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 SURGICAL HOSPITAL - NORTH VALLEY

Yuba City, CA · CCN 050766 · Rates published

Your selected procedure

You selected 29806 (HCPCS)

Shoulder arthroscopy/surgery

This hospital’s price: $14,514 across 5 payers · range $9,392-$15,491

Source: https://edge.sitecorecloud.io/sutterhealt962c-sutterhealt8fce-production57cc-4860/media/Project/SutterHealth/SutterHealth/Files/billing-insurance/costs-and-charges/352182617-1336333954_sutter-north-valley-surgical-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.

6,639 distinct procedures filed
6 distinct payers
19,613 rate rows
2026-04-01 last MRF observed
Data quality

14,085 of 19,613 rate rows are consumer-grade (71.8%)

5,528 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 5,507
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 11
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/352182617-1336333954_sutter-north-valley-surgical-hospital_standardcharges.csv
Found on page https://www.sutterhealth.org/billing-insurance/costs-and-charges/cost-transparency/
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-23
Content fingerprint 988d6eaee5de8911… · 7,067,339 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 $1,034,291.65 nat. median
$739,658
1.4× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 2 $533,230.17 $1,340,483.41 $936,856.79 nat. median
$607,251
1.5× median
215
MS_DRG 		Other Heart Assist System Implant 6 $91,079.37 $518,072.00 $452,396.00 nat. median
$93,531
outlier · 4.8×
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 2 $395,004.75 $395,004.75 $395,004.75 nat. median
$360,195
1.1× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 6 $89,485.92 $390,452.00 $330,046.50 nat. median
$90,525
outlier · 3.6×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 6 $71,978.04 $393,675.00 $327,379.50 nat. median
$74,260
outlier · 4.4×
22
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 6 $29,064.54 $393,675.00 $327,379.50 nat. median
$32,135
outlier · 10.2×
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 6 $60,146.05 $324,073.00 $297,042.00 nat. median
$61,992
outlier · 4.8×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 6 $100,813.90 $333,633.00 $281,944.00 nat. median
$93,094
outlier · 3.0×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 6 $82,413.25 $333,633.00 $281,944.00 nat. median
$77,933
outlier · 3.6×
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 6 $60,146.05 $304,551.00 $280,540.00 nat. median
$59,554
outlier · 4.7×
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 6 $55,456.24 $299,833.00 $274,517.00 nat. median
$57,665
outlier · 4.8×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 6 $65,223.70 $308,880.00 $273,655.00 nat. median
$66,553
outlier · 4.1×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 6 $77,110.58 $295,952.00 $271,237.50 nat. median
$76,979
outlier · 3.5×
21
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 6 $48,423.82 $295,204.00 $268,429.50 nat. median
$51,294
outlier · 5.2×
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 6 $56,058.13 $434,524.00 $261,270.00 nat. median
$58,153
outlier · 4.5×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 2 $256,342.19 $256,342.19 $256,342.19 nat. median
$247,805
1.0× median
458
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 6 $38,167.90 $291,930.00 $246,355.00 nat. median
$40,320
outlier · 6.1×
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 6 $54,546.09 $291,930.00 $246,355.00 nat. median
$55,148
outlier · 4.5×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 6 $76,868.17 $291,930.00 $246,355.00 nat. median
$77,595
outlier · 3.2×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 6 $70,235.49 $280,449.00 $237,063.00 nat. median
$72,153
outlier · 3.3×
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 1 $234,534.95 $234,534.95 $234,534.95 nat. median
$49,393
outlier · 4.7×
234
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 6 $49,968.79 $264,329.00 $223,244.00 nat. median
$51,524
outlier · 4.3×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 6 $69,932.71 $264,329.00 $223,244.00 nat. median
$71,672
outlier · 3.1×
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 6 $54,943.99 $262,113.00 $221,371.00 nat. median
$56,565
outlier · 3.9×
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 6 $52,416.60 $236,205.00 $216,604.00 nat. median
$53,315
outlier · 4.1×
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 6 $66,030.49 $231,554.00 $215,416.00 nat. median
$63,446
outlier · 3.4×
209
MS_DRG 		Complex Aortic Arch Procedures 5 $103,536.13 $258,596.00 $209,673.00 nat. median
$92,760
outlier · 2.3×
24
