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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

California Pacific Medical Center

San Francisco, CA · CCN 059806 · Rates published

9,185 distinct procedures filed
10 distinct payers
94,020 rate rows
2026-04-01 last MRF observed
Data quality

45,646 of 94,020 rate rows are consumer-grade (48.5%)

48,374 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 48,344
placeholder amount (≤ $0.02) — excluded from medians 30

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
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 2 $591,726.20 $1,476,857.10 $1,034,291.65 nat. median
$753,246
1.4× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 2 $533,230.17 $1,340,483.41 $936,856.79 nat. median
$634,303
1.5× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 5 $556,336.52 $556,336.52 $556,336.52 nat. median
$370,174
1.5× median
215
MS_DRG 		Other Heart Assist System Implant 9 $128,797.17 $572,437.00 $441,110.00 nat. median
$99,019
outlier · 4.5×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 5 $361,276.47 $361,276.47 $361,276.47 nat. median
$265,286
1.4× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 9 $101,926.85 $421,727.00 $309,113.00 nat. median
$77,570
outlier · 4.0×
22
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 9 $41,559.36 $421,727.00 $309,113.00 nat. median
$34,274
outlier · 9.0×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 9 $126,555.62 $418,096.00 $306,437.00 nat. median
$93,672
outlier · 3.3×
21
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 9 $68,792.55 $316,241.00 $283,878.00 nat. median
$54,045
outlier · 5.3×
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 9 $85,282.49 $326,115.00 $283,582.00 nat. median
$61,920
outlier · 4.6×
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 9 $71,420.22 $347,020.00 $283,582.00 nat. median
$64,508
outlier · 4.4×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 5 $275,405.21 $275,405.21 $275,405.21 nat. median
$206,474
1.3× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 5 $95,820.00 $337,556.90 $273,792.89 nat. median
$202,976
1.3× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 9 $116,606.32 $357,388.00 $261,827.00 nat. median
$82,711
outlier · 3.2×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 9 $142,490.97 $357,388.00 $261,827.00 nat. median
$98,894
outlier · 2.6×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 9 $109,146.92 $316,576.00 $260,227.00 nat. median
$79,312
outlier · 3.3×
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 9 $78,685.23 $320,729.00 $260,227.00 nat. median
$59,898
outlier · 4.3×
5232
OTHER 		Level 2 Icd And Similar Procedures 1 $249,775.73 $249,775.73 $249,775.73 nat. median
$32,531
outlier · 7.7×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 9 $80,236.33 $330,743.00 $243,321.00 nat. median
$68,886
outlier · 3.5×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 9 $108,805.92 $312,613.00 $228,907.00 nat. median
$81,118
outlier · 2.8×
458
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 9 $54,365.29 $312,613.00 $228,907.00 nat. median
$42,730
outlier · 5.4×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 9 $1,375.00 $403,540.72 $227,716.50 nat. median
$74,915
outlier · 3.0×
209
MS_DRG 		Complex Aortic Arch Procedures 7 $146,320.39 $285,542.01 $227,694.67 nat. median
$98,047
outlier · 2.3×
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 9 $93,560.28 $248,038.00 $226,883.00 nat. median
$68,090
outlier · 3.3×
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 9 $2,135.00 $312,613.00 $220,368.50 nat. median
$58,020
outlier · 3.8×
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 9 $68,008.69 $429,000.00 $214,414.00 nat. median
$60,726
outlier · 3.5×
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 9 $77,964.64 $280,345.00 $212,848.50 nat. median
$59,099
outlier · 3.6×
430
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 9 $74,882.83 $242,289.00 $212,809.00 nat. median
$54,592
outlier · 3.9×
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 9 $74,409.29 $260,849.00 $208,007.50 nat. median
$55,916
outlier · 3.7×
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 1 $207,660.00 $207,660.00 $207,660.00 nat. median
$87,428
outlier · 2.4×
230
MS_DRG 		Other Cardiothoracic Procedures Without Cc/mcc 1 $178,847.00 $235,989.00 $207,418.00 nat. median
$29,847
outlier · 6.9×
234
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 9 $70,965.90 $283,168.00 $207,185.00 nat. median
$53,268
