Price Transparency 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

MEMORIAL MEDICAL CENTER

Modesto, CA · CCN 050557 · Rates published

9,651 distinct procedures filed
10 distinct payers
43,750 rate rows
2026-04-01 last MRF observed
Data quality

23,215 of 43,750 rate rows are consumer-grade (53.1%)

20,535 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 20,525
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/941156621-1699129601_memorial-medical-center_standardcharges.csv
Found on page https://www.sutterhealth.org/billing-insurance/costs-and-charges/cost-transparency/
Discovered viaCMS hospital list
Last fetch not_modified · 2026-06-18
Content fingerprint e0e7f7861c2527af… · 19,322,184 bytes · first seen 2026-06-08

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
$754,974
2.0× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 2 $533,230.17 $1,340,483.41 $1,340,483.41 nat. median
$634,511
outlier · 2.1×
215
MS_DRG 		Other Heart Assist System Implant 8 $96,933.92 $575,485.00 $443,123.00 nat. median
$99,019
outlier · 4.5×
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 6 $418,864.48 $418,864.48 $418,864.48 nat. median
$370,174
1.1× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 8 $76,700.98 $410,955.00 $310,526.00 nat. median
$77,576
outlier · 4.0×
22
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 8 $31,245.19 $410,955.00 $310,526.00 nat. median
$34,274
outlier · 9.1×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 6 $271,987.26 $271,987.26 $271,987.26 nat. median
$265,286
1.0× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 9 $95,246.06 $407,522.00 $268,250.50 nat. median
$93,672
outlier · 2.9×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 8 $107,245.14 $348,390.00 $263,023.00 nat. median
$98,905
outlier · 2.7×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 8 $87,754.39 $348,390.00 $263,023.00 nat. median
$82,712
outlier · 3.2×
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 8 $59,837.95 $424,324.00 $242,752.00 nat. median
$60,726
outlier · 4.0×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 8 $69,546.50 $322,425.00 $241,441.00 nat. median
$68,887
outlier · 3.5×
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 8 $64,168.04 $317,867.00 $238,907.00 nat. median
$61,920
outlier · 3.9×
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 8 $59,200.40 $312,774.00 $233,702.00 nat. median
$59,899
outlier · 3.9×
21
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 8 $51,751.36 $308,164.00 $232,453.00 nat. median
$54,066
outlier · 4.3×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 8 $82,137.58 $308,726.00 $230,914.00 nat. median
$79,312
outlier · 2.9×
458
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 8 $40,231.93 $304,669.00 $229,954.00 nat. median
$42,730
outlier · 5.4×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 8 $81,880.82 $304,669.00 $229,954.00 nat. median
$81,118
outlier · 2.8×
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 8 $58,236.33 $304,669.00 $229,954.00 nat. median
$58,024
outlier · 4.0×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 8 $74,855.20 $292,637.00 $221,060.00 nat. median
$74,915
outlier · 3.0×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 6 $207,327.53 $207,327.53 $207,327.53 nat. median
$206,368
1.0× median
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 8 $58,657.80 $273,339.00 $206,623.00 nat. median
$59,099
outlier · 3.5×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 7 $1,203.57 $206,113.47 $206,113.47 nat. median
$202,986
1.0× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 9 $58,078.61 $338,245.00 $205,797.00 nat. median
$64,510
outlier · 3.2×
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 2 $192,725.00 $210,787.68 $201,756.34 nat. median
$65,381
outlier · 3.1×
24
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 8 $38,361.89 $258,652.00 $199,163.00 nat. median
$38,489
outlier · 5.2×
230
MS_DRG 		Other Cardiothoracic Procedures Without Cc/mcc 1 $151,089.00 $239,834.00 $195,461.50 nat. median
$29,793
outlier · 6.6×
209
MS_DRG 		Complex Aortic Arch Procedures 7 $110,128.64 $287,062.00 $192,743.50 nat. median
$98,017
2.0× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 2 $56,824.55 $189,311.16 $189,311.16 nat. median
$62,507
outlier · 3.0×
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 8 $70,401.08 $242,086.00 $183,485.00 nat. median
$68,090
outlier · 2.7×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 9 $74,534.49 $276,053.00 $181,530.00 nat. median
$73,807
outlier · 2.5×
