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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

NORTHBAY MEDICAL CENTER

Fairfield, CA · CCN 050367 · Rates published

11,599 distinct procedures filed
18 distinct payers
61,114 rate rows
2026-04-01 last MRF observed
Data quality

34,101 of 61,114 rate rows are consumer-grade (55.8%)

27,013 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 27,013
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.northbay.org/upload/941458282_northbay-medical-center_standardcharges.csv
Found on page https://www.northbay.org/patients-visitors/price-transparency.html
Discovered viaCMS hospital list
Last fetch not_modified · 2026-09-11
Content fingerprint 12c6d45ff690f7a8… · 22,010,486 bytes · first seen 2026-05-08

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 14 $61,183.54 $113,362.79 $467,937.41 nat. median
$69,822
outlier · 6.7×
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 14 $239,082.67 $498,591.22 $461,518.57 nat. median
$168,055
outlier · 2.7×
236
MS_DRG 		Coronary Bypass Without Cardiac Catheterization Without Mcc 14 $26,068.81 $48,842.79 $443,345.42 nat. median
$30,358
outlier · 14.6×
326
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Mcc 14 $32,198.96 $58,053.67 $435,048.44 nat. median
$35,986
outlier · 12.1×
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 14 $37,303.29 $68,217.24 $427,436.02 nat. median
$43,023
outlier · 9.9×
520
MS_DRG 		Back And Neck Procedures Except Spinal Fusion Without Cc/Mcc 14 $9,085.85 $17,760.39 $420,707.89 nat. median
$11,147
outlier · 37.7×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 14 $135,867.47 $245,336.97 $401,367.52 nat. median
$145,435
outlier · 2.8×
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 14 $47,319.86 $88,416.36 $389,899.49 nat. median
$52,327
outlier · 7.5×
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 14 $41,005.22 $74,746.52 $387,107.53 nat. median
$47,121
outlier · 8.2×
428
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 $34,902.97 $65,373.01 $378,027.72 nat. median
$10,799
outlier · 35.0×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 14 $49,052.58 $89,089.94 $362,268.64 nat. median
$55,923
outlier · 6.5×
270
MS_DRG 		Other Major Cardiovascular Procedures With Mcc 14 $32,541.95 $61,385.78 $352,920.82 nat. median
$37,725
outlier · 9.4×
36
MS_DRG 		Carotid Artery Stent Procedures Without Cc/Mcc 14 $11,621.22 $22,937.91 $312,266.17 nat. median
$13,664
outlier · 22.9×
956
MS_DRG 		Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 14 $24,232.75 $43,931.70 $310,677.43 nat. median
$27,340
outlier · 11.4×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 14 $178,574.98 $323,751.72 $303,012.19 nat. median
$186,516
1.6× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 2 $355.95 $591,726.20 $296,041.08 nat. median
$621,313
outlier · 0.5×
405
MS_DRG 		Pancreas, Liver And Shunt Procedures With Mcc 14 $34,416.06 $63,625.64 $284,625.99 nat. median
$38,859
outlier · 7.3×
25
MS_DRG 		Craniotomy And Endovascular Intracranial Procedures With Mcc 14 $28,352.48 $52,970.73 $273,313.86 nat. median
$32,531
outlier · 8.4×
760
MS_DRG 		Menstrual And Other Female Reproductive System Disorders With Cc/Mcc 14 $6,248.07 $12,150.36 $271,950.89 nat. median
$7,154
outlier · 38.0×
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 14 $31,709.51 $57,490.82 $271,653.57 nat. median
$34,733
outlier · 7.8×
448
MS_DRG 		Multiple Level Spinal Fusion Except Cervical Without Mcc 14 $25,887.49 $49,442.55 $257,501.78 nat. median
$29,826
outlier · 8.6×
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 14 $42,504.63 $77,594.21 $257,278.92 nat. median
$2,958
outlier · 87.0×
274
MS_DRG 		Percutaneous And Other Intracardiac Procedures Without Mcc 14 $19,785.87 $38,495.83 $256,134.40 nat. median
$23,706
outlier · 10.8×
487
MS_DRG 		Knee Procedures With Principal Diagnosis Of Infection Without Cc/Mcc 14 $10,017.83 $18,594.28 $245,692.48 nat. median
$11,379
outlier · 21.6×
674
MS_DRG 		Other Kidney And Urinary Tract Procedures With Cc 14 $14,634.62 $27,502.98 $245,241.81 nat. median
$16,612
outlier · 14.8×
817
MS_DRG 		Other Antepartum Diagnoses With O.r. Procedures With Mcc 14 $16,072.53 $26,845.56 $241,440.76 nat. median
$15,634
outlier · 15.4×
432
MS_DRG 		Cirrhosis And Alcoholic Hepatitis With Mcc 14 $12,420.69 $23,230.87 $233,646.20 nat. median
$14,126
outlier · 16.5×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 14 $150,402.55 $246,782.16 $233,013.64 nat. median
$131,925
1.8× median
511
MS_DRG 		Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 14 $12,435.28 $24,513.42 $232,063.09 nat. median
$14,865
outlier · 15.6×
516
