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

PROVIDENCE REDWOOD MEMORIAL HOSPITAL

Fortuna, CA · CCN 051318 · Rates published

13,488 distinct procedures filed
19 distinct payers
160,128 rate rows
2026-04-01 last MRF observed
Data quality

74,874 of 160,128 rate rows are consumer-grade (46.8%)

85,254 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 75,990
template filing: same amount across many unrelated codes — excluded 9,220
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 34
placeholder amount (≤ $0.02) — excluded from medians 10
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://pricetransparency.providence.org/norcal/live/814791043_providence-redwood-memorial-hospital_standardcharges.json
Found on page https://www.providence.org/billing-support/pricing-transparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-03
Content fingerprint 6d95f59b79091791… · 161,042,565 bytes · first seen 2026-05-08

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
Q2057
HCPCS 		Afamitresgene Autoleucel 1 $1,541,240.00 $1,541,240.00 $1,541,240.00 nat. median
$813,967
1.9× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 1 $1,106,757.66 $1,106,757.66 $1,106,757.66 nat. median
$599,737
1.8× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 1 $1,083,271.31 $1,083,271.31 $1,083,271.31 nat. median
$579,571
1.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 1 $1,082,520.89 $1,082,520.89 $1,082,520.89 nat. median
$574,037
1.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 1 $1,066,152.95 $1,066,152.95 $1,066,152.95 nat. median
$562,501
1.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 1 $979,440.00 $979,440.00 $979,440.00 nat. median
$513,770
1.9× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 2 $680,955.62 $762,915.06 $721,935.34 nat. median
$168,055
outlier · 4.3×
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 2 $1,847.00 $1,156,649.16 $579,248.08 nat. median
$621,313
0.9× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 2 $528,381.35 $569,834.44 $549,107.90 nat. median
$186,516
outlier · 2.9×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 2 $383,645.68 $479,935.97 $431,790.82 nat. median
$131,925
outlier · 3.3×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 2 $346,435.65 $433,554.38 $389,995.02 nat. median
$145,435
outlier · 2.7×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 2 $222,939.55 $290,613.30 $256,776.42 nat. median
$65,418
outlier · 3.9×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 2 $216,386.60 $285,845.82 $251,116.21 nat. median
$97,418
outlier · 2.6×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 2 $233,110.87 $265,044.31 $249,077.59 nat. median
$72,715
outlier · 3.4×
7
MS_DRG 		Lung Transplant 2 $211,138.38 $264,376.68 $237,757.53 nat. median
$70,649
outlier · 3.4×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 1 $220,378.31 $220,378.31 $220,378.31 nat. median
$74,509
outlier · 3.0×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 $212,053.25 $212,053.25 $212,053.25 nat. median
$2,736
outlier · 77.5×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 2 $186,493.44 $215,431.83 $200,962.64 nat. median
$69,922
outlier · 2.9×
850
MS_DRG 		Acute Leukemia With Other Procedures 1 $186,353.81 $186,353.81 $186,353.81 nat. median
$2,633
outlier · 70.8×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 2 $163,071.98 $188,259.26 $175,665.62 nat. median
$56,428
outlier · 3.1×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 1 $168,726.54 $168,726.54 $168,726.54 nat. median
$2,596
outlier · 65.0×
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 $143,613.80 $143,613.80 $143,613.80 nat. median
$9,905
outlier · 14.5×
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 2 $135,370.23 $150,998.11 $143,184.17 nat. median
$52,327
outlier · 2.7×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 1 $142,962.36 $142,962.36 $142,962.36 nat. median
$51,518
outlier · 2.8×
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 2 $121,526.38 $160,365.07 $140,945.73 nat. median
$45,605
outlier · 3.1×
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 1 $135,632.67 $135,632.67 $135,632.67 nat. median
$2,958
outlier · 45.9×
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 2 $126,865.81 $134,884.12 $130,874.96 nat. median
$49,569
outlier · 2.6×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 2 $117,201.20 $140,736.95 $128,969.08 nat. median
$48,611
outlier · 2.7×
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 2 $119,050.94 $135,112.73 $127,081.84 nat. median
