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Hospital

SAN RAMON REGIONAL MEDICAL CENTER

San Ramon, CA · CCN 050689 · Rates published

13,486 distinct procedures filed
21 distinct payers
222,056 rate rows
2026-09-01 last MRF observed
Data quality

167,814 of 222,056 rate rows are consumer-grade (75.6%)

54,242 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 51,852
per-diem day rate — not a per-procedure price 1,337
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 885
exceeds 10× this hospital's gross charge — excluded from medians 90
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 54
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 23
placeholder amount (≤ $0.02) — excluded from medians 1
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://mrfs.hyvehealthcare.com/TenetHealth/752918809_san-ramon-regional-medical-center_standardcharges.json
Found on page https://mrfs.hyvehealthcare.com/TenetHealth/
Discovered viaDiscovered by HANK (automated)
Last fetch success · 2026-11-03
Content fingerprint f1a61e5574656835… · 42,435,530 bytes · first seen 2026-11-03

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 1 $989,404.31 $989,404.31 $989,404.31 nat. median
$359,244
outlier · 2.8×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 2 $489,182.66 $489,182.66 $489,182.66 nat. median
$198,115
outlier · 2.5×
583
MS_DRG 		Mastectomy For Malignancy Without Cc/mcc 3 $39,509.45 $864,214.80 $404,080.92 nat. median
$16,717
outlier · 24.2×
11
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 3 $114,505.56 $535,335.85 $296,011.11 nat. median
$49,944
outlier · 5.9×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 1 $275,354.12 $275,354.12 $275,354.12 nat. median
$110,084
outlier · 2.5×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 2 $43,890.00 $486,311.78 $265,100.89 nat. median
$190,359
1.4× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 3 $119,414.69 $486,164.65 $242,058.84 nat. median
$103,938
outlier · 2.3×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 3 $77,472.42 $642,083.60 $179,502.71 nat. median
$248,541
0.7× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 1 $174,587.15 $174,587.15 $174,587.15 nat. median
$67,908
outlier · 2.6×
593
MS_DRG 		Skin Ulcers With Cc 3 $27,180.51 $331,749.51 $170,517.15 nat. median
$11,933
outlier · 14.3×
7
MS_DRG 		Lung Transplant 3 $84,867.01 $299,487.44 $166,557.73 nat. median
$117,977
1.4× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 3 $66,822.97 $317,363.28 $164,980.98 nat. median
$126,461
1.3× median
10
MS_DRG 		Pancreas Transplant 1 $164,409.64 $164,409.64 $164,409.64 nat. median
$64,851
outlier · 2.5×
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 2 $164,340.90 $164,340.90 $164,340.90 nat. median
$61,263
outlier · 2.7×
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 1 $163,467.96 $163,467.96 $163,467.96 nat. median
$66,623
outlier · 2.5×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 1 $158,363.16 $158,363.16 $158,363.16 nat. median
$62,577
outlier · 2.5×
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 1 $154,222.96 $154,222.96 $154,222.96 nat. median
$61,660
outlier · 2.5×
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 1 $150,105.68 $150,105.68 $150,105.68 nat. median
$58,052
outlier · 2.6×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 2 $73,289.00 $249,147.38 $144,034.85 nat. median
$97,137
1.5× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 1 $140,413.90 $140,413.90 $140,413.90 nat. median
$58,220
outlier · 2.4×
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 1 $140,251.23 $140,251.23 $140,251.23 nat. median
$58,234
outlier · 2.4×
28
MS_DRG 		Spinal Procedures With Mcc 1 $137,662.17 $137,662.17 $137,662.17 nat. median
$54,377
outlier · 2.5×
215
MS_DRG 		Other Heart Assist System Implant 2 $43,890.00 $228,134.78 $136,012.39 nat. median
$93,787
1.5× median
16
MS_DRG 		Autologous Bone Marrow Transplant With Cc/mcc 1 $135,861.29 $135,861.29 $135,861.29 nat. median
$53,841
outlier · 2.5×
278
MS_DRG 		Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures… 1 $127,532.77 $127,532.77 $127,532.77 nat. median
$47,998
outlier · 2.7×
834
MS_DRG 		Acute Leukemia With Mcc 1 $125,784.59 $125,784.59 $125,784.59 nat. median
$50,314
outlier · 2.5×
17
MS_DRG 		Autologous Bone Marrow Transplant Without Cc/mcc 1 $124,464.86 $124,464.86 $124,464.86 nat. median
$50,830
outlier · 2.4×
602
MS_DRG 		Cellulitis With Mcc 3 $32,564.83 $242,305.30 $123,792.30 nat. median
$14,007
outlier · 8.8×
6
MS_DRG 		Liver Transplant Without Mcc 3 $82,866.27 $185,874.15 $121,888.07 nat. median
$44,153
outlier · 2.8×
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 2 $73,289.00 $157,586.44 $121,144.61 nat. median
$63,829
1.9× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 3 $38,630.48 $236,234.18 $119,921.12 nat. median