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 8 $1,500.00 $262,238.00 $175,693.50 nat. median
$55,929
outlier · 3.1×
430
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 8 $56,337.25 $227,068.00 $172,101.00 nat. median
$54,596
outlier · 3.2×
277
MS_DRG 		Cardiac Defibrillator Implant Without Mcc 8 $45,208.26 $247,637.00 $170,947.00 nat. median
$46,109
outlier · 3.7×
402
MS_DRG 		Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 8 $39,414.14 $219,136.00 $165,989.00 nat. median
$39,420
outlier · 4.2×
236
MS_DRG 		Coronary Bypass Without Cardiac Catheterization Without Mcc 8 $40,343.72 $198,152.00 $160,854.50 nat. median
$42,002
outlier · 3.8×
428
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 8 $54,931.35 $208,725.00 $160,717.00 nat. median
$54,211
outlier · 3.0×
450
MS_DRG 		Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically… 8 $52,098.23 $266,282.00 $159,961.00 nat. median
$51,319
outlier · 3.1×
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 8 $65,198.00 $279,966.00 $159,961.00 nat. median
$63,738
outlier · 2.5×
229
MS_DRG 		Other Cardiothoracic Procedures Without Mcc 8 $30,974.86 $231,802.00 $159,652.00 nat. median
$33,154
outlier · 4.8×
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 8 $67,099.98 $207,704.00 $156,941.00 nat. median
$65,950
outlier · 2.4×
234
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 9 $41,154.39 $276,053.00 $154,927.00 nat. median
$53,268
outlier · 2.9×
405
MS_DRG 		Pancreas, Liver And Shunt Procedures With Mcc 8 $53,463.44 $211,463.00 $154,597.00 nat. median
$52,836
outlier · 2.9×
228
MS_DRG 		Other Cardiothoracic Procedures With Mcc 9 $20,741.86 $226,561.00 $153,356.00 nat. median
$50,673
outlier · 3.0×
319
MS_DRG 		Other Endovascular Cardiac Valve Procedures With Mcc 8 $43,700.63 $209,403.00 $153,090.00 nat. median
$43,762
outlier · 3.5×
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 8 $57,320.70 $201,868.00 $152,576.00 nat. median
$57,424
outlier · 2.7×
J7330
HCPCS 		Cultured Chondrocytes Implnt 1 $146,326.57 $146,326.57 $146,326.57 nat. median
$76,377
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×
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 8 $65,245.47 $220,669.00 $143,659.00 nat. median
$60,691
outlier · 2.4×
460
MS_DRG 		Spinal Fusion Except Cervical Without Mcc 2 $139,245.00 $144,893.00 $142,069.00 nat. median
$39,075
outlier · 3.6×

Other procedures at this hospital

Browse this hospital's 9,651 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 3 2 — — $591,726.20 $1,476,857.10 $1,476,857.10 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 3 2 — — $533,230.17 $1,340,483.41 $1,340,483.41 2026-04-01
215 MS_DRG Other Heart Assist System Implant 15 8 — — $96,933.92 $575,485.00 $443,123.00 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 6 6 — — $418,864.48 $418,864.48 $418,864.48 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 15 8 — — $76,700.98 $410,955.00 $310,526.00 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 15 8 — — $31,245.19 $410,955.00 $310,526.00 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 6 6 — — $271,987.26 $271,987.26 $271,987.26 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 9 — — $95,246.06 $407,522.00 $268,250.50 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 8 — — $107,245.14 $348,390.00 $263,023.00 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 15 8 — — $87,754.39 $348,390.00 $263,023.00 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 15 8 — — $59,837.95 $424,324.00 $242,752.00 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 15 8 — — $69,546.50 $322,425.00 $241,441.00 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 15 8 — — $64,168.04 $317,867.00 $238,907.00 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 15 8 — — $59,200.40 $312,774.00 $233,702.00 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 15 8 — — $51,751.36 $308,164.00 $232,453.00 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 15 8 — — $82,137.58 $308,726.00 $230,914.00 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 15 8 — — $58,236.33 $304,669.00 $229,954.00 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 19 8 — — $40,231.93 $304,669.00 $229,954.00 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 15 8 — — $81,880.82 $304,669.00 $229,954.00 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 15 8 — — $74,855.20 $292,637.00 $221,060.00 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 6 6 — — $207,327.53 $207,327.53 $207,327.53 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 15 8 — — $58,657.80 $273,339.00 $206,623.00 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 7 7 — — $1,203.57 $206,113.47 $206,113.47 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 17 9 — — $58,078.61 $338,245.00 $205,797.00 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 2 2 — — $192,725.00 $210,787.68 $201,756.34 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 15 8 — — $38,361.89 $258,652.00 $199,163.00 2026-04-01
