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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 DELTA MEDICAL CENTER

Antioch, CA · CCN 050523 · Rates published

8,070 distinct procedures filed
9 distinct payers
37,032 rate rows
2026-04-01 last MRF observed
Data quality

19,084 of 37,032 rate rows are consumer-grade (51.5%)

17,948 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 17,938
placeholder amount (≤ $0.02) — excluded from medians 10
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/940562680-1467808659_sutter-delta-medical-center_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 779e020078cf5e11… · 16,153,964 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
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 2 $591,726.20 $1,476,857.10 $1,034,291.65 nat. median
$753,246
1.4× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 2 $533,230.17 $1,340,483.41 $936,856.79 nat. median
$634,303
1.5× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 6 $471,265.90 $471,265.90 $471,265.90 nat. median
$370,174
1.3× median
215
MS_DRG 		Other Heart Assist System Implant 8 $109,180.03 $533,607.00 $386,533.50 nat. median
$99,019
outlier · 3.9×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 6 $306,068.27 $306,068.27 $306,068.27 nat. median
$265,286
1.2× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 8 $107,281.64 $411,119.00 $268,432.00 nat. median
$93,672
outlier · 2.9×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 8 $86,423.39 $414,588.00 $266,302.50 nat. median
$77,570
outlier · 3.4×
22
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 8 $35,297.76 $414,588.00 $266,302.50 nat. median
$34,274
outlier · 7.8×
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 8 $72,327.17 $341,227.00 $233,617.00 nat. median
$64,508
outlier · 3.6×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 6 $233,343.34 $233,343.34 $233,343.34 nat. median
$206,474
1.1× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 6 $231,977.86 $231,977.86 $231,977.86 nat. median
$202,976
1.1× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 8 $98,855.52 $351,279.00 $229,366.50 nat. median
$82,711
outlier · 2.8×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 8 $120,777.40 $351,279.00 $229,366.50 nat. median
$98,894
outlier · 2.3×
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 8 $72,327.17 $320,672.00 $220,638.00 nat. median
$61,920
outlier · 3.6×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 8 $78,376.50 $325,194.00 $217,347.00 nat. median
$68,886
outlier · 3.2×
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 8 $66,739.90 $315,727.00 $216,389.00 nat. median
$59,898
outlier · 3.6×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 8 $92,538.10 $311,639.00 $213,906.00 nat. median
$79,312
outlier · 2.7×
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 8 $67,456.97 $436,419.00 $211,804.50 nat. median
$60,726
outlier · 3.5×
21
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 8 $58,361.72 $310,887.00 $211,024.00 nat. median
$54,045
outlier · 3.9×
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 8 $65,655.58 $307,570.00 $200,536.50 nat. median
$58,020
outlier · 3.5×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 8 $92,249.31 $307,570.00 $200,536.50 nat. median
$81,118
outlier · 2.5×
458
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 8 $46,143.19 $307,570.00 $200,536.50 nat. median
$42,730
outlier · 4.7×
230
MS_DRG 		Other Cardiothoracic Procedures Without Cc/mcc 1 $167,403.00 $220,890.00 $194,146.50 nat. median
$29,847
outlier · 6.5×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 8 $84,347.37 $295,319.00 $192,928.00 nat. median
$74,915
outlier · 2.6×
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 1 $192,725.00 $192,725.00 $192,725.00 nat. median
$65,393
outlier · 2.9×
209
MS_DRG 		Complex Aortic Arch Procedures 7 $124,020.56 $266,222.00 $182,172.00 nat. median
$98,047
1.9× median
234
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 8 $60,202.35 $278,368.00 $181,683.00 nat. median
$53,268
outlier · 3.4×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 8 $83,986.65 $278,368.00 $181,683.00 nat. median
$73,807
outlier · 2.5×
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 8 $66,129.63 $275,916.00 $180,162.50 nat. median
$59,099
outlier · 3.0×
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 8 $63,118.58 $243,357.00 $175,873.00 nat. median
$55,916
outlier · 3.1×
24
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 8 $43,302.15 $240,030.00 $173,774.00 nat. median
$38,489
outlier · 4.5×