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 6 $35,783.21 $232,976.00 $207,943.50 nat. median
$36,511
outlier · 5.7×
430
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 6 $52,753.22 $215,741.00 $202,600.00 nat. median
$51,145
outlier · 4.0×
277
MS_DRG 		Cardiac Defibrillator Implant Without Mcc 6 $42,246.67 $240,740.00 $200,972.50 nat. median
$44,064
outlier · 4.6×
229
MS_DRG 		Other Cardiothoracic Procedures Without Mcc 6 $28,809.33 $217,671.00 $200,477.00 nat. median
$30,744
outlier · 6.5×
228
MS_DRG 		Other Cardiothoracic Procedures With Mcc 6 $45,255.21 $216,912.00 $198,695.50 nat. median
$47,242
outlier · 4.2×
402
MS_DRG 		Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 6 $36,776.60 $207,389.00 $195,697.50 nat. median
$36,878
outlier · 5.3×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 2 $195,298.80 $195,298.80 $195,298.80 nat. median
$197,664
1.0× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 2 $194,152.65 $194,152.65 $194,152.65 nat. median
$190,274
1.0× median
267
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 6 $43,548.33 $227,751.00 $182,357.00 nat. median
$45,788
outlier · 4.0×
230
MS_DRG 		Other Cardiothoracic Procedures Without Cc/mcc 1 $140,240.00 $222,612.00 $181,426.00 nat. median
$12,593
outlier · 14.4×
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 1 $180,742.00 $180,742.00 $180,742.00 nat. median
$52,652
outlier · 3.4×
428
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 6 $51,425.95 $200,134.00 $180,697.50 nat. median
$50,495
outlier · 3.6×
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 6 $61,118.40 $268,156.00 $171,383.50 nat. median
$60,364
outlier · 2.8×
450
MS_DRG 		Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically… 6 $48,751.29 $255,061.00 $171,383.50 nat. median
$48,240
outlier · 3.6×
405
MS_DRG 		Pancreas, Liver And Shunt Procedures With Mcc 6 $50,040.14 $179,704.00 $170,360.00 nat. median
$50,653
outlier · 3.4×
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 6 $62,914.01 $199,051.00 $168,159.50 nat. median
$63,874
outlier · 2.6×
220
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 6 $48,780.56 $173,767.00 $163,480.50 nat. median
$50,491
outlier · 3.2×
236
MS_DRG 		Coronary Bypass Without Cardiac Catheterization Without Mcc 6 $38,316.09 $178,295.00 $163,437.50 nat. median
$40,285
outlier · 4.1×
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 6 $53,681.67 $193,613.00 $163,437.50 nat. median
$55,354
outlier · 3.0×
40
MS_DRG 		Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 6 $35,319.44 $174,076.00 $162,476.50 nat. median
$35,776
outlier · 4.5×
319
MS_DRG 		Other Endovascular Cardiac Valve Procedures With Mcc 6 $40,823.35 $177,951.00 $162,306.00 nat. median
$41,461
outlier · 3.9×
28
MS_DRG 		Spinal Procedures With Mcc 6 $54,959.55 $178,098.00 $150,380.00 nat. median
$54,301
outlier · 2.8×

Other procedures at this hospital

Browse this hospital's 6,639 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 2 2 — — $591,726.20 $1,476,857.10 $1,034,291.65 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 2 2 — — $533,230.17 $1,340,483.41 $936,856.79 2026-04-01
215 MS_DRG Other Heart Assist System Implant 10 6 — — $91,079.37 $518,072.00 $452,396.00 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 2 2 — — $395,004.75 $395,004.75 $395,004.75 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 6 — — $89,485.92 $390,452.00 $330,046.50 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 10 6 — — $71,978.04 $393,675.00 $327,379.50 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 10 6 — — $29,064.54 $393,675.00 $327,379.50 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 6 — — $60,146.05 $324,073.00 $297,042.00 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 6 — — $100,813.90 $333,633.00 $281,944.00 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 10 6 — — $82,413.25 $333,633.00 $281,944.00 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 6 — — $60,146.05 $304,551.00 $280,540.00 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 10 6 — — $55,456.24 $299,833.00 $274,517.00 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 10 6 — — $65,223.70 $308,880.00 $273,655.00 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 10 6 — — $77,110.58 $295,952.00 $271,237.50 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 10 6 — — $48,423.82 $295,204.00 $268,429.50 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 10 6 — — $56,058.13 $434,524.00 $261,270.00 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 2 2 — — $256,342.19 $256,342.19 $256,342.19 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 10 6 — — $38,167.90 $291,930.00 $246,355.00 