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Hospital

MEMORIAL HOSPITAL LOS BANOS

Los Banos, CA · CCN 050528 · Rates published

6,003 distinct procedures filed
8 distinct payers
44,760 rate rows
2026-04-01 last MRF observed
Data quality

18,820 of 44,760 rate rows are consumer-grade (42.0%)

25,940 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 25,940
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/941156621-1366896300_memorial-hospital-los-banos_standardcharges.csv
Found on page https://www.sutterhealth.org/cms-hpt.txt
Discovered viaDiscovered by HANK (automated)
Last fetch not_modified · 2026-05-19
Content fingerprint 077a84101c6c86bb… · 9,335,851 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
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 4 $409,746.03 $409,746.03 $409,746.03 nat. median
$370,174
1.1× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 4 $265,908.69 $265,908.69 $265,908.69 nat. median
$265,286
1.0× median
215
MS_DRG 		Other Heart Assist System Implant 6 $94,478.39 $485,453.00 $233,382.20 nat. median
$99,019
outlier · 2.4×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 4 $202,587.20 $202,587.20 $202,587.20 nat. median
$206,368
1.0× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 4 $201,398.28 $201,398.28 $201,398.28 nat. median
$202,986
1.0× median
230
MS_DRG 		Other Cardiothoracic Procedures Without Cc/mcc 1 $170,717.00 $222,612.00 $196,664.50 nat. median
$29,793
outlier · 6.6×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 6 $92,825.46 $390,452.00 $175,618.23 nat. median
$93,672
1.9× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 6 $104,576.20 $333,633.00 $162,754.60 nat. median
$98,905
1.6× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 6 $74,664.21 $393,675.00 $162,592.10 nat. median
$77,576
outlier · 2.1×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 6 $85,488.85 $333,633.00 $153,210.92 nat. median
$82,712
1.9× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 6 $62,390.65 $324,073.00 $147,479.83 nat. median
$64,510
outlier · 2.3×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 6 $79,988.28 $295,952.00 $146,758.14 nat. median
$79,312
1.9× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 6 $62,390.65 $304,551.00 $141,020.33 nat. median
$61,920
outlier · 2.3×
22
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 6 $30,149.20 $393,675.00 $140,334.60 nat. median
$34,274
outlier · 4.1×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 6 $67,657.80 $308,880.00 $140,186.40 nat. median
$68,887
outlier · 2.0×
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 6 $57,525.83 $299,833.00 $136,712.91 nat. median
$59,899
outlier · 2.3×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 6 $79,736.83 $291,930.00 $136,437.92 nat. median
$81,118
1.7× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 4 $131,430.94 $131,430.94 $131,430.94 nat. median
$133,176
1.0× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 6 $58,150.18 $269,081.00 $131,045.59 nat. median
$60,726
outlier · 2.2×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 6 $72,856.62 $280,449.00 $129,319.81 nat. median
$74,915
1.7× median
21
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 6 $50,230.96 $295,204.00 $127,827.48 nat. median
$54,066
outlier · 2.4×
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 6 $56,581.71 $291,930.00 $124,860.36 nat. median
$58,024
outlier · 2.2×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 6 $72,542.55 $264,329.00 $123,782.77 nat. median
$73,807
1.7× median
7
MS_DRG 		Lung Transplant 4 $122,879.78 $122,879.78 $122,879.78 nat. median
$122,708
1.0× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 6 $68,494.69 $231,554.00 $118,201.85 nat. median
$68,090
1.7× median
458
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 6 $39,592.30 $291,930.00 $116,365.65 nat. median
$42,730
outlier · 2.7×
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 6 $63,399.29 $268,156.00 $116,150.14 nat. median
$63,738
1.8× median
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 6 $56,994.46 $262,113.00 $115,201.73 nat. median
$59,099
1.9× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 4 $114,033.52 $114,033.52 $114,033.52 nat. median
$117,303
1.0× median
234
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 6 $51,833.59 $264,329.00 $113,428.29 nat. median
$53,268
outlier · 2.1×
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 6 $54,372.75 $223,925.00 $111,650.88 nat. median
$55,929
2.0× median
450
MS_DRG 		Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically… 6 $50,570.65 $255,061.00 $109,735.83 nat. median