$94,943
1.3× median
653
MS_DRG 		Major Bladder Procedures With Mcc 1 $119,059.92 $119,059.92 $119,059.92 nat. median
$49,995
outlier · 2.4×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 $43,890.00 $224,143.51 $119,005.10 nat. median
$90,512
1.3× median
841
MS_DRG 		Lymphoma And Non-acute Leukemia With Cc 3 $23,049.13 $345,823.55 $115,992.45 nat. median
$15,874
outlier · 7.3×
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 1 $113,153.20 $113,153.20 $113,153.20 nat. median
$45,362
outlier · 2.5×
239
MS_DRG 		Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 1 $112,765.99 $112,765.99 $112,765.99 nat. median
$45,172
outlier · 2.5×
576
MS_DRG 		Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 1 $112,296.29 $112,296.29 $112,296.29 nat. median
$46,626
outlier · 2.4×
270
MS_DRG 		Other Major Cardiovascular Procedures With Mcc 2 $73,289.00 $146,127.00 $111,970.65 nat. median
$49,305
outlier · 2.3×
630
MS_DRG 		Other Endocrine, Nutritional And Metabolic O.r. Procedures Without Cc/mcc 3 $26,337.61 $278,567.30 $110,632.27 nat. median
$14,529
outlier · 7.6×
837
MS_DRG 		Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 1 $110,076.12 $110,076.12 $110,076.12 nat. median
$45,402
outlier · 2.4×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 2 $43,890.00 $175,925.21 $109,361.44 nat. median
$72,247
1.5× median
267
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 1 $109,079.45 $109,079.45 $109,079.45 nat. median
$45,843
outlier · 2.4×
981
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 1 $107,498.52 $107,498.52 $107,498.52 nat. median
$43,609
outlier · 2.5×
319
MS_DRG 		Other Endovascular Cardiac Valve Procedures With Mcc 2 $73,289.00 $146,127.00 $107,311.49 nat. median
$41,514
outlier · 2.6×
826
MS_DRG 		Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r.… 1 $107,177.75 $107,177.75 $107,177.75 nat. median
$43,838
outlier · 2.4×
269
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 2 $73,289.00 $146,127.00 $105,938.49 nat. median
$40,001
outlier · 2.6×
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 1 $105,315.01 $105,315.01 $105,315.01 nat. median
$42,609
outlier · 2.5×
823
MS_DRG 		Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 1 $105,046.94 $105,046.94 $105,046.94 nat. median
$42,755
outlier · 2.5×
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 $43,890.00 $150,653.27 $104,307.05 nat. median
$59,493
1.8× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 $43,890.00 $150,653.27 $104,307.05 nat. median
$61,995
1.7× median

Other procedures at this hospital

Browse this hospital's 13,486 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
             
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 1 — — $989,404.31 $989,404.31 $989,404.31 2026-09-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 4 2 — — $489,182.66 $489,182.66 $489,182.66 2026-09-01
583 MS_DRG Mastectomy For Malignancy Without Cc/mcc 13 3 — — $39,509.45 $864,214.80 $404,080.92 2026-09-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 13 3 — — $114,505.56 $535,335.85 $296,011.11 2026-09-01
14 MS_DRG Allogeneic Bone Marrow Transplant 1 1 — — $275,354.12 $275,354.12 $275,354.12 2026-09-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 2 2 — — $43,890.00 $486,311.78 $265,100.89 2026-09-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 13 3 — — $119,414.69 $486,164.65 $242,058.84 2026-09-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 13 3 — — $77,472.42 $642,083.60 $179,502.71 2026-09-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 1 1 — — $174,587.15 $174,587.15 $174,587.15 2026-09-01
593 MS_DRG Skin Ulcers With Cc 13 3 — — $27,180.51 $331,749.51 $170,517.15 2026-09-01
7 MS_DRG Lung Transplant 13 3 — — $84,867.01 $299,487.44 $166,557.73 2026-09-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 13 3 — — $66,822.97 $317,363.28 $164,980.98 2026-09-01
10 MS_DRG Pancreas Transplant 1 1 — — $164,409.64 $164,409.64 $164,409.64 2026-09-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 4 2 — — $164,340.90 $164,340.90 $164,340.90 2026-09-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 1 1 — — $163,467.96 $163,467.96 $163,467.96 2026-09-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 1 1 — — $158,363.16 $158,363.16 $158,363.16 2026-09-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 1 1 — — $154,222.96 $154,222.96 $154,222.96 2026-09-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 1 1 — — $150,105.68 $150,105.68 $150,105.68 2026-09-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 4 2 — — $73,289.00 $249,147.38 $144,034.85 2026-09-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 1 1 — — $140,413.90 $140,413.90 $140,413.90 2026-09-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 1 1 — — $140,251.23 $140,251.23 $140,251.23 2026-09-01