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 10 6 — — $54,546.09 $291,930.00 $246,355.00 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 10 6 — — $76,868.17 $291,930.00 $246,355.00 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 10 6 — — $70,235.49 $280,449.00 $237,063.00 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 1 1 — — $234,534.95 $234,534.95 $234,534.95 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 10 6 — — $49,968.79 $264,329.00 $223,244.00 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 10 6 — — $69,932.71 $264,329.00 $223,244.00 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 10 6 — — $54,943.99 $262,113.00 $221,371.00 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 10 6 — — $52,416.60 $236,205.00 $216,604.00 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 6 — — $66,030.49 $231,554.00 $215,416.00 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 9 5 — — $103,536.13 $258,596.00 $209,673.00 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 10 6 — — $35,783.21 $232,976.00 $207,943.50 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 10 6 — — $52,753.22 $215,741.00 $202,600.00 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 10 6 — — $42,246.67 $240,740.00 $200,972.50 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 10 6 — — $28,809.33 $217,671.00 $200,477.00 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 10 6 — — $45,255.21 $216,912.00 $198,695.50 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 10 6 — — $36,776.60 $207,389.00 $195,697.50 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 2 2 — — $195,298.80 $195,298.80 $195,298.80 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 2 2 — — $194,152.65 $194,152.65 $194,152.65 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 10 6 — — $43,548.33 $227,751.00 $182,357.00 2026-04-01
230 MS_DRG Other Cardiothoracic Procedures Without Cc/mcc 2 1 — — $140,240.00 $222,612.00 $181,426.00 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 1 1 — — $180,742.00 $180,742.00 $180,742.00 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 6 — — $51,425.95 $200,134.00 $180,697.50 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 10 6 — — $61,118.40 $268,156.00 $171,383.50 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 10 6 — — $48,751.29 $255,061.00 $171,383.50 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 10 6 — — $50,040.14 $179,704.00 $170,360.00 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 10 6 — — $62,914.01 $199,051.00 $168,159.50 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 10 6 — — $48,780.56 $173,767.00 $163,480.50 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 10 6 — — $38,316.09 $178,295.00 $163,437.50 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 10 6 — — $53,681.67 $193,613.00 $163,437.50 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 10 6 — — $35,319.44 $174,076.00 $162,476.50 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 8 6 — — $40,823.35 $177,951.00 $162,306.00 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 10 6 — — $54,959.55 $178,098.00 $150,380.00 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 10 6 — — $61,163.22 $207,206.00 $149,647.00 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 10 6 — — $46,104.07 $157,131.00 $149,047.00 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 10 6 — — $40,996.24 $155,154.00 $147,091.00 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 1 1 — — $146,326.57 $146,326.57 $146,326.57 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 3 2 — — $63,342.28 $145,441.90 $145,441.90 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 10 6 — — $48,263.74 $158,060.00 $145,355.50 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 10 6 — — $29,205.41 $155,550.00 $141,707.00 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 1 1 — — $136,030.00 $136,030.00 $136,030.00 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 10 6 — — $41,589.89 $164,136.00 $134,996.00 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 10 6 — — $50,520.37 $159,364.00 $134,768.50 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 10 6 — — $29,549.34 $157,198.00 $131,845.00 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 4 3 — — $55,272.32 $162,691.22 $131,139.34 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 10 6 — — $31,908.42 $142,591.00 $130,812.00 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 10 6 — — $38,791.74 $192,732.00 $129,040.00 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 2 2 — — $126,702.50 $126,702.50 $126,702.50 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 4 3 — — $58,859.94 $252,143.00 $126,621.47 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 10 6 — — $24,887.89 $146,911.00 $123,817.50 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 2 2 — — $56,824.55 $189,311.16 $123,067.85 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 9 5 — — $31,453.80 $135,172.00 $122,000.00 2026-04-01
