Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

NORTHBAY MEDICAL CENTER

Fairfield, CA · CCN 050367 · Rates published

11,711 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 · 2026-10-12
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
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 6 $239,082.67 $498,591.22 $498,591.22 nat. median
$168,055
outlier · 3.0×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 6 $178,574.98 $323,751.72 $323,751.72 nat. median
$186,516
1.7× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 2 $355.95 $591,726.20 $296,041.08 nat. median
$621,313
outlier · 0.5×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 6 $150,402.55 $246,782.16 $246,782.16 nat. median
$131,925
1.9× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 7 $106,400.00 $1,010,501.06 $245,336.97 nat. median
$145,435
1.7× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 7 $89,578.49 $160,289.15 $160,289.15 nat. median
$97,418
1.6× median
7
MS_DRG 		Lung Transplant 6 $82,850.49 $149,894.90 $149,894.90 nat. median
$70,649
outlier · 2.1×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 6 $83,059.71 $139,141.95 $139,141.95 nat. median
$72,715
1.9× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 6 $69,864.90 $131,228.62 $131,228.62 nat. median
$65,418
outlier · 2.0×
209
MS_DRG 		Complex Aortic Arch Procedures 6 $131,078.68 $131,078.68 $131,078.68 nat. median
$2,110
outlier · 62.1×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 6 $66,453.34 $134,021.66 $127,646.23 nat. median
$2,736
outlier · 46.7×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 6 $69,062.25 $125,949.61 $125,949.61 nat. median
$74,509
1.7× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 6 $67,512.12 $119,449.17 $119,449.17 nat. median
$69,922
1.7× median
215
MS_DRG 		Other Heart Assist System Implant 7 $67,167.23 $115,371.97 $115,371.97 nat. median
$73,023
1.6× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 7 $61,183.54 $597,313.49 $113,362.79 nat. median
$69,822
1.6× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 7 $52,875.60 $104,444.86 $104,444.86 nat. median
$2,596
outlier · 40.2×
5416
OTHER 		Level 6 Gynecologic Procedures 2 $802.48 $200,830.85 $100,816.66 nat. median
$7,435
outlier · 13.6×
850
MS_DRG 		Acute Leukemia With Other Procedures 6 $58,399.64 $100,406.89 $100,406.89 nat. median
$2,633
outlier · 38.1×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 6 $53,721.36 $97,758.73 $97,758.73 nat. median
$60,505
1.6× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 6 $53,690.92 $97,485.29 $97,453.08 nat. median
$59,651
1.6× median
7046
OTHER 		Doxorubicin Inj 10mg 1 $96,079.22 $96,079.22 $96,079.22 nat. median
$136
outlier · 707.8×
5342
OTHER 		Level 2 Abdominal/Peritoneal/Biliary And Related Procedures 8 $1,360.00 $137,802.47 $93,165.18 nat. median
$7,083
outlier · 13.2×
5362
OTHER 		Level 2 Laparoscopy And Related Services 7 $2,386.83 $208,295.73 $91,631.86 nat. median
$10,430
outlier · 8.8×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 6 $51,103.57 $91,287.12 $91,287.12 nat. median
$56,428
1.6× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 7 $49,052.58 $651,846.09 $89,089.94 nat. median
$55,923
1.6× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 7 $49,552.17 $483,570.15 $88,708.17 nat. median
$55,935
1.6× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 9 $47,319.86 $633,754.31 $88,416.36 nat. median
$52,327
1.7× median
5415
OTHER 		Level 5 Gynecologic Procedures 6 $275.00 $134,738.19 $88,402.83 nat. median
$5,037
outlier · 17.6×
0763
OTHER 		Inj, Bupivacaine Liposome 4 $2,373.07 $140,974.75 $83,828.43 nat. median
$10,527
outlier · 8.0×
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 7 $45,005.76 $83,787.85 $83,787.85 nat. median
$9,905
outlier · 8.5×
10
MS_DRG 		Pancreas Transplant 6 $50,546.28 $83,293.05 $83,293.05 nat. median
$23,080
outlier · 3.6×
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 6 $42,341.69 $83,258.45 $83,258.45 nat. median
$37,013
outlier · 2.2×
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 6 $50,255.28 $82,819.02 $82,819.02 nat. median
$45,605
1.8× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 7 $44,801.61 $235,862.13 $82,770.57 nat. median
$51,518
1.6× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 8 $44,104.21 $422,762.04 $80,249.29 nat. median
$48,611