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 8 $79,337.68 $243,801.00 $169,025.50 nat. median
$68,090
outlier · 2.5×
229
MS_DRG 		Other Cardiothoracic Procedures Without Mcc 9 $32,795.75 $231,802.00 $159,032.00 nat. median
$33,143
outlier · 4.8×
430
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 8 $63,519.62 $227,150.00 $158,773.00 nat. median
$54,592
outlier · 2.9×
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 8 $73,485.60 $282,353.00 $158,094.50 nat. median
$63,724
outlier · 2.5×
277
MS_DRG 		Cardiac Defibrillator Implant Without Mcc 8 $51,002.49 $242,459.00 $157,591.00 nat. median
$46,109
outlier · 3.4×
450
MS_DRG 		Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically… 8 $58,751.86 $268,566.00 $156,482.00 nat. median
$51,319
outlier · 3.0×
228
MS_DRG 		Other Cardiothoracic Procedures With Mcc 8 $54,586.75 $228,310.00 $156,167.00 nat. median
$50,672
outlier · 3.1×
402
MS_DRG 		Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 8 $44,485.64 $219,136.00 $153,311.00 nat. median
$39,414
outlier · 3.9×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 6 $151,620.16 $151,620.16 $151,620.16 nat. median
$133,161
1.1× median
267
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 8 $52,553.23 $229,372.00 $149,474.50 nat. median
$47,651
outlier · 3.1×
J7330
HCPCS 		Cultured Chondrocytes Implnt 1 $146,326.57 $146,326.57 $146,326.57 nat. median
$76,329
1.9× median
J9029
HCPCS 		Inj, Adstiladrin, Per Tx Dos 2 $63,342.28 $145,441.90 $145,441.90 nat. median
$69,774
outlier · 2.1×
428
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 8 $61,938.36 $203,151.00 $145,127.00 nat. median
$54,210
outlier · 2.7×
460
MS_DRG 		Spinal Fusion Except Cervical Without Mcc 1 $144,893.00 $144,893.00 $144,893.00 nat. median
$39,075
outlier · 3.7×
7
MS_DRG 		Lung Transplant 6 $141,799.12 $141,799.12 $141,799.12 nat. median
$122,708
1.2× median
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 8 $73,539.00 $208,354.00 $139,470.00 nat. median
$60,691
outlier · 2.3×
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 8 $75,624.82 $209,543.00 $136,873.50 nat. median
$65,950
outlier · 2.1×
405
MS_DRG 		Pancreas, Liver And Shunt Procedures With Mcc 8 $60,287.35 $183,808.00 $135,760.50 nat. median
$52,836
outlier · 2.6×
40
MS_DRG 		Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 8 $42,749.63 $178,051.00 $134,678.39 nat. median
$37,698
outlier · 3.6×

Other procedures at this hospital

Browse this hospital's 8,070 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
             
Q2042 HCPCS Tisagenlecleucel Car-pos T 2 2 — — $591,726.20 $1,476,857.10 $1,034,291.65 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 2 2 — — $533,230.17 $1,340,483.41 $936,856.79 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 6 6 — — $471,265.90 $471,265.90 $471,265.90 2026-04-01
215 MS_DRG Other Heart Assist System Implant 14 8 — — $109,180.03 $533,607.00 $386,533.50 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 6 6 — — $306,068.27 $306,068.27 $306,068.27 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 14 8 — — $107,281.64 $411,119.00 $268,432.00 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 14 8 — — $86,423.39 $414,588.00 $266,302.50 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 14 8 — — $35,297.76 $414,588.00 $266,302.50 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 14 8 — — $72,327.17 $341,227.00 $233,617.00 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 6 6 — — $233,343.34 $233,343.34 $233,343.34 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 6 6 — — $231,977.86 $231,977.86 $231,977.86 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 8 — — $120,777.40 $351,279.00 $229,366.50 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 14 8 — — $98,855.52 $351,279.00 $229,366.50 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 14 8 — — $72,327.17 $320,672.00 $220,638.00 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 14 8 — — $78,376.50 $325,194.00 $217,347.00 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 14 8 — — $66,739.90 $315,727.00 $216,389.00 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 14 8 — — $92,538.10 $311,639.00 $213,906.00 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 14 8 — — $67,456.97 $436,419.00 $211,804.50 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 14 8 — — $58,361.72 $310,887.00 $211,024.00 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 14 8 — — $92,249.31 $307,570.00 $200,536.50 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 14 8 — — $65,655.58 $307,570.00 $200,536.50 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 14 8 — — $46,143.19 $307,570.00 $200,536.50 2026-04-01
