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

Your selected procedure

You selected 807 (MS_DRG)

Vaginal Delivery Without Sterilization Or D&C Without Cc/Mcc

This hospital’s price: $20,655 across 21 payers · range $3,972-$48,748

Source: https://app.box.com/index.php?rm=box_download_shared_file&shared_name=ldckxfm5nm9wah74gqi7fdhe6mrtpg5e&file_id=f_1959275070690 · 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.

5,855 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 · 2026-08-14
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
$370,165
1.8× median
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
$261,939
outlier · 2.4×
7
MS_DRG 		Lung Transplant 16 $197,710.91 $1,411,853.35 $550,475.49 nat. median
$122,690
outlier · 4.5×
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
$199,832
outlier · 2.3×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 20 $7,143.82 $766,349.66 $338,549.00 nat. median
$114,305
outlier · 3.0×
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
$205,166
1.6× median
9489
OTHER 		Inj, Nusinersen, 0.1mg 3 $109,776.70 $436,875.22 $323,588.07 nat. median
$1,286
outlier · 251.6×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 21 $1,873.29 $2,386,386.75 $310,031.78 nat. median
$99,646
outlier · 3.1×
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
$132,706
1.9× median
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
$96,835
outlier · 2.1×
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 16 $48,209.98 $3,737,783.30 $183,358.72 nat. median
$51,433
outlier · 3.6×
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
$92,900
1.9× median
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
$108,240
1.6× median
209
MS_DRG 		Complex Aortic Arch Procedures 12 $173,023.13 $346,046.26 $173,023.13 nat. median
$96,134
1.8× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 13 $56,938.97 $332,587.08 $166,293.54 nat. median
$100,978
1.6× median
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
$80,459
outlier · 2.0×
850
MS_DRG 		Acute Leukemia With Other Procedures 16 $43,585.72 $1,663,176.64 $162,655.82 nat. median
$81,364
2.0× median
16
MS_DRG 		Autologous Bone Marrow Transplant With Cc/Mcc 21 $90,080.46 $470,020.51 $162,036.65 nat. median
$55,867
outlier · 2.9×
215
MS_DRG 		Other Heart Assist System Implant 14 $83,348.00 $808,000.85 $162,023.89 nat. median
$98,002
1.7× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 16 $69,092.00 $798,132.15 $151,018.36 nat. median
$77,385
2.0× median
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
$74,472
1.9× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 13 $98,423.97 $276,156.56 $139,739.61 nat. median
$81,124
1.7× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 5 $108,243.35 $216,486.70 $135,304.19 nat. median
$111,503
1.2× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 14 $80,062.66 $258,611.50 $129,305.75 nat. median
$79,040
1.6× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 15 $56,069.52 $1,133,235.98 $129,247.48 nat. median
$62,218
outlier · 2.1×
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
$73,475
1.8× median
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
$66,640
1.9× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 11 $109,704.13 $507,891.52 $120,674.54 nat. median
$69,153
1.7× median
834
MS_DRG 		Acute Leukemia With Mcc 19 $12,249.32 $894,936.96 $119,854.40 nat. median
$52,155
outlier · 2.3×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 14 $66,894.00 $240,020.59 $119,348.68 nat. median
$68,581
1.7× median
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
$65,792
1.8× median
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
$71,485
1.6× median
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 17 $49,659.43 $209,821.21 $113,476.95 nat. median
$58,419
1.9× median
10
MS_DRG 		Pancreas Transplant 11 $110,326.09 $533,035.95 $110,326.09 nat. median
$67,750
1.6× median
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
$62,911
1.8× median
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
$53,080
outlier · 2.0×
228
MS_DRG 		Other Cardiothoracic Procedures With Mcc 17 $45,663.93 $1,363,075.39 $107,247.69 nat. median
$50,071
outlier · 2.1×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 18 $150.00 $3,193,662.81 $106,717.27 nat. median
$65,958
1.6× median
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
$57,394
1.8× median
8
MS_DRG 		Simultaneous Pancreas And Kidney Transplant 12 $86,550.82 $993,720.08 $103,860.98 nat. median
$53,073
2.0× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 11 $103,598.01 $207,196.02 $103,598.01 nat. median
$64,357
1.6× median
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 13 $32,636.08 $356,724.76 $102,923.09 nat. median
$59,832
1.7× median
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
$62,262
1.7× median
650
MS_DRG 		Kidney Transplant With Hemodialysis With Mcc 15 $72,882.80 $1,452,289.22 $102,035.92 nat. median
$44,915
outlier · 2.3×
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
$63,840
1.6× median
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
$60,895
1.7× median
652
MS_DRG 		Kidney Transplant 19 $20,193.25 $517,802.92 $101,217.44 nat. median
$31,280
outlier · 3.2×
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 11 $72,535.14 $201,757.26 $100,878.63 nat. median
$59,159
1.7× median
6
MS_DRG 		Liver Transplant Without Mcc 13 $71,908.25 $666,989.68 $100,671.55 nat. median
$46,106
outlier · 2.2×
270
MS_DRG 		Other Major Cardiovascular Procedures With Mcc 17 $46,739.72 $4,130,739.09 $99,938.81 nat. median
$50,808
2.0× median

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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