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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 COAST HOSPITAL

Crescent City, CA · CCN 050417 · Rates published

6,176 distinct procedures filed
6 distinct payers
18,039 rate rows
2026-04-01 last MRF observed
Data quality

8,567 of 18,039 rate rows are consumer-grade (47.5%)

9,472 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 9,472
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/942988520-1457367062_sutter-coast-hospital_standardcharges.csv
Found on page https://www.sutterhealth.org/cms-hpt.txt
Discovered viaDiscovered by HANK (automated)
Last fetch not_modified · 2026-05-18
Content fingerprint 4ca0711111a65d83… · 5,545,839 bytes · first seen 2026-05-13

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 4 $421,838.83 $421,838.83 $421,838.83 nat. median
$370,174
1.1× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 4 $273,756.43 $273,756.43 $273,756.43 nat. median
$265,286
1.0× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 4 $208,566.14 $208,566.14 $208,566.14 nat. median
$206,474
1.0× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 4 $207,342.12 $207,342.12 $207,342.12 nat. median
$202,976
1.0× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 4 $135,309.85 $135,309.85 $135,309.85 nat. median
$133,161
1.0× median
7
MS_DRG 		Lung Transplant 4 $126,506.32 $126,506.32 $126,506.32 nat. median
$122,708
1.0× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 4 $117,398.98 $117,398.98 $117,398.98 nat. median
$117,357
1.0× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 4 $110,696.69 $110,696.69 $110,696.69 nat. median
$108,660
1.0× median
209
MS_DRG 		Complex Aortic Arch Procedures 4 $110,569.70 $110,569.70 $110,569.70 nat. median
$98,047
1.1× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 4 $107,662.54 $107,662.54 $107,662.54 nat. median
$98,894
1.1× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 4 $106,225.57 $106,225.57 $106,225.57 nat. median
$102,358
1.0× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 4 $100,719.95 $100,719.95 $100,719.95 nat. median
$100,136
1.0× median
215
MS_DRG 		Other Heart Assist System Implant 4 $97,266.72 $97,266.72 $97,266.72 nat. median
$99,019
1.0× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 4 $95,565.01 $95,565.01 $95,565.01 nat. median
$93,672
1.0× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 4 $88,011.87 $88,011.87 $88,011.87 nat. median
$82,711
1.1× median
850
MS_DRG 		Acute Leukemia With Other Procedures 4 $84,591.86 $84,591.86 $84,591.86 nat. median
$83,470
1.0× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 4 $82,348.97 $82,348.97 $82,348.97 nat. median
$79,312
1.0× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 4 $82,090.10 $82,090.10 $82,090.10 nat. median
$81,118
1.0× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 4 $76,867.77 $76,867.77 $76,867.77 nat. median
$77,570
1.0× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 4 $75,006.83 $75,006.83 $75,006.83 nat. median
$74,915
1.0× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 4 $74,683.49 $74,683.49 $74,683.49 nat. median
$73,807
1.0× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 4 $74,436.34 $74,436.34 $74,436.34 nat. median
$72,135
1.0× median
5116
OTHER 		Level 6 Musculoskeletal Procedures 1 $73,168.18 $73,168.18 $73,168.18 nat. median
$18,574
outlier · 3.9×
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 4 $70,516.17 $70,516.17 $70,516.17 nat. median
$68,090
1.0× median
10
MS_DRG 		Pancreas Transplant 4 $70,097.10 $70,097.10 $70,097.10 nat. median
$68,884
1.0× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 4 $70,067.79 $70,067.79 $70,067.79 nat. median
$64,023
1.1× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 4 $69,695.60 $69,695.60 $69,695.60 nat. median
$71,271
1.0× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 4 $69,654.58 $69,654.58 $69,654.58 nat. median
$68,886
1.0× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 4 $67,519.14 $67,519.14 $67,519.14 nat. median
$66,526
1.0× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 4 $67,187.98 $67,187.98 $67,187.98 nat. median
$65,950
1.0× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 4 $65,753.94 $65,753.94 $65,753.94 nat. median
$64,732
1.0× median
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 4 $65,318.26 $65,318.26 $65,318.26 nat. median
$60,691
