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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

UCSF BENIOFF CHILDREN'S HOSPITAL OAKLAND

Oakland, CA · CCN 053301 · Rates published

9,429 distinct procedures filed
16 distinct payers
33,423 rate rows
2026-04-01 last MRF observed
Data quality

12,148 of 33,423 rate rows are consumer-grade (36.3%)

21,275 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 21,275
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://app.box.com/index.php?rm=box_download_shared_file&shared_name=pkobyi0jmi5a4ybe6wu06bk99lki5qnu&file_id=f_1959275788430
Found on page https://www.ucsfbenioffchildrens.org/billing-and-insurance/pricing-transparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-16
Content fingerprint 77ef8e3c1ce46075… · 23,948,046 bytes · first seen 2026-05-18

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
0748
OTHER 		Inj, Lovotibeglogene Autotem 1 $3,255,000.00 $3,255,000.00 $3,255,000.00 —
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 1 $3,248,445.72 $3,248,445.72 $3,248,445.72 nat. median
$3,248,446
1.0× median
J3393
HCPCS 		Betibeglogene Autotemcel 2 X 10exp6 To 20 X 10exp6 Cell/ml IV Susp 1 $2,945,740.00 $2,945,740.00 $2,945,740.00 nat. median
$2,968,000
1.0× median
0746
OTHER 		Inj, Betibeglogene Autotemce 1 $2,800,000.00 $2,800,000.00 $2,800,000.00 —
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 6 $214,698.10 $930,676.16 $505,961.78 nat. median
$145,435
outlier · 3.5×
16
MS_DRG 		Autologous Bone Marrow Transplant With Cc/Mcc 5 $59,980.37 $573,986.01 $475,807.64 nat. median
$38,932
outlier · 12.2×
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 1 $436,804.60 $436,804.60 $436,804.60 nat. median
$168,055
outlier · 2.6×
823
MS_DRG 		Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 2 $46,376.38 $570,043.55 $308,209.97 nat. median
$32,245
outlier · 9.6×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 1 $283,468.61 $283,468.61 $283,468.61 nat. median
$186,516
1.5× median
826
MS_DRG 		Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r.… 2 $47,317.09 $503,083.35 $275,200.22 nat. median
$32,899
outlier · 8.4×
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 2 $60,758.23 $452,364.98 $256,561.61 nat. median
$43,533
outlier · 5.9×
834
MS_DRG 		Acute Leukemia With Mcc 4 $55,531.68 $296,325.73 $243,256.20 nat. median
$37,487
outlier · 6.5×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 6 $77,667.89 $862,438.58 $232,407.47 nat. median
$55,923
outlier · 4.2×
555
MS_DRG 		Signs And Symptoms Of Musculoskeletal System And Connective Tissue With Mcc 2 $13,370.33 $444,654.00 $229,012.16 nat. median
$9,426
outlier · 24.3×
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 11 $22,105.86 $1,296,218.69 $216,045.93 nat. median
$40,584
outlier · 5.3×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 1 $215,965.54 $215,965.54 $215,965.54 nat. median
$131,925
1.6× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 8 $34,543.01 $877,935.00 $215,964.93 nat. median
$47,121
outlier · 4.6×
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 4 $35,694.16 $1,143,071.57 $208,313.64 nat. median
$52,327
outlier · 4.0×
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 2 $73,017.91 $313,372.05 $193,194.98 nat. median
$9,905
outlier · 19.5×
220
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 4 $53,942.58 $214,611.11 $169,551.57 nat. median
$38,832
outlier · 4.4×
228
MS_DRG 		Other Cardiothoracic Procedures With Mcc 8 $34,763.58 $235,287.94 $167,794.38 nat. median
$35,725
outlier · 4.7×
308
MS_DRG 		Cardiac Arrhythmia And Conduction Disorders With Mcc 3 $12,178.75 $379,226.82 $163,968.10 nat. median
$8,963
outlier · 18.3×
270
MS_DRG 		Other Major Cardiovascular Procedures With Mcc 5 $40,209.92 $378,446.33 $160,302.62 nat. median
$37,725
outlier · 4.2×
25
MS_DRG 		Craniotomy And Endovascular Intracranial Procedures With Mcc 7 $32,188.84 $434,597.43 $156,658.08 nat. median
$32,531
outlier · 4.8×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 3 $85,002.45 $170,701.23 $156,422.01 nat. median
$59,651
outlier · 2.6×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 2 $111,482.14 $201,132.26 $156,307.20 nat. median
$2,736
outlier · 57.1×
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 2 $57,963.39 $735,085.09 $146,735.90 nat. median
$40,301
outlier · 3.6×
190
MS_DRG 		Chronic Obstructive Pulmonary Disease With Mcc 2 $11,204.66 $278,016.17 $144,610.42 nat. median
$8,303
outlier · 17.4×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 7 $69,914.55 $388,355.62 $140,154.00 nat. median
$48,611