$37,013
outlier · 3.4×
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 2 $114,705.70 $138,135.24 $126,420.47 nat. median
$47,340
outlier · 2.7×
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 2 $121,191.78 $129,467.12 $125,329.45 nat. median
$44,036
outlier · 2.8×
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 1 $125,310.81 $125,310.81 $125,310.81 nat. median
$43,533
outlier · 2.9×
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 1 $125,148.97 $125,148.97 $125,148.97 nat. median
$2,633
outlier · 47.5×
21
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 2 $111,822.81 $137,391.45 $124,607.13 nat. median
$38,173
outlier · 3.3×
16
MS_DRG 		Autologous Bone Marrow Transplant With Cc/Mcc 2 $122,104.20 $122,699.34 $122,401.77 nat. median
$38,932
outlier · 3.1×
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 2 $104,460.99 $130,848.04 $117,654.51 nat. median
$47,121
outlier · 2.5×
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 2 $105,573.75 $127,938.82 $116,756.29 nat. median
$41,943
outlier · 2.8×
28
MS_DRG 		Spinal Procedures With Mcc 2 $106,168.44 $122,986.27 $114,577.36 nat. median
$41,895
outlier · 2.7×
10
MS_DRG 		Pancreas Transplant 2 $65,994.08 $161,293.67 $113,643.88 nat. median
$23,080
outlier · 4.9×
215
MS_DRG 		Other Heart Assist System Implant 3 $19,536.00 $214,331.26 $113,492.71 nat. median
$73,023
1.6× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 2 $101,011.43 $124,578.45 $112,794.94 nat. median
$43,299
outlier · 2.6×
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 2 $103,379.24 $120,273.30 $111,826.27 nat. median
$40,584
outlier · 2.8×
428
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 $111,375.70 $111,375.70 $111,375.70 nat. median
$10,799
outlier · 10.3×
834
MS_DRG 		Acute Leukemia With Mcc 2 $110,365.92 $111,814.71 $111,090.32 nat. median
$37,487
outlier · 3.0×
820
MS_DRG 		Lymphoma And Leukemia With Major O.r. Procedures With Mcc 2 $103,747.73 $117,782.86 $110,765.29 nat. median
$40,726
outlier · 2.7×
430
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 1 $110,665.59 $110,665.59 $110,665.59 nat. median
$2,596
outlier · 42.6×
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 2 $103,291.68 $115,411.79 $109,351.73 nat. median
$40,301
outlier · 2.7×
405
MS_DRG 		Pancreas, Liver And Shunt Procedures With Mcc 2 $104,535.78 $109,821.96 $107,178.87 nat. median
$38,859
outlier · 2.8×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 $19,536.00 $195,237.24 $106,854.44 nat. median
$69,822
1.5× median
653
MS_DRG 		Major Bladder Procedures With Mcc 2 $99,404.31 $112,771.64 $106,087.98 nat. median
$36,547
outlier · 2.9×

Other procedures at this hospital

Browse this hospital's 13,488 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
             
Q2057 HCPCS Afamitresgene Autoleucel 2 1 — — $1,541,240.00 $1,541,240.00 $1,541,240.00 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 2 1 — — $1,106,757.66 $1,106,757.66 $1,106,757.66 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 2 1 — — $1,083,271.31 $1,083,271.31 $1,083,271.31 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 2 1 — — $1,082,520.89 $1,082,520.89 $1,082,520.89 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 2 1 — — $1,066,152.95 $1,066,152.95 $1,066,152.95 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 2 1 — — $979,440.00 $979,440.00 $979,440.00 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 4 2 — — $680,955.62 $762,915.06 $721,935.34 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 4 2 — — $1,847.00 $1,156,649.16 $579,248.08 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 4 2 — — $528,381.35 $569,834.44 $549,107.90 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 4 2 — — $383,645.68 $479,935.97 $431,790.82 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 4 2 — — $346,435.65 $433,554.38 $389,995.02 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 4 2 — — $222,939.55 $290,613.30 $256,776.42 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 4 2 — — $216,386.60 $285,845.82 $251,116.21 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 4 2 — — $233,110.87 $265,044.31 $249,077.59 2026-04-01