$51,319
outlier · 2.1×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 4 $107,523.37 $107,523.37 $107,523.37 nat. median
$108,660
1.0× median
209
MS_DRG 		Complex Aortic Arch Procedures 5 $107,400.01 $242,258.00 $107,400.01 nat. median
$98,017
1.1× median
430
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 6 $54,721.93 $215,741.00 $106,344.46 nat. median
$54,596
1.9× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 4 $103,180.42 $103,180.42 $103,180.42 nat. median
$102,358
1.0× median
24
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 6 $37,118.61 $218,078.00 $102,178.80 nat. median
$38,489
outlier · 2.7×
228
MS_DRG 		Other Cardiothoracic Procedures With Mcc 6 $46,944.10 $216,912.00 $101,148.05 nat. median
$50,673
2.0× median
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 6 $63,445.79 $203,308.00 $100,822.89 nat. median
$60,691
1.7× median
277
MS_DRG 		Cardiac Defibrillator Implant Without Mcc 6 $43,823.28 $217,868.00 $100,190.64 nat. median
$46,109
outlier · 2.2×
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 6 $65,261.91 $199,051.00 $98,533.46 nat. median
$65,950
1.5× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 4 $97,832.62 $97,832.62 $97,832.62 nat. median
$100,136
1.0× median
428
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 6 $53,345.13 $192,954.00 $97,225.07 nat. median
$54,211
1.8× median
267
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 6 $45,173.52 $194,134.00 $97,025.76 nat. median
$47,651
outlier · 2.0×
229
MS_DRG 		Other Cardiothoracic Procedures Without Mcc 6 $29,884.47 $211,484.00 $96,033.74 nat. median
$33,154
outlier · 2.9×
402
MS_DRG 		Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 6 $38,149.08 $207,389.00 $95,433.04 nat. median
$39,420
outlier · 2.4×
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 6 $55,685.03 $193,613.00 $91,863.51 nat. median
$57,424
1.6× median
405
MS_DRG 		Pancreas, Liver And Shunt Procedures With Mcc 6 $51,907.60 $172,065.00 $90,888.80 nat. median
$52,836
1.7× median
220
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 6 $50,601.02 $173,767.00 $89,396.51 nat. median
$52,879
1.7× median
28
MS_DRG 		Spinal Procedures With Mcc 6 $57,010.59 $178,098.00 $87,413.79 nat. median
$57,823
1.5× median

Other procedures at this hospital

Browse this hospital's 6,003 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 8 4 — — $265,908.69 $265,908.69 $265,908.69 2026-04-01
10 MS_DRG Pancreas Transplant 8 4 — — $68,087.63 $68,087.63 $68,087.63 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 8 4 — — $51,751.99 $51,751.99 $51,751.99 2026-04-01
113 MS_DRG Orbital Procedures With Cc/Mcc 8 4 — — $22,308.74 $22,308.74 $22,308.74 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 8 4 — — $40,004.10 $40,004.10 $40,004.10 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 8 4 — — $27,344.36 $27,344.36 $27,344.36 2026-04-01
131 MS_DRG Cranial/Facial Procedures W Cc/Mcc 4 1 — — $51,856.00 $67,619.00 $59,737.50 2026-04-01
132 MS_DRG Cranial/Facial Procedures Without Cc/Mcc 6 2 — — $35,892.00 $46,801.00 $44,389.00 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 8 4 — — $114,033.52 $114,033.52 $114,033.52 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 8 4 — — $40,471.89 $40,471.89 $40,471.89 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 8 4 — — $35,550.14 $35,550.14 $35,550.14 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 8 4 — — $56,264.79 $56,264.79 $56,264.79 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 16 6 — — $42,526.19 $148,559.00 $77,330.10 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 16 6 — — $23,949.33 $70,491.00 $38,574.17 2026-04-01
165 MS_DRG Major Chest Procedures Without Cc/Mcc 16 6 — — $18,163.15 $56,654.00 $30,737.08 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 8 4 — — $35,465.69 $35,465.69 $35,465.69 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 8 4 — — $51,545.14 $51,545.14 $51,545.14 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 8 4 — — $28,241.99 $28,241.99 $28,241.99 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 8 4 — — $409,746.03 $409,746.03 $409,746.03 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 8 4 — — $67,697.65 $67,697.65 $67,697.65 2026-04-01