outlier · 3.9×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 9 $99,049.64 $283,168.00 $207,185.00 nat. median
$73,807
outlier · 2.8×
402
MS_DRG 		Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 9 $52,408.12 $242,289.00 $205,376.00 nat. median
$39,414
outlier · 5.2×
277
MS_DRG 		Cardiac Defibrillator Implant Without Mcc 9 $60,102.99 $281,441.00 $203,065.00 nat. median
$46,109
outlier · 4.4×
24
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 9 $51,010.68 $257,283.00 $198,258.00 nat. median
$38,489
outlier · 5.2×
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 1 $192,725.00 $192,725.00 $192,725.00 nat. median
$65,393
outlier · 2.9×
428
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 9 $73,015.72 $222,938.00 $191,487.00 nat. median
$54,210
outlier · 3.5×
228
MS_DRG 		Other Cardiothoracic Procedures With Mcc 9 $64,335.18 $232,428.00 $187,252.00 nat. median
$50,672
outlier · 3.7×
229
MS_DRG 		Other Cardiothoracic Procedures Without Mcc 9 $41,200.36 $231,802.00 $187,252.00 nat. median
$33,143
outlier · 5.6×
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 9 $86,650.33 $287,303.00 $185,999.00 nat. median
$63,724
outlier · 2.9×
450
MS_DRG 		Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically… 9 $69,253.21 $273,285.00 $182,680.00 nat. median
$51,319
outlier · 3.6×
267
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 9 $37,273.21 $239,033.00 $182,394.00 nat. median
$47,651
outlier · 3.8×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 5 $178,909.11 $178,909.11 $178,909.11 nat. median
$133,161
1.3× median
7
MS_DRG 		Lung Transplant 5 $167,312.74 $167,312.74 $167,312.74 nat. median
$122,708
1.4× median
220
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 9 $69,294.39 $203,642.00 $166,606.00 nat. median
$52,879
outlier · 3.2×
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 9 $86,713.38 $219,500.00 $163,332.00 nat. median
$60,691
outlier · 2.7×
319
MS_DRG 		Other Endovascular Cardiac Valve Procedures With Mcc 8 $58,100.78 $208,452.00 $162,989.00 nat. median
$43,757
outlier · 3.7×
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 9 $89,176.26 $213,184.00 $161,453.89 nat. median
$65,950
outlier · 2.4×
40
MS_DRG 		Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 8 $50,358.29 $203,911.00 $159,440.00 nat. median
$37,698
outlier · 4.2×

Other procedures at this hospital

Browse this hospital's 9,185 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
             
Q2042 HCPCS Tisagenlecleucel Car-pos T 4 2 — — $591,726.20 $1,476,857.10 $1,034,291.65 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 4 2 — — $533,230.17 $1,340,483.41 $936,856.79 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 10 5 — — $556,336.52 $556,336.52 $556,336.52 2026-04-01
215 MS_DRG Other Heart Assist System Implant 34 9 — — $128,797.17 $572,437.00 $441,110.00 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 10 5 — — $361,276.47 $361,276.47 $361,276.47 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 34 9 — — $41,559.36 $421,727.00 $309,113.00 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 34 9 — — $101,926.85 $421,727.00 $309,113.00 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 34 9 — — $126,555.62 $418,096.00 $306,437.00 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 34 9 — — $68,792.55 $316,241.00 $283,878.00 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 38 9 — — $71,420.22 $347,020.00 $283,582.00 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 34 9 — — $85,282.49 $326,115.00 $283,582.00 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 10 5 — — $275,405.21 $275,405.21 $275,405.21 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 16 5 — — $95,820.00 $337,556.90 $273,792.89 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 34 9 — — $116,606.32 $357,388.00 $261,827.00 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 34 9 — — $142,490.97 $357,388.00 $261,827.00 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 34 9 — — $78,685.23 $320,729.00 $260,227.00 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 34 9 — — $109,146.92 $316,576.00 $260,227.00 2026-04-01
