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Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

SUTTER AUBURN FAITH HOSPITAL

Auburn, CA · CCN 050498 · Rates published

8,324 distinct procedures filed
8 distinct payers
73,164 rate rows
2026-04-01 last MRF observed
Data quality

41,348 of 73,164 rate rows are consumer-grade (56.5%)

31,816 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 31,796
placeholder amount (≤ $0.02) — excluded from medians 20
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://edge.sitecorecloud.io/sutterhealt962c-sutterhealt8fce-production57cc-4860/media/Project/SutterHealth/SutterHealth/Files/billing-insurance/costs-and-charges/941156621-1194774299_sutter-auburn-faith-hospital_standardcharges.csv
Found on page https://www.sutterhealth.org/cms-hpt.txt
Discovered viaDiscovered by HANK (automated)
Last fetch not_modified · 2026-05-18
Content fingerprint e062dbfb4a7da561… · 15,282,367 bytes · first seen 2026-05-17

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
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 2 $591,726.20 $1,476,857.10 $1,476,857.10 nat. median
$753,246
2.0× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 2 $533,230.17 $1,340,483.41 $1,340,483.41 nat. median
$634,303
outlier · 2.1×
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 6 $418,343.02 $418,343.02 $418,343.02 nat. median
$370,174
1.1× median
215
MS_DRG 		Other Heart Assist System Implant 8 $96,788.99 $518,072.00 $398,916.00 nat. median
$99,019
outlier · 4.0×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 8 $76,579.72 $393,675.00 $279,531.00 nat. median
$77,570
outlier · 3.6×
22
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 8 $31,177.09 $393,675.00 $279,531.00 nat. median
$34,274
outlier · 8.2×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 8 $95,103.11 $390,452.00 $277,130.00 nat. median
$93,672
outlier · 3.0×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 6 $271,637.58 $271,637.58 $271,637.58 nat. median
$265,286
1.0× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 8 $64,061.43 $324,073.00 $238,079.00 nat. median
$64,508
outlier · 3.7×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 8 $107,088.15 $333,633.00 $236,697.00 nat. median
$98,894
outlier · 2.4×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 8 $87,620.20 $333,633.00 $236,697.00 nat. median
$82,711
outlier · 2.9×
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 8 $64,061.43 $304,551.00 $224,854.00 nat. median
$61,920
outlier · 3.6×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 8 $69,433.60 $308,880.00 $223,351.00 nat. median
$68,886
outlier · 3.2×
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 8 $59,099.60 $299,833.00 $220,063.00 nat. median
$59,898
outlier · 3.7×
21
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 8 $51,659.28 $295,204.00 $218,763.00 nat. median
$54,045
outlier · 4.0×
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 8 $59,736.40 $434,524.00 $218,637.00 nat. median
$60,726
outlier · 3.6×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 8 $82,009.96 $295,952.00 $217,433.00 nat. median
$79,312
outlier · 2.7×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 6 $207,053.48 $207,053.48 $207,053.48 nat. median
$206,474
1.0× median
458
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 8 $40,808.48 $291,930.00 $206,970.00 nat. median
$42,730
outlier · 4.8×
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 8 $58,136.66 $291,930.00 $206,970.00 nat. median
$58,020
outlier · 3.6×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 8 $81,753.49 $291,930.00 $206,970.00 nat. median
$81,118
outlier · 2.6×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 6 $205,840.84 $205,840.84 $205,840.84 nat. median
$202,976
1.0× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 8 $74,736.09 $280,449.00 $199,137.00 nat. median
$74,915
outlier · 2.7×
A9543
HCPCS 		Y90 Ibritumomab, Rx 2 $56,824.55 $189,311.16 $189,311.16 nat. median
$62,507
outlier · 3.0×
234
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 8 $53,293.86 $264,329.00 $187,472.00 nat. median
$53,268
outlier · 3.5×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 8 $74,415.75 $264,329.00 $187,472.00 nat. median
$73,807
outlier · 2.5×
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 8 $58,557.64 $262,113.00 $186,033.00 nat. median
$59,099
outlier · 3.1×
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 8 $55,883.66 $236,205.00 $181,877.00 nat. median
$55,916
outlier · 3.3×
230
MS_DRG 		Other Cardiothoracic Procedures Without Cc/mcc 1 $140,240.00 $222,612.00 $181,426.00 nat. median
$29,847
outlier · 6.1×
