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

UCSF MEDICAL CENTER

San Francisco, CA · CCN 050454 · Rates published

5,855 distinct procedures filed
28 distinct payers
90,983 rate rows
2026-04-01 last MRF observed
Data quality

44,442 of 90,983 rate rows are consumer-grade (48.8%)

46,541 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 46,541
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://app.box.com/index.php?rm=box_download_shared_file&shared_name=ldckxfm5nm9wah74gqi7fdhe6mrtpg5e&file_id=f_1959275070690
Found on page https://www.ucsfbenioffchildrens.org/billing-and-insurance/pricing-transparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-13
Content fingerprint 024837bb4fd4a3c8… · 90,990,822 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 21 $78,584.00 $1,810,614.49 $659,425.83 nat. median
$168,055
outlier · 3.9×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 19 $101,843.00 $4,369,291.76 $618,869.78 nat. median
$186,516
outlier · 3.3×
7
MS_DRG 		Lung Transplant 16 $197,710.91 $1,411,853.35 $550,475.49 nat. median
$70,649
outlier · 7.8×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 17 $117,959.37 $3,937,473.74 $452,109.70 nat. median
$145,435
outlier · 3.1×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 20 $7,143.82 $766,349.66 $338,549.00 nat. median
$72,715
outlier · 4.7×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 11 $324,831.65 $649,663.30 $324,831.65 nat. median
$131,925
outlier · 2.5×
9489
OTHER 		Inj, Nusinersen, 0.1mg 3 $109,776.70 $436,875.22 $323,588.07 nat. median
$1,294
outlier · 250.2×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 21 $1,873.29 $2,386,386.75 $310,031.78 nat. median
$69,922
outlier · 4.4×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 16 $93,614.75 $2,719,227.60 $253,618.39 nat. median
$97,418
outlier · 2.6×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 $91,417.13 $624,118.05 $206,436.48 nat. median
$2,736
outlier · 75.5×
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 16 $48,209.98 $3,737,783.30 $183,358.72 nat. median
$40,584
outlier · 4.5×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 15 $83,348.00 $934,027.27 $175,296.35 nat. median
$69,822
outlier · 2.5×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 11 $173,219.86 $985,874.91 $173,219.86 nat. median
$65,418
outlier · 2.6×
209
MS_DRG 		Complex Aortic Arch Procedures 12 $173,023.13 $346,046.26 $173,023.13 nat. median
$2,110
outlier · 82.0×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 13 $56,938.97 $332,587.08 $166,293.54 nat. median
$74,509
outlier · 2.2×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 14 $53,456.00 $929,234.10 $164,340.09 nat. median
$59,651
outlier · 2.8×
850
MS_DRG 		Acute Leukemia With Other Procedures 16 $43,585.72 $1,663,176.64 $162,655.82 nat. median
$2,633
outlier · 61.8×
16
MS_DRG 		Autologous Bone Marrow Transplant With Cc/Mcc 21 $90,080.46 $470,020.51 $162,036.65 nat. median
$38,932
outlier · 4.2×
215
MS_DRG 		Other Heart Assist System Implant 14 $83,348.00 $808,000.85 $162,023.89 nat. median
$73,023
outlier · 2.2×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 16 $69,092.00 $798,132.15 $151,018.36 nat. median
$56,428
outlier · 2.7×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 20 $62,218.78 $802,122.41 $145,205.05 nat. median
$55,923
outlier · 2.6×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 13 $98,423.97 $276,156.56 $139,739.61 nat. median
$2,596
outlier · 53.8×
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 5 $108,243.35 $216,486.70 $135,304.19 nat. median
$108,243
1.3× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 14 $80,062.66 $258,611.50 $129,305.75 nat. median
$60,505
outlier · 2.1×
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 15 $56,069.52 $1,133,235.98 $129,247.48 nat. median
$47,121
outlier · 2.7×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 15 $45,107.56 $747,549.54 $129,174.08 nat. median
$55,935
outlier · 2.3×
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 17 $31,388.07 $337,394.72 $128,307.47 nat. median
$9,905
outlier · 13.0×
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 11 $109,704.13 $507,891.52 $120,674.54 nat. median
$45,605
outlier · 2.6×
834
MS_DRG 		Acute Leukemia With Mcc 19 $12,249.32 $894,936.96 $119,854.40 nat. median
$37,487
outlier · 3.2×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 14 $66,894.00 $240,020.59 $119,348.68 nat. median
$51,518
outlier · 2.3×
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 13 $77,708.59 $702,929.89 $118,701.85 nat. median
$49,569
outlier · 2.4×
