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

STANFORD HEALTH CARE

Stanford, CA · CCN 050441 · Rates published

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You selected 482 (MS_DRG)

Hip And Femur Procedures Except Major Joint Without Cc/Mcc

This hospital’s price: $32,487 across 5 payers · range $16,999-$74,095

Source: https://stanfordhealthcare.org/content/dam/SHC/patientsandvisitors/pricingtransparency/946174066_stanford-health-care_standardcharges.json · observed 2026-04-01

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

5,738 distinct procedures filed
10 distinct payers
24,542 rate rows
2026-04-01 last MRF observed
Data quality

9,601 of 24,542 rate rows are consumer-grade (39.1%)

14,941 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 14,941
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 · 2026-10-12
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
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
$248,541
outlier · 6.1×
7
MS_DRG 		Lung Transplant 6 $191,023.04 $1,491,247.55 $1,272,795.12 nat. median
$117,977
outlier · 10.8×
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
$190,359
outlier · 6.5×
5244
OTHER 		Level 4 Blood Product Exchange And Related Services 1 $965,069.01 $965,069.01 $965,069.01 nat. median
$63,725
outlier · 15.1×
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
$359,244
outlier · 2.4×
850
MS_DRG 		Acute Leukemia With Other Procedures 4 $127,875.59 $1,312,835.10 $749,639.04 nat. median
$78,164
outlier · 9.6×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 7 $152,173.83 $1,123,881.73 $715,000.00 nat. median
$94,943
outlier · 7.5×
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
$35,435
outlier · 18.0×
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
$42,755
outlier · 13.6×
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 1 $562,538.19 $562,538.19 $562,538.19 nat. median
$640,950
0.9× median
6
MS_DRG 		Liver Transplant Without Mcc 4 $57,000.00 $729,956.00 $543,375.00 nat. median
$44,153
outlier · 12.3×
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
$90,512
outlier · 5.2×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 7 $126,952.86 $1,004,731.00 $471,164.00 nat. median
$110,084
outlier · 4.3×
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
$77,487
outlier · 5.8×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 2 $133,028.11 $758,195.28 $445,611.70 nat. median
$77,936
outlier · 5.7×
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
$71,737
outlier · 6.1×
834
MS_DRG 		Acute Leukemia With Mcc 8 $81,227.68 $1,655,681.79 $403,597.42 nat. median
$50,314
outlier · 8.0×
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
$74,298
outlier · 5.4×
471
MS_DRG 		Cervical Spinal Fusion With Mcc 2 $71,496.61 $725,697.25 $398,596.93 nat. median
$44,798
outlier · 8.9×
650
MS_DRG 		Kidney Transplant With Hemodialysis With Mcc 6 $60,173.78 $956,571.91 $379,285.50 nat. median
$42,787
outlier · 8.9×
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
$126,461
outlier · 2.9×
545
MS_DRG 		Connective Tissue Disorders With Mcc 8 $13,371.08 $1,807,442.24 $348,761.67 nat. median
$23,372
outlier · 14.9×
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
$38,930
outlier · 8.5×
37
MS_DRG 		Extracranial Procedures With Mcc 2 $48,882.03 $612,727.28 $330,804.66 nat. median
$31,272
outlier · 10.6×
651
MS_DRG 		Kidney Transplant With Hemodialysis Without Mcc 4 $54,970.57 $459,124.30 $329,679.50 nat. median
$33,599
outlier · 9.8×
843
MS_DRG 		Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 6 $12,268.38 $476,338.09 $320,890.50 nat. median
$18,627
outlier · 17.2×
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
$25,133
outlier · 12.7×
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
$51,559
outlier · 6.2×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 2 $124,496.50 $508,376.00 $316,436.25 nat. median
$76,979
outlier · 4.1×
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
$198,115
1.6× median
668
MS_DRG 		Transurethral Procedures With Mcc 2 $43,405.73 $574,539.24 $308,972.48 nat. median
$27,351
outlier · 11.3×
16
MS_DRG 		Autologous Bone Marrow Transplant With Cc/Mcc 6 $47,799.54 $600,000.00 $307,602.69 nat. median
$53,841
outlier · 5.7×
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 4 $95,132.57 $504,341.21 $303,633.46 nat. median
$59,324
outlier · 5.1×
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 5 $64,319.81 $925,451.21 $297,213.62 nat. median
$56,633
outlier · 5.2×
263
MS_DRG 		Vein Ligation And Stripping 2 $45,427.89 $544,326.70 $294,877.29 nat. median
$26,998
outlier · 10.9×
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
$46,626
outlier · 6.2×
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
$67,908
outlier · 4.2×
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
$27,688
outlier · 10.1×
652
MS_DRG 		Kidney Transplant 6 $47,960.73 $341,376.63 $262,955.50 nat. median
$29,909
outlier · 8.8×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 7 $94,986.77 $3,782,222.89 $261,766.06 nat. median
$62,577
outlier · 4.2×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 2 $105,371.39 $416,634.37 $261,002.88 nat. median
$66,584
outlier · 3.9×
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 6 $48,019.45 $363,184.00 $260,328.52 nat. median
$55,425
outlier · 4.7×
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
$72,247
outlier · 3.2×
574
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Cc 3 $51,520.84 $329,249.33 $230,741.00 nat. median
$32,307
outlier · 7.1×
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
$49,873
outlier · 4.6×
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 2 $96,850.08 $359,801.88 $228,325.98 nat. median
$58,052
outlier · 3.9×
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
$43,609
outlier · 5.1×
270
MS_DRG 		Other Major Cardiovascular Procedures With Mcc 7 $68,979.69 $905,144.87 $209,224.26 nat. median
$49,305
outlier · 4.2×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 2 $160,468.49 $255,222.60 $207,845.54 nat. median
$97,137
outlier · 2.1×