outlier · 2.9×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 1 $140,110.30 $140,110.30 $140,110.30 nat. median
$97,418
1.4× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 3 $121,564.00 $416,080.54 $133,835.16 nat. median
$72,715
1.8× median
7
MS_DRG 		Lung Transplant 1 $130,994.45 $130,994.45 $130,994.45 nat. median
$70,649
1.9× median
592
MS_DRG 		Skin Ulcers With Mcc 2 $19,576.03 $240,492.00 $130,034.01 nat. median
$13,680
outlier · 9.5×
945
MS_DRG 		Rehabilitation With Cc/Mcc 6 $15,664.47 $437,564.07 $127,400.00 nat. median
$10,273
outlier · 12.4×
850
MS_DRG 		Acute Leukemia With Other Procedures 6 $37,107.60 $590,956.54 $126,448.77 nat. median
$2,633
outlier · 48.0×
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 3 $60,318.22 $205,542.32 $114,661.90 nat. median
$42,674
outlier · 2.7×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 1 $114,623.93 $114,623.93 $114,623.93 nat. median
$65,418
1.8× median
209
MS_DRG 		Complex Aortic Arch Procedures 1 $114,492.43 $114,492.43 $114,492.43 nat. median
$2,110
outlier · 54.2×
958
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Cc 3 $42,624.63 $136,800.10 $114,248.00 nat. median
$29,495
outlier · 3.9×
564
MS_DRG 		Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc 2 $15,613.89 $212,751.00 $114,182.44 nat. median
$11,130
outlier · 10.3×
142
MS_DRG 		Major Head And Neck Procedures Without Cc/Mcc 3 $16,147.98 $124,924.84 $112,662.00 nat. median
$11,405
outlier · 9.9×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 1 $109,994.19 $109,994.19 $109,994.19 nat. median
$74,509
1.5× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 1 $108,243.35 $108,243.35 $108,243.35 nat. median
$108,243
1.0× median
821
MS_DRG 		Lymphoma And Leukemia With Major O.r. Procedures With Cc 2 $22,643.99 $188,690.89 $105,667.44 nat. median
$15,961
outlier · 6.6×
956
MS_DRG 		Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 6 $38,063.67 $225,453.56 $105,282.67 nat. median
$27,340
outlier · 3.9×
988
MS_DRG 		Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 2 $16,625.42 $192,672.04 $104,648.73 nat. median
$12,191
outlier · 8.6×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 1 $104,293.23 $104,293.23 $104,293.23 nat. median
$69,922
1.5× median
271
MS_DRG 		Other Major Cardiovascular Procedures With Cc 5 $35,972.85 $212,327.33 $101,827.28 nat. median
$25,964
outlier · 3.9×
215
MS_DRG 		Other Heart Assist System Implant 1 $100,717.49 $100,717.49 $100,717.49 nat. median
$73,023
1.4× median
791
MS_DRG 		Prematurity With Major Problems 9 $5,248.00 $494,706.69 $100,216.86 nat. median
$27,149
outlier · 3.7×

Other procedures at this hospital

Browse this hospital's 9,429 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
             
0748 OTHER Inj, Lovotibeglogene Autotem 1 1 — — $3,255,000.00 $3,255,000.00 $3,255,000.00 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 1 1 — — $3,248,445.72 $3,248,445.72 $3,248,445.72 2026-04-01
J3393 HCPCS Betibeglogene Autotemcel 2 X 10exp6 To 20 X 10exp6 Cell/ml IV Susp 1 1 — — $2,945,740.00 $2,945,740.00 $2,945,740.00 2026-04-01
0746 OTHER Inj, Betibeglogene Autotemce 1 1 — — $2,800,000.00 $2,800,000.00 $2,800,000.00 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 6 6 — — $214,698.10 $930,676.16 $505,961.78 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 5 5 — — $59,980.37 $573,986.01 $475,807.64 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 1 1 — — $436,804.60 $436,804.60 $436,804.60 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 2 2 — — $46,376.38 $570,043.55 $308,209.97 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 1 1 — — $283,468.61 $283,468.61 $283,468.61 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 2 2 — — $47,317.09 $503,083.35 $275,200.22 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 2 2 — — $60,758.23 $452,364.98 $256,561.61 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 5 4 — — $55,531.68 $296,325.73 $243,256.20 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 6 6 — — $77,667.89 $862,438.58 $232,407.47 2026-04-01
555 MS_DRG Signs And Symptoms Of Musculoskeletal System And Connective Tissue With Mcc 2 2 — — $13,370.33 $444,654.00 $229,012.16 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 12 11 — — $22,105.86 $1,296,218.69 $216,045.93 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 1 1 — — $215,965.54 $215,965.54 $215,965.54 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 8 8 — — $34,543.01 $877,935.00 $215,964.93 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 4 4 — — $35,694.16 $1,143,071.57 $208,313.64 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 2 2 — — $73,017.91 $313,372.05 $193,194.98 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 4 4 — — $53,942.58 $214,611.11 $169,551.57 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 8 8 — — $34,763.58 $235,287.94 $167,794.38 2026-04-01