230 MS_DRG Other Cardiothoracic Procedures Without Cc/mcc 2 1 — — $167,403.00 $220,890.00 $194,146.50 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 14 8 — — $84,347.37 $295,319.00 $192,928.00 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 1 1 — — $192,725.00 $192,725.00 $192,725.00 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 13 7 — — $124,020.56 $266,222.00 $182,172.00 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 14 8 — — $83,986.65 $278,368.00 $181,683.00 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 14 8 — — $60,202.35 $278,368.00 $181,683.00 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 14 8 — — $66,129.63 $275,916.00 $180,162.50 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 14 8 — — $63,118.58 $243,357.00 $175,873.00 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 14 8 — — $43,302.15 $240,030.00 $173,774.00 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 8 — — $79,337.68 $243,801.00 $169,025.50 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 15 9 — — $32,795.75 $231,802.00 $159,032.00 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 14 8 — — $63,519.62 $227,150.00 $158,773.00 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 14 8 — — $73,485.60 $282,353.00 $158,094.50 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 14 8 — — $51,002.49 $242,459.00 $157,591.00 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 14 8 — — $58,751.86 $268,566.00 $156,482.00 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 14 8 — — $54,586.75 $228,310.00 $156,167.00 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 14 8 — — $44,485.64 $219,136.00 $153,311.00 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 6 6 — — $151,620.16 $151,620.16 $151,620.16 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 14 8 — — $52,553.23 $229,372.00 $149,474.50 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 1 1 — — $146,326.57 $146,326.57 $146,326.57 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 3 2 — — $63,342.28 $145,441.90 $145,441.90 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 8 — — $61,938.36 $203,151.00 $145,127.00 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 1 1 — — $144,893.00 $144,893.00 $144,893.00 2026-04-01
7 MS_DRG Lung Transplant 6 6 — — $141,799.12 $141,799.12 $141,799.12 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 14 8 — — $73,539.00 $208,354.00 $139,470.00 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 14 8 — — $75,624.82 $209,543.00 $136,873.50 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 14 8 — — $60,287.35 $183,808.00 $135,760.50 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 15 8 — — $42,749.63 $178,051.00 $134,678.39 2026-04-01
5115 OTHER Level 5 Musculoskeletal Procedures 1 1 — — $134,402.11 $134,402.11 $134,402.11 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 14 8 — — $46,319.73 $183,626.00 $132,990.00 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 14 8 — — $64,625.74 $203,824.00 $132,990.00 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 6 6 — — $131,639.17 $131,639.17 $131,639.17 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 4 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… 14 8 — — $58,786.74 $183,588.00 $128,690.50 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 6 6 — — $124,162.23 $124,162.23 $124,162.23 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 2 2 — — $56,824.55 $189,311.16 $123,067.85 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 14 8 — — $66,148.15 $187,485.00 $122,337.50 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 6 6 — — $119,174.34 $119,174.34 $119,174.34 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 14 8 — — $46,886.41 $202,907.00 $118,986.00 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 14 8 — — $55,598.06 $167,382.00 $117,413.00 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 14 8 — — $49,512.77 $158,698.00 $117,218.00 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 14 8 — — $50,220.03 $163,471.00 $115,347.50 2026-04-01