28 MS_DRG Spinal Procedures With Mcc 1 1 — — $137,662.17 $137,662.17 $137,662.17 2026-09-01
215 MS_DRG Other Heart Assist System Implant 2 2 — — $43,890.00 $228,134.78 $136,012.39 2026-09-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 1 1 — — $135,861.29 $135,861.29 $135,861.29 2026-09-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 1 1 — — $127,532.77 $127,532.77 $127,532.77 2026-09-01
834 MS_DRG Acute Leukemia With Mcc 1 1 — — $125,784.59 $125,784.59 $125,784.59 2026-09-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 1 1 — — $124,464.86 $124,464.86 $124,464.86 2026-09-01
602 MS_DRG Cellulitis With Mcc 13 3 — — $32,564.83 $242,305.30 $123,792.30 2026-09-01
6 MS_DRG Liver Transplant Without Mcc 13 3 — — $82,866.27 $185,874.15 $121,888.07 2026-09-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 4 2 — — $73,289.00 $157,586.44 $121,144.61 2026-09-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 13 3 — — $38,630.48 $236,234.18 $119,921.12 2026-09-01
653 MS_DRG Major Bladder Procedures With Mcc 1 1 — — $119,059.92 $119,059.92 $119,059.92 2026-09-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 5 2 — — $43,890.00 $224,143.51 $119,005.10 2026-09-01
841 MS_DRG Lymphoma And Non-acute Leukemia With Cc 13 3 — — $23,049.13 $345,823.55 $115,992.45 2026-09-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 1 1 — — $113,153.20 $113,153.20 $113,153.20 2026-09-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 1 1 — — $112,765.99 $112,765.99 $112,765.99 2026-09-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 1 1 — — $112,296.29 $112,296.29 $112,296.29 2026-09-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 4 2 — — $73,289.00 $146,127.00 $111,970.65 2026-09-01
630 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures Without Cc/mcc 13 3 — — $26,337.61 $278,567.30 $110,632.27 2026-09-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 1 1 — — $110,076.12 $110,076.12 $110,076.12 2026-09-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 5 2 — — $43,890.00 $175,925.21 $109,361.44 2026-09-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 1 1 — — $109,079.45 $109,079.45 $109,079.45 2026-09-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 1 1 — — $107,498.52 $107,498.52 $107,498.52 2026-09-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 4 2 — — $73,289.00 $146,127.00 $107,311.49 2026-09-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 1 1 — — $107,177.75 $107,177.75 $107,177.75 2026-09-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 4 2 — — $73,289.00 $146,127.00 $105,938.49 2026-09-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 1 1 — — $105,315.01 $105,315.01 $105,315.01 2026-09-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 1 1 — — $105,046.94 $105,046.94 $105,046.94 2026-09-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 5 2 — — $43,890.00 $150,653.27 $104,307.05 2026-09-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 5 2 — — $43,890.00 $150,653.27 $104,307.05 2026-09-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 1 1 — — $104,219.81 $104,219.81 $104,219.81 2026-09-01
799 MS_DRG Splenic Procedures With Mcc 1 1 — — $103,766.16 $103,766.16 $103,766.16 2026-09-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 4 2 — — $73,289.00 $146,127.00 $102,118.49 2026-09-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 5 2 — — $43,890.00 $146,127.00 $101,068.67 2026-09-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 1 1 — — $100,647.83 $100,647.83 $100,647.83 2026-09-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 1 1 — — $98,358.92 $98,358.92 $98,358.92 2026-09-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 5 2 — — $43,890.00 $146,127.00 $97,272.61 2026-09-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 4 2 — — $50,312.00 $163,371.72 $96,962.18 2026-09-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 1 1 — — $96,596.99 $96,596.99 $96,596.99 2026-09-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 1 1 — — $96,548.88 $96,548.88 $96,548.88 2026-09-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 4 2 — — $58,494.34 $146,127.00 $96,371.59 2026-09-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 1 1 — — $96,267.06 $96,267.06 $96,267.06 2026-09-01
901 MS_DRG Wound Debridements For Injuries With Mcc 1 1 — — $96,152.50 $96,152.50 $96,152.50 2026-09-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 5 2 — — $43,890.00 $146,127.00 $93,371.16 2026-09-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 1 1 — — $91,283.70 $91,283.70 $91,283.70 2026-09-01