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 11 $117,048.12 $234,096.24 $117,048.12 nat. median
$52,327
outlier · 2.2×
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 17 $49,659.43 $209,821.21 $113,476.95 nat. median
$43,533
outlier · 2.6×
10
MS_DRG 		Pancreas Transplant 11 $110,326.09 $533,035.95 $110,326.09 nat. median
$23,080
outlier · 4.8×
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 11 $110,280.69 $220,561.38 $110,280.69 nat. median
$37,013
outlier · 3.0×
428
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 13 $78,358.88 $206,736.31 $108,517.66 nat. median
$10,799
outlier · 10.0×
228
MS_DRG 		Other Cardiothoracic Procedures With Mcc 17 $45,663.93 $1,363,075.39 $107,247.69 nat. median
$35,725
outlier · 3.0×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 18 $150.00 $3,193,662.81 $106,717.27 nat. median
$48,611
outlier · 2.2×
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 18 $46,270.54 $327,079.24 $105,568.22 nat. median
$42,674
outlier · 2.5×
8
MS_DRG 		Simultaneous Pancreas And Kidney Transplant 12 $86,550.82 $993,720.08 $103,860.98 nat. median
$32,772
outlier · 3.2×
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 11 $103,598.01 $207,196.02 $103,598.01 nat. median
$47,340
outlier · 2.2×
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 13 $32,636.08 $356,724.76 $102,923.09 nat. median
$2,633
outlier · 39.1×
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 13 $46,130.18 $205,697.86 $102,848.93 nat. median
$2,958
outlier · 34.8×
650
MS_DRG 		Kidney Transplant With Hemodialysis With Mcc 15 $72,882.80 $1,452,289.22 $102,035.92 nat. median
$29,718
outlier · 3.4×
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 14 $30,666.64 $206,885.40 $101,240.31 nat. median
$47,458
outlier · 2.1×
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 12 $83,348.00 $202,480.62 $101,240.31 nat. median
$45,446
outlier · 2.2×
652
MS_DRG 		Kidney Transplant 19 $20,193.25 $517,802.92 $101,217.44 nat. median
$21,500
outlier · 4.7×
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 11 $72,535.14 $201,757.26 $100,878.63 nat. median
$43,299
outlier · 2.3×
6
MS_DRG 		Liver Transplant Without Mcc 13 $71,908.25 $666,989.68 $100,671.55 nat. median
$31,278
outlier · 3.2×
270
MS_DRG 		Other Major Cardiovascular Procedures With Mcc 17 $46,739.72 $4,130,739.09 $99,938.81 nat. median
$37,725
outlier · 2.6×

Other procedures at this hospital

Browse this hospital's 5,855 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 34 21 — — $78,584.00 $1,810,614.49 $659,425.83 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 34 19 — — $101,843.00 $4,369,291.76 $618,869.78 2026-04-01
7 MS_DRG Lung Transplant 28 16 — — $197,710.91 $1,411,853.35 $550,475.49 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 35 17 — — $117,959.37 $3,937,473.74 $452,109.70 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 33 20 — — $7,143.82 $766,349.66 $338,549.00 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 12 11 — — $324,831.65 $649,663.30 $324,831.65 2026-04-01
9489 OTHER Inj, Nusinersen, 0.1mg 3 3 — — $109,776.70 $436,875.22 $323,588.07 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 37 21 — — $1,873.29 $2,386,386.75 $310,031.78 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 29 16 — — $93,614.75 $2,719,227.60 $253,618.39 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 30 16 — — $91,417.13 $624,118.05 $206,436.48 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 25 16 — — $48,209.98 $3,737,783.30 $183,358.72 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 23 15 — — $83,348.00 $934,027.27 $175,296.35 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 13 11 — — $173,219.86 $985,874.91 $173,219.86 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 13 12 — — $173,023.13 $346,046.26 $173,023.13 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 16 13 — — $56,938.97 $332,587.08 $166,293.54 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 24 14 — — $53,456.00 $929,234.10 $164,340.09 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 20 16 — — $43,585.72 $1,663,176.64 $162,655.82 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 30 21 — — $90,080.46 $470,020.51 $162,036.65 2026-04-01