Other procedures at this hospital

Browse this hospital's 5,738 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
             
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 8 8 — — $412,866.98 $4,406,782.77 $1,508,546.16 2026-04-01
7 MS_DRG Lung Transplant 7 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… 11 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 1 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 10 8 — — $163,548.00 $1,651,834.94 $859,619.72 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 4 4 — — $127,875.59 $1,312,835.10 $749,639.04 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 9 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 3 3 — — $55,812.40 $1,150,241.13 $636,521.33 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 5 5 — — $58,568.41 $848,890.37 $582,354.00 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 1 1 — — $562,538.19 $562,538.19 $562,538.19 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 5 4 — — $57,000.00 $729,956.00 $543,375.00 2026-04-01
9413 OTHER Lisocabtagene Car Pos T 1 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… 5 5 — — $123,498.54 $1,090,888.28 $472,279.35 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 8 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… 4 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 2 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 6 6 — — $112,947.85 $608,955.00 $439,867.33 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 8 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 4 4 — — $116,238.63 $1,064,612.19 $400,956.24 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 2 2 — — $71,496.61 $725,697.25 $398,596.93 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 6 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… 4 4 — — $204,286.26 $858,770.00 $370,573.12 2026-04-01
545 MS_DRG Connective Tissue Disorders With Mcc 8 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 5 5 — — $35,689.95 $1,081,291.17 $332,330.10 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 2 2 — — $48,882.03 $612,727.28 $330,804.66 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 4 4 — — $54,970.57 $459,124.30 $329,679.50 2026-04-01
843 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 6 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 4 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 5 5 — — $80,827.37 $503,154.61 $317,786.00 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 2 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 1 1 — — $314,652.65 $314,652.65 $314,652.65 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 2 2 — — $43,405.73 $574,539.24 $308,972.48 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 6 6 — — $47,799.54 $600,000.00 $307,602.69 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 4 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 5 5 — — $64,319.81 $925,451.21 $297,213.62 2026-04-01
263 MS_DRG Vein Ligation And Stripping 2 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 2 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 5 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 2 2 — — $44,884.82 $512,350.46 $278,617.64 2026-04-01
652 MS_DRG Kidney Transplant 6 6 — — $47,960.73 $341,376.63 $262,955.50 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 7 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 2 2 — — $105,371.39 $416,634.37 $261,002.88 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 6 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… 10 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 3 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 … 7 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 2 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 11 9 — — $13,847.69 $600,000.00 $224,340.00 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 9 7 — — $68,979.69 $905,144.87 $209,224.26 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 2 2 — — $160,468.49 $255,222.60 $207,845.54 2026-04-01
