Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

SUTTER CENTER FOR PSYCHIATRY

Sacramento, CA · CCN 054096 · Rates published

Your selected procedure

You selected 29806 (HCPCS)

Shoulder arthroscopy/surgery

This hospital’s price: $15,091 across 4 payers · range $9,398-$15,665

Source: https://edge.sitecorecloud.io/sutterhealt962c-sutterhealt8fce-production57cc-4860/media/Project/SutterHealth/SutterHealth/Files/billing-insurance/costs-and-charges/941156621-1952350944_sutter-center-for-psychiatry_standardcharges.csv · observed 2026-04-01

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

2,160 distinct procedures filed
7 distinct payers
13,457 rate rows
2026-04-01 last MRF observed
Data quality

3,818 of 13,457 rate rows are consumer-grade (28.4%)

9,639 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 9,629
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 5
placeholder amount (≤ $0.02) — excluded from medians 5
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://edge.sitecorecloud.io/sutterhealt962c-sutterhealt8fce-production57cc-4860/media/Project/SutterHealth/SutterHealth/Files/billing-insurance/costs-and-charges/941156621-1952350944_sutter-center-for-psychiatry_standardcharges.csv
Found on page https://www.sutterhealth.org/cms-hpt.txt
Discovered viaDiscovered by HANK (automated)
Last fetch success · 2026-10-17
Content fingerprint 405b0b96512c561b… · 6,706,300 bytes · first seen 2026-05-17

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
215
MS_DRG 		Other Heart Assist System Implant 4 $329,487.00 $575,485.00 $481,679.00 nat. median
$93,531
outlier · 5.1×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 4 $221,724.00 $410,955.00 $376,972.00 nat. median
$74,260
outlier · 5.1×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 4 $228,664.00 $407,522.00 $373,822.00 nat. median
$90,525
outlier · 4.1×
22
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 4 $221,724.00 $410,955.00 $346,813.00 nat. median
$32,135
outlier · 10.8×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 4 $195,523.00 $348,390.00 $319,574.00 nat. median
$93,094
outlier · 3.4×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 4 $195,523.00 $348,390.00 $319,574.00 nat. median
$77,933
outlier · 4.1×
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 4 $205,797.00 $338,245.00 $305,854.00 nat. median
$61,992
outlier · 4.9×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 4 $188,226.00 $322,425.00 $292,521.00 nat. median
$66,553
outlier · 4.4×
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 4 $194,363.00 $317,867.00 $288,864.00 nat. median
$59,554
outlier · 4.9×
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 4 $191,022.00 $312,774.00 $282,803.00 nat. median
$57,665
outlier · 4.9×
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 1 $281,908.00 $281,908.00 $281,908.00 nat. median
$59,289
outlier · 4.8×
21
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 4 $181,814.00 $308,164.00 $280,971.00 nat. median
$51,294
outlier · 5.5×
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 4 $180,501.00 $315,263.00 $279,986.00 nat. median
$58,153
outlier · 4.8×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 4 $188,922.00 $308,726.00 $279,426.00 nat. median
$76,979
outlier · 3.6×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 4 $170,942.00 $304,669.00 $279,370.00 nat. median
$77,595
outlier · 3.6×
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 4 $170,942.00 $304,669.00 $279,370.00 nat. median
$55,148
outlier · 5.1×
458
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 4 $170,942.00 $304,669.00 $279,370.00 nat. median
$40,320
outlier · 6.9×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 4 $164,448.00 $292,637.00 $268,485.00 nat. median
$72,153
outlier · 3.7×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 4 $154,927.00 $276,053.00 $252,886.00 nat. median
$71,672
outlier · 3.5×
234
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 4 $154,927.00 $276,053.00 $252,886.00 nat. median
