Price Transparencybeta Hospital negotiated rates

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

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Hospital

SUTTER DAVIS HOSPITAL

Davis, CA · CCN 050537 · Rates published

Your selected procedure

You selected 27447 (HCPCS)

Total knee arthroplasty

This hospital’s price: $61,651 across 2 payers · range $16,662-$61,651

Source: https://edge.sitecorecloud.io/sutterhealt962c-sutterhealt8fce-production57cc-4860/media/Project/SutterHealth/SutterHealth/Files/billing-insurance/costs-and-charges/941156621-1770532608_sutter-davis-hospital_standardcharges.csv · observed 2026-04-01

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

8,740 distinct procedures filed
7 distinct payers
71,536 rate rows
2026-04-01 last MRF observed
Data quality

40,628 of 71,536 rate rows are consumer-grade (56.8%)

30,908 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 30,864
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 24
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/941156621-1770532608_sutter-davis-hospital_standardcharges.csv
Found on page https://www.sutterhealth.org/billing-insurance/costs-and-charges/cost-transparency/
Discovered viaDiscovered by HANK (automated)
Last fetch not_modified · 2026-08-01
Content fingerprint 979cd43d24886881… · 15,029,552 bytes · first seen 2026-05-14

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
$691,418
outlier · 2.1×
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 2 $533,230.17 $1,340,483.41 $1,340,483.41 nat. median
$588,565
outlier · 2.3×
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 5 $428,043.39 $428,043.39 $428,043.39 nat. median
$370,165
1.2× median
215
MS_DRG 		Other Heart Assist System Implant 7 $99,207.83 $518,072.00 $417,749.50 nat. median
$98,002
outlier · 4.3×
22
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 7 $32,110.16 $393,675.00 $303,101.50 nat. median
$34,270
outlier · 8.8×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 7 $78,540.92 $393,675.00 $303,101.50 nat. median
$77,385
outlier · 3.9×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 7 $97,483.77 $390,452.00 $301,257.00 nat. median
$92,900
outlier · 3.2×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 5 $278,015.84 $278,015.84 $278,015.84 nat. median
$261,939
1.1× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 7 $65,739.16 $324,073.00 $265,463.00 nat. median
$63,840
outlier · 4.2×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 7 $89,831.41 $333,633.00 $257,339.50 nat. median
$81,124
outlier · 3.2×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 7 $109,740.21 $333,633.00 $257,339.50 nat. median
$96,835
outlier · 2.7×
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 7 $65,739.16 $304,551.00 $250,716.00 nat. median
$60,895
outlier · 4.1×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 7 $71,232.98 $308,880.00 $246,643.00 nat. median
$68,581
outlier · 3.6×
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 7 $60,664.97 $299,833.00 $245,354.00 nat. median
$59,257
outlier · 4.1×
21
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 7 $53,056.16 $295,204.00 $243,316.50 nat. median
$54,267
outlier · 4.5×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 7 $84,094.13 $295,952.00 $242,422.00 nat. median
$79,040
outlier · 3.1×
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 7 $61,316.19 $434,524.00 $237,621.00 nat. median
$60,162
outlier · 3.9×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 7 $83,831.86 $291,930.00 $224,888.00 nat. median
$80,459
outlier · 2.8×
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 7 $59,680.22 $291,930.00 $224,888.00 nat. median
$57,394
outlier · 3.9×
458
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 7 $41,959.65 $291,930.00 $224,888.00 nat. median
$42,100