MS_DRG 		Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 14 $12,753.54 $24,498.43 $224,547.95 nat. median
$15,130
outlier · 14.8×
974
MS_DRG 		HIV With Major Related Condition With Mcc 14 $18,931.24 $33,816.58 $222,756.42 nat. median
$20,400
outlier · 10.9×
981
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 14 $30,142.26 $54,644.28 $213,917.40 nat. median
$33,546
outlier · 6.4×
451
MS_DRG 		Single Level Spinal Fusion Except Cervical Without Mcc 14 $19,563.97 $37,788.81 $209,420.11 nat. median
$21,019
outlier · 10.0×
27
MS_DRG 		Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 14 $15,644.58 $29,628.66 $207,402.18 nat. median
$18,139
outlier · 11.4×
321
MS_DRG 		Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 14 $18,048.08 $31,911.19 $194,347.02 nat. median
$20,638
outlier · 9.4×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 14 $49,552.17 $88,708.17 $184,577.36 nat. median
$55,935
outlier · 3.3×
581
MS_DRG 		Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/Mcc 14 $9,123.89 $17,174.48 $182,104.04 nat. median
$10,677
outlier · 17.1×
856
MS_DRG 		Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 14 $28,601.64 $52,993.80 $179,050.73 nat. median
$31,991
outlier · 5.6×
576
MS_DRG 		Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 14 $34,203.67 $57,059.46 $178,883.06 nat. median
$33,583
outlier · 5.3×
791
MS_DRG 		Prematurity With Major Problems 14 $25,741.03 $47,345.71 $178,615.38 nat. median
$27,149
outlier · 6.6×
493
MS_DRG 		Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 14 $15,222.34 $29,780.90 $175,346.31 nat. median
$18,426
outlier · 9.5×
744
MS_DRG 		D&c, Conization, Laparoscopy And Tubal Interruption With Cc/Mcc 14 $12,387.73 $24,163.95 $173,433.18 nat. median
$14,151
outlier · 12.3×
660
MS_DRG 		Kidney And Ureter Procedures For Non-neoplasm With Cc 14 $8,494.97 $15,774.27 $172,469.39 nat. median
$10,035
outlier · 17.2×
330
MS_DRG 		Major Small And Large Bowel Procedures With Cc 14 $14,985.86 $28,178.86 $170,865.18 nat. median
$17,741
outlier · 9.6×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 14 $44,104.21 $80,249.29 $160,721.67 nat. median
$48,611
outlier · 3.3×
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 14 $37,691.30 $69,081.12 $155,300.00 nat. median
$40,584
outlier · 3.8×
818
MS_DRG 		Other Antepartum Diagnoses With O.r. Procedures With Cc 14 $8,165.92 $13,900.03 $153,699.72 nat. median
$8,727
outlier · 17.6×
742
MS_DRG 		Uterine And Adnexa Procedures For Non-malignancy With Cc/Mcc 14 $11,580.64 $21,692.26 $152,781.40 nat. median
$13,597
outlier · 11.2×
220
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 14 $33,578.54 $62,037.44 $151,890.68 nat. median
$38,832
outlier · 3.9×
26
MS_DRG 		Craniotomy And Endovascular Intracranial Procedures With Cc 14 $19,390.26 $36,390.92 $146,978.61 nat. median
$22,161
outlier · 6.6×

Other procedures at this hospital

Browse this hospital's 11,599 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
             
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 25 14 — — $61,183.54 $113,362.79 $467,937.41 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 25 14 — — $239,082.67 $498,591.22 $461,518.57 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 25 14 — — $26,068.81 $48,842.79 $443,345.42 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 25 14 — — $32,198.96 $58,053.67 $435,048.44 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 25 14 — — $37,303.29 $68,217.24 $427,436.02 2026-04-01
520 MS_DRG Back And Neck Procedures Except Spinal Fusion Without Cc/Mcc 25 14 — — $9,085.85 $17,760.39 $420,707.89 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 25 14 — — $135,867.47 $245,336.97 $401,367.52 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 25 14 — — $47,319.86 $88,416.36 $389,899.49 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 25 14 — — $41,005.22 $74,746.52 $387,107.53 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 25 14 — — $34,902.97 $65,373.01 $378,027.72 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 25 14 — — $49,052.58 $89,089.94 $362,268.64 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 25 14 — — $32,541.95 $61,385.78 $352,920.82 2026-04-01
36 MS_DRG Carotid Artery Stent Procedures Without Cc/Mcc 25 14 — — $11,621.22 $22,937.91 $312,266.17 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 25 14 — — $24,232.75 $43,931.70 $310,677.43 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 25 14 — — $178,574.98 $323,751.72 $303,012.19 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 2 2 — — $355.95 $591,726.20 $296,041.08 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 25 14 — — $34,416.06 $63,625.64 $284,625.99 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 25 14 — — $28,352.48 $52,970.73 $273,313.86 2026-04-01
