Price Transparency 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

STANFORD HEALTH CARE

Stanford, CA · CCN 050441 · Rates published

12,820 distinct procedures filed
38 distinct payers
278,052 rate rows
2026-04-01 last MRF observed
Data quality

59,462 of 278,052 rate rows are consumer-grade (21.4%)

218,590 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
professional (physician) fee — not the facility price 143,110
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 46,750
template filing: same amount across many unrelated codes — excluded 28,684
placeholder amount (≤ $0.02) — excluded from medians 46
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://stanfordhealthcare.org/content/dam/SHC/patientsandvisitors/pricingtransparency/946174066_stanford-health-care_standardcharges.json
Found on page https://stanfordhealthcare.org/for-patients-visitors/price-transparency.html
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-16
Content fingerprint d21ae2b92615b849… · 154,579,203 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
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 2 $2,310,772.30 $2,455,110.60 $2,382,941.45 nat. median
$2,469,189
1.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 8 $412,866.98 $4,406,782.77 $1,508,546.16 nat. median
$265,286
outlier · 5.7×
7
MS_DRG 		Lung Transplant 6 $191,023.04 $1,491,247.55 $1,272,795.12 nat. median
$122,708
outlier · 10.4×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 9 $239,085.63 $3,902,610.28 $1,232,407.10 nat. median
$202,986
outlier · 6.1×
5244
OTHER 		Level 4 Blood Product Exchange And Related Services 1 $965,069.01 $965,069.01 $965,069.01 nat. median
$63,188
outlier · 15.3×
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 8 $163,548.00 $1,651,834.94 $859,619.72 nat. median
$370,174
outlier · 2.3×
850
MS_DRG 		Acute Leukemia With Other Procedures 4 $127,875.59 $1,312,835.10 $749,639.04 nat. median
$83,442
outlier · 9.0×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 7 $152,173.83 $1,123,881.73 $715,000.00 nat. median
$100,136
outlier · 7.1×
956
MS_DRG 		Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 3 $55,812.40 $1,150,241.13 $636,521.33 nat. median
$37,664
outlier · 16.9×
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 1 $591,726.20 $591,726.20 $591,726.20 nat. median
$754,974
0.8× median
823
MS_DRG 		Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 5 $58,568.41 $848,890.37 $582,354.00 nat. median
$45,113
outlier · 12.9×
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 1 $562,538.19 $562,538.19 $562,538.19 nat. median
$674,188
0.8× median
6
MS_DRG 		Liver Transplant Without Mcc 4 $57,000.00 $729,956.00 $543,375.00 nat. median
$46,260
outlier · 11.7×
9413
OTHER 		Lisocabtagene Car Pos T 1 $511,851.30 $511,851.30 $511,851.30 nat. median
$562,201
0.9× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 5 $123,498.54 $1,090,888.28 $472,279.35 nat. median
$93,672
outlier · 5.0×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 7 $126,952.86 $1,004,731.00 $471,164.00 nat. median
$117,303
outlier · 4.0×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 4 $124,106.49 $843,629.25 $449,560.16 nat. median
$81,118
outlier · 5.5×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 2 $133,028.11 $758,195.28 $445,611.70 nat. median
$82,712
outlier · 5.4×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 6 $112,947.85 $608,955.00 $439,867.33 nat. median
$73,807
outlier · 6.0×
834
MS_DRG 		Acute Leukemia With Mcc 8 $81,227.68 $1,655,681.79 $403,597.42 nat. median
$53,173
outlier · 7.6×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 4 $116,238.63 $1,064,612.19 $400,956.24 nat. median
$77,576
outlier · 5.2×
471
MS_DRG 		Cervical Spinal Fusion With Mcc 2 $71,496.61 $725,697.25 $398,596.93 nat. median
$46,647
outlier · 8.5×
650
MS_DRG 		Kidney Transplant With Hemodialysis With Mcc 6 $60,173.78 $956,571.91 $379,285.50 nat. median
$45,278
outlier · 8.4×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 4 $204,286.26 $858,770.00 $370,573.12 nat. median
$133,176
outlier · 2.8×
545
MS_DRG 		Connective Tissue Disorders With Mcc 8 $13,371.08 $1,807,442.24 $348,761.67 nat. median
$24,621
outlier · 14.2×
958
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Cc 5 $35,689.95 $1,081,291.17 $332,330.10 nat. median
$41,228
outlier · 8.1×
37
MS_DRG 		Extracranial Procedures With Mcc 2 $48,882.03 $612,727.28 $330,804.66 nat. median
$32,921
outlier · 10.0×
651
MS_DRG 		Kidney Transplant With Hemodialysis Without Mcc 4 $54,970.57 $459,124.30 $329,679.50 nat. median
$35,528
outlier · 9.3×
843
MS_DRG 		Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 6 $12,268.38 $476,338.09 $320,890.50 nat. median