outlier · 5.3×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 7 $76,655.54 $280,449.00 $216,408.00 nat. median
$74,472
outlier · 2.9×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 5 $211,969.23 $211,969.23 $211,969.23 nat. median
$205,166
1.0× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 5 $210,729.14 $210,729.14 $210,729.14 nat. median
$199,832
1.1× median
234
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 7 $54,727.76 $264,329.00 $203,757.50 nat. median
$53,013
outlier · 3.8×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 7 $76,327.95 $264,329.00 $203,757.50 nat. median
$73,475
outlier · 2.8×
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 7 $60,110.74 $262,113.00 $202,108.50 nat. median
$58,419
outlier · 3.5×
209
MS_DRG 		Complex Aortic Arch Procedures 6 $112,685.55 $258,596.00 $199,118.00 nat. median
$96,134
outlier · 2.1×
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 7 $57,376.20 $236,205.00 $197,747.50 nat. median
$55,685
outlier · 3.6×
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 7 $72,105.90 $231,554.00 $192,506.50 nat. median
$66,640
outlier · 2.9×
24
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 7 $39,379.50 $232,976.00 $192,291.00 nat. median
$38,059
outlier · 5.1×
A9543
HCPCS 		Y90 Ibritumomab, Rx 2 $56,824.55 $189,311.16 $189,311.16 nat. median
$63,643
outlier · 3.0×
229
MS_DRG 		Other Cardiothoracic Procedures Without Mcc 7 $31,834.03 $217,671.00 $181,455.00 nat. median
$32,689
outlier · 5.6×
230
MS_DRG 		Other Cardiothoracic Procedures Without Cc/mcc 1 $140,240.00 $222,612.00 $181,426.00 nat. median
$27,929
outlier · 6.5×
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 1 $180,742.00 $180,742.00 $180,742.00 nat. median
$62,767
outlier · 2.9×
430
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 7 $57,740.41 $215,741.00 $180,564.00 nat. median
$53,268
outlier · 3.4×
277
MS_DRG 		Cardiac Defibrillator Implant Without Mcc 7 $46,372.72 $240,740.00 $179,352.00 nat. median
$45,772
outlier · 3.9×
228
MS_DRG 		Other Cardiothoracic Procedures With Mcc 7 $49,627.84 $216,912.00 $177,583.50 nat. median
$50,071
outlier · 3.5×
402
MS_DRG 		Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 7 $40,454.32 $207,389.00 $174,210.50 nat. median
$38,854
outlier · 4.5×
267
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 7 $47,781.06 $227,751.00 $164,880.50 nat. median
$47,266
outlier · 3.5×
428
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 7 $56,304.35 $200,134.00 $164,302.00 nat. median
$53,080
outlier · 3.1×
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 7 $66,791.21 $268,156.00 $157,407.50 nat. median
$62,262
outlier · 2.5×
450
MS_DRG 		Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically… 7 $53,410.47 $255,061.00 $156,451.00 nat. median
$50,178
outlier · 3.1×
405
MS_DRG 		Pancreas, Liver And Shunt Procedures With Mcc 7 $54,804.96 $179,704.00 $153,861.50 nat. median
$52,517
outlier · 2.9×
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 7 $68,733.99 $199,051.00 $153,539.00 nat. median
$65,792
outlier · 2.3×
236
MS_DRG 		Coronary Bypass Without Cardiac Catheterization Without Mcc 7 $42,119.98 $178,295.00 $149,166.50 nat. median
$41,718
outlier · 3.6×
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 7 $58,744.95 $193,613.00 $149,166.50 nat. median
$57,082
outlier · 2.6×
319
MS_DRG 		Other Endovascular Cardiac Valve Procedures With Mcc 7 $44,832.75 $177,951.00 $147,891.00 nat. median
$43,221
outlier · 3.4×
40
MS_DRG 		Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 7 $38,877.73 $174,076.00 $147,472.00 nat. median
$37,498
outlier · 3.9×
J7330
HCPCS 		Cultured Chondrocytes Implnt 1 $146,326.57 $146,326.57 $146,326.57 nat. median
$75,807
1.9× median
220
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 7 $53,442.14 $173,767.00 $146,117.50 nat. median
$52,372
outlier · 2.8×