1.7× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 6 $42,270.05 $79,858.29 $79,858.29 nat. median
$49,569
1.6× median
5361
OTHER 		Level 1 Laparoscopy And Related Services 12 $291.47 $220,419.52 $78,204.53 nat. median
$6,026
outlier · 13.0×
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 6 $43,288.89 $78,165.13 $78,165.13 nat. median
$47,340
1.7× median
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 6 $39,219.24 $77,650.73 $77,650.73 nat. median
$2,633
outlier · 29.5×
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 6 $42,504.63 $257,278.92 $77,594.21 nat. median
$2,958
outlier · 26.2×
5155
OTHER 		Level 5 Airway Endoscopy 3 $1,483.95 $135,000.00 $77,316.00 nat. median
$6,919
outlier · 11.2×
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 6 $40,939.92 $76,368.17 $76,368.17 nat. median
$47,458
1.6× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 6 $37,717.29 $76,368.17 $76,368.17 nat. median
$45,446
1.7× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 6 $39,040.45 $76,092.51 $76,092.51 nat. median
$43,299
1.8× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 8 $41,005.22 $1,049,629.35 $74,746.52 nat. median
$47,121
1.6× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 6 $37,979.14 $71,213.72 $71,213.72 nat. median
$44,036
1.6× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 6 $40,093.53 $73,926.11 $71,131.83 nat. median
$41,943
1.7× median
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 6 $38,726.62 $70,454.80 $70,454.80 nat. median
$43,803
1.6× median
5092
OTHER 		Level 2 Breast/Lymphatic Surgery And Related Procedures 5 $275.00 $299,741.69 $70,386.42 nat. median
$6,603
outlier · 10.7×
28
MS_DRG 		Spinal Procedures With Mcc 6 $38,541.49 $69,828.51 $69,828.51 nat. median
$41,895
1.7× median

Other procedures at this hospital

Browse this hospital's 11,711 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
             
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 7 6 — — $239,082.67 $498,591.22 $498,591.22 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 7 6 — — $178,574.98 $323,751.72 $323,751.72 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 7 6 — — $150,402.55 $246,782.16 $246,782.16 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 6 6 — — $131,078.68 $131,078.68 $131,078.68 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 11 7 — — $106,400.00 $1,010,501.06 $245,336.97 2026-04-01
7046 OTHER Doxorubicin Inj 10mg 1 1 — — $96,079.22 $96,079.22 $96,079.22 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 10 7 — — $89,578.49 $160,289.15 $160,289.15 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 7 6 — — $83,059.71 $139,141.95 $139,141.95 2026-04-01
7 MS_DRG Lung Transplant 7 6 — — $82,850.49 $149,894.90 $149,894.90 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 7 6 — — $69,864.90 $131,228.62 $131,228.62 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 7 6 — — $69,062.25 $125,949.61 $125,949.61 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 7 6 — — $67,512.12 $119,449.17 $119,449.17 2026-04-01
215 MS_DRG Other Heart Assist System Implant 8 7 — — $67,167.23 $115,371.97 $115,371.97 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 8 6 — — $66,453.34 $134,021.66 $127,646.23 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 6 6 — — $66,352.23 $66,352.23 $66,352.23 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 9 7 — — $61,183.54 $597,313.49 $113,362.79 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 7 6 — — $58,399.64 $100,406.89 $100,406.89 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 7 6 — — $53,721.36 $97,758.73 $97,758.73 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 8 6 — — $53,690.92 $97,485.29 $97,453.08 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 9 7 — — $52,875.60 $104,444.86 $104,444.86 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 7 6 — — $51,103.57 $91,287.12 $91,287.12 2026-04-01
