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

13,493 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 · 2026-08-03
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
$809,151
1.9× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 1 $1,106,757.66 $1,106,757.66 $1,106,757.66 nat. median
$631,793
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
$624,417
1.7× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 1 $1,082,520.89 $1,082,520.89 $1,082,520.89 nat. median
$610,161
1.8× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 1 $1,066,152.95 $1,066,152.95 $1,066,152.95 nat. median
$588,565
1.8× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 1 $979,440.00 $979,440.00 $979,440.00 nat. median
$577,541
1.7× 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
$370,165
2.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 2 $1,847.00 $1,156,649.16 $579,248.08 nat. median
$691,418
0.8× 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
$261,939
outlier · 2.1×
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
$205,166
outlier · 2.1×
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
$199,832
2.0× median
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
$108,240
outlier · 2.4×
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
$132,706
1.9× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 2 $233,110.87 $265,044.31 $249,077.59 nat. median
$114,305
outlier · 2.2×
7
MS_DRG 		Lung Transplant 2 $211,138.38 $264,376.68 $237,757.53 nat. median
$122,690
1.9× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 1 $220,378.31 $220,378.31 $220,378.31 nat. median
$100,978
outlier · 2.2×
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
$96,835
outlier · 2.2×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 2 $186,493.44 $215,431.83 $200,962.64 nat. median
$99,646
outlier · 2.0×
850
MS_DRG 		Acute Leukemia With Other Procedures 1 $186,353.81 $186,353.81 $186,353.81 nat. median
$81,364
outlier · 2.3×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 2 $163,071.98 $188,259.26 $175,665.62 nat. median
$77,385
outlier · 2.3×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 1 $168,726.54 $168,726.54 $168,726.54 nat. median
$81,124
outlier · 2.1×
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
$66,640
outlier · 2.2×
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
$71,485
outlier · 2.0×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 1 $142,962.36 $142,962.36 $142,962.36 nat. median
$68,581
outlier · 2.1×
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 2 $121,526.38 $160,365.07 $140,945.73 nat. median
$69,153
outlier · 2.0×
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
$62,262
outlier · 2.2×
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
$65,792
2.0× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 2 $117,201.20 $140,736.95 $128,969.08 nat. median
$65,958
2.0× median
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
$62,911
outlier · 2.0×
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 2 $114,705.70 $138,135.24 $126,420.47 nat. median
$64,357
2.0× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 2 $121,191.78 $129,467.12 $125,329.45 nat. median
$60,162
outlier · 2.1×
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 1 $125,310.81 $125,310.81 $125,310.81 nat. median
$58,419
outlier · 2.1×
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 1 $125,148.97 $125,148.97 $125,148.97 nat. median
$59,832
outlier · 2.1×
21
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 2 $111,822.81 $137,391.45 $124,607.13 nat. median
$54,267
outlier · 2.3×
16
MS_DRG 		Autologous Bone Marrow Transplant With Cc/Mcc 2 $122,104.20 $122,699.34 $122,401.77 nat. median
$55,867
outlier · 2.2×
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 2 $104,460.99 $130,848.04 $117,654.51 nat. median
$62,218
1.9× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 2 $105,573.75 $127,938.82 $116,756.29 nat. median
$60,294
1.9× median
28
MS_DRG 		Spinal Procedures With Mcc 2 $106,168.44 $122,986.27 $114,577.36 nat. median
$56,970
outlier · 2.0×
10
MS_DRG 		Pancreas Transplant 2 $65,994.08 $161,293.67 $113,643.88 nat. median
$67,750
1.7× median
215
MS_DRG 		Other Heart Assist System Implant 3 $19,536.00 $214,331.26 $113,492.71 nat. median
$98,002
1.2× 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
$59,159
1.9× median
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 2 $103,379.24 $120,273.30 $111,826.27 nat. median
$51,433
outlier · 2.2×
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
$53,080
outlier · 2.1×
834
MS_DRG 		Acute Leukemia With Mcc 2 $110,365.92 $111,814.71 $111,090.32 nat. median
$52,155
outlier · 2.1×
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
$56,397
2.0× median
430
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 1 $110,665.59 $110,665.59 $110,665.59 nat. median
$53,268
outlier · 2.1×
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
$55,685
2.0× median
405
MS_DRG 		Pancreas, Liver And Shunt Procedures With Mcc 2 $104,535.78 $109,821.96 $107,178.87 nat. median
$52,517
outlier · 2.0×
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
$92,900
1.2× median
653
MS_DRG 		Major Bladder Procedures With Mcc 2 $99,404.31 $112,771.64 $106,087.98 nat. median
$51,176
outlier · 2.1×

Other procedures at this hospital

Browse this hospital's 13,493 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
             
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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