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 3 3 — — $12,178.75 $379,226.82 $163,968.10 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 6 5 — — $40,209.92 $378,446.33 $160,302.62 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 8 7 — — $32,188.84 $434,597.43 $156,658.08 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 3 3 — — $85,002.45 $170,701.23 $156,422.01 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 2 2 — — $111,482.14 $201,132.26 $156,307.20 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 3 2 — — $57,963.39 $735,085.09 $146,735.90 2026-04-01
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 2 2 — — $11,204.66 $278,016.17 $144,610.42 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 7 7 — — $69,914.55 $388,355.62 $140,154.00 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 1 1 — — $140,110.30 $140,110.30 $140,110.30 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 3 3 — — $121,564.00 $416,080.54 $133,835.16 2026-04-01
7 MS_DRG Lung Transplant 1 1 — — $130,994.45 $130,994.45 $130,994.45 2026-04-01
592 MS_DRG Skin Ulcers With Mcc 2 2 — — $19,576.03 $240,492.00 $130,034.01 2026-04-01
945 MS_DRG Rehabilitation With Cc/Mcc 6 6 — — $15,664.47 $437,564.07 $127,400.00 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 7 6 — — $37,107.60 $590,956.54 $126,448.77 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 4 3 — — $60,318.22 $205,542.32 $114,661.90 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 1 1 — — $114,623.93 $114,623.93 $114,623.93 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 1 1 — — $114,492.43 $114,492.43 $114,492.43 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 3 3 — — $42,624.63 $136,800.10 $114,248.00 2026-04-01
564 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc 2 2 — — $15,613.89 $212,751.00 $114,182.44 2026-04-01
142 MS_DRG Major Head And Neck Procedures Without Cc/Mcc 3 3 — — $16,147.98 $124,924.84 $112,662.00 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 1 1 — — $109,994.19 $109,994.19 $109,994.19 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 1 1 — — $108,243.35 $108,243.35 $108,243.35 2026-04-01
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 2 2 — — $22,643.99 $188,690.89 $105,667.44 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 6 6 — — $38,063.67 $225,453.56 $105,282.67 2026-04-01
988 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 2 2 — — $16,625.42 $192,672.04 $104,648.73 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 1 1 — — $104,293.23 $104,293.23 $104,293.23 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 5 5 — — $35,972.85 $212,327.33 $101,827.28 2026-04-01
215 MS_DRG Other Heart Assist System Implant 1 1 — — $100,717.49 $100,717.49 $100,717.49 2026-04-01
791 MS_DRG Prematurity With Major Problems 10 9 — — $5,248.00 $494,706.69 $100,216.86 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $98,955.42 $98,955.42 $98,955.42 2026-04-01
682 MS_DRG Renal Failure With Mcc 3 3 — — $14,980.68 $446,993.71 $96,103.82 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 6 5 — — $27,014.36 $2,210,460.92 $95,757.28 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 7 6 — — $36,912.04 $339,335.47 $94,997.80 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 2 2 — — $42,008.61 $147,886.37 $94,947.49 2026-04-01
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 7 6 — — $10,496.00 $253,216.51 $94,056.38 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 2 2 — — $69,571.64 $112,983.98 $91,277.81 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 1 1 — — $91,134.31 $91,134.31 $91,134.31 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 4 4 — — $51,634.46 $653,277.09 $90,559.52 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 2 2 — — $29,780.29 $150,227.86 $90,004.07 2026-04-01
116 MS_DRG Intraocular Procedures With Cc/Mcc 2 2 — — $18,289.37 $160,465.96 $89,377.66 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 2 2 — — $36,703.17 $138,467.00 $87,585.08 2026-04-01
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 5 4 — — $21,020.49 $210,277.75 $86,881.71 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 1 1 — — $85,270.50 $85,270.50 $85,270.50 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 6 6 — — $22,518.47 $163,123.45 $84,728.50 2026-04-01