607 MS_DRG Minor Skin Disorders Without Mcc 13 3 — — $20,767.44 $180,362.71 $91,040.69 2026-09-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 4 2 — — $24,237.00 $206,427.96 $90,724.49 2026-09-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 4 2 — — $50,312.00 $137,623.22 $90,525.05 2026-09-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 4 2 — — $89,223.91 $89,223.91 $89,223.91 2026-09-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 2 2 — — $43,890.00 $134,374.30 $89,132.15 2026-09-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 1 1 — — $88,685.48 $88,685.48 $88,685.48 2026-09-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 1 1 — — $88,552.59 $88,552.59 $88,552.59 2026-09-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 1 1 — — $87,966.04 $87,966.04 $87,966.04 2026-09-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 1 1 — — $86,217.86 $86,217.86 $86,217.86 2026-09-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 1 1 — — $85,388.44 $85,388.44 $85,388.44 2026-09-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 4 2 — — $22,926.00 $192,538.70 $85,137.93 2026-09-01
440 MS_DRG Disorders Of Pancreas Except Malignancy Without Cc/mcc 13 3 — — $14,237.52 $153,698.65 $84,590.43 2026-09-01
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 1 1 — — $84,158.07 $84,158.07 $84,158.07 2026-09-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 1 1 — — $84,123.70 $84,123.70 $84,123.70 2026-09-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 1 1 — — $83,136.19 $83,136.19 $83,136.19 2026-09-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 1 1 — — $83,072.04 $83,072.04 $83,072.04 2026-09-01
332 MS_DRG Rectal Resection With Mcc 1 1 — — $82,957.48 $82,957.48 $82,957.48 2026-09-01
265 MS_DRG Aicd Lead Procedures 1 1 — — $82,900.20 $82,900.20 $82,900.20 2026-09-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 4 2 — — $50,312.00 $105,819.07 $82,574.02 2026-09-01
163 MS_DRG Major Chest Procedures With Mcc 13 3 — — $49,005.03 $141,923.92 $82,170.75 2026-09-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 1 1 — — $82,089.11 $82,089.11 $82,089.11 2026-09-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 1 1 — — $81,898.94 $81,898.94 $81,898.94 2026-09-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 1 1 — — $81,816.46 $81,816.46 $81,816.46 2026-09-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 1 1 — — $81,695.03 $81,695.03 $81,695.03 2026-09-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 1 1 — — $81,626.29 $81,626.29 $81,626.29 2026-09-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 1 1 — — $80,801.46 $80,801.46 $80,801.46 2026-09-01
178 MS_DRG Respiratory Infections And Inflammations With Cc 13 3 — — $22,362.11 $132,376.16 $80,659.35 2026-09-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 1 1 — — $80,636.49 $80,636.49 $80,636.49 2026-09-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 1 1 — — $79,903.31 $79,903.31 $79,903.31 2026-09-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 1 1 — — $79,536.72 $79,536.72 $79,536.72 2026-09-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 1 1 — — $79,151.80 $79,151.80 $79,151.80 2026-09-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 1 1 — — $78,551.50 $78,551.50 $78,551.50 2026-09-01
299 MS_DRG Peripheral Vascular Disorders With Mcc 13 3 — — $37,408.42 $133,901.77 $78,139.00 2026-09-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 13 3 — — $44,764.44 $130,136.48 $77,563.39 2026-09-01
303 MS_DRG Atherosclerosis Without Mcc 13 3 — — $15,424.36 $148,000.93 $77,428.32 2026-09-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 1 1 — — $75,685.21 $75,685.21 $75,685.21 2026-09-01
165 MS_DRG Major Chest Procedures Without Cc/mcc 13 3 — — $43,858.15 $127,239.94 $75,452.58 2026-09-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 1 1 — — $74,200.51 $74,200.51 $74,200.51 2026-09-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 1 1 — — $74,118.03 $74,118.03 $74,118.03 2026-09-01
652 MS_DRG Kidney Transplant 1 1 — — $73,994.30 $73,994.30 $73,994.30 2026-09-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 4 2 — — $73,794.97 $73,794.97 $73,794.97 2026-09-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 1 1 — — $72,947.23 $72,947.23 $72,947.23 2026-09-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 1 1 — — $72,401.92 $72,401.92 $72,401.92 2026-09-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 4 2 — — $24,237.00 $132,135.80 $72,151.45 2026-09-01
665 MS_DRG Prostatectomy With Mcc 1 1 — — $71,512.93 $71,512.93 $71,512.93 2026-09-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 1 1 — — $71,364.01 $71,364.01 $71,364.01 2026-09-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 4 2 — — $22,926.00 $136,626.55 $71,159.89 2026-09-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 1 1 — — $69,205.70 $69,205.70 $69,205.70 2026-09-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 1 1 — — $69,120.92 $69,120.92 $69,120.92 2026-09-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 13 3 — — $45,676.98 $110,026.00 $68,353.49 2026-09-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 1 1 — — $68,195.28 $68,195.28 $68,195.28 2026-09-01