296 MS_DRG Cardiac Arrest, Unexplained With Mcc 2 2 — — $23,418.19 $388,226.91 $205,822.55 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 4 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 3 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… 8 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 6 6 — — $80,700.80 $1,262,994.40 $190,287.42 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 3 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 4 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 2 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 1 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… 3 3 — — $49,039.06 $341,511.91 $162,633.40 2026-04-01
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 7 7 — — $10,189.39 $212,450.00 $161,300.00 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 10 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 6 6 — — $39,945.13 $1,795,706.58 $158,981.12 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 4 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… 6 6 — — $35,265.29 $524,299.72 $152,152.68 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 3 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. … 5 5 — — $69,275.78 $652,057.30 $149,560.00 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 2 2 — — $111,570.48 $167,013.26 $139,291.87 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 8 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 6 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 3 3 — — $53,038.20 $336,272.52 $135,616.00 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 7 7 — — $44,596.74 $303,786.15 $129,000.00 2026-04-01
215 MS_DRG Other Heart Assist System Implant 2 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 2 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… 2 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 9 8 — — $14,576.12 $461,368.07 $127,060.00 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 6 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… 2 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 4 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… 3 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… 7 7 — — $45,470.85 $366,306.57 $121,423.58 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 5 5 — — $13,317.11 $851,767.41 $118,301.00 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 10 8 — — $60,195.02 $256,680.75 $117,752.68 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 7 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 7 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… 6 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 8 7 — — $17,358.15 $631,570.10 $111,468.00 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 4 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 4 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 … 7 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… 10 8 — — $16,985.66 $1,098,800.33 $109,440.89 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 4 4 — — $15,533.96 $283,698.04 $108,645.86 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 1 1 — — $108,243.35 $108,243.35 $108,243.35 2026-04-01
10 MS_DRG Pancreas Transplant 1 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 1 1 — — $105,993.93 $105,993.93 $105,993.93 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 1 1 — — $105,433.20 $105,433.20 $105,433.20 2026-04-01
100 MS_DRG Seizures With Mcc 7 7 — — $10,225.46 $453,206.00 $104,692.00 2026-04-01
902 MS_DRG Wound Debridements For Injuries With Cc 7 6 — — $7,195.84 $280,157.00 $104,692.00 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 7 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 6 6 — — $33,632.29 $589,120.55 $103,381.51 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 2 2 — — $45,488.23 $160,895.97 $103,192.10 2026-04-01
73 MS_DRG Cranial And Peripheral Nerve Disorders With Mcc 6 5 — — $10,258.93 $283,553.65 $101,663.45 2026-04-01
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Mcc 9 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 5 5 — — $39,589.44 $446,630.02 $101,648.00 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 7 7 — — $14,592.00 $347,988.29 $100,987.11 2026-04-01
947 MS_DRG Signs And Symptoms With Mcc 8 7 — — $8,343.00 $342,300.01 $100,758.50 2026-04-01