5223 OTHER Level 3 Pacemaker And Similar Procedures 1 1 — — $84,043.04 $84,043.04 $84,043.04 2026-04-01
5464 OTHER Level 4 Neurostimulator And Related Procedures 1 1 — — $83,042.66 $83,042.66 $83,042.66 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 5 5 — — $46,494.72 $1,470,555.61 $82,074.49 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 3 3 — — $57,651.84 $191,788.20 $81,426.52 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 7 6 — — $18,810.11 $212,939.58 $81,205.66 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 1 1 — — $79,594.84 $79,594.84 $79,594.84 2026-04-01
314 MS_DRG Other Circulatory System Diagnoses With Mcc 4 4 — — $21,092.31 $133,342.07 $78,690.00 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 1 1 — — $77,333.07 $77,333.07 $77,333.07 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 2 2 — — $45,143.33 $106,041.57 $75,592.45 2026-04-01
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 5 5 — — $8,034.39 $414,850.29 $73,182.93 2026-04-01
5166 OTHER Cochlear Implant Procedure 4 4 — — $34,953.98 $98,598.99 $73,101.56 2026-04-01
10 MS_DRG Pancreas Transplant 1 1 — — $72,583.96 $72,583.96 $72,583.96 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 1 1 — — $72,553.62 $72,553.62 $72,553.62 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 6 5 — — $10,156.57 $102,926.83 $72,453.18 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 2 2 — — $40,668.34 $103,942.47 $72,305.40 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 1 1 — — $72,168.23 $72,168.23 $72,168.23 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 1 1 — — $72,125.74 $72,125.74 $72,125.74 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 3 2 — — $32,721.81 $482,959.15 $70,204.00 2026-04-01
L8702 HCPCS Pow Ue Rom Dev Ewhf Uprt Cus 1 1 — — $68,801.71 $68,801.71 $68,801.71 2026-04-01
113 MS_DRG Orbital Procedures With Cc/Mcc 2 2 — — $23,781.95 $112,956.62 $68,369.29 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 1 1 — — $67,635.59 $67,635.59 $67,635.59 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 1 1 — — $67,586.02 $67,586.02 $67,586.02 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $66,510.77 $66,510.77 $66,510.77 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $66,510.77 $66,510.77 $66,510.77 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 1 1 — — $66,269.02 $66,269.02 $66,269.02 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 2 2 — — $32,236.27 $98,857.11 $65,546.69 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 10 9 — — $31,450.32 $317,663.21 $64,911.25 2026-04-01
287 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization Without Mcc 3 3 — — $10,824.32 $112,374.47 $63,999.39 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 2 2 — — $35,599.59 $92,150.21 $63,874.90 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 2 2 — — $25,701.83 $100,968.85 $63,335.34 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 4 4 — — $31,010.75 $119,789.13 $62,213.96 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 1 1 — — $61,990.27 $61,990.27 $61,990.27 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 1 1 — — $61,918.45 $61,918.45 $61,918.45 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 1 1 — — $61,324.68 $61,324.68 $61,324.68 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 2 2 — — $46,011.21 $76,602.00 $61,306.60 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 2 1 — — $36,534.24 $85,794.36 $61,164.30 2026-04-01
52 MS_DRG Spinal Disorders And Injuries With Cc/Mcc 6 6 — — $9,200.13 $434,071.78 $60,105.50 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 2 2 — — $35,285.01 $84,256.51 $59,770.76 2026-04-01
259 MS_DRG Cardiac Pacemaker Device Replacement Without Mcc 2 1 — — $20,454.04 $98,443.84 $59,448.94 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 1 1 — — $59,362.33 $59,362.33 $59,362.33 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 1 1 — — $59,323.89 $59,323.89 $59,323.89 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 1 1 — — $58,335.63 $58,335.63 $58,335.63 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 1 1 — — $57,726.69 $57,726.69 $57,726.69 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 1 — — $56,867.91 $56,867.91 $56,867.91 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 1 1 — — $56,691.90 $56,691.90 $56,691.90 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 4 4 — — $23,319.84 $117,752.00 $56,607.89 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 1 1 — — $56,303.48 $56,303.48 $56,303.48 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 1 1 — — $55,866.50 $55,866.50 $55,866.50 2026-04-01