Other procedures at this hospital

Browse this hospital's 8,740 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 10 5 — — $428,043.39 $428,043.39 $428,043.39 2026-04-01
215 MS_DRG Other Heart Assist System Implant 28 7 — — $99,207.83 $518,072.00 $417,749.50 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 28 7 — — $32,110.16 $393,675.00 $303,101.50 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 28 7 — — $78,540.92 $393,675.00 $303,101.50 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 28 7 — — $97,483.77 $390,452.00 $301,257.00 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 10 5 — — $278,015.84 $278,015.84 $278,015.84 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 28 7 — — $65,739.16 $324,073.00 $265,463.00 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 28 7 — — $89,831.41 $333,633.00 $257,339.50 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 28 7 — — $109,740.21 $333,633.00 $257,339.50 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 28 7 — — $65,739.16 $304,551.00 $250,716.00 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 28 7 — — $71,232.98 $308,880.00 $246,643.00 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 28 7 — — $60,664.97 $299,833.00 $245,354.00 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 28 7 — — $53,056.16 $295,204.00 $243,316.50 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 28 7 — — $84,094.13 $295,952.00 $242,422.00 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 28 7 — — $61,316.19 $434,524.00 $237,621.00 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 28 7 — — $59,680.22 $291,930.00 $224,888.00 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 28 7 — — $83,831.86 $291,930.00 $224,888.00 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 28 7 — — $41,959.65 $291,930.00 $224,888.00 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 28 7 — — $76,655.54 $280,449.00 $216,408.00 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 10 5 — — $211,969.23 $211,969.23 $211,969.23 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 10 5 — — $210,729.14 $210,729.14 $210,729.14 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 28 7 — — $76,327.95 $264,329.00 $203,757.50 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 28 7 — — $54,727.76 $264,329.00 $203,757.50 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 28 7 — — $60,110.74 $262,113.00 $202,108.50 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 26 6 — — $112,685.55 $258,596.00 $199,118.00 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 28 7 — — $57,376.20 $236,205.00 $197,747.50 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 28 7 — — $72,105.90 $231,554.00 $192,506.50 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 28 7 — — $39,379.50 $232,976.00 $192,291.00 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 6 2 — — $56,824.55 $189,311.16 $189,311.16 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 28 7 — — $31,834.03 $217,671.00 $181,455.00 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
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 28 7 — — $57,740.41 $215,741.00 $180,564.00 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 28 7 — — $46,372.72 $240,740.00 $179,352.00 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 28 7 — — $49,627.84 $216,912.00 $177,583.50 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 28 7 — — $40,454.32 $207,389.00 $174,210.50 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 28 7 — — $47,781.06 $227,751.00 $164,880.50 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 28 7 — — $56,304.35 $200,134.00 $164,302.00 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 28 7 — — $66,791.21 $268,156.00 $157,407.50 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 28 7 — — $53,410.47 $255,061.00 $156,451.00 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 28 7 — — $54,804.96 $179,704.00 $153,861.50 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 28 7 — — $68,733.99 $199,051.00 $153,539.00 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 28 7 — — $42,119.98 $178,295.00 $149,166.50 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 28 7 — — $58,744.95 $193,613.00 $149,166.50 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 24 7 — — $44,832.75 $177,951.00 $147,891.00 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 28 7 — — $38,877.73 $174,076.00 $147,472.00 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 4 1 — — $146,326.57 $146,326.57 $146,326.57 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 28 7 — — $53,442.14 $173,767.00 $146,117.50 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 6 2 — — $63,342.28 $145,441.90 $145,441.90 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 28 7 — — $66,839.70 $207,206.00 $138,973.00 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 10 5 — — $137,750.68 $137,750.68 $137,750.68 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 28 7 — — $60,127.56 $178,098.00 $137,233.00 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