913 MS_DRG Traumatic Injury With Mcc 2 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… 6 6 — — $35,638.25 $531,678.50 $99,698.74 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 2 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 2 2 — — $52,863.06 $146,501.90 $99,682.48 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 1 1 — — $99,494.78 $99,494.78 $99,494.78 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 3 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 6 6 — — $21,340.11 $932,302.68 $99,098.54 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 5 5 — — $46,783.35 $324,776.00 $98,814.88 2026-04-01
723 MS_DRG Malignancy, Male Reproductive System With Cc 2 2 — — $17,248.70 $179,472.00 $98,360.35 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 2 2 — — $76,908.16 $119,648.00 $98,278.08 2026-04-01
314 MS_DRG Other Circulatory System Diagnoses With Mcc 11 9 — — $12,886.28 $718,300.53 $97,682.88 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $97,201.82 $97,201.82 $97,201.82 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 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 6 5 — — $13,371.08 $473,745.50 $97,016.89 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 8 8 — — $49,869.04 $374,200.04 $96,598.20 2026-04-01
205 MS_DRG Other Respiratory System Diagnoses With Mcc 10 9 — — $10,262.01 $337,988.67 $96,242.00 2026-04-01
385 MS_DRG Inflammatory Bowel Disease With Mcc 9 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 4 4 — — $22,275.60 $475,707.94 $95,138.83 2026-04-01
183 MS_DRG Major Chest Trauma With Mcc 4 4 — — $22,947.23 $150,278.82 $94,753.15 2026-04-01
5232 OTHER Level 2 Icd And Similar Procedures 7 7 — — $574.50 $132,688.09 $94,596.00 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 4 4 — — $49,594.19 $405,636.63 $93,242.84 2026-04-01
597 MS_DRG Malignant Breast Disorders With Mcc 3 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 9 8 — — $18,504.12 $394,550.00 $93,027.00 2026-04-01
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 10 9 — — $8,240.00 $1,430,096.46 $92,424.00 2026-04-01
5166 OTHER Cochlear Implant Procedure 5 5 — — $25,000.00 $109,222.62 $91,603.06 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 1 1 — — $90,520.18 $90,520.18 $90,520.18 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 1 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 5 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 5 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 6 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 2 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 6 6 — — $17,070.12 $429,304.14 $84,744.00 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 1 1 — — $84,421.33 $84,421.33 $84,421.33 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 10 8 — — $36,422.33 $1,473,676.67 $84,269.24 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 4 4 — — $41,629.36 $134,794.46 $83,808.21 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 1 1 — — $82,915.76 $82,915.76 $82,915.76 2026-04-01
113 MS_DRG Orbital Procedures With Cc/Mcc 3 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 … 5 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 1 1 — — $81,714.82 $81,714.82 $81,714.82 2026-04-01
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 9 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 7 7 — — $18,557.05 $117,101.66 $80,981.10 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 7 7 — — $38,118.00 $213,413.59 $80,942.17 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 1 1 — — $80,379.97 $80,379.97 $80,379.97 2026-04-01
5231 OTHER Level 1 Icd And Similar Procedures 5 5 — — $61,776.26 $96,879.06 $79,649.18 2026-04-01
906 MS_DRG Hand Procedures For Injuries 2 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 … 1 1 — — $78,868.50 $78,868.50 $78,868.50 2026-04-01
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 8 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 4 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 11 9 — — $21,463.20 $475,923.68 $78,080.00 2026-04-01
444 MS_DRG Disorders Of The Biliary Tract With Mcc 8 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 5 5 — — $29,912.00 $151,981.47 $77,362.00 2026-04-01