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 1 $180,742.00 $180,742.00 $180,742.00 nat. median
$65,393
outlier · 2.8×
24
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 8 $38,285.47 $232,976.00 $179,392.00 nat. median
$38,489
outlier · 4.7×
209
MS_DRG 		Complex Aortic Arch Procedures 7 $109,968.27 $258,596.00 $175,866.50 nat. median
$98,047
1.8× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 8 $70,287.19 $231,554.00 $172,624.00 nat. median
$68,090
outlier · 2.5×
229
MS_DRG 		Other Cardiothoracic Procedures Without Mcc 8 $30,907.08 $217,671.00 $165,433.00 nat. median
$33,143
outlier · 5.0×
430
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 8 $56,239.80 $215,741.00 $161,915.00 nat. median
$54,592
outlier · 3.0×
277
MS_DRG 		Cardiac Defibrillator Implant Without Mcc 8 $45,123.83 $240,740.00 $160,908.00 nat. median
$46,109
outlier · 3.5×
228
MS_DRG 		Other Cardiothoracic Procedures With Mcc 8 $48,306.87 $216,912.00 $159,270.00 nat. median
$50,672
outlier · 3.1×
402
MS_DRG 		Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 8 $39,336.48 $207,389.00 $156,166.00 nat. median
$39,414
outlier · 4.0×
267
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 8 $46,500.99 $227,751.00 $152,270.00 nat. median
$47,651
outlier · 3.2×
428
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 8 $54,835.55 $200,134.00 $151,206.00 nat. median
$54,210
outlier · 2.8×
J7330
HCPCS 		Cultured Chondrocytes Implnt 1 $146,326.57 $146,326.57 $146,326.57 nat. median
$76,329
1.9× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 8 $65,090.19 $268,156.00 $145,914.00 nat. median
$63,724
outlier · 2.3×
J9029
HCPCS 		Inj, Adstiladrin, Per Tx Dos 2 $63,342.28 $145,441.90 $145,441.90 nat. median
$69,774
outlier · 2.1×
450
MS_DRG 		Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically… 8 $52,005.74 $255,061.00 $144,001.00 nat. median
$51,319
outlier · 2.8×
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 8 $66,989.95 $199,051.00 $141,282.00 nat. median
$65,950
outlier · 2.1×
405
MS_DRG 		Pancreas, Liver And Shunt Procedures With Mcc 8 $53,369.35 $179,704.00 $138,373.00 nat. median
$52,836
outlier · 2.6×
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 8 $65,137.61 $207,206.00 $138,200.00 nat. median
$60,691
outlier · 2.3×
236
MS_DRG 		Coronary Bypass Without Cardiac Catheterization Without Mcc 8 $40,965.26 $178,295.00 $137,287.00 nat. median
$42,002
outlier · 3.3×
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 8 $57,222.10 $193,613.00 $137,287.00 nat. median
$57,424
outlier · 2.4×
319
MS_DRG 		Other Endovascular Cardiac Valve Procedures With Mcc 8 $43,617.96 $177,951.00 $137,022.00 nat. median
$43,757
outlier · 3.1×

Other procedures at this hospital

Browse this hospital's 8,324 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
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
             
Q2042 HCPCS Tisagenlecleucel Car-pos T 6 2 — — $591,726.20 $1,476,857.10 $1,476,857.10 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 6 2 — — $533,230.17 $1,340,483.41 $1,340,483.41 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 12 6 — — $418,343.02 $418,343.02 $418,343.02 2026-04-01
215 MS_DRG Other Heart Assist System Implant 30 8 — — $96,788.99 $518,072.00 $398,916.00 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 30 8 — — $31,177.09 $393,675.00 $279,531.00 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 30 8 — — $76,579.72 $393,675.00 $279,531.00 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 30 8 — — $95,103.11 $390,452.00 $277,130.00 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 12 6 — — $271,637.58 $271,637.58 $271,637.58 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 30 8 — — $64,061.43 $324,073.00 $238,079.00 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 30 8 — — $87,620.20 $333,633.00 $236,697.00 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 30 8 — — $107,088.15 $333,633.00 $236,697.00 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 30 8 — — $64,061.43 $304,551.00 $224,854.00 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 30 8 — — $69,433.60 $308,880.00 $223,351.00 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 30 8 — — $59,099.60 $299,833.00 $220,063.00 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 30 8 — — $51,659.28 $295,204.00 $218,763.00 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 30 8 — — $59,736.40 $434,524.00 $218,637.00 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 30 8 — — $82,009.96 $295,952.00 $217,433.00 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 12 6 — — $207,053.48 $207,053.48 $207,053.48 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 