$51,524
outlier · 4.9×
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 4 $153,451.00 $273,339.00 $250,857.00 nat. median
$56,565
outlier · 4.4×
209
MS_DRG 		Complex Aortic Arch Procedures 3 $164,448.00 $287,062.00 $237,088.00 nat. median
$92,760
outlier · 2.6×
463
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 1 $234,728.00 $234,728.00 $234,728.00 nat. median
$49,857
outlier · 4.7×
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 4 $149,464.00 $262,238.00 $233,107.00 nat. median
$53,315
outlier · 4.4×
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 4 $148,599.00 $241,795.00 $221,970.00 nat. median
$63,446
outlier · 3.5×
24
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 4 $147,969.00 $258,652.00 $216,479.00 nat. median
$36,511
outlier · 5.9×
430
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 4 $139,801.00 $225,282.00 $208,199.00 nat. median
$51,145
outlier · 4.1×
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 4 $157,178.00 $279,966.00 $207,743.00 nat. median
$60,364
outlier · 3.4×
450
MS_DRG 		Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically… 4 $149,509.00 $266,282.00 $207,743.00 nat. median
$48,240
outlier · 4.3×
277
MS_DRG 		Cardiac Defibrillator Implant Without Mcc 4 $138,539.00 $227,274.00 $206,014.00 nat. median
$44,064
outlier · 4.7×
229
MS_DRG 		Other Cardiothoracic Procedures Without Mcc 4 $143,535.00 $228,273.00 $205,665.00 nat. median
$30,744
outlier · 6.7×
228
MS_DRG 		Other Cardiothoracic Procedures With Mcc 4 $137,491.00 $226,561.00 $204,759.00 nat. median
$47,242
outlier · 4.3×
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 4 $137,991.00 $220,669.00 $201,734.00 nat. median
$57,570
outlier · 3.5×
402
MS_DRG 		Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 4 $135,153.00 $216,561.00 $200,927.00 nat. median
$36,878
outlier · 5.4×
319
MS_DRG 		Other Endovascular Cardiac Valve Procedures With Mcc 3 $165,756.00 $209,403.00 $198,818.00 nat. median
$41,461
outlier · 4.8×
97
MS_DRG 		Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 1 $195,970.00 $195,970.00 $195,970.00 nat. median
$33,149
outlier · 5.9×
267
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 4 $131,767.00 $210,017.00 $192,627.00 nat. median
$45,788
outlier · 4.2×
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 4 $116,693.00 $207,704.00 $190,751.00 nat. median
$63,874
outlier · 3.0×
428
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 4 $124,870.00 $208,725.00 $187,344.00 nat. median
$50,495
outlier · 3.7×
230
MS_DRG 		Other Cardiothoracic Procedures Without Cc/mcc 1 $151,089.00 $220,890.00 $185,989.50 nat. median
$12,593
outlier · 14.8×
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 4 $113,299.00 $201,868.00 $185,333.00 nat. median
$55,354
outlier · 3.3×
405
MS_DRG 		Pancreas, Liver And Shunt Procedures With Mcc 4 $112,615.00 $211,463.00 $183,748.00 nat. median
$50,653
outlier · 3.6×
236
MS_DRG 		Coronary Bypass Without Cardiac Catheterization Without Mcc 4 $113,299.00 $198,152.00 $175,877.00 nat. median
$40,285
outlier · 4.4×
208
MS_DRG 		Respiratory System Diagnosis With Ventilator Support <=96 Hours 1 $174,051.00 $174,051.00 $174,051.00 nat. median
$25,361
outlier · 6.9×
40
MS_DRG 		Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 4 $109,090.00 $204,843.00 $172,119.00 nat. median
$35,776
outlier · 4.8×
28
MS_DRG 		Spinal Procedures With Mcc 4 $104,294.00 $185,895.00 $170,178.00 nat. median
$54,301
outlier · 3.1×
656
MS_DRG 		Kidney And Ureter Procedures For Neoplasm With Mcc 1 $169,067.00 $169,067.00 $169,067.00 nat. median
$30,337
outlier · 5.6×
220
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 4 $113,470.00 $181,321.00 $168,316.00 nat. median
$50,491
outlier · 3.3×
163
MS_DRG 		Major Chest Procedures With Mcc 4 $97,235.00 $182,582.00 $158,653.00 nat. median
$42,632
outlier · 3.7×
448
MS_DRG 		Multiple Level Spinal Fusion Except Cervical Without Mcc 4 $122,064.00 $201,292.00 $156,079.00 nat. median
$38,939
outlier · 4.0×

