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

WINDHAM COMMUNITY MEMORIAL HOSPITAL

Willimantic, CT · CCN 070021 · Rates published

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You selected 93306 (CPT)

HC ECHO TTHRC R-T 2D W/WOM-MODE COMPL SPEC&COLR D W/ CONTRAST

This hospital’s price: $228 across 10 payers · range $115-$3,889

Source: https://hartfordhealthcare.org/file%20library/price%20data/060646966_windham_community_memorial_hospital_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.

4,329 distinct procedures filed
10 distinct payers
83,350 rate rows
2026-04-01 last MRF observed
Data quality

34,347 of 83,350 rate rows are consumer-grade (41.2%)

49,003 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 47,453
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 723
per-diem day rate — not a per-procedure price 703
exceeds 10× this hospital's gross charge — excluded from medians 63
placeholder amount (≤ $0.02) — excluded from medians 52
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 8
exceeds 3× this hospital's gross charge for a DRG stay — excluded 1
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://hartfordhealthcare.org/file%20library/price%20data/060646966_windham_community_memorial_hospital_standardcharges.csv
Found on page https://hartfordhealthcare.org/patients-visitors/patients/price-transparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-31
Content fingerprint 110866f72348758d… · 24,941,497 bytes · first seen 2026-06-16

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
470
MS_DRG 		Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without… 8 $12,790.91 $40,194.00 $20,120.00 nat. median
$18,826
1.1× median
521
MS_DRG 		Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 8 $12,790.91 $69,941.00 $20,120.00 nat. median
$27,627
0.7× median
522
MS_DRG 		Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 8 $12,790.91 $46,223.00 $20,120.00 nat. median
$20,545
1.0× median
428
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 8 $12,790.91 $99,378.00 $16,050.00 nat. median
$50,573
outlier · 0.3×
448
MS_DRG 		Multiple Level Spinal Fusion Except Cervical Without Mcc 8 $12,790.91 $78,570.00 $16,050.00 nat. median
$39,085
outlier · 0.4×
451
MS_DRG 		Single Level Spinal Fusion Except Cervical Without Mcc 8 $12,790.91 $78,570.00 $16,050.00 nat. median
$30,039
0.5× median
402
MS_DRG 		Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 8 $12,790.91 $104,005.00 $16,050.00 nat. median
$36,900
outlier · 0.4×
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 8 $12,790.91 $127,137.00 $16,050.00 nat. median
$63,648
outlier · 0.3×
468
MS_DRG 		Revision Of Hip Or Knee Replacement Without Cc/mcc 8 $12,790.91 $56,665.00 $14,580.34 nat. median
$25,674
0.6× median
488
MS_DRG 		Knee Procedures Without Principal Diagnosis Of Infection With Cc/mcc 8 $12,790.91 $42,041.00 $14,580.34 nat. median
$18,180
0.8× median
467
MS_DRG 		Revision Of Hip Or Knee Replacement With Cc 8 $12,790.91 $68,488.00 $14,580.34 nat. median
$32,637
outlier · 0.4×
580
MS_DRG 		Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 8 $12,790.91 $80,000.00 $13,110.68 nat. median
$16,856
0.8× median
584
MS_DRG 		Breast Biopsy, Local Excision And Other Breast Procedures With Cc/mcc 8 $12,790.91 $80,000.00 $13,110.68 nat. median
$20,226
0.6× median
94
MS_DRG 		Bacterial And Tuberculous Infections Of Nervous System With Mcc 8 $12,790.91 $22,599.00 $13,078.70 nat. median
$33,408
outlier · 0.4×
571
MS_DRG 		Skin Debridement With Cc 8 $12,790.91 $22,599.00 $13,078.70 nat. median
$16,358
0.8× median
355
MS_DRG 		Hernia Procedures Except Inguinal And Femoral Without Cc/mcc 8 $12,790.91 $22,599.00 $13,078.70 nat. median
$13,406
1.0× median
917
MS_DRG 		Poisoning And Toxic Effects Of Drugs With Mcc 8 $12,790.91 $42,287.00 $13,078.70 nat. median
$14,580
0.9× median
603
MS_DRG 		Cellulitis Without Mcc 8 $12,790.91 $45,953.00 $13,078.70 nat. median