1.1× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 4 $65,270.39 $65,270.39 $65,270.39 nat. median
$63,724
1.0× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 4 $64,231.98 $64,231.98 $64,231.98 nat. median
$61,920
1.0× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 4 $64,231.98 $64,231.98 $64,231.98 nat. median
$64,508
1.0× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 4 $63,998.51 $63,998.51 $63,998.51 nat. median
$59,793
1.1× median
5115
OTHER 		Level 5 Musculoskeletal Procedures 1 $62,945.84 $62,945.84 $62,945.84 nat. median
$13,542
outlier · 4.6×
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 4 $62,858.51 $62,858.51 $62,858.51 nat. median
$62,134
1.0× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 4 $59,866.36 $59,866.36 $59,866.36 nat. median
$60,726
1.0× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 4 $59,797.00 $59,797.00 $59,797.00 nat. median
$60,185
1.0× median
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 4 $59,223.58 $59,223.58 $59,223.58 nat. median
$59,898
1.0× median
28
MS_DRG 		Spinal Procedures With Mcc 4 $58,693.14 $58,693.14 $58,693.14 nat. median
$57,822
1.0× median
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 4 $58,676.54 $58,676.54 $58,676.54 nat. median
$59,099
1.0× median
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 4 $58,251.60 $58,251.60 $58,251.60 nat. median
$58,020
1.0× median
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 4 $58,060.13 $58,060.13 $58,060.13 nat. median
$52,303
1.1× median
16
MS_DRG 		Autologous Bone Marrow Transplant With Cc/Mcc 4 $57,925.32 $57,925.32 $57,925.32 nat. median
$56,918
1.0× median
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 4 $57,328.46 $57,328.46 $57,328.46 nat. median
$57,424
1.0× median
820
MS_DRG 		Lymphoma And Leukemia With Major O.r. Procedures With Mcc 4 $57,291.34 $57,291.34 $57,291.34 nat. median
$56,696
1.0× median
430
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 4 $56,336.94 $56,336.94 $56,336.94 nat. median
$54,592
1.0× median
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 4 $55,977.45 $55,977.45 $55,977.45 nat. median
$55,916
1.0× median

Other procedures at this hospital

Browse this hospital's 6,176 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 4 4 — — $421,838.83 $421,838.83 $421,838.83 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 4 4 — — $273,756.43 $273,756.43 $273,756.43 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 4 4 — — $208,566.14 $208,566.14 $208,566.14 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 4 4 — — $207,342.12 $207,342.12 $207,342.12 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 4 4 — — $135,309.85 $135,309.85 $135,309.85 2026-04-01
7 MS_DRG Lung Transplant 4 4 — — $126,506.32 $126,506.32 $126,506.32 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 4 4 — — $117,398.98 $117,398.98 $117,398.98 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 4 4 — — $110,696.69 $110,696.69 $110,696.69 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 4 4 — — $110,569.70 $110,569.70 $110,569.70 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 4 4 — — $107,662.54 $107,662.54 $107,662.54 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 4 4 — — $106,225.57 $106,225.57 $106,225.57 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 4 4 — — $100,719.95 $100,719.95 $100,719.95 2026-04-01
215 MS_DRG Other Heart Assist System Implant 4 4 — — $97,266.72 $97,266.72 $97,266.72 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 4 4 — — $95,565.01 $95,565.01 $95,565.01 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 4 4 — — $88,011.87 $88,011.87 $88,011.87 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 4 4 — — $84,591.86 $84,591.86 $84,591.86 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 4 4 — — $82,348.97 $82,348.97 $82,348.97 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 4 4 — — $82,090.10 $82,090.10 $82,090.10 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 4 4 — — $76,867.77 $76,867.77 $76,867.77 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 4 4 — — $75,006.83 $75,006.83 $75,006.83 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 4 4 — — $74,683.49 $74,683.49 $74,683.49 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 4 4 — — $74,436.34 $74,436.34 $74,436.34 2026-04-01