30 MS_DRG Spinal Procedures Without Cc/Mcc 4 4 — — $32,738.64 $93,962.12 $77,302.37 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 3 3 — — $34,850.00 $133,661.13 $77,040.62 2026-04-01
583 MS_DRG Mastectomy For Malignancy Without Cc/Mcc 5 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… 8 8 — — $32,925.55 $448,291.42 $76,352.73 2026-04-01
388 MS_DRG Gastrointestinal Obstruction With Mcc 7 7 — — $9,711.80 $171,000.00 $76,236.00 2026-04-01
91 MS_DRG Other Disorders Of Nervous System With Mcc 7 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… 5 5 — — $29,912.00 $101,648.00 $75,786.73 2026-04-01
5116 OTHER Level 6 Musculoskeletal Procedures 7 6 — — $7,438.99 $87,472.45 $74,993.52 2026-04-01
415 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 5 5 — — $30,847.47 $97,263.28 $74,780.00 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 9 7 — — $2,241.00 $481,840.00 $74,780.00 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 5 5 — — $29,636.38 $400,079.81 $74,713.89 2026-04-01
5093 OTHER Level 3 Breast/Lymphatic Surgery And Related Procedures 7 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 7 6 — — $11,904.28 $345,631.50 $74,564.70 2026-04-01
5465 OTHER Level 5 Neurostimulator And Related Procedures 6 6 — — $380.95 $100,302.67 $73,764.21 2026-04-01
336 MS_DRG Peritoneal Adhesiolysis With Cc 7 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 8 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 3 3 — — $21,638.73 $143,437.58 $72,865.32 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 6 6 — — $30,666.64 $159,942.70 $72,558.68 2026-04-01
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/Mcc 4 4 — — $27,032.75 $139,284.09 $72,192.80 2026-04-01
5464 OTHER Level 4 Neurostimulator And Related Procedures 6 6 — — $441.74 $87,621.01 $71,763.27 2026-04-01
2616 OTHER Brachytx, Non-str,yttrium-90 2 2 — — $54,401.06 $88,575.87 $71,488.46 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 6 6 — — $31,240.24 $94,692.00 $71,219.73 2026-04-01
2050 OTHER Cath Coronary Drug-delivery 5 5 — — $1,339.87 $77,825.74 $70,666.41 2026-04-01
5378 OTHER Level 8 Urology And Related Services 5 5 — — $515.49 $95,027.86 $70,413.23 2026-04-01
686 MS_DRG Kidney And Urinary Tract Neoplasms With Mcc 4 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 4 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 4 4 — — $23,790.84 $194,428.00 $69,063.85 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 6 5 — — $14,836.67 $911,378.85 $68,871.78 2026-04-01
L8702 HCPCS Pow Ue Rom Dev Ewhf Uprt Cus 1 1 — — $68,801.71 $68,801.71 $68,801.71 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 2 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 7 7 — — $49,594.19 $125,268.01 $68,730.40 2026-04-01
9453 OTHER Injection, Nivolumab 1 1 — — $68,656.77 $68,656.77 $68,656.77 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 6 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… 6 6 — — $17,476.32 $163,652.00 $68,519.93 2026-04-01
5094 OTHER Level 4 Breast/Lymphatic Surgery And Related Procedures 9 8 — — $1,079.28 $102,373.58 $68,487.69 2026-04-01
196 MS_DRG Interstitial Lung Disease With Mcc 6 6 — — $11,208.58 $377,875.92 $68,030.00 2026-04-01
245 MS_DRG Aicd Generator Procedures 1 1 — — $67,577.40 $67,577.40 $67,577.40 2026-04-01
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 6 5 — — $14,860.66 $182,824.32 $67,337.92 2026-04-01
54 MS_DRG Nervous System Neoplasms With Mcc 7 7 — — $16,395.59 $150,500.00 $67,250.00 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 1 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… 7 7 — — $28,422.71 $120,531.71 $67,016.50 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 10 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 2 2 — — $59,066.39 $74,612.72 $66,839.55 2026-04-01
800 MS_DRG Splenic Procedures With Cc 3 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 5 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 2 2 — — $38,219.36 $92,952.00 $65,585.68 2026-04-01
261 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Cc 3 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 5 5 — — $16,367.28 $134,604.00 $65,200.00 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 7 7 — — $20,672.85 $175,545.53 $64,922.00 2026-04-01