5232 OTHER Level 2 Icd And Similar Procedures 2 1 — — $249,775.73 $249,775.73 $249,775.73 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 38 9 — — $80,236.33 $330,743.00 $243,321.00 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 34 9 — — $54,365.29 $312,613.00 $228,907.00 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 34 9 — — $108,805.92 $312,613.00 $228,907.00 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 44 9 — — $1,375.00 $403,540.72 $227,716.50 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 28 7 — — $146,320.39 $285,542.01 $227,694.67 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 34 9 — — $93,560.28 $248,038.00 $226,883.00 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 36 9 — — $2,135.00 $312,613.00 $220,368.50 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 46 9 — — $68,008.69 $429,000.00 $214,414.00 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 36 9 — — $77,964.64 $280,345.00 $212,848.50 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 34 9 — — $74,882.83 $242,289.00 $212,809.00 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 36 9 — — $74,409.29 $260,849.00 $208,007.50 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 2 1 — — $207,660.00 $207,660.00 $207,660.00 2026-04-01
230 MS_DRG Other Cardiothoracic Procedures Without Cc/mcc 4 1 — — $178,847.00 $235,989.00 $207,418.00 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 34 9 — — $99,049.64 $283,168.00 $207,185.00 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 34 9 — — $70,965.90 $283,168.00 $207,185.00 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 34 9 — — $52,408.12 $242,289.00 $205,376.00 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 34 9 — — $60,102.99 $281,441.00 $203,065.00 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 34 9 — — $51,010.68 $257,283.00 $198,258.00 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 2 1 — — $192,725.00 $192,725.00 $192,725.00 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 34 9 — — $73,015.72 $222,938.00 $191,487.00 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 36 9 — — $41,200.36 $231,802.00 $187,252.00 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 34 9 — — $64,335.18 $232,428.00 $187,252.00 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 34 9 — — $86,650.33 $287,303.00 $185,999.00 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 34 9 — — $69,253.21 $273,285.00 $182,680.00 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 46 9 — — $37,273.21 $239,033.00 $182,394.00 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 10 5 — — $178,909.11 $178,909.11 $178,909.11 2026-04-01
7 MS_DRG Lung Transplant 10 5 — — $167,312.74 $167,312.74 $167,312.74 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 38 9 — — $69,294.39 $203,642.00 $166,606.00 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 34 9 — — $86,713.38 $219,500.00 $163,332.00 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 26 8 — — $58,100.78 $208,452.00 $162,989.00 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 36 9 — — $89,176.26 $213,184.00 $161,453.89 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 30 8 — — $50,358.29 $203,911.00 $159,440.00 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 36 9 — — $54,573.75 $197,101.00 $157,170.50 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 34 9 — — $65,529.30 $203,642.00 $156,856.00 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 10 5 — — $155,316.19 $155,316.19 $155,316.19 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 10 5 — — $146,487.67 $146,487.67 $146,487.67 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 2 1 — — $146,326.57 $146,326.57 $146,326.57 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 8 2 — — $63,342.28 $145,441.90 $145,441.90 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 6 3 — — $36,158.06 $149,768.00 $144,893.00 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 36 8 — — $58,343.98 $181,752.00 $144,659.00 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 34 9 — — $55,242.87 $206,516.00 $144,475.00 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 46 8 — — $56,306.97 $210,500.00 $140,647.94 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 10 5 — — $140,598.13 $140,598.13 $140,598.13 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 46 9 — — $64,246.34 $207,134.00 $140,549.00 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 34 9 — — $77,986.51 $190,594.00 $139,686.00 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 38 9 — — $59,831.88 $168,499.00 $138,594.00 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 36 9 — — $59,179.09 $173,817.00 $135,520.50 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 18 6 — — $4,573.56 $483,610.55 $133,345.90 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 10 3 — — $55,272.32 $162,691.22 $131,139.34 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 4 2 — — $44,907.11 $214,538.00 $129,722.56 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 34 9 — — $41,757.53 $166,687.00 $126,635.00 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 34 9 — — $71,741.82 $170,626.00 $124,983.00 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 4 2 — — $56,824.55 $189,311.16 $123,067.85 2026-04-01