Other procedures at this hospital

Browse this hospital's 2,160 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
             
215 MS_DRG Other Heart Assist System Implant 5 4 — — $329,487.00 $575,485.00 $481,679.00 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 5 4 — — $221,724.00 $410,955.00 $376,972.00 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 5 4 — — $228,664.00 $407,522.00 $373,822.00 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 5 4 — — $221,724.00 $410,955.00 $346,813.00 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 5 4 — — $195,523.00 $348,390.00 $319,574.00 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 5 4 — — $195,523.00 $348,390.00 $319,574.00 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 5 4 — — $205,797.00 $338,245.00 $305,854.00 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 5 4 — — $188,226.00 $322,425.00 $292,521.00 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 5 4 — — $194,363.00 $317,867.00 $288,864.00 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 5 4 — — $191,022.00 $312,774.00 $282,803.00 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 1 1 — — $281,908.00 $281,908.00 $281,908.00 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 5 4 — — $181,814.00 $308,164.00 $280,971.00 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 5 4 — — $180,501.00 $315,263.00 $279,986.00 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 5 4 — — $188,922.00 $308,726.00 $279,426.00 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 5 4 — — $170,942.00 $304,669.00 $279,370.00 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 5 4 — — $170,942.00 $304,669.00 $279,370.00 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 5 4 — — $170,942.00 $304,669.00 $279,370.00 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 5 4 — — $164,448.00 $292,637.00 $268,485.00 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 5 4 — — $154,927.00 $276,053.00 $252,886.00 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 5 4 — — $154,927.00 $276,053.00 $252,886.00 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 5 4 — — $153,451.00 $273,339.00 $250,857.00 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 4 3 — — $164,448.00 $287,062.00 $237,088.00 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 1 1 — — $234,728.00 $234,728.00 $234,728.00 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 5 4 — — $149,464.00 $262,238.00 $233,107.00 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 5 4 — — $148,599.00 $241,795.00 $221,970.00 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 5 4 — — $147,969.00 $258,652.00 $216,479.00 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 5 4 — — $139,801.00 $225,282.00 $208,199.00 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 5 4 — — $157,178.00 $279,966.00 $207,743.00 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 5 4 — — $149,509.00 $266,282.00 $207,743.00 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 5 4 — — $138,539.00 $227,274.00 $206,014.00 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 5 4 — — $143,535.00 $228,273.00 $205,665.00 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 5 4 — — $137,491.00 $226,561.00 $204,759.00 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 5 4 — — $137,991.00 $220,669.00 $201,734.00 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 5 4 — — $135,153.00 $216,561.00 $200,927.00 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 3 3 — — $165,756.00 $209,403.00 $198,818.00 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 1 1 — — $195,970.00 $195,970.00 $195,970.00 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 5 4 — — $131,767.00 $210,017.00 $192,627.00 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 5 4 — — $116,693.00 $207,704.00 $190,751.00 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 5 4 — — $124,870.00 $208,725.00 $187,344.00 2026-04-01
230 MS_DRG Other Cardiothoracic Procedures Without Cc/mcc 2 1 — — $151,089.00 $220,890.00 $185,989.50 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 5 4 — — $113,299.00 $201,868.00 $185,333.00 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 5 4 — — $112,615.00 $211,463.00 $183,748.00 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 5 4 — — $113,299.00 $198,152.00 $175,877.00 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 1 1 — — $174,051.00 $174,051.00 $174,051.00 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 5 4 — — $109,090.00 $204,843.00 $172,119.00 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 5 4 — — $104,294.00 $185,895.00 $170,178.00 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 1 1 — — $169,067.00 $169,067.00 $169,067.00 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 5 4 — — $113,470.00 $181,321.00 $168,316.00 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 5 4 — — $97,235.00 $182,582.00 $158,653.00 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 5 4 — — $122,064.00 $201,292.00 $156,079.00 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 5 4 — — $103,602.00 $164,805.00 $153,457.00 