393 MS_DRG Other Digestive System Diagnoses With Mcc 8 7 — — $10,557.75 $368,000.00 $64,365.00 2026-04-01
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 7 7 — — $10,538.97 $112,378.24 $64,336.00 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 8 7 — — $23,979.67 $152,000.00 $64,261.69 2026-04-01
862 MS_DRG Postoperative And Post-traumatic Infections With Mcc 8 8 — — $12,393.93 $275,000.00 $64,143.00 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 1 1 — — $64,118.84 $64,118.84 $64,118.84 2026-04-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 7 6 — — $20,146.14 $494,500.00 $64,000.00 2026-04-01
669 MS_DRG Transurethral Procedures With Cc 2 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… 7 7 — — $17,592.86 $84,655.15 $63,943.31 2026-04-01
315 MS_DRG Other Circulatory System Diagnoses With Cc 8 8 — — $10,023.22 $267,505.35 $63,874.50 2026-04-01
5194 OTHER Level 4 Endovascular Procedures 8 8 — — $880.25 $172,053.55 $63,811.04 2026-04-01
886 MS_DRG Behavioral And Developmental Disorders 3 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 6 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 6 6 — — $7,654.97 $207,990.99 $63,406.88 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 9 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 3 3 — — $22,096.58 $268,127.54 $62,464.00 2026-04-01
865 MS_DRG Viral Illness With Mcc 5 5 — — $8,403.35 $149,560.00 $62,464.00 2026-04-01
187 MS_DRG Pleural Effusion With Cc 5 5 — — $14,988.13 $89,736.00 $62,464.00 2026-04-01
815 MS_DRG Reticuloendothelial And Immunity Disorders With Cc 7 7 — — $2,781.00 $149,560.00 $62,464.00 2026-04-01
141 MS_DRG Major Head And Neck Procedures With Cc 8 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 8 8 — — $38,585.82 $216,713.07 $62,162.00 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 2 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… 3 3 — — $32,733.02 $115,778.21 $61,840.60 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 1 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 4 3 — — $6,548.22 $111,995.46 $61,755.37 2026-04-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 9 8 — — $21,341.34 $313,049.34 $61,717.57 2026-04-01
374 MS_DRG Digestive Malignancy With Mcc 8 7 — — $14,580.00 $215,657.00 $61,323.46 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 3 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… 6 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… 8 8 — — $8,003.31 $134,500.00 $60,975.18 2026-04-01
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 9 9 — — $17,678.88 $212,940.87 $60,700.00 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 4 4 — — $20,624.96 $101,532.66 $60,652.91 2026-04-01
784 MS_DRG Cesarean Section With Sterilization With Cc 2 2 — — $16,033.05 $104,692.00 $60,362.52 2026-04-01
571 MS_DRG Skin Debridement With Cc 4 4 — — $10,673.13 $103,964.35 $60,283.71 2026-04-01
791 MS_DRG Prematurity With Major Problems 1 1 — — $60,168.72 $60,168.72 $60,168.72 2026-04-01
92 MS_DRG Other Disorders Of Nervous System With Cc 7 7 — — $8,957.04 $190,590.00 $60,073.40 2026-04-01
638 MS_DRG Diabetes With Cc 7 7 — — $6,307.37 $78,173.76 $59,824.00 2026-04-01
389 MS_DRG Gastrointestinal Obstruction With Cc 7 7 — — $6,040.79 $95,000.00 $59,824.00 2026-04-01
682 MS_DRG Renal Failure With Mcc 9 7 — — $10,274.32 $179,274.29 $59,824.00 2026-04-01
848 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis Without Cc/Mcc 5 5 — — $12,932.12 $95,000.00 $59,824.00 2026-04-01
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 5 5 — — $13,576.91 $211,900.00 $59,824.00 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 3 3 — — $53,587.15 $74,216.75 $59,824.00 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 7 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 7 7 — — $27,430.61 $100,402.29 $59,413.60 2026-04-01
598 MS_DRG Malignant Breast Disorders With Cc 2 2 — — $17,080.92 $101,648.00 $59,364.46 2026-04-01
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With Mcc 8 7 — — $9,186.21 $268,664.13 $58,515.00 2026-04-01
75 MS_DRG Viral Meningitis With Cc/Mcc 2 2 — — $28,651.65 $88,301.83 $58,476.74 2026-04-01