$19,627
outlier · 16.3×
577
MS_DRG 		Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 4 $39,442.37 $567,102.57 $319,204.17 nat. median
$26,342
outlier · 12.1×
234
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 5 $80,827.37 $503,154.61 $317,786.00 nat. median
$53,268
outlier · 6.0×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 2 $124,496.50 $508,376.00 $316,436.25 nat. median
$79,312
outlier · 4.0×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 1 $314,652.65 $314,652.65 $314,652.65 nat. median
$206,368
1.5× median
668
MS_DRG 		Transurethral Procedures With Mcc 2 $43,405.73 $574,539.24 $308,972.48 nat. median
$28,493
outlier · 10.8×
16
MS_DRG 		Autologous Bone Marrow Transplant With Cc/Mcc 6 $47,799.54 $600,000.00 $307,602.69 nat. median
$56,920
outlier · 5.4×
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 4 $95,132.57 $504,341.21 $303,633.46 nat. median
$62,134
outlier · 4.9×
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 5 $64,319.81 $925,451.21 $297,213.62 nat. median
$59,099
outlier · 5.0×
263
MS_DRG 		Vein Ligation And Stripping 2 $45,427.89 $544,326.70 $294,877.29 nat. median
$28,155
outlier · 10.5×
576
MS_DRG 		Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 2 $72,563.62 $502,234.53 $287,399.08 nat. median
$49,171
outlier · 5.8×
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 5 $106,921.54 $747,316.49 $284,994.54 nat. median
$72,138
outlier · 4.0×
510
MS_DRG 		Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 2 $44,884.82 $512,350.46 $278,617.64 nat. median
$29,046
outlier · 9.6×
652
MS_DRG 		Kidney Transplant 6 $47,960.73 $341,376.63 $262,955.50 nat. median
$31,494
outlier · 8.3×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 7 $94,986.77 $3,782,222.89 $261,766.06 nat. median
$66,526
outlier · 3.9×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 2 $105,371.39 $416,634.37 $261,002.88 nat. median
$68,887
outlier · 3.8×
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 6 $48,019.45 $363,184.00 $260,328.52 nat. median
$57,424
outlier · 4.5×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 7 $56,938.97 $525,095.45 $232,379.67 nat. median
$74,915
outlier · 3.1×
574
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Cc 3 $51,520.84 $329,249.33 $230,741.00 nat. median
$33,675
outlier · 6.9×
463
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 6 $35,490.00 $465,647.78 $230,633.53 nat. median
$52,753
outlier · 4.4×
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 2 $96,850.08 $359,801.88 $228,325.98 nat. median
$59,793
outlier · 3.8×
981
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 9 $13,847.69 $600,000.00 $224,340.00 nat. median
$46,084
outlier · 4.9×

Other procedures at this hospital

Browse this hospital's 12,820 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
             
J3399 HCPCS Inj Onase Abepar-xioi Treat 4 2 — — $2,310,772.30 $2,455,110.60 $2,382,941.45 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 16 8 — — $412,866.98 $4,406,782.77 $1,508,546.16 2026-04-01
7 MS_DRG Lung Transplant 14 6 — — $191,023.04 $1,491,247.55 $1,272,795.12 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 22 9 — — $239,085.63 $3,902,610.28 $1,232,407.10 2026-04-01
5244 OTHER Level 4 Blood Product Exchange And Related Services 2 1 — — $965,069.01 $965,069.01 $965,069.01 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 20 8 — — $163,548.00 $1,651,834.94 $859,619.72 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 8 4 — — $127,875.59 $1,312,835.10 $749,639.04 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 18 7 — — $152,173.83 $1,123,881.73 $715,000.00 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 6 3 — — $55,812.40 $1,150,241.13 $636,521.33 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 2 1 — — $591,726.20 $591,726.20 $591,726.20 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 10 5 — — $58,568.41 $848,890.37 $582,354.00 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 2 1 — — $562,538.19 $562,538.19 $562,538.19 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 10 4 — — $57,000.00 $729,956.00 $543,375.00 2026-04-01