230 MS_DRG Other Cardiothoracic Procedures Without Cc/mcc 2 1 — — $151,089.00 $239,834.00 $195,461.50 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 14 7 — — $110,128.64 $287,062.00 $192,743.50 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 3 2 — — $56,824.55 $189,311.16 $189,311.16 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 8 — — $70,401.08 $242,086.00 $183,485.00 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 18 9 — — $74,534.49 $276,053.00 $181,530.00 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 16 8 — — $1,500.00 $262,238.00 $175,693.50 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 15 8 — — $56,337.25 $227,068.00 $172,101.00 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 15 8 — — $45,208.26 $247,637.00 $170,947.00 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 15 8 — — $39,414.14 $219,136.00 $165,989.00 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 18 8 — — $40,343.72 $198,152.00 $160,854.50 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 8 — — $54,931.35 $208,725.00 $160,717.00 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 15 8 — — $52,098.23 $266,282.00 $159,961.00 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 15 8 — — $65,198.00 $279,966.00 $159,961.00 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 16 8 — — $30,974.86 $231,802.00 $159,652.00 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 15 8 — — $67,099.98 $207,704.00 $156,941.00 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 19 9 — — $41,154.39 $276,053.00 $154,927.00 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 15 8 — — $53,463.44 $211,463.00 $154,597.00 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 16 9 — — $20,741.86 $226,561.00 $153,356.00 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 13 8 — — $43,700.63 $209,403.00 $153,090.00 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 15 8 — — $57,320.70 $201,868.00 $152,576.00 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 2 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
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 15 8 — — $65,245.47 $220,669.00 $143,659.00 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 2 2 — — $139,245.00 $144,893.00 $142,069.00 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 15 8 — — $58,674.28 $185,895.00 $140,322.00 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 15 8 — — $52,129.24 $183,588.00 $139,187.00 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 7 7 — — $30,022.51 $134,667.44 $134,667.44 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 5 3 — — $55,272.32 $162,691.22 $131,139.34 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 16 8 — — $37,230.73 $204,843.00 $129,424.00 2026-04-01
7 MS_DRG Lung Transplant 6 6 — — $125,935.55 $125,935.55 $125,935.55 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 15 8 — — $53,972.12 $166,182.00 $125,553.00 2026-04-01
J9226 HCPCS Supprelin La Implant 7 3 — — $45,020.65 $129,708.04 $122,953.40 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 15 8 — — $41,548.66 $201,292.00 $122,064.00 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 15 8 — — $31,758.72 $164,252.00 $120,181.00 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 16 9 — — $34,257.56 $158,256.00 $116,972.58 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 6 6 — — $116,902.34 $116,902.34 $116,902.34 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 16 9 — — $31,295.52 $182,582.00 $115,358.00 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 16 9 — — $44,152.92 $167,382.00 $115,251.00 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 21 9 — — $32,653.66 $176,772.00 $113,453.00 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 6 6 — — $110,254.60 $110,254.60 $110,254.60 2026-04-01