7 MS_DRG Lung Transplant 2 2 — — $118,458.98 $118,458.98 $118,458.98 2026-04-01
J9226 HCPCS Supprelin La Implant 6 3 — — $45,020.65 $129,708.04 $113,470.54 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 9 5 — — $52,202.56 $125,265.00 $113,349.00 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 10 6 — — $24,331.74 $143,204.00 $110,626.50 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 2 2 — — $109,930.98 $109,930.98 $109,930.98 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 10 6 — — $32,258.76 $129,545.00 $109,575.50 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 10 6 — — $40,984.35 $127,330.00 $107,691.00 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 10 6 — — $44,169.42 $119,144.00 $107,073.00 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 4 3 — — $52,134.87 $209,944.00 $106,992.93 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 10 6 — — $32,663.99 $112,721.00 $106,864.50 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 2 2 — — $103,655.04 $103,655.04 $103,655.04 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 10 6 — — $38,630.75 $121,888.00 $103,273.00 2026-04-01
32 MS_DRG Ventricular Shunt Procedures With Cc 10 6 — — $19,492.83 $113,156.00 $103,243.00 2026-04-01
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 10 6 — — $16,126.64 $120,194.00 $101,442.50 2026-04-01
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 9 5 — — $22,084.26 $110,751.00 $99,914.00 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 2 2 — — $99,468.33 $99,468.33 $99,468.33 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 10 6 — — $47,615.20 $107,448.00 $98,554.50 2026-04-01
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 10 6 — — $19,491.92 $116,047.00 $97,981.00 2026-04-01
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 10 6 — — $20,112.10 $102,030.00 $95,407.50 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 10 6 — — $28,440.69 $103,161.00 $94,539.00 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 8 6 — — $25,219.94 $99,825.00 $94,364.00 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 2 2 — — $94,312.93 $94,312.93 $94,312.93 2026-04-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 8 6 — — $22,001.93 $101,880.00 $92,922.00 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 10 6 — — $32,530.44 $113,045.00 $92,362.00 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 10 6 — — $25,136.70 $99,624.00 $91,937.50 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 10 6 — — $31,206.83 $94,410.00 $89,512.50 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 10 6 — — $23,742.66 $95,273.00 $87,346.50 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 10 6 — — $30,113.73 $96,124.00 $87,338.00 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 10 6 — — $27,745.50 $102,547.00 $86,678.50 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 10 6 — — $37,737.06 $95,318.00 $86,375.00 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 1 1 — — $85,618.62 $85,618.62 $85,618.62 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 10 6 — — $26,948.77 $90,347.00 $84,837.50 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 4 3 — — $33,038.11 $175,280.00 $84,082.55 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 10 6 — — $26,639.60 $98,118.00 $82,918.00 2026-04-01
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 10 6 — — $19,158.96 $98,118.00 $82,918.00 2026-04-01
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/Mcc 10 6 — — $16,533.69 $88,182.00 $81,312.50 2026-04-01
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 11 6 — — $17,644.17 $89,320.00 $80,452.00 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 2 2 — — $79,210.79 $79,210.79 $79,210.79 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 10 6 — — $33,165.26 $93,682.00 $78,947.00 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 10 6 — — $26,528.91 $82,057.00 $77,785.00 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 10 6 — — $23,352.98 $112,500.00 $76,735.00 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 10 6 — — $30,110.07 $86,229.00 $76,485.00 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 10 6 — — $23,077.65 $97,371.00 $75,713.50 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 10 6 — — $25,355.32 $89,252.00 $75,410.00 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 10 6 — — $24,246.67 $79,043.00 $74,943.50 2026-04-01