$8,986
1.5× median
840
MS_DRG 		Lymphoma And Non-acute Leukemia With Mcc 8 $12,790.91 $22,599.00 $13,078.70 nat. median
$29,838
outlier · 0.4×
282
MS_DRG 		Acute Myocardial Infarction, Discharged Alive Without Cc/mcc 8 $12,790.91 $22,599.00 $13,078.70 nat. median
$7,942
1.6× median
391
MS_DRG 		Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 8 $12,790.91 $22,599.00 $13,078.70 nat. median
$12,539
1.0× median
398
MS_DRG 		Appendix Procedures With Cc 8 $12,790.91 $22,599.00 $13,078.70 nat. median
$15,021
0.9× median
186
MS_DRG 		Pleural Effusion With Mcc 8 $12,790.91 $22,599.00 $13,078.70 nat. median
$15,116
0.9× median
868
MS_DRG 		Other Infectious And Parasitic Diseases Diagnoses With Cc 8 $12,790.91 $22,599.00 $13,078.70 nat. median
$10,675
1.2× median
906
MS_DRG 		Hand Procedures For Injuries 8 $12,790.91 $22,599.00 $13,078.70 nat. median
$19,232
0.7× median
640
MS_DRG 		Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 8 $12,790.91 $22,599.00 $13,078.70 nat. median
$12,850
1.0× median
941
MS_DRG 		O.r. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/… 8 $12,790.91 $22,599.00 $13,078.70 nat. median
$19,029
0.7× median
862
MS_DRG 		Postoperative And Post-traumatic Infections With Mcc 8 $12,790.91 $22,599.00 $13,078.70 nat. median
$17,345
0.8× median
75
MS_DRG 		Viral Meningitis With Cc/mcc 8 $12,790.91 $22,599.00 $13,078.70 nat. median
$17,723
0.7× median
300
MS_DRG 		Peripheral Vascular Disorders With Cc 8 $12,790.91 $22,599.00 $13,078.70 nat. median
$10,845
1.2× median
100
MS_DRG 		Seizures With Mcc 8 $12,790.91 $22,599.00 $13,078.70 nat. median
$18,360
0.7× median
101
MS_DRG 		Seizures Without Mcc 8 $12,790.91 $22,599.00 $13,078.70 nat. median
$9,272
1.4× median
863
MS_DRG 		Postoperative And Post-traumatic Infections Without Mcc 8 $12,790.91 $22,599.00 $13,078.70 nat. median
$10,221
1.3× median
394
MS_DRG 		Other Digestive System Diagnoses With Cc 8 $12,790.91 $22,599.00 $13,078.70 nat. median
$9,683
1.4× median
593
MS_DRG 		Skin Ulcers With Cc 8 $12,790.91 $22,599.00 $13,078.70 nat. median
$11,948
1.1× median
659
MS_DRG 		Kidney And Ureter Procedures For Non-neoplasm With Mcc 8 $12,790.91 $22,599.00 $13,078.70 nat. median
$24,333
0.5× median
103
MS_DRG 		Headaches Without Mcc 8 $12,790.91 $22,599.00 $13,078.70 nat. median
$8,805
1.5× median
696
MS_DRG 		Kidney And Urinary Tract Signs And Symptoms Without Mcc 8 $12,790.91 $22,599.00 $13,078.70 nat. median
$7,410
1.8× median
596
MS_DRG 		Major Skin Disorders Without Mcc 8 $12,790.91 $22,599.00 $13,078.70 nat. median
$10,799
1.2× median
642
MS_DRG 		Inborn And Other Disorders Of Metabolism 8 $12,790.91 $22,599.00 $13,078.70 nat. median
$13,412
1.0× median
866
MS_DRG 		Viral Illness Without Mcc 8 $12,790.91 $22,599.00 $13,078.70 nat. median
$8,994
1.5× median
864
MS_DRG 		Fever And Inflammatory Conditions 8 $12,790.91 $22,599.00 $13,078.70 nat. median
$9,220
1.4× median
698
MS_DRG 		Other Kidney And Urinary Tract Diagnoses With Mcc 8 $12,790.91 $22,599.00 $13,078.70 nat. median
$15,903
0.8× median
397
MS_DRG 		Appendix Procedures With Mcc 8 $12,790.91 $22,599.00 $13,078.70 nat. median
$22,960
0.6× median
98
MS_DRG 		Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 8 $12,790.91 $22,599.00 $13,078.70 nat. median
$21,157
0.6× median
379
MS_DRG 		Gastrointestinal Hemorrhage Without Cc/mcc 8 $12,790.91 $22,599.00 $13,078.70 nat. median
$6,967
1.9× median
810
MS_DRG 		Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 8 $12,790.91 $22,599.00 $13,078.70 nat. median
$10,343
1.3× median
310
MS_DRG 		Cardiac Arrhythmia And Conduction Disorders Without Cc/mcc 8 $12,790.91 $22,599.00 $13,078.70 nat. median
$6,284
outlier · 2.1×
393
MS_DRG 		Other Digestive System Diagnoses With Mcc 8 $12,790.91 $22,599.00 $13,078.70 nat. median
$15,616
0.8× median
700
MS_DRG 		Other Kidney And Urinary Tract Diagnoses Without Cc/mcc 8 $12,790.91 $22,599.00 $13,078.70 nat. median
$7,562
1.7× median