J9226 HCPCS Supprelin La Implant 6 3 — — $45,020.65 $129,708.04 $113,470.54 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 6 6 — — $113,032.38 $113,032.38 $113,032.38 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 14 8 — — $60,859.48 $167,674.00 $109,574.00 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 15 8 — — $35,465.59 $163,692.00 $108,712.00 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 14 8 — — $35,875.34 $165,463.00 $107,033.50 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 14 8 — — $38,685.87 $146,761.00 $106,358.50 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 13 7 — — $38,144.25 $139,144.00 $95,202.00 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 6 6 — — $95,040.22 $95,040.22 $95,040.22 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 12 8 — — $49,306.80 $182,013.00 $94,728.90 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 14 8 — — $29,659.28 $150,671.00 $94,097.50 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 14 8 — — $39,103.25 $136,629.00 $89,190.00 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 13 7 — — $62,863.58 $129,109.00 $88,164.00 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 14 8 — — $49,498.60 $134,179.00 $87,587.50 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 16 8 — — $56,296.69 $168,499.00 $86,596.01 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 14 8 — — $39,586.02 $115,294.00 $85,159.50 2026-04-01
32 MS_DRG Ventricular Shunt Procedures With Cc 14 8 — — $23,894.38 $119,247.00 $84,025.00 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 14 8 — — $53,293.19 $122,600.00 $83,940.00 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 14 8 — — $46,694.61 $128,461.00 $83,874.00 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 6 6 — — $83,710.94 $83,710.94 $83,710.94 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 14 8 — — $39,426.92 $120,510.00 $79,941.00 2026-04-01
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 14 8 — — $23,893.29 $122,131.00 $79,730.50 2026-04-01
10 MS_DRG Pancreas Transplant 6 6 — — $78,870.17 $78,870.17 $78,870.17 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 6 6 — — $78,837.47 $78,837.47 $78,837.47 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 6 6 — — $78,422.27 $78,422.27 $78,422.27 2026-04-01
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 13 7 — — $26,981.70 $114,017.00 $78,173.00 2026-04-01
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 17 8 — — $19,567.15 $126,540.00 $78,173.00 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 14 8 — — $57,398.37 $113,324.00 $77,597.00 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 14 8 — — $34,554.54 $106,164.00 $76,937.50 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 8 6 — — $36,262.13 $792,002.51 $75,994.26 2026-04-01
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 14 8 — — $24,632.15 $107,384.00 $75,101.00 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 6 6 — — $74,025.04 $74,025.04 $74,025.04 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 14 8 — — $30,618.28 $105,073.00 $72,405.50 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 6 6 — — $72,066.71 $72,066.71 $72,066.71 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 14 8 — — $36,547.73 $99,461.00 $71,704.00 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 14 8 — — $28,957.46 $98,227.00 $71,101.00 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 14 8 — — $45,629.90 $97,942.00 $71,100.00 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 8 6 — — $70,794.95 $257,828.00 $70,794.95 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 14 8 — — $37,850.01 $100,553.00 $70,692.50 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 14 8 — — $33,726.31 $107,835.00 $70,427.50 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 6 6 — — $67,379.60 $67,379.60 $67,379.60 2026-04-01
999 MS_DRG Ungroupable 1 1 — — $66,995.00 $66,995.00 $66,995.00 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 14 8 — — $32,777.12 $95,168.00 $66,513.50 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 14 8 — — $28,165.20 $98,073.00 $66,164.50 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 14 8 — — $28,493.22 $115,067.00 $66,046.00 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 6 6 — — $65,441.98 $65,441.98 $65,441.98 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 6 6 — — $65,291.59 $65,291.59 $65,291.59 2026-04-01
58546 HCPCS Laparo-myomectomy Complex 6 5 — — $15,010.14 $72,146.00 $64,728.00 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 6 6 — — $64,584.33 $64,584.33 $64,584.33 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 14 8 — — $40,183.22 $98,644.00 $64,331.50 2026-04-01
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 14 8 — — $21,691.95 $93,924.00 $64,051.50 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 15 8 — — $32,408.78 $103,546.00 $63,816.00 2026-04-01