7 MS_DRG Lung Transplant 4 2 — — $211,138.38 $264,376.68 $237,757.53 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 2 1 — — $220,378.31 $220,378.31 $220,378.31 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 2 1 — — $212,053.25 $212,053.25 $212,053.25 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 4 2 — — $186,493.44 $215,431.83 $200,962.64 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 2 1 — — $186,353.81 $186,353.81 $186,353.81 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 4 2 — — $163,071.98 $188,259.26 $175,665.62 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 2 1 — — $168,726.54 $168,726.54 $168,726.54 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 2 1 — — $143,613.80 $143,613.80 $143,613.80 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 4 2 — — $135,370.23 $150,998.11 $143,184.17 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 2 1 — — $142,962.36 $142,962.36 $142,962.36 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 4 2 — — $121,526.38 $160,365.07 $140,945.73 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 2 1 — — $135,632.67 $135,632.67 $135,632.67 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 4 2 — — $126,865.81 $134,884.12 $130,874.96 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 4 2 — — $117,201.20 $140,736.95 $128,969.08 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 4 2 — — $119,050.94 $135,112.73 $127,081.84 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 4 2 — — $114,705.70 $138,135.24 $126,420.47 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 4 2 — — $121,191.78 $129,467.12 $125,329.45 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 2 1 — — $125,310.81 $125,310.81 $125,310.81 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 2 1 — — $125,148.97 $125,148.97 $125,148.97 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 4 2 — — $111,822.81 $137,391.45 $124,607.13 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 4 2 — — $122,104.20 $122,699.34 $122,401.77 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 4 2 — — $104,460.99 $130,848.04 $117,654.51 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 4 2 — — $105,573.75 $127,938.82 $116,756.29 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 4 2 — — $106,168.44 $122,986.27 $114,577.36 2026-04-01
10 MS_DRG Pancreas Transplant 4 2 — — $65,994.08 $161,293.67 $113,643.88 2026-04-01
215 MS_DRG Other Heart Assist System Implant 8 3 — — $19,536.00 $214,331.26 $113,492.71 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 4 2 — — $101,011.43 $124,578.45 $112,794.94 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 4 2 — — $103,379.24 $120,273.30 $111,826.27 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 2 1 — — $111,375.70 $111,375.70 $111,375.70 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 4 2 — — $110,365.92 $111,814.71 $111,090.32 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 4 2 — — $103,747.73 $117,782.86 $110,765.29 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 2 1 — — $110,665.59 $110,665.59 $110,665.59 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 4 2 — — $103,291.68 $115,411.79 $109,351.73 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 4 2 — — $104,535.78 $109,821.96 $107,178.87 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 8 3 — — $19,536.00 $195,237.24 $106,854.44 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 4 2 — — $99,404.31 $112,771.64 $106,087.98 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 4 2 — — $88,112.51 $122,104.20 $105,108.35 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 4 2 — — $98,995.69 $110,072.82 $104,534.26 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 2 1 — — $104,183.58 $104,183.58 $104,183.58 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 6 2 — — $103,349.49 $126,862.11 $103,349.49 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 8 3 — — $31,618.00 $179,274.98 $102,825.82 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 4 2 — — $101,292.57 $103,962.98 $102,627.77 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 2 1 — — $101,213.67 $101,213.67 $101,213.67 2026-04-01
81552 HCPCS Onc Uveal Mlnma Mrna 15 Gene 4 1 — — $91,874.49 $110,249.86 $101,062.18 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 4 2 — — $92,306.34 $109,144.22 $100,725.28 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 4 2 — — $98,100.00 $102,747.18 $100,423.59 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 4 2 — — $91,509.17 $109,158.38 $100,333.77 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 4 2 — — $97,503.49 $103,062.78 $100,283.14 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 4 2 — — $94,522.75 $103,841.68 $99,182.21 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 4 2 — — $95,174.72 $102,171.62 $98,673.17 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 