760 MS_DRG Menstrual And Other Female Reproductive System Disorders With Cc/Mcc 25 14 — — $6,248.07 $12,150.36 $271,950.89 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 25 14 — — $31,709.51 $57,490.82 $271,653.57 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 25 14 — — $25,887.49 $49,442.55 $257,501.78 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 25 14 — — $42,504.63 $77,594.21 $257,278.92 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 25 14 — — $19,785.87 $38,495.83 $256,134.40 2026-04-01
487 MS_DRG Knee Procedures With Principal Diagnosis Of Infection Without Cc/Mcc 25 14 — — $10,017.83 $18,594.28 $245,692.48 2026-04-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 25 14 — — $14,634.62 $27,502.98 $245,241.81 2026-04-01
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 25 14 — — $16,072.53 $26,845.56 $241,440.76 2026-04-01
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 25 14 — — $12,420.69 $23,230.87 $233,646.20 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 25 14 — — $150,402.55 $246,782.16 $233,013.64 2026-04-01
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 25 14 — — $12,435.28 $24,513.42 $232,063.09 2026-04-01
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 25 14 — — $12,753.54 $24,498.43 $224,547.95 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 25 14 — — $18,931.24 $33,816.58 $222,756.42 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 25 14 — — $30,142.26 $54,644.28 $213,917.40 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 25 14 — — $19,563.97 $37,788.81 $209,420.11 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 25 14 — — $15,644.58 $29,628.66 $207,402.18 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 25 14 — — $18,048.08 $31,911.19 $194,347.02 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 25 14 — — $49,552.17 $88,708.17 $184,577.36 2026-04-01
581 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/Mcc 25 14 — — $9,123.89 $17,174.48 $182,104.04 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 25 14 — — $28,601.64 $52,993.80 $179,050.73 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 25 14 — — $34,203.67 $57,059.46 $178,883.06 2026-04-01
791 MS_DRG Prematurity With Major Problems 25 14 — — $25,741.03 $47,345.71 $178,615.38 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 25 14 — — $15,222.34 $29,780.90 $175,346.31 2026-04-01
744 MS_DRG D&c, Conization, Laparoscopy And Tubal Interruption With Cc/Mcc 25 14 — — $12,387.73 $24,163.95 $173,433.18 2026-04-01
660 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Cc 25 14 — — $8,494.97 $15,774.27 $172,469.39 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 25 14 — — $14,985.86 $28,178.86 $170,865.18 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 25 14 — — $44,104.21 $80,249.29 $160,721.67 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 25 14 — — $37,691.30 $69,081.12 $155,300.00 2026-04-01
818 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Cc 25 14 — — $8,165.92 $13,900.03 $153,699.72 2026-04-01
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/Mcc 25 14 — — $11,580.64 $21,692.26 $152,781.40 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 25 14 — — $33,578.54 $62,037.44 $151,890.68 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 25 14 — — $19,390.26 $36,390.92 $146,978.61 2026-04-01
348 MS_DRG Anal And Stomal Procedures With Cc 25 14 — — $7,980.79 $15,625.49 $143,816.69 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 25 14 — — $21,713.87 $41,205.12 $143,507.91 2026-04-01
7 MS_DRG Lung Transplant 25 14 — — $82,850.49 $149,894.90 $140,317.13 2026-04-01
5094 OTHER Level 4 Breast/Lymphatic Surgery And Related Procedures 23 15 — — — — $139,012.83 2026-04-01
374 MS_DRG Digestive Malignancy With Mcc 25 14 — — $13,386.91 $25,197.38 $138,800.20 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 25 14 — — $17,223.24 $32,061.13 $136,012.57 2026-04-01
908 MS_DRG Other O.r. Procedures For Injuries With Cc 25 14 — — $12,787.78 $23,542.28 $135,736.64 2026-04-01
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/Mcc 25 14 — — $11,954.07 $23,672.61 $135,259.81 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 25 14 — — $66,453.34 $127,646.23 $134,021.66 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 25 14 — — $29,111.38 $53,545.12 $132,581.99 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 25 14 — — $83,059.71 $139,141.95 $131,130.20 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 24 14 — — $131,078.68 $131,078.68 $131,078.68 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 25 14 — — $26,054.23 $49,132.29 $130,859.20 2026-04-01