10 MS_DRG Pancreas Transplant 7 6 — — $50,546.28 $83,293.05 $83,293.05 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 7 6 — — $50,255.28 $82,819.02 $82,819.02 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 11 7 — — $49,552.17 $483,570.15 $88,708.17 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 9 7 — — $49,052.58 $651,846.09 $89,089.94 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 11 9 — — $47,319.86 $633,754.31 $88,416.36 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 9 7 — — $45,005.76 $83,787.85 $83,787.85 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 11 7 — — $44,801.61 $235,862.13 $82,770.57 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 11 8 — — $44,104.21 $422,762.04 $80,249.29 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 7 6 — — $43,288.89 $78,165.13 $78,165.13 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 8 6 — — $42,504.63 $257,278.92 $77,594.21 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 7 6 — — $42,341.69 $83,258.45 $83,258.45 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 7 6 — — $42,270.05 $79,858.29 $79,858.29 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 12 8 — — $41,005.22 $1,049,629.35 $74,746.52 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 7 6 — — $40,939.92 $76,368.17 $76,368.17 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 6 6 — — $40,190.14 $40,190.14 $40,190.14 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 8 6 — — $40,093.53 $73,926.11 $71,131.83 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 8 6 — — $39,269.96 $72,472.79 $69,808.91 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 7 6 — — $39,219.24 $77,650.73 $77,650.73 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 7 6 — — $39,040.45 $76,092.51 $76,092.51 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 7 6 — — $38,906.68 $64,231.17 $64,231.17 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 7 6 — — $38,726.62 $70,454.80 $70,454.80 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 7 6 — — $38,541.49 $69,828.51 $69,828.51 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 7 6 — — $38,265.07 $68,921.96 $68,921.96 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 7 6 — — $38,265.07 $63,185.05 $63,185.05 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 7 6 — — $37,979.14 $71,213.72 $71,213.72 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 7 6 — — $37,717.29 $76,368.17 $76,368.17 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 9 7 — — $37,691.30 $265,000.00 $69,081.12 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 7 6 — — $36,910.85 $68,173.42 $68,173.42 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 8 7 — — $36,385.26 $95,330.57 $69,307.19 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 8 7 — — $36,167.80 $99,912.64 $66,622.12 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 7 6 — — $35,340.43 $60,464.23 $60,464.23 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 7 6 — — $35,043.08 $61,587.62 $61,587.62 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 8 6 — — $35,040.55 $64,666.08 $63,849.40 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 9 6 — — $34,902.97 $428,467.15 $65,373.01 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 9 6 — — $34,680.43 $69,266.07 $67,046.56 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 7 6 — — $34,494.67 $65,172.32 $65,172.32 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 8 7 — — $34,416.06 $284,625.99 $63,625.64 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 7 6 — — $34,240.44 $66,266.88 $66,266.88 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 7 6 — — $34,208.10 $63,436.49 $63,436.49 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 8 6 — — $34,203.67 $178,883.06 $57,059.46 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 8 6 — — $33,728.17 $63,535.68 $63,535.68 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 9 7 — — $33,578.54 $261,444.93 $62,037.44 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 8 6 — — $32,649.10 $62,000.53 $62,000.53 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 13 9 — — $32,541.95 $1,552,778.26 $61,385.78 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 7 6 — — $32,297.86 $60,568.04 $60,568.04 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 9 6 — — $32,198.96 $507,707.80 $58,053.67 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 8 6 — — $31,743.11 $55,941.84 $55,941.84 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 7 6 — — $31,718.39 $64,729.43 $64,729.43 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 14 7 — — $31,709.51 $1,335,413.77 $57,490.82 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 7 6 — — $31,591.59 $57,592.32 $57,592.32 2026-04-01