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 10 6 — — $19,963.92 $86,229.00 $73,191.00 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 4 3 — — $29,123.08 $151,217.00 $72,849.04 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 4 3 — — $25,143.10 $155,674.00 $72,577.55 2026-04-01
30 MS_DRG Spinal Procedures Without Cc/Mcc 10 6 — — $20,080.09 $84,417.00 $71,211.00 2026-04-01
496 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 10 6 — — $16,500.76 $77,326.00 $70,690.50 2026-04-01
42 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/Mcc 10 6 — — $15,803.74 $76,937.00 $70,466.50 2026-04-01
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/Mcc 10 6 — — $19,483.69 $73,819.00 $69,977.00 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 10 6 — — $23,087.71 $73,621.00 $69,786.50 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 2 2 — — $69,701.29 $69,701.29 $69,701.29 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 10 6 — — $33,585.12 $82,199.00 $69,442.50 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 4 3 — — $39,268.32 $125,562.00 $67,974.66 2026-04-01
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 9 5 — — $22,156.52 $79,695.00 $67,700.00 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 10 6 — — $28,741.64 $78,978.00 $66,794.50 2026-04-01
259 MS_DRG Cardiac Pacemaker Device Replacement Without Mcc 10 6 — — $18,496.70 $78,978.00 $66,794.50 2026-04-01
10 MS_DRG Pancreas Transplant 2 2 — — $65,638.07 $65,638.07 $65,638.07 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 2 2 — — $65,610.63 $65,610.63 $65,610.63 2026-04-01
38 MS_DRG Extracranial Procedures With Cc 10 6 — — $14,842.36 $70,781.00 $65,575.50 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 2 2 — — $65,262.12 $65,262.12 $65,262.12 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 10 6 — — $22,331.23 $80,066.00 $65,012.00 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 9 6 — — $26,545.38 $69,186.00 $64,556.00 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 2 2 — — $63,224.10 $63,224.10 $63,224.10 2026-04-01
62 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 8 6 — — $16,073.58 $65,726.00 $62,131.50 2026-04-01
336 MS_DRG Peritoneal Adhesiolysis With Cc 10 6 — — $19,288.85 $65,331.00 $61,939.50 2026-04-01
251 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc 10 6 — — $13,670.60 $74,145.00 $61,704.00 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 2 2 — — $61,571.19 $61,571.19 $61,571.19 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 10 6 — — $34,186.09 $72,328.00 $61,139.50 2026-04-01
J9266 HCPCS Pegaspargase Injection 6 3 — — $28,424.06 $62,262.23 $61,049.99 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 4 3 — — $32,615.51 $115,605.00 $60,815.76 2026-04-01
254 MS_DRG Other Vascular Procedures Without Cc/Mcc 10 6 — — $16,297.69 $71,723.00 $60,479.00 2026-04-01
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/Mcc 10 6 — — $19,581.56 $68,071.00 $60,389.00 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 2 2 — — $59,927.43 $59,927.43 $59,927.43 2026-04-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 10 6 — — $20,241.08 $70,713.00 $59,820.00 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 4 3 — — $32,192.90 $112,063.00 $59,240.95 2026-04-01
582 MS_DRG Mastectomy For Malignancy With Cc/Mcc 10 6 — — $17,623.13 $65,548.00 $58,852.50 2026-04-01
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 10 6 — — $18,296.37 $63,650.00 $58,083.50 2026-04-01
33 MS_DRG Ventricular Shunt Procedures Without Cc/Mcc 10 6 — — $15,211.00 $68,702.00 $58,067.50 2026-04-01
261 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Cc 10 6 — — $17,292.91 $68,702.00 $58,067.50 2026-04-01
262 MS_DRG Cardiac Pacemaker Revision Except Device Replacement Without Cc/Mcc 10 6 — — $14,909.14 $68,702.00 $58,067.50 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 10 6 — — $29,754.24 $68,702.00 $58,067.50 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 4 3 — — $34,090.05 $105,658.00 $57,724.03 2026-04-01
55866 HCPCS Laparo Radical Prostatectomy 6 5 — — $13,758.41 $63,415.00 $57,638.00 2026-04-01
50544 HCPCS Laparoscopy Pyeloplasty 6 5 — — $13,758.41 $63,415.00 $57,638.00 2026-04-01
397 MS_DRG Appendix Procedures With Mcc 10 6 — — $21,906.80 $68,437.00 $57,343.50 2026-04-01
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 10 6 — — $15,473.52 $67,089.00 $56,511.00 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 10 6 — — $21,829.05 $67,089.00 $56,511.00 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 4 3 — — $32,588.07 $104,189.00 $56,407.54 2026-04-01