245 MS_DRG Aicd Generator Procedures 25 14 — — $30,980.41 $53,151.81 $127,970.06 2026-04-01
792 MS_DRG Prematurity Without Major Problems 25 14 — — $15,531.73 $28,778.62 $124,898.03 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 25 14 — — $29,220.43 $52,222.19 $124,172.90 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 25 14 — — $69,864.90 $131,228.62 $122,462.37 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 25 14 — — $69,062.25 $125,949.61 $117,822.84 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 25 14 — — $44,801.61 $82,770.57 $116,316.16 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 25 14 — — $89,578.49 $160,289.15 $116,288.00 2026-04-01
770 MS_DRG Abortion With D&c, Aspiration Curettage Or Hysterotomy 25 14 — — $6,821.21 $12,095.00 $114,991.89 2026-04-01
5092 OTHER Level 2 Breast/Lymphatic Surgery And Related Procedures 23 15 — — — — $113,713.71 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 25 14 — — $67,512.12 $119,449.17 $112,029.59 2026-04-01
728 MS_DRG Inflammation Of The Male Reproductive System Without Mcc 25 14 — — $5,180.41 $9,886.28 $111,685.82 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 25 14 — — $25,255.39 $44,811.73 $107,780.15 2026-04-01
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 25 14 — — $12,610.89 $23,724.51 $102,976.62 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 25 14 — — $21,837.50 $41,547.67 $102,405.29 2026-04-01
5416 OTHER Level 6 Gynecologic Procedures 23 15 — — — — $100,816.66 2026-04-01
187 MS_DRG Pleural Effusion With Cc 25 14 — — $6,364.73 $11,938.14 $100,605.79 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 25 14 — — $36,167.80 $66,622.12 $99,912.64 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 25 14 — — $18,366.98 $34,509.76 $98,799.54 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 25 14 — — $53,690.92 $97,453.08 $97,485.29 2026-04-01
7046 OTHER Doxorubicin Inj 10mg 23 15 — — — — $96,079.22 2026-04-01
287 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization Without Mcc 25 14 — — $6,908.06 $12,872.37 $95,413.70 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 25 14 — — $36,385.26 $69,307.19 $95,330.57 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 25 14 — — $58,399.64 $100,406.89 $94,405.85 2026-04-01
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 25 14 — — $8,146.27 $15,158.37 $93,812.38 2026-04-01
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 25 14 — — $10,514.89 $20,040.62 $93,699.82 2026-04-01
5362 OTHER Level 2 Laparoscopy And Related Services 23 15 — — — — $92,120.68 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 25 14 — — $53,721.36 $97,758.73 $91,467.68 2026-04-01
920 MS_DRG Complications Of Treatment With Cc 25 14 — — $6,440.17 $12,090.38 $91,412.46 2026-04-01
815 MS_DRG Reticuloendothelial And Immunity Disorders With Cc 25 14 — — $6,442.07 $12,225.33 $90,496.55 2026-04-01
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 25 14 — — $12,250.15 $22,101.71 $88,978.95 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 25 14 — — $16,410.46 $30,144.22 $86,656.30 2026-04-01
215 MS_DRG Other Heart Assist System Implant 25 14 — — $67,167.23 $115,371.97 $85,730.32 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 25 14 — — $51,103.57 $91,287.12 $85,546.61 2026-04-01
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 25 14 — — $11,469.69 $20,864.13 $85,363.03 2026-04-01
5361 OTHER Level 1 Laparoscopy And Related Services 23 15 — — — — $84,501.15 2026-04-01
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 25 14 — — $11,240.19 $20,460.45 $84,060.10 2026-04-01
543 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 25 14 — — $6,725.47 $12,386.80 $83,637.48 2026-04-01
299 MS_DRG Peripheral Vascular Disorders With Mcc 25 14 — — $10,256.22 $19,361.28 $82,221.94 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 25 14 — — $45,005.76 $83,787.85 $81,983.70 2026-04-01
10 MS_DRG Pancreas Transplant 25 14 — — $50,546.28 $83,293.05 $78,614.94 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 25 14 — — $50,255.28 $82,819.02 $78,167.06 2026-04-01
0763 OTHER Inj, Bupivacaine Liposome 23 15 — — — — $77,751.17 2026-04-01
445 MS_DRG Disorders Of The Biliary Tract With Cc 25 14 — — $6,875.10 $13,152.64 $77,448.09 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 25 14 — — $42,341.69 $83,258.45 $77,413.20 2026-04-01
896 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 25 14 — — $11,290.27 $20,657.68 $77,395.10 2026-04-01
5213 OTHER Level 3 Electrophysiologic Procedures 23 15 — — — — $75,986.15 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 25 14 — — $42,270.05 $79,858.29 $74,488.54 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 25 14 — — $40,093.53 $71,131.83 $73,926.11 2026-04-01