999 MS_DRG Ungroupable 2 1 — — $122,514.68 $122,514.68 $122,514.68 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 34 9 — — $42,241.35 $168,567.00 $122,400.00 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 28 7 — — $44,920.41 $149,225.16 $118,992.76 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 34 9 — — $34,901.62 $153,323.00 $114,655.00 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 38 9 — — $45,559.93 $157,419.00 $112,254.00 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 10 5 — — $112,101.34 $112,101.34 $112,101.34 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 28 7 — — $74,108.19 $138,362.23 $110,331.91 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 42 9 — — $522.50 $157,146.00 $105,930.00 2026-04-01
J9226 HCPCS Supprelin La Implant 14 3 — — $45,020.65 $129,708.04 $103,987.69 2026-04-01
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 40 9 — — $23,359.30 $128,589.00 $102,078.00 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 34 9 — — $46,052.76 $138,961.00 $101,756.00 2026-04-01
5231 OTHER Level 1 Icd And Similar Procedures 2 1 — — $101,389.60 $101,389.60 $101,389.60 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 34 9 — — $62,807.78 $124,929.00 $100,815.00 2026-04-01
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 34 9 — — $28,965.75 $111,025.00 $100,452.00 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 34 9 — — $58,327.25 $136,342.00 $99,919.00 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 32 8 — — $46,622.80 $132,043.00 $99,889.50 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 10 5 — — $98,724.09 $98,724.09 $98,724.09 2026-04-01
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 28 7 — — $31,740.03 $122,414.23 $97,614.50 2026-04-01
32 MS_DRG Ventricular Shunt Procedures With Cc 34 9 — — $28,094.61 $124,311.00 $95,791.00 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 34 9 — — $36,033.98 $106,866.00 $94,167.00 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 34 9 — — $67,655.04 $115,257.00 $94,167.00 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 34 9 — — $44,572.98 $129,264.00 $94,127.00 2026-04-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 26 8 — — $31,624.22 $119,342.00 $93,314.00 2026-04-01
10 MS_DRG Pancreas Transplant 10 5 — — $93,008.26 $93,008.26 $93,008.26 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 10 5 — — $92,969.65 $92,969.65 $92,969.65 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 10 5 — — $92,479.39 $92,479.39 $92,479.39 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 26 8 — — $36,151.07 $116,934.00 $91,432.00 2026-04-01
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 34 9 — — $28,093.32 $124,237.00 $91,061.00 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 42 9 — — $46,434.93 $138,594.00 $90,953.00 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 42 9 — — $40,681.79 $113,837.00 $90,868.00 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 36 9 — — $47,063.57 $130,491.00 $90,357.00 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 14 5 — — $89,612.47 $160,889.16 $89,612.47 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 10 5 — — $87,287.28 $87,287.28 $87,287.28 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 38 9 — — $38,583.07 $100,815.00 $86,126.00 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 10 5 — — $84,974.96 $84,974.96 $84,974.96 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 16 5 — — $83,473.30 $280,748.00 $83,473.30 2026-04-01
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/Mcc 36 9 — — $23,931.91 $94,407.00 $82,668.40 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 34 9 — — $33,137.46 $102,235.00 $82,572.00 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 34 9 — — $43,035.29 $106,141.00 $81,789.00 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 34 9 — — $34,072.94 $105,379.00 $81,202.00 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 38 9 — — $45,782.15 $105,281.00 $81,128.00 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 36 9 — — $33,524.78 $124,247.00 $80,981.50 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 34 9 — — $39,703.84 $109,518.00 $80,367.00 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 10 5 — — $79,440.56 $79,440.56 $79,440.56 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 10 5 — — $77,152.69 $77,152.69 $77,152.69 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 34 9 — — $38,148.14 $105,280.00 $77,027.00 2026-04-01