245 MS_DRG Aicd Generator Procedures 8 7 — — $30,980.41 $127,970.06 $53,151.81 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 9 7 — — $30,793.38 $63,577.83 $56,223.26 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 7 6 — — $30,742.03 $54,012.23 $54,012.23 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 7 6 — — $30,274.77 $54,482.81 $54,482.81 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 7 6 — — $30,143.53 $52,765.43 $52,765.43 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 10 7 — — $30,142.26 $522,742.02 $54,644.28 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 9 6 — — $29,825.90 $55,440.12 $55,440.12 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 7 6 — — $29,666.13 $53,410.17 $53,410.17 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 7 6 — — $29,494.95 $53,798.86 $53,798.86 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 11 7 — — $29,220.43 $196,532.54 $52,222.19 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 7 6 — — $29,208.38 $54,755.01 $54,755.01 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 7 6 — — $29,115.18 $58,662.66 $58,662.66 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 13 8 — — $29,111.38 $324,300.80 $53,545.12 2026-04-01
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 6 6 — — $28,467.21 $28,467.21 $28,467.21 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 7 6 — — $28,431.10 $50,043.46 $50,043.46 2026-04-01
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 6 6 — — $28,376.09 $28,376.09 $28,376.09 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 11 8 — — $28,352.48 $389,902.15 $52,970.73 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 7 6 — — $28,087.47 $48,932.75 $48,932.75 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 7 6 — — $27,848.45 $52,004.20 $52,004.20 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 7 6 — — $27,431.28 $45,444.94 $45,444.94 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 7 6 — — $27,374.22 $48,655.94 $48,655.94 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 7 6 — — $27,042.64 $51,195.68 $51,195.68 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 8 6 — — $27,003.33 $50,441.37 $50,441.37 2026-04-01
37288 HCPCS Revsc Evsc Tpvt Athrc Sf 1st 1 1 — — $26,931.86 $26,931.86 $26,931.86 2026-04-01
37290 HCPCS Revsc Evsc Tpvt Athrc Cplx 1 1 1 — — $26,931.86 $26,931.86 $26,931.86 2026-04-01
37292 HCPCS Rvsc Evsc Tpvt St Athrc Sf 1 1 1 — — $26,931.86 $26,931.86 $26,931.86 2026-04-01
37286 HCPCS Revsc Evasc Tpvt St Cplx 1st 1 1 — — $26,931.86 $26,931.86 $26,931.86 2026-04-01
37294 HCPCS Rvsc Evsc Tpvt St Athr Cpx 1 1 1 — — $26,931.86 $26,931.86 $26,931.86 2026-04-01
0981T OTHER Tcat Impl Wrls Ivc Snr 1 1 — — $26,931.86 $26,931.86 $26,931.86 2026-04-01
92930 HCPCS Prq Tcat Plmt Ntrac St 2+les 1 1 — — $26,931.86 $26,931.86 $26,931.86 2026-04-01
37275 HCPCS Rvsc Evsc Fpvt St Athrc Sf 1 1 1 — — $26,931.86 $26,931.86 $26,931.86 2026-04-01
37277 HCPCS Rvsc Evsc Fpvt St Athr Cpx 1 1 1 — — $26,931.86 $26,931.86 $26,931.86 2026-04-01
37284 HCPCS Revsc Evasc Tpvt St Sf 1st 1 1 — — $26,931.86 $26,931.86 $26,931.86 2026-04-01
37271 HCPCS Revsc Evsc Fpvt Athrc Sf 1st 1 1 — — $26,931.86 $26,931.86 $26,931.86 2026-04-01
37273 HCPCS Revsc Evsc Fpvt Athrc Cplx 1 1 1 — — $26,931.86 $26,931.86 $26,931.86 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 7 6 — — $26,811.86 $49,725.13 $49,725.13 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 7 6 — — $26,566.50 $52,207.20 $52,207.20 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 9 7 — — $26,564.60 $53,600.00 $48,990.42 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 8 6 — — $26,376.94 $49,239.55 $49,239.55 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 9 7 — — $26,163.19 $828,708.85 $68,217.24 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 9 6 — — $26,068.81 $577,602.59 $48,842.79 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 9 8 — — $26,054.23 $193,027.58 $49,132.29 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 7 6 — — $26,015.56 $49,156.51 $49,156.51 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 9 8 — — $25,887.49 $473,380.55 $49,442.55 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 7 6 — — $25,785.41 $48,429.88 $48,429.88 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 9 6 — — $25,544.24 $57,761.64 $57,295.90 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 7 6 — — $25,237.64 $41,853.32 $41,853.32 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 7 6 — — $25,019.54 $43,514.18 $43,514.18 