30 8 — — $40,808.48 $291,930.00 $206,970.00 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 30 8 — — $81,753.49 $291,930.00 $206,970.00 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 30 8 — — $58,136.66 $291,930.00 $206,970.00 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 12 6 — — $205,840.84 $205,840.84 $205,840.84 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 30 8 — — $74,736.09 $280,449.00 $199,137.00 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 6 2 — — $56,824.55 $189,311.16 $189,311.16 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 30 8 — — $74,415.75 $264,329.00 $187,472.00 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 30 8 — — $53,293.86 $264,329.00 $187,472.00 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 30 8 — — $58,557.64 $262,113.00 $186,033.00 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 30 8 — — $55,883.66 $236,205.00 $181,877.00 2026-04-01
230 MS_DRG Other Cardiothoracic Procedures Without Cc/mcc 4 1 — — $140,240.00 $222,612.00 $181,426.00 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 2 1 — — $180,742.00 $180,742.00 $180,742.00 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 30 8 — — $38,285.47 $232,976.00 $179,392.00 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 28 7 — — $109,968.27 $258,596.00 $175,866.50 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 30 8 — — $70,287.19 $231,554.00 $172,624.00 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 30 8 — — $30,907.08 $217,671.00 $165,433.00 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 30 8 — — $56,239.80 $215,741.00 $161,915.00 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 30 8 — — $45,123.83 $240,740.00 $160,908.00 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 30 8 — — $48,306.87 $216,912.00 $159,270.00 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 30 8 — — $39,336.48 $207,389.00 $156,166.00 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 30 8 — — $46,500.99 $227,751.00 $152,270.00 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 30 8 — — $54,835.55 $200,134.00 $151,206.00 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 4 1 — — $146,326.57 $146,326.57 $146,326.57 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 30 8 — — $65,090.19 $268,156.00 $145,914.00 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 6 2 — — $63,342.28 $145,441.90 $145,441.90 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 30 8 — — $52,005.74 $255,061.00 $144,001.00 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 30 8 — — $66,989.95 $199,051.00 $141,282.00 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 30 8 — — $53,369.35 $179,704.00 $138,373.00 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 30 8 — — $65,137.61 $207,206.00 $138,200.00 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 30 8 — — $40,965.26 $178,295.00 $137,287.00 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 30 8 — — $57,222.10 $193,613.00 $137,287.00 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 26 8 — — $43,617.96 $177,951.00 $137,022.00 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 2 1 — — $136,030.00 $136,030.00 $136,030.00 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 12 6 — — $134,478.37 $134,478.37 $134,478.37 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 30 8 — — $37,794.80 $174,076.00 $134,039.00 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 10 3 — — $55,272.32 $162,691.22 $131,139.34 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 30 8 — — $52,036.71 $173,767.00 $131,088.00 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 30 8 — — $58,574.10 $178,098.00 $126,259.00 2026-04-01
7 MS_DRG Lung Transplant 12 6 — — $125,756.70 $125,756.70 $125,756.70 2026-04-01
J9226 HCPCS Supprelin La Implant 14 3 — — $45,020.65 $129,708.04 $122,953.40 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 30 8 — — $51,489.92 $158,060.00 $120,237.00 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 30 8 — — $49,204.98 $157,131.00 $119,512.00 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 30 8 — — $43,800.87 $155,154.00 $119,471.00 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 12 6 — — $116,734.05 $116,734.05 $116,734.05 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 30 8 — — $31,326.13 $155,550.00 $113,537.00 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 30 8 — — $41,468.51 $192,732.00 $113,316.00 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 30 8 — — $53,877.44 $159,364.00 $113,154.00 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 12 6 — — $110,094.08 $110,094.08 $110,094.08 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 30 8 — — $34,185.93 $142,591.00 $109,796.00 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 30 8 — — $31,690.02 $157,198.00 $108,201.00 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 30 8 — — $44,428.96 $164,136.00 $106,796.00 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 12 6 — — $105,664.54 $105,664.54 $105,664.54 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 30 8 — — $26,758.19 $146,911.00 $104,093.00 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 12 6 — — $100,210.11 $100,210.11 $100,210.11 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 30 8 — — $34,556.60 $129,545.00 $92,058.00 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 28 7 — — $33,704.95 $135,172.00 $91,919.50 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 30 8 — — $43,788.29 $127,330.00 $90,461.00 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 30 8 — — $26,169.78 $143,204.00 $87,487.00 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 30 8 — — $34,985.32 $112,721.00 $86,794.00 2026-04-01
32 MS_DRG Ventricular Shunt Procedures With Cc 30 8 — — $21,050.20 $113,156.00 $86,725.00 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 30 8 — — $41,298.18 $121,888.00 $86,625.00 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 30 8 — — $47,158.11 $119,144.00 $85,396.00 2026-04-01
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 30 8 — — $17,488.75 $120,194.00 $85,287.00 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 28 7 — — $55,657.19 $125,265.00 $85,151.00 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 12 6 — — $84,231.99 $84,231.99 $84,231.99 2026-04-01
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 30 8 — — $21,049.23 $116,047.00 $82,309.00 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 30 8 — — $30,517.06 $103,161.00 $79,434.00 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 30 8 — — $50,803.76 $107,448.00 $79,034.00 2026-04-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 26 8 — — $23,704.83 $101,880.00 $78,448.00 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 30 8 — — $34,844.03 $113,045.00 $77,170.00 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 26 8 — — $27,109.50 $99,825.00 $76,865.00 2026-04-01
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 30 8 — — $21,705.39 $102,030.00 $76,459.00 2026-04-01
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 28 7 — — $23,791.93 $110,751.00 $75,392.00 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 12 6 — — $74,170.90 $74,170.90 $74,170.90 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 6 2 — — $24,228.42 $74,101.05 $74,101.05 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 30 8 — — $32,287.14 $96,124.00 $74,014.00 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 30 8 — — $27,021.43 $99,624.00 $73,730.00 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 30 8 — — $40,352.66 $95,318.00 $73,394.00 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 30 8 — — $25,546.53 $95,273.00 $73,359.00 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 30 8 — — $29,781.55 $102,547.00 $72,718.00 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 30 8 — — $24,842.95 $97,371.00 $71,991.00 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 30 8 — — $33,443.64 $94,410.00 $71,740.00 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 30 8 — — $25,134.25 $112,500.00 $70,511.00 2026-04-01
10 MS_DRG Pancreas Transplant 12 6 — — $69,872.01 $69,872.01 $69,872.01 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 12 6 — — $69,842.97 $69,842.97 $69,842.97 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 30 8 — — $28,611.50 $98,118.00 $69,684.00 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 12 6 — — $69,474.25 $69,474.25 $69,474.25 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 30 8 — — $28,938.61 $90,347.00 $67,762.00 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 12 6 — — $67,318.03 $67,318.03 $67,318.03 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 30 8 — — $35,515.67 $93,682.00 $66,324.00 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 12 6 — — $65,569.24 $65,569.24 $65,569.24 2026-04-01
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 30 8 — — $19,094.31 $89,320.00 $65,317.00 2026-04-01
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/Mcc 30 8 — — $17,919.42 $88,182.00 $65,200.00 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 30 8 — — $32,283.27 $86,229.00 $64,663.00 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 12 6 — — $63,830.13 $63,830.13 $63,830.13 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 30 8 — — $28,494.40 $82,057.00 $63,182.00 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 16 6 — — $62,700.73 $252,143.00 $62,700.73 2026-04-01