215 MS_DRG Other Heart Assist System Implant 18 14 — — $83,348.00 $808,000.85 $162,023.89 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 25 16 — — $69,092.00 $798,132.15 $151,018.36 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 38 20 — — $62,218.78 $802,122.41 $145,205.05 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 17 13 — — $98,423.97 $276,156.56 $139,739.61 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 5 5 — — $108,243.35 $216,486.70 $135,304.19 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 15 14 — — $80,062.66 $258,611.50 $129,305.75 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 22 15 — — $56,069.52 $1,133,235.98 $129,247.48 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 20 15 — — $45,107.56 $747,549.54 $129,174.08 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 30 17 — — $31,388.07 $337,394.72 $128,307.47 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 14 11 — — $109,704.13 $507,891.52 $120,674.54 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 32 19 — — $12,249.32 $894,936.96 $119,854.40 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 17 14 — — $66,894.00 $240,020.59 $119,348.68 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 23 13 — — $77,708.59 $702,929.89 $118,701.85 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 12 11 — — $117,048.12 $234,096.24 $117,048.12 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 20 17 — — $49,659.43 $209,821.21 $113,476.95 2026-04-01
10 MS_DRG Pancreas Transplant 13 11 — — $110,326.09 $533,035.95 $110,326.09 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 12 11 — — $110,280.69 $220,561.38 $110,280.69 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 21 13 — — $78,358.88 $206,736.31 $108,517.66 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 25 17 — — $45,663.93 $1,363,075.39 $107,247.69 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 34 18 — — $150.00 $3,193,662.81 $106,717.27 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 30 18 — — $46,270.54 $327,079.24 $105,568.22 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 15 12 — — $86,550.82 $993,720.08 $103,860.98 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 12 11 — — $103,598.01 $207,196.02 $103,598.01 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 14 13 — — $32,636.08 $356,724.76 $102,923.09 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 18 13 — — $46,130.18 $205,697.86 $102,848.93 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 20 15 — — $72,882.80 $1,452,289.22 $102,035.92 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 14 — — $30,666.64 $206,885.40 $101,240.31 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 13 12 — — $83,348.00 $202,480.62 $101,240.31 2026-04-01
652 MS_DRG Kidney Transplant 31 19 — — $20,193.25 $517,802.92 $101,217.44 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 14 11 — — $72,535.14 $201,757.26 $100,878.63 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 20 13 — — $71,908.25 $666,989.68 $100,671.55 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 32 17 — — $46,739.72 $4,130,739.09 $99,938.81 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 28 17 — — $44,603.97 $218,822.37 $96,191.14 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 25 14 — — $49,594.19 $679,334.27 $94,477.42 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 14 12 — — $45,938.42 $188,739.96 $94,369.98 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 13 12 — — $83,348.00 $186,963.36 $93,481.68 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 27 18 — — $27,275.00 $478,623.06 $92,659.97 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 24 17 — — $53,456.00 $222,522.38 $92,236.31 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 37 19 — — $14,750.00 $942,931.01 $91,766.78 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 23 15 — — $45,107.56 $281,695.94 $90,545.90 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 20 14 — — $17,418.74 $506,965.30 $90,488.40 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 36 19 — — $885.85 $945,605.36 $89,625.92 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 24 16 — — $40,001.65 $232,713.48 $89,505.16 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 34 19 — — $13,546.33 $1,575,978.23 $89,103.48 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 17 13 — — $53,802.03 $234,884.82 $89,009.92 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 23 18 — — $56,115.94 $1,811,816.77 $88,897.89 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 24 14 — — $43,916.00 $483,398.57 $88,843.95 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 14 12 — — $80,875.07 $176,197.84 $88,098.92 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 19 16 — — $39,642.37 $549,511.33 $87,986.93 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 30 19 — — $24,470.76 $367,402.78 $87,334.20 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 27 18 — — $35,798.90 $382,061.90 $86,924.94 2026-04-01