5378 OTHER Level 8 Urology And Related Services 1 1 — — $109,508.79 $109,508.79 $109,508.79 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 6 6 — — $105,819.86 $105,819.86 $105,819.86 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 19 10 — — $44,982.43 $168,499.00 $103,857.00 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 14 7 — — $33,776.00 $150,019.00 $100,704.50 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 15 8 — — $43,871.16 $132,958.00 $100,375.00 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 6 6 — — $100,359.04 $100,359.04 $100,359.04 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 17 9 — — $31,394.41 $162,446.00 $98,067.00 2026-04-01
32 MS_DRG Ventricular Shunt Procedures With Cc 15 8 — — $21,106.44 $124,972.00 $96,230.00 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 16 8 — — $47,244.93 $122,438.00 $94,360.60 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 14 7 — — $55,753.96 $139,098.00 $93,349.00 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 17 8 — — $26,232.01 $149,333.00 $92,857.00 2026-04-01
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 23 9 — — $17,240.43 $125,550.00 $91,778.00 2026-04-01
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 16 8 — — $21,105.47 $120,974.00 $90,973.48 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 1 1 — — $89,870.47 $89,870.47 $89,870.47 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 16 8 — — $34,043.39 $135,416.00 $89,122.50 2026-04-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 13 8 — — $23,764.18 $119,887.00 $87,647.00 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 13 8 — — $27,172.83 $117,468.00 $85,879.00 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 6 6 — — $84,362.21 $84,362.21 $84,362.21 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 15 8 — — $50,894.84 $112,319.00 $83,944.00 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 16 8 — — $41,378.13 $127,275.00 $83,813.50 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 16 8 — — $35,057.88 $132,645.00 $83,808.50 2026-04-01
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 14 7 — — $23,851.38 $123,067.00 $82,674.50 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 15 8 — — $32,356.54 $106,705.00 $82,162.00 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 19 9 — — $25,170.11 $105,940.00 $81,572.00 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 15 8 — — $29,848.01 $106,899.00 $80,735.00 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 16 8 — — $29,004.09 $94,905.00 $79,453.50 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 16 8 — — $29,954.66 $114,444.00 $76,832.00 2026-04-01
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 16 8 — — $19,148.26 $93,108.00 $76,643.50 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 10 8 — — $72,663.58 $456,696.23 $74,289.35 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 3 2 — — $24,228.42 $74,101.05 $74,101.05 2026-04-01
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 16 9 — — $10,681.22 $107,122.00 $73,709.50 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 15 8 — — $35,588.85 $97,580.00 $73,687.00 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 16 8 — — $28,559.35 $96,561.00 $73,678.00 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 17 8 — — $24,615.57 $124,907.00 $73,413.00 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 16 8 — — $24,903.63 $100,968.00 $73,289.26 2026-04-01
5116 OTHER Level 6 Musculoskeletal Procedures 3 3 — — $23,420.87 $86,687.80 $72,631.94 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 17 8 — — $32,352.66 $93,251.00 $71,805.00 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 16 8 — — $40,431.50 $105,843.00 $71,040.50 2026-04-01
10 MS_DRG Pancreas Transplant 6 6 — — $69,985.42 $69,985.42 $69,985.42 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 6 6 — — $69,956.35 $69,956.35 $69,956.35 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 6 6 — — $69,587.19 $69,587.19 $69,587.19 2026-04-01
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/Mcc 15 8 — — $17,971.99 $91,925.00 $69,313.00 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 16 8 — — $28,676.59 $102,443.00 $67,474.50 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 9 8 — — $26,302.40 $90,016.00 $67,428.44 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 16 9 — — $36,033.58 $85,599.00 $67,309.54 2026-04-01
30 MS_DRG Spinal Procedures Without Cc/Mcc 15 8 — — $21,728.49 $88,315.00 $66,468.00 2026-04-01
42 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/Mcc 15 8 — — $17,198.80 $85,406.00 $65,763.00 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 6 6 — — $65,677.61 $65,677.61 $65,677.61 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 6 6 — — $63,936.47 $63,936.47 $63,936.47 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 19 9 — — $23,711.28 $104,140.00 $63,859.00 2026-04-01