9413 OTHER Lisocabtagene Car Pos T 2 1 — — $511,851.30 $511,851.30 $511,851.30 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 5 — — $123,498.54 $1,090,888.28 $472,279.35 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 16 7 — — $126,952.86 $1,004,731.00 $471,164.00 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 8 4 — — $124,106.49 $843,629.25 $449,560.16 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 4 2 — — $133,028.11 $758,195.28 $445,611.70 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 12 6 — — $112,947.85 $608,955.00 $439,867.33 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 16 8 — — $81,227.68 $1,655,681.79 $403,597.42 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 8 4 — — $116,238.63 $1,064,612.19 $400,956.24 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 4 2 — — $71,496.61 $725,697.25 $398,596.93 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 12 6 — — $60,173.78 $956,571.91 $379,285.50 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 8 4 — — $204,286.26 $858,770.00 $370,573.12 2026-04-01
545 MS_DRG Connective Tissue Disorders With Mcc 16 8 — — $13,371.08 $1,807,442.24 $348,761.67 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 10 5 — — $35,689.95 $1,081,291.17 $332,330.10 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 4 2 — — $48,882.03 $612,727.28 $330,804.66 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 8 4 — — $54,970.57 $459,124.30 $329,679.50 2026-04-01
843 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 12 6 — — $12,268.38 $476,338.09 $320,890.50 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 8 4 — — $39,442.37 $567,102.57 $319,204.17 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 10 5 — — $80,827.37 $503,154.61 $317,786.00 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 4 2 — — $124,496.50 $508,376.00 $316,436.25 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 2 1 — — $314,652.65 $314,652.65 $314,652.65 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 4 2 — — $43,405.73 $574,539.24 $308,972.48 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 12 6 — — $47,799.54 $600,000.00 $307,602.69 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 8 4 — — $95,132.57 $504,341.21 $303,633.46 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 10 5 — — $64,319.81 $925,451.21 $297,213.62 2026-04-01
263 MS_DRG Vein Ligation And Stripping 4 2 — — $45,427.89 $544,326.70 $294,877.29 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 4 2 — — $72,563.62 $502,234.53 $287,399.08 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 10 5 — — $106,921.54 $747,316.49 $284,994.54 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 4 2 — — $44,884.82 $512,350.46 $278,617.64 2026-04-01
652 MS_DRG Kidney Transplant 12 6 — — $47,960.73 $341,376.63 $262,955.50 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 14 7 — — $94,986.77 $3,782,222.89 $261,766.06 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 4 2 — — $105,371.39 $416,634.37 $261,002.88 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 12 6 — — $48,019.45 $363,184.00 $260,328.52 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 20 7 — — $56,938.97 $525,095.45 $232,379.67 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 6 3 — — $51,520.84 $329,249.33 $230,741.00 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 14 6 — — $35,490.00 $465,647.78 $230,633.53 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 4 2 — — $96,850.08 $359,801.88 $228,325.98 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 22 9 — — $13,847.69 $600,000.00 $224,340.00 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 18 7 — — $68,979.69 $905,144.87 $209,224.26 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 4 2 — — $160,468.49 $255,222.60 $207,845.54 2026-04-01
296 MS_DRG Cardiac Arrest, Unexplained With Mcc 4 2 — — $23,418.19 $388,226.91 $205,822.55 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 8 4 — — $23,956.11 $955,195.51 $205,107.73 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 6 3 — — $55,571.04 $462,629.29 $202,586.60 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 16 7 — — $56,938.97 $314,821.48 $193,396.72 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 12 6 — — $80,700.80 $1,262,994.40 $190,287.42 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 6 3 — — $63,204.90 $317,786.00 $187,704.03 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 8 4 — — $78,341.62 $371,612.63 $185,584.33 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 4 2 — — $101,655.27 $263,426.75 $182,541.01 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 2 1 — — $167,204.59 $167,204.59 $167,204.59 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 6 3 — — $49,039.06 $341,511.91 $162,633.40 2026-04-01