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 25 14 — — $13,154.87 $24,687.58 $73,405.58 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 25 14 — — $43,288.89 $78,165.13 $73,182.81 2026-04-01
5342 OTHER Level 2 Abdominal/Peritoneal/Biliary And Related Procedures 23 15 — — — — $72,609.43 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 25 14 — — $39,269.96 $69,808.91 $72,472.79 2026-04-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 25 14 — — $14,032.32 $26,052.03 $72,364.61 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 25 14 — — $39,219.24 $77,650.73 $72,160.52 2026-04-01
5091 OTHER Level 1 Breast/Lymphatic Surgery And Related Procedures 23 15 — — — — $72,118.05 2026-04-01
535 MS_DRG Fractures Of Hip And Pelvis With Mcc 25 14 — — $8,431.57 $15,316.38 $71,912.00 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 25 14 — — $40,939.92 $76,368.17 $71,306.99 2026-04-01
5155 OTHER Level 5 Airway Endoscopy 23 15 — — — — $71,266.65 2026-04-01
787 MS_DRG Cesarean Section Without Sterilization With Cc 25 14 — — $6,731.81 $13,411.00 $71,248.88 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 25 14 — — $37,717.29 $76,368.17 $70,846.62 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 25 14 — — $39,040.45 $76,092.51 $70,799.36 2026-04-01
65 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours 25 14 — — $6,447.78 $12,182.65 $70,646.64 2026-04-01
863 MS_DRG Postoperative And Post-traumatic Infections Without Mcc 25 14 — — $6,339.37 $12,039.63 $70,539.50 2026-04-01
5116 OTHER Level 6 Musculoskeletal Procedures 23 15 — — — — $69,192.39 2026-04-01
5415 OTHER Level 5 Gynecologic Procedures 23 15 — — — — $68,572.78 2026-04-01
5115 OTHER Level 5 Musculoskeletal Procedures 23 15 — — — — $68,007.72 2026-04-01
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 25 14 — — $12,668.59 $23,575.73 $67,991.97 2026-04-01
571 MS_DRG Skin Debridement With Cc 25 14 — — $10,618.23 $20,016.40 $67,366.66 2026-04-01
437 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas Without Cc/Mcc 25 14 — — $4,977.53 $10,371.85 $67,358.25 2026-04-01
314 MS_DRG Other Circulatory System Diagnoses With Mcc 25 14 — — $13,652.56 $24,580.32 $67,303.33 2026-04-01
92 MS_DRG Other Disorders Of Nervous System With Cc 25 14 — — $6,712.79 $12,329.13 $66,931.62 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 25 14 — — $34,680.43 $67,046.56 $66,626.12 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 25 14 — — $37,979.14 $71,213.72 $66,465.92 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 24 14 — — $66,352.23 $66,352.23 $66,352.23 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 25 14 — — $38,726.62 $70,454.80 $65,922.20 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 25 14 — — $38,541.49 $69,828.51 $65,358.94 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 25 14 — — $52,875.60 $104,444.86 $64,952.43 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 25 14 — — $35,040.55 $63,849.40 $64,666.08 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 25 14 — — $38,265.07 $68,921.96 $64,542.40 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 25 14 — — $18,119.72 $35,367.87 $64,317.33 2026-04-01
196 MS_DRG Interstitial Lung Disease With Mcc 25 14 — — $11,945.83 $22,296.63 $64,117.87 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 25 14 — — $36,910.85 $68,173.42 $63,707.34 2026-04-01
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 25 14 — — $12,440.98 $22,934.45 $63,094.80 2026-04-01
5194 OTHER Level 4 Endovascular Procedures 23 15 — — — — $62,615.44 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 25 14 — — $18,694.12 $36,454.35 $62,501.72 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 25 14 — — $33,728.17 $63,535.68 $62,226.07 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 25 14 — — $34,240.44 $66,266.88 $61,691.67 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 25 14 — — $34,494.67 $65,172.32 $60,789.80 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 25 14 — — $38,906.68 $64,231.17 $60,613.39 2026-04-01
5232 OTHER Level 2 Icd And Similar Procedures 23 15 — — — — $60,490.28 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 25 14 — — $32,649.10 $62,000.53 $60,248.68 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 25 14 — — $31,718.39 $64,729.43 $60,013.57 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 25 14 — — $38,265.07 $63,185.05 $59,625.05 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 25 14 — — $30,793.38 $56,223.26 $59,537.62 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 25 14 — — $34,208.10 $63,436.49 $59,261.01 2026-04-01