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/Mcc 15 8 — — $21,096.75 $86,865.00 $63,504.00 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 17 8 — — $24,707.94 $86,632.00 $63,335.00 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 11 8 — — $39,242.43 $281,908.00 $62,805.74 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 19 8 — — $32,855.20 $100,553.00 $62,576.00 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 15 8 — — $30,903.16 $82,477.00 $62,271.00 2026-04-01
259 MS_DRG Cardiac Pacemaker Device Replacement Without Mcc 15 8 — — $20,051.29 $82,477.00 $62,271.00 2026-04-01
27447 HCPCS Total Knee Arthroplasty 3 2 — — $16,512.69 $61,651.00 $61,651.00 2026-04-01
2046 OTHER Pmkr, Dual, Leadless 1 1 — — $61,613.14 $61,613.14 $61,613.14 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 16 9 — — $20,712.75 $93,230.00 $61,256.00 2026-04-01
J9266 HCPCS Pegaspargase Injection 7 3 — — $28,424.06 $62,262.23 $61,062.67 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 16 8 — — $24,112.99 $82,416.00 $60,808.50 2026-04-01
55866 HCPCS Laparo Radical Prostatectomy 7 5 — — $13,671.74 $63,415.00 $60,400.00 2026-04-01
50544 HCPCS Laparoscopy Pyeloplasty 7 5 — — $13,671.74 $63,415.00 $60,400.00 2026-04-01
496 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 15 8 — — $17,937.11 $80,545.00 $60,244.00 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 6 6 — — $59,769.15 $59,769.15 $59,769.15 2026-04-01
27130 HCPCS Total Hip Arthroplasty 3 2 — — $16,512.69 $59,605.00 $59,605.00 2026-04-01
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 16 8 — — $21,605.43 $90,156.00 $59,316.50 2026-04-01
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 14 7 — — $23,927.93 $88,495.00 $59,313.50 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 16 9 — — $20,848.52 $93,018.00 $58,772.50 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 14 8 — — $28,576.79 $81,413.00 $58,579.50 2026-04-01
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/Mcc 15 8 — — $21,200.43 $80,106.00 $58,563.00 2026-04-01
131 MS_DRG Cranial/Facial Procedures W Cc/Mcc 2 1 — — $44,967.00 $71,378.00 $58,172.50 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 7 7 — — $27,761.52 $58,046.42 $58,046.42 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 6 6 — — $57,912.71 $57,912.71 $57,912.71 2026-04-01
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 19 10 — — $18,782.65 $102,443.00 $57,571.00 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 7 7 — — $34,124.82 $57,283.88 $57,283.88 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 15 8 — — $36,670.16 $75,667.00 $57,068.00 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 18 9 — — $23,648.71 $153,016.00 $56,924.13 2026-04-01
582 MS_DRG Mastectomy For Malignancy With Cc/Mcc 15 8 — — $19,125.97 $77,137.00 $56,392.00 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 18 10 — — $34,322.30 $120,510.00 $56,348.12 2026-04-01
336 MS_DRG Peritoneal Adhesiolysis With Cc 17 9 — — $14,729.06 $76,880.00 $56,204.00 2026-04-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 17 9 — — $11,055.75 $87,711.86 $55,726.00 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 8 6 — — $55,682.26 $234,728.00 $55,682.26 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 6 6 — — $54,762.76 $54,762.76 $54,762.76 2026-04-01
58546 HCPCS Laparo-myomectomy Complex 7 5 — — $13,671.74 $59,884.00 $54,607.00 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 6 6 — — $54,390.69 $54,390.69 $54,390.69 2026-04-01
A9604 HCPCS Sm 153 Lexidronam 3 2 — — $3,159.80 $54,373.92 $54,373.92 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 15 8 — — $31,975.76 $71,674.00 $54,216.00 2026-04-01
261 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Cc 17 8 — — $18,466.69 $71,674.00 $54,216.00 2026-04-01
262 MS_DRG Cardiac Pacemaker Revision Except Device Replacement Without Cc/Mcc 15 8 — — $16,251.20 $71,674.00 $54,216.00 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 6 6 — — $53,651.41 $53,651.41 $53,651.41 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 1 1 — — $53,650.43 $53,650.43 $53,650.43 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 6 6 — — $53,304.54 $53,304.54 $53,304.54 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 6 6 — — $53,093.31 $53,093.31 $53,093.31 2026-04-01
165 MS_DRG Major Chest Procedures Without Cc/Mcc 16 8 — — $19,005.83 $65,782.00 $52,853.00 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 15 8 — — $29,724.96 $67,590.00 $52,044.00 2026-04-01