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 18 7 — — $10,510.57 $41,074.00 $26,416.14 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 8 4 — — $107,523.37 $107,523.37 $107,523.37 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 16 6 — — $74,664.21 $393,675.00 $162,592.10 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 8 4 — — $61,056.55 $61,056.55 $61,056.55 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 8 4 — — $26,081.42 $26,081.42 $26,081.42 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 14 5 — — $107,400.01 $242,258.00 $107,400.01 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 16 6 — — $50,230.96 $295,204.00 $127,827.48 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 8 4 — — $103,180.42 $103,180.42 $103,180.42 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 14 5 — — $54,150.72 $117,224.00 $54,150.72 2026-04-01
215 MS_DRG Other Heart Assist System Implant 16 6 — — $94,478.39 $485,453.00 $233,382.20 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 6 — — $92,825.46 $390,452.00 $175,618.23 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 6 — — $62,390.65 $324,073.00 $147,479.83 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 6 — — $62,390.65 $304,551.00 $141,020.33 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 16 6 — — $72,856.62 $280,449.00 $129,319.81 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 16 6 — — $30,149.20 $393,675.00 $140,334.60 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 16 6 — — $50,601.02 $173,767.00 $89,396.51 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 16 6 — — $47,824.64 $156,695.00 $82,433.82 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 16 6 — — $46,944.10 $216,912.00 $101,148.05 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 16 6 — — $29,884.47 $211,484.00 $96,033.74 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 16 6 — — $54,372.75 $223,925.00 $111,650.88 2026-04-01
230 MS_DRG Other Cardiothoracic Procedures Without Cc/mcc 4 1 — — $170,717.00 $222,612.00 $196,664.50 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 16 6 — — $79,988.28 $295,952.00 $146,758.14 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 16 6 — — $57,525.83 $299,833.00 $136,712.91 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 16 6 — — $72,542.55 $264,329.00 $123,782.77 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 16 6 — — $51,833.59 $264,329.00 $113,428.29 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 16 6 — — $55,685.03 $193,613.00 $91,863.51 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 16 6 — — $39,746.01 $169,176.00 $83,894.01 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 8 4 — — $46,700.24 $46,700.24 $46,700.24 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 16 6 — — $37,118.61 $218,078.00 $102,178.80 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 8 4 — — $27,047.37 $27,047.37 $27,047.37 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 16 6 — — $30,295.33 $155,550.00 $70,582.17 2026-04-01
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 16 6 — — $20,219.34 $116,047.00 $48,486.17 2026-04-01
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/Mcc 16 6 — — $17,150.72 $88,182.00 $40,427.36 2026-04-01
245 MS_DRG Aicd Generator Procedures 8 4 — — $43,290.97 $43,290.97 $43,290.97 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 16 6 — — $43,142.00 $164,136.00 $84,507.50 2026-04-01
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 16 6 — — $20,708.96 $86,229.00 $38,867.98 2026-04-01
251 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc 16 6 — — $14,180.77 $66,709.00 $31,041.38 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 16 6 — — $33,099.22 $135,025.00 $67,748.61 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 16 6 — — $24,628.71 $90,308.00 $46,566.85 2026-04-01
254 MS_DRG Other Vascular Procedures Without Cc/Mcc 16 6 — — $16,905.91 $71,723.00 $32,213.96 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 8 4 — — $25,594.66 $25,594.66 $25,594.66 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 16 6 — — $29,814.25 $78,978.00 $41,088.12 2026-04-01
259 MS_DRG Cardiac Pacemaker Device Replacement Without Mcc 16 6 — — $19,186.98 $78,978.00 $35,774.49 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 16 6 — — $29,502.08 $97,879.00 $51,782.54 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 16 6 — — $30,864.65 $68,702.00 $38,205.82 2026-04-01
261 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Cc 16 6 — — $17,938.27 $68,702.00 $31,742.64 2026-04-01
262 MS_DRG Cardiac Pacemaker Revision Except Device Replacement Without Cc/Mcc 16 6 — — $15,465.53 $68,702.00 $30,506.26 2026-04-01
263 MS_DRG Vein Ligation And Stripping 8 4 — — $29,010.57 $29,010.57 $29,010.57 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 8 4 — — $31,697.75 $31,697.75 $31,697.75 2026-04-01