791 MS_DRG Prematurity With Major Problems 27 17 — — $2,984.07 $365,878.29 $86,810.21 2026-04-01
L8702 HCPCS Pow Ue Rom Dev Ewhf Uprt Cus 5 5 — — $68,801.71 $137,603.42 $86,002.14 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 16 13 — — $34,610.45 $171,939.44 $85,969.72 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 18 13 — — $66,894.00 $161,019.56 $85,754.58 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 13 12 — — $66,894.00 $170,631.96 $85,315.98 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 29 18 — — $13,729.84 $409,242.16 $84,521.50 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 15 12 — — $83,348.00 $199,811.00 $84,403.47 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 12 11 — — $83,943.43 $167,886.86 $83,943.43 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 19 13 — — $43,969.45 $254,824.02 $82,389.28 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 26 16 — — $5,455.00 $220,683.50 $81,895.07 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 18 13 — — $11,793.77 $222,524.98 $81,847.52 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 37 20 — — $27,008.84 $247,943.26 $81,580.92 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 20 13 — — $54,891.61 $275,383.47 $81,149.82 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 18 13 — — $66,894.00 $442,014.13 $80,972.59 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 17 15 — — $28,079.85 $160,747.16 $80,373.58 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 31 18 — — $29,805.01 $178,070.32 $79,886.66 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 20 15 — — $53,456.00 $332,241.92 $79,478.66 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 14 12 — — $65,639.44 $156,019.64 $78,009.82 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 17 12 — — $40,728.87 $152,433.16 $76,216.58 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 14 11 — — $69,273.61 $161,722.66 $76,200.97 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 13 12 — — $75,906.35 $151,812.70 $75,906.35 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 22 17 — — $18,669.17 $2,280,819.76 $74,722.08 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 28 18 — — $15,138.65 $332,483.95 $74,439.98 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 25 14 — — $42,736.85 $241,609.38 $73,781.70 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 31 17 — — $35,631.04 $433,931.04 $73,122.48 2026-04-01
5166 OTHER Cochlear Implant Procedure 20 15 — — $28,274.30 $126,649.65 $72,286.43 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 14 11 — — $65,505.53 $224,683.24 $72,056.08 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 25 14 — — $40,830.25 $437,332.22 $71,997.00 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 18 12 — — $7,790.80 $329,048.78 $70,825.23 2026-04-01
245 MS_DRG Aicd Generator Procedures 15 12 — — $10,769.48 $142,052.45 $70,779.33 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 44 22 — — $24,966.83 $469,995.62 $70,541.75 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 13 12 — — $68,623.75 $140,544.76 $70,272.38 2026-04-01
5627 OTHER Level 7 Radiation Therapy 27 17 — — $3,526.21 $111,322.68 $69,836.51 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 25 16 — — $18,507.81 $902,019.11 $69,559.62 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 37 20 — — $17,488.40 $1,126,169.66 $69,218.00 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 18 13 — — $60,384.98 $154,755.69 $68,243.73 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 23 14 — — $24,678.98 $149,995.17 $68,212.80 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 28 16 — — $23,078.26 $146,203.86 $68,053.82 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 19 14 — — $5,310.00 $238,917.83 $67,942.78 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 34 19 — — $40,745.57 $220,173.12 $67,887.44 2026-04-01
5232 OTHER Level 2 Icd And Similar Procedures 16 11 — — $17,969.42 $107,746.28 $67,464.02 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 16 11 — — $750.00 $139,543.16 $67,223.11 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 29 18 — — $27,825.00 $556,602.71 $66,894.00 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 15 13 — — $22,275.60 $882,841.37 $66,701.02 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 20 14 — — $11,389.72 $720,426.37 $66,168.54 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 24 16 — — $25,088.75 $184,007.83 $65,537.30 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 19 12 — — $10,753.65 $3,739,298.22 $65,319.39 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 15 13 — — $18,575.51 $130,487.46 $65,243.73 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 34 19 — — $2,569.95 $582,462.33 $64,835.14 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 23 15 — — $4,695.61 $326,326.61 $64,583.93 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 22 17 — — $26,531.18 $128,335.56 $64,167.78 2026-04-01