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 17 9 — — $250.00 $103,546.00 $63,816.00 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 9 7 — — $61,377.97 $214,679.00 $62,782.93 2026-04-01
55866 HCPCS Laparo Radical Prostatectomy 6 5 — — $15,010.14 $69,572.00 $62,602.50 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 14 8 — — $36,543.38 $90,885.00 $62,441.50 2026-04-01
50544 HCPCS Laparoscopy Pyeloplasty 6 5 — — $15,010.14 $68,899.00 $62,311.50 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 14 8 — — $32,276.91 $83,930.00 $61,990.00 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 6 6 — — $61,748.74 $61,748.74 $61,748.74 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 6 6 — — $61,330.27 $61,330.27 $61,330.27 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 14 8 — — $30,878.73 $93,948.00 $61,298.50 2026-04-01
J9266 HCPCS Pegaspargase Injection 6 3 — — $28,424.06 $62,262.23 $61,049.99 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 6 6 — — $60,498.77 $60,498.77 $60,498.77 2026-04-01
131 MS_DRG Cranial/Facial Procedures W Cc/Mcc 2 1 — — $51,903.00 $68,486.00 $60,194.50 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 6 6 — — $60,108.63 $60,108.63 $60,108.63 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 6 6 — — $59,871.06 $59,871.06 $59,871.06 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 14 8 — — $29,557.93 $80,847.00 $59,717.00 2026-04-01
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 14 8 — — $24,455.61 $90,885.00 $59,357.00 2026-04-01
30 MS_DRG Spinal Procedures Without Cc/Mcc 14 8 — — $24,594.01 $88,843.00 $57,995.00 2026-04-01
42 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/Mcc 14 8 — — $19,499.32 $80,966.00 $57,434.50 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 6 6 — — $57,300.29 $57,300.29 $57,300.29 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 14 8 — — $40,683.42 $86,388.00 $56,474.50 2026-04-01
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 13 7 — — $27,067.80 $81,897.00 $55,942.00 2026-04-01
496 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 14 8 — — $20,329.73 $81,423.00 $55,844.50 2026-04-01
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/Mcc 14 8 — — $23,883.48 $75,504.00 $55,767.00 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 14 8 — — $28,177.19 $75,301.00 $55,616.00 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 7 6 — — $29,653.87 $55,022.66 $55,022.66 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 12 8 — — $30,717.45 $102,102.00 $54,668.73 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 11 6 — — $46,204.78 $60,163.11 $54,490.85 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 14 8 — — $34,913.07 $83,123.00 $54,360.50 2026-04-01
259 MS_DRG Cardiac Pacemaker Device Replacement Without Mcc 14 8 — — $22,707.61 $83,123.00 $54,360.50 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 6 6 — — $54,306.68 $54,306.68 $54,306.68 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 6 6 — — $54,083.28 $54,083.28 $54,083.28 2026-04-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 12 8 — — $26,883.63 $104,205.00 $53,560.82 2026-04-01
58544 HCPCS Lsh W/t/o Uterus Above 250 G 6 5 — — $15,010.14 $59,137.00 $53,058.00 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 6 6 — — $53,027.28 $53,027.28 $53,027.28 2026-04-01
49656 HCPCS Lap Inc Hernia Repair Recur 1 1 — — $52,171.00 $52,171.00 $52,171.00 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 6 6 — — $51,905.91 $51,905.91 $51,905.91 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 6 6 — — $51,801.29 $51,801.29 $51,801.29 2026-04-01
38 MS_DRG Extracranial Procedures With Cc 14 8 — — $18,353.97 $74,507.00 $51,658.00 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 6 6 — — $51,648.72 $51,648.72 $51,648.72 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 6 6 — — $51,204.09 $51,204.09 $51,204.09 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 14 8 — — $27,275.94 $80,633.00 $50,954.50 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 8 7 — — $409.00 $134,586.00 $50,762.74 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 6 6 — — $50,635.23 $50,635.23 $50,635.23 2026-04-01
245 MS_DRG Aicd Generator Procedures 6 6 — — $50,391.12 $50,391.12 $50,391.12 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 6 6 — — $50,241.82 $50,241.82 $50,241.82 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 6 6 — — $50,026.05 $50,026.05 $50,026.05 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 14 8 — — $41,399.40 $76,178.00 $49,875.00 2026-04-01