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 34 9 — — $27,624.94 $105,280.00 $77,027.00 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 10 5 — — $76,975.11 $76,975.11 $76,975.11 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 46 9 — — $42,169.28 $202,677.00 $76,920.21 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 10 5 — — $76,140.00 $76,140.00 $76,140.00 2026-04-01
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 34 9 — — $25,494.05 $95,390.00 $74,375.00 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 18 5 — — $74,012.97 $555,685.75 $74,012.97 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 34 9 — — $47,327.95 $100,037.00 $73,353.00 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 10 5 — — $72,791.83 $72,791.83 $72,791.83 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 34 8 — — $37,992.44 $96,123.00 $72,785.00 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 10 5 — — $72,297.71 $72,297.71 $72,297.71 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 12 5 — — $71,315.90 $450,952.00 $71,315.90 2026-04-01
0764 OTHER Ketorolac Tromethamine Inj 4 1 — — $57,816.06 $84,126.90 $70,971.48 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 12 5 — — $70,855.24 $374,487.00 $70,855.24 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 10 5 — — $70,574.72 $70,574.72 $70,574.72 2026-04-01
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 28 7 — — $31,841.68 $88,026.82 $70,192.92 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 32 8 — — $29,783.80 $92,596.00 $70,047.50 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 34 9 — — $36,341.52 $95,597.00 $70,010.00 2026-04-01
496 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 34 9 — — $23,885.59 $82,572.00 $67,876.00 2026-04-01
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 34 9 — — $28,757.30 $92,573.00 $67,837.00 2026-04-01
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/Mcc 30 8 — — $28,081.74 $86,472.00 $67,611.00 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 12 5 — — $63,749.97 $67,539.23 $67,539.23 2026-04-01
58546 HCPCS Laparo-myomectomy Complex 16 5 — — $15,367.22 $72,146.00 $67,430.00 2026-04-01
30 MS_DRG Spinal Procedures Without Cc/Mcc 34 9 — — $28,920.72 $90,559.00 $66,167.00 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 28 8 — — $38,015.60 $144,570.00 $66,069.00 2026-04-01
38 MS_DRG Extracranial Procedures With Cc 36 9 — — $21,552.68 $75,844.00 $65,903.00 2026-04-01
42 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/Mcc 34 9 — — $22,905.07 $84,955.00 $65,465.00 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 38 9 — — $32,087.46 $84,129.00 $65,413.68 2026-04-01
55866 HCPCS Laparo Radical Prostatectomy 16 5 — — $15,367.22 $69,572.00 $65,254.00 2026-04-01
50544 HCPCS Laparoscopy Pyeloplasty 16 5 — — $15,367.22 $68,899.00 $65,254.00 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 36 8 — — $28,391.73 $274,363.05 $65,238.50 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 22 6 — — $10,078.32 $110,865.60 $64,849.89 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 34 9 — — $47,918.58 $87,733.00 $64,496.00 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 22 6 — — $10,292.00 $189,396.00 $64,221.94 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 10 5 — — $64,004.48 $64,004.48 $64,004.48 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 10 5 — — $63,740.69 $63,740.69 $63,740.69 2026-04-01
131 MS_DRG Cranial/Facial Procedures W Cc/Mcc 4 1 — — $54,860.00 $72,388.00 $63,624.00 2026-04-01
251 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc 34 9 — — $19,904.33 $77,723.00 $62,782.00 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 10 5 — — $62,493.81 $62,493.81 $62,493.81 2026-04-01
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/Mcc 30 8 — — $28,219.43 $79,743.00 $62,350.00 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 34 9 — — $41,105.13 $84,508.00 $61,987.00 2026-04-01
259 MS_DRG Cardiac Pacemaker Device Replacement Without Mcc 34 9 — — $26,693.32 $84,508.00 $61,987.00 2026-04-01
336 MS_DRG Peritoneal Adhesiolysis With Cc 34 8 — — $27,807.66 $76,530.00 $61,986.00 2026-04-01
5194 OTHER Level 4 Endovascular Procedures 6 3 — — $35,773.93 $64,091.77 $61,371.74 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 14 6 — — $61,169.73 $218,800.31 $61,169.73 2026-04-01