27447 HCPCS Total Knee Arthroplasty 6 2 — — $16,662.22 $61,651.00 $61,651.00 2026-04-01
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 32 8 — — $20,696.96 $98,118.00 $61,580.50 2026-04-01
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 30 8 — — $21,548.61 $86,229.00 $61,369.00 2026-04-01
J9266 HCPCS Pegaspargase Injection 14 3 — — $28,424.06 $62,262.23 $61,062.67 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 30 8 — — $26,079.77 $79,043.00 $60,865.00 2026-04-01
55866 HCPCS Laparo Radical Prostatectomy 14 5 — — $13,795.55 $63,415.00 $60,400.00 2026-04-01
50544 HCPCS Laparoscopy Pyeloplasty 14 5 — — $13,795.55 $63,415.00 $60,400.00 2026-04-01
30 MS_DRG Spinal Procedures Without Cc/Mcc 30 8 — — $21,671.52 $84,417.00 $59,773.00 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 12 6 — — $59,667.69 $59,667.69 $59,667.69 2026-04-01
27130 HCPCS Total Hip Arthroplasty 6 2 — — $16,662.22 $59,605.00 $59,605.00 2026-04-01
42 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/Mcc 30 8 — — $17,147.13 $76,937.00 $59,211.00 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 30 8 — — $35,959.88 $82,199.00 $58,335.00 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 12 6 — — $57,946.97 $57,946.97 $57,946.97 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 12 6 — — $57,813.42 $57,813.42 $57,813.42 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 12 6 — — $57,185.33 $57,185.33 $57,185.33 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 32 8 — — $27,252.73 $89,252.00 $57,042.38 2026-04-01
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/Mcc 30 8 — — $21,040.52 $73,819.00 $56,842.00 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 30 8 — — $24,853.59 $73,621.00 $56,689.00 2026-04-01
496 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 30 8 — — $17,884.58 $77,326.00 $56,689.00 2026-04-01
259 MS_DRG Cardiac Pacemaker Device Replacement Without Mcc 30 8 — — $19,996.28 $78,978.00 $56,098.00 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 30 8 — — $30,835.47 $78,978.00 $56,098.00 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 16 6 — — $55,585.58 $209,944.00 $55,585.58 2026-04-01
131 MS_DRG Cranial/Facial Procedures W Cc/Mcc 4 1 — — $42,598.00 $67,619.00 $55,108.50 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 12 6 — — $54,667.15 $54,667.15 $54,667.15 2026-04-01
58546 HCPCS Laparo-myomectomy Complex 14 5 — — $13,795.55 $59,884.00 $54,607.00 2026-04-01
A9604 HCPCS Sm 153 Lexidronam 6 2 — — $3,159.80 $54,373.92 $54,373.92 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 12 6 — — $54,295.52 $54,295.52 $54,295.52 2026-04-01
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 28 7 — — $23,868.39 $79,695.00 $54,105.50 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 12 6 — — $53,557.10 $53,557.10 $53,557.10 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 26 8 — — $28,511.82 $69,186.00 $53,272.00 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 12 6 — — $53,210.64 $53,210.64 $53,210.64 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 12 6 — — $52,999.66 $52,999.66 $52,999.66 2026-04-01
38 MS_DRG Extracranial Procedures With Cc 30 8 — — $16,129.99 $70,781.00 $52,608.00 2026-04-01
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/Mcc 30 8 — — $21,144.08 $68,071.00 $52,416.00 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 30 8 — — $24,053.23 $80,066.00 $51,797.00 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 30 8 — — $36,595.72 $72,328.00 $51,463.00 2026-04-01
254 MS_DRG Other Vascular Procedures Without Cc/Mcc 30 8 — — $17,669.73 $71,723.00 $50,824.00 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 12 6 — — $50,716.66 $50,716.66 $50,716.66 2026-04-01
62 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 26 8 — — $17,432.62 $65,726.00 $50,610.00 2026-04-01
582 MS_DRG Mastectomy For Malignancy With Cc/Mcc 30 8 — — $19,072.05 $65,548.00 $50,470.00 2026-04-01
336 MS_DRG Peritoneal Adhesiolysis With Cc 30 8 — — $20,834.38 $65,331.00 $50,304.00 2026-04-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 30 8 — — $21,841.85 $70,713.00 $50,187.00 2026-04-01
251 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc 30 8 — — $14,890.25 $74,145.00 $49,423.00 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 30 8 — — $31,906.80 $68,702.00 $48,906.00 2026-04-01
33 MS_DRG Ventricular Shunt Procedures Without Cc/Mcc 30 8 — — $16,520.00 $68,702.00 $48,906.00 2026-04-01