265 MS_DRG Aicd Lead Procedures 8 4 — — $34,331.80 $34,331.80 $34,331.80 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 16 6 — — $58,150.18 $269,081.00 $131,045.59 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 16 6 — — $45,173.52 $194,134.00 $97,025.76 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 16 6 — — $65,261.91 $199,051.00 $98,533.46 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 16 6 — — $40,072.42 $121,888.00 $60,385.21 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 16 6 — — $23,938.89 $89,865.00 $42,024.44 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 16 6 — — $50,064.91 $152,968.00 $83,686.96 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 16 6 — — $33,744.45 $109,999.00 $55,457.22 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 16 6 — — $24,224.50 $101,837.00 $41,567.25 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 16 6 — — $39,145.38 $89,236.00 $53,789.69 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 16 6 — — $31,233.76 $86,229.00 $45,556.38 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 16 6 — — $67,657.80 $308,880.00 $140,186.40 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 16 6 — — $56,994.46 $262,113.00 $115,201.73 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 16 6 — — $43,823.28 $217,868.00 $100,190.64 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 8 4 — — $52,815.67 $52,815.67 $52,815.67 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 8 4 — — $34,219.83 $34,219.83 $34,219.83 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 16 6 — — $57,010.59 $178,098.00 $87,413.79 2026-04-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 16 6 — — $20,996.46 $70,713.00 $33,901.23 2026-04-01
287 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization Without Mcc 16 6 — — $10,153.79 $53,792.00 $22,919.90 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 8 4 — — $25,678.16 $25,678.16 $25,678.16 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 16 6 — — $32,371.44 $93,546.00 $51,530.72 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 8 4 — — $201,398.28 $201,398.28 $201,398.28 2026-04-01
30 MS_DRG Spinal Procedures Without Cc/Mcc 16 6 — — $20,829.46 $84,417.00 $38,390.23 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 16 6 — — $42,513.85 $127,330.00 $63,398.43 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 16 6 — — $63,445.79 $203,308.00 $100,822.89 2026-04-01
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 14 5 — — $22,983.38 $74,363.00 $22,983.38 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 12 6 — — $42,346.85 $170,387.00 $42,346.85 2026-04-01
32 MS_DRG Ventricular Shunt Procedures With Cc 16 6 — — $20,220.29 $113,156.00 $50,564.65 2026-04-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 12 6 — — $22,823.03 $97,550.00 $22,823.03 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 16 6 — — $25,816.69 $146,911.00 $61,452.35 2026-04-01
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 16 6 — — $16,728.47 $120,194.00 $48,235.74 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 8 4 — — $41,061.14 $41,061.14 $41,061.14 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 8 4 — — $29,898.70 $29,898.70 $29,898.70 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 8 4 — — $30,462.33 $30,462.33 $30,462.33 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 8 4 — — $47,323.64 $47,323.64 $47,323.64 2026-04-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 8 4 — — $23,192.13 $23,192.13 $23,192.13 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 8 4 — — $43,614.53 $43,614.53 $43,614.53 2026-04-01
33 MS_DRG Ventricular Shunt Procedures Without Cc/Mcc 16 6 — — $15,778.66 $68,702.00 $30,662.83 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 8 4 — — $22,746.17 $22,746.17 $22,746.17 2026-04-01
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/Mcc 16 6 — — $15,968.43 $43,218.00 $24,556.72 2026-04-01
332 MS_DRG Rectal Resection With Mcc 8 4 — — $34,355.52 $34,355.52 $34,355.52 2026-04-01
333 MS_DRG Rectal Resection With Cc 8 4 — — $22,224.29 $22,224.29 $22,224.29 2026-04-01
334 MS_DRG Rectal Resection Without Cc/Mcc 16 6 — — $15,541.44 $43,023.00 $24,267.72 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 16 6 — — $33,882.98 $107,929.00 $57,673.99 2026-04-01
336 MS_DRG Peritoneal Adhesiolysis With Cc 16 6 — — $20,008.69 $62,553.00 $33,613.85 2026-04-01