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 5 4 — — $93,295.00 $166,182.00 $152,316.00 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 5 4 — — $103,857.00 $165,915.00 $151,772.00 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 5 4 — — $93,278.00 $164,252.00 $150,936.00 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 5 4 — — $111,362.00 $162,840.00 $147,343.00 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 5 4 — — $98,067.00 $162,446.00 $146,003.00 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 1 1 — — $145,441.90 $145,441.90 $145,441.90 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 5 4 — — $90,640.00 $158,256.00 $140,640.00 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 5 4 — — $85,895.00 $153,016.00 $140,417.00 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 1 1 — — $140,292.00 $140,292.00 $140,292.00 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 4 3 — — $85,895.00 $150,019.00 $133,017.50 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 1 1 — — $131,139.34 $131,139.34 $131,139.34 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 1 1 — — $129,168.00 $129,168.00 $129,168.00 2026-04-01
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 1 1 — — $128,939.00 $128,939.00 $128,939.00 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 1 1 — — $125,211.00 $125,211.00 $125,211.00 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 5 4 — — $76,025.00 $135,416.00 $124,319.00 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 4 3 — — $79,593.00 $139,098.00 $123,336.50 2026-04-01
J9226 HCPCS Supprelin La Implant 3 2 — — $103,987.69 $124,182.95 $122,953.40 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 5 4 — — $74,621.00 $132,958.00 $122,054.00 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 5 4 — — $90,497.00 $149,333.00 $120,590.00 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 1 1 — — $118,053.00 $118,053.00 $118,053.00 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 5 4 — — $71,449.00 $127,275.00 $117,080.00 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 1 1 — — $116,412.00 $116,412.00 $116,412.00 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 1 1 — — $115,984.00 $115,984.00 $115,984.00 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 5 4 — — $70,643.00 $132,645.00 $115,264.00 2026-04-01
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 5 4 — — $70,588.00 $125,550.00 $115,201.00 2026-04-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 3 3 — — $94,898.00 $119,887.00 $113,826.00 2026-04-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 1 1 — — $112,636.00 $112,636.00 $112,636.00 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 3 3 — — $99,638.00 $117,468.00 $111,531.00 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 1 1 — — $111,419.00 $111,419.00 $111,419.00 2026-04-01
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 5 4 — — $67,907.00 $120,974.00 $111,194.00 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 1 1 — — $110,888.00 $110,888.00 $110,888.00 2026-04-01
374 MS_DRG Digestive Malignancy With Mcc 1 1 — — $109,620.00 $109,620.00 $109,620.00 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 5 4 — — $74,084.00 $121,391.00 $109,603.00 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 1 1 — — $109,396.00 $109,396.00 $109,396.00 2026-04-01
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 4 3 — — $70,588.00 $123,067.00 $109,176.00 2026-04-01
32 MS_DRG Ventricular Shunt Procedures With Cc 5 4 — — $71,637.00 $124,972.00 $106,375.00 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 1 1 — — $104,391.00 $104,391.00 $104,391.00 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 5 4 — — $74,684.00 $118,661.00 $102,722.00 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 5 4 — — $65,542.00 $114,444.00 $101,833.00 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 5 4 — — $68,422.00 $112,319.00 $101,651.00 2026-04-01
906 MS_DRG Hand Procedures For Injuries 1 1 — — $101,388.00 $101,388.00 $101,388.00 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 1 1 — — $100,767.00 $100,767.00 $100,767.00 2026-04-01
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 1 1 — — $99,736.00 $99,736.00 $99,736.00 2026-04-01
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 1 1 — — $98,474.00 $98,474.00 $98,474.00 2026-04-01
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 5 4 — — $66,200.00 $106,617.00 $98,272.00 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 5 4 — — $60,008.00 $106,899.00 $98,097.00 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 1 1 — — $97,972.00 $97,972.00 $97,972.00 2026-04-01
682 MS_DRG Renal Failure With Mcc 1 1 — — $96,611.00 $96,611.00 $96,611.00 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 5 4 — — $63,859.00 $104,140.00 $94,826.00 2026-04-01
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 1 1 — — $94,323.00 $94,323.00 $94,323.00 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 5 4 — — $60,598.00 $105,940.00 $94,295.00 2026-04-01