262 MS_DRG Cardiac Pacemaker Revision Except Device Replacement Without Cc/Mcc 30 8 — — $16,200.63 $68,702.00 $48,906.00 2026-04-01
261 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Cc 30 8 — — $18,722.68 $68,702.00 $48,906.00 2026-04-01
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 30 8 — — $19,784.34 $63,650.00 $48,888.00 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 12 6 — — $48,693.99 $48,693.99 $48,693.99 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 18 6 — — $18,284.00 $576,586.62 $48,221.71 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 12 6 — — $48,058.15 $48,058.15 $48,058.15 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 12 6 — — $47,859.76 $47,859.76 $47,859.76 2026-04-01
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 34 8 — — $16,797.76 $67,089.00 $47,471.00 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 30 8 — — $23,521.92 $67,089.00 $47,471.00 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 12 6 — — $46,921.97 $46,921.97 $46,921.97 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 30 8 — — $29,658.64 $62,143.00 $46,860.00 2026-04-01
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/Mcc 30 8 — — $16,211.28 $66,283.00 $46,667.00 2026-04-01
397 MS_DRG Appendix Procedures With Mcc 30 8 — — $23,604.18 $68,437.00 $46,181.00 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 12 6 — — $45,926.12 $45,926.12 $45,926.12 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 12 6 — — $45,833.22 $45,833.22 $45,833.22 2026-04-01
737 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 30 8 — — $20,368.88 $59,484.00 $45,802.00 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 12 6 — — $45,697.73 $45,697.73 $45,697.73 2026-04-01
49656 HCPCS Lap Inc Hernia Repair Recur 2 1 — — $45,468.00 $45,468.00 $45,468.00 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 12 6 — — $45,302.87 $45,302.87 $45,302.87 2026-04-01
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/Mcc 30 8 — — $22,078.95 $58,640.00 $45,154.00 2026-04-01
165 MS_DRG Major Chest Procedures Without Cc/Mcc 30 8 — — $18,952.04 $58,575.00 $45,102.00 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 14 6 — — $44,910.92 $46,287.88 $44,910.92 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 30 8 — — $29,622.83 $63,060.00 $44,910.00 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 12 6 — — $44,797.69 $44,797.69 $44,797.69 2026-04-01
585 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/Mcc 30 8 — — $19,096.24 $57,941.00 $44,615.00 2026-04-01
245 MS_DRG Aicd Generator Procedures 12 6 — — $44,580.90 $44,580.90 $44,580.90 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 12 6 — — $44,448.32 $44,448.32 $44,448.32 2026-04-01
132 MS_DRG Cranial/Facial Procedures Without Cc/Mcc 10 3 — — $29,482.00 $48,334.00 $44,389.00 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 12 6 — — $44,256.70 $44,256.70 $44,256.70 2026-04-01
23615 HCPCS Treat Humerus Fracture 10 4 — — $16,662.22 $50,020.00 $44,143.00 2026-04-01
58544 HCPCS Lsh W/t/o Uterus Above 250 G 14 5 — — $13,795.55 $47,497.00 $43,313.00 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 12 6 — — $42,939.54 $42,939.54 $42,939.54 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 12 6 — — $42,306.61 $42,306.61 $42,306.61 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 16 6 — — $41,972.73 $125,562.00 $41,972.73 2026-04-01
503 MS_DRG Foot Procedures With Mcc 30 8 — — $27,438.54 $58,627.00 $41,715.00 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 12 6 — — $41,705.62 $41,705.62 $41,705.62 2026-04-01
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 30 8 — — $17,150.03 $61,990.00 $41,302.00 2026-04-01
5232 OTHER Level 2 Icd And Similar Procedures 2 1 — — $41,289.48 $41,289.48 $41,289.48 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 12 6 — — $41,228.50 $41,228.50 $41,228.50 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 12 6 — — $41,208.18 $41,208.18 $41,208.18 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 12 6 — — $41,089.14 $41,089.14 $41,089.14 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 12 6 — — $41,040.75 $41,040.75 $41,040.75 2026-04-01
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/Mcc 30 8 — — $21,907.66 $53,139.00 $40,917.00 2026-04-01
398 MS_DRG Appendix Procedures With Cc 32 8 — — $15,075.10 $53,792.00 $40,885.38 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 12 6 — — $40,779.45 $40,779.45 $40,779.45 2026-04-01
581 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/Mcc 30 8 — — $14,392.81 $52,907.00 $40,739.00 2026-04-01
0408T HCPCS Insj/rplc Cardiac Modulj Sys 2 1 — — $40,736.91 $40,736.91 $40,736.91 2026-04-01