337 MS_DRG Peritoneal Adhesiolysis Without Cc/Mcc 18 7 — — $14,565.06 $39,157.28 $23,582.00 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 8 4 — — $36,727.68 $36,727.68 $36,727.68 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 8 4 — — $24,507.26 $24,507.26 $24,507.26 2026-04-01
35 MS_DRG Carotid Artery Stent Procedures With Cc 8 4 — — $22,682.59 $22,682.59 $22,682.59 2026-04-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 8 4 — — $23,644.74 $23,644.74 $23,644.74 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 12 6 — — $27,536.03 $66,245.00 $27,536.03 2026-04-01
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 16 6 — — $15,963.69 $38,411.00 $22,477.85 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 8 4 — — $41,681.70 $41,681.70 $41,681.70 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 14 5 — — $32,627.64 $126,601.00 $32,627.64 2026-04-01
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 14 5 — — $22,908.42 $103,983.00 $22,908.42 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 16 6 — — $31,237.55 $94,489.00 $50,140.77 2026-04-01
38 MS_DRG Extracranial Procedures With Cc 16 6 — — $15,396.27 $70,781.00 $33,432.13 2026-04-01
39 MS_DRG Extracranial Procedures Without Cc/Mcc 16 6 — — $11,153.90 $50,104.00 $23,571.95 2026-04-01
397 MS_DRG Appendix Procedures With Mcc 16 6 — — $22,724.34 $64,161.00 $35,964.17 2026-04-01
398 MS_DRG Appendix Procedures With Cc 18 6 — — $14,362.01 $53,792.00 $35,686.00 2026-04-01
399 MS_DRG Appendix Procedures Without Cc/Mcc 20 7 — — $10,861.65 $42,019.32 $24,523.15 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 8 4 — — $131,430.94 $131,430.94 $131,430.94 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 16 6 — — $36,637.54 $166,677.00 $81,221.27 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 16 6 — — $38,149.08 $207,389.00 $95,433.04 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 16 6 — — $51,907.60 $172,065.00 $90,888.80 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 16 6 — — $27,518.95 $78,568.00 $43,408.47 2026-04-01
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/Mcc 16 6 — — $21,060.98 $50,880.00 $29,732.99 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 8 4 — — $33,832.69 $33,832.69 $33,832.69 2026-04-01
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 16 6 — — $20,862.67 $102,030.00 $47,853.83 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 8 4 — — $31,343.82 $31,343.82 $31,343.82 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 8 4 — — $33,804.23 $33,804.23 $33,804.23 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 18 7 — — $22,643.69 $67,089.00 $42,552.41 2026-04-01
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 16 6 — — $16,050.98 $67,089.00 $30,262.99 2026-04-01
42 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/Mcc 16 6 — — $16,393.52 $76,937.00 $35,882.26 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 8 4 — — $32,328.74 $32,328.74 $32,328.74 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 8 4 — — $39,406.32 $39,406.32 $39,406.32 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 6 — — $104,576.20 $333,633.00 $162,754.60 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 6 — — $68,494.69 $231,554.00 $118,201.85 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 6 — — $53,345.13 $192,954.00 $97,225.07 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 16 6 — — $85,488.85 $333,633.00 $153,210.92 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 16 6 — — $54,721.93 $215,741.00 $106,344.46 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 16 6 — — $63,399.29 $268,156.00 $116,150.14 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 16 6 — — $40,239.42 $192,732.00 $83,770.21 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 16 6 — — $50,570.65 $255,061.00 $109,735.83 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 16 6 — — $30,652.10 $157,198.00 $68,045.55 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 16 6 — — $79,736.83 $291,930.00 $136,437.92 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 16 6 — — $56,581.71 $291,930.00 $124,860.36 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 16 6 — — $39,592.30 $291,930.00 $116,365.65 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 16 6 — — $52,405.76 $159,364.00 $78,925.88 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 16 6 — — $25,239.78 $143,204.00 $63,761.39 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 8 4 — — $54,080.50 $54,080.50 $54,080.50 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 8 4 — — $29,554.27 $29,554.27 $29,554.27 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 16 6 — — $49,392.17 $107,448.00 $63,350.08 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 16 6 — — $33,462.64 $129,545.00 $59,679.32 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 16 6 — — $26,074.78 $99,624.00 $49,114.39 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 16 6 — — $28,780.94 $102,547.00 $48,282.97 2026-04-01