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 25 14 — — $6,536.54 $12,332.59 $59,210.46 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 25 14 — — $35,043.08 $61,587.62 $57,795.54 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 25 14 — — $22,975.53 $41,716.06 $57,600.00 2026-04-01
743 MS_DRG Uterine And Adnexa Procedures For Non-malignancy Without Cc/Mcc 25 14 — — $7,599.12 $14,840.04 $57,338.33 2026-04-01
831 MS_DRG Other Antepartum Diagnoses Without O.r. Procedures With Mcc 25 14 — — $7,296.71 $14,399.45 $57,305.53 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 25 14 — — $17,017.19 $32,232.99 $57,236.50 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 25 14 — — $35,340.43 $60,464.23 $56,875.12 2026-04-01
5374 OTHER Level 4 Urology And Related Services 23 15 — — — — $56,663.48 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 25 14 — — $32,297.86 $60,568.04 $56,529.44 2026-04-01
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 25 14 — — $8,933.69 $16,372.88 $56,476.47 2026-04-01
811 MS_DRG Red Blood Cell Disorders With Mcc 25 14 — — $8,919.11 $16,726.97 $56,362.11 2026-04-01
682 MS_DRG Renal Failure With Mcc 25 14 — — $9,522.68 $17,611.61 $55,872.84 2026-04-01
788 MS_DRG Cesarean Section Without Sterilization Without Cc/Mcc 25 14 — — $5,737.70 $11,588.66 $55,292.57 2026-04-01
70 MS_DRG Other Cerebrovascular Disorders With Mcc 25 14 — — $11,023.36 $19,731.52 $55,099.83 2026-04-01
5375 OTHER Level 5 Urology And Related Services 23 15 — — — — $55,082.70 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 25 14 — — $29,825.90 $55,440.12 $54,821.21 2026-04-01
446 MS_DRG Disorders Of The Biliary Tract Without Cc/Mcc 25 14 — — $5,054.25 $10,071.97 $54,576.07 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 25 14 — — $29,115.18 $58,662.66 $54,441.59 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 25 14 — — $31,591.59 $57,592.32 $53,877.93 2026-04-01
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 25 14 — — $10,407.11 $19,031.42 $53,440.12 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 25 14 — — $31,743.11 $55,941.84 $53,150.81 2026-04-01
436 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Cc 25 14 — — $7,148.98 $13,575.93 $51,747.41 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 25 14 — — $26,564.60 $48,990.42 $51,341.50 2026-04-01
199 MS_DRG Pneumothorax With Mcc 25 14 — — $11,191.37 $20,876.82 $51,205.73 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 25 14 — — $29,208.38 $54,755.01 $51,105.49 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 25 14 — — $30,274.77 $54,482.81 $51,024.52 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 25 14 — — $22,318.70 $42,348.12 $50,998.18 2026-04-01
488 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection With Cc/Mcc 25 14 — — $12,460.00 $20,932.18 $50,978.27 2026-04-01
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 25 14 — — $11,526.75 $21,613.83 $50,851.65 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 25 14 — — $30,742.03 $54,012.23 $50,687.92 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 25 14 — — $29,494.95 $53,798.86 $50,326.87 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 25 14 — — $29,666.13 $53,410.17 $50,018.16 2026-04-01
5191 OTHER Level 1 Endovascular Procedures 23 15 — — — — $49,981.15 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 25 14 — — $27,003.33 $50,441.37 $49,894.39 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 25 14 — — $22,721.29 $43,635.29 $49,586.40 2026-04-01
5372 OTHER Level 2 Urology And Related Services 23 15 — — — — $49,553.55 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 25 14 — — $30,143.53 $52,765.43 $49,533.73 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 25 14 — — $16,185.39 $30,467.16 $49,094.48 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 25 14 — — $27,848.45 $52,004.20 $48,553.38 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 25 14 — — $26,566.50 $52,207.20 $48,544.24 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 25 14 — — $21,280.21 $39,878.73 $48,501.80 2026-04-01
5341 OTHER Level 1 Abdominal/Peritoneal/Biliary And Related Procedures 23 15 — — — — $48,294.65 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 25 14 — — $20,314.63 $42,125.51 $48,071.26 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 25 14 — — $27,042.64 $51,195.68 $47,745.25 2026-04-01
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Mcc 25 14 — — $11,567.33 $21,714.17 $47,564.06 2026-04-01
62 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 25 14 — — $11,290.27 $20,797.24 $47,370.29 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 25 14 — — $26,376.94 $49,239.55 $47,161.16 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 25 14 — — $28,431.10 $50,043.46 $46,955.98 2026-04-01