5116 OTHER Level 6 Musculoskeletal Procedures 1 1 — — $73,168.18 $73,168.18 $73,168.18 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 4 4 — — $70,516.17 $70,516.17 $70,516.17 2026-04-01
10 MS_DRG Pancreas Transplant 4 4 — — $70,097.10 $70,097.10 $70,097.10 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 4 4 — — $70,067.79 $70,067.79 $70,067.79 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 4 4 — — $69,695.60 $69,695.60 $69,695.60 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 4 4 — — $69,654.58 $69,654.58 $69,654.58 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 4 4 — — $67,519.14 $67,519.14 $67,519.14 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 4 4 — — $67,187.98 $67,187.98 $67,187.98 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 4 4 — — $65,753.94 $65,753.94 $65,753.94 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 4 4 — — $65,318.26 $65,318.26 $65,318.26 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 4 4 — — $65,270.39 $65,270.39 $65,270.39 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 4 4 — — $64,231.98 $64,231.98 $64,231.98 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 4 4 — — $64,231.98 $64,231.98 $64,231.98 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 4 4 — — $63,998.51 $63,998.51 $63,998.51 2026-04-01
5115 OTHER Level 5 Musculoskeletal Procedures 1 1 — — $62,945.84 $62,945.84 $62,945.84 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 4 4 — — $62,858.51 $62,858.51 $62,858.51 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 4 4 — — $59,866.36 $59,866.36 $59,866.36 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 4 4 — — $59,797.00 $59,797.00 $59,797.00 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 4 4 — — $59,223.58 $59,223.58 $59,223.58 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 4 4 — — $58,693.14 $58,693.14 $58,693.14 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 4 4 — — $58,676.54 $58,676.54 $58,676.54 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 4 4 — — $58,251.60 $58,251.60 $58,251.60 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 4 4 — — $58,060.13 $58,060.13 $58,060.13 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 4 4 — — $57,925.32 $57,925.32 $57,925.32 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 4 4 — — $57,328.46 $57,328.46 $57,328.46 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 4 4 — — $57,291.34 $57,291.34 $57,291.34 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 4 4 — — $56,336.94 $56,336.94 $56,336.94 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 4 4 — — $55,977.45 $55,977.45 $55,977.45 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 4 4 — — $55,748.86 $55,748.86 $55,748.86 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 4 4 — — $55,676.58 $55,676.58 $55,676.58 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 4 4 — — $54,919.50 $54,919.50 $54,919.50 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 4 4 — — $54,749.53 $54,749.53 $54,749.53 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 4 4 — — $54,374.41 $54,374.41 $54,374.41 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 4 4 — — $53,952.40 $53,952.40 $53,952.40 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 4 4 — — $53,629.06 $53,629.06 $53,629.06 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 4 4 — — $53,439.55 $53,439.55 $53,439.55 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 4 4 — — $53,363.35 $53,363.35 $53,363.35 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 4 4 — — $53,279.34 $53,279.34 $53,279.34 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 4 4 — — $53,066.38 $53,066.38 $53,066.38 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 4 4 — — $52,094.40 $52,094.40 $52,094.40 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 4 4 — — $52,063.14 $52,063.14 $52,063.14 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 4 4 — — $51,713.42 $51,713.42 $51,713.42 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 4 4 — — $51,542.47 $51,542.47 $51,542.47 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 4 4 — — $50,849.87 $50,849.87 $50,849.87 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 4 4 — — $50,761.95 $50,761.95 $50,761.95 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 4 4 — — $49,236.09 $49,236.09 $49,236.09 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 4 4 — — $48,720.30 $48,720.30 $48,720.30 