Other procedures at this hospital

Browse this hospital's 4,329 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
             
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 15 8 $62,792.26 $62,792.26 $12,790.91 $40,194.00 $20,120.00 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 15 8 $73,277.72 $73,277.72 $12,790.91 $69,941.00 $20,120.00 2026-04-01
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 15 8 $67,041.55 $67,041.55 $12,790.91 $46,223.00 $20,120.00 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 8 $119,290.61 $119,290.61 $12,790.91 $99,378.00 $16,050.00 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 15 8 $134,718.61 $134,718.61 $12,790.91 $78,570.00 $16,050.00 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 15 8 $92,350.22 $92,350.22 $12,790.91 $78,570.00 $16,050.00 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 15 8 $96,862.69 $96,862.69 $12,790.91 $104,005.00 $16,050.00 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 8 $115,082.29 $115,082.29 $12,790.91 $127,137.00 $16,050.00 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 14 8 $68,951.77 $68,951.77 $12,790.91 $56,665.00 $14,580.34 2026-04-01
488 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection With Cc/mcc 14 8 $43,096.72 $43,096.72 $12,790.91 $42,041.00 $14,580.34 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 14 8 $92,053.26 $92,053.26 $12,790.91 $68,488.00 $14,580.34 2026-04-01
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 13 8 $33,725.02 $33,725.02 $12,790.91 $80,000.00 $13,110.68 2026-04-01
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/mcc 13 8 $50,546.83 $50,546.83 $12,790.91 $80,000.00 $13,110.68 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 12 8 $61,995.82 $61,995.82 $12,790.91 $22,599.00 $13,078.70 2026-04-01
571 MS_DRG Skin Debridement With Cc 12 8 $35,026.57 $35,026.57 $12,790.91 $22,599.00 $13,078.70 2026-04-01
355 MS_DRG Hernia Procedures Except Inguinal And Femoral Without Cc/mcc 12 8 $45,584.07 $45,584.07 $12,790.91 $22,599.00 $13,078.70 2026-04-01
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 12 8 $27,115.74 $27,115.74 $12,790.91 $42,287.00 $13,078.70 2026-04-01
603 MS_DRG Cellulitis Without Mcc 12 8 $30,137.17 $30,137.17 $12,790.91 $45,953.00 $13,078.70 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 12 8 $36,292.62 $36,292.62 $12,790.91 $22,599.00 $13,078.70 2026-04-01
282 MS_DRG Acute Myocardial Infarction, Discharged Alive Without Cc/mcc 12 8 $25,529.25 $25,529.25 $12,790.91 $22,599.00 $13,078.70 2026-04-01
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 12 8 $31,155.22 $31,155.22 $12,790.91 $22,599.00 $13,078.70 2026-04-01
398 MS_DRG Appendix Procedures With Cc 12 8 $75,888.94 $75,888.94 $12,790.91 $22,599.00 $13,078.70 2026-04-01
186 MS_DRG Pleural Effusion With Mcc 12 8 $20,100.43 $20,100.43 $12,790.91 $22,599.00 $13,078.70 2026-04-01
868 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Cc 12 8 $29,717.55 $29,717.55 $12,790.91 $22,599.00 $13,078.70 2026-04-01
906 MS_DRG Hand Procedures For Injuries 12 8 $58,129.47 $58,129.47 $12,790.91 $22,599.00 $13,078.70 2026-04-01
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 12 8 $39,638.96 $39,638.96 $12,790.91 $22,599.00 $13,078.70 2026-04-01