33264 HCPCS Hchg Remove Replace Imp Defib Puls Gen Sys Mult Lead 2 1 — — $40,736.91 $40,736.91 $40,736.91 2026-04-01
33249 HCPCS Hchg Insrt/rplc Perm Imp Defib W Tv Leads Sngl/dual 2 1 — — $40,736.91 $40,736.91 $40,736.91 2026-04-01
33270 HCPCS Hchg Ins/rep Subq Defibrillator 2 1 — — $40,736.91 $40,736.91 $40,736.91 2026-04-01
33231 HCPCS Hchg Insrt Imp Defib Pulse Gen Only W Multi Leads 2 1 — — $40,736.91 $40,736.91 $40,736.91 2026-04-01
0571T HCPCS Insj/rplcmt Icds Ss Eltrd 2 1 — — $40,736.91 $40,736.91 $40,736.91 2026-04-01
0915T HCPCS Insj Perm Ccm-d Sys Pg&eltrd 2 1 — — $40,736.91 $40,736.91 $40,736.91 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 12 6 — — $40,618.80 $40,618.80 $40,618.80 2026-04-01
499 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Without… 30 8 — — $19,925.64 $55,246.00 $40,556.00 2026-04-01
740 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Cc 30 8 — — $17,939.74 $52,347.00 $40,308.00 2026-04-01
507 MS_DRG Major Shoulder Or Elbow Joint Procedures With Cc/Mcc 30 8 — — $17,908.77 $56,211.00 $39,795.00 2026-04-01
508 MS_DRG Major Shoulder Or Elbow Joint Procedures Without Cc/Mcc 30 8 — — $15,082.84 $56,211.00 $39,795.00 2026-04-01
791 MS_DRG Prematurity With Major Problems 12 6 — — $39,709.08 $39,709.08 $39,709.08 2026-04-01
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 30 8 — — $18,527.19 $51,306.00 $39,505.00 2026-04-01
27427 HCPCS Reconstruction Knee 14 5 — — $9,417.22 $42,642.00 $39,330.00 2026-04-01
583 MS_DRG Mastectomy For Malignancy Without Cc/Mcc 30 8 — — $17,115.19 $51,056.00 $39,312.00 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 12 6 — — $38,984.21 $38,984.21 $38,984.21 2026-04-01
5155 OTHER Level 5 Airway Endoscopy 2 1 — — $38,882.20 $38,882.20 $38,882.20 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 30 8 — — $29,814.00 $50,217.00 $38,668.00 2026-04-01
506 MS_DRG Major Thumb Or Joint Procedures 30 8 — — $13,484.06 $52,740.00 $38,613.00 2026-04-01
29916 HCPCS Hip Arthro W/labral Repair 10 4 — — $9,417.22 $44,666.00 $38,488.00 2026-04-01
58573 HCPCS Tlh W/t/o Uterus Over 250 G 14 5 — — $13,795.55 $43,799.00 $38,234.00 2026-04-01
287 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization Without Mcc 30 8 — — $10,782.98 $53,792.00 $38,198.00 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 12 6 — — $38,114.17 $38,114.17 $38,114.17 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 12 6 — — $37,886.74 $37,886.74 $37,886.74 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 12 6 — — $37,830.61 $37,830.61 $37,830.61 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 12 6 — — $37,582.86 $37,582.86 $37,582.86 2026-04-01
658 MS_DRG Kidney And Ureter Procedures For Neoplasm Without Cc/Mcc 30 8 — — $15,444.79 $48,389.00 $37,258.00 2026-04-01
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 30 8 — — $20,550.82 $48,119.00 $37,052.00 2026-04-01
716 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy Without Cc/Mcc 30 8 — — $14,662.82 $48,110.00 $37,046.00 2026-04-01
57425 HCPCS Laparoscopy Surg Colpopexy 14 5 — — $13,795.55 $40,554.00 $36,982.00 2026-04-01
39 MS_DRG Extracranial Procedures Without Cc/Mcc 30 8 — — $11,803.02 $50,104.00 $36,890.00 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 12 6 — — $36,844.44 $36,844.44 $36,844.44 2026-04-01
504 MS_DRG Foot Procedures With Cc 32 8 — — $18,191.71 $58,627.00 $36,841.50 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 16 6 — — $36,685.72 $99,179.00 $36,685.72 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 12 6 — — $36,599.59 $36,599.59 $36,599.59 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 16 6 — — $36,494.10 $105,658.00 $36,494.10 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 12 6 — — $36,290.87 $36,290.87 $36,290.87 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 12 6 — — $35,974.40 $35,974.40 $35,974.40 2026-04-01
578 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis Without Cc/Mcc 30 8 — — $15,973.20 $46,278.00 $35,634.00 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 12 6 — — $35,542.77 $35,542.77 $35,542.77 2026-04-01
501 MS_DRG Soft Tissue Procedures With Cc 30 8 — — $17,344.55 $46,153.00 $35,537.00 2026-04-01
332 MS_DRG Rectal Resection With Mcc 12 6 — — $35,467.28 $35,467.28 $35,467.28 2026-04-01
265 MS_DRG Aicd Lead Procedures 12 6 — — $35,443.09 $35,443.09 $35,443.09 2026-04-01
27814 HCPCS Treatment Of Ankle Fracture 14 5 — — $9,417.22 $39,838.00 $35,420.00 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 16 6 — — $35,381.15 $175,280.00 $35,381.15 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 12 6 — — $35,328.89 $35,328.89 $35,328.89 2026-04-01