919 MS_DRG Complications Of Treatment With Mcc 11 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 2 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… 4 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 7 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 1 1 — — $57,743.31 $57,743.31 $57,743.31 2026-04-01
964 MS_DRG Other Multiple Significant Trauma With Cc 3 3 — — $22,986.97 $60,358.00 $57,525.00 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 1 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… 6 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 7 7 — — $25,862.73 $66,355.61 $57,024.26 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 4 4 — — $18,374.08 $177,884.00 $56,543.67 2026-04-01
637 MS_DRG Diabetes With Mcc 6 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 6 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 8 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 6 6 — — $23,280.36 $350,874.64 $55,696.85 2026-04-01
185 MS_DRG Major Chest Trauma Without Cc/Mcc 2 2 — — $12,006.40 $99,071.72 $55,539.06 2026-04-01
52 MS_DRG Spinal Disorders And Injuries With Cc/Mcc 2 2 — — $27,088.68 $83,733.71 $55,411.20 2026-04-01
181 MS_DRG Respiratory Neoplasms With Cc 6 5 — — $11,456.68 $124,928.00 $55,363.51 2026-04-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 6 6 — — $10,274.32 $171,983.11 $55,157.93 2026-04-01
506 MS_DRG Major Thumb Or Joint Procedures 2 2 — — $20,287.82 $89,736.00 $55,011.91 2026-04-01
5115 OTHER Level 5 Musculoskeletal Procedures 10 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 5 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. … 8 7 — — $16,645.46 $131,290.46 $54,166.00 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 1 1 — — $53,791.72 $53,791.72 $53,791.72 2026-04-01
332 MS_DRG Rectal Resection With Mcc 1 1 — — $53,718.13 $53,718.13 $53,718.13 2026-04-01
265 MS_DRG Aicd Lead Procedures 1 1 — — $53,681.34 $53,681.34 $53,681.34 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 4 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 … 4 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 … 3 3 — — $30,582.13 $243,382.00 $53,507.68 2026-04-01
5471 OTHER Implantation Of Drug Infusion Device 3 3 — — $23,887.52 $60,982.83 $53,196.20 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 3 2 — — $12,130.53 $96,504.00 $53,160.35 2026-04-01
582 MS_DRG Mastectomy For Malignancy With Cc/Mcc 5 5 — — $28,785.58 $116,127.00 $53,052.00 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 5 5 — — $23,735.41 $166,557.00 $52,985.21 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 1 1 — — $52,813.02 $52,813.02 $52,813.02 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 5 5 — — $31,621.62 $67,874.46 $52,726.34 2026-04-01
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 8 7 — — $8,343.00 $155,637.11 $52,669.10 2026-04-01
842 MS_DRG Lymphoma And Non-acute Leukemia Without Cc/Mcc 6 6 — — $15,301.60 $179,472.00 $52,558.00 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 9 9 — — $26,582.52 $170,024.93 $52,193.09 2026-04-01
564 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc 2 2 — — $23,148.86 $80,891.40 $52,020.13 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 8 8 — — $22,755.65 $160,741.96 $51,965.66 2026-04-01
835 MS_DRG Acute Leukemia With Cc 4 4 — — $29,832.09 $288,279.07 $51,908.29 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 5 5 — — $17,910.36 $289,953.00 $51,769.57 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 1 1 — — $51,756.32 $51,756.32 $51,756.32 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 6 6 — — $14,602.17 $122,157.00 $51,490.68 2026-04-01
59 MS_DRG Multiple Sclerosis And Cerebellar Ataxia With Cc 5 5 — — $11,763.71 $81,500.00 $51,300.00 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 1 1 — — $51,273.59 $51,273.59 $51,273.59 2026-04-01
375 MS_DRG Digestive Malignancy With Cc 8 8 — — $12,077.59 $140,544.00 $51,143.49 2026-04-01
884 MS_DRG Organic Disturbances And Intellectual Disability 4 4 — — $8,679.30 $135,060.00 $51,094.95 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 1 1 — — $51,038.12 $51,038.12 $51,038.12 2026-04-01
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