6 3 — — $14,274.00 $109,261.56 $97,875.63 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 8 3 — — $31,618.00 $171,328.25 $97,394.27 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 4 1 — — $95,728.59 $95,728.59 $95,728.59 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 8 4 — — $24,625.00 $107,270.00 $95,692.37 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 4 2 — — $93,835.02 $96,188.29 $95,011.65 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 4 2 — — $87,720.31 $101,893.43 $94,806.87 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 4 2 — — $91,881.31 $96,607.07 $94,244.19 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 2 1 — — $94,118.66 $94,118.66 $94,118.66 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 4 2 — — $90,500.39 $93,242.66 $91,871.52 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 4 2 — — $85,585.99 $98,098.10 $91,842.05 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 4 1 — — $90,003.68 $90,003.68 $90,003.68 2026-04-01
C9150 HCPCS Xe129 Xenon, Diagnostic 4 1 — — $89,569.58 $89,569.58 $89,569.58 2026-04-01
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 8 3 — — $19,536.00 $154,900.67 $88,530.35 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 6 3 — — $28,548.00 $92,894.68 $88,479.17 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 4 2 — — $82,036.10 $94,664.90 $88,350.50 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 4 2 — — $82,327.97 $93,204.22 $87,766.10 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 4 2 — — $82,922.66 $91,268.11 $87,095.39 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 4 2 — — $81,937.59 $90,473.03 $86,205.31 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 2 1 — — $86,167.88 $86,167.88 $86,167.88 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 8 3 — — $19,536.00 $156,527.25 $85,192.07 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 6 2 — — $84,055.49 $96,184.24 $84,055.49 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 4 2 — — $77,751.05 $89,627.38 $83,689.21 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 2 1 — — $82,607.22 $82,607.22 $82,607.22 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 4 2 — — $74,296.02 $90,723.90 $82,509.96 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 4 2 — — $78,283.72 $86,293.31 $82,288.51 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 4 2 — — $79,646.40 $84,773.96 $82,210.18 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 4 2 — — $78,706.93 $84,169.05 $81,437.99 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 8 3 — — $31,618.00 $134,178.06 $80,371.75 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 4 2 — — $71,423.52 $88,648.82 $80,036.17 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 4 2 — — $76,714.91 $83,139.29 $79,927.10 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 2 1 — — $79,491.65 $79,491.65 $79,491.65 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 4 2 — — $76,233.32 $82,281.50 $79,257.41 2026-04-01
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 8 3 — — $19,536.00 $143,421.61 $78,872.12 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 8 3 — — $31,618.00 $118,609.48 $77,023.86 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 4 2 — — $69,901.52 $83,015.89 $76,458.71 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 4 2 — — $72,185.42 $80,590.19 $76,387.80 2026-04-01
791 MS_DRG Prematurity With Major Problems 4 2 — — $70,603.84 $82,139.88 $76,371.86 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 4 2 — — $72,504.65 $78,668.24 $75,586.45 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 4 2 — — $72,763.69 $78,190.79 $75,477.24 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 8 3 — — $31,618.00 $123,738.87 $74,591.77 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 4 2 — — $69,998.20 $79,103.21 $74,550.71 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 4 2 — — $71,736.67 $76,906.12 $74,321.39 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 4 2 — — $72,198.19 $76,307.29 $74,252.74 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 4 2 — — $63,173.87 $84,767.89 $73,970.88 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 4 2 — — $70,209.81 $77,326.93 $73,768.37 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 4 2 — — $67,460.74 $79,837.60 $73,649.17 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 4 2 — — $69,160.89 $77,909.58 $73,535.24 2026-04-01