505 MS_DRG Foot Procedures Without Cc/Mcc 30 8 — — $17,777.15 $47,617.00 $35,127.00 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 12 6 — — $35,100.49 $35,100.49 $35,100.49 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 12 6 — — $35,020.16 $35,020.16 $35,020.16 2026-04-01
63042 HCPCS Laminotomy Single Lumbar 14 5 — — $9,417.22 $38,359.00 $34,980.00 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 16 6 — — $34,934.03 $115,605.00 $34,934.03 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 16 6 — — $34,905.00 $104,189.00 $34,905.00 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 16 6 — — $34,872.09 $103,806.00 $34,872.09 2026-04-01
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 30 8 — — $20,538.24 $44,926.00 $34,592.00 2026-04-01
304 MS_DRG Hypertension With Mcc 30 8 — — $11,943.35 $44,874.00 $34,554.00 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 16 6 — — $34,486.92 $112,063.00 $34,486.92 2026-04-01
334 MS_DRG Rectal Resection Without Cc/Mcc 30 8 — — $16,278.06 $44,757.00 $34,465.00 2026-04-01
59151 HCPCS Treat Ectopic Pregnancy 14 5 — — $7,845.97 $36,108.00 $34,392.00 2026-04-01
744 MS_DRG D&c, Conization, Laparoscopy And Tubal Interruption With Cc/Mcc 30 8 — — $20,257.59 $44,518.00 $34,280.00 2026-04-01
27524 HCPCS Treat Kneecap Fracture 14 5 — — $9,417.22 $37,541.00 $34,234.00 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 12 6 — — $34,177.22 $34,177.22 $34,177.22 2026-04-01
58571 HCPCS Tlh W/t/o 250 G Or Less 14 5 — — $13,795.55 $39,760.00 $34,173.00 2026-04-01
63 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 26 8 — — $14,012.47 $44,254.00 $34,075.00 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 12 6 — — $34,022.38 $34,022.38 $34,022.38 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 16 6 — — $33,859.79 $87,685.00 $33,859.79 2026-04-01
520 MS_DRG Back And Neck Procedures Except Spinal Fusion Without Cc/Mcc 30 8 — — $14,884.45 $47,544.00 $33,725.00 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 12 6 — — $33,606.23 $33,606.23 $33,606.23 2026-04-01
497 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 30 8 — — $12,120.46 $46,941.00 $33,402.00 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 12 6 — — $33,400.09 $33,400.09 $33,400.09 2026-04-01
23515 HCPCS Treat Clavicle Fracture 10 4 — — $9,417.22 $37,770.00 $33,332.00 2026-04-01
708 MS_DRG Major Male Pelvic Procedures Without Cc/Mcc 30 8 — — $15,274.46 $45,228.00 $33,209.00 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 16 6 — — $32,756.52 $93,430.00 $32,756.52 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 12 6 — — $32,395.53 $32,395.53 $32,395.53 2026-04-01
27380 HCPCS Repair Of Kneecap Tendon 14 5 — — $9,417.22 $36,056.00 $32,056.00 2026-04-01
27829 HCPCS Treat Lower Leg Joint 14 5 — — $9,417.22 $36,030.00 $32,034.00 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 12 6 — — $31,733.57 $31,733.57 $31,733.57 2026-04-01
652 MS_DRG Kidney Transplant 12 6 — — $31,681.31 $31,681.31 $31,681.31 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 16 6 — — $31,658.08 $97,910.00 $31,658.08 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 12 6 — — $31,597.11 $31,597.11 $31,597.11 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 12 6 — — $31,496.46 $31,496.46 $31,496.46 2026-04-01
735 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy Without Cc/Mcc 30 8 — — $13,448.26 $40,802.00 $31,419.00 2026-04-01
28297 HCPCS Correction Hallux Valgus 10 4 — — $16,662.22 $35,448.00 $31,282.00 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 16 6 — — $31,269.03 $90,186.00 $31,269.03 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 16 6 — — $31,239.03 $151,217.00 $31,239.03 2026-04-01
69310 HCPCS Rebuild Outer Ear Canal 14 5 — — $7,682.84 $34,137.00 $31,129.00 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 12 6 — — $31,055.15 $31,055.15 $31,055.15 2026-04-01
513 MS_DRG Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures With Cc/Mcc 30 8 — — $15,662.55 $40,289.00 $31,022.00 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 12 6 — — $31,008.70 $31,008.70 $31,008.70 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 12 6 — — $30,921.60 $30,921.60 $30,921.60 2026-04-01
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 30 8 — — $16,708.72 $40,117.00 $30,889.00 2026-04-01
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/Mcc 32 8 — — $16,713.56 $44,651.00 $30,803.50 2026-04-01
47382 HCPCS Percut Ablate Liver Rf 10 4 — — $7,845.97 $34,827.00 $30,752.00 2026-04-01
60240 HCPCS Removal Of Thyroid 10 4 — — $7,845.97 $34,827.00 $30,752.00 2026-04-01
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