737 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 10 6 — — $18,848.87 $59,484.00 $56,393.50 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 4 3 — — $32,556.97 $103,806.00 $56,243.49 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 2 2 — — $55,993.19 $55,993.19 $55,993.19 2026-04-01
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/Mcc 10 6 — — $14,919.20 $66,283.00 $55,618.50 2026-04-01
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/Mcc 10 6 — — $20,465.19 $58,640.00 $55,589.50 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 4 3 — — $34,271.16 $99,179.00 $55,365.58 2026-04-01
131 MS_DRG Cranial/Facial Procedures W Cc/Mcc 2 1 — — $42,598.00 $67,619.00 $55,108.50 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 10 6 — — $27,629.33 $62,143.00 $54,601.50 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 2 2 — — $54,366.80 $54,366.80 $54,366.80 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 2 2 — — $54,240.57 $54,240.57 $54,240.57 2026-04-01
58546 HCPCS Laparo-myomectomy Complex 6 5 — — $13,758.41 $59,884.00 $53,727.50 2026-04-01
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 4 3 — — $18,395.16 $115,324.00 $53,651.08 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 2 2 — — $53,646.91 $53,646.91 $53,646.91 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 10 6 — — $27,595.49 $63,060.00 $53,411.00 2026-04-01
165 MS_DRG Major Chest Procedures Without Cc/Mcc 10 6 — — $17,509.71 $58,575.00 $53,187.50 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 4 3 — — $29,519.16 $97,910.00 $52,455.08 2026-04-01
585 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/Mcc 10 6 — — $17,646.00 $57,941.00 $51,544.00 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 2 2 — — $51,266.79 $51,266.79 $51,266.79 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 4 3 — — $30,557.37 $93,430.00 $51,248.68 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 2 2 — — $50,915.54 $50,915.54 $50,915.54 2026-04-01
499 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Without… 10 6 — — $18,429.92 $55,246.00 $50,530.50 2026-04-01
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/Mcc 10 6 — — $20,303.28 $53,139.00 $50,378.50 2026-04-01
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 10 6 — — $15,806.48 $61,990.00 $50,372.00 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 2 2 — — $50,217.60 $50,217.60 $50,217.60 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 4 3 — — $23,242.30 $99,655.00 $50,034.15 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 2 2 — — $49,890.13 $49,890.13 $49,890.13 2026-04-01
504 MS_DRG Foot Procedures With Cc 10 6 — — $17,098.08 $58,627.00 $49,766.50 2026-04-01
503 MS_DRG Foot Procedures With Mcc 10 6 — — $25,530.95 $58,627.00 $49,766.50 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 2 2 — — $49,690.72 $49,690.72 $49,690.72 2026-04-01
740 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Cc 10 6 — — $16,552.90 $52,347.00 $49,626.00 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 4 3 — — $31,600.16 $87,685.00 $49,559.08 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 4 3 — — $29,151.44 $90,186.00 $49,297.22 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 2 2 — — $24,228.42 $74,101.05 $49,164.74 2026-04-01
581 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/Mcc 10 6 — — $13,200.43 $52,907.00 $48,680.00 2026-04-01
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 10 6 — — $17,108.14 $51,306.00 $48,637.00 2026-04-01
506 MS_DRG Major Thumb Or Joint Procedures 10 6 — — $12,341.50 $52,740.00 $48,229.50 2026-04-01
5116 OTHER Level 6 Musculoskeletal Procedures 2 1 — — $23,237.99 $72,506.90 $47,872.44 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 10 6 — — $29,623.44 $50,217.00 $47,605.50 2026-04-01
374 MS_DRG Digestive Malignancy With Mcc 4 3 — — $19,563.27 $98,045.00 $47,574.13 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 2 2 — — $47,532.88 $47,532.88 $47,532.88 2026-04-01
507 MS_DRG Major Shoulder Or Elbow Joint Procedures With Cc/Mcc 10 6 — — $16,523.63 $56,211.00 $47,433.00 2026-04-01
508 MS_DRG Major Shoulder Or Elbow Joint Procedures Without Cc/Mcc 10 6 — — $13,852.63 $56,211.00 $47,433.00 2026-04-01
39 MS_DRG Extracranial Procedures Without Cc/Mcc 10 6 — — $10,752.62 $50,104.00 $46,026.50 2026-04-01
5115 OTHER Level 5 Musculoskeletal Procedures 8 5 — — $16,226.18 $61,420.77 $45,770.57 2026-04-01
5094 OTHER Level 4 Breast/Lymphatic Surgery And Related Procedures 2 2 — — $36,068.71 $55,449.00 $45,758.85 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 2 2 — — $45,621.10 $45,621.10 $45,621.10 2026-04-01
716 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy Without Cc/Mcc 10 6 — — $13,455.63 $48,110.00 $45,607.50 2026-04-01