183 MS_DRG Major Chest Trauma With Mcc 13 3 — — $35,053.07 $117,465.46 $67,750.43 2026-09-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 1 1 — — $67,455.22 $67,455.22 $67,455.22 2026-09-01
570 MS_DRG Skin Debridement With Mcc 1 1 — — $67,386.48 $67,386.48 $67,386.48 2026-09-01
668 MS_DRG Transurethral Procedures With Mcc 1 1 — — $66,903.04 $66,903.04 $66,903.04 2026-09-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 1 1 — — $66,726.62 $66,726.62 $66,726.62 2026-09-01
603 MS_DRG Cellulitis Without Mcc 13 3 — — $3,218.59 $175,250.22 $66,567.99 2026-09-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 1 1 — — $66,490.62 $66,490.62 $66,490.62 2026-09-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 1 1 — — $66,449.38 $66,449.38 $66,449.38 2026-09-01
974 MS_DRG HIV With Major Related Condition With Mcc 1 1 — — $66,124.03 $66,124.03 $66,124.03 2026-09-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 1 1 — — $66,027.80 $66,027.80 $66,027.80 2026-09-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 1 1 — — $65,762.02 $65,762.02 $65,762.02 2026-09-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 4 2 — — $29,314.00 $116,903.00 $65,566.06 2026-09-01
842 MS_DRG Lymphoma And Non-acute Leukemia Without Cc/mcc 13 3 — — $15,822.08 $184,935.47 $65,275.11 2026-09-01
800 MS_DRG Splenic Procedures With Cc 1 1 — — $64,368.97 $64,368.97 $64,368.97 2026-09-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 4 2 — — $20,963.00 $122,111.80 $64,359.20 2026-09-01
654 MS_DRG Major Bladder Procedures With Cc 1 1 — — $64,137.56 $64,137.56 $64,137.56 2026-09-01
503 MS_DRG Foot Procedures With Mcc 1 1 — — $63,949.68 $63,949.68 $63,949.68 2026-09-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 1 1 — — $62,978.21 $62,978.21 $62,978.21 2026-09-01
179 MS_DRG Respiratory Infections And Inflammations Without Cc/mcc 13 3 — — $17,298.56 $109,917.94 $62,817.94 2026-09-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 1 1 — — $62,636.83 $62,636.83 $62,636.83 2026-09-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 4 2 — — $24,237.00 $96,656.00 $62,146.93 2026-09-01
849 MS_DRG Radiotherapy 1 1 — — $62,080.06 $62,080.06 $62,080.06 2026-09-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 1 1 — — $62,004.45 $62,004.45 $62,004.45 2026-09-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 1 1 — — $61,802.83 $61,802.83 $61,802.83 2026-09-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 4 2 — — $22,926.00 $95,602.61 $60,903.90 2026-09-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 1 1 — — $60,732.84 $60,732.84 $60,732.84 2026-09-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 1 1 — — $60,428.11 $60,428.11 $60,428.11 2026-09-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 17 4 — — $18,421.41 $146,127.00 $60,059.23 2026-09-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 1 1 — — $59,399.36 $59,399.36 $59,399.36 2026-09-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 13 3 — — $28,021.70 $121,291.55 $59,259.35 2026-09-01
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 4 2 — — $29,314.00 $116,903.00 $59,214.86 2026-09-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 17 4 — — $19,638.12 $193,145.87 $59,094.93 2026-09-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 1 1 — — $59,094.63 $59,094.63 $59,094.63 2026-09-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 1 1 — — $58,828.85 $58,828.85 $58,828.85 2026-09-01
304 MS_DRG Hypertension With Mcc 13 3 — — $27,265.28 $108,786.44 $58,367.36 2026-09-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 1 1 — — $58,217.10 $58,217.10 $58,217.10 2026-09-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 1 1 — — $58,107.12 $58,107.12 $58,107.12 2026-09-01
164 MS_DRG Major Chest Procedures With Cc 1 1 — — $57,829.89 $57,829.89 $57,829.89 2026-09-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 13 3 — — $24,443.14 $180,289.95 $57,205.03 2026-09-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 1 1 — — $57,094.41 $57,094.41 $57,094.41 2026-09-01
545 MS_DRG Connective Tissue Disorders With Mcc 1 1 — — $56,860.71 $56,860.71 $56,860.71 2026-09-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 1 1 — — $56,345.19 $56,345.19 $56,345.19 2026-09-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 1 1 — — $56,329.15 $56,329.15 $56,329.15 2026-09-01
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 13 3 — — $30,650.31 $107,991.86 $56,063.04 2026-09-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 1 1 — — $56,001.51 $56,001.51 $56,001.51 2026-09-01
863 MS_DRG Postoperative And Post-traumatic Infections Without Mcc 13 3 — — $11,249.25 $145,013.16 $55,798.35 2026-09-01