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 4 4 — — $48,329.55 $48,329.55 $48,329.55 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 5 4 — — $48,243.59 $99,495.53 $48,243.59 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 4 4 — — $48,078.50 $48,078.50 $48,078.50 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 4 4 — — $47,878.24 $47,878.24 $47,878.24 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 4 4 — — $47,170.01 $47,170.01 $47,170.01 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 4 4 — — $46,931.66 $46,931.66 $46,931.66 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 4 4 — — $46,506.72 $46,506.72 $46,506.72 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 4 4 — — $45,926.46 $45,926.46 $45,926.46 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 4 4 — — $45,832.68 $45,832.68 $45,832.68 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 4 4 — — $45,695.92 $45,695.92 $45,695.92 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 4 4 — — $45,297.36 $45,297.36 $45,297.36 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 4 4 — — $45,116.64 $45,116.64 $45,116.64 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 5 4 — — $44,901.72 $83,270.33 $44,901.72 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 4 4 — — $44,787.43 $44,787.43 $44,787.43 2026-04-01
245 MS_DRG Aicd Generator Procedures 4 4 — — $44,568.61 $44,568.61 $44,568.61 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 4 4 — — $44,434.78 $44,434.78 $44,434.78 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 4 4 — — $44,415.24 $44,415.24 $44,415.24 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 4 4 — — $44,241.36 $44,241.36 $44,241.36 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 4 4 — — $43,781.26 $43,781.26 $43,781.26 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 4 4 — — $43,768.56 $43,768.56 $43,768.56 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 4 4 — — $43,596.63 $43,596.63 $43,596.63 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 4 4 — — $42,911.84 $42,911.84 $42,911.84 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 4 4 — — $42,272.97 $42,272.97 $42,272.97 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 4 4 — — $41,935.95 $41,935.95 $41,935.95 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 4 4 — — $41,666.34 $41,666.34 $41,666.34 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 4 4 — — $41,427.01 $41,427.01 $41,427.01 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 4 4 — — $41,255.08 $41,255.08 $41,255.08 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 4 4 — — $41,184.74 $41,184.74 $41,184.74 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 4 4 — — $41,164.23 $41,164.23 $41,164.23 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 4 4 — — $41,044.07 $41,044.07 $41,044.07 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 4 4 — — $40,995.23 $40,995.23 $40,995.23 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 4 4 — — $40,919.03 $40,919.03 $40,919.03 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 4 4 — — $40,760.78 $40,760.78 $40,760.78 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 4 4 — — $40,731.48 $40,731.48 $40,731.48 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 4 4 — — $40,569.32 $40,569.32 $40,569.32 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 4 4 — — $40,300.68 $40,300.68 $40,300.68 2026-04-01
791 MS_DRG Prematurity With Major Problems 4 4 — — $39,651.06 $39,651.06 $39,651.06 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 4 4 — — $39,274.97 $39,274.97 $39,274.97 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 4 4 — — $38,919.39 $38,919.39 $38,919.39 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 4 4 — — $38,214.09 $38,214.09 $38,214.09 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 4 4 — — $38,041.18 $38,041.18 $38,041.18 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 4 4 — — $37,811.62 $37,811.62 $37,811.62 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 4 4 — — $37,754.96 $37,754.96 $37,754.96 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 4 4 — — $37,718.82 $37,718.82 $37,718.82 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 4 4 — — $37,504.88 $37,504.88 $37,504.88 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 4 4 — — $36,759.53 $36,759.53 $36,759.53 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 4 4 — — $36,599.33 $36,599.33 $36,599.33 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 4 4 — — $36,512.38 $36,512.38 $36,512.38 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 4 4 — — $36,508.48 $36,508.48 $36,508.48 2026-04-01