5243 OTHER Level 3 Blood Product Exchange And Related Services 2 2 — — $4,478.50 $106,836.11 $55,657.31 2026-04-01
595 MS_DRG Major Skin Disorders With Mcc 2 2 — — $21,451.40 $89,622.29 $55,536.84 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 1 1 — — $55,335.45 $55,335.45 $55,335.45 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 1 1 — — $55,256.55 $55,256.55 $55,256.55 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 1 1 — — $55,169.56 $55,169.56 $55,169.56 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 1 1 — — $54,949.05 $54,949.05 $54,949.05 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 12 11 — — $28,079.00 $194,251.22 $54,239.53 2026-04-01
83 MS_DRG Traumatic Stupor And Coma >1 Hour With Cc 4 3 — — $14,118.86 $66,698.21 $54,049.43 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 1 1 — — $53,910.21 $53,910.21 $53,910.21 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 1 1 — — $53,548.08 $53,548.08 $53,548.08 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 1 1 — — $52,653.90 $52,653.90 $52,653.90 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 1 1 — — $52,562.86 $52,562.86 $52,562.86 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 1 — — $50,982.86 $50,982.86 $50,982.86 2026-04-01
115 MS_DRG Extraocular Procedures Except Orbit 2 1 — — $15,525.89 $85,283.14 $50,404.51 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 2 2 — — $43,144.55 $57,596.00 $50,370.28 2026-04-01
922 MS_DRG Other Injury, Poisoning And Toxic Effect Diagnoses With Mcc 6 6 — — $6,945.73 $116,766.85 $50,101.82 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 8 8 — — $20,206.83 $435,954.59 $50,024.37 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 1 1 — — $49,784.20 $49,784.20 $49,784.20 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 1 1 — — $49,576.84 $49,576.84 $49,576.84 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 1 1 — — $48,843.48 $48,843.48 $48,843.48 2026-04-01
5465 OTHER Level 5 Neurostimulator And Related Procedures 1 1 — — $48,622.26 $48,622.26 $48,622.26 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 1 1 — — $48,156.66 $48,156.66 $48,156.66 2026-04-01
L7181 HCPCS Electronic Elbo Simultaneous 1 1 — — $48,155.50 $48,155.50 $48,155.50 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 1 1 — — $47,555.81 $47,555.81 $47,555.81 2026-04-01
5191 OTHER Level 1 Endovascular Procedures 2 2 — — $28,518.11 $66,467.25 $47,492.68 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 2 2 — — $42,206.87 $52,377.36 $47,292.12 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 6 6 — — $19,439.70 $245,481.28 $47,200.27 2026-04-01
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 6 6 — — $10,200.00 $232,138.39 $47,117.76 2026-04-01
289 MS_DRG Acute And Subacute Endocarditis With Cc 2 1 — — $17,265.71 $76,641.12 $46,953.41 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 1 1 — — $46,904.39 $46,904.39 $46,904.39 2026-04-01
800 MS_DRG Splenic Procedures With Cc 2 2 — — $28,417.77 $65,078.23 $46,748.00 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 1 1 — — $46,717.26 $46,717.26 $46,717.26 2026-04-01
69930 HCPCS Implant Cochlear Device 1 1 — — $46,559.16 $46,559.16 $46,559.16 2026-04-01
165 MS_DRG Major Chest Procedures Without Cc/Mcc 5 5 — — $18,412.15 $54,995.11 $46,165.00 2026-04-01
245 MS_DRG Aicd Generator Procedures 1 1 — — $46,149.79 $46,149.79 $46,149.79 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 1 1 — — $45,810.93 $45,810.93 $45,810.93 2026-04-01
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 4 3 — — $20,232.51 $121,122.06 $45,339.44 2026-04-01
30 MS_DRG Spinal Procedures Without Cc/Mcc 6 5 — — $22,204.99 $186,107.71 $45,310.30 2026-04-01
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 3 3 — — $21,512.09 $52,935.73 $44,931.37 2026-04-01
91 MS_DRG Other Disorders Of Nervous System With Mcc 6 6 — — $10,584.85 $194,554.67 $44,834.50 2026-04-01
L7180 HCPCS Electronic Elbow Sequential 1 1 — — $44,356.85 $44,356.85 $44,356.85 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 4 4 — — $28,307.34 $69,027.00 $44,230.47 2026-04-01
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 13 12 — — $14,185.98 $155,735.69 $44,105.00 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 1 1 — — $43,772.71 $43,772.71 $43,772.71 2026-04-01
61886 HCPCS Implant Neurostim Arrays 1 1 — — $43,573.43 $43,573.43 $43,573.43 2026-04-01
0908T OTHER Opn Imp Int Nstm Sys Vgs Nrv 1 1 — — $43,573.43 $43,573.43 $43,573.43 2026-04-01