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/Mcc 14 8 — — $24,000.09 $69,626.00 $49,408.50 2026-04-01
336 MS_DRG Peritoneal Adhesiolysis With Cc 14 8 — — $23,651.36 $66,822.00 $49,356.50 2026-04-01
254 MS_DRG Other Vascular Procedures Without Cc/Mcc 14 8 — — $20,087.80 $75,360.00 $49,283.50 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 2 2 — — $24,228.42 $74,101.05 $49,164.74 2026-04-01
23615 HCPCS Treat Humerus Fracture 5 4 — — $18,129.20 $55,255.00 $48,763.00 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 15 8 — — $26,677.66 $70,664.00 $48,555.00 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 6 6 — — $48,542.87 $48,542.87 $48,542.87 2026-04-01
251 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc 14 8 — — $16,957.97 $74,671.00 $48,320.00 2026-04-01
5114 OTHER Level 4 Musculoskeletal Procedures 2 2 — — $40,484.73 $55,396.36 $47,940.54 2026-04-01
582 MS_DRG Mastectomy For Malignancy With Cc/Mcc 14 8 — — $21,666.88 $67,463.00 $47,840.00 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 6 6 — — $47,830.16 $47,830.16 $47,830.16 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 8 6 — — $47,454.18 $128,369.00 $47,454.18 2026-04-01
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 14 8 — — $22,468.95 $67,038.00 $47,383.00 2026-04-01
262 MS_DRG Cardiac Pacemaker Revision Except Device Replacement Without Cc/Mcc 14 8 — — $18,433.52 $72,298.00 $47,345.00 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 14 8 — — $36,119.45 $72,298.00 $47,345.00 2026-04-01
261 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Cc 14 8 — — $21,273.47 $72,298.00 $47,345.00 2026-04-01
33 MS_DRG Ventricular Shunt Procedures Without Cc/Mcc 14 8 — — $18,793.15 $72,298.00 $47,345.00 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 6 6 — — $47,153.41 $47,153.41 $47,153.41 2026-04-01
397 MS_DRG Appendix Procedures With Mcc 14 8 — — $26,770.29 $70,496.00 $47,117.50 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 6 6 — — $46,616.15 $46,616.15 $46,616.15 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 6 6 — — $46,593.26 $46,593.26 $46,593.26 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 6 6 — — $46,459.22 $46,459.22 $46,459.22 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 6 6 — — $46,404.73 $46,404.73 $46,404.73 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 6 6 — — $46,110.49 $46,110.49 $46,110.49 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 6 6 — — $45,929.59 $45,929.59 $45,929.59 2026-04-01
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 16 9 — — $17,158.88 $70,664.00 $45,838.00 2026-04-01
5192 OTHER Level 2 Endovascular Procedures 2 2 — — $8,758.79 $82,708.04 $45,733.42 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 14 8 — — $33,587.91 $65,274.00 $45,375.00 2026-04-01
5232 OTHER Level 2 Icd And Similar Procedures 1 1 — — $44,982.02 $44,982.02 $44,982.02 2026-04-01
737 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 14 8 — — $23,127.18 $60,844.00 $44,940.00 2026-04-01
791 MS_DRG Prematurity With Major Problems 6 6 — — $44,905.20 $44,905.20 $44,905.20 2026-04-01
165 MS_DRG Major Chest Procedures Without Cc/Mcc 14 8 — — $21,531.75 $59,914.00 $44,561.00 2026-04-01
132 MS_DRG Cranial/Facial Procedures Without Cc/Mcc 5 3 — — $35,625.00 $49,436.00 $44,389.00 2026-04-01
0571T HCPCS Insj/rplcmt Icds Ss Eltrd 1 1 — — $44,323.47 $44,323.47 $44,323.47 2026-04-01
0915T HCPCS Insj Perm Ccm-d Sys Pg&eltrd 1 1 — — $44,323.47 $44,323.47 $44,323.47 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 1 1 — — $44,323.47 $44,323.47 $44,323.47 2026-04-01
33264 HCPCS Hchg Remove Replace Imp Defib Puls Gen Sys Mult Lead 1 1 — — $44,323.47 $44,323.47 $44,323.47 2026-04-01
33249 HCPCS Hchg Insrt/rplc Perm Imp Defib W Tv Leads Sngl/dual 1 1 — — $44,323.47 $44,323.47 $44,323.47 2026-04-01
33231 HCPCS Hchg Insrt Imp Defib Pulse Gen Only W Multi Leads 1 1 — — $44,323.47 $44,323.47 $44,323.47 2026-04-01
0408T HCPCS Insj/rplc Cardiac Modulj Sys 1 1 — — $44,323.47 $44,323.47 $44,323.47 2026-04-01
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/Mcc 14 8 — — $25,052.81 $59,980.00 $44,300.50 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 6 6 — — $44,088.96 $44,088.96 $44,088.96 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 14 8 — — $33,547.59 $66,375.00 $43,458.50 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 12 8 — — $32,296.53 $70,764.00 $43,392.76 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 6 6 — — $43,109.26 $43,109.26 $43,109.26 2026-04-01