300 MS_DRG Peripheral Vascular Disorders With Cc 13 3 — — $24,458.56 $101,249.52 $55,653.44 2026-09-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 1 1 — — $54,924.65 $54,924.65 $54,924.65 2026-09-01
397 MS_DRG Appendix Procedures With Mcc 1 1 — — $54,871.95 $54,871.95 $54,871.95 2026-09-01
35 MS_DRG Carotid Artery Stent Procedures With Cc 1 1 — — $54,771.14 $54,771.14 $54,771.14 2026-09-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 1 1 — — $54,677.20 $54,677.20 $54,677.20 2026-09-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 13 3 — — $20,264.37 $131,292.63 $54,542.77 2026-09-01
333 MS_DRG Rectal Resection With Cc 1 1 — — $53,664.49 $53,664.49 $53,664.49 2026-09-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 1 1 — — $53,582.00 $53,582.00 $53,582.00 2026-09-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 1 1 — — $53,543.05 $53,543.05 $53,543.05 2026-09-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 2 2 — — $2,574.00 $104,173.99 $53,374.00 2026-09-01
709 MS_DRG Penis Procedures With Cc/mcc 1 1 — — $53,318.52 $53,318.52 $53,318.52 2026-09-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 1 1 — — $53,281.86 $53,281.86 $53,281.86 2026-09-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 1 1 — — $52,954.21 $52,954.21 $52,954.21 2026-09-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 2 2 — — $2,574.00 $102,657.22 $52,615.61 2026-09-01
91 MS_DRG Other Disorders Of Nervous System With Mcc 13 3 — — $20,576.68 $107,625.29 $52,456.39 2026-09-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 4 2 — — $20,963.00 $83,592.00 $52,334.98 2026-09-01
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 1 1 — — $52,140.84 $52,140.84 $52,140.84 2026-09-01
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 1 1 — — $52,053.77 $52,053.77 $52,053.77 2026-09-01
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 1 1 — — $51,909.43 $51,909.43 $51,909.43 2026-09-01
C2616 HCPCS Brachytx, Non-str,yttrium-90 1 1 — — $51,410.58 $51,410.58 $51,410.58 2026-09-01
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 1 1 — — $51,290.80 $51,290.80 $51,290.80 2026-09-01
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/mcc 1 1 — — $51,261.02 $51,261.02 $51,261.02 2026-09-01
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/mcc 1 1 — — $50,855.48 $50,855.48 $50,855.48 2026-09-01
934 MS_DRG Full Thickness Burn Without Skin Graft Or Inhalation Injury 4 2 — — $50,649.27 $50,649.27 $50,649.27 2026-09-01
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 1 1 — — $50,587.40 $50,587.40 $50,587.40 2026-09-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 17 4 — — $15,049.44 $146,127.00 $50,387.91 2026-09-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 17 4 — — $13,391.92 $175,166.82 $50,355.43 2026-09-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 3 1 — — $1.00 $132,313.04 $50,019.48 2026-09-01
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 1 1 — — $49,920.67 $49,920.67 $49,920.67 2026-09-01
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 1 1 — — $49,886.30 $49,886.30 $49,886.30 2026-09-01
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 1 1 — — $49,066.05 $49,066.05 $49,066.05 2026-09-01
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/mcc 1 1 — — $49,047.72 $49,047.72 $49,047.72 2026-09-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 17 4 — — $14,449.22 $146,127.00 $49,019.58 2026-09-01
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/mcc 1 1 — — $48,802.56 $48,802.56 $48,802.56 2026-09-01
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 1 1 — — $48,726.95 $48,726.95 $48,726.95 2026-09-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 6 3 — — $6,600.00 $88,164.00 $48,615.35 2026-09-01
595 MS_DRG Major Skin Disorders With Mcc 1 1 — — $48,589.48 $48,589.48 $48,589.48 2026-09-01
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 1 1 — — $48,520.74 $48,520.74 $48,520.74 2026-09-01
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 1 1 — — $48,513.87 $48,513.87 $48,513.87 2026-09-01
655 MS_DRG Major Bladder Procedures Without Cc/mcc 1 1 — — $48,495.54 $48,495.54 $48,495.54 2026-09-01
336 MS_DRG Peritoneal Adhesiolysis With Cc 1 1 — — $48,314.53 $48,314.53 $48,314.53 2026-09-01
412 MS_DRG Cholecystectomy With C.d.e. With Cc 1 1 — — $48,172.48 $48,172.48 $48,172.48 2026-09-01
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 1 1 — — $47,989.18 $47,989.18 $47,989.18 2026-09-01
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 1 1 — — $47,959.40 $47,959.40 $47,959.40 2026-09-01
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 1 1 — — $47,911.28 $47,911.28 $47,911.28 2026-09-01
838 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Che… 1 1 — — $47,826.51 $47,826.51 $47,826.51 2026-09-01
835 MS_DRG Acute Leukemia With Cc 1 1 — — $47,789.85 $47,789.85 $47,789.85 2026-09-01