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 1 1 — — $43,573.43 $43,573.43 $43,573.43 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 1 1 — — $43,573.43 $43,573.43 $43,573.43 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 1 1 — — $43,573.43 $43,573.43 $43,573.43 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 1 1 — — $43,573.43 $43,573.43 $43,573.43 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 1 1 — — $43,573.43 $43,573.43 $43,573.43 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 1 1 — — $43,573.43 $43,573.43 $43,573.43 2026-04-01
0909T OTHER Rplcmt Int Nstim Sys Vgs Nrv 1 1 — — $43,573.43 $43,573.43 $43,573.43 2026-04-01
0674T OTHER Laps Insj Nw/rpcmt Prm Isdss 1 1 — — $43,573.43 $43,573.43 $43,573.43 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 1 1 — — $43,423.74 $43,423.74 $43,423.74 2026-04-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 6 6 — — $15,512.00 $102,591.94 $43,405.10 2026-04-01
336 MS_DRG Peritoneal Adhesiolysis With Cc 4 4 — — $21,330.02 $72,407.96 $43,377.35 2026-04-01
465 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 2 2 — — $18,447.17 $67,827.29 $43,137.23 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 1 1 — — $42,896.73 $42,896.73 $42,896.73 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 1 1 — — $42,645.87 $42,645.87 $42,645.87 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 1 1 — — $42,500.21 $42,500.21 $42,500.21 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 1 1 — — $42,370.74 $42,370.74 $42,370.74 2026-04-01
300 MS_DRG Peripheral Vascular Disorders With Cc 3 3 — — $10,798.02 $50,268.00 $42,348.00 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 1 1 — — $41,730.44 $41,730.44 $41,730.44 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 2 2 — — $32,902.87 $49,850.22 $41,376.54 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 2 2 — — $37,694.00 $44,434.25 $41,064.12 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 2 2 — — $37,807.75 $44,010.62 $40,909.18 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 14 13 — — $10,436.00 $160,094.88 $40,524.26 2026-04-01
86 MS_DRG Traumatic Stupor And Coma <1 Hour With Cc 10 8 — — $6,938.92 $103,436.18 $40,512.72 2026-04-01
177 MS_DRG Respiratory Infections And Inflammations With Mcc 10 9 — — $12,026.55 $74,579.76 $40,412.00 2026-04-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 4 4 — — $23,498.73 $665,168.70 $40,332.50 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 1 1 — — $40,300.15 $40,300.15 $40,300.15 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 1 1 — — $39,569.83 $39,569.83 $39,569.83 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 1 1 — — $39,390.79 $39,390.79 $39,390.79 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 1 1 — — $39,153.08 $39,153.08 $39,153.08 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 1 1 — — $39,094.41 $39,094.41 $39,094.41 2026-04-01
503 MS_DRG Foot Procedures With Mcc 2 2 — — $28,232.66 $49,899.35 $39,066.00 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 3 3 — — $31,010.75 $69,027.00 $39,056.98 2026-04-01
868 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Cc 7 6 — — $5,248.00 $148,157.41 $38,887.75 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 3 3 — — $27,459.00 $64,357.65 $38,835.46 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 4 4 — — $26,783.84 $1,291,010.97 $38,616.31 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 8 7 — — $10,382.23 $193,587.69 $38,034.58 2026-04-01
965 MS_DRG Other Multiple Significant Trauma Without Cc/Mcc 4 4 — — $9,513.39 $81,247.02 $37,960.51 2026-04-01
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 4 4 — — $22,240.39 $104,506.19 $37,950.00 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 1 1 — — $37,803.71 $37,803.71 $37,803.71 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 1 1 — — $37,697.49 $37,697.49 $37,697.49 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 1 1 — — $37,485.07 $37,485.07 $37,485.07 2026-04-01
946 MS_DRG Rehabilitation Without Cc/Mcc 5 5 — — $11,600.16 $75,051.00 $37,339.35 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 3 3 — — $25,231.18 $76,250.60 $37,154.31 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 3 3 — — $13,932.59 $102,537.00 $37,139.13 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 1 1 — — $36,674.84 $36,674.84 $36,674.84 2026-04-01
332 MS_DRG Rectal Resection With Mcc 1 1 — — $36,624.27 $36,624.27 $36,624.27 2026-04-01
265 MS_DRG Aicd Lead Procedures 1 1 — — $36,598.98 $36,598.98 $36,598.98 2026-04-01
186 MS_DRG Pleural Effusion With Mcc 2 2 — — $15,764.61 $57,346.43 $36,555.52 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 1 1 — — $36,479.62 $36,479.62 $36,479.62 2026-04-01