5465 OTHER Level 5 Neurostimulator And Related Procedures 22 15 — — $6,636.87 $88,989.70 $62,161.43 2026-04-01
5661 OTHER Therapeutic Nuclear Medicine 25 16 — — $77.94 $180,604.87 $62,121.40 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 16 13 — — $10,910.00 $179,642.30 $62,027.99 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 30 17 — — $34,708.64 $202,874.98 $62,012.36 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 25 16 — — $11,130.00 $166,690.57 $61,859.98 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 28 16 — — $23,512.47 $463,103.29 $61,743.29 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 22 15 — — $26,808.33 $468,117.09 $61,352.59 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 12 11 — — $60,667.54 $121,335.08 $60,667.54 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 18 13 — — $26,996.27 $120,623.84 $60,311.92 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 23 18 — — $14,952.09 $120,448.30 $60,224.15 2026-04-01
L7181 HCPCS Electronic Elbo Simultaneous 5 5 — — $48,155.50 $96,311.00 $60,194.38 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 20 14 — — $9,981.20 $322,180.68 $60,168.16 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 15 11 — — $54,269.36 $185,697.00 $60,166.00 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 25 14 — — $41,443.30 $461,032.47 $60,064.01 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 21 14 — — $31,724.08 $1,279,972.17 $59,555.54 2026-04-01
2046 OTHER Pmkr, Dual, Leadless 2 1 — — $12,606.45 $105,756.64 $59,181.54 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 22 15 — — $21,483.75 $173,941.17 $58,862.42 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 26 15 — — $10,840.00 $164,706.38 $58,746.65 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 14 11 — — $45,384.36 $117,364.22 $58,682.11 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 35 20 — — $19,408.65 $190,206.25 $58,545.88 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 25 15 — — $5,900.00 $116,867.86 $58,433.93 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 30 18 — — $16,365.00 $560,029.18 $58,299.25 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 15 14 — — $46,182.47 $256,025.27 $58,134.30 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 15 12 — — $55,649.48 $500,470.95 $57,881.64 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 30 19 — — $18,557.05 $504,576.46 $57,716.66 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 29 17 — — $20,754.69 $1,389,855.16 $57,374.00 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 19 15 — — $18,157.10 $246,324.00 $57,321.66 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 16 13 — — $26,660.06 $155,313.96 $57,298.96 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 32 19 — — $6,150.00 $162,054.68 $56,742.07 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 19 13 — — $5,455.00 $465,497.05 $56,646.74 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 15 12 — — $48,161.51 $433,856.29 $56,604.36 2026-04-01
332 MS_DRG Rectal Resection With Mcc 13 12 — — $51,940.64 $113,057.40 $56,528.70 2026-04-01
265 MS_DRG Aicd Lead Procedures 14 13 — — $21,651.13 $112,981.74 $56,490.87 2026-04-01
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 5 5 — — $45,139.64 $90,279.29 $56,424.55 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 13 11 — — $55,123.11 $112,624.60 $56,312.30 2026-04-01
2051 OTHER Cath Renal Denerv Radiofreq 1 1 — — $56,142.22 $56,142.22 $56,142.22 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 27 17 — — $15,375.00 $119,139.46 $56,112.93 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 15 13 — — $36,017.60 $111,910.32 $55,955.16 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 17 13 — — $26,760.12 $216,856.26 $55,829.56 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 18 13 — — $25,286.82 $126,845.00 $55,819.40 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 18 13 — — $12,240.14 $111,389.76 $55,694.88 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 20 15 — — $18,414.26 $293,740.39 $55,627.94 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 15 13 — — $23,054.94 $111,196.06 $55,598.03 2026-04-01