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 5 4 — — $57,571.00 $102,443.00 $94,033.00 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 5 4 — — $57,571.00 $102,443.00 $94,033.00 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 5 4 — — $62,576.00 $99,043.00 $92,088.00 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 5 4 — — $61,138.00 $106,705.00 $90,625.00 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 5 4 — — $60,583.00 $105,843.00 $89,948.00 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 5 4 — — $54,915.00 $97,580.00 $89,504.00 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 1 1 — — $88,607.00 $88,607.00 $88,607.00 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 5 4 — — $53,011.00 $93,251.00 $87,173.00 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 5 4 — — $58,616.00 $94,232.00 $86,972.00 2026-04-01
393 MS_DRG Other Digestive System Diagnoses With Mcc 1 1 — — $86,785.00 $86,785.00 $86,785.00 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 1 1 — — $86,297.00 $86,297.00 $86,297.00 2026-04-01
199 MS_DRG Pneumothorax With Mcc 1 1 — — $86,011.00 $86,011.00 $86,011.00 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 5 4 — — $52,181.00 $93,230.00 $85,439.00 2026-04-01
299 MS_DRG Peripheral Vascular Disorders With Mcc 1 1 — — $84,932.00 $84,932.00 $84,932.00 2026-04-01
347 MS_DRG Anal And Stomal Procedures With Mcc 1 1 — — $84,830.00 $84,830.00 $84,830.00 2026-04-01
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 1 1 — — $84,549.00 $84,549.00 $84,549.00 2026-04-01
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 5 4 — — $56,407.00 $93,108.00 $83,919.00 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 5 4 — — $51,421.00 $96,561.00 $83,899.00 2026-04-01
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/Mcc 5 4 — — $56,362.00 $91,925.00 $83,887.00 2026-04-01
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 5 4 — — $50,487.00 $90,156.00 $82,733.00 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 5 4 — — $49,541.00 $93,018.00 $80,831.00 2026-04-01
30 MS_DRG Spinal Procedures Without Cc/Mcc 5 4 — — $49,526.00 $88,315.00 $80,465.00 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 1 1 — — $80,288.00 $80,288.00 $80,288.00 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 5 4 — — $48,049.00 $85,599.00 $78,879.00 2026-04-01
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 1 1 — — $78,615.00 $78,615.00 $78,615.00 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 5 4 — — $53,200.00 $100,968.00 $77,786.00 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 3 3 — — $69,055.00 $81,413.00 $77,298.00 2026-04-01
614 MS_DRG Adrenal And Pituitary Procedures With Cc/Mcc 1 1 — — $76,673.00 $76,673.00 $76,673.00 2026-04-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 1 1 — — $76,465.00 $76,465.00 $76,465.00 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 5 4 — — $52,159.00 $124,907.00 $76,238.00 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 5 4 — — $46,354.00 $82,477.00 $75,728.00 2026-04-01
259 MS_DRG Cardiac Pacemaker Device Replacement Without Mcc 5 4 — — $46,354.00 $82,477.00 $75,728.00 2026-04-01
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 1 1 — — $75,594.00 $75,594.00 $75,594.00 2026-04-01
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/Mcc 5 4 — — $46,258.00 $86,865.00 $75,479.00 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 5 4 — — $46,132.00 $86,632.00 $75,273.00 2026-04-01
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 1 1 — — $75,248.00 $75,248.00 $75,248.00 2026-04-01
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 4 3 — — $50,487.00 $88,495.00 $74,401.00 2026-04-01
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 1 1 — — $73,864.00 $73,864.00 $73,864.00 2026-04-01
62 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 3 3 — — $65,602.00 $77,346.00 $73,435.00 2026-04-01
412 MS_DRG Cholecystectomy With C.d.e. With Cc 1 1 — — $73,073.00 $73,073.00 $73,073.00 2026-04-01
496 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 5 4 — — $49,423.00 $80,545.00 $72,857.00 2026-04-01
42 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/Mcc 5 4 — — $49,012.00 $85,406.00 $72,510.00 2026-04-01
150 MS_DRG Epistaxis With Mcc 1 1 — — $70,830.00 $70,830.00 $70,830.00 2026-04-01
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/Mcc 5 4 — — $42,845.00 $80,106.00 $69,908.00 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 5 4 — — $42,514.00 $75,667.00 $69,397.00 2026-04-01
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 1 1 — — $69,042.00 $69,042.00 $69,042.00 2026-04-01
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 1 1 — — $68,963.00 $68,963.00 $68,963.00 2026-04-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 1 1 — — $68,791.00 $68,791.00 $68,791.00 2026-04-01
254 MS_DRG Other Vascular Procedures Without Cc/Mcc 5 4 — — $42,072.00 $74,903.00 $68,720.00 2026-04-01
582 MS_DRG Mastectomy For Malignancy With Cc/Mcc 5 4 — — $41,713.00 $77,137.00 $68,061.00 2026-04-01
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 1 1 — — $67,905.00 $67,905.00 $67,905.00 2026-04-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 5 4 — — $41,407.00 $73,774.00 $67,577.00 2026-04-01