941 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/… 12 8 $40,672.15 $40,672.15 $12,790.91 $22,599.00 $13,078.70 2026-04-01
862 MS_DRG Postoperative And Post-traumatic Infections With Mcc 12 8 $64,506.74 $64,506.74 $12,790.91 $22,599.00 $13,078.70 2026-04-01
75 MS_DRG Viral Meningitis With Cc/mcc 12 8 $41,669.70 $41,669.70 $12,790.91 $22,599.00 $13,078.70 2026-04-01
300 MS_DRG Peripheral Vascular Disorders With Cc 12 8 $28,456.39 $28,456.39 $12,790.91 $22,599.00 $13,078.70 2026-04-01
100 MS_DRG Seizures With Mcc 12 8 $29,717.32 $29,717.32 $12,790.91 $22,599.00 $13,078.70 2026-04-01
101 MS_DRG Seizures Without Mcc 12 8 $29,545.98 $29,545.98 $12,790.91 $22,599.00 $13,078.70 2026-04-01
863 MS_DRG Postoperative And Post-traumatic Infections Without Mcc 12 8 $40,824.43 $40,824.43 $12,790.91 $22,599.00 $13,078.70 2026-04-01
394 MS_DRG Other Digestive System Diagnoses With Cc 12 8 $32,974.35 $32,974.35 $12,790.91 $22,599.00 $13,078.70 2026-04-01
593 MS_DRG Skin Ulcers With Cc 12 8 $36,737.39 $36,737.39 $12,790.91 $22,599.00 $13,078.70 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 12 8 $52,653.94 $52,653.94 $12,790.91 $22,599.00 $13,078.70 2026-04-01
103 MS_DRG Headaches Without Mcc 12 8 $27,524.84 $27,524.84 $12,790.91 $22,599.00 $13,078.70 2026-04-01
696 MS_DRG Kidney And Urinary Tract Signs And Symptoms Without Mcc 12 8 $7,732.23 $7,732.23 $12,790.91 $22,599.00 $13,078.70 2026-04-01
596 MS_DRG Major Skin Disorders Without Mcc 12 8 $58,737.47 $58,737.47 $12,790.91 $22,599.00 $13,078.70 2026-04-01
642 MS_DRG Inborn And Other Disorders Of Metabolism 12 8 $70,270.81 $70,270.81 $12,790.91 $22,599.00 $13,078.70 2026-04-01
866 MS_DRG Viral Illness Without Mcc 12 8 $25,027.53 $25,027.53 $12,790.91 $22,599.00 $13,078.70 2026-04-01
864 MS_DRG Fever And Inflammatory Conditions 12 8 $29,197.61 $29,197.61 $12,790.91 $22,599.00 $13,078.70 2026-04-01
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With Mcc 12 8 $50,902.19 $50,902.19 $12,790.91 $22,599.00 $13,078.70 2026-04-01
397 MS_DRG Appendix Procedures With Mcc 12 8 $87,939.77 $87,939.77 $12,790.91 $22,599.00 $13,078.70 2026-04-01
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 12 8 $69,772.28 $69,772.28 $12,790.91 $22,599.00 $13,078.70 2026-04-01
379 MS_DRG Gastrointestinal Hemorrhage Without Cc/mcc 12 8 $24,293.73 $24,293.73 $12,790.91 $22,599.00 $13,078.70 2026-04-01
810 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 12 8 $19,945.39 $19,945.39 $12,790.91 $22,599.00 $13,078.70 2026-04-01
310 MS_DRG Cardiac Arrhythmia And Conduction Disorders Without Cc/mcc 12 8 $27,214.48 $27,214.48 $12,790.91 $22,599.00 $13,078.70 2026-04-01
393 MS_DRG Other Digestive System Diagnoses With Mcc 12 8 $36,589.98 $36,589.98 $12,790.91 $22,599.00 $13,078.70 2026-04-01
700 MS_DRG Other Kidney And Urinary Tract Diagnoses Without Cc/mcc 12 8 $15,483.28 $15,483.28 $12,790.91 $22,599.00 $13,078.70 2026-04-01
660 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Cc 12 8 $52,009.79 $52,009.79 $12,790.91 $22,599.00 $13,078.70 2026-04-01
91 MS_DRG Other Disorders Of Nervous System With Mcc 12 8 $54,070.74 $54,070.74 $12,790.91 $22,599.00 $13,078.70 2026-04-01