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 7 6 — — $24,962.48 $41,757.59 $41,757.59 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 7 6 — — $24,912.40 $45,107.00 $45,107.00 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 8 6 — — $24,911.13 $46,901.65 $46,901.65 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 7 6 — — $24,653.09 $45,173.89 $45,173.89 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 7 6 — — $24,503.47 $40,752.99 $40,752.99 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 7 6 — — $24,478.11 $42,894.82 $42,894.82 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 7 6 — — $24,415.34 $43,639.90 $43,639.90 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 10 8 — — $24,232.75 $550,441.17 $43,931.70 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 7 6 — — $24,100.88 $45,649.09 $45,649.09 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 7 6 — — $23,913.21 $45,064.32 $45,064.32 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 7 6 — — $23,736.96 $41,581.12 $41,581.12 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 9 6 — — $23,342.05 $334,759.42 $52,993.80 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 7 6 — — $23,130.86 $41,122.07 $41,122.07 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 8 7 — — $22,975.53 $57,600.00 $41,716.06 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 9 7 — — $22,727.63 $42,187.80 $42,187.80 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 7 6 — — $22,726.36 $46,481.82 $46,481.82 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 8 6 — — $22,721.29 $49,586.40 $43,635.29 2026-04-01
265 MS_DRG Aicd Lead Procedures 7 6 — — $22,614.15 $42,261.61 $42,261.61 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 9 7 — — $22,513.34 $42,877.52 $42,877.52 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 7 6 — — $22,382.74 $37,177.52 $37,177.52 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 7 6 — — $22,375.13 $39,826.83 $39,826.83 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 8 7 — — $22,318.70 $50,998.18 $42,348.12 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 7 6 — — $22,212.82 $41,620.33 $41,620.33 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 9 7 — — $22,209.02 $40,800.00 $40,072.50 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 7 6 — — $22,196.97 $41,654.94 $41,654.94 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 8 7 — — $22,157.67 $39,059.83 $39,059.83 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 7 6 — — $22,013.75 $43,271.97 $43,271.97 2026-04-01
332 MS_DRG Rectal Resection With Mcc 7 6 — — $21,990.29 $42,290.45 $42,290.45 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 7 6 — — $21,966.20 $40,568.45 $40,568.45 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 9 8 — — $21,837.50 $174,571.66 $41,547.67 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 7 6 — — $21,801.99 $40,374.69 $40,374.69 2026-04-01
665 MS_DRG Prostatectomy With Mcc 7 6 — — $21,767.76 $36,529.32 $36,529.32 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 9 7 — — $21,747.47 $40,763.37 $40,763.37 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 8 7 — — $21,713.87 $143,507.91 $41,205.12 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 7 6 — — $21,599.11 $38,047.17 $38,047.17 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 2 2 — — $21,328.00 $64,710.72 $43,019.36 2026-04-01
0915T OTHER Insj Perm Ccm-d Sys Pg&eltrd 2 2 — — $21,328.00 $46,114.83 $33,721.42 2026-04-01
0923T OTHER Rmvl&rplcmt Perm Ccm-d Pg 2 2 — — $21,328.00 $32,679.07 $27,003.53 2026-04-01
0916T OTHER Insj Perm Ccm-d Sys Pg Only 2 2 — — $21,328.00 $32,679.07 $27,003.53 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 8 6 — — $21,280.21 $48,501.80 $39,878.73 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 7 6 — — $21,053.24 $38,500.45 $38,500.45 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 7 6 — — $20,932.78 $43,742.55 $43,742.55 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 7 6 — — $20,722.29 $35,514.35 $35,514.35 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 8 6 — — $20,662.69 $38,154.61 $37,882.23 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 7 6 — — $20,653.82 $37,251.34 $37,251.34 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 7 6 — — $20,437.62 $37,750.75 $37,750.75 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 9 7 — — $20,314.63 $58,512.37 $42,125.51 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 8 6 — — $20,256.30 $37,565.52 $36,873.03 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 8 7 — — $20,220.80 $37,840.71 $37,840.71 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 7 6 — — $20,162.47 $37,678.09 $37,678.09 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 7 6 — — $20,121.89 $42,380.41 $42,380.41 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 8 6 — — $20,088.29 $37,032.19 $37,032.19 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 8 6 — — $19,785.87 $256,134.40 $38,495.83 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 7 6 — — $19,777.00 $35,840.75 $35,840.75 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 7 6 — — $19,692.67 $36,855.73 $36,855.73 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 9 6 — — $19,604.55 $37,287.09 $37,287.09 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 11 7 — — $19,563.97 $369,470.57 $37,788.81 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 7 6 — — $19,550.02 $36,976.83 $36,976.83 2026-04-01
652 MS_DRG Kidney Transplant 7 6 — — $19,471.41 $37,778.43 $37,778.43 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 7 6 — — $19,453.66 $34,859.23 $34,859.23 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 9 6 — — $19,390.26 $257,967.96 $36,390.92 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 11 7 — — $19,369.26 $313,202.34 $44,811.73 2026-04-01
570 MS_DRG Skin Debridement With Mcc 8 6 — — $19,085.94 $35,413.56 $34,452.09 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 9 6 — — $18,931.24 $410,391.73 $33,816.58 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 11 7 — — $18,694.12 $146,939.18 $36,454.35 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 8 6 — — $18,645.94 $34,568.17 $34,119.91 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 7 6 — — $18,593.95 $34,001.12 $34,001.12 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 7 6 — — $18,488.07 $34,208.72 $34,208.72 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 9 6 — — $18,478.56 $34,334.58 $33,634.34 2026-04-01
800 MS_DRG Splenic Procedures With Cc 7 6 — — $18,472.22 $32,933.09 $32,933.09 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 8 6 — — $18,462.08 $33,600.00 $33,407.13 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 7 6 — — $18,176.15 $35,363.26 $35,363.26 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 7 6 — — $18,155.22 $31,209.94 $31,209.94 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 7 6 — — $18,145.08 $37,558.14 $37,558.14 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 8 6 — — $18,119.72 $64,317.33 $35,367.87 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 13 8 — — $18,048.08 $337,959.82 $31,911.19 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 7 6 — — $17,890.85 $32,816.60 $32,816.60 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 7 6 — — $17,803.99 $33,980.35 $33,980.35 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 7 6 — — $17,786.24 $36,770.38 $36,770.38 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 7 6 — — $17,348.78 $38,629.62 $38,629.62 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 7 6 — — $17,316.44 $31,742.80 $31,742.80 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 7 6 — — $17,285.38 $33,832.72 $33,832.72 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 7 6 — — $17,082.50 $30,319.53 $30,319.53 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 11 8 — — $17,017.19 $116,469.43 $32,232.99 2026-04-01
263 MS_DRG Vein Ligation And Stripping 7 6 — — $17,003.25 $35,793.47 $35,793.47 2026-04-01
849 MS_DRG Radiotherapy 7 6 — — $16,933.51 $31,780.86 $31,780.86 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 7 6 — — $16,880.88 $31,102.68 $31,102.68 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 7 6 — — $16,821.29 $30,949.28 $30,949.28 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 11 8 — — $16,800.00 $327,144.61 $32,061.13 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 7 6 — — $16,799.73 $33,768.13 $33,768.13 2026-04-01