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 14 7 — — $10,189.39 $212,450.00 $161,300.00 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 20 7 — — $9,552.00 $1,426,230.00 $160,504.72 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 12 6 — — $39,945.13 $1,795,706.58 $158,981.12 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 8 4 — — $20,464.00 $543,300.75 $155,239.66 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 12 6 — — $35,265.29 $524,299.72 $152,152.68 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 6 3 — — $50,574.52 $339,233.04 $150,500.00 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 10 5 — — $69,275.78 $652,057.30 $149,560.00 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 4 2 — — $111,570.48 $167,013.26 $139,291.87 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 16 7 — — $40,875.73 $204,069.05 $137,806.56 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 12 6 — — $15,616.00 $858,770.00 $135,952.00 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 6 3 — — $53,038.20 $336,272.52 $135,616.00 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 14 7 — — $44,596.74 $303,786.15 $129,000.00 2026-04-01
215 MS_DRG Other Heart Assist System Implant 4 2 — — $110,113.38 $146,971.27 $128,542.32 2026-04-01
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/Mcc 4 2 — — $31,779.08 $224,340.00 $128,059.54 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 4 2 — — $74,609.32 $179,761.47 $127,185.40 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 18 8 — — $14,576.12 $461,368.07 $127,060.00 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 12 6 — — $35,265.29 $563,397.09 $126,257.70 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 4 2 — — $83,171.84 $168,961.82 $126,066.83 2026-04-01
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/Mcc 8 4 — — $31,936.55 $255,953.63 $125,755.82 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 6 3 — — $98,766.27 $530,711.05 $121,934.70 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 14 7 — — $45,470.85 $366,306.57 $121,423.58 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 10 5 — — $13,317.11 $851,767.41 $118,301.00 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 20 8 — — $60,195.02 $256,680.75 $117,752.68 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 14 7 — — $48,040.21 $475,821.28 $117,077.26 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 14 6 — — $41,088.67 $417,903.64 $114,251.78 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 12 6 — — $38,118.00 $1,028,734.52 $112,080.21 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 16 7 — — $17,358.15 $631,570.10 $111,468.00 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 8 4 — — $46,443.26 $675,522.57 $110,928.56 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 8 4 — — $48,093.19 $356,610.41 $110,715.57 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 14 6 — — $17,921.51 $458,180.95 $109,982.11 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 20 8 — — $16,985.66 $1,098,800.33 $109,440.89 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 8 4 — — $15,533.96 $283,698.04 $108,645.86 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 2 1 — — $108,243.35 $108,243.35 $108,243.35 2026-04-01
10 MS_DRG Pancreas Transplant 2 1 — — $106,038.08 $106,038.08 $106,038.08 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 2 1 — — $105,993.93 $105,993.93 $105,993.93 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 2 1 — — $105,433.20 $105,433.20 $105,433.20 2026-04-01
100 MS_DRG Seizures With Mcc 14 7 — — $10,225.46 $453,206.00 $104,692.00 2026-04-01
902 MS_DRG Wound Debridements For Injuries With Cc 14 6 — — $7,195.84 $280,157.00 $104,692.00 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 14 6 — — $50,640.75 $154,836.00 $104,282.62 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 12 6 — — $33,632.29 $589,120.55 $103,381.51 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 4 2 — — $45,488.23 $160,895.97 $103,192.10 2026-04-01
73 MS_DRG Cranial And Peripheral Nerve Disorders With Mcc 12 5 — — $10,258.93 $283,553.65 $101,663.45 2026-04-01
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Mcc 18 7 — — $9,552.00 $368,706.08 $101,648.00 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 10 5 — — $39,589.44 $446,630.02 $101,648.00 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 14 7 — — $14,592.00 $347,988.29 $100,987.11 2026-04-01
947 MS_DRG Signs And Symptoms With Mcc 16 7 — — $8,343.00 $342,300.01 $100,758.50 2026-04-01
913 MS_DRG Traumatic Injury With Mcc 4 2 — — $24,488.13 $175,363.04 $99,925.59 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 12 6 — — $35,638.25 $531,678.50 $99,698.74 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 4 2 — — $89,656.27 $109,710.00 $99,683.14 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 4 2 — — $52,863.06 $146,501.90 $99,682.48 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 2 1 — — $99,494.78 $99,494.78 $99,494.78 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 6 3 — — $62,193.82 $1,089,615.56 $99,384.00 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 12 6 — — $21,340.11 $932,302.68 $99,098.54 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 10 5 — — $46,783.35 $324,776.00 $98,814.88 2026-04-01