J9266 HCPCS Pegaspargase Injection 14 3 — — $28,424.06 $62,262.23 $61,062.67 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 12 5 — — $61,046.20 $128,059.00 $61,046.20 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 12 5 — — $60,866.05 $191,253.38 $60,866.05 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 12 5 — — $60,341.05 $412,000.00 $60,341.05 2026-04-01
62 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 26 8 — — $23,284.67 $76,994.00 $60,202.00 2026-04-01
582 MS_DRG Mastectomy For Malignancy With Cc/Mcc 30 8 — — $25,464.46 $76,784.00 $60,037.00 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 12 5 — — $59,819.91 $96,380.93 $59,819.91 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 10 5 — — $59,669.35 $59,669.35 $59,669.35 2026-04-01
245 MS_DRG Aicd Generator Procedures 10 5 — — $59,381.12 $59,381.12 $59,381.12 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 10 5 — — $59,204.83 $59,204.83 $59,204.83 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 10 5 — — $58,950.05 $58,950.05 $58,950.05 2026-04-01
5092 OTHER Level 2 Breast/Lymphatic Surgery And Related Procedures 2 1 — — $57,387.03 $57,387.03 $57,387.03 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 12 5 — — $57,198.76 $72,909.52 $57,198.76 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 34 9 — — $48,763.98 $77,851.00 $56,810.00 2026-04-01
737 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 32 8 — — $27,188.73 $69,678.00 $56,682.00 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 12 5 — — $56,357.21 $66,174.67 $56,357.21 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 16 5 — — $55,913.27 $144,501.00 $55,913.27 2026-04-01
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 36 9 — — $26,411.52 $70,038.00 $55,849.50 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 12 5 — — $47,523.69 $55,558.13 $55,558.13 2026-04-01
58544 HCPCS Lsh W/t/o Uterus Above 250 G 16 5 — — $15,367.22 $59,137.00 $55,272.00 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 12 5 — — $54,923.75 $114,030.12 $54,923.75 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 10 5 — — $54,896.73 $54,896.73 $54,896.73 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 14 5 — — $30,876.00 $172,634.00 $54,738.45 2026-04-01
2050 OTHER Cath Coronary Drug-delivery 4 1 — — $28,249.69 $81,179.59 $54,714.64 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 10 5 — — $54,674.12 $54,674.12 $54,674.12 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 16 6 — — $7,726.05 $54,326.69 $54,326.69 2026-04-01
254 MS_DRG Other Vascular Procedures Without Cc/Mcc 36 9 — — $23,599.93 $76,843.00 $54,209.00 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 14 7 — — $10,132.00 $62,111.30 $54,113.08 2026-04-01
33 MS_DRG Ventricular Shunt Procedures Without Cc/Mcc 34 9 — — $22,071.24 $73,615.00 $53,969.00 2026-04-01
261 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Cc 34 9 — — $24,999.93 $73,615.00 $53,969.00 2026-04-01
262 MS_DRG Cardiac Pacemaker Revision Except Device Replacement Without Cc/Mcc 34 9 — — $21,646.61 $73,615.00 $53,969.00 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 34 9 — — $42,529.59 $73,615.00 $53,969.00 2026-04-01
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/Mcc 30 8 — — $29,462.45 $68,693.00 $53,710.00 2026-04-01
585 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/Mcc 30 8 — — $25,496.62 $67,870.00 $53,068.00 2026-04-01
791 MS_DRG Prematurity With Major Problems 16 6 — — $5,250.73 $401,058.86 $52,903.52 2026-04-01
23615 HCPCS Treat Humerus Fracture 14 4 — — $18,560.48 $55,255.00 $52,901.00 2026-04-01
5371 OTHER Level 1 Urology And Related Services 2 1 — — $52,470.00 $52,470.00 $52,470.00 2026-04-01
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 38 9 — — $19,371.08 $71,801.00 $52,468.00 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 34 9 — — $31,381.02 $71,801.00 $52,468.00 2026-04-01
165 MS_DRG Major Chest Procedures Without Cc/Mcc 36 9 — — $25,304.90 $65,483.00 $52,254.00 2026-04-01
49656 HCPCS Lap Inc Hernia Repair Recur 2 1 — — $52,171.00 $52,171.00 $52,171.00 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 12 5 — — $51,939.73 $54,023.04 $51,939.73 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 34 9 — — $28,452.00 $67,232.00 $51,807.00 2026-04-01
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/Mcc 34 9 — — $21,660.77 $70,792.00 $51,630.00 2026-04-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 48 10 — — $22,000.00 $75,635.00 $51,341.00 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 10 5 — — $50,782.93 $50,782.93 $50,782.93 2026-04-01