L7180 HCPCS Electronic Elbow Sequential 5 5 — — $44,356.85 $88,713.70 $55,446.06 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 18 14 — — $6,150.00 $263,537.54 $54,995.74 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 14 12 — — $49,820.29 $103,198.11 $54,802.32 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 12 11 — — $54,511.49 $109,022.98 $54,511.49 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 33 19 — — $24,122.00 $283,900.68 $54,465.16 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 18 13 — — $10,623.56 $118,698.73 $54,337.90 2026-04-01
5200 OTHER Implantation Wireless Pa Pressure Monitor 2 2 — — $48,173.39 $60,455.88 $54,314.63 2026-04-01
5801 OTHER Ventilation Initiation And Management 2 2 — — $1,941.11 $105,890.15 $53,915.63 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 14 12 — — $19,452.79 $157,180.24 $53,773.00 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 1 1 — — $53,456.00 $53,456.00 $53,456.00 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 1 1 — — $53,456.00 $53,456.00 $53,456.00 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 1 1 — — $53,456.00 $53,456.00 $53,456.00 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 1 1 — — $53,456.00 $53,456.00 $53,456.00 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 1 1 — — $53,456.00 $53,456.00 $53,456.00 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 19 14 — — $12,615.62 $394,476.30 $53,296.32 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 16 13 — — $47,765.34 $110,335.00 $52,809.32 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 20 15 — — $26,836.08 $104,420.06 $52,401.94 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 16 12 — — $50,475.77 $376,471.73 $52,355.02 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 16 13 — — $43,194.00 $117,605.52 $52,289.98 2026-04-01
545 MS_DRG Connective Tissue Disorders With Mcc 32 17 — — $16,864.00 $510,973.43 $52,062.37 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 27 16 — — $25,320.84 $204,013.37 $51,986.69 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 12 11 — — $51,725.52 $103,451.04 $51,725.52 2026-04-01
5378 OTHER Level 8 Urology And Related Services 18 12 — — $347.83 $82,982.23 $51,674.69 2026-04-01
570 MS_DRG Skin Debridement With Mcc 14 12 — — $46,244.39 $445,862.82 $50,868.83 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 15 13 — — $40,859.45 $170,941.13 $50,572.40 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 12 11 — — $50,477.06 $100,954.12 $50,477.06 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 13 11 — — $48,166.94 $100,639.36 $50,319.68 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 20 15 — — $17,248.72 $658,342.08 $49,964.06 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 17 14 — — $23,528.34 $99,834.28 $49,917.14 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 33 20 — — $7,832.74 $228,569.83 $49,894.78 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 18 13 — — $44,463.22 $254,187.37 $49,860.46 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 16 12 — — $21,233.71 $100,098.89 $49,420.79 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 14 12 — — $42,875.16 $98,572.20 $49,286.10 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 37 19 — — $1,065.34 $572,851.41 $49,257.00 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 21 15 — — $21,313.88 $462,474.99 $49,257.00 2026-04-01
5231 OTHER Level 1 Icd And Similar Procedures 11 8 — — $19,497.17 $77,425.52 $49,195.12 2026-04-01
665 MS_DRG Prostatectomy With Mcc 12 11 — — $48,969.83 $97,939.66 $48,969.83 2026-04-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 29 16 — — $5,600.00 $328,299.47 $48,689.82 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 12 11 — — $48,066.39 $96,132.78 $48,066.39 2026-04-01
263 MS_DRG Vein Ligation And Stripping 13 11 — — $40,555.12 $96,008.70 $48,004.35 2026-04-01
374 MS_DRG Digestive Malignancy With Mcc 29 16 — — $667.60 $331,810.12 $47,742.48 2026-04-01
5495 OTHER Level 5 Intraocular Procedures 5 4 — — $14,350.55 $56,380.70 $47,653.60 2026-04-01
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 25 18 — — $10,220.16 $1,025,479.44 $47,488.25 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 13 12 — — $47,445.95 $101,567.08 $47,445.95 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 16 13 — — $18,444.18 $510,600.74 $47,439.89 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 16 13 — — $7,860.11 $94,779.90 $47,389.95 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 13 11 — — $46,778.59 $93,557.18 $46,778.59 2026-04-01