723 MS_DRG Malignancy, Male Reproductive System With Cc 4 2 — — $17,248.70 $179,472.00 $98,360.35 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 4 2 — — $76,908.16 $119,648.00 $98,278.08 2026-04-01
314 MS_DRG Other Circulatory System Diagnoses With Mcc 22 9 — — $12,886.28 $718,300.53 $97,682.88 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 1 — — $97,201.82 $97,201.82 $97,201.82 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 1 — — $97,201.82 $97,201.82 $97,201.82 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 12 5 — — $13,371.08 $473,745.50 $97,016.89 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 16 8 — — $49,869.04 $374,200.04 $96,598.20 2026-04-01
205 MS_DRG Other Respiratory System Diagnoses With Mcc 20 9 — — $10,262.01 $337,988.67 $96,242.00 2026-04-01
385 MS_DRG Inflammatory Bowel Disease With Mcc 18 8 — — $10,904.54 $359,168.00 $96,100.14 2026-04-01
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 8 4 — — $22,275.60 $475,707.94 $95,138.83 2026-04-01
183 MS_DRG Major Chest Trauma With Mcc 8 4 — — $22,947.23 $150,278.82 $94,753.15 2026-04-01
5232 OTHER Level 2 Icd And Similar Procedures 14 7 — — $574.50 $132,688.09 $94,596.00 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 8 4 — — $49,594.19 $405,636.63 $93,242.84 2026-04-01
597 MS_DRG Malignant Breast Disorders With Mcc 6 3 — — $24,966.45 $212,187.27 $93,143.62 2026-04-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 18 8 — — $18,504.12 $394,550.00 $93,027.00 2026-04-01
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 20 9 — — $8,240.00 $1,430,096.46 $92,424.00 2026-04-01
5166 OTHER Cochlear Implant Procedure 10 5 — — $25,000.00 $109,222.62 $91,603.06 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 2 1 — — $90,520.18 $90,520.18 $90,520.18 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 2 1 — — $87,903.44 $87,903.44 $87,903.44 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 10 5 — — $21,763.96 $120,759.80 $87,873.45 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 10 5 — — $20,269.10 $195,600.00 $86,745.19 2026-04-01
988 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 12 6 — — $23,688.67 $524,757.91 $85,774.00 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 4 2 — — $55,279.64 $116,161.92 $85,720.78 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 12 6 — — $17,070.12 $429,304.14 $84,744.00 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 2 1 — — $84,421.33 $84,421.33 $84,421.33 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 20 8 — — $36,422.33 $1,473,676.67 $84,269.24 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 8 4 — — $41,629.36 $134,794.46 $83,808.21 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 2 1 — — $82,915.76 $82,915.76 $82,915.76 2026-04-01
113 MS_DRG Orbital Procedures With Cc/Mcc 6 3 — — $35,033.07 $85,562.00 $82,742.60 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 10 5 — — $2,500.00 $284,179.00 $82,350.61 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 2 1 — — $81,714.82 $81,714.82 $81,714.82 2026-04-01
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 18 8 — — $10,978.07 $169,443.15 $81,088.75 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 14 7 — — $18,557.05 $117,101.66 $80,981.10 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 14 7 — — $38,118.00 $213,413.59 $80,942.17 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 2 1 — — $80,379.97 $80,379.97 $80,379.97 2026-04-01
5231 OTHER Level 1 Icd And Similar Procedures 10 5 — — $61,776.26 $96,879.06 $79,649.18 2026-04-01
906 MS_DRG Hand Procedures For Injuries 4 2 — — $29,340.42 $128,868.00 $79,104.21 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 2 1 — — $78,868.50 $78,868.50 $78,868.50 2026-04-01
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 16 8 — — $9,338.84 $176,361.30 $78,628.00 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 8 4 — — $36,220.46 $140,544.00 $78,459.63 2026-04-01
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 22 9 — — $21,463.20 $475,923.68 $78,080.00 2026-04-01
444 MS_DRG Disorders Of The Biliary Tract With Mcc 16 8 — — $19,952.47 $738,943.19 $77,392.07 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 10 5 — — $29,912.00 $151,981.47 $77,362.00 2026-04-01
30 MS_DRG Spinal Procedures Without Cc/Mcc 8 4 — — $32,738.64 $93,962.12 $77,302.37 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 6 3 — — $34,850.00 $133,661.13 $77,040.62 2026-04-01