38 MS_DRG Extracranial Procedures With Cc 5 4 — — $45,573.00 $73,825.00 $67,483.00 2026-04-01
336 MS_DRG Peritoneal Adhesiolysis With Cc 5 4 — — $40,947.00 $76,880.00 $66,808.00 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 5 4 — — $45,031.00 $73,008.00 $66,571.00 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 5 4 — — $40,302.00 $71,674.00 $65,756.00 2026-04-01
261 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Cc 5 4 — — $40,302.00 $71,674.00 $65,756.00 2026-04-01
33 MS_DRG Ventricular Shunt Procedures Without Cc/Mcc 5 4 — — $40,302.00 $71,674.00 $65,756.00 2026-04-01
262 MS_DRG Cardiac Pacemaker Revision Except Device Replacement Without Cc/Mcc 5 4 — — $40,302.00 $71,674.00 $65,756.00 2026-04-01
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 1 1 — — $65,487.00 $65,487.00 $65,487.00 2026-04-01
65 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours 1 1 — — $65,428.00 $65,428.00 $65,428.00 2026-04-01
415 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 1 1 — — $65,188.00 $65,188.00 $65,188.00 2026-04-01
803 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Cc 1 1 — — $64,930.00 $64,930.00 $64,930.00 2026-04-01
397 MS_DRG Appendix Procedures With Mcc 5 4 — — $43,558.00 $76,087.00 $64,629.00 2026-04-01
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 1 1 — — $64,352.00 $64,352.00 $64,352.00 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 5 4 — — $39,341.00 $70,034.00 $64,193.00 2026-04-01
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 5 4 — — $39,341.00 $70,034.00 $64,193.00 2026-04-01
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 1 1 — — $63,861.00 $63,861.00 $63,861.00 2026-04-01
251 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc 5 4 — — $42,409.00 $69,749.00 $63,451.00 2026-04-01
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/Mcc 5 4 — — $38,676.00 $69,065.00 $63,046.00 2026-04-01
385 MS_DRG Inflammatory Bowel Disease With Mcc 1 1 — — $62,931.00 $62,931.00 $62,931.00 2026-04-01
55866 HCPCS Laparo Radical Prostatectomy 3 3 — — $54,645.00 $63,415.00 $62,147.00 2026-04-01
50544 HCPCS Laparoscopy Pyeloplasty 3 3 — — $54,645.00 $63,415.00 $62,147.00 2026-04-01
165 MS_DRG Major Chest Procedures Without Cc/Mcc 5 4 — — $38,144.00 $65,782.00 $61,549.00 2026-04-01
J9266 HCPCS Pegaspargase Injection 3 2 — — $60,432.98 $62,262.23 $61,037.30 2026-04-01
737 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 5 4 — — $37,281.00 $69,998.00 $60,825.00 2026-04-01
144 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Cc 1 1 — — $60,628.00 $60,628.00 $60,628.00 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 5 4 — — $37,053.00 $65,940.00 $60,572.00 2026-04-01
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 1 1 — — $60,048.00 $60,048.00 $60,048.00 2026-04-01
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/Mcc 5 4 — — $36,749.00 $69,007.00 $59,961.00 2026-04-01
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 5 4 — — $40,388.00 $70,411.00 $59,936.00 2026-04-01
880 MS_DRG Acute Adjustment Reaction And Psychosocial Dysfunction 1 1 — — $59,892.00 $59,892.00 $59,892.00 2026-04-01
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Mcc 1 1 — — $59,848.00 $59,848.00 $59,848.00 2026-04-01
378 MS_DRG Gastrointestinal Hemorrhage With Cc 1 1 — — $59,768.00 $59,768.00 $59,768.00 2026-04-01
585 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/Mcc 5 4 — — $36,488.00 $68,181.00 $59,537.00 2026-04-01
543 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 1 1 — — $58,772.00 $58,772.00 $58,772.00 2026-04-01
375 MS_DRG Digestive Malignancy With Cc 1 1 — — $58,645.00 $58,645.00 $58,645.00 2026-04-01
200 MS_DRG Pneumothorax With Cc 1 1 — — $58,033.00 $58,033.00 $58,033.00 2026-04-01
542 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 1 1 — — $57,990.00 $57,990.00 $57,990.00 2026-04-01
683 MS_DRG Renal Failure With Cc 1 1 — — $57,987.00 $57,987.00 $57,987.00 2026-04-01
638 MS_DRG Diabetes With Cc 1 1 — — $57,897.00 $57,897.00 $57,897.00 2026-04-01
58546 HCPCS Laparo-myomectomy Complex 3 3 — — $49,405.00 $59,884.00 $57,333.00 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 5 4 — — $38,796.00 $67,590.00 $57,169.00 2026-04-01
131 MS_DRG Cranial/Facial Procedures W Cc/Mcc 2 1 — — $44,967.00 $68,486.00 $56,726.50 2026-04-01
581 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/Mcc 5 4 — — $34,660.00 $62,257.00 $56,553.00 2026-04-01
504 MS_DRG Foot Procedures With Cc 5 4 — — $34,471.00 $61,068.00 $56,483.00 2026-04-01
503 MS_DRG Foot Procedures With Mcc 5 4 — — $34,471.00 $61,068.00 $56,483.00 2026-04-01
413 MS_DRG Cholecystectomy With C.d.e. Without Cc/Mcc 1 1 — — $55,535.00 $55,535.00 $55,535.00 2026-04-01
540 MS_DRG Osteomyelitis With Cc 1 1 — — $55,525.00 $55,525.00 $55,525.00 2026-04-01
849 MS_DRG Radiotherapy 1 1 — — $55,525.00 $55,525.00 $55,525.00 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 1 1 — — $55,025.00 $55,025.00 $55,025.00 2026-04-01
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/Mcc 5 4 — — $33,304.00 $62,532.00 $54,340.00 2026-04-01
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 5 4 — — $33,299.00 $63,117.00 $54,331.00 2026-04-01