368 MS_DRG Major Esophageal Disorders With Mcc 12 8 $35,004.16 $35,004.16 $12,790.91 $22,599.00 $13,078.70 2026-04-01
443 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis Without C… 12 8 $18,542.75 $18,542.75 $12,790.91 $22,599.00 $13,078.70 2026-04-01
919 MS_DRG Complications Of Treatment With Mcc 12 8 $32,748.13 $32,748.13 $12,790.91 $22,599.00 $13,078.70 2026-04-01
689 MS_DRG Kidney And Urinary Tract Infections With Mcc 12 8 $39,392.85 $39,392.85 $12,790.91 $22,599.00 $13,078.70 2026-04-01
683 MS_DRG Renal Failure With Cc 12 8 $28,454.29 $28,454.29 $12,790.91 $33,862.00 $13,078.70 2026-04-01
74 MS_DRG Cranial And Peripheral Nerve Disorders Without Mcc 12 8 $30,734.25 $30,734.25 $12,790.91 $22,599.00 $13,078.70 2026-04-01
281 MS_DRG Acute Myocardial Infarction, Discharged Alive With Cc 12 8 $33,357.16 $33,357.16 $12,790.91 $22,599.00 $13,078.70 2026-04-01
71 MS_DRG Other Cerebrovascular Disorders With Cc 12 8 $43,767.65 $43,767.65 $12,790.91 $22,599.00 $13,078.70 2026-04-01
390 MS_DRG Gastrointestinal Obstruction Without Cc/mcc 12 8 $32,588.39 $32,588.39 $12,790.91 $22,599.00 $13,078.70 2026-04-01
313 MS_DRG Chest Pain 12 8 $30,719.24 $30,719.24 $12,790.91 $22,599.00 $13,078.70 2026-04-01
694 MS_DRG Urinary Stones Without Mcc 12 8 $36,303.51 $36,303.51 $12,790.91 $22,599.00 $13,078.70 2026-04-01
336 MS_DRG Peritoneal Adhesiolysis With Cc 12 8 $63,368.07 $63,368.07 $12,790.91 $22,599.00 $13,078.70 2026-04-01
292 MS_DRG Heart Failure And Shock With Cc 12 8 $50,732.58 $50,732.58 $12,790.91 $22,599.00 $13,078.70 2026-04-01
604 MS_DRG Trauma To The Skin, Subcutaneous Tissue And Breast With Mcc 12 8 $20,969.04 $20,969.04 $12,790.91 $22,599.00 $13,078.70 2026-04-01
442 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc 12 8 $36,081.19 $36,081.19 $12,790.91 $22,599.00 $13,078.70 2026-04-01
415 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 12 8 $53,909.16 $53,909.16 $12,790.91 $22,599.00 $13,078.70 2026-04-01
641 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou… 12 8 $26,221.04 $26,221.04 $12,790.91 $22,599.00 $13,078.70 2026-04-01
192 MS_DRG Chronic Obstructive Pulmonary Disease Without Cc/mcc 12 8 $30,545.50 $30,545.50 $12,790.91 $22,599.00 $13,078.70 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 12 8 $87,514.53 $87,514.53 $12,790.91 $22,599.00 $13,078.70 2026-04-01
815 MS_DRG Reticuloendothelial And Immunity Disorders With Cc 12 8 $23,469.28 $23,469.28 $12,790.91 $22,599.00 $13,078.70 2026-04-01
644 MS_DRG Endocrine Disorders With Cc 12 8 $51,490.39 $51,490.39 $12,790.91 $22,599.00 $13,078.70 2026-04-01
68 MS_DRG Precerebral Occlusion Without Infarction Without Mcc 12 8 $28,568.05 $28,568.05 $12,790.91 $22,599.00 $13,078.70 2026-04-01
387 MS_DRG Inflammatory Bowel Disease Without Cc/mcc 12 8 $40,049.71 $40,049.71 $12,790.91 $22,599.00 $13,078.70 2026-04-01
951 MS_DRG Other Factors Influencing Health Status 12 8 $26,159.08 $26,159.08 $12,790.91 $22,599.00 $13,078.70 2026-04-01
948 MS_DRG Signs And Symptoms Without Mcc 12 8 $42,005.77 $42,005.77 $12,790.91 $22,599.00 $13,078.70 2026-04-01
947 MS_DRG Signs And Symptoms With Mcc 12 8 $34,835.55 $34,835.55 $12,790.91 $22,599.00 $13,078.70 2026-04-01