583 MS_DRG Mastectomy For Malignancy Without Cc/Mcc 10 5 — — $25,809.75 $134,061.80 $77,022.17 2026-04-01
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 16 8 — — $32,925.55 $448,291.42 $76,352.73 2026-04-01
388 MS_DRG Gastrointestinal Obstruction With Mcc 14 7 — — $9,711.80 $171,000.00 $76,236.00 2026-04-01
91 MS_DRG Other Disorders Of Nervous System With Mcc 14 7 — — $14,126.18 $466,285.26 $76,000.00 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 10 5 — — $29,912.00 $101,648.00 $75,786.73 2026-04-01
5116 OTHER Level 6 Musculoskeletal Procedures 14 6 — — $7,438.99 $87,472.45 $74,993.52 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 18 7 — — $2,241.00 $481,840.00 $74,780.00 2026-04-01
415 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 10 5 — — $30,847.47 $97,263.28 $74,780.00 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 10 5 — — $29,636.38 $400,079.81 $74,713.89 2026-04-01
5093 OTHER Level 3 Breast/Lymphatic Surgery And Related Procedures 14 6 — — $789.41 $83,278.11 $74,701.02 2026-04-01
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 14 6 — — $11,904.28 $345,631.50 $74,564.70 2026-04-01
5465 OTHER Level 5 Neurostimulator And Related Procedures 12 6 — — $380.95 $100,302.67 $73,764.21 2026-04-01
336 MS_DRG Peritoneal Adhesiolysis With Cc 14 7 — — $17,162.44 $121,050.00 $73,393.00 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 16 7 — — $23,344.84 $745,177.65 $73,254.58 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 6 3 — — $21,638.73 $143,437.58 $72,865.32 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 12 6 — — $30,666.64 $159,942.70 $72,558.68 2026-04-01
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/Mcc 8 4 — — $27,032.75 $139,284.09 $72,192.80 2026-04-01
5464 OTHER Level 4 Neurostimulator And Related Procedures 12 6 — — $441.74 $87,621.01 $71,763.27 2026-04-01
2616 OTHER Brachytx, Non-str,yttrium-90 4 2 — — $54,401.06 $88,575.87 $71,488.46 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 12 6 — — $31,240.24 $94,692.00 $71,219.73 2026-04-01
2050 OTHER Cath Coronary Drug-delivery 10 5 — — $1,339.87 $77,825.74 $70,666.41 2026-04-01
5378 OTHER Level 8 Urology And Related Services 10 5 — — $515.49 $95,027.86 $70,413.23 2026-04-01
686 MS_DRG Kidney And Urinary Tract Neoplasms With Mcc 8 4 — — $18,550.14 $696,762.00 $69,823.76 2026-04-01
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 8 4 — — $9,931.68 $195,600.00 $69,351.11 2026-04-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 8 4 — — $23,790.84 $194,428.00 $69,063.85 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 12 5 — — $14,836.67 $911,378.85 $68,871.78 2026-04-01
L8702 HCPCS Pow Ue Rom Dev Ewhf Uprt Cus 2 1 — — $68,801.71 $68,801.71 $68,801.71 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 4 2 — — $46,805.42 $90,719.64 $68,762.53 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 14 7 — — $49,594.19 $125,268.01 $68,730.40 2026-04-01
9453 OTHER Injection, Nivolumab 2 1 — — $68,656.77 $68,656.77 $68,656.77 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 12 6 — — $53,174.75 $102,400.50 $68,611.16 2026-04-01
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 12 6 — — $17,476.32 $163,652.00 $68,519.93 2026-04-01
5094 OTHER Level 4 Breast/Lymphatic Surgery And Related Procedures 18 8 — — $1,079.28 $102,373.58 $68,487.69 2026-04-01
196 MS_DRG Interstitial Lung Disease With Mcc 12 6 — — $11,208.58 $377,875.92 $68,030.00 2026-04-01
245 MS_DRG Aicd Generator Procedures 2 1 — — $67,577.40 $67,577.40 $67,577.40 2026-04-01
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 12 5 — — $14,860.66 $182,824.32 $67,337.92 2026-04-01
54 MS_DRG Nervous System Neoplasms With Mcc 14 7 — — $16,395.59 $150,500.00 $67,250.00 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 2 1 — — $67,084.37 $67,084.37 $67,084.37 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 14 7 — — $28,422.71 $120,531.71 $67,016.50 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 20 8 — — $30,357.16 $263,388.29 $66,857.48 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 4 2 — — $59,066.39 $74,612.72 $66,839.55 2026-04-01
800 MS_DRG Splenic Procedures With Cc 6 3 — — $41,778.00 $97,650.00 $66,540.00 2026-04-01
488 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection With Cc/Mcc 10 5 — — $26,464.67 $109,212.00 $66,180.09 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 4 2 — — $38,219.36 $92,952.00 $65,585.68 2026-04-01
261 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Cc 6 3 — — $28,254.29 $155,220.00 $65,486.13 2026-04-01