314 MS_DRG Other Circulatory System Diagnoses With Mcc 34 19 — — $10,149.99 $237,598.76 $46,609.02 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 25 15 — — $16,365.00 $241,546.53 $46,327.34 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 12 11 — — $46,289.79 $92,579.58 $46,289.79 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 18 13 — — $24,507.00 $145,948.60 $46,189.60 2026-04-01
2616 OTHER Brachytx, Non-str,yttrium-90 19 13 — — $919.24 $87,595.15 $46,088.37 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 12 11 — — $45,925.09 $91,850.18 $45,925.09 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 31 16 — — $19,945.93 $132,188.50 $45,794.44 2026-04-01
5464 OTHER Level 4 Neurostimulator And Related Procedures 15 10 — — $12,476.60 $102,076.80 $45,680.46 2026-04-01
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 24 17 — — $11,762.48 $226,015.85 $45,575.60 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 13 11 — — $32,865.41 $90,863.52 $45,431.76 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 13 11 — — $45,347.02 $94,737.00 $45,347.02 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 19 14 — — $18,347.35 $118,895.47 $45,331.56 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 17 14 — — $25,488.62 $90,342.94 $45,171.47 2026-04-01
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 19 14 — — $27,825.00 $332,464.81 $45,027.66 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 18 13 — — $14,866.81 $111,863.03 $44,873.36 2026-04-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 31 19 — — $16,695.00 $208,708.92 $44,621.66 2026-04-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 21 15 — — $23,790.84 $415,021.86 $44,521.33 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 18 13 — — $36,265.28 $161,491.06 $44,408.45 2026-04-01
800 MS_DRG Splenic Procedures With Cc 13 11 — — $8,879.00 $88,502.78 $44,251.39 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 22 12 — — $18,036.71 $163,396.22 $44,098.55 2026-04-01
5213 OTHER Level 3 Electrophysiologic Procedures 27 17 — — $1,409.76 $106,669.19 $44,076.36 2026-04-01
503 MS_DRG Foot Procedures With Mcc 13 11 — — $40,271.03 $87,948.92 $43,974.46 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 37 21 — — $19,336.21 $128,031.18 $43,916.00 2026-04-01
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 19 15 — — $34,280.26 $203,502.09 $43,762.18 2026-04-01
L8701 HCPCS Pow Ue Rom Dev Ewh Uprt Cust 5 5 — — $34,970.13 $69,940.26 $43,712.66 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 27 16 — — $3,075.00 $94,153.63 $43,683.91 2026-04-01
614 MS_DRG Adrenal And Pituitary Procedures With Cc/Mcc 37 20 — — $7,549.37 $123,043.86 $43,631.66 2026-04-01
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 22 14 — — $13,987.92 $392,150.52 $43,626.60 2026-04-01
5094 OTHER Level 4 Breast/Lymphatic Surgery And Related Procedures 15 10 — — $5,836.48 $142,769.86 $43,460.54 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 15 11 — — $14,067.00 $86,919.88 $43,459.94 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 29 16 — — $14,250.00 $193,500.45 $43,332.83 2026-04-01
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 36 19 — — $3,075.00 $113,528.95 $43,297.65 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 15 14 — — $40,822.28 $103,115.28 $43,230.00 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 12 11 — — $43,107.35 $86,214.70 $43,107.35 2026-04-01
5194 OTHER Level 4 Endovascular Procedures 25 16 — — $1,405.97 $136,081.36 $43,018.74 2026-04-01
849 MS_DRG Radiotherapy 17 15 — — $15,038.00 $85,479.24 $42,739.62 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 16 13 — — $10,910.00 $85,379.36 $42,689.68 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 13 12 — — $42,556.51 $85,113.02 $42,556.51 2026-04-01
32 MS_DRG Ventricular Shunt Procedures With Cc 21 15 — — $31,124.68 $112,510.77 $42,481.56 2026-04-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 35 19 — — $100.00 $172,184.93 $42,267.74 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 23 15 — — $7,519.00 $160,800.21 $41,849.81 2026-04-01
615 MS_DRG Adrenal And Pituitary Procedures Without Cc/Mcc 29 16 — — $5,455.00 $107,450.49 $41,837.76 2026-04-01
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 27 16 — — $18,669.17 $188,449.94 $41,791.12 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 13 11 — — $24,122.00 $83,297.08 $41,648.54 2026-04-01
5116 OTHER Level 6 Musculoskeletal Procedures 18 11 — — $113.09 $172,165.56 $41,444.81 2026-04-01