281 MS_DRG Acute Myocardial Infarction, Discharged Alive With Cc 25 14 — — $5,844.21 $11,130.77 $46,718.30 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 25 14 — — $26,811.86 $49,725.13 $46,451.81 2026-04-01
433 MS_DRG Cirrhosis And Alcoholic Hepatitis With Cc 25 14 — — $6,781.90 $12,712.05 $46,319.24 2026-04-01
5414 OTHER Level 4 Gynecologic Procedures 23 15 — — — — $46,310.62 2026-04-01
758 MS_DRG Infections, Female Reproductive System With Cc 25 14 — — $6,462.36 $11,821.65 $46,025.33 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 25 14 — — $28,087.47 $48,932.75 $45,954.85 2026-04-01
5055 OTHER Level 5 Skin Procedures 23 15 — — — — $45,871.88 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 25 14 — — $26,015.56 $49,156.51 $45,850.66 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 25 14 — — $27,374.22 $48,655.94 $45,615.69 2026-04-01
386 MS_DRG Inflammatory Bowel Disease With Cc 25 14 — — $6,291.82 $11,790.50 $45,234.82 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 25 14 — — $25,785.41 $48,429.88 $45,194.96 2026-04-01
644 MS_DRG Endocrine Disorders With Cc 25 14 — — $6,552.39 $12,352.20 $44,970.07 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 25 14 — — $24,911.13 $46,901.65 $44,941.45 2026-04-01
346 MS_DRG Minor Small And Large Bowel Procedures Without Cc/Mcc 25 14 — — $7,894.57 $14,211.45 $44,766.54 2026-04-01
558 MS_DRG Tendonitis, Myositis And Bursitis Without Mcc 25 14 — — $5,476.49 $10,832.05 $43,452.54 2026-04-01
5223 OTHER Level 3 Pacemaker And Similar Procedures 23 15 — — — — $43,299.80 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 25 14 — — $22,726.36 $46,481.82 $43,088.18 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 2 2 — — $21,328.00 $64,710.72 $43,019.36 2026-04-01
153 MS_DRG Otitis Media And Uri Without Mcc 25 14 — — $4,512.18 $9,044.31 $42,878.34 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 25 14 — — $27,431.28 $45,444.94 $42,871.56 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 25 14 — — $15,067.01 $28,054.30 $42,735.09 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 25 14 — — $24,100.88 $45,649.09 $42,570.77 2026-04-01
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 25 14 — — $12,500.58 $23,599.95 $42,267.37 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 25 14 — — $24,653.09 $45,173.89 $42,242.35 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 25 14 — — $24,912.40 $45,107.00 $42,222.06 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 25 14 — — $23,913.21 $45,064.32 $42,042.73 2026-04-01
812 MS_DRG Red Blood Cell Disorders Without Mcc 25 14 — — $5,851.19 $11,120.39 $42,022.61 2026-04-01
897 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc 25 14 — — $5,593.15 $10,712.10 $41,818.73 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 25 14 — — $31,931.41 $57,295.90 $41,652.94 2026-04-01
964 MS_DRG Other Multiple Significant Trauma With Cc 25 14 — — $9,511.27 $18,206.75 $41,400.00 2026-04-01
282 MS_DRG Acute Myocardial Infarction, Discharged Alive Without Cc/Mcc 25 14 — — $4,597.13 $8,870.15 $40,996.48 2026-04-01
779 MS_DRG Abortion Without D&c 25 14 — — $5,926.00 $10,233.44 $40,899.18 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 25 14 — — $24,415.34 $43,639.90 $40,893.53 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 25 14 — — $25,019.54 $43,514.18 $40,872.09 2026-04-01
183 MS_DRG Major Chest Trauma With Mcc 25 14 — — $10,062.85 $18,175.61 $40,861.67 2026-04-01
301 MS_DRG Peripheral Vascular Disorders Without Cc/Mcc 25 14 — — $4,522.32 $8,830.94 $40,846.38 2026-04-01
786 MS_DRG Cesarean Section Without Sterilization With Mcc 25 14 — — $10,244.17 $19,555.05 $40,739.08 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 25 14 — — $20,932.78 $43,742.55 $40,484.01 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 25 14 — — $22,209.02 $40,072.50 $40,275.18 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 25 14 — — $24,478.11 $42,894.82 $40,263.86 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 25 14 — — $22,013.75 $43,271.97 $40,235.08 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 24 14 — — $40,190.14 $40,190.14 $40,190.14 2026-04-01
101 MS_DRG Seizures Without Mcc 25 14 — — $5,842.94 $10,940.46 $39,910.25 2026-04-01
862 MS_DRG Postoperative And Post-traumatic Infections With Mcc 25 14 — — $11,656.72 $21,564.23 $39,703.29 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 25 14 — — $22,727.63 $42,187.80 $39,603.19 2026-04-01