5362 OTHER Level 2 Laparoscopy And Related Services 1 1 — — $36,436.17 $36,436.17 $36,436.17 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 4 4 — — $36,405.91 $36,405.91 $36,405.91 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 4 4 — — $36,200.76 $36,200.76 $36,200.76 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 4 4 — — $35,881.33 $35,881.33 $35,881.33 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 4 4 — — $35,866.67 $35,866.67 $35,866.67 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 4 4 — — $35,445.64 $35,445.64 $35,445.64 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 4 4 — — $35,418.29 $35,418.29 $35,418.29 2026-04-01
332 MS_DRG Rectal Resection With Mcc 4 4 — — $35,369.45 $35,369.45 $35,369.45 2026-04-01
265 MS_DRG Aicd Lead Procedures 4 4 — — $35,345.03 $35,345.03 $35,345.03 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 4 4 — — $35,282.51 $35,282.51 $35,282.51 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 4 4 — — $35,229.76 $35,229.76 $35,229.76 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 4 4 — — $34,999.22 $34,999.22 $34,999.22 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 4 4 — — $34,918.14 $34,918.14 $34,918.14 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 4 4 — — $34,882.97 $34,882.97 $34,882.97 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 4 4 — — $34,831.19 $34,831.19 $34,831.19 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 4 4 — — $34,801.89 $34,801.89 $34,801.89 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 4 4 — — $34,768.68 $34,768.68 $34,768.68 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 4 4 — — $34,740.35 $34,740.35 $34,740.35 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 4 4 — — $34,450.22 $34,450.22 $34,450.22 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 4 4 — — $34,379.88 $34,379.88 $34,379.88 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 4 4 — — $34,076.08 $34,076.08 $34,076.08 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 4 4 — — $34,067.28 $34,067.28 $34,067.28 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 4 4 — — $33,910.99 $33,910.99 $33,910.99 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 4 4 — — $33,746.87 $33,746.87 $33,746.87 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 4 4 — — $33,590.57 $33,590.57 $33,590.57 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 4 4 — — $33,490.93 $33,490.93 $33,490.93 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 4 4 — — $33,326.82 $33,326.82 $33,326.82 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 4 4 — — $33,282.86 $33,282.86 $33,282.86 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 4 4 — — $32,633.24 $32,633.24 $32,633.24 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 4 4 — — $32,268.87 $32,268.87 $32,268.87 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 4 4 — — $32,159.46 $32,159.46 $32,159.46 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 4 4 — — $32,155.55 $32,155.55 $32,155.55 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 4 4 — — $31,775.55 $31,775.55 $31,775.55 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 4 4 — — $31,635.86 $31,635.86 $31,635.86 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 4 4 — — $31,600.69 $31,600.69 $31,600.69 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 4 4 — — $31,556.73 $31,556.73 $31,556.73 2026-04-01
652 MS_DRG Kidney Transplant 4 4 — — $31,547.94 $31,547.94 $31,547.94 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 4 4 — — $31,524.50 $31,524.50 $31,524.50 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 4 4 — — $31,462.96 $31,462.96 $31,462.96 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 4 4 — — $31,361.36 $31,361.36 $31,361.36 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 4 4 — — $31,189.43 $31,189.43 $31,189.43 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 4 4 — — $31,131.80 $31,131.80 $31,131.80 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 4 4 — — $31,101.51 $31,101.51 $31,101.51 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 4 4 — — $31,038.99 $31,038.99 $31,038.99 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 4 4 — — $30,915.91 $30,915.91 $30,915.91 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 4 4 — — $30,869.02 $30,869.02 $30,869.02 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 4 4 — — $30,781.10 $30,781.10 $30,781.10 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 4 4 — — $30,766.45 $30,766.45 $30,766.45 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 4 4 — — $30,694.16 $30,694.16 $30,694.16 2026-04-01