908 MS_DRG Other O.r. Procedures For Injuries With Cc 32 18 — — $18,413.03 $168,616.10 $41,154.43 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 28 17 — — $12,743.12 $125,501.53 $41,015.98 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 16 13 — — $24,583.87 $130,200.88 $40,943.90 2026-04-01
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 18 14 — — $31,494.45 $83,743.16 $40,892.27 2026-04-01
5115 OTHER Level 5 Musculoskeletal Procedures 29 16 — — $121.43 $76,727.80 $40,816.30 2026-04-01
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/Mcc 21 13 — — $16,523.32 $99,348.72 $40,778.31 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 13 11 — — $40,767.81 $164,449.00 $40,767.81 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 15 12 — — $19,166.00 $81,184.52 $40,592.26 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 25 18 — — $11,970.79 $371,379.42 $40,188.22 2026-04-01
347 MS_DRG Anal And Stomal Procedures With Mcc 16 12 — — $14,067.00 $245,429.40 $40,123.73 2026-04-01
5626 OTHER Level 6 Radiation Therapy 26 17 — — $3,680.67 $92,864.06 $39,985.50 2026-04-01
835 MS_DRG Acute Leukemia With Cc 27 17 — — $2,950.00 $947,144.62 $39,961.49 2026-04-01
0763 OTHER Inj, Bupivacaine Liposome 1 1 — — $39,921.27 $39,921.27 $39,921.27 2026-04-01
259 MS_DRG Cardiac Pacemaker Device Replacement Without Mcc 16 13 — — $32,337.28 $99,207.68 $39,613.17 2026-04-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 17 13 — — $7,991.10 $98,850.18 $39,585.44 2026-04-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 14 12 — — $17,357.72 $78,893.40 $39,446.70 2026-04-01
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 36 19 — — $14,370.76 $327,107.73 $39,407.39 2026-04-01
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 20 15 — — $11,896.04 $166,925.93 $39,369.53 2026-04-01
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 34 21 — — $10,871.31 $339,931.17 $39,195.01 2026-04-01
708 MS_DRG Major Male Pelvic Procedures Without Cc/Mcc 3 3 — — $31,218.25 $79,298.53 $39,141.21 2026-04-01
843 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 20 14 — — $12,268.38 $217,176.19 $39,107.09 2026-04-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 25 17 — — $11,945.20 $77,882.54 $38,941.27 2026-04-01
783 MS_DRG Cesarean Section With Sterilization With Mcc 23 17 — — $150.00 $405,795.42 $38,889.81 2026-04-01
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/Mcc 26 16 — — $10,091.00 $81,703.43 $38,858.62 2026-04-01
792 MS_DRG Prematurity Without Major Problems 30 18 — — $1,558.27 $180,646.00 $38,800.53 2026-04-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 27 16 — — $15,412.62 $150,961.51 $38,724.87 2026-04-01
5221 OTHER Level 1 Pacemaker And Similar Procedures 4 4 — — $15,347.41 $61,636.31 $38,556.35 2026-04-01
380 MS_DRG Complicated Peptic Ulcer With Mcc 20 14 — — $10,538.97 $210,925.04 $38,502.75 2026-04-01
30 MS_DRG Spinal Procedures Without Cc/Mcc 16 14 — — $24,926.14 $129,221.00 $38,452.46 2026-04-01
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 12 11 — — $38,391.94 $76,783.88 $38,391.94 2026-04-01
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 46 22 — — $3,189.13 $293,297.05 $38,355.12 2026-04-01
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 12 11 — — $38,272.39 $76,544.78 $38,272.39 2026-04-01
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 24 18 — — $15,591.81 $230,341.90 $38,060.32 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 34 19 — — $16,365.00 $92,011.52 $38,049.83 2026-04-01
397 MS_DRG Appendix Procedures With Mcc 14 13 — — $16,614.69 $75,957.64 $37,978.82 2026-04-01
35 MS_DRG Carotid Artery Stent Procedures With Cc 14 11 — — $33,289.10 $75,824.46 $37,912.23 2026-04-01
91 MS_DRG Other Disorders Of Nervous System With Mcc 31 18 — — $10,644.55 $353,913.69 $37,887.00 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 23 15 — — $8,879.00 $92,735.00 $37,850.19 2026-04-01
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 32 19 — — $5,565.00 $165,035.34 $37,744.27 2026-04-01
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 20 14 — — $14,866.81 $171,395.00 $37,731.26 2026-04-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 23 15 — — $5,455.00 $198,005.00 $37,651.87 2026-04-01
113 MS_DRG Orbital Procedures With Cc/Mcc 13 11 — — $37,316.00 $74,632.00 $37,316.00 2026-04-01
988 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 25 15 — — $12,800.00 $142,697.00 $37,253.27 2026-04-01
595 MS_DRG Major Skin Disorders With Mcc 20 13 — — $27,166.00 $269,198.02 $37,212.32 2026-04-01
333 MS_DRG Rectal Resection With Cc 13 12 — — $37,181.31 $128,085.03 $37,181.31 2026-04-01
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