332 MS_DRG Rectal Resection With Mcc 4 2 — — $70,171.22 $75,881.25 $73,026.24 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 4 2 — — $67,885.78 $78,109.87 $72,997.82 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 6 3 — — $7,930.00 $85,556.90 $72,614.11 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 6 3 — — $4,758.00 $84,375.41 $72,524.72 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 4 2 — — $70,968.68 $73,315.12 $72,141.90 2026-04-01
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 8 3 — — $19,536.00 $129,496.61 $72,027.73 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 8 3 — — $19,536.00 $130,639.66 $70,942.33 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 4 2 — — $65,904.70 $75,744.86 $70,824.78 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 4 2 — — $68,454.93 $72,524.09 $70,489.51 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 4 2 — — $67,654.11 $72,520.04 $70,087.07 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 4 2 — — $66,275.01 $73,810.78 $70,042.89 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 4 2 — — $68,398.38 $70,830.75 $69,614.57 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 4 2 — — $59,492.63 $79,495.69 $69,494.16 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 4 2 — — $67,378.65 $70,246.08 $68,812.36 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 4 2 — — $66,136.37 $70,881.33 $68,508.85 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 4 2 — — $65,025.43 $69,683.66 $67,354.54 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 4 2 — — $65,237.04 $69,289.15 $67,263.10 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 4 2 — — $65,382.98 $68,922.97 $67,152.98 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 8 3 — — $19,190.00 $124,151.58 $66,935.02 2026-04-01
265 MS_DRG Aicd Lead Procedures 4 2 — — $61,342.37 $72,161.95 $66,752.16 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 8 3 — — $19,536.00 $119,035.16 $66,722.96 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 8 3 — — $19,536.00 $123,577.02 $65,519.89 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 4 2 — — $61,236.57 $69,570.36 $65,403.46 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 4 2 — — $59,246.37 $70,705.32 $64,975.85 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 2 1 — — $64,824.17 $64,824.17 $64,824.17 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 8 3 — — $31,618.00 $98,261.97 $64,729.24 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 4 2 — — $59,222.65 $70,094.35 $64,658.50 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 2 1 — — $64,638.05 $64,638.05 $64,638.05 2026-04-01
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 8 3 — — $19,536.00 $113,321.13 $64,511.26 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 4 2 — — $41,183.14 $87,533.47 $64,358.31 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 6 3 — — $7,930.00 $71,399.25 $64,104.21 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 4 2 — — $60,107.39 $67,905.35 $64,006.37 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 4 2 — — $59,737.08 $67,181.08 $63,459.08 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 4 2 — — $61,771.06 $64,209.15 $62,990.10 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 4 2 — — $59,864.77 $65,906.53 $62,885.65 2026-04-01
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 8 3 — — $19,536.00 $102,644.09 $62,882.67 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 8 3 — — $31,618.00 $93,175.89 $62,669.71 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 8 3 — — $31,618.00 $91,527.41 $62,646.69 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 2 1 — — $62,428.82 $62,428.82 $62,428.82 2026-04-01
665 MS_DRG Prostatectomy With Mcc 4 2 — — $55,395.48 $69,461.12 $62,428.30 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 8 3 — — $19,536.00 $113,379.50 $62,126.03 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 2 1 — — $62,076.80 $62,076.80 $62,076.80 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 4 2 — — $55,360.11 $68,451.28 $61,905.69 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 4 2 — — $58,660.80 $64,524.75 $61,592.78 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 4 2 — — $59,932.27 $63,136.90 $61,534.58 2026-04-01
245 MS_DRG Aicd Generator Procedures 8 3 — — $19,536.00 $98,858.78 $61,102.60 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 8 3 — — $19,536.00 $107,149.45 $60,973.99 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 4 2 — — $57,533.44 $64,101.92 $60,817.68 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 4 2 — — $58,478.38 $62,384.31 $60,431.35 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 4 2 — — $54,065.64 $66,796.69 $60,431.17 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 8 3 — — $19,536.00 $107,626.90 $60,221.50 2026-04-01
