.19 2026-04-01
49656 HCPCS Lap Inc Hernia Repair Recur 1 1 — — $45,468.00 $45,468.00 $45,468.00 2026-04-01
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/Mcc 15 8 — — $22,979.91 $58,640.00 $45,154.00 2026-04-01
165 MS_DRG Major Chest Procedures Without Cc/Mcc 15 8 — — $19,808.51 $58,575.00 $45,102.00 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 15 8 — — $30,631.12 $63,060.00 $44,910.00 2026-04-01
585 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/Mcc 15 8 — — $19,954.76 $57,941.00 $44,615.00 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
23615 HCPCS Treat Humerus Fracture 5 4 — — $16,933.74 $50,020.00 $44,143.00 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 6 6 — — $44,137.29 $44,137.29 $44,137.29 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 6 6 — — $43,495.36 $43,495.36 $43,495.36 2026-04-01
58544 HCPCS Lsh W/t/o Uterus Above 250 G 7 5 — — $14,020.35 $47,497.00 $43,313.00 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 8 6 — — $43,156.72 $125,562.00 $43,156.72 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 6 6 — — $42,885.81 $42,885.81 $42,885.81 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 6 6 — — $42,401.91 $42,401.91 $42,401.91 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 6 6 — — $42,381.29 $42,381.29 $42,381.29 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 6 6 — — $42,260.56 $42,260.56 $42,260.56 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 6 6 — — $42,211.49 $42,211.49 $42,211.49 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 6 6 — — $41,946.47 $41,946.47 $41,946.47 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 6 6 — — $41,783.53 $41,783.53 $41,783.53 2026-04-01
504 MS_DRG Foot Procedures With Cc 15 8 — — $19,366.81 $58,627.00 $41,715.00 2026-04-01
503 MS_DRG Foot Procedures With Mcc 15 8 — — $28,415.75 $58,627.00 $41,715.00 2026-04-01
0408T HCPCS Insj/rplc Cardiac Modulj Sys 1 1 — — $41,400.73 $41,400.73 $41,400.73 2026-04-01
0571T HCPCS Insj/rplcmt Icds Ss Eltrd 1 1 — — $41,400.73 $41,400.73 $41,400.73 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 1 1 — — $41,400.73 $41,400.73 $41,400.73 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 1 1 — — $41,400.73 $41,400.73 $41,400.73 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 1 1 — — $41,400.73 $41,400.73 $41,400.73 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 1 1 — — $41,400.73 $41,400.73 $41,400.73 2026-04-01
0915T HCPCS Insj Perm Ccm-d Sys Pg&eltrd 1 1 — — $41,400.73 $41,400.73 $41,400.73 2026-04-01
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/Mcc 16 9 — — $17,028.75 $66,283.00 $41,306.00 2026-04-01
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 15 8 — — $17,980.86 $61,990.00 $41,302.00 2026-04-01
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/Mcc 15 8 — — $22,806.17 $53,139.00 $40,917.00 2026-04-01
791 MS_DRG Prematurity With Major Problems 6 6 — — $40,860.87 $40,860.87 $40,860.87 2026-04-01
581 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/Mcc 15 8 — — $15,184.41 $52,907.00 $40,739.00 2026-04-01
499 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Without… 15 8 — — $20,795.95 $55,246.00 $40,556.00 2026-04-01
740 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Cc 15 8 — — $18,781.80 $52,347.00 $40,308.00 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 6 6 — — $40,125.68 $40,125.68 $40,125.68 2026-04-01
507 MS_DRG Major Shoulder Or Elbow Joint Procedures With Cc/Mcc 15 8 — — $18,750.39 $56,211.00 $39,795.00 2026-04-01
508 MS_DRG Major Shoulder Or Elbow Joint Procedures Without Cc/Mcc 15 8 — — $15,884.26 $56,211.00 $39,795.00 2026-04-01
27427 HCPCS Reconstruction Knee 7 5 — — $9,570.67 $42,642.00 $39,330.00 2026-04-01