503 MS_DRG Foot Procedures With Mcc 8 6 — — $16,778.81 $32,722.02 $32,722.02 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 7 6 — — $16,761.06 $34,486.69 $34,486.69 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 7 6 — — $16,631.09 $32,224.91 $32,224.91 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 8 6 — — $16,587.34 $31,641.30 $31,641.30 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 8 6 — — $16,410.46 $86,656.30 $30,144.22 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 8 6 — — $16,383.83 $29,836.27 $29,836.27 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 7 6 — — $16,189.82 $30,431.41 $30,431.41 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 9 7 — — $16,185.39 $68,366.01 $30,467.16 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 7 6 — — $16,154.95 $32,500.57 $32,500.57 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 11 7 — — $16,110.28 $311,234.30 $34,509.76 2026-04-01
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 8 7 — — $16,072.53 $241,440.76 $26,845.56 2026-04-01
545 MS_DRG Connective Tissue Disorders With Mcc 7 6 — — $16,019.28 $29,153.47 $29,153.47 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 9 7 — — $16,006.60 $35,325.19 $35,325.19 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 9 7 — — $15,956.51 $37,507.25 $29,641.34 2026-04-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 7 6 — — $15,875.36 $27,324.21 $27,324.21 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 8 6 — — $15,862.68 $32,611.00 $29,975.82 2026-04-01
397 MS_DRG Appendix Procedures With Mcc 8 6 — — $15,707.98 $28,914.02 $28,152.33 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 8 6 — — $15,644.58 $207,402.18 $29,628.66 2026-04-01
792 MS_DRG Prematurity Without Major Problems 11 8 — — $15,531.73 $325,888.21 $28,778.62 2026-04-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 8 6 — — $15,523.49 $28,885.88 $28,885.88 2026-04-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 8 6 — — $15,341.53 $29,271.11 $29,271.11 2026-04-01
135 MS_DRG Sinus And Mastoid Procedures With Cc/Mcc 7 6 — — $15,285.11 $25,558.38 $25,558.38 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 14 8 — — $15,222.34 $356,466.72 $29,780.90 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 7 6 — — $15,196.98 $30,278.01 $30,278.01 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 7 6 — — $15,196.98 $30,278.01 $30,278.01 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 10 6 — — $15,067.01 $64,268.10 $28,054.30 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 8 6 — — $15,008.05 $28,687.50 $28,687.50 2026-04-01
347 MS_DRG Anal And Stomal Procedures With Mcc 8 6 — — $15,004.24 $27,084.67 $27,007.03 2026-04-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 7 6 — — $14,960.50 $27,186.96 $27,186.96 2026-04-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 7 6 — — $14,825.46 $28,893.96 $28,893.96 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 8 6 — — $14,721.41 $32,329.87 $32,329.87 2026-04-01
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 9 7 — — $14,709.43 $45,600.00 $26,891.69 2026-04-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 7 6 — — $14,674.56 $28,272.28 $28,272.28 2026-04-01
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 8 6 — — $14,662.52 $30,723.89 $25,702.56 2026-04-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 8 7 — — $14,634.62 $245,241.81 $27,502.98 2026-04-01
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 7 6 — — $14,521.14 $25,995.52 $25,995.52 2026-04-01
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 7 6 — — $14,474.85 $25,764.84 $25,764.84 2026-04-01
614 MS_DRG Adrenal And Pituitary Procedures With Cc/Mcc 7 6 — — $14,447.59 $25,809.82 $25,809.82 2026-04-01
35 MS_DRG Carotid Artery Stent Procedures With Cc 7 6 — — $14,420.96 $28,101.58 $28,101.58 2026-04-01
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 7 6 — — $14,319.52 $25,889.40 $25,889.40 2026-04-01
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/Mcc 7 6 — — $14,316.99 $26,334.61 $26,334.61 2026-04-01
113 MS_DRG Orbital Procedures With Cc/Mcc 7 6 — — $14,306.84 $27,647.15 $27,647.15 2026-04-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 9 7 — — $14,277.05 $41,814.83 $27,351.89 2026-04-01
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 7 6 — — $14,265.63 $25,659.88 $25,659.88 2026-04-01
709 MS_DRG Penis Procedures With Cc/Mcc 7 6 — — $14,245.98 $27,370.34 $27,370.34 2026-04-01
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 7 6 — — $14,152.15 $26,349.60 $26,349.60 2026-04-01