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 28 7 — — $50,546.28 $157,131.00 $133,215.50 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 28 7 — — $45,019.80 $155,154.00 $132,845.00 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 28 7 — — $52,882.96 $158,060.00 $131,566.00 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 10 3 — — $55,272.32 $162,691.22 $131,139.34 2026-04-01
7 MS_DRG Lung Transplant 10 5 — — $128,831.51 $128,831.51 $128,831.51 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 28 7 — — $32,262.57 $155,550.00 $126,621.50 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 28 7 — — $55,324.55 $159,364.00 $123,016.00 2026-04-01
J9226 HCPCS Supprelin La Implant 14 3 — — $45,020.65 $129,708.04 $122,953.40 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 28 7 — — $42,634.63 $192,732.00 $120,308.50 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 10 5 — — $119,604.54 $119,604.54 $119,604.54 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 28 7 — — $32,634.70 $157,198.00 $119,490.00 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 28 7 — — $35,187.14 $142,591.00 $119,374.00 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 28 7 — — $45,662.12 $164,136.00 $119,046.50 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 28 7 — — $27,591.19 $146,911.00 $113,046.50 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 10 5 — — $112,814.21 $112,814.21 $112,814.21 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 10 5 — — $108,284.36 $108,284.36 $108,284.36 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 26 6 — — $34,695.26 $135,172.00 $104,083.00 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 10 5 — — $102,706.41 $102,706.41 $102,706.41 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 28 7 — — $35,566.19 $129,545.00 $100,053.00 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 28 7 — — $45,006.93 $127,330.00 $98,323.50 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 28 7 — — $26,989.46 $143,204.00 $97,559.50 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 28 7 — — $36,004.63 $112,721.00 $96,512.00 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 26 6 — — $57,144.61 $125,265.00 $96,454.00 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 28 7 — — $48,453.07 $119,144.00 $95,188.00 2026-04-01
32 MS_DRG Ventricular Shunt Procedures With Cc 28 7 — — $21,753.95 $113,156.00 $94,262.50 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 28 7 — — $42,460.44 $121,888.00 $94,231.00 2026-04-01
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 28 7 — — $18,111.85 $120,194.00 $92,600.50 2026-04-01
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 28 7 — — $21,752.96 $116,047.00 $89,381.00 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 28 7 — — $52,181.27 $107,448.00 $88,107.50 2026-04-01
5165 OTHER Level 5 ENT Procedures 2 1 — — $86,863.12 $86,863.12 $86,863.12 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 10 5 — — $86,366.48 $86,366.48 $86,366.48 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 28 7 — — $31,435.19 $103,161.00 $86,287.00 2026-04-01
5378 OTHER Level 8 Urology And Related Services 4 1 — — $74,323.57 $97,258.86 $85,791.21 2026-04-01
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 28 7 — — $22,423.97 $102,030.00 $85,289.00 2026-04-01
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 26 6 — — $24,557.76 $110,751.00 $85,278.00 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 24 7 — — $27,950.45 $99,825.00 $85,006.00 2026-04-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 24 7 — — $24,468.69 $101,880.00 $84,670.00 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 30 7 — — $30,683.01 $102,547.00 $82,625.00 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 28 7 — — $27,860.39 $99,624.00 $82,193.00 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 28 7 — — $35,860.13 $113,045.00 $81,581.50 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 28 7 — — $33,245.35 $96,124.00 $80,383.50 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 28 7 — — $34,428.04 $94,410.00 $79,980.00 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 28 7 — — $41,493.50 $95,318.00 $79,877.00 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 28 7 — — $26,352.09 $95,273.00 $79,734.50 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 10 5 — — $76,077.56 $76,077.56 $76,077.56 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 28 7 — — $29,486.47 $98,118.00 $75,721.50 2026-04-01