583 MS_DRG Mastectomy For Malignancy Without Cc/Mcc 15 8 — — $17,945.52 $51,056.00 $39,312.00 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 6 6 — — $39,243.27 $39,243.27 $39,243.27 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 6 6 — — $39,012.60 $39,012.60 $39,012.60 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 6 6 — — $38,955.67 $38,955.67 $38,955.67 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 1 1 — — $38,739.82 $38,739.82 $38,739.82 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 6 6 — — $38,704.39 $38,704.39 $38,704.39 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 15 8 — — $29,814.00 $50,217.00 $38,668.00 2026-04-01
506 MS_DRG Major Thumb Or Joint Procedures 15 8 — — $14,262.73 $52,740.00 $38,613.00 2026-04-01
29916 HCPCS Hip Arthro W/labral Repair 5 4 — — $9,570.67 $44,666.00 $38,488.00 2026-04-01
58573 HCPCS Tlh W/t/o Uterus Over 250 G 7 5 — — $14,020.35 $43,799.00 $38,234.00 2026-04-01
398 MS_DRG Appendix Procedures With Cc 17 8 — — $15,876.40 $53,792.00 $38,198.00 2026-04-01
287 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization Without Mcc 15 8 — — $11,523.21 $53,792.00 $38,198.00 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 6 6 — — $37,955.47 $37,955.47 $37,955.47 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 8 6 — — $37,794.49 $99,179.00 $37,794.49 2026-04-01
5362 OTHER Level 2 Laparoscopy And Related Services 4 3 — — $2,790.14 $49,972.41 $37,777.00 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 6 6 — — $37,707.14 $37,707.14 $37,707.14 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 8 6 — — $37,600.15 $105,658.00 $37,600.15 2026-04-01
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 18 8 — — $19,985.76 $98,118.00 $37,527.62 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 6 6 — — $37,394.02 $37,394.02 $37,394.02 2026-04-01
658 MS_DRG Kidney And Ureter Procedures For Neoplasm Without Cc/Mcc 15 8 — — $16,251.36 $48,389.00 $37,258.00 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 6 6 — — $37,073.05 $37,073.05 $37,073.05 2026-04-01
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 15 8 — — $21,430.03 $48,119.00 $37,052.00 2026-04-01
716 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy Without Cc/Mcc 15 8 — — $15,458.26 $48,110.00 $37,046.00 2026-04-01
57425 HCPCS Laparoscopy Surg Colpopexy 7 5 — — $14,020.35 $40,554.00 $36,982.00 2026-04-01
39 MS_DRG Extracranial Procedures Without Cc/Mcc 15 8 — — $12,557.77 $50,104.00 $36,890.00 2026-04-01
999 MS_DRG Ungroupable 1 1 — — $36,654.00 $36,654.00 $36,654.00 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 6 6 — — $36,635.28 $36,635.28 $36,635.28 2026-04-01
332 MS_DRG Rectal Resection With Mcc 6 6 — — $36,558.72 $36,558.72 $36,558.72 2026-04-01
265 MS_DRG Aicd Lead Procedures 6 6 — — $36,534.18 $36,534.18 $36,534.18 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 8 6 — — $36,471.36 $175,280.00 $36,471.36 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 6 6 — — $36,418.36 $36,418.36 $36,418.36 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 6 6 — — $36,186.71 $36,186.71 $36,186.71 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 6 6 — — $36,105.24 $36,105.24 $36,105.24 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 8 6 — — $36,017.88 $115,605.00 $36,017.88 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 8 6 — — $35,988.44 $104,189.00 $35,988.44 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 8 6 — — $35,955.06 $103,806.00 $35,955.06 2026-04-01
578 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis Without Cc/Mcc 15 8 — — $16,787.29 $46,278.00 $35,634.00 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 8 6 — — $35,564.40 $112,063.00 $35,564.40 2026-04-01
501 MS_DRG Soft Tissue Procedures With Cc 15 8 — — $18,178.15 $46,153.00 $35,537.00 2026-04-01
27814 HCPCS Treatment Of Ankle Fracture 7 5 — — $9,570.67 $39,838.00 $35,420.00 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 6 6 — — $35,250.31 $35,250.31 $35,250.31 2026-04-01