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/Mcc 15 9 — — $16,508.90 $69,643.00 $42,886.00 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 6 6 — — $42,853.16 $42,853.16 $42,853.16 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 6 6 — — $42,789.96 $42,789.96 $42,789.96 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 6 6 — — $42,510.97 $42,510.97 $42,510.97 2026-04-01
29916 HCPCS Hip Arthro W/labral Repair 5 4 — — $10,246.33 $48,425.00 $41,728.00 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 6 6 — — $41,679.48 $41,679.48 $41,679.48 2026-04-01
58573 HCPCS Tlh W/t/o Uterus Over 250 G 6 5 — — $15,010.14 $47,427.00 $41,592.50 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 8 6 — — $41,500.75 $101,416.00 $41,500.75 2026-04-01
27447 HCPCS Total Knee Arthroplasty 2 2 — — $18,129.20 $64,740.00 $41,434.60 2026-04-01
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/Mcc 16 8 — — $19,918.65 $92,805.00 $41,422.48 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 6 6 — — $41,403.76 $41,403.76 $41,403.76 2026-04-01
27427 HCPCS Reconstruction Knee 6 5 — — $10,246.33 $45,428.00 $41,402.50 2026-04-01
5223 OTHER Level 3 Pacemaker And Similar Procedures 1 1 — — $41,362.29 $41,362.29 $41,362.29 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 8 6 — — $41,284.98 $108,019.00 $41,284.98 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 6 6 — — $41,056.13 $41,056.13 $41,056.13 2026-04-01
585 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/Mcc 14 8 — — $21,694.13 $59,265.00 $40,926.00 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 6 6 — — $40,699.77 $40,699.77 $40,699.77 2026-04-01
27130 HCPCS Total Hip Arthroplasty 2 2 — — $18,129.20 $63,249.00 $40,689.10 2026-04-01
503 MS_DRG Foot Procedures With Mcc 14 8 — — $31,087.97 $61,677.00 $40,415.50 2026-04-01
504 MS_DRG Foot Procedures With Cc 14 8 — — $21,041.35 $61,677.00 $40,415.50 2026-04-01
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 14 8 — — $19,502.59 $68,747.00 $40,340.00 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 6 6 — — $40,213.73 $40,213.73 $40,213.73 2026-04-01
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/Mcc 14 8 — — $24,859.92 $54,351.00 $40,145.00 2026-04-01
332 MS_DRG Rectal Resection With Mcc 6 6 — — $40,128.73 $40,128.73 $40,128.73 2026-04-01
265 MS_DRG Aicd Lead Procedures 6 6 — — $40,101.48 $40,101.48 $40,101.48 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 8 6 — — $40,031.74 $179,231.00 $40,031.74 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 6 6 — — $39,972.89 $39,972.89 $39,972.89 2026-04-01
499 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Without… 14 8 — — $22,628.06 $58,149.00 $39,838.00 2026-04-01
27814 HCPCS Treatment Of Ankle Fracture 6 5 — — $10,246.33 $44,925.00 $39,795.50 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 6 6 — — $39,715.70 $39,715.70 $39,715.70 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 6 6 — — $39,625.25 $39,625.25 $39,625.25 2026-04-01
740 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Cc 14 8 — — $20,391.85 $53,542.00 $39,547.00 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 8 6 — — $39,528.26 $118,188.00 $39,528.26 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 8 6 — — $39,495.57 $106,517.00 $39,495.57 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 8 6 — — $39,458.52 $106,125.00 $39,458.52 2026-04-01
398 MS_DRG Appendix Procedures With Cc 15 8 — — $17,166.12 $56,774.00 $39,068.00 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 8 6 — — $39,024.79 $114,567.00 $39,024.79 2026-04-01
581 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/Mcc 14 8 — — $16,397.83 $56,142.00 $38,943.00 2026-04-01
57425 HCPCS Laparoscopy Surg Colpopexy 6 5 — — $15,010.14 $43,300.00 $38,848.50 2026-04-01
5342 OTHER Level 2 Abdominal/Peritoneal/Biliary And Related Procedures 2 2 — — $10,960.00 $66,414.92 $38,687.46 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 6 6 — — $38,676.06 $38,676.06 $38,676.06 2026-04-01
507 MS_DRG Major Shoulder Or Elbow Joint Procedures With Cc/Mcc 14 8 — — $20,356.97 $59,024.00 $38,552.00 2026-04-01
508 MS_DRG Major Shoulder Or Elbow Joint Procedures Without Cc/Mcc 14 8 — — $17,174.84 $59,024.00 $38,552.00 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 6 6 — — $38,501.70 $38,501.70 $38,501.70 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 8 6 — — $38,318.62 $89,645.00 $38,318.62 2026-04-01