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/Mcc 32 8 — — $29,234.69 $62,248.00 $50,637.00 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 12 5 — — $50,480.53 $51,727.19 $50,480.53 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 10 5 — — $50,405.90 $50,405.90 $50,405.90 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 10 5 — — $50,076.49 $50,076.49 $50,076.49 2026-04-01
397 MS_DRG Appendix Procedures With Mcc 36 9 — — $5,429.25 $75,685.00 $49,984.50 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 34 9 — — $39,492.81 $67,767.00 $49,629.00 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 4 2 — — $24,228.42 $74,101.05 $49,164.74 2026-04-01
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 30 8 — — $22,908.93 $68,830.00 $49,127.00 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 10 5 — — $49,094.68 $49,094.68 $49,094.68 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 18 6 — — $48,883.65 $110,431.00 $48,883.65 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 12 5 — — $48,769.13 $211,449.00 $48,769.13 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 16 5 — — $48,628.87 $121,593.00 $48,628.87 2026-04-01
581 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/Mcc 30 8 — — $19,242.93 $61,975.00 $48,459.00 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 12 5 — — $48,358.65 $66,086.82 $48,358.65 2026-04-01
5213 OTHER Level 3 Electrophysiologic Procedures 26 5 — — $1,809.77 $152,533.54 $48,142.68 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 10 5 — — $47,937.88 $47,937.88 $47,937.88 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 10 5 — — $47,363.98 $47,363.98 $47,363.98 2026-04-01
332 MS_DRG Rectal Resection With Mcc 10 5 — — $47,263.61 $47,263.61 $47,263.61 2026-04-01
265 MS_DRG Aicd Lead Procedures 10 5 — — $47,231.44 $47,231.44 $47,231.44 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 16 5 — — $47,149.09 $195,166.00 $47,149.09 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 10 5 — — $47,079.60 $47,079.60 $47,079.60 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 10 5 — — $46,775.93 $46,775.93 $46,775.93 2026-04-01
583 MS_DRG Mastectomy For Malignancy Without Cc/Mcc 30 8 — — $22,862.61 $59,804.00 $46,761.00 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 12 5 — — $46,669.12 $58,432.00 $46,669.12 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 16 5 — — $46,554.60 $133,042.00 $46,554.60 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 16 5 — — $46,516.00 $119,906.00 $46,516.00 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 16 5 — — $46,472.25 $119,464.00 $46,472.25 2026-04-01
740 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Cc 32 8 — — $229.25 $61,319.00 $46,388.50 2026-04-01
504 MS_DRG Foot Procedures With Cc 34 9 — — $24,725.85 $62,724.00 $46,115.00 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 30 8 — — $38,394.00 $58,823.00 $45,993.00 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 16 5 — — $45,960.11 $128,968.00 $45,960.11 2026-04-01
499 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Without… 34 9 — — $26,599.39 $59,368.00 $45,933.00 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 10 5 — — $45,548.35 $45,548.35 $45,548.35 2026-04-01
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 32 8 — — $22,364.09 $60,099.00 $45,465.50 2026-04-01
0571T HCPCS Insj/rplcmt Icds Ss Eltrd 2 1 — — $45,377.89 $45,377.89 $45,377.89 2026-04-01
0915T HCPCS Insj Perm Ccm-d Sys Pg&eltrd 2 1 — — $45,377.89 $45,377.89 $45,377.89 2026-04-01
0408T HCPCS Insj/rplc Cardiac Modulj Sys 2 1 — — $45,377.89 $45,377.89 $45,377.89 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 2 1 — — $45,377.89 $45,377.89 $45,377.89 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 2 1 — — $45,377.89 $45,377.89 $45,377.89 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 2 1 — — $45,377.89 $45,377.89 $45,377.89 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 2 1 — — $45,377.89 $45,377.89 $45,377.89 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 10 5 — — $45,342.47 $45,342.47 $45,342.47 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 16 5 — — $45,126.29 $100,912.00 $45,126.29 2026-04-01
5493 OTHER Level 3 Intraocular Procedures 6 3 — — $1,521.47 $52,428.16 $45,106.52 2026-04-01
132 MS_DRG Cranial/Facial Procedures Without Cc/Mcc 18 4 — — $24,867.00 $54,032.00 $44,826.00 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 10 5 — — $44,789.15 $44,789.15 $44,789.15 2026-04-01