505 MS_DRG Foot Procedures Without Cc/Mcc 15 8 — — $18,616.90 $47,617.00 $35,127.00 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 6 6 — — $35,093.26 $35,093.26 $35,093.26 2026-04-01
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 16 9 — — $19,377.61 $51,306.00 $34,981.00 2026-04-01
63042 HCPCS Laminotomy Single Lumbar 7 5 — — $9,570.67 $38,359.00 $34,980.00 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 8 6 — — $34,928.36 $87,685.00 $34,928.36 2026-04-01
660 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Cc 19 9 — — $13,992.80 $37,638.00 $34,916.00 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 6 6 — — $34,671.19 $34,671.19 $34,671.19 2026-04-01
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 15 8 — — $21,417.27 $44,926.00 $34,592.00 2026-04-01
334 MS_DRG Rectal Resection Without Cc/Mcc 15 8 — — $17,096.48 $44,757.00 $34,465.00 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 6 6 — — $34,462.12 $34,462.12 $34,462.12 2026-04-01
59151 HCPCS Treat Ectopic Pregnancy 7 5 — — $7,973.82 $36,108.00 $34,392.00 2026-04-01
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/Mcc 15 8 — — $17,538.17 $44,651.00 $34,380.00 2026-04-01
744 MS_DRG D&c, Conization, Laparoscopy And Tubal Interruption With Cc/Mcc 15 8 — — $21,132.62 $44,518.00 $34,280.00 2026-04-01
27524 HCPCS Treat Kneecap Fracture 7 5 — — $9,570.67 $37,541.00 $34,234.00 2026-04-01
58571 HCPCS Tlh W/t/o 250 G Or Less 7 5 — — $14,020.35 $39,760.00 $34,173.00 2026-04-01
63 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 13 8 — — $14,798.66 $44,254.00 $34,075.00 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 8 6 — — $33,809.39 $93,430.00 $33,809.39 2026-04-01
520 MS_DRG Back And Neck Procedures Except Spinal Fusion Without Cc/Mcc 15 8 — — $15,683.04 $47,544.00 $33,725.00 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 16 8 — — $25,431.54 $53,391.00 $33,449.50 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 6 6 — — $33,443.27 $33,443.27 $33,443.27 2026-04-01
497 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 15 8 — — $12,879.72 $46,941.00 $33,402.00 2026-04-01
23515 HCPCS Treat Clavicle Fracture 5 4 — — $9,570.67 $37,770.00 $33,332.00 2026-04-01
708 MS_DRG Major Male Pelvic Procedures Without Cc/Mcc 15 8 — — $16,078.60 $45,228.00 $33,209.00 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 6 6 — — $32,771.89 $32,771.89 $32,771.89 2026-04-01
652 MS_DRG Kidney Transplant 6 6 — — $32,718.88 $32,718.88 $32,718.88 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 8 6 — — $32,695.32 $97,910.00 $32,695.32 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 6 6 — — $32,633.49 $32,633.49 $32,633.49 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 6 6 — — $32,531.40 $32,531.40 $32,531.40 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 8 6 — — $32,300.74 $90,186.00 $32,300.74 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 8 6 — — $32,270.31 $151,217.00 $32,270.31 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 6 6 — — $32,083.82 $32,083.82 $32,083.82 2026-04-01
27380 HCPCS Repair Of Kneecap Tendon 7 5 — — $9,570.67 $36,056.00 $32,056.00 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 6 6 — — $32,036.70 $32,036.70 $32,036.70 2026-04-01
27829 HCPCS Treat Lower Leg Joint 7 5 — — $9,570.67 $36,030.00 $32,034.00 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 6 6 — — $31,948.36 $31,948.36 $31,948.36 2026-04-01
665 MS_DRG Prostatectomy With Mcc 6 6 — — $31,655.86 $31,655.86 $31,655.86 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 8 6 — — $31,592.06 $79,252.00 $31,592.06 2026-04-01
735 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy Without Cc/Mcc 15 8 — — $14,226.41 $40,802.00 $31,419.00 2026-04-01
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