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/Mcc 15 8 — — $16,261.85 $69,065.00 $51,865.00 2026-04-01
5231 OTHER Level 1 Icd And Similar Procedures 2 2 — — $28,585.29 $73,843.99 $51,214.64 2026-04-01
737 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 15 8 — — $20,424.32 $69,998.00 $51,174.00 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 6 6 — — $50,807.64 $50,807.64 $50,807.64 2026-04-01
38 MS_DRG Extracranial Procedures With Cc 16 9 — — $16,180.46 $73,825.00 $50,717.00 2026-04-01
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/Mcc 15 8 — — $22,136.40 $69,007.00 $50,449.00 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 15 8 — — $29,689.11 $65,940.00 $49,855.00 2026-04-01
585 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/Mcc 15 8 — — $19,150.20 $68,181.00 $49,846.00 2026-04-01
254 MS_DRG Other Vascular Procedures Without Cc/Mcc 16 9 — — $16,619.08 $74,903.00 $49,318.00 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 8 7 — — $15,236.77 $48,782.60 $48,782.60 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 15 8 — — $31,171.80 $402,183.00 $48,309.77 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 8 7 — — $25,576.95 $92,500.00 $48,146.02 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 6 6 — — $47,947.39 $47,947.39 $47,947.39 2026-04-01
251 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc 16 8 — — $14,702.23 $76,130.00 $47,451.00 2026-04-01
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 16 8 — — $19,839.10 $70,411.00 $47,302.50 2026-04-01
33 MS_DRG Ventricular Shunt Procedures Without Cc/Mcc 16 8 — — $15,780.97 $71,674.00 $47,259.00 2026-04-01
132 MS_DRG Cranial/Facial Procedures Without Cc/Mcc 5 3 — — $31,542.00 $54,280.00 $47,036.00 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 6 6 — — $47,008.51 $47,008.51 $47,008.51 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 19 9 — — $42,875.97 $234,169.00 $46,587.03 2026-04-01
503 MS_DRG Foot Procedures With Mcc 15 8 — — $27,502.26 $61,068.00 $46,325.00 2026-04-01
504 MS_DRG Foot Procedures With Cc 15 8 — — $18,569.81 $61,068.00 $46,325.00 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 20 10 — — $422.43 $70,034.00 $46,024.50 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 6 6 — — $46,011.49 $46,011.49 $46,011.49 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 7 7 — — $22,452.68 $45,918.48 $45,918.48 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 6 6 — — $45,782.83 $45,782.83 $45,782.83 2026-04-01
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/Mcc 15 8 — — $21,964.90 $62,532.00 $45,716.00 2026-04-01
581 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/Mcc 15 8 — — $14,441.26 $62,257.00 $45,516.00 2026-04-01
397 MS_DRG Appendix Procedures With Mcc 16 9 — — $12,091.00 $76,087.00 $45,499.50 2026-04-01
49656 HCPCS Lap Inc Hernia Repair Recur 1 1 — — $45,468.00 $45,468.00 $45,468.00 2026-04-01
5094 OTHER Level 4 Breast/Lymphatic Surgery And Related Procedures 7 5 — — $3,306.46 $91,855.19 $45,451.34 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 6 6 — — $45,387.51 $45,387.51 $45,387.51 2026-04-01
740 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Cc 15 8 — — $17,992.34 $61,600.00 $45,035.00 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 10 8 — — $44,859.41 $95,023.36 $44,995.10 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 6 6 — — $44,881.74 $44,881.74 $44,881.74 2026-04-01
245 MS_DRG Aicd Generator Procedures 6 6 — — $44,664.70 $44,664.70 $44,664.70 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 7 7 — — $44,531.96 $47,859.15 $44,531.96 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 6 6 — — $44,340.11 $44,340.11 $44,340.11 2026-04-01
507 MS_DRG Major Shoulder Or Elbow Joint Procedures With Cc/Mcc 15 8 — — $17,961.33 $58,620.00 $44,314.00 2026-04-01
508 MS_DRG Major Shoulder Or Elbow Joint Procedures Without Cc/Mcc 15 8 — — $15,132.10 $58,620.00 $44,314.00 2026-04-01
23615 HCPCS Treat Humerus Fracture 5 4 — — $16,512.69 $50,020.00 $44,143.00 2026-04-01
583 MS_DRG Mastectomy For Malignancy Without Cc/Mcc 15 8 — — $17,166.82 $60,076.00 $43,922.00 2026-04-01
58544 HCPCS Lsh W/t/o Uterus Above 250 G 7 5 — — $13,671.74 $47,497.00 $43,313.00 2026-04-01
499 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Without… 15 8 — — $19,980.56 $57,770.00 $43,066.00 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 7 6 — — $43,021.41 $434,786.77 $43,021.41 2026-04-01
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 16 9 — — $20,606.48 $64,895.00 $42,485.50 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 7 6 — — $41,612.53 $42,387.74 $42,387.74 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 8 6 — — $42,053.47 $140,292.00 $42,053.47 2026-04-01