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 16 6 — — $18,302.64 $89,320.00 $41,010.32 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 16 6 — — $45,817.79 $116,388.00 $64,767.90 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 16 6 — — $27,954.48 $90,347.00 $47,095.74 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 16 6 — — $23,164.62 $70,089.00 $37,022.81 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 8 4 — — $40,733.78 $40,733.78 $40,733.78 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 8 4 — — $32,779.45 $32,779.45 $32,779.45 2026-04-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 8 4 — — $23,334.46 $23,334.46 $23,334.46 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 18 7 — — $27,633.77 $98,118.00 $64,991.19 2026-04-01
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 18 6 — — $19,873.96 $98,118.00 $47,148.62 2026-04-01
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/Mcc 16 6 — — $15,475.97 $66,283.00 $29,615.99 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 16 6 — — $26,301.56 $89,252.00 $42,649.78 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 8 4 — — $30,620.79 $30,620.79 $30,620.79 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 16 6 — — $34,838.49 $82,199.00 $44,587.24 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 18 7 — — $24,064.14 $54,042.13 $35,325.00 2026-04-01
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/Mcc 16 6 — — $19,038.96 $34,090.00 $22,590.98 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 16 6 — — $34,402.96 $93,682.00 $48,226.48 2026-04-01
496 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 16 6 — — $17,116.56 $77,326.00 $36,479.78 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 16 6 — — $28,625.33 $63,060.00 $35,203.67 2026-04-01
499 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Without… 16 6 — — $19,117.71 $55,246.00 $29,405.35 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 8 4 — — $97,832.62 $97,832.62 $97,832.62 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 8 4 — — $30,029.65 $30,029.65 $30,029.65 2026-04-01
501 MS_DRG Soft Tissue Procedures With Cc 16 6 — — $16,587.09 $44,191.00 $24,970.04 2026-04-01
503 MS_DRG Foot Procedures With Mcc 16 6 — — $26,483.74 $58,627.00 $32,698.87 2026-04-01
504 MS_DRG Foot Procedures With Cc 16 6 — — $17,736.17 $58,627.00 $28,325.08 2026-04-01
505 MS_DRG Foot Procedures Without Cc/Mcc 18 7 — — $17,011.23 $47,617.00 $34,247.00 2026-04-01
506 MS_DRG Major Thumb Or Joint Procedures 16 6 — — $12,802.07 $52,740.00 $25,164.03 2026-04-01
507 MS_DRG Major Shoulder Or Elbow Joint Procedures With Cc/Mcc 16 6 — — $17,140.28 $56,211.00 $27,131.64 2026-04-01
508 MS_DRG Major Shoulder Or Elbow Joint Procedures Without Cc/Mcc 16 6 — — $14,369.60 $56,211.00 $25,746.30 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 16 6 — — $28,660.44 $62,143.00 $36,151.72 2026-04-01
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 16 6 — — $19,730.68 $44,787.00 $27,038.34 2026-04-01
5114 OTHER Level 4 Musculoskeletal Procedures 4 2 — — $637.88 $56,622.96 $28,630.42 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 8 4 — — $30,239.35 $30,239.35 $30,239.35 2026-04-01
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 18 7 — — $19,718.34 $45,406.88 $32,467.00 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 16 6 — — $35,461.89 $72,328.00 $41,760.94 2026-04-01
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 16 6 — — $18,979.18 $63,650.00 $32,317.59 2026-04-01
520 MS_DRG Back And Neck Procedures Except Spinal Fusion Without Cc/Mcc 16 6 — — $14,175.08 $47,544.00 $22,868.04 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 8 4 — — $27,234.29 $27,234.29 $27,234.29 2026-04-01
5361 OTHER Level 1 Laparoscopy And Related Services 12 3 — — $567.18 $39,729.26 $26,212.05 2026-04-01
545 MS_DRG Connective Tissue Disorders With Mcc 8 4 — — $23,547.96 $23,547.96 $23,547.96 2026-04-01
570 MS_DRG Skin Debridement With Mcc 8 4 — — $27,907.04 $27,907.04 $27,907.04 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 8 4 — — $62,163.87 $62,163.87 $62,163.87 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 8 4 — — $32,938.86 $32,938.86 $32,938.86 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 8 4 — — $46,505.72 $46,505.72 $46,505.72 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 16 6 — — $25,151.54 $75,682.00 $41,140.77 2026-04-01