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 28 7 — — $21,392.71 $98,118.00 $75,721.50 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 28 7 — — $29,820.99 $90,347.00 $75,532.50 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 6 2 — — $24,228.42 $74,101.05 $74,101.05 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 28 7 — — $25,930.48 $112,500.00 $73,582.00 2026-04-01
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 28 7 — — $19,753.76 $89,320.00 $72,884.50 2026-04-01
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/Mcc 28 7 — — $18,552.27 $88,182.00 $72,622.00 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 28 7 — — $25,632.58 $97,371.00 $72,517.50 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 28 7 — — $36,546.98 $93,682.00 $72,076.00 2026-04-01
10 MS_DRG Pancreas Transplant 10 5 — — $71,681.31 $71,681.31 $71,681.31 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 10 5 — — $71,651.62 $71,651.62 $71,651.62 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 10 5 — — $71,274.55 $71,274.55 $71,274.55 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 28 7 — — $33,241.39 $86,229.00 $70,388.50 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 28 7 — — $29,366.71 $82,057.00 $70,252.00 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 10 5 — — $69,069.50 $69,069.50 $69,069.50 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 28 7 — — $28,096.93 $89,252.00 $68,797.50 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 28 7 — — $26,897.41 $79,043.00 $67,681.50 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 10 5 — — $67,281.11 $67,281.11 $67,281.11 2026-04-01
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 28 7 — — $22,263.64 $86,229.00 $66,803.00 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 30 7 — — $37,001.26 $82,199.00 $66,632.00 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 10 5 — — $65,502.62 $65,502.62 $65,502.62 2026-04-01
30 MS_DRG Spinal Procedures Without Cc/Mcc 28 7 — — $22,389.33 $84,417.00 $64,970.50 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 14 5 — — $64,347.64 $252,143.00 $64,347.64 2026-04-01
42 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/Mcc 28 7 — — $17,762.49 $76,937.00 $64,310.50 2026-04-01
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/Mcc 28 7 — — $21,744.05 $73,819.00 $63,202.00 2026-04-01
496 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 28 7 — — $18,516.64 $77,326.00 $63,189.00 2026-04-01
27447 HCPCS Total Knee Arthroplasty 6 2 — — $16,662.22 $61,651.00 $61,651.00 2026-04-01
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 26 6 — — $24,635.95 $79,695.00 $61,364.00 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 10 5 — — $61,245.92 $61,245.92 $61,245.92 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 30 7 — — $25,643.46 $73,621.00 $61,136.86 2026-04-01
J9266 HCPCS Pegaspargase Injection 14 3 — — $28,424.06 $62,262.23 $61,062.67 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 28 7 — — $31,760.80 $78,978.00 $60,969.00 2026-04-01
259 MS_DRG Cardiac Pacemaker Device Replacement Without Mcc 28 7 — — $20,676.16 $78,978.00 $60,969.00 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
27130 HCPCS Total Hip Arthroplasty 6 2 — — $16,662.22 $59,605.00 $59,605.00 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 10 5 — — $59,486.24 $59,486.24 $59,486.24 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 10 5 — — $59,349.66 $59,349.66 $59,349.66 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 24 7 — — $29,384.53 $69,186.00 $58,914.00 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 10 5 — — $58,707.34 $58,707.34 $58,707.34 2026-04-01
38 MS_DRG Extracranial Procedures With Cc 28 7 — — $16,722.31 $70,781.00 $58,603.50 2026-04-01
582 MS_DRG Mastectomy For Malignancy With Cc/Mcc 30 7 — — $19,731.00 $65,548.00 $58,063.00 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 28 7 — — $24,824.98 $80,066.00 $57,736.50 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 14 5 — — $57,071.37 $209,944.00 $57,071.37 2026-04-01
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/Mcc 28 7 — — $21,849.95 $68,071.00 $56,223.00 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 10 5 — — $56,132.15 $56,132.15 $56,132.15 2026-04-01
62 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 24 7 — — $18,054.45 $65,726.00 $55,970.00 2026-04-01
336 MS_DRG Peritoneal Adhesiolysis With Cc 28 7 — — $21,533.24 $65,331.00 $55,938.50 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 28 7 — — $37,651.49 $72,328.00 $55,842.00 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 10 5 — — $55,752.10 $55,752.10 $55,752.10 2026-04-01
254 MS_DRG Other Vascular Procedures Without Cc/Mcc 28 7 — — $18,296.93 $71,723.00 $55,216.00 2026-04-01
251 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc 28 7 — — $15,454.51 $74,145.00 $55,183.00 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