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 2 2 — — $16,489.87 $56,185.90 $36,337.88 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 1 1 — — $36,240.90 $36,240.90 $36,240.90 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 1 1 — — $36,156.94 $36,156.94 $36,156.94 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 3 3 — — $31,050.36 $225,645.00 $36,120.53 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 1 1 — — $36,066.92 $36,066.92 $36,066.92 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 1 1 — — $36,036.57 $36,036.57 $36,036.57 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 1 1 — — $36,002.18 $36,002.18 $36,002.18 2026-04-01
54 MS_DRG Nervous System Neoplasms With Mcc 3 3 — — $15,444.97 $91,902.00 $35,832.00 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 3 3 — — $29,354.44 $53,492.26 $35,775.00 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 1 1 — — $35,672.42 $35,672.42 $35,672.42 2026-04-01
792 MS_DRG Prematurity Without Major Problems 6 6 — — $7,266.66 $83,968.00 $35,377.13 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 1 1 — — $35,275.91 $35,275.91 $35,275.91 2026-04-01
5092 OTHER Level 2 Breast/Lymphatic Surgery And Related Procedures 3 3 — — $2,515.00 $44,907.71 $35,263.39 2026-04-01
180 MS_DRG Respiratory Neoplasms With Mcc 3 3 — — $17,863.52 $47,160.00 $35,157.89 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 5 4 — — $15,218.60 $43,536.91 $34,996.86 2026-04-01
906 MS_DRG Hand Procedures For Injuries 5 5 — — $18,954.86 $98,842.45 $34,975.00 2026-04-01
L8701 HCPCS Pow Ue Rom Dev Ewh Uprt Cust 1 1 — — $34,970.13 $34,970.13 $34,970.13 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 1 1 — — $34,782.28 $34,782.28 $34,782.28 2026-04-01
53 MS_DRG Spinal Disorders And Injuries Without Cc/Mcc 2 2 — — $9,904.85 $59,643.65 $34,774.25 2026-04-01
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 6 5 — — $8,034.39 $87,709.45 $34,691.88 2026-04-01
328 MS_DRG Stomach, Esophageal And Duodenal Procedures Without Cc/Mcc 9 8 — — $16,207.66 $82,391.00 $34,545.00 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 1 1 — — $34,463.65 $34,463.65 $34,463.65 2026-04-01
865 MS_DRG Viral Illness With Mcc 4 3 — — $10,174.75 $57,144.80 $34,045.33 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 2 2 — — $32,967.48 $35,114.06 $34,040.77 2026-04-01
838 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Che… 7 6 — — $12,943.76 $157,644.22 $33,912.00 2026-04-01
547 MS_DRG Connective Tissue Disorders Without Cc/Mcc 8 8 — — $8,458.37 $84,696.00 $33,897.12 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 1 1 — — $33,790.99 $33,790.99 $33,790.99 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 1 1 — — $33,413.69 $33,413.69 $33,413.69 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 1 1 — — $33,300.40 $33,300.40 $33,300.40 2026-04-01
199 MS_DRG Pneumothorax With Mcc 3 3 — — $17,844.30 $61,042.32 $33,249.00 2026-04-01
370 MS_DRG Major Esophageal Disorders Without Cc/Mcc 3 3 — — $7,088.76 $44,573.14 $32,995.00 2026-04-01
563 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 11 9 — — $5,248.00 $66,969.13 $32,912.96 2026-04-01
157 MS_DRG Dental And Oral Diseases With Mcc 6 6 — — $5,218.00 $158,138.56 $32,899.69 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 1 1 — — $32,758.22 $32,758.22 $32,758.22 2026-04-01
728 MS_DRG Inflammation Of The Male Reproductive System Without Mcc 2 2 — — $8,205.49 $57,209.61 $32,707.55 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 1 1 — — $32,676.29 $32,676.29 $32,676.29 2026-04-01
652 MS_DRG Kidney Transplant 1 1 — — $32,667.18 $32,667.18 $32,667.18 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 1 1 — — $32,642.91 $32,642.91 $32,642.91 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 3 3 — — $25,625.87 $34,944.13 $32,608.71 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 1 1 — — $32,579.18 $32,579.18 $32,579.18 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 1 1 — — $32,473.98 $32,473.98 $32,473.98 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 1 1 — — $32,295.95 $32,295.95 $32,295.95 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 1 1 — — $32,140.18 $32,140.18 $32,140.18 2026-04-01
90 MS_DRG Concussion Without Cc/Mcc 12 10 — — $5,218.00 $51,909.94 $32,067.22 2026-04-01
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 9 8 — — $21,186.38 $103,591.52 $32,060.73 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 3 3 — — $21,977.12 $83,087.11 $32,012.73 2026-04-01