398 MS_DRG Appendix Procedures With Cc 10 6 — — $13,845.31 $53,792.00 $45,557.00 2026-04-01
287 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization Without Mcc 10 6 — — $9,788.49 $53,792.00 $45,557.00 2026-04-01
49656 HCPCS Lap Inc Hernia Repair Recur 1 1 — — $45,468.00 $45,468.00 $45,468.00 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 2 2 — — $45,174.71 $45,174.71 $45,174.71 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 10 6 — — $23,198.39 $53,391.00 $45,107.00 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 2 2 — — $45,020.12 $45,020.12 $45,020.12 2026-04-01
583 MS_DRG Mastectomy For Malignancy Without Cc/Mcc 10 6 — — $15,773.55 $51,056.00 $44,960.50 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 2 2 — — $44,832.60 $44,832.60 $44,832.60 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 4 3 — — $28,491.00 $79,252.00 $44,793.50 2026-04-01
132 MS_DRG Cranial/Facial Procedures Without Cc/Mcc 5 3 — — $29,482.00 $48,334.00 $44,389.00 2026-04-01
23615 HCPCS Treat Humerus Fracture 5 4 — — $16,617.36 $50,020.00 $44,143.00 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 2 2 — — $43,946.23 $43,946.23 $43,946.23 2026-04-01
906 MS_DRG Hand Procedures For Injuries 4 3 — — $17,967.98 $90,683.00 $43,938.99 2026-04-01
505 MS_DRG Foot Procedures Without Cc/Mcc 10 6 — — $16,399.23 $47,617.00 $43,904.00 2026-04-01
578 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis Without Cc/Mcc 10 6 — — $14,694.18 $46,278.00 $43,867.50 2026-04-01
501 MS_DRG Soft Tissue Procedures With Cc 10 6 — — $15,990.34 $46,153.00 $43,750.00 2026-04-01
658 MS_DRG Kidney And Ureter Procedures For Neoplasm Without Cc/Mcc 10 6 — — $14,194.73 $48,389.00 $43,365.00 2026-04-01
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 10 6 — — $19,020.83 $48,119.00 $43,171.00 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 2 2 — — $43,004.98 $43,004.98 $43,004.98 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 2 2 — — $42,917.16 $42,917.16 $42,917.16 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 2 2 — — $42,789.10 $42,789.10 $42,789.10 2026-04-01
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 4 3 — — $16,721.21 $89,204.00 $42,745.60 2026-04-01
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 4 3 — — $20,196.26 $84,363.00 $42,617.13 2026-04-01
58544 HCPCS Lsh W/t/o Uterus Above 250 G 6 5 — — $13,758.41 $47,497.00 $42,614.50 2026-04-01
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 10 6 — — $19,008.94 $44,926.00 $42,588.00 2026-04-01
304 MS_DRG Hypertension With Mcc 10 6 — — $10,885.25 $44,874.00 $42,538.50 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 2 2 — — $42,415.89 $42,415.89 $42,415.89 2026-04-01
744 MS_DRG D&c, Conization, Laparoscopy And Tubal Interruption With Cc/Mcc 10 6 — — $18,743.67 $44,518.00 $42,203.00 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 2 2 — — $42,045.43 $42,045.43 $42,045.43 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 2 2 — — $41,938.41 $41,938.41 $41,938.41 2026-04-01
63 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 8 6 — — $12,840.94 $44,254.00 $41,835.50 2026-04-01
245 MS_DRG Aicd Generator Procedures 2 2 — — $41,733.51 $41,733.51 $41,733.51 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 2 2 — — $41,608.19 $41,608.19 $41,608.19 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 4 3 — — $23,592.64 $77,234.00 $41,532.82 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 2 2 — — $41,427.07 $41,427.07 $41,427.07 2026-04-01
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 4 3 — — $14,673.14 $88,078.00 $41,287.07 2026-04-01
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 10 6 — — $10,132.43 $42,898.00 $40,658.00 2026-04-01
0571T OTHER Insj/rplcmt Icds Ss Eltrd 1 1 — — $40,627.23 $40,627.23 $40,627.23 2026-04-01
0915T OTHER Insj Perm Ccm-d Sys Pg&eltrd 1 1 — — $40,627.23 $40,627.23 $40,627.23 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 1 1 — — $40,627.23 $40,627.23 $40,627.23 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 1 1 — — $40,627.23 $40,627.23 $40,627.23 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 1 1 — — $40,627.23 $40,627.23 $40,627.23 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 1 1 — — $40,627.23 $40,627.23 $40,627.23 2026-04-01
0408T OTHER Insj/rplc Cardiac Modulj Sys 1 1 — — $40,627.23 $40,627.23 $40,627.23 2026-04-01
334 MS_DRG Rectal Resection Without Cc/Mcc 10 6 — — $14,982.31 $44,757.00 $40,318.50 2026-04-01
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/Mcc 10 6 — — $15,393.94 $44,651.00 $40,216.00 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 2 2 — — $40,182.13 $40,182.13 $40,182.13 2026-04-01