834 MS_DRG Acute Leukemia With Mcc 10 5 — — $54,996.96 $54,996.96 $54,996.96 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 10 5 — — $54,642.65 $54,642.65 $54,642.65 2026-04-01
58546 HCPCS Laparo-myomectomy Complex 14 5 — — $13,795.55 $59,884.00 $54,607.00 2026-04-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 28 7 — — $22,563.52 $70,713.00 $54,591.00 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 10 5 — — $54,426.89 $54,426.89 $54,426.89 2026-04-01
A9604 HCPCS Sm 153 Lexidronam 6 2 — — $3,159.80 $54,373.92 $54,373.92 2026-04-01
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 28 7 — — $20,459.42 $63,650.00 $53,049.50 2026-04-01
261 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Cc 28 7 — — $19,373.72 $68,702.00 $53,020.00 2026-04-01
33 MS_DRG Ventricular Shunt Procedures Without Cc/Mcc 28 7 — — $17,121.16 $68,702.00 $53,020.00 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 28 7 — — $32,856.39 $68,702.00 $53,020.00 2026-04-01
262 MS_DRG Cardiac Pacemaker Revision Except Device Replacement Without Cc/Mcc 28 7 — — $16,794.56 $68,702.00 $53,020.00 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 12 5 — — $38,303.83 $52,092.19 $52,092.19 2026-04-01
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 28 7 — — $17,405.21 $67,089.00 $51,576.50 2026-04-01
737 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 28 7 — — $21,057.20 $59,484.00 $50,931.00 2026-04-01
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/Mcc 28 7 — — $16,805.45 $66,283.00 $50,761.00 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 28 7 — — $30,557.32 $62,143.00 $50,473.00 2026-04-01
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/Mcc 28 7 — — $22,806.00 $58,640.00 $50,207.00 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 10 5 — — $50,023.72 $50,023.72 $50,023.72 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 14 5 — — $36,184.57 $73,953.00 $49,540.75 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 10 5 — — $49,373.49 $49,373.49 $49,373.49 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 10 5 — — $49,170.60 $49,170.60 $49,170.60 2026-04-01
165 MS_DRG Major Chest Procedures Without Cc/Mcc 28 7 — — $19,608.28 $58,575.00 $48,841.50 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 28 7 — — $30,520.70 $63,060.00 $48,743.00 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 10 5 — — $48,211.58 $48,211.58 $48,211.58 2026-04-01
585 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/Mcc 28 7 — — $19,755.74 $57,941.00 $47,926.50 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 30 7 — — $23,632.59 $67,089.00 $47,471.00 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 10 5 — — $47,193.18 $47,193.18 $47,193.18 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 10 5 — — $47,098.17 $47,098.17 $47,098.17 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 10 5 — — $46,959.61 $46,959.61 $46,959.61 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 10 5 — — $46,555.81 $46,555.81 $46,555.81 2026-04-01
397 MS_DRG Appendix Procedures With Mcc 30 7 — — $23,684.33 $68,437.00 $46,181.00 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 10 5 — — $46,154.99 $46,154.99 $46,154.99 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 10 5 — — $46,039.19 $46,039.19 $46,039.19 2026-04-01
245 MS_DRG Aicd Generator Procedures 10 5 — — $45,817.50 $45,817.50 $45,817.50 2026-04-01
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 28 7 — — $17,765.46 $61,990.00 $45,687.50 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 10 5 — — $45,681.91 $45,681.91 $45,681.91 2026-04-01
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/Mcc 28 7 — — $22,630.82 $53,139.00 $45,498.50 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 10 5 — — $45,485.95 $45,485.95 $45,485.95 2026-04-01
49656 HCPCS Lap Inc Hernia Repair Recur 2 1 — — $45,468.00 $45,468.00 $45,468.00 2026-04-01
503 MS_DRG Foot Procedures With Mcc 28 7 — — $28,286.95 $58,627.00 $45,392.00 2026-04-01
504 MS_DRG Foot Procedures With Cc 28 7 — — $19,162.91 $58,627.00 $45,392.00 2026-04-01
499 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Without… 28 7 — — $20,603.91 $55,246.00 $45,148.50 2026-04-01
740 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Cc 28 7 — — $18,573.05 $52,347.00 $44,820.00 2026-04-01
581 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/Mcc 28 7 — — $14,945.80 $52,907.00 $44,565.00 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
23615 HCPCS Treat Humerus Fracture 10 4 — — $16,662.22 $50,020.00 $44,143.00 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 10 5 — — $44,138.97 $44,138.97 $44,138.97 2026-04-01
