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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 · 2026-05-19
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 nat. median
$3,248,446
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 1 $3,248,445.72 $3,248,445.72 $3,248,445.72 nat. median
$3,286,000
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
$3,006,423
1.0× median
0746
OTHER 		Inj, Betibeglogene Autotemce 1 $2,800,000.00 $2,800,000.00 $2,800,000.00 nat. median
$2,945,740
1.0× median
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
$202,986
outlier · 2.5×
16
MS_DRG 		Autologous Bone Marrow Transplant With Cc/Mcc 5 $59,980.37 $573,986.01 $475,807.64 nat. median
$56,920
outlier · 8.4×
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 1 $436,804.60 $436,804.60 $436,804.60 nat. median
$370,174
1.2× median
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
$45,113
outlier · 6.8×
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
$265,286
1.1× 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
$46,259
outlier · 5.9×
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 2 $60,758.23 $452,364.98 $256,561.61 nat. median
$59,099
outlier · 4.3×
834
MS_DRG 		Acute Leukemia With Mcc 4 $55,531.68 $296,325.73 $243,256.20 nat. median
$53,173
outlier · 4.6×
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
$74,915
outlier · 3.1×
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
$13,889
outlier · 16.5×
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 11 $22,105.86 $1,296,218.69 $216,045.93 nat. median
$52,278
outlier · 4.1×
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
$206,368
1.0× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 8 $34,543.01 $877,935.00 $215,964.93 nat. median
$62,134
outlier · 3.5×
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
$72,138
outlier · 2.9×
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
$68,090
outlier · 2.8×
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
$52,879
outlier · 3.2×
228
MS_DRG 		Other Cardiothoracic Procedures With Mcc 8 $34,763.58 $235,287.94 $167,794.38 nat. median
$50,673
outlier · 3.3×
308
MS_DRG 		Cardiac Arrhythmia And Conduction Disorders With Mcc 3 $12,178.75 $379,226.82 $163,968.10 nat. median
$12,751
outlier · 12.9×
270
MS_DRG 		Other Major Cardiovascular Procedures With Mcc 5 $40,209.92 $378,446.33 $160,302.62 nat. median
$51,307
outlier · 3.1×
25
MS_DRG 		Craniotomy And Endovascular Intracranial Procedures With Mcc 7 $32,188.84 $434,597.43 $156,658.08 nat. median
$45,125
outlier · 3.5×
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
$81,118
1.9× median
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
$98,905
1.6× median
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
$55,929
outlier · 2.6×
190
MS_DRG 		Chronic Obstructive Pulmonary Disease With Mcc 2 $11,204.66 $278,016.17 $144,610.42 nat. median
$11,700
outlier · 12.4×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 7 $69,914.55 $388,355.62 $140,154.00 nat. median
$66,526
outlier · 2.1×
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
$133,176
1.1× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 3 $121,564.00 $416,080.54 $133,835.16 nat. median
$117,303
1.1× median
7
MS_DRG 		Lung Transplant 1 $130,994.45 $130,994.45 $130,994.45 nat. median
$122,708
1.1× median
592
MS_DRG 		Skin Ulcers With Mcc 2 $19,576.03 $240,492.00 $130,034.01 nat. median
$19,656
outlier · 6.6×
945
MS_DRG 		Rehabilitation With Cc/Mcc 6 $15,664.47 $437,564.07 $127,400.00 nat. median
$15,136
outlier · 8.4×
850
MS_DRG 		Acute Leukemia With Other Procedures 6 $37,107.60 $590,956.54 $126,448.77 nat. median
$83,442
1.5× median
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
$58,024
2.0× median
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
$108,660
1.1× median
209
MS_DRG 		Complex Aortic Arch Procedures 1 $114,492.43 $114,492.43 $114,492.43 nat. median
$98,017
1.2× median
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
$41,228
outlier · 2.8×
564
MS_DRG 		Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc 2 $15,613.89 $212,751.00 $114,182.44 nat. median
$15,782
outlier · 7.2×
142
MS_DRG 		Major Head And Neck Procedures Without Cc/Mcc 3 $16,147.98 $124,924.84 $112,662.00 nat. median
$16,535
outlier · 6.8×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 1 $109,994.19 $109,994.19 $109,994.19 nat. median
$102,358
1.1× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 1 $108,243.35 $108,243.35 $108,243.35 nat. median
$111,989
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
$22,649
outlier · 4.7×
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
$37,664
outlier · 2.8×
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
$17,324
outlier · 6.0×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 1 $104,293.23 $104,293.23 $104,293.23 nat. median
$100,136
1.0× median
271
MS_DRG 		Other Major Cardiovascular Procedures With Cc 5 $35,972.85 $212,327.33 $101,827.28 nat. median
$35,597
outlier · 2.9×
215
MS_DRG 		Other Heart Assist System Implant 1 $100,717.49 $100,717.49 $100,717.49 nat. median
$99,019
1.0× median
791
MS_DRG 		Prematurity With Major Problems 9 $5,248.00 $494,706.69 $100,216.86 nat. median
$35,265
outlier · 2.8×

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.

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
             
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
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
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
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
0909T HCPCS Rplcmt Int Nstim Sys Vgs Nrv 1 1 — — $43,573.43 $43,573.43 $43,573.43 2026-04-01
0908T HCPCS 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
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 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
61886 HCPCS Implant Neurostim Arrays 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
0674T HCPCS Laps Insj Nw/rpcmt Prm Isdss 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
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 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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