578 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis Without Cc/Mcc 16 6 — — $15,242.55 $44,311.00 $24,342.28 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 16 6 — — $30,728.96 $48,082.00 $33,509.98 2026-04-01
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 18 7 — — $16,396.37 $51,359.00 $30,272.51 2026-04-01
581 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/Mcc 16 6 — — $13,693.06 $50,658.00 $25,401.53 2026-04-01
582 MS_DRG Mastectomy For Malignancy With Cc/Mcc 16 6 — — $18,280.81 $62,761.00 $31,572.40 2026-04-01
583 MS_DRG Mastectomy For Malignancy Without Cc/Mcc 16 6 — — $16,362.21 $48,885.00 $25,432.10 2026-04-01
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/Mcc 16 6 — — $20,312.33 $65,177.00 $33,174.17 2026-04-01
585 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/Mcc 16 6 — — $18,304.53 $55,479.00 $28,798.26 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 8 4 — — $43,998.82 $43,998.82 $43,998.82 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 12 6 — — $26,161.13 $95,581.00 $26,161.13 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 10 5 — — $33,090.68 $46,381.08 $33,090.68 2026-04-01
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 18 6 — — $17,746.60 $49,125.00 $28,323.01 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 8 4 — — $27,397.50 $27,397.50 $27,397.50 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 8 4 — — $33,771.97 $33,771.97 $33,771.97 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 8 4 — — $28,656.64 $28,656.64 $28,656.64 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 8 4 — — $35,362.26 $35,362.26 $35,362.26 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 8 4 — — $44,609.89 $44,609.89 $44,609.89 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 8 4 — — $35,163.00 $35,163.00 $35,163.00 2026-04-01
652 MS_DRG Kidney Transplant 8 4 — — $30,643.56 $30,643.56 $30,643.56 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 8 4 — — $49,306.77 $49,306.77 $49,306.77 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 8 4 — — $26,561.55 $26,561.55 $26,561.55 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 8 4 — — $30,209.93 $30,209.93 $30,209.93 2026-04-01
658 MS_DRG Kidney And Ureter Procedures For Neoplasm Without Cc/Mcc 16 6 — — $14,724.47 $46,444.00 $25,170.74 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 8 4 — — $24,109.68 $24,109.68 $24,109.68 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 8 4 — — $29,049.47 $29,049.47 $29,049.47 2026-04-01
665 MS_DRG Prostatectomy With Mcc 8 4 — — $29,615.94 $29,615.94 $29,615.94 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 8 4 — — $27,706.83 $27,706.83 $27,706.83 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 8 4 — — $39,867.47 $39,867.47 $39,867.47 2026-04-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 10 5 — — $22,190.13 $42,786.82 $22,190.13 2026-04-01
7 MS_DRG Lung Transplant 8 4 — — $122,879.78 $122,879.78 $122,879.78 2026-04-01
708 MS_DRG Major Male Pelvic Procedures Without Cc/Mcc 16 6 — — $14,557.47 $45,228.00 $23,296.74 2026-04-01
709 MS_DRG Penis Procedures With Cc/Mcc 8 4 — — $22,081.01 $22,081.01 $22,081.01 2026-04-01
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/Mcc 16 6 — — $21,228.93 $56,147.00 $31,802.97 2026-04-01
716 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy Without Cc/Mcc 16 6 — — $13,957.79 $46,065.00 $24,362.90 2026-04-01
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/Mcc 16 6 — — $20,210.80 $70,681.00 $36,777.90 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 8 4 — — $33,917.14 $33,917.14 $33,917.14 2026-04-01
737 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 16 6 — — $19,552.29 $56,956.00 $31,271.15 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 8 4 — — $33,995.90 $33,995.90 $33,995.90 2026-04-01
740 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Cc 16 6 — — $17,170.64 $50,123.00 $27,501.32 2026-04-01
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/Mcc 18 6 — — $17,409.76 $36,131.00 $27,271.00 2026-04-01
744 MS_DRG D&c, Conization, Laparoscopy And Tubal Interruption With Cc/Mcc 16 6 — — $19,443.17 $42,626.00 $25,808.08 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 8 4 — — $24,363.03 $24,363.03 $24,363.03 2026-04-01
783 MS_DRG Cesarean Section With Sterilization With Mcc 8 4 — — $23,295.56 $23,295.56 $23,295.56 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 8 4 — — $56,395.73 $56,395.73 $56,395.73 2026-04-01