665 MS_DRG Prostatectomy With Mcc 4 4 — — $30,489.99 $30,489.99 $30,489.99 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 4 4 — — $30,426.50 $30,426.50 $30,426.50 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 4 4 — — $30,372.77 $30,372.77 $30,372.77 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 4 4 — — $29,906.80 $29,906.80 $29,906.80 2026-04-01
263 MS_DRG Vein Ligation And Stripping 4 4 — — $29,866.75 $29,866.75 $29,866.75 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 4 4 — — $29,630.35 $29,630.35 $29,630.35 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 4 4 — — $29,506.29 $29,506.29 $29,506.29 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 4 4 — — $29,502.38 $29,502.38 $29,502.38 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 4 4 — — $29,470.15 $29,470.15 $29,470.15 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 4 4 — — $29,075.49 $29,075.49 $29,075.49 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 4 4 — — $28,779.50 $28,779.50 $28,779.50 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 4 4 — — $28,759.96 $28,759.96 $28,759.96 2026-04-01
570 MS_DRG Skin Debridement With Mcc 4 4 — — $28,730.66 $28,730.66 $28,730.66 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 4 4 — — $28,524.54 $28,524.54 $28,524.54 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 6 4 — — $1,054.58 $35,093.63 $28,449.32 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 4 4 — — $28,348.70 $28,348.70 $28,348.70 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 4 4 — — $28,331.12 $28,331.12 $28,331.12 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 4 4 — — $28,206.08 $28,206.08 $28,206.08 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 4 4 — — $28,192.40 $28,192.40 $28,192.40 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 4 4 — — $28,151.37 $28,151.37 $28,151.37 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 4 4 — — $28,038.06 $28,038.06 $28,038.06 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 4 4 — — $27,845.61 $27,845.61 $27,845.61 2026-04-01
800 MS_DRG Splenic Procedures With Cc 4 4 — — $27,444.12 $27,444.12 $27,444.12 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 4 4 — — $27,345.46 $27,345.46 $27,345.46 2026-04-01
503 MS_DRG Foot Procedures With Mcc 4 4 — — $27,265.35 $27,265.35 $27,265.35 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 4 4 — — $27,077.80 $27,077.80 $27,077.80 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 4 4 — — $26,933.22 $26,933.22 $26,933.22 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 4 4 — — $26,851.16 $26,851.16 $26,851.16 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 4 4 — — $26,844.32 $26,844.32 $26,844.32 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 4 4 — — $26,705.61 $26,705.61 $26,705.61 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 4 4 — — $26,578.62 $26,578.62 $26,578.62 2026-04-01
849 MS_DRG Radiotherapy 4 4 — — $26,468.23 $26,468.23 $26,468.23 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 4 4 — — $26,435.99 $26,435.99 $26,435.99 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 4 4 — — $26,350.03 $26,350.03 $26,350.03 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 4 4 — — $25,984.68 $25,984.68 $25,984.68 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 4 4 — — $25,893.83 $25,893.83 $25,893.83 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 4 4 — — $25,763.91 $25,763.91 $25,763.91 2026-04-01