886 MS_DRG Behavioral And Developmental Disorders 1 1 — — $47,549.27 $47,549.27 $47,549.27 2026-09-01
415 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 1 1 — — $47,352.23 $47,352.23 $47,352.23 2026-09-01
737 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 1 1 — — $47,212.47 $47,212.47 $47,212.47 2026-09-01
935 MS_DRG Non-extensive Burns 4 2 — — $47,198.72 $47,198.72 $47,198.72 2026-09-01
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 13 3 — — $26,975.78 $86,855.83 $47,167.85 2026-09-01
744 MS_DRG D&c, Conization, Laparoscopy And Tubal Interruption With Cc/mcc 1 1 — — $46,948.98 $46,948.98 $46,948.98 2026-09-01
941 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/… 1 1 — — $46,458.66 $46,458.66 $46,458.66 2026-09-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 16 4 — — $13,990.52 $146,127.00 $46,457.92 2026-09-01
499 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Without… 1 1 — — $46,163.10 $46,163.10 $46,163.10 2026-09-01
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 1 1 — — $46,076.03 $46,076.03 $46,076.03 2026-09-01
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc 1 1 — — $45,972.93 $45,972.93 $45,972.93 2026-09-01
707 MS_DRG Major Male Pelvic Procedures With Cc/mcc 1 1 — — $45,830.87 $45,830.87 $45,830.87 2026-09-01
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 1 1 — — $45,780.47 $45,780.47 $45,780.47 2026-09-01
908 MS_DRG Other O.r. Procedures For Injuries With Cc 1 1 — — $45,714.02 $45,714.02 $45,714.02 2026-09-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 17 4 — — $11,898.69 $146,127.00 $45,401.40 2026-09-01
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 1 1 — — $45,095.40 $45,095.40 $45,095.40 2026-09-01
883 MS_DRG Disorders Of Personality And Impulse Control 1 1 — — $45,051.87 $45,051.87 $45,051.87 2026-09-01
906 MS_DRG Hand Procedures For Injuries 1 1 — — $45,006.04 $45,006.04 $45,006.04 2026-09-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 17 4 — — $10,841.39 $146,127.00 $44,769.33 2026-09-01
89 MS_DRG Concussion With Cc 13 3 — — $18,854.09 $91,617.00 $44,728.36 2026-09-01
36 MS_DRG Carotid Artery Stent Procedures Without Cc/mcc 1 1 — — $44,513.43 $44,513.43 $44,513.43 2026-09-01
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 1 1 — — $44,506.56 $44,506.56 $44,506.56 2026-09-01
100 MS_DRG Seizures With Mcc 1 1 — — $44,375.96 $44,375.96 $44,375.96 2026-09-01
592 MS_DRG Skin Ulcers With Mcc 1 1 — — $44,341.59 $44,341.59 $44,341.59 2026-09-01
585 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/mcc 1 1 — — $44,199.54 $44,199.54 $44,199.54 2026-09-01
582 MS_DRG Mastectomy For Malignancy With Cc/mcc 1 1 — — $44,142.26 $44,142.26 $44,142.26 2026-09-01
75 MS_DRG Viral Meningitis With Cc/mcc 1 1 — — $43,933.76 $43,933.76 $43,933.76 2026-09-01
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 1 1 — — $43,890.00 $43,890.00 $43,890.00 2026-09-01
902 MS_DRG Wound Debridements For Injuries With Cc 1 1 — — $43,865.02 $43,865.02 $43,865.02 2026-09-01
801 MS_DRG Splenic Procedures Without Cc/mcc 1 1 — — $43,736.72 $43,736.72 $43,736.72 2026-09-01
620 MS_DRG O.r. Procedures For Obesity With Cc 6 3 — — $6,600.00 $88,164.00 $43,700.35 2026-09-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 16 4 — — $12,201.00 $93,865.15 $43,440.99 2026-09-01
717 MS_DRG Other Male Reproductive System O.r. Procedures Except Malignancy With Cc/mcc 1 1 — — $43,315.14 $43,315.14 $43,315.14 2026-09-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 16 4 — — $16,116.50 $153,088.82 $43,117.02 2026-09-01
30 MS_DRG Spinal Procedures Without Cc/mcc 13 3 — — $20,241.60 $74,888.28 $43,110.17 2026-09-01
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 1 1 — — $42,852.31 $42,852.31 $42,852.31 2026-09-01
504 MS_DRG Foot Procedures With Cc 1 1 — — $42,827.11 $42,827.11 $42,827.11 2026-09-01
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Mcc 1 1 — — $42,728.59 $42,728.59 $42,728.59 2026-09-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 13 3 — — $18,823.19 $107,718.48 $42,607.17 2026-09-01
803 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Cc 1 1 — — $42,591.12 $42,591.12 $42,591.12 2026-09-01
479 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue Without Cc/mcc 1 1 — — $42,591.12 $42,591.12 $42,591.12 2026-09-01
850 MS_DRG Acute Leukemia With Other Procedures 13 3 — — $12,329.74 $198,406.46 $42,588.10 2026-09-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 13 3 — — $21,108.58 $78,166.58 $42,565.42 2026-09-01
754 MS_DRG Malignancy, Female Reproductive System With Mcc 4 3 — — $42,197.03 $42,197.03 $42,197.03 2026-09-01
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Mcc 1 1 — — $42,082.47 $42,082.47 $42,082.47 2026-09-01
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc 1 1 — — $42,038.94 $42,038.94 $42,038.94 2026-09-01