520 MS_DRG Back And Neck Procedures Except Spinal Fusion Without Cc/Mcc 4 4 — — $15,111.16 $63,445.28 $31,903.58 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 1 1 — — $31,873.14 $31,873.14 $31,873.14 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 5 5 — — $7,775.36 $217,442.94 $31,857.96 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 1 1 — — $31,783.11 $31,783.11 $31,783.11 2026-04-01
665 MS_DRG Prostatectomy With Mcc 1 1 — — $31,571.70 $31,571.70 $31,571.70 2026-04-01
59 MS_DRG Multiple Sclerosis And Cerebellar Ataxia With Cc 3 3 — — $12,552.01 $33,356.00 $31,519.23 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 2 2 — — $30,778.83 $32,204.92 $31,491.88 2026-04-01
89 MS_DRG Concussion With Cc 9 8 — — $9,528.30 $57,477.39 $31,466.57 2026-04-01
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 3 3 — — $21,554.58 $123,639.85 $31,338.72 2026-04-01
124 MS_DRG Other Disorders Of The Eye With Mcc Or Thrombolytic Agent 2 2 — — $13,383.48 $48,654.00 $31,018.74 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 1 1 — — $30,967.82 $30,967.82 $30,967.82 2026-04-01
263 MS_DRG Vein Ligation And Stripping 1 1 — — $30,926.35 $30,926.35 $30,926.35 2026-04-01
657 MS_DRG Kidney And Ureter Procedures For Neoplasm With Cc 3 2 — — $18,510.90 $62,563.00 $30,778.83 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 1 1 — — $30,681.56 $30,681.56 $30,681.56 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 1 1 — — $30,549.05 $30,549.05 $30,549.05 2026-04-01
606 MS_DRG Minor Skin Disorders With Mcc 2 2 — — $15,306.39 $45,745.00 $30,525.69 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 1 1 — — $30,107.02 $30,107.02 $30,107.02 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 1 1 — — $29,800.52 $29,800.52 $29,800.52 2026-04-01
570 MS_DRG Skin Debridement With Mcc 1 1 — — $29,749.95 $29,749.95 $29,749.95 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 7 7 — — $6,258.51 $41,463.29 $29,628.00 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 1 1 — — $29,536.52 $29,536.52 $29,536.52 2026-04-01
L6700 HCPCS Ue Add Ext Power Myoel 1 1 — — $29,510.19 $29,510.19 $29,510.19 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 7 6 — — $17,903.55 $144,334.67 $29,458.63 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 1 1 — — $29,336.23 $29,336.23 $29,336.23 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 12 10 — — $5,248.00 $132,298.55 $29,240.90 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 1 1 — — $29,206.76 $29,206.76 $29,206.76 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 1 1 — — $29,192.60 $29,192.60 $29,192.60 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 1 1 — — $29,150.11 $29,150.11 $29,150.11 2026-04-01
542 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 2 2 — — $17,868.58 $40,248.26 $29,058.42 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 1 1 — — $29,032.78 $29,032.78 $29,032.78 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 4 3 — — $12,335.00 $99,653.07 $28,854.29 2026-04-01
L5856 HCPCS Elec Knee-shin Swing/stance 1 1 — — $28,851.23 $28,851.23 $28,851.23 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 1 1 — — $28,833.51 $28,833.51 $28,833.51 2026-04-01
L6880 HCPCS Elec Hand Ind Art Digits 1 1 — — $28,715.00 $28,715.00 $28,715.00 2026-04-01
386 MS_DRG Inflammatory Bowel Disease With Cc 5 5 — — $9,244.68 $114,722.57 $28,606.95 2026-04-01
855 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures Without Cc/Mcc 2 2 — — $15,144.54 $41,778.00 $28,461.27 2026-04-01
661 MS_DRG Kidney And Ureter Procedures For Non-neoplasm Without Cc/Mcc 2 2 — — $10,473.32 $46,165.00 $28,319.16 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 1 1 — — $28,315.61 $28,315.61 $28,315.61 2026-04-01
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With Mcc 4 4 — — $16,734.66 $60,318.97 $28,201.78 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 5 5 — — $4,857.81 $131,648.61 $28,088.17 2026-04-01
815 MS_DRG Reticuloendothelial And Immunity Disorders With Cc 9 8 — — $10,256.86 $49,362.46 $28,079.00 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 1 1 — — $28,038.45 $28,038.45 $28,038.45 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 1 1 — — $27,888.74 $27,888.74 $27,888.74 2026-04-01
513 MS_DRG Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures With Cc/Mcc 3 3 — — $15,924.43 $34,734.00 $27,843.00 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 1 1 — — $27,796.69 $27,796.69 $27,796.69 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 2 2 — — $12,670.44 $42,449.64 $27,560.04 2026-04-01
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