5374 OTHER Level 4 Urology And Related Services 1 1 — — $25,637.54 $25,637.54 $25,637.54 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 4 4 — — $25,355.58 $25,355.58 $25,355.58 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 4 4 — — $25,325.30 $25,325.30 $25,325.30 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 4 4 — — $25,230.54 $25,230.54 $25,230.54 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 4 4 — — $25,195.37 $25,195.37 $25,195.37 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 4 4 — — $25,195.37 $25,195.37 $25,195.37 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 4 4 — — $25,082.06 $25,082.06 $25,082.06 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 4 4 — — $24,939.43 $24,939.43 $24,939.43 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 4 4 — — $24,821.23 $24,821.23 $24,821.23 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 5 4 — — $24,774.34 $28,611.35 $24,774.34 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 4 4 — — $24,656.14 $24,656.14 $24,656.14 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 4 4 — — $24,645.40 $24,645.40 $24,645.40 2026-04-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 4 4 — — $24,342.57 $24,342.57 $24,342.57 2026-04-01
545 MS_DRG Connective Tissue Disorders With Mcc 4 4 — — $24,242.93 $24,242.93 $24,242.93 2026-04-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 4 4 — — $24,023.13 $24,023.13 $24,023.13 2026-04-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 4 4 — — $24,016.29 $24,016.29 $24,016.29 2026-04-01
783 MS_DRG Cesarean Section With Sterilization With Mcc 4 4 — — $23,983.08 $23,983.08 $23,983.08 2026-04-01
792 MS_DRG Prematurity Without Major Problems 4 4 — — $23,925.44 $23,925.44 $23,925.44 2026-04-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 4 4 — — $23,876.60 $23,876.60 $23,876.60 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 4 4 — — $23,848.27 $23,848.27 $23,848.27 2026-04-01
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 4 4 — — $23,661.69 $23,661.69 $23,661.69 2026-04-01
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 4 4 — — $23,584.52 $23,584.52 $23,584.52 2026-04-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 4 4 — — $23,496.60 $23,496.60 $23,496.60 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 5 4 — — $23,417.47 $172,600.67 $23,417.47 2026-04-01
397 MS_DRG Appendix Procedures With Mcc 4 4 — — $23,395.00 $23,395.00 $23,395.00 2026-04-01
35 MS_DRG Carotid Artery Stent Procedures With Cc 4 4 — — $23,352.02 $23,352.02 $23,352.02 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 4 4 — — $23,311.97 $23,311.97 $23,311.97 2026-04-01
113 MS_DRG Orbital Procedures With Cc/Mcc 4 4 — — $22,967.14 $22,967.14 $22,967.14 2026-04-01
333 MS_DRG Rectal Resection With Cc 4 4 — — $22,880.20 $22,880.20 $22,880.20 2026-04-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 4 4 — — $22,845.03 $22,845.03 $22,845.03 2026-04-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 4 4 — — $22,828.42 $22,828.42 $22,828.42 2026-04-01
709 MS_DRG Penis Procedures With Cc/Mcc 4 4 — — $22,732.69 $22,732.69 $22,732.69 2026-04-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 4 4 — — $22,717.06 $22,717.06 $22,717.06 2026-04-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 5 4 — — $2,729.10 $22,693.61 $22,693.61 2026-04-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 4 4 — — $22,577.37 $22,577.37 $22,577.37 2026-04-01
28705 HCPCS Fusion Of Foot Bones 1 1 — — $22,551.42 $22,551.42 $22,551.42 2026-04-01
27290 HCPCS Amputation Of Leg At Hip 1 1 — — $22,551.42 $22,551.42 $22,551.42 2026-04-01
23616 HCPCS Treat Humerus Fracture 1 1 — — $22,551.42 $22,551.42 $22,551.42 2026-04-01
27280 HCPCS Fusion Of Sacroiliac Joint 1 1 — — $22,551.42 $22,551.42 $22,551.42 2026-04-01
22612 HCPCS Lumbar Spine Fusion 1 1 — — $22,551.42 $22,551.42 $22,551.42 2026-04-01
27295 HCPCS Amputation Of Leg At Hip 1 1 — — $22,551.42 $22,551.42 $22,551.42 2026-04-01
23472 HCPCS Reconstruct Shoulder Joint 1 1 — — $22,551.42 $22,551.42 $22,551.42 2026-04-01
22533 HCPCS Lat Lumbar Spine Fusion 1 1 — — $22,551.42 $22,551.42 $22,551.42 2026-04-01
27278 HCPCS Arthrd Si Jt Prq Wo Tfxj Dev 1 1 — — $22,551.42 $22,551.42 $22,551.42 2026-04-01
27279 HCPCS Arthrodesis Sacroiliac Joint 1 1 — — $22,551.42 $22,551.42 $22,551.42 2026-04-01
22610 HCPCS Thorax Spine Fusion 1 1 — — $22,551.42 $22,551.42 $22,551.42 2026-04-01
25446 HCPCS Wrist Replacement 1 1 — — $22,551.42 $22,551.42 $22,551.42 2026-04-01
22800 HCPCS Post Fusion <=6 Vert Seg 1 1 — — $22,551.42 $22,551.42 $22,551.42 2026-04-01
22600 HCPCS Neck Spine Fusion 1 1 — — $22,551.42 $22,551.42 $22,551.42 2026-04-01
27703 HCPCS Reconstruction Ankle Joint 1 1 — — $22,551.42 $22,551.42 $22,551.42 2026-04-01