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 32 7 — — $16,713.66 $51,306.00 $43,926.50 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 10 5 — — $43,491.70 $43,491.70 $43,491.70 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
507 MS_DRG Major Shoulder Or Elbow Joint Procedures With Cc/Mcc 28 7 — — $18,541.38 $56,211.00 $43,293.50 2026-04-01
508 MS_DRG Major Shoulder Or Elbow Joint Procedures Without Cc/Mcc 28 7 — — $15,651.46 $56,211.00 $43,293.50 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 14 5 — — $43,150.26 $125,562.00 $43,150.26 2026-04-01
506 MS_DRG Major Thumb Or Joint Procedures 28 7 — — $14,016.48 $52,740.00 $43,089.50 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 28 7 — — $29,814.00 $50,217.00 $42,995.50 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 10 5 — — $42,877.10 $42,877.10 $42,877.10 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 10 5 — — $42,389.18 $42,389.18 $42,389.18 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 10 5 — — $42,368.40 $42,368.40 $42,368.40 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 10 5 — — $42,246.66 $42,246.66 $42,246.66 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 10 5 — — $42,197.18 $42,197.18 $42,197.18 2026-04-01
583 MS_DRG Mastectomy For Malignancy Without Cc/Mcc 28 7 — — $17,729.83 $51,056.00 $42,121.50 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 10 5 — — $41,929.96 $41,929.96 $41,929.96 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 10 5 — — $41,765.67 $41,765.67 $41,765.67 2026-04-01
287 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization Without Mcc 28 7 — — $11,254.22 $53,792.00 $41,565.50 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 28 7 — — $25,763.22 $53,391.00 $41,194.50 2026-04-01
716 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy Without Cc/Mcc 28 7 — — $15,221.93 $48,110.00 $41,191.00 2026-04-01
39 MS_DRG Extracranial Procedures Without Cc/Mcc 28 7 — — $12,297.37 $50,104.00 $41,146.50 2026-04-01
791 MS_DRG Prematurity With Major Problems 10 5 — — $40,835.35 $40,835.35 $40,835.35 2026-04-01
658 MS_DRG Kidney And Ureter Procedures For Neoplasm Without Cc/Mcc 28 7 — — $16,021.61 $48,389.00 $40,275.50 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 10 5 — — $40,094.07 $40,094.07 $40,094.07 2026-04-01
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 28 7 — — $21,243.26 $48,119.00 $39,907.50 2026-04-01
578 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis Without Cc/Mcc 28 7 — — $16,561.98 $46,278.00 $39,621.00 2026-04-01
501 MS_DRG Soft Tissue Procedures With Cc 28 7 — — $17,964.39 $46,153.00 $39,514.00 2026-04-01
27427 HCPCS Reconstruction Knee 14 5 — — $9,417.22 $42,642.00 $39,330.00 2026-04-01
5115 OTHER Level 5 Musculoskeletal Procedures 12 4 — — $6,961.37 $74,473.52 $39,322.07 2026-04-01
505 MS_DRG Foot Procedures Without Cc/Mcc 28 7 — — $18,406.78 $47,617.00 $39,207.50 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 10 5 — — $39,204.33 $39,204.33 $39,204.33 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 10 5 — — $38,971.75 $38,971.75 $38,971.75 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 10 5 — — $38,914.34 $38,914.34 $38,914.34 2026-04-01
304 MS_DRG Hypertension With Mcc 30 7 — — $12,440.87 $44,874.00 $38,864.15 2026-04-01
5464 OTHER Level 4 Neurostimulator And Related Procedures 4 2 — — $2,762.55 $74,667.73 $38,715.14 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 10 5 — — $38,660.98 $38,660.98 $38,660.98 2026-04-01
29916 HCPCS Hip Arthro W/labral Repair 10 4 — — $9,417.22 $44,666.00 $38,488.00 2026-04-01
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 28 7 — — $21,230.39 $44,926.00 $38,464.00 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
398 MS_DRG Appendix Procedures With Cc 30 7 — — $15,204.81 $53,792.00 $38,198.00 2026-04-01
744 MS_DRG D&c, Conization, Laparoscopy And Tubal Interruption With Cc/Mcc 28 7 — — $20,943.38 $44,518.00 $38,116.50 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 10 5 — — $37,905.84 $37,905.84 $37,905.84 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 14 5 — — $37,743.53 $99,179.00 $37,743.53 2026-04-01
63 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 24 7 — — $14,556.85 $44,254.00 $37,687.00 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 10 5 — — $37,655.45 $37,655.45 $37,655.45 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 14 5 — — $37,547.57 $105,658.00 $37,547.57 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 10 5 — — $37,339.73 $37,339.73 $37,339.73 2026-04-01
334 MS_DRG Rectal Resection Without Cc/Mcc 28 7 — — $16,873.74 $44,757.00 $37,324.00 2026-04-01
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/Mcc 28 7 — — $17,319.10 $44,651.00 $37,230.00 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 10 5 — — $37,016.10 $37,016.10 $37,016.10 2026-04-01
57425 HCPCS Laparoscopy Surg Colpopexy 14 5 — — $13,795.55 $40,554.00 $36,982.00 2026-04-01