658 MS_DRG Kidney And Ureter Procedures For Neoplasm Without Cc/Mcc 15 8 — — $15,494.47 $54,343.00 $41,844.00 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 6 6 — — $41,786.05 $41,786.05 $41,786.05 2026-04-01
5626 OTHER Level 6 Radiation Therapy 3 2 — — $7,611.09 $66,388.36 $41,639.49 2026-04-01
716 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy Without Cc/Mcc 15 8 — — $14,711.59 $56,613.00 $41,389.00 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 6 6 — — $41,308.37 $41,308.37 $41,308.37 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 8 8 — — $41,288.02 $198,096.58 $41,288.02 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 9 7 — — $31,027.53 $180,181.00 $41,168.84 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 6 6 — — $41,120.40 $41,120.40 $41,120.40 2026-04-01
506 MS_DRG Major Thumb Or Joint Procedures 15 8 — — $13,531.44 $55,028.00 $41,082.00 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 8 7 — — $4,950.00 $40,858.79 $40,858.79 2026-04-01
5232 OTHER Level 2 Icd And Similar Procedures 1 1 — — $40,842.18 $40,842.18 $40,842.18 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 6 6 — — $40,697.95 $40,697.95 $40,697.95 2026-04-01
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 17 9 — — $11,387.04 $68,830.00 $40,455.69 2026-04-01
33270 HCPCS Hchg Ins/rep Subq Defibrillator 1 1 — — $40,371.32 $40,371.32 $40,371.32 2026-04-01
33249 HCPCS Hchg Insrt/rplc Perm Imp Defib W Tv Leads Sngl/dual 1 1 — — $40,371.32 $40,371.32 $40,371.32 2026-04-01
33264 HCPCS Hchg Remove Replace Imp Defib Puls Gen Sys Mult Lead 1 1 — — $40,371.32 $40,371.32 $40,371.32 2026-04-01
0915T HCPCS Insj Perm Ccm-d Sys Pg&eltrd 1 1 — — $40,371.32 $40,371.32 $40,371.32 2026-04-01
0408T HCPCS Insj/rplc Cardiac Modulj Sys 1 1 — — $40,371.32 $40,371.32 $40,371.32 2026-04-01
0571T HCPCS Insj/rplcmt Icds Ss Eltrd 1 1 — — $40,371.32 $40,371.32 $40,371.32 2026-04-01
33231 HCPCS Hchg Insrt Imp Defib Pulse Gen Only W Multi Leads 1 1 — — $40,371.32 $40,371.32 $40,371.32 2026-04-01
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/Mcc 18 8 — — $570.00 $50,141.00 $40,286.50 2026-04-01
5623 OTHER Level 3 Radiation Therapy 6 5 — — $6,864.12 $95,172.91 $40,054.89 2026-04-01
578 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis Without Cc/Mcc 15 8 — — $16,023.50 $54,455.00 $39,811.00 2026-04-01
791 MS_DRG Prematurity With Major Problems 8 7 — — $1,149.06 $39,787.17 $39,787.17 2026-04-01
61886 HCPCS Implant Neurostim Arrays 1 1 — — $39,688.16 $39,688.16 $39,688.16 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 1 1 — — $39,688.16 $39,688.16 $39,688.16 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 1 1 — — $39,688.16 $39,688.16 $39,688.16 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 1 1 — — $39,688.16 $39,688.16 $39,688.16 2026-04-01
0909T HCPCS Rplcmt Int Nstim Sys Vgs Nrv 1 1 — — $39,688.16 $39,688.16 $39,688.16 2026-04-01
0908T HCPCS Opn Imp Int Nstm Sys Vgs Nrv 1 1 — — $39,688.16 $39,688.16 $39,688.16 2026-04-01
63685 HCPCS Hchg Inst/repl Spine Pulse Gen Pocket 1 1 — — $39,688.16 $39,688.16 $39,688.16 2026-04-01
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 1 1 — — $39,688.16 $39,688.16 $39,688.16 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 1 1 — — $39,688.16 $39,688.16 $39,688.16 2026-04-01
0674T HCPCS Laps Insj Nw/rpcmt Prm Isdss 1 1 — — $39,688.16 $39,688.16 $39,688.16 2026-04-01
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 23 10 — — $12,493.47 $70,034.00 $39,341.00 2026-04-01
27427 HCPCS Reconstruction Knee 7 5 — — $9,332.70 $42,642.00 $39,330.00 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 6 6 — — $39,061.45 $39,061.45 $39,061.45 2026-04-01
5465 OTHER Level 5 Neurostimulator And Related Procedures 1 1 — — $38,800.07 $38,800.07 $38,800.07 2026-04-01
334 MS_DRG Rectal Resection Without Cc/Mcc 15 8 — — $16,328.71 $50,267.00 $38,706.00 2026-04-01
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 17 10 — — $17,079.86 $111,964.98 $38,648.00 2026-04-01
29916 HCPCS Hip Arthro W/labral Repair 5 4 — — $9,332.70 $44,666.00 $38,488.00 2026-04-01
744 MS_DRG D&c, Conization, Laparoscopy And Tubal Interruption With Cc/Mcc 15 8 — — $20,312.90 $52,386.00 $38,297.00 2026-04-01
58573 HCPCS Tlh W/t/o Uterus Over 250 G 7 5 — — $13,671.74 $43,799.00 $38,234.00 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 6 6 — — $38,190.39 $38,190.39 $38,190.39 2026-04-01