803 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Cc 10 5 — — $16,367.28 $134,604.00 $65,200.00 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 14 7 — — $20,672.85 $175,545.53 $64,922.00 2026-04-01
0100T HCPCS Prosth Retina Receive&Gen 2 1 — — $64,606.00 $64,606.00 $64,606.00 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 6 3 — — $26,573.00 $64,786.32 $64,606.00 2026-04-01
393 MS_DRG Other Digestive System Diagnoses With Mcc 16 7 — — $10,557.75 $368,000.00 $64,365.00 2026-04-01
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 14 7 — — $10,538.97 $112,378.24 $64,336.00 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 16 7 — — $23,979.67 $152,000.00 $64,261.69 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 4 2 — — $35,977.00 $92,518.90 $64,247.95 2026-04-01
862 MS_DRG Postoperative And Post-traumatic Infections With Mcc 16 8 — — $12,393.93 $275,000.00 $64,143.00 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 2 1 — — $64,118.84 $64,118.84 $64,118.84 2026-04-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 14 6 — — $20,146.14 $494,500.00 $64,000.00 2026-04-01
669 MS_DRG Transurethral Procedures With Cc 4 2 — — $23,272.49 $104,692.00 $63,982.24 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 14 7 — — $17,592.86 $84,655.15 $63,943.31 2026-04-01
315 MS_DRG Other Circulatory System Diagnoses With Cc 16 8 — — $10,023.22 $267,505.35 $63,874.50 2026-04-01
5194 OTHER Level 4 Endovascular Procedures 16 8 — — $880.25 $172,053.55 $63,811.04 2026-04-01
886 MS_DRG Behavioral And Developmental Disorders 6 3 — — $30,974.04 $65,000.00 $63,530.00 2026-04-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 12 6 — — $13,454.15 $260,800.00 $63,522.74 2026-04-01
144 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Cc 12 6 — — $7,654.97 $207,990.99 $63,406.88 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 18 8 — — $25,341.08 $193,545.00 $63,128.00 2026-04-01
604 MS_DRG Trauma To The Skin, Subcutaneous Tissue And Breast With Mcc 6 3 — — $22,096.58 $268,127.54 $62,464.00 2026-04-01
815 MS_DRG Reticuloendothelial And Immunity Disorders With Cc 14 7 — — $2,781.00 $149,560.00 $62,464.00 2026-04-01
187 MS_DRG Pleural Effusion With Cc 10 5 — — $14,988.13 $89,736.00 $62,464.00 2026-04-01
865 MS_DRG Viral Illness With Mcc 10 5 — — $8,403.35 $149,560.00 $62,464.00 2026-04-01
141 MS_DRG Major Head And Neck Procedures With Cc 16 7 — — $23,776.06 $130,484.49 $62,324.85 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 16 8 — — $38,585.82 $216,713.07 $62,162.00 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 4 2 — — $47,679.63 $76,443.47 $62,061.55 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 6 3 — — $32,733.02 $115,778.21 $61,840.60 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 2 1 — — $61,796.45 $61,796.45 $61,796.45 2026-04-01
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 8 3 — — $6,548.22 $111,995.46 $61,755.37 2026-04-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 18 8 — — $21,341.34 $313,049.34 $61,717.57 2026-04-01
374 MS_DRG Digestive Malignancy With Mcc 16 7 — — $14,580.00 $215,657.00 $61,323.46 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 6 3 — — $30,298.60 $96,413.99 $61,147.42 2026-04-01
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 12 5 — — $21,638.73 $352,197.73 $61,030.88 2026-04-01
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 16 8 — — $8,003.31 $134,500.00 $60,975.18 2026-04-01
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 18 9 — — $17,678.88 $212,940.87 $60,700.00 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 8 4 — — $20,624.96 $101,532.66 $60,652.91 2026-04-01
784 MS_DRG Cesarean Section With Sterilization With Cc 4 2 — — $16,033.05 $104,692.00 $60,362.52 2026-04-01
571 MS_DRG Skin Debridement With Cc 8 4 — — $10,673.13 $103,964.35 $60,283.71 2026-04-01
791 MS_DRG Prematurity With Major Problems 2 1 — — $60,168.72 $60,168.72 $60,168.72 2026-04-01
92 MS_DRG Other Disorders Of Nervous System With Cc 14 7 — — $8,957.04 $190,590.00 $60,073.40 2026-04-01
33991 HCPCS Insert Vad Art&vein Access 6 2 — — $16,172.00 $59,903.00 $59,903.00 2026-04-01
33990 HCPCS Insert Vad Artery Access 6 2 — — $16,172.00 $59,903.00 $59,903.00 2026-04-01
33993 HCPCS Reposition Vad Diff Session 6 2 — — $16,172.00 $59,903.00 $59,903.00 2026-04-01
33340 HCPCS Perq Clsr Tcat L Atr Apndge 6 2 — — $16,172.00 $59,903.00 $59,903.00 2026-04-01
638 MS_DRG Diabetes With Cc 14 7 — — $6,307.37 $78,173.76 $59,824.00 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 6 3 — — $53,587.15 $74,216.75 $59,824.00 2026-04-01
682 MS_DRG Renal Failure With Mcc 18 7 — — $10,274.32 $179,274.29 $59,824.00 2026-04-01
389 MS_DRG Gastrointestinal Obstruction With Cc 14 7 — — $6,040.79 $95,000.00 $59,824.00 2026-04-01