29916 HCPCS Hip Arthro W/labral Repair 14 4 — — $10,490.08 $48,425.00 $44,774.00 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 6 3 — — $20,000.00 $97,566.49 $44,755.18 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 12 5 — — $22,417.83 $44,515.07 $44,515.07 2026-04-01
503 MS_DRG Foot Procedures With Mcc 36 9 — — $36,588.57 $62,724.00 $44,396.50 2026-04-01
506 MS_DRG Major Thumb Or Joint Procedures 34 9 — — $18,034.65 $56,459.00 $44,376.00 2026-04-01
2046 OTHER Pmkr, Dual, Leadless 2 1 — — $44,280.04 $44,280.04 $44,280.04 2026-04-01
507 MS_DRG Major Shoulder Or Elbow Joint Procedures With Cc/Mcc 34 9 — — $23,917.76 $60,104.00 $44,112.00 2026-04-01
508 MS_DRG Major Shoulder Or Elbow Joint Procedures Without Cc/Mcc 34 9 — — $20,160.39 $60,104.00 $44,112.00 2026-04-01
716 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy Without Cc/Mcc 30 8 — — $19,601.93 $56,355.00 $44,064.00 2026-04-01
27427 HCPCS Reconstruction Knee 16 5 — — $10,490.08 $45,428.00 $44,021.50 2026-04-01
39 MS_DRG Extracranial Procedures Without Cc/Mcc 34 9 — — $15,799.53 $53,667.00 $44,014.00 2026-04-01
398 MS_DRG Appendix Procedures With Cc 36 9 — — $20,150.10 $57,681.00 $43,706.52 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 20 5 — — $40,192.89 $107,522.00 $43,659.37 2026-04-01
58573 HCPCS Tlh W/t/o Uterus Over 250 G 16 5 — — $15,367.22 $47,427.00 $43,630.00 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 10 5 — — $43,179.41 $43,179.41 $43,179.41 2026-04-01
287 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization Without Mcc 42 9 — — $14,443.28 $57,681.00 $43,123.12 2026-04-01
501 MS_DRG Soft Tissue Procedures With Cc 32 8 — — $23,167.57 $54,064.00 $43,028.50 2026-04-01
505 MS_DRG Foot Procedures Without Cc/Mcc 34 9 — — $23,742.76 $50,945.00 $42,678.00 2026-04-01
578 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis Without Cc/Mcc 30 8 — — $21,344.22 $54,208.00 $42,385.00 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 10 5 — — $42,299.26 $42,299.26 $42,299.26 2026-04-01
652 MS_DRG Kidney Transplant 14 5 — — $42,229.77 $196,642.90 $42,229.77 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 16 5 — — $42,198.89 $112,677.00 $42,198.89 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 10 5 — — $42,117.82 $42,117.82 $42,117.82 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 10 5 — — $41,984.00 $41,984.00 $41,984.00 2026-04-01
787 MS_DRG Cesarean Section Without Sterilization With Cc 32 8 — — $7,930.86 $52,662.00 $41,862.50 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 34 9 — — $33,307.31 $57,075.00 $41,773.00 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 18 5 — — $32,287.39 $103,790.00 $41,681.61 2026-04-01
27447 HCPCS Total Knee Arthroplasty 4 2 — — $18,560.48 $64,740.00 $41,650.24 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 16 5 — — $41,641.72 $168,372.00 $41,641.72 2026-04-01
27814 HCPCS Treatment Of Ankle Fracture 16 5 — — $10,490.08 $44,925.00 $41,477.00 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 10 5 — — $41,397.23 $41,397.23 $41,397.23 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 14 5 — — $41,335.47 $135,621.19 $41,335.47 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 10 5 — — $41,219.66 $41,219.66 $41,219.66 2026-04-01
304 MS_DRG Hypertension With Mcc 30 8 — — $15,986.11 $52,567.00 $41,104.00 2026-04-01
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 34 9 — — $27,430.64 $53,157.00 $40,961.00 2026-04-01
27130 HCPCS Total Hip Arthroplasty 4 2 — — $18,560.48 $63,249.00 $40,904.74 2026-04-01
665 MS_DRG Prostatectomy With Mcc 10 5 — — $40,836.20 $40,836.20 $40,836.20 2026-04-01
744 MS_DRG D&c, Conization, Laparoscopy And Tubal Interruption With Cc/Mcc 30 8 — — $27,040.75 $52,147.00 $40,774.00 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 16 5 — — $40,752.56 $88,243.00 $40,752.56 2026-04-01
58571 HCPCS Tlh W/t/o 250 G Or Less 16 5 — — $15,367.22 $44,246.00 $40,704.00 2026-04-01
63 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 26 8 — — $18,737.23 $51,842.00 $40,535.00 2026-04-01
57425 HCPCS Laparoscopy Surg Colpopexy 16 5 — — $15,367.22 $43,300.00 $40,469.50 2026-04-01
28297 HCPCS Correction Hallux Valgus 14 4 — — $18,560.48 $41,948.00 $40,162.00 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 10 5 — — $40,068.00 $40,068.00 $40,068.00 2026-04-01
263 MS_DRG Vein Ligation And Stripping 10 5 — — $40,015.24 $40,015.24 $40,015.24 2026-04-01
23515 HCPCS Treat Clavicle Fracture 14 4 — — $10,490.08 $41,716.00 $39,938.00 2026-04-01
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 32 8 — — $250.00 $52,625.00 $39,811.00 2026-04-01
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