508 MS_DRG Major Shoulder Or Elbow Joint Procedures Without Cc/Mcc 5 4 — — $32,846.00 $58,620.00 $53,801.00 2026-04-01
507 MS_DRG Major Shoulder Or Elbow Joint Procedures With Cc/Mcc 5 4 — — $32,846.00 $58,620.00 $53,801.00 2026-04-01
740 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Cc 5 4 — — $32,805.00 $61,600.00 $53,527.00 2026-04-01
479 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue Without Cc/Mcc 1 1 — — $52,780.00 $52,780.00 $52,780.00 2026-04-01
487 MS_DRG Knee Procedures With Principal Diagnosis Of Infection Without Cc/Mcc 1 1 — — $52,624.00 $52,624.00 $52,624.00 2026-04-01
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 5 4 — — $32,152.00 $60,377.00 $52,462.00 2026-04-01
583 MS_DRG Mastectomy For Malignancy Without Cc/Mcc 5 4 — — $32,142.00 $60,076.00 $52,446.00 2026-04-01
388 MS_DRG Gastrointestinal Obstruction With Mcc 1 1 — — $52,130.00 $52,130.00 $52,130.00 2026-04-01
499 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Without… 5 4 — — $35,199.00 $57,770.00 $52,096.00 2026-04-01
287 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization Without Mcc 5 4 — — $31,666.00 $56,211.00 $51,531.00 2026-04-01
398 MS_DRG Appendix Procedures With Cc 5 4 — — $31,592.00 $56,211.00 $51,531.00 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 5 4 — — $31,470.00 $59,092.00 $51,346.00 2026-04-01
809 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 1 1 — — $51,326.00 $51,326.00 $51,326.00 2026-04-01
663 MS_DRG Minor Bladder Procedures With Cc 1 1 — — $51,319.00 $51,319.00 $51,319.00 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 5 4 — — $31,299.00 $55,804.00 $51,092.00 2026-04-01
410 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 1 1 — — $50,319.00 $50,319.00 $50,319.00 2026-04-01
641 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou… 1 1 — — $50,300.00 $50,300.00 $50,300.00 2026-04-01
154 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses With Mcc 1 1 — — $49,629.00 $49,629.00 $49,629.00 2026-04-01
506 MS_DRG Major Thumb Or Joint Procedures 5 4 — — $33,223.00 $55,028.00 $49,509.00 2026-04-01
425 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures Without Cc/Mcc 1 1 — — $49,498.00 $49,498.00 $49,498.00 2026-04-01
63 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 3 3 — — $44,178.00 $52,079.00 $49,446.00 2026-04-01
716 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy Without Cc/Mcc 5 4 — — $30,148.00 $56,613.00 $49,191.00 2026-04-01
178 MS_DRG Respiratory Infections And Inflammations With Cc 1 1 — — $48,587.00 $48,587.00 $48,587.00 2026-04-01
23615 HCPCS Treat Humerus Fracture 3 3 — — $41,266.00 $50,020.00 $47,888.00 2026-04-01
578 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis Without Cc/Mcc 5 4 — — $28,998.00 $54,455.00 $47,314.00 2026-04-01
39 MS_DRG Extracranial Procedures Without Cc/Mcc 5 4 — — $31,820.00 $52,203.00 $47,288.00 2026-04-01
501 MS_DRG Soft Tissue Procedures With Cc 5 4 — — $28,920.00 $54,310.00 $47,188.00 2026-04-01
658 MS_DRG Kidney And Ureter Procedures For Neoplasm Without Cc/Mcc 5 4 — — $31,469.00 $54,343.00 $47,089.00 2026-04-01
132 MS_DRG Cranial/Facial Procedures Without Cc/Mcc 4 3 — — $31,542.00 $54,280.00 $47,021.50 2026-04-01
804 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs Without Cc/Mcc 1 1 — — $47,011.00 $47,011.00 $47,011.00 2026-04-01
348 MS_DRG Anal And Stomal Procedures With Cc 1 1 — — $46,399.00 $46,399.00 $46,399.00 2026-04-01
541 MS_DRG Osteomyelitis Without Cc/Mcc 1 1 — — $46,226.00 $46,226.00 $46,226.00 2026-04-01
488 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection With Cc/Mcc 1 1 — — $46,101.00 $46,101.00 $46,101.00 2026-04-01
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 5 4 — — $28,153.00 $52,866.00 $45,935.00 2026-04-01
304 MS_DRG Hypertension With Mcc 5 4 — — $28,119.00 $52,807.00 $45,882.00 2026-04-01
67 MS_DRG Precerebral Occlusion Without Infarction With Mcc 1 1 — — $45,746.00 $45,746.00 $45,746.00 2026-04-01
520 MS_DRG Back And Neck Procedures Except Spinal Fusion Without Cc/Mcc 5 4 — — $27,972.00 $49,508.00 $45,650.00 2026-04-01
416 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. Without Cc/Mcc 1 1 — — $45,634.00 $45,634.00 $45,634.00 2026-04-01
744 MS_DRG D&c, Conization, Laparoscopy And Tubal Interruption With Cc/Mcc 5 4 — — $27,897.00 $52,386.00 $45,517.00 2026-04-01
58544 HCPCS Lsh W/t/o Uterus Above 250 G 3 3 — — $39,185.00 $47,497.00 $45,473.00 2026-04-01
49656 HCPCS Lap Inc Hernia Repair Recur 1 1 — — $45,468.00 $45,468.00 $45,468.00 2026-04-01
533 MS_DRG Fractures Of Femur With Mcc 1 1 — — $45,440.00 $45,440.00 $45,440.00 2026-04-01
505 MS_DRG Foot Procedures Without Cc/Mcc 5 4 — — $30,333.00 $49,599.00 $45,299.00 2026-04-01
497 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 5 4 — — $27,677.00 $49,100.00 $45,208.00 2026-04-01
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 5 4 — — $30,531.00 $53,440.00 $45,201.00 2026-04-01
657 MS_DRG Kidney And Ureter Procedures For Neoplasm With Cc 1 1 — — $45,145.00 $45,145.00 $45,145.00 2026-04-01
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/Mcc 5 4 — — $29,145.00 $50,141.00 $44,855.00 2026-04-01