5232 OTHER Level 2 Icd And Similar Procedures 1 1 — — $40,176.92 $40,176.92 $40,176.92 2026-04-01
520 MS_DRG Back And Neck Procedures Except Spinal Fusion Without Cc/Mcc 10 6 — — $13,665.11 $47,544.00 $40,135.00 2026-04-01
682 MS_DRG Renal Failure With Mcc 4 3 — — $13,547.11 $86,410.00 $40,081.06 2026-04-01
347 MS_DRG Anal And Stomal Procedures With Mcc 4 3 — — $20,998.47 $75,922.00 $39,730.24 2026-04-01
497 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 10 6 — — $11,052.65 $46,941.00 $39,683.50 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 2 2 — — $39,583.90 $39,583.90 $39,583.90 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 4 3 — — $23,592.64 $71,858.00 $39,461.82 2026-04-01
27447 HCPCS Total Knee Arthroplasty 2 2 — — $16,617.36 $61,651.00 $39,134.18 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 2 2 — — $39,015.85 $39,015.85 $39,015.85 2026-04-01
708 MS_DRG Major Male Pelvic Procedures Without Cc/Mcc 10 6 — — $14,033.74 $45,228.00 $38,648.00 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 2 2 — — $38,564.89 $38,564.89 $38,564.89 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 2 2 — — $38,545.68 $38,545.68 $38,545.68 2026-04-01
27427 HCPCS Reconstruction Knee 6 5 — — $9,391.86 $42,642.00 $38,491.50 2026-04-01
29916 HCPCS Hip Arthro W/labral Repair 5 4 — — $9,391.86 $44,666.00 $38,488.00 2026-04-01
58573 HCPCS Tlh W/t/o Uterus Over 250 G 6 5 — — $13,758.41 $43,799.00 $38,444.00 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 2 2 — — $38,433.17 $38,433.17 $38,433.17 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 2 2 — — $38,387.44 $38,387.44 $38,387.44 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 2 2 — — $38,140.46 $38,140.46 $38,140.46 2026-04-01
27130 HCPCS Total Hip Arthroplasty 2 2 — — $16,617.36 $59,605.00 $38,111.18 2026-04-01
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 10 6 — — $15,389.37 $40,117.00 $38,030.50 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 2 2 — — $37,988.61 $37,988.61 $37,988.61 2026-04-01
713 MS_DRG Transurethral Prostatectomy With Cc/Mcc 10 6 — — $13,752.01 $39,806.00 $37,745.50 2026-04-01
199 MS_DRG Pneumothorax With Mcc 4 3 — — $16,136.70 $76,930.00 $37,721.35 2026-04-01
393 MS_DRG Other Digestive System Diagnoses With Mcc 4 3 — — $14,629.23 $77,622.00 $37,234.62 2026-04-01
791 MS_DRG Prematurity With Major Problems 2 2 — — $37,128.77 $37,128.77 $37,128.77 2026-04-01
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 4 3 — — $20,013.31 $70,360.00 $37,095.15 2026-04-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 4 3 — — $21,391.81 $68,435.00 $37,044.40 2026-04-01
299 MS_DRG Peripheral Vascular Disorders With Mcc 4 3 — — $14,934.75 $75,965.00 $36,748.88 2026-04-01
513 MS_DRG Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures With Cc/Mcc 10 6 — — $14,400.55 $40,289.00 $36,477.50 2026-04-01
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 4 3 — — $20,816.44 $67,655.00 $36,456.22 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 2 2 — — $36,443.64 $36,443.64 $36,443.64 2026-04-01
614 MS_DRG Adrenal And Pituitary Procedures With Cc/Mcc 4 3 — — $20,048.99 $68,621.00 $36,443.49 2026-04-01
57425 HCPCS Laparoscopy Surg Colpopexy 6 5 — — $13,758.41 $40,554.00 $36,385.50 2026-04-01
735 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy Without Cc/Mcc 10 6 — — $12,307.65 $40,802.00 $36,292.50 2026-04-01
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 4 3 — — $20,992.07 $66,065.00 $35,961.04 2026-04-01
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 4 3 — — $19,930.07 $67,348.00 $35,893.54 2026-04-01
660 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Cc 10 6 — — $12,089.95 $37,638.00 $35,679.00 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 2 2 — — $35,621.30 $35,621.30 $35,621.30 2026-04-01
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/Mcc 11 6 — — $16,783.41 $37,736.00 $35,560.00 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 2 2 — — $35,406.34 $35,406.34 $35,406.34 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 2 2 — — $35,353.29 $35,353.29 $35,353.29 2026-04-01
27814 HCPCS Treatment Of Ankle Fracture 6 5 — — $9,391.86 $39,838.00 $35,289.00 2026-04-01
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 4 3 — — $12,217.09 $75,622.00 $35,258.04 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 2 2 — — $35,119.12 $35,119.12 $35,119.12 2026-04-01
512 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures Without Cc/… 10 6 — — $15,142.39 $39,085.00 $35,068.00 2026-04-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 4 3 — — $22,494.97 $61,568.00 $34,950.99 2026-04-01
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