58571 HCPCS Tlh W/t/o 250 G Or Less 6 5 — — $15,010.14 $44,246.00 $38,147.50 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 7 6 — — $36,955.00 $38,033.10 $38,033.10 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 14 8 — — $35,963.62 $51,364.00 $37,937.50 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 6 6 — — $37,800.97 $37,800.97 $37,800.97 2026-04-01
506 MS_DRG Major Thumb Or Joint Procedures 14 8 — — $15,374.53 $55,405.00 $37,798.50 2026-04-01
27524 HCPCS Treat Kneecap Fracture 6 5 — — $10,246.33 $41,400.00 $37,143.50 2026-04-01
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 15 8 — — $21,053.34 $52,477.00 $37,113.00 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 8 6 — — $37,076.27 $95,518.00 $37,076.27 2026-04-01
287 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization Without Mcc 16 8 — — $12,332.97 $56,774.00 $37,030.50 2026-04-01
28297 HCPCS Correction Hallux Valgus 5 4 — — $18,129.20 $41,948.00 $37,020.00 2026-04-01
5573 OTHER Level 3 Imaging With Contrast 2 2 — — $33,048.51 $40,789.14 $36,918.82 2026-04-01
63042 HCPCS Laminotomy Single Lumbar 6 5 — — $10,246.33 $41,121.00 $36,894.00 2026-04-01
583 MS_DRG Mastectomy For Malignancy Without Cc/Mcc 14 8 — — $19,463.36 $52,220.00 $36,877.00 2026-04-01
27829 HCPCS Treat Lower Leg Joint 6 5 — — $10,246.33 $41,626.00 $36,870.50 2026-04-01
23515 HCPCS Treat Clavicle Fracture 5 4 — — $10,246.33 $41,716.00 $36,813.00 2026-04-01
658 MS_DRG Kidney And Ureter Procedures For Neoplasm Without Cc/Mcc 14 8 — — $17,582.41 $49,493.00 $36,730.50 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 14 8 — — $28,309.05 $56,164.00 $36,690.50 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 6 6 — — $36,669.79 $36,669.79 $36,669.79 2026-04-01
27380 HCPCS Repair Of Kneecap Tendon 6 5 — — $10,246.33 $41,185.00 $36,479.50 2026-04-01
716 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy Without Cc/Mcc 14 8 — — $16,701.87 $49,208.00 $36,343.50 2026-04-01
39 MS_DRG Extracranial Procedures Without Cc/Mcc 14 8 — — $13,481.59 $52,820.00 $36,178.50 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 6 6 — — $35,924.38 $35,924.38 $35,924.38 2026-04-01
652 MS_DRG Kidney Transplant 6 6 — — $35,865.54 $35,865.54 $35,865.54 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 8 6 — — $35,839.38 $100,097.00 $35,839.38 2026-04-01
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 14 8 — — $23,332.05 $49,430.00 $35,798.50 2026-04-01
62 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 12 8 — — $19,820.81 $67,226.00 $35,792.40 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 6 6 — — $35,770.73 $35,770.73 $35,770.73 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 6 6 — — $35,657.39 $35,657.39 $35,657.39 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 8 6 — — $35,401.29 $92,202.00 $35,401.29 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 8 6 — — $35,367.51 $154,627.00 $35,367.51 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 6 6 — — $35,160.45 $35,160.45 $35,160.45 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 6 6 — — $35,108.14 $35,108.14 $35,108.14 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 6 6 — — $35,010.06 $35,010.06 $35,010.06 2026-04-01
578 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis Without Cc/Mcc 14 8 — — $18,177.43 $47,334.00 $34,959.50 2026-04-01
59151 HCPCS Treat Ectopic Pregnancy 6 5 — — $8,536.75 $38,681.00 $34,950.00 2026-04-01
501 MS_DRG Soft Tissue Procedures With Cc 14 8 — — $19,721.64 $47,206.00 $34,865.50 2026-04-01
665 MS_DRG Prostatectomy With Mcc 6 6 — — $34,685.31 $34,685.31 $34,685.31 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 8 6 — — $34,614.48 $81,039.00 $34,614.48 2026-04-01
505 MS_DRG Foot Procedures Without Cc/Mcc 14 8 — — $20,208.76 $50,095.00 $34,437.00 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 6 6 — — $34,034.72 $34,034.72 $34,034.72 2026-04-01
334 MS_DRG Rectal Resection Without Cc/Mcc 14 8 — — $18,520.71 $45,779.00 $34,000.00 2026-04-01
263 MS_DRG Vein Ligation And Stripping 6 6 — — $33,990.04 $33,990.04 $33,990.04 2026-04-01
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 14 8 — — $23,317.89 $45,952.00 $33,939.50 2026-04-01
744 MS_DRG D&c, Conization, Laparoscopy And Tubal Interruption With Cc/Mcc 14 8 — — $23,001.85 $45,535.00 $33,632.00 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 6 6 — — $33,583.55 $33,583.55 $33,583.55 2026-04-01
60240 HCPCS Removal Of Thyroid 5 4 — — $8,536.75 $38,799.00 $33,434.00 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 6 6 — — $33,107.32 $33,107.32 $33,107.32 2026-04-01
49653 HCPCS Lap Vent/abd Hern Proc Comp 1 1 — — $32,953.00 $32,953.00 $32,953.00 2026-04-01
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