5154 OTHER Level 4 Airway Endoscopy 23 15 — — — — $39,493.41 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 25 14 — — $25,237.64 $41,853.32 $39,479.65 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 25 14 — — $22,513.34 $42,877.52 $39,476.51 2026-04-01
265 MS_DRG Aicd Lead Procedures 25 14 — — $22,614.15 $42,261.61 $39,454.83 2026-04-01
5165 OTHER Level 5 ENT Procedures 23 15 — — — — $39,452.73 2026-04-01
332 MS_DRG Rectal Resection With Mcc 25 14 — — $21,990.29 $42,290.45 $39,390.43 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 25 14 — — $24,962.48 $41,757.59 $39,358.29 2026-04-01
84 MS_DRG Traumatic Stupor And Coma >1 Hour Without Cc/Mcc 25 14 — — $6,061.04 $11,554.06 $39,343.58 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 25 14 — — $20,121.89 $42,380.41 $39,200.62 2026-04-01
387 MS_DRG Inflammatory Bowel Disease Without Cc/Mcc 25 14 — — $4,249.70 $8,388.04 $39,091.44 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 25 14 — — $23,736.96 $41,581.12 $39,031.95 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 25 14 — — $22,196.97 $41,654.94 $38,875.23 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 25 14 — — $22,212.82 $41,620.33 $38,847.83 2026-04-01
200 MS_DRG Pneumothorax With Cc 25 14 — — $7,020.92 $13,209.16 $38,594.29 2026-04-01
194 MS_DRG Simple Pneumonia And Pleurisy With Cc 25 14 — — $5,198.80 $9,825.15 $38,575.07 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 25 14 — — $23,130.86 $41,122.07 $38,551.90 2026-04-01
189 MS_DRG Pulmonary Edema And Respiratory Failure 25 14 — — $7,845.75 $14,778.91 $38,515.51 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 25 14 — — $24,503.47 $40,752.99 $38,431.63 2026-04-01
368 MS_DRG Major Esophageal Disorders With Mcc 25 14 — — $10,587.17 $18,890.70 $38,296.48 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 25 14 — — $20,662.69 $37,882.23 $38,154.61 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 25 14 — — $21,747.47 $40,763.37 $38,142.44 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 25 14 — — $21,966.20 $40,568.45 $37,910.99 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 25 14 — — $21,801.99 $40,374.69 $37,721.45 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 25 14 — — $20,256.30 $36,873.03 $37,565.52 2026-04-01
393 MS_DRG Other Digestive System Diagnoses With Mcc 25 14 — — $10,498.41 $18,976.05 $37,494.52 2026-04-01
5184 OTHER Level 4 Vascular Procedures 23 15 — — — — $37,377.66 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 25 14 — — $22,375.13 $39,826.83 $37,333.73 2026-04-01
604 MS_DRG Trauma To The Skin, Subcutaneous Tissue And Breast With Mcc 25 14 — — $9,419.34 $17,508.96 $37,329.55 2026-04-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 25 14 — — $13,385.64 $27,483.37 $37,078.42 2026-04-01
100 MS_DRG Seizures With Mcc 25 14 — — $12,586.17 $22,868.71 $36,692.91 2026-04-01
5073 OTHER Level 3 Excision/ Biopsy/ Incision And Drainage 23 15 — — — — $36,485.19 2026-04-01
798 MS_DRG Vaginal Delivery With Sterilization And/Or D&c Without Cc/Mcc 25 14 — — $6,138.39 $11,569.06 $36,346.96 2026-04-01
5373 OTHER Level 3 Urology And Related Services 23 15 — — — — $36,140.35 2026-04-01
916 MS_DRG Allergic Reactions Without Mcc 25 14 — — $4,209.76 $8,215.03 $36,047.46 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 25 14 — — $21,053.24 $38,500.45 $36,007.99 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 25 14 — — $15,956.51 $29,641.34 $35,853.62 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 25 14 — — $21,599.11 $38,047.17 $35,697.45 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 25 14 — — $19,604.55 $37,287.09 $35,633.00 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 25 14 — — $17,348.78 $38,629.62 $35,589.50 2026-04-01
570 MS_DRG Skin Debridement With Mcc 25 14 — — $19,085.94 $34,452.09 $35,413.56 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 25 14 — — $20,437.62 $37,750.75 $35,277.45 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 25 14 — — $20,162.47 $37,678.09 $35,175.86 2026-04-01
652 MS_DRG Kidney Transplant 25 14 — — $19,471.41 $37,778.43 $35,163.14 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 25 14 — — $22,382.74 $37,177.52 $35,063.98 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 25 14 — — $20,653.82 $37,251.34 $34,880.27 2026-04-01
443 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis Without C… 25 14 — — $4,454.48 $8,600.26 $34,862.84 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 25 14 — — $18,145.08 $37,558.14 $34,784.85 2026-04-01
5313 OTHER Level 3 Lower Gi Procedures 23 15 — — — — $34,745.05 2026-04-01
177 MS_DRG Respiratory Infections And Inflammations With Mcc 25 14 — — $10,248.61 $18,553.92 $34,605.59 2026-04-01
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