63 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 13 8 — — $14,060.47 $52,079.00 $38,073.00 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 6 6 — — $37,962.70 $37,962.70 $37,962.70 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 6 6 — — $37,906.50 $37,906.50 $37,906.50 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 6 6 — — $37,658.46 $37,658.46 $37,658.46 2026-04-01
5624 OTHER Level 4 Radiation Therapy 1 1 — — $37,646.76 $37,646.76 $37,646.76 2026-04-01
520 MS_DRG Back And Neck Procedures Except Spinal Fusion Without Cc/Mcc 15 8 — — $14,933.47 $49,508.00 $37,431.00 2026-04-01
505 MS_DRG Foot Procedures Without Cc/Mcc 15 8 — — $17,829.56 $49,599.00 $37,313.00 2026-04-01
497 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 15 8 — — $12,166.24 $49,100.00 $37,094.00 2026-04-01
398 MS_DRG Appendix Procedures With Cc 18 9 — — $14,983.69 $56,211.00 $37,029.50 2026-04-01
57425 HCPCS Laparoscopy Surg Colpopexy 7 5 — — $13,671.74 $40,554.00 $36,982.00 2026-04-01
5362 OTHER Level 2 Laparoscopy And Related Services 7 5 — — $1,082.07 $53,247.37 $36,957.00 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 7 6 — — $36,919.17 $142,208.64 $36,919.17 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 8 6 — — $36,760.27 $110,888.00 $36,760.27 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 8 7 — — $31,295.52 $37,632.20 $36,674.04 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 8 6 — — $36,568.42 $118,053.00 $36,568.42 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 6 6 — — $36,364.95 $36,364.95 $36,364.95 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 6 6 — — $36,048.12 $36,048.12 $36,048.12 2026-04-01
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 16 8 — — $16,759.88 $47,209.00 $36,020.50 2026-04-01
713 MS_DRG Transurethral Prostatectomy With Cc/Mcc 16 8 — — $15,025.51 $46,845.00 $35,748.00 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 6 6 — — $35,615.98 $35,615.98 $35,615.98 2026-04-01
39 MS_DRG Extracranial Procedures Without Cc/Mcc 16 8 — — $11,352.91 $52,203.00 $35,543.50 2026-04-01
332 MS_DRG Rectal Resection With Mcc 6 6 — — $35,540.40 $35,540.40 $35,540.40 2026-04-01
265 MS_DRG Aicd Lead Procedures 7 7 — — $9,572.00 $35,516.18 $35,516.18 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 8 6 — — $35,454.17 $195,970.00 $35,454.17 2026-04-01
27814 HCPCS Treatment Of Ankle Fracture 7 5 — — $9,332.70 $39,838.00 $35,420.00 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 6 6 — — $35,401.85 $35,401.85 $35,401.85 2026-04-01
735 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy Without Cc/Mcc 15 8 — — $13,495.59 $45,823.00 $35,284.00 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 6 6 — — $35,173.18 $35,173.18 $35,173.18 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 6 6 — — $35,092.76 $35,092.76 $35,092.76 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 9 7 — — $35,006.53 $129,168.00 $35,006.53 2026-04-01
63042 HCPCS Laminotomy Single Lumbar 7 5 — — $9,332.70 $38,359.00 $34,980.00 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 9 6 — — $34,398.79 $116,412.00 $34,977.46 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 9 6 — — $34,944.52 $115,984.00 $34,944.52 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 9 7 — — $34,558.89 $125,211.00 $34,558.89 2026-04-01
59151 HCPCS Treat Ectopic Pregnancy 7 5 — — $7,775.56 $36,108.00 $34,392.00 2026-04-01
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/Mcc 18 9 — — $13,914.18 $44,411.00 $34,299.50 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 6 6 — — $34,248.84 $34,248.84 $34,248.84 2026-04-01
27524 HCPCS Treat Kneecap Fracture 7 5 — — $9,332.70 $37,541.00 $34,234.00 2026-04-01
58571 HCPCS Tlh W/t/o 250 G Or Less 7 5 — — $13,671.74 $39,760.00 $34,173.00 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 6 6 — — $34,093.81 $34,093.81 $34,093.81 2026-04-01
5613 OTHER Level 3 Therapeutic Radiation Treatment Preparation 5 3 — — $3,012.40 $44,329.54 $34,002.26 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 8 6 — — $33,931.03 $97,972.00 $33,931.03 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 6 6 — — $33,677.18 $33,677.18 $33,677.18 2026-04-01
93653 HCPCS Ep & Ablate Supravent Arrhyt 1 1 — — $33,617.65 $33,617.65 $33,617.65 2026-04-01
93654 HCPCS Ep & Ablate Ventric Tachy 1 1 — — $33,617.65 $33,617.65 $33,617.65 2026-04-01
93656 HCPCS Hchg Ca Compre Ep Eval Abltj Atr Fib 1 1 — — $33,617.65 $33,617.65 $33,617.65 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 6 6 — — $33,470.80 $33,470.80 $33,470.80 2026-04-01
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