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 10 5 — — $13,576.91 $211,900.00 $59,824.00 2026-04-01
848 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis Without Cc/Mcc 10 5 — — $12,932.12 $95,000.00 $59,824.00 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 14 7 — — $30,981.21 $166,098.00 $59,602.10 2026-04-01
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 14 7 — — $27,430.61 $100,402.29 $59,413.60 2026-04-01
598 MS_DRG Malignant Breast Disorders With Cc 4 2 — — $17,080.92 $101,648.00 $59,364.46 2026-04-01
0266T HCPCS Implt/rpl Crtd Sns Dev Total 8 3 — — $16,461.00 $59,903.00 $59,317.50 2026-04-01
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With Mcc 16 7 — — $9,186.21 $268,664.13 $58,515.00 2026-04-01
75 MS_DRG Viral Meningitis With Cc/Mcc 4 2 — — $28,651.65 $88,301.83 $58,476.74 2026-04-01
919 MS_DRG Complications Of Treatment With Mcc 22 7 — — $9,720.00 $879,327.08 $58,373.82 2026-04-01
262 MS_DRG Cardiac Pacemaker Revision Except Device Replacement Without Cc/Mcc 4 2 — — $24,418.96 $92,302.29 $58,360.62 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 8 4 — — $52,907.21 $729,683.52 $58,125.32 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 14 7 — — $15,602.90 $255,990.00 $57,872.54 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 2 1 — — $57,743.31 $57,743.31 $57,743.31 2026-04-01
964 MS_DRG Other Multiple Significant Trauma With Cc 6 3 — — $22,986.97 $60,358.00 $57,525.00 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 2 1 — — $57,397.45 $57,397.45 $57,397.45 2026-04-01
543 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 12 6 — — $11,090.41 $104,692.00 $57,356.50 2026-04-01
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 14 7 — — $25,862.73 $66,355.61 $57,024.26 2026-04-01
69930 HCPCS Implant Cochlear Device 4 2 — — $48,497.46 $64,606.00 $56,551.73 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 8 4 — — $18,374.08 $177,884.00 $56,543.67 2026-04-01
637 MS_DRG Diabetes With Mcc 12 6 — — $8,910.49 $130,559.12 $56,249.00 2026-04-01
585 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/Mcc 12 6 — — $28,822.37 $99,768.96 $56,084.57 2026-04-01
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 16 7 — — $5,870.90 $183,462.93 $56,024.00 2026-04-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 12 6 — — $23,280.36 $350,874.64 $55,696.85 2026-04-01
185 MS_DRG Major Chest Trauma Without Cc/Mcc 4 2 — — $12,006.40 $99,071.72 $55,539.06 2026-04-01
61500 HCPCS Removal Of Skull Lesion 4 2 — — $47,973.00 $62,915.00 $55,444.00 2026-04-01
52 MS_DRG Spinal Disorders And Injuries With Cc/Mcc 4 2 — — $27,088.68 $83,733.71 $55,411.20 2026-04-01
0915T HCPCS Insj Perm Ccm-d Sys Pg&eltrd 4 2 — — $46,168.71 $64,606.00 $55,387.35 2026-04-01
181 MS_DRG Respiratory Neoplasms With Cc 12 5 — — $11,456.68 $124,928.00 $55,363.51 2026-04-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 12 6 — — $10,274.32 $171,983.11 $55,157.93 2026-04-01
506 MS_DRG Major Thumb Or Joint Procedures 4 2 — — $20,287.82 $89,736.00 $55,011.91 2026-04-01
5115 OTHER Level 5 Musculoskeletal Procedures 20 9 — — $823.09 $85,569.24 $54,730.48 2026-04-01
605 MS_DRG Trauma To The Skin, Subcutaneous Tissue And Breast Without Mcc 10 5 — — $10,443.68 $181,120.95 $54,292.00 2026-04-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 16 7 — — $16,645.46 $131,290.46 $54,166.00 2026-04-01
0269T HCPCS Rev/remvl Crtd Sns Dev Total 8 3 — — $16,461.00 $59,903.00 $53,938.00 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 2 1 — — $53,791.72 $53,791.72 $53,791.72 2026-04-01
332 MS_DRG Rectal Resection With Mcc 2 1 — — $53,718.13 $53,718.13 $53,718.13 2026-04-01
265 MS_DRG Aicd Lead Procedures 2 1 — — $53,681.34 $53,681.34 $53,681.34 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 8 4 — — $13,254.66 $88,942.00 $53,562.37 2026-04-01
465 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 8 4 — — $13,450.00 $104,692.00 $53,530.12 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 6 3 — — $30,582.13 $243,382.00 $53,507.68 2026-04-01
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 4 2 — — $42,189.28 $64,606.00 $53,397.64 2026-04-01
33824 HCPCS Revise Major Vessel 2 1 — — $53,388.00 $53,388.00 $53,388.00 2026-04-01
33820 HCPCS Revise Major Vessel 2 1 — — $53,388.00 $53,388.00 $53,388.00 2026-04-01
93582 HCPCS Perq Transcath Closure Pda 6 3 — — $26,963.32 $62,915.00 $53,388.00 2026-04-01
93580 HCPCS Transcath Closure Of Asd 6 3 — — $26,963.32 $62,915.00 $53,388.00 2026-04-01
93581 HCPCS Transcath Closure Of Vsd 6 3 — — $26,963.32 $62,915.00 $53,388.00 2026-04-01
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