652 MS_DRG Kidney Transplant 4 2 — — $58,044.22 $62,133.45 $60,088.83 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 4 2 — — $53,408.93 $65,934.85 $59,671.89 2026-04-01
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 8 3 — — $19,536.00 $101,573.78 $59,624.08 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 4 2 — — $54,888.35 $64,338.63 $59,613.49 2026-04-01
81541 HCPCS Onc Prostate Mrna 46 Genes 4 1 — — $54,168.00 $65,001.88 $59,584.94 2026-04-01
81521 HCPCS Onc Breast Mrna 70 Genes 4 1 — — $54,168.00 $65,001.88 $59,584.94 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 6 3 — — $14,274.00 $70,869.19 $59,507.23 2026-04-01
0094U OTHER Genome Rapid Sequence Alys 4 1 — — $53,750.87 $64,501.31 $59,126.09 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 4 2 — — $55,784.04 $61,874.49 $58,829.26 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 8 3 — — $19,536.00 $120,356.24 $58,632.62 2026-04-01
81280 HCPCS Long Qt Synd Gene Full Seq 4 1 — — $53,286.53 $63,944.10 $58,615.32 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 4 2 — — $53,445.41 $63,108.58 $58,277.00 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 2 1 — — $57,901.12 $57,901.12 $57,901.12 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 2 1 — — $57,591.59 $57,591.59 $57,591.59 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 4 2 — — $55,882.54 $58,965.27 $57,423.90 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 4 2 — — $54,877.41 $59,333.48 $57,105.45 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 4 2 — — $54,260.83 $59,653.13 $56,956.98 2026-04-01
800 MS_DRG Splenic Procedures With Cc 4 2 — — $53,839.44 $58,945.04 $56,392.24 2026-04-01
570 MS_DRG Skin Debridement With Mcc 4 2 — — $51,739.78 $60,903.40 $56,321.59 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 6 3 — — $9,516.00 $66,125.02 $56,265.62 2026-04-01
81542 HCPCS Onc Prostate Mrna 22 Cnt Gen 4 1 — — $50,957.71 $61,149.51 $56,053.61 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 4 2 — — $55,157.80 $55,840.59 $55,499.19 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 4 2 — — $52,905.45 $57,089.86 $54,997.65 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 4 2 — — $51,829.17 $58,000.25 $54,914.71 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 4 2 — — $50,893.36 $58,912.67 $54,903.01 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 8 3 — — $31,618.00 $74,002.97 $54,841.15 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 4 2 — — $48,992.54 $60,409.77 $54,701.15 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 4 2 — — $52,482.23 $56,812.69 $54,647.46 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 4 2 — — $50,258.53 $58,995.62 $54,627.07 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 4 2 — — $53,676.89 $53,724.51 $53,700.70 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 4 2 — — $52,686.54 $54,688.44 $53,687.49 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 6 2 — — $53,397.28 $111,891.94 $53,397.28 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 8 3 — — $19,536.00 $92,906.82 $53,243.03 2026-04-01
0267U OTHER Rare Do Id Opt Gen Mapg&seq 4 1 — — $47,775.67 $57,331.05 $52,553.36 2026-04-01
81529 HCPCS Onc Cutan Mlnma Mrna 31 Gene 4 1 — — $47,698.31 $57,238.21 $52,468.26 2026-04-01
338 MS_DRG Appendectomy With Complicated Principal Diagnosis With Mcc 4 2 — — $51,055.71 $53,743.65 $52,399.68 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 4 2 — — $49,694.86 $54,959.53 $52,327.19 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 4 2 — — $51,150.57 $53,069.96 $52,110.26 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 4 2 — — $48,906.80 $55,256.93 $52,081.87 2026-04-01
81162 HCPCS Brca1&2 Seq & Full Dup/del 4 1 — — $47,261.52 $56,714.06 $51,987.79 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 4 2 — — $49,877.28 $53,484.69 $51,680.99 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 4 2 — — $49,627.36 $53,608.10 $51,617.73 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 6 3 — — $14,274.00 $54,510.41 $51,094.02 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 8 3 — — $19,536.00 $88,864.67 $51,085.91 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 4 2 — — $49,388.39 $52,365.92 $50,877.15 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 4 2 — — $48,611.28 $52,280.95 $50,446.11 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 8 3 — — $19,190.00 $79,655.52 $50,353.04 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 4 2 — — $48,704.32 $51,661.88 $50,183.10 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 4 2 — — $46,469.67 $53,867.06 $50,168.36 2026-04-01