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 28 7 — — $11,626.35 $42,898.00 $36,723.00 2026-04-01
520 MS_DRG Back And Neck Procedures Except Spinal Fusion Without Cc/Mcc 28 7 — — $15,448.57 $47,544.00 $36,627.00 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 10 5 — — $36,574.70 $36,574.70 $36,574.70 2026-04-01
332 MS_DRG Rectal Resection With Mcc 10 5 — — $36,497.50 $36,497.50 $36,497.50 2026-04-01
265 MS_DRG Aicd Lead Procedures 10 5 — — $36,472.76 $36,472.76 $36,472.76 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 14 5 — — $36,409.42 $175,280.00 $36,409.42 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 10 5 — — $36,355.97 $36,355.97 $36,355.97 2026-04-01
497 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 28 7 — — $12,621.99 $46,941.00 $36,253.00 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 10 5 — — $36,122.40 $36,122.40 $36,122.40 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 10 5 — — $36,040.26 $36,040.26 $36,040.26 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 14 5 — — $35,952.17 $115,605.00 $35,952.17 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 14 5 — — $35,922.48 $104,189.00 $35,922.48 2026-04-01
708 MS_DRG Major Male Pelvic Procedures Without Cc/Mcc 28 7 — — $15,847.42 $45,228.00 $35,896.00 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 14 5 — — $35,888.83 $103,806.00 $35,888.83 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 14 5 — — $35,494.93 $112,063.00 $35,494.93 2026-04-01
27814 HCPCS Treatment Of Ankle Fracture 14 5 — — $9,417.22 $39,838.00 $35,420.00 2026-04-01
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/Mcc 32 7 — — $18,822.46 $38,225.00 $35,284.00 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 10 5 — — $35,178.23 $35,178.23 $35,178.23 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 10 5 — — $35,019.88 $35,019.88 $35,019.88 2026-04-01
63042 HCPCS Laminotomy Single Lumbar 14 5 — — $9,417.22 $38,359.00 $34,980.00 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 14 5 — — $34,853.61 $87,685.00 $34,853.61 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 10 5 — — $34,594.31 $34,594.31 $34,594.31 2026-04-01
59151 HCPCS Treat Ectopic Pregnancy 14 5 — — $7,845.97 $36,108.00 $34,392.00 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 10 5 — — $34,383.50 $34,383.50 $34,383.50 2026-04-01
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 28 7 — — $17,314.15 $40,117.00 $34,346.50 2026-04-01
27524 HCPCS Treat Kneecap Fracture 14 5 — — $9,417.22 $37,541.00 $34,234.00 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
713 MS_DRG Transurethral Prostatectomy With Cc/Mcc 28 7 — — $15,542.59 $39,806.00 $34,085.50 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 14 5 — — $33,725.35 $93,430.00 $33,725.35 2026-04-01
735 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy Without Cc/Mcc 28 7 — — $13,979.86 $40,802.00 $33,687.50 2026-04-01
513 MS_DRG Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures With Cc/Mcc 28 7 — — $16,244.29 $40,289.00 $33,604.50 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 10 5 — — $33,356.19 $33,356.19 $33,356.19 2026-04-01
23515 HCPCS Treat Clavicle Fracture 10 4 — — $9,417.22 $37,770.00 $33,332.00 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 10 5 — — $32,679.24 $32,679.24 $32,679.24 2026-04-01
652 MS_DRG Kidney Transplant 10 5 — — $32,625.79 $32,625.79 $32,625.79 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 14 5 — — $32,602.04 $97,910.00 $32,602.04 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 10 5 — — $32,539.69 $32,539.69 $32,539.69 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 10 5 — — $32,436.76 $32,436.76 $32,436.76 2026-04-01
512 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures Without Cc/… 28 7 — — $17,046.93 $39,085.00 $32,254.50 2026-04-01
660 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Cc 28 7 — — $13,744.31 $37,638.00 $32,224.50 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 14 5 — — $32,204.18 $90,186.00 $32,204.18 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 14 5 — — $32,173.50 $151,217.00 $32,173.50 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
500 MS_DRG Soft Tissue Procedures With Mcc 10 5 — — $31,985.46 $31,985.46 $31,985.46 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 10 5 — — $31,937.95 $31,937.95 $31,937.95 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 10 5 — — $31,848.88 $31,848.88 $31,848.88 2026-04-01
665 MS_DRG Prostatectomy With Mcc 10 5 — — $31,553.95 $31,553.95 $31,553.95 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 14 5 — — $31,489.62 $79,252.00 $31,489.62 2026-04-01
28297 HCPCS Correction Hallux Valgus 10 4 — — $16,662.22 $35,448.00 $31,282.00 2026-04-01
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