194 MS_DRG Simple Pneumonia And Pleurisy With Cc 1 1 — — $44,304.00 $44,304.00 $44,304.00 2026-04-01
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 5 4 — — $26,877.00 $50,475.00 $43,853.00 2026-04-01
334 MS_DRG Rectal Resection Without Cc/Mcc 5 4 — — $29,160.00 $50,267.00 $43,562.00 2026-04-01
281 MS_DRG Acute Myocardial Infarction, Discharged Alive With Cc 1 1 — — $43,160.00 $43,160.00 $43,160.00 2026-04-01
300 MS_DRG Peripheral Vascular Disorders With Cc 1 1 — — $43,048.00 $43,048.00 $43,048.00 2026-04-01
29916 HCPCS Hip Arthro W/labral Repair 3 3 — — $38,488.00 $44,666.00 $42,642.00 2026-04-01
383 MS_DRG Uncomplicated Peptic Ulcer With Mcc 1 1 — — $42,113.00 $42,113.00 $42,113.00 2026-04-01
708 MS_DRG Major Male Pelvic Procedures Without Cc/Mcc 5 4 — — $28,155.00 $48,433.00 $41,969.00 2026-04-01
58573 HCPCS Tlh W/t/o Uterus Over 250 G 3 3 — — $36,134.00 $43,799.00 $41,933.00 2026-04-01
147 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Cc 1 1 — — $41,745.00 $41,745.00 $41,745.00 2026-04-01
27427 HCPCS Reconstruction Knee 3 3 — — $35,583.00 $42,642.00 $41,295.00 2026-04-01
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 5 4 — — $25,141.00 $47,209.00 $41,019.00 2026-04-01
713 MS_DRG Transurethral Prostatectomy With Cc/Mcc 5 4 — — $24,950.00 $46,845.00 $40,711.00 2026-04-01
757 MS_DRG Infections, Female Reproductive System With Mcc 3 3 — — $36,317.00 $42,820.00 $40,657.00 2026-04-01
75 MS_DRG Viral Meningitis With Cc/Mcc 3 3 — — $36,190.00 $42,661.00 $40,504.00 2026-04-01
309 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Cc 1 1 — — $40,128.00 $40,128.00 $40,128.00 2026-04-01
512 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures Without Cc/… 5 4 — — $24,564.00 $42,755.00 $39,778.00 2026-04-01
735 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy Without Cc/Mcc 5 4 — — $26,622.00 $45,823.00 $39,710.00 2026-04-01
139 MS_DRG Salivary Gland Procedures 1 1 — — $39,596.00 $39,596.00 $39,596.00 2026-04-01
535 MS_DRG Fractures Of Hip And Pelvis With Mcc 1 1 — — $39,554.00 $39,554.00 $39,554.00 2026-04-01
386 MS_DRG Inflammatory Bowel Disease With Cc 1 1 — — $39,258.00 $39,258.00 $39,258.00 2026-04-01
593 MS_DRG Skin Ulcers With Cc 1 1 — — $39,256.00 $39,256.00 $39,256.00 2026-04-01
57425 HCPCS Laparoscopy Surg Colpopexy 3 3 — — $33,458.00 $40,554.00 $38,827.00 2026-04-01
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/Mcc 5 4 — — $23,646.00 $44,411.00 $38,583.00 2026-04-01
660 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Cc 5 4 — — $23,584.00 $44,292.00 $38,482.00 2026-04-01
27814 HCPCS Treatment Of Ankle Fracture 3 3 — — $32,867.00 $39,838.00 $38,140.00 2026-04-01
58571 HCPCS Tlh W/t/o 250 G Or Less 3 3 — — $32,803.00 $39,760.00 $38,066.00 2026-04-01
664 MS_DRG Minor Bladder Procedures Without Cc/Mcc 1 1 — — $37,982.00 $37,982.00 $37,982.00 2026-04-01
626 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Cc 1 1 — — $37,891.00 $37,891.00 $37,891.00 2026-04-01
513 MS_DRG Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures With Cc/Mcc 5 4 — — $25,663.00 $44,535.00 $37,778.00 2026-04-01
346 MS_DRG Minor Small And Large Bowel Procedures Without Cc/Mcc 5 4 — — $23,361.00 $40,200.00 $37,699.00 2026-04-01
476 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders Without Cc… 1 1 — — $37,228.00 $37,228.00 $37,228.00 2026-04-01
661 MS_DRG Kidney And Ureter Procedures For Non-neoplasm Without Cc/Mcc 5 4 — — $23,917.00 $41,106.00 $37,188.00 2026-04-01
66 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction Without Cc/Mcc 1 1 — — $37,046.00 $37,046.00 $37,046.00 2026-04-01
387 MS_DRG Inflammatory Bowel Disease Without Cc/Mcc 1 1 — — $36,862.00 $36,862.00 $36,862.00 2026-04-01
858 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures Without Cc/Mcc 5 4 — — $22,790.00 $39,285.00 $36,775.00 2026-04-01
615 MS_DRG Adrenal And Pituitary Procedures Without Cc/Mcc 1 1 — — $36,752.00 $36,752.00 $36,752.00 2026-04-01
63042 HCPCS Laminotomy Single Lumbar 3 3 — — $31,647.00 $38,359.00 $36,725.00 2026-04-01
191 MS_DRG Chronic Obstructive Pulmonary Disease With Cc 5 4 — — $22,486.00 $42,224.00 $36,689.00 2026-04-01
514 MS_DRG Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures Without Cc/Mcc 5 4 — — $22,512.00 $39,933.00 $36,612.00 2026-04-01
381 MS_DRG Complicated Peptic Ulcer With Cc 1 1 — — $36,458.00 $36,458.00 $36,458.00 2026-04-01
23515 HCPCS Treat Clavicle Fracture 3 3 — — $31,160.00 $37,770.00 $36,160.00 2026-04-01
394 MS_DRG Other Digestive System Diagnoses With Cc 1 1 — — $36,108.00 $36,108.00 $36,108.00 2026-04-01
27524 HCPCS Treat Kneecap Fracture 3 3 — — $30,972.00 $37,541.00 $35,943.00 2026-04-01
419 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. Without Cc/Mcc 5 4 — — $21,923.00 $39,117.00 $35,702.00 2026-04-01
848 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis Without Cc/Mcc 3 3 — — $34,739.00 $40,958.00 $35,492.00 2026-04-01
624 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 1 1 — — $35,257.00 $35,257.00 $35,257.00 2026-04-01
758 MS_DRG Infections, Female Reproductive System With Cc 1 1 — — $35,234.00 $35,234.00 $35,234.00 2026-04-01
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