397 MS_DRG Appendix Procedures With Mcc 2 1 — — $50,124.33 $50,124.33 $50,124.33 2026-04-01
849 MS_DRG Radiotherapy 4 2 — — $45,376.98 $54,034.98 $49,705.98 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 4 2 — — $46,389.41 $52,930.37 $49,659.89 2026-04-01
81518 HCPCS Onc Brst Mrna 11 Genes 4 1 — — $45,046.53 $54,056.07 $49,551.30 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 4 2 — — $48,144.29 $50,917.38 $49,530.83 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 8 3 — — $19,536.00 $83,185.83 $48,942.47 2026-04-01
81540 HCPCS Oncology Tum Unknown Origin 4 1 — — $44,306.84 $53,168.43 $48,737.63 2026-04-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 4 2 — — $47,604.32 $49,122.89 $48,363.60 2026-04-01
545 MS_DRG Connective Tissue Disorders With Mcc 4 2 — — $45,595.88 $51,117.67 $48,356.77 2026-04-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 4 2 — — $46,356.57 $49,535.60 $47,946.08 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 4 2 — — $45,820.26 $49,922.02 $47,871.14 2026-04-01
81520 HCPCS Onc Breast Mrna 58 Genes 4 1 — — $43,343.18 $52,012.04 $47,677.61 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 4 2 — — $45,750.94 $48,493.71 $47,122.32 2026-04-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 4 2 — — $44,736.68 $48,954.97 $46,845.82 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 8 3 — — $31,618.00 $58,609.21 $46,819.24 2026-04-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 4 2 — — $45,561.22 $47,739.09 $46,650.15 2026-04-01
81408 HCPCS Mopath Procedure Level 9 4 1 — — $42,376.68 $50,852.23 $46,614.46 2026-04-01
5094 OTHER Level 4 Breast/Lymphatic Surgery And Related Procedures 4 2 — — $23,387.65 $69,556.98 $46,472.32 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 6 3 — — $23,790.00 $54,302.03 $46,376.64 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 8 3 — — $19,190.00 $80,533.54 $46,371.72 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 4 2 — — $44,209.49 $48,078.97 $46,144.23 2026-04-01
792 MS_DRG Prematurity Without Major Problems 4 2 — — $42,600.54 $49,561.90 $46,081.22 2026-04-01
81211 HCPCS Brca1&2 Seq & Com Dup/del 4 1 — — $41,747.74 $50,097.50 $45,922.62 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 8 3 — — $19,536.00 $68,623.55 $45,674.43 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 4 2 — — $42,531.22 $48,493.71 $45,512.46 2026-04-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 4 2 — — $39,900.73 $50,658.42 $45,279.57 2026-04-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 4 2 — — $42,994.57 $47,308.17 $45,151.37 2026-04-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 4 2 — — $43,423.26 $46,699.22 $45,061.24 2026-04-01
347 MS_DRG Anal And Stomal Procedures With Mcc 6 2 — — $41,810.69 $47,878.68 $44,904.51 2026-04-01
614 MS_DRG Adrenal And Pituitary Procedures With Cc/Mcc 4 2 — — $43,540.01 $46,102.40 $44,821.21 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 8 3 — — $19,190.00 $71,219.19 $44,661.54 2026-04-01
35 MS_DRG Carotid Artery Stent Procedures With Cc 4 2 — — $42,633.38 $46,017.43 $44,325.40 2026-04-01
81440 HCPCS Mitochondrial Gene 4 1 — — $40,290.45 $48,348.75 $44,319.60 2026-04-01
81436 HCPCS Hereditary Colon Ca Dsordrs 4 1 — — $40,290.45 $48,348.75 $44,319.60 2026-04-01
81431 HCPCS Hearing Loss Dup/del Analys 4 1 — — $40,290.45 $48,348.75 $44,319.60 2026-04-01
81435 HCPCS Hereditary Colon Ca Dsordrs 4 1 — — $40,290.45 $48,348.75 $44,319.60 2026-04-01
81445 HCPCS Targeted Genomic Seq Analys 4 1 — — $40,290.45 $48,348.75 $44,319.60 2026-04-01
81426 HCPCS Genome Sequence Analysis 4 1 — — $40,290.45 $48,348.75 $44,319.60 2026-04-01
81450 HCPCS Targeted Genomic Seq Analys 4 1 — — $40,290.45 $48,348.75 $44,319.60 2026-04-01
81410 HCPCS Aortic Dysfunction/dilation 4 1 — — $40,290.45 $48,348.75 $44,319.60 2026-04-01
81411 HCPCS Aortic Dysfunction/dilation 4 1 — — $40,290.45 $48,348.75 $44,319.60 2026-04-01
81415 HCPCS Exome Sequence Analysis 4 1 — — $40,290.45 $48,348.75 $44,319.60 2026-04-01
81425 HCPCS Genome Sequence Analysis 4 1 — — $40,290.45 $48,348.75 $44,319.60 2026-04-01
81471 HCPCS X-linked Intellectual Dblt 4 1 — — $40,290.45 $48,348.75 $44,319.60 2026-04-01