791 MS_DRG Prematurity With Major Problems 8 4 — — $38,514.39 $38,514.39 $38,514.39 2026-04-01
792 MS_DRG Prematurity Without Major Problems 8 4 — — $23,239.58 $23,239.58 $23,239.58 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 8 4 — — $39,563.83 $39,563.83 $39,563.83 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 8 4 — — $42,973.10 $42,973.10 $42,973.10 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 8 4 — — $53,180.03 $53,180.03 $53,180.03 2026-04-01
800 MS_DRG Splenic Procedures With Cc 8 4 — — $26,657.38 $26,657.38 $26,657.38 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 8 4 — — $37,803.69 $37,803.69 $37,803.69 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 8 4 — — $55,648.97 $55,648.97 $55,648.97 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 8 4 — — $43,503.52 $43,503.52 $43,503.52 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 8 4 — — $44,385.96 $44,385.96 $44,385.96 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 8 4 — — $29,984.10 $29,984.10 $29,984.10 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 8 4 — — $52,091.68 $52,091.68 $52,091.68 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 8 4 — — $45,586.27 $45,586.27 $45,586.27 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 8 4 — — $30,694.80 $30,694.80 $30,694.80 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 8 4 — — $24,599.30 $24,599.30 $24,599.30 2026-04-01
849 MS_DRG Radiotherapy 8 4 — — $25,709.47 $25,709.47 $25,709.47 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 8 4 — — $82,166.88 $82,166.88 $82,166.88 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 8 4 — — $46,860.60 $46,860.60 $46,860.60 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 8 4 — — $43,160.98 $43,160.98 $43,160.98 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 8 4 — — $65,583.58 $65,583.58 $65,583.58 2026-04-01
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 20 5 — — $13,118.00 $61,107.96 $25,751.39 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 8 4 — — $36,672.64 $36,672.64 $36,672.64 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 8 4 — — $39,820.03 $39,820.03 $39,820.03 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 8 4 — — $34,852.72 $34,852.72 $34,852.72 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 8 4 — — $36,429.73 $36,429.73 $36,429.73 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 8 4 — — $202,587.20 $202,587.20 $202,587.20 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 8 4 — — $68,059.17 $68,059.17 $68,059.17 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 8 4 — — $30,561.01 $30,561.01 $30,561.01 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 8 4 — — $36,950.66 $36,950.66 $36,950.66 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 8 4 — — $34,429.53 $34,429.53 $34,429.53 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 8 4 — — $33,394.32 $33,394.32 $33,394.32 2026-04-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 8 4 — — $22,174.00 $22,174.00 $22,174.00 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 8 4 — — $24,473.10 $24,473.10 $24,473.10 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 8 4 — — $63,868.98 $63,868.98 $63,868.98 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 8 4 — — $35,705.75 $35,705.75 $35,705.75 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 8 4 — — $72,302.49 $72,302.49 $72,302.49 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 8 4 — — $39,984.18 $39,984.18 $39,984.18 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 8 4 — — $27,935.50 $27,935.50 $27,935.50 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 8 4 — — $24,473.10 $24,473.10 $24,473.10 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 8 4 — — $25,940.04 $25,940.04 $25,940.04 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 8 4 — — $58,082.81 $58,082.81 $58,082.81 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 8 4 — — $34,271.07 $34,271.07 $34,271.07 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 8 4 — — $25,025.34 $25,025.34 $25,025.34 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 8 4 — — $27,384.21 $27,384.21 $27,384.21 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 8 4 — — $44,518.80 $44,518.80 $44,518.80 2026-04-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 8 4 — — $23,327.82 $23,327.82 $23,327.82 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 8 4 — — $32,530.85 $32,530.85 $32,530.85 2026-04-01
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