30 MS_DRG Spinal Procedures Without Cc/Mcc 7 6 — — $14,107.77 $25,849.04 $25,849.04 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 2 2 — — $14,045.00 $45,334.47 $29,689.74 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 2 2 — — $14,045.00 $45,334.47 $29,689.74 2026-04-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 15 10 — — $14,032.32 $204,029.12 $26,052.03 2026-04-01
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 7 6 — — $13,943.56 $26,661.01 $26,661.01 2026-04-01
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 7 6 — — $13,752.09 $26,998.95 $26,998.95 2026-04-01
141 MS_DRG Major Head And Neck Procedures With Cc 7 6 — — $13,620.22 $25,686.41 $25,686.41 2026-04-01
934 MS_DRG Full Thickness Burn Without Skin Graft Or Inhalation Injury 7 6 — — $13,603.74 $26,026.66 $26,026.66 2026-04-01
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/Mcc 7 6 — — $13,539.70 $26,130.46 $26,130.46 2026-04-01
333 MS_DRG Rectal Resection With Cc 7 6 — — $13,473.13 $27,544.50 $27,544.50 2026-04-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 8 7 — — $13,385.64 $37,078.42 $27,483.37 2026-04-01
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 7 6 — — $13,290.54 $25,642.58 $25,642.58 2026-04-01
783 MS_DRG Cesarean Section With Sterilization With Mcc 7 6 — — $11,678.28 $28,846.67 $28,846.67 2026-04-01
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 9 6 — — $11,400.00 $26,777.51 $26,777.51 2026-04-01
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 10 6 — — $11,350.05 $26,839.57 $26,733.68 2026-04-01
791 MS_DRG Prematurity With Major Problems 9 7 — — $10,043.03 $347,187.73 $47,345.71 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 10 7 — — $8,107.75 $39,860.14 $37,355.14 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 2 2 — — $7,491.00 $45,334.47 $26,412.74 2026-04-01
5232 OTHER Level 2 Icd And Similar Procedures 4 4 — — $7,318.06 $154,944.41 $39,849.32 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 11 8 — — $6,519.13 $48,621.34 $48,621.34 2026-04-01
5045 OTHER Trauma Response With Critical Care 6 5 — — $6,389.42 $50,876.54 $33,131.03 2026-04-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 9 7 — — $5,600.00 $28,720.95 $28,720.95 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 13 8 — — $5,600.00 $560,326.98 $28,178.86 2026-04-01
5213 OTHER Level 3 Electrophysiologic Procedures 6 4 — — $4,436.93 $169,721.62 $56,302.43 2026-04-01
5191 OTHER Level 1 Endovascular Procedures 8 6 — — $3,156.89 $107,074.58 $58,729.85 2026-04-01
5223 OTHER Level 3 Pacemaker And Similar Procedures 6 6 — — $2,806.42 $90,558.30 $41,469.23 2026-04-01
5116 OTHER Level 6 Musculoskeletal Procedures 7 5 — — $2,798.20 $218,514.24 $26,918.62 2026-04-01
5194 OTHER Level 4 Endovascular Procedures 5 4 — — $2,756.48 $145,204.30 $35,393.88 2026-04-01
5362 OTHER Level 2 Laparoscopy And Related Services 10 7 — — $2,386.83 $208,295.73 $91,631.86 2026-04-01
0763 OTHER Inj, Bupivacaine Liposome 4 4 — — $2,373.07 $140,974.75 $83,828.43 2026-04-01
5091 OTHER Level 1 Breast/Lymphatic Surgery And Related Procedures 9 7 — — $2,143.29 $188,669.35 $57,684.19 2026-04-01
5155 OTHER Level 5 Airway Endoscopy 3 3 — — $1,483.95 $135,000.00 $77,316.00 2026-04-01
5341 OTHER Level 1 Abdominal/Peritoneal/Biliary And Related Procedures 10 7 — — $1,382.69 $137,328.49 $35,188.85 2026-04-01
5342 OTHER Level 2 Abdominal/Peritoneal/Biliary And Related Procedures 10 8 — — $1,360.00 $137,802.47 $93,165.18 2026-04-01
5414 OTHER Level 4 Gynecologic Procedures 8 6 — — $1,095.38 $97,841.62 $44,001.14 2026-04-01
5416 OTHER Level 6 Gynecologic Procedures 2 2 — — $802.48 $200,830.85 $100,816.66 2026-04-01
5373 OTHER Level 3 Urology And Related Services 9 6 — — $696.12 $87,198.27 $42,889.54 2026-04-01
N811 OTHER Observation, Other 2 2 — — $657.70 $55,031.32 $27,844.51 2026-04-01
5055 OTHER Level 5 Skin Procedures 2 2 — — $448.00 $91,295.76 $45,871.88 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 2 2 — — $355.95 $591,726.20 $296,041.08 2026-04-01
5361 OTHER Level 1 Laparoscopy And Related Services 16 12 — — $291.47 $220,419.52 $78,204.53 2026-04-01
5415 OTHER Level 5 Gynecologic Procedures 8 6 — — $275.00 $134,738.19 $88,402.83 2026-04-01
5092 OTHER Level 2 Breast/Lymphatic Surgery And Related Procedures 6 5 — — $275.00 $299,741.69 $70,386.42 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 8 6 — — $275.00 $48,112.70 $48,112.70 2026-04-01
5374 OTHER Level 4 Urology And Related Services 8 7 — — $150.00 $138,844.96 $44,315.67 2026-04-01
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