81519 HCPCS Oncology Breast Mrna 4 1 — — $40,290.45 $48,348.75 $44,319.60 2026-04-01
81455 HCPCS Targeted Genomic Seq Analys 4 1 — — $40,290.45 $48,348.75 $44,319.60 2026-04-01
81460 HCPCS Whole Mitochondrial Genome 4 1 — — $40,290.45 $48,348.75 $44,319.60 2026-04-01
81465 HCPCS Whole Mitochondrial Genome 4 1 — — $40,290.45 $48,348.75 $44,319.60 2026-04-01
81430 HCPCS Hearing Loss Sequence Analys 4 1 — — $40,290.45 $48,348.75 $44,319.60 2026-04-01
81416 HCPCS Exome Sequence Analysis 4 1 — — $40,290.45 $48,348.75 $44,319.60 2026-04-01
81470 HCPCS X-linked Intellectual Dblt 4 1 — — $40,290.45 $48,348.75 $44,319.60 2026-04-01
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 4 2 — — $42,888.77 $45,693.74 $44,291.25 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 8 3 — — $19,190.00 $72,503.86 $44,206.40 2026-04-01
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 4 2 — — $42,810.33 $45,521.77 $44,166.05 2026-04-01
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 4 2 — — $41,192.26 $46,937.94 $44,065.10 2026-04-01
30 MS_DRG Spinal Procedures Without Cc/Mcc 4 2 — — $42,998.22 $45,018.02 $44,008.12 2026-04-01
341 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Mcc 4 2 — — $42,252.12 $45,701.83 $43,976.98 2026-04-01
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 4 2 — — $42,073.35 $45,841.42 $43,957.38 2026-04-01
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 4 2 — — $41,620.95 $46,189.40 $43,905.18 2026-04-01
709 MS_DRG Penis Procedures With Cc/Mcc 4 2 — — $42,173.68 $45,459.06 $43,816.37 2026-04-01
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 4 2 — — $43,100.37 $44,494.04 $43,797.21 2026-04-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 4 2 — — $41,112.00 $45,558.19 $43,335.10 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 8 3 — — $19,190.00 $71,840.28 $43,147.45 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 8 3 — — $19,536.00 $72,749.10 $43,141.26 2026-04-01
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 4 2 — — $39,729.25 $46,337.08 $43,033.17 2026-04-01
0265U OTHER Rar Do Whl Gn&mtcdrl DNA Als 4 1 — — $38,818.40 $46,582.28 $42,700.34 2026-04-01
0212U OTHER Rare Ds Gen DNA Alys Proband 4 1 — — $38,814.14 $46,577.17 $42,695.65 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 8 3 — — $19,190.00 $65,216.65 $42,594.72 2026-04-01
412 MS_DRG Cholecystectomy With C.d.e. With Cc 4 2 — — $41,513.32 $43,122.38 $42,317.85 2026-04-01
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 4 2 — — $39,313.33 $45,159.64 $42,236.49 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 8 3 — — $31,618.00 $47,890.82 $42,140.17 2026-04-01
81595 HCPCS Cardiology Hrt Trnspl Mrna 4 1 — — $38,281.04 $45,937.44 $42,109.24 2026-04-01
263 MS_DRG Vein Ligation And Stripping 6 3 — — $3,965.00 $54,257.52 $42,053.28 2026-04-01
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 4 2 — — $40,670.54 $43,379.31 $42,024.93 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 8 3 — — $19,536.00 $69,396.38 $42,009.60 2026-04-01
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 6 3 — — $11,895.00 $51,287.61 $41,989.44 2026-04-01
141 MS_DRG Major Head And Neck Procedures With Cc 4 2 — — $40,269.22 $43,462.26 $41,865.74 2026-04-01
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 4 2 — — $40,015.65 $43,640.29 $41,827.97 2026-04-01
32 MS_DRG Ventricular Shunt Procedures With Cc 4 2 — — $40,354.95 $43,203.30 $41,779.12 2026-04-01
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 4 2 — — $37,087.81 $46,407.89 $41,747.85 2026-04-01
336 MS_DRG Peritoneal Adhesiolysis With Cc 8 3 — — $24,027.20 $42,735.96 $41,644.66 2026-04-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 4 2 — — $40,453.46 $42,713.71 $41,583.58 2026-04-01
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 4 2 — — $39,933.56 $42,650.99 $41,292.27 2026-04-01
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/Mcc 4 2 — — $36,828.77 $45,685.64 $41,257.21 2026-04-01
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 4 2 — — $38,507.04 $43,883.06 $41,195.05 2026-04-01
838 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Che… 4 2 — — $41,030.49 $41,205.03 $41,117.76 2026-04-01
333 MS_DRG Rectal Resection With Cc 4 2 — — $39,056.12 $42,992.90 $41,024.51 2026-04-01
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/Mcc 4 2 — — $38,600.07 $43,205.32 $40,902.69 2026-04-01
835 MS_DRG Acute Leukemia With Cc 4 2 — — $38,558.12 $43,209.37 $40,883.75 2026-04-01
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