20982 HCPCS Ablate Bone Tumor(s) Perq 1 1 — — $22,551.42 $22,551.42 $22,551.42 2026-04-01
25442 HCPCS Reconstruct Wrist Joint 1 1 — — $22,551.42 $22,551.42 $22,551.42 2026-04-01
C8003 HCPCS Imp Extar Knee Shck Absrb 1 1 — — $22,551.42 $22,551.42 $22,551.42 2026-04-01
22861 HCPCS Revise Cerv Artific Disc 1 1 — — $22,551.42 $22,551.42 $22,551.42 2026-04-01
22856 HCPCS Cerv Artific Diskectomy 1 1 — — $22,551.42 $22,551.42 $22,551.42 2026-04-01
0790T HCPCS Revj Rplcmt/rmvl Vrt Tethrg 1 1 — — $22,551.42 $22,551.42 $22,551.42 2026-04-01
22857 HCPCS Lumbar Artif Diskectomy 1 1 — — $22,551.42 $22,551.42 $22,551.42 2026-04-01
22862 HCPCS Revise Lumbar Artif Disc 1 1 — — $22,551.42 $22,551.42 $22,551.42 2026-04-01
27487 HCPCS Revise/replace Knee Joint 1 1 — — $22,551.42 $22,551.42 $22,551.42 2026-04-01
22836 HCPCS Ant Thrc Vrt Body Tethrg <7 1 1 — — $22,551.42 $22,551.42 $22,551.42 2026-04-01
22837 HCPCS Ant Thrc Vrt Body Tethrg 8+ 1 1 — — $22,551.42 $22,551.42 $22,551.42 2026-04-01
22819 HCPCS Kyphectomy 3 Or More 1 1 — — $22,551.42 $22,551.42 $22,551.42 2026-04-01
0657T HCPCS Vrt Bdy Tethering Ant 8+ Seg 1 1 — — $22,551.42 $22,551.42 $22,551.42 2026-04-01
22838 HCPCS Rev Rplc/rmv Thrc Vrt Tethrg 1 1 — — $22,551.42 $22,551.42 $22,551.42 2026-04-01
20808 HCPCS Replantation Hand Complete 1 1 — — $22,551.42 $22,551.42 $22,551.42 2026-04-01
20805 HCPCS Replant Forearm Complete 1 1 — — $22,551.42 $22,551.42 $22,551.42 2026-04-01
22810 HCPCS Ant Fusion 4-7 Vert Seg 1 1 — — $22,551.42 $22,551.42 $22,551.42 2026-04-01
22804 HCPCS Post Fusion 13/> Vert Seg 1 1 — — $22,551.42 $22,551.42 $22,551.42 2026-04-01
20802 HCPCS Replantation Arm Complete 1 1 — — $22,551.42 $22,551.42 $22,551.42 2026-04-01
22808 HCPCS Ant Fusion 2-3 Vert Seg 1 1 — — $22,551.42 $22,551.42 $22,551.42 2026-04-01
22812 HCPCS Ant Fusion 8/> Vert Seg 1 1 — — $22,551.42 $22,551.42 $22,551.42 2026-04-01
22867 HCPCS Insj Stablj Dev W/dcmprn 1 1 — — $22,551.42 $22,551.42 $22,551.42 2026-04-01
0656T HCPCS Vrt Bdy Tethering Ant 1 1 — — $22,551.42 $22,551.42 $22,551.42 2026-04-01
22586 HCPCS Prescrl Fuse With Instr L5-s1 1 1 — — $22,551.42 $22,551.42 $22,551.42 2026-04-01
20838 HCPCS Replantation Foot Complete 1 1 — — $22,551.42 $22,551.42 $22,551.42 2026-04-01
22818 HCPCS Kyphectomy 1-2 Segments 1 1 — — $22,551.42 $22,551.42 $22,551.42 2026-04-01
24361 HCPCS Reconstruct Elbow Joint 1 1 — — $22,551.42 $22,551.42 $22,551.42 2026-04-01
22556 HCPCS Thorax Spine Fusion 1 1 — — $22,551.42 $22,551.42 $22,551.42 2026-04-01
24371 HCPCS Revise Reconst Elbow Joint 1 1 — — $22,551.42 $22,551.42 $22,551.42 2026-04-01
22802 HCPCS Post Fusion 7-12 Vert Seg 1 1 — — $22,551.42 $22,551.42 $22,551.42 2026-04-01
24363 HCPCS Replace Elbow Joint 1 1 — — $22,551.42 $22,551.42 $22,551.42 2026-04-01
347 MS_DRG Anal And Stomal Procedures With Mcc 4 4 — — $22,424.98 $22,424.98 $22,424.98 2026-04-01
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 4 4 — — $22,418.14 $22,418.14 $22,418.14 2026-04-01
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 4 4 — — $22,327.29 $22,327.29 $22,327.29 2026-04-01
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 4 4 — — $22,288.21 $22,288.21 $22,288.21 2026-04-01
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 4 4 — — $22,230.58 $22,230.58 $22,230.58 2026-04-01
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 4 4 — — $22,193.46 $22,193.46 $22,193.46 2026-04-01
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 4 4 — — $22,131.91 $22,131.91 $22,131.91 2026-04-01
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 4 4 — — $21,868.16 $21,868.16 $21,868.16 2026-04-01
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/Mcc 4 4 — — $21,855.46 $21,855.46 $21,855.46 2026-04-01
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/Mcc 4 4 — — $21,682.56 $21,682.56 $21,682.56 2026-04-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 4 4 — — $21,616.13 $21,616.13 $21,616.13 2026-04-01
934 MS_DRG Full Thickness Burn Without Skin Graft Or Inhalation Injury 4 4 — — $21,594.64 $21,594.64 $21,594.64 2026-04-01
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 4 4 — — $21,568.26 $21,568.26 $21,568.26 2026-04-01
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 4 4 — — $21,478.39 $21,478.39 $21,478.39 2026-04-01
30 MS_DRG Spinal Procedures Without Cc/Mcc 4 4 — — $21,444.20 $21,444.20 $21,444.20 2026-04-01
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