919 MS_DRG Complications Of Treatment With Mcc 1 1 — — $41,947.29 $41,947.29 $41,947.29 2026-09-01
657 MS_DRG Kidney And Ureter Procedures For Neoplasm With Cc 1 1 — — $41,928.96 $41,928.96 $41,928.96 2026-09-01
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 1 1 — — $41,883.14 $41,883.14 $41,883.14 2026-09-01
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 13 3 — — $25,519.96 $72,070.15 $41,569.62 2026-09-01
80 MS_DRG Nontraumatic Stupor And Coma With Mcc 1 1 — — $41,470.72 $41,470.72 $41,470.72 2026-09-01
740 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Cc 4 3 — — $41,461.56 $41,461.56 $41,461.56 2026-09-01
116 MS_DRG Intraocular Procedures With Cc/mcc 1 1 — — $41,427.19 $41,427.19 $41,427.19 2026-09-01
507 MS_DRG Major Shoulder Or Elbow Joint Procedures With Cc/mcc 1 1 — — $41,388.24 $41,388.24 $41,388.24 2026-09-01
496 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 1 1 — — $41,330.96 $41,330.96 $41,330.96 2026-09-01
686 MS_DRG Kidney And Urinary Tract Neoplasms With Mcc 1 1 — — $41,326.37 $41,326.37 $41,326.37 2026-09-01
92941 CPT Revas Perc Trans Occl Mi 30 19 $171,767.00 $128,825.25 25% off $1.00 $128,825.25 $41,286.84 2026-09-01
950 MS_DRG Aftercare Without Cc/mcc 13 3 — — $14,381.86 $89,434.53 $41,258.55 2026-09-01
575 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis Without Cc/mcc 1 1 — — $41,172.86 $41,172.86 $41,172.86 2026-09-01
671 MS_DRG Urethral Procedures With Cc/mcc 1 1 — — $41,127.04 $41,127.04 $41,127.04 2026-09-01
181 MS_DRG Respiratory Neoplasms With Cc 13 3 — — $22,271.61 $77,878.05 $41,111.55 2026-09-01
505 MS_DRG Foot Procedures Without Cc/mcc 1 1 — — $41,076.63 $41,076.63 $41,076.63 2026-09-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 13 3 — — $15,197.46 $125,340.10 $40,917.28 2026-09-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 16 4 — — $16,845.22 $97,165.21 $40,828.05 2026-09-01
621 MS_DRG O.r. Procedures For Obesity Without Cc/mcc 18 4 — — $3,959.60 $104,062.93 $40,746.29 2026-09-01
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 1 1 — — $40,625.27 $40,625.27 $40,625.27 2026-09-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 13 3 — — $17,879.75 $82,891.37 $40,618.60 2026-09-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 14 4 — — $2,574.00 $77,945.86 $40,559.56 2026-09-01
488 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection With Cc/mcc 1 1 — — $40,529.04 $40,529.04 $40,529.04 2026-09-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 4 — — $6,470.67 $128,811.26 $40,386.11 2026-09-01
922 MS_DRG Other Injury, Poisoning And Toxic Effect Diagnoses With Mcc 1 1 — — $40,082.25 $40,082.25 $40,082.25 2026-09-01
666 MS_DRG Prostatectomy With Cc 1 1 — — $40,079.96 $40,079.96 $40,079.96 2026-09-01
896 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 1 1 — — $39,983.73 $39,983.73 $39,983.73 2026-09-01
746 MS_DRG Vagina, Cervix And Vulva Procedures With Cc/mcc 1 1 — — $39,800.44 $39,800.44 $39,800.44 2026-09-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 16 4 — — $12,201.00 $80,092.30 $39,727.87 2026-09-01
690 MS_DRG Kidney And Urinary Tract Infections Without Mcc 13 3 — — $13,186.97 $90,101.98 $39,726.62 2026-09-01
614 MS_DRG Adrenal And Pituitary Procedures With Cc/mcc 13 3 — — $9,905.78 $73,432.60 $39,655.17 2026-09-01
520 MS_DRG Back And Neck Procedures Except Spinal Fusion Without Cc/mcc 16 4 — — $16,599.61 $85,906.56 $39,340.93 2026-09-01
157 MS_DRG Dental And Oral Diseases With Mcc 1 1 — — $39,335.32 $39,335.32 $39,335.32 2026-09-01
983 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/mcc 1 1 — — $39,271.17 $39,271.17 $39,271.17 2026-09-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 16 4 — — $12,201.00 $73,556.68 $39,207.06 2026-09-01
312 MS_DRG Syncope And Collapse 13 3 — — $15,042.94 $86,896.09 $39,111.81 2026-09-01
289 MS_DRG Acute And Subacute Endocarditis With Cc 1 1 — — $39,108.49 $39,108.49 $39,108.49 2026-09-01
828 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 1 1 — — $39,037.47 $39,037.47 $39,037.47 2026-09-01
37 MS_DRG Extracranial Procedures With Mcc 2 2 — — $2,574.00 $75,428.60 $39,001.30 2026-09-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 13 3 — — $14,563.08 $84,907.29 $38,929.77 2026-09-01
256 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Cc 1 1 — — $38,902.28 $38,902.28 $38,902.28 2026-09-01
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 1 1 — — $38,757.94 $38,757.94 $38,757.94 2026-09-01
769 MS_DRG Postpartum And Post Abortion Diagnoses With O.r. Procedures 1 1 — — $38,716.70 $38,716.70 $38,716.70 2026-09-01
571 MS_DRG Skin Debridement With Cc 1 1 — — $38,709.82 $38,709.82 $38,709.82 2026-09-01
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/mcc 1 1 — — $38,558.60 $38,558.60 $38,558.60 2026-09-01
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