399 MS_DRG Appendix Procedures Without Cc/mcc 12 8 $46,391.96 $46,391.96 $12,790.91 $22,599.00 $13,078.70 2026-04-01
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 12 8 $29,533.69 $29,533.69 $12,790.91 $22,599.00 $13,078.70 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 12 8 $62,541.21 $62,541.21 $12,790.91 $22,599.00 $13,078.70 2026-04-01
542 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 12 8 $44,885.52 $44,885.52 $12,790.91 $22,599.00 $13,078.70 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 12 8 $86,771.01 $86,771.01 $12,790.91 $22,599.00 $13,078.70 2026-04-01
536 MS_DRG Fractures Of Hip And Pelvis Without Mcc 12 8 $19,334.40 $19,334.40 $12,790.91 $22,599.00 $13,078.70 2026-04-01
65 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours 12 8 $36,689.61 $36,689.61 $12,790.91 $22,599.00 $13,078.70 2026-04-01
564 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc 12 8 $42,670.89 $42,670.89 $12,790.91 $22,599.00 $13,078.70 2026-04-01
540 MS_DRG Osteomyelitis With Cc 12 8 $82,625.32 $82,625.32 $12,790.91 $22,599.00 $13,078.70 2026-04-01
123 MS_DRG Neurological Eye Disorders 12 8 $29,396.02 $29,396.02 $12,790.91 $22,599.00 $13,078.70 2026-04-01
541 MS_DRG Osteomyelitis Without Cc/mcc 12 8 $23,323.11 $23,323.11 $12,790.91 $22,599.00 $13,078.70 2026-04-01
180 MS_DRG Respiratory Neoplasms With Mcc 12 8 $49,503.24 $49,503.24 $12,790.91 $22,599.00 $13,078.70 2026-04-01
299 MS_DRG Peripheral Vascular Disorders With Mcc 12 8 $44,969.90 $44,969.90 $12,790.91 $22,599.00 $13,078.70 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 12 8 $16,146.90 $16,146.90 $12,790.91 $22,599.00 $13,078.70 2026-04-01
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 12 8 $46,746.90 $46,746.90 $12,790.91 $22,599.00 $13,078.70 2026-04-01
378 MS_DRG Gastrointestinal Hemorrhage With Cc 12 8 $37,152.50 $37,152.50 $12,790.91 $22,599.00 $13,078.70 2026-04-01
372 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Cc 12 8 $34,573.75 $34,573.75 $12,790.91 $22,599.00 $13,078.70 2026-04-01
59 MS_DRG Multiple Sclerosis And Cerebellar Ataxia With Cc 12 8 $49,295.25 $49,295.25 $12,790.91 $31,046.00 $13,078.70 2026-04-01
811 MS_DRG Red Blood Cell Disorders With Mcc 12 8 $46,663.89 $46,663.89 $12,790.91 $22,599.00 $13,078.70 2026-04-01
176 MS_DRG Pulmonary Embolism Without Mcc 12 8 $35,894.66 $35,894.66 $12,790.91 $22,599.00 $13,078.70 2026-04-01
157 MS_DRG Dental And Oral Diseases With Mcc 12 8 $24,053.62 $24,053.62 $12,790.91 $22,599.00 $13,078.70 2026-04-01
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 12 8 $55,338.95 $55,338.95 $12,790.91 $22,599.00 $13,078.70 2026-04-01
903 MS_DRG Wound Debridements For Injuries Without Cc/mcc 12 8 $56,048.13 $56,048.13 $12,790.91 $22,599.00 $13,078.70 2026-04-01
663 MS_DRG Minor Bladder Procedures With Cc 12 8 $52,087.23 $52,087.23 $12,790.91 $22,599.00 $13,078.70 2026-04-01
551 MS_DRG Medical Back Problems With Mcc 12 8 $43,559.60 $43,559.60 $12,790.91 $22,599.00 $13,078.70 2026-04-01
754 MS_DRG Malignancy, Female Reproductive System With Mcc 12 8 $86,705.30 $86,705.30 $12,790.91 $22,599.00 $13,078.70 2026-04-01
433 MS_DRG Cirrhosis And Alcoholic Hepatitis With Cc 12 8 $56,256.55 $56,256.55 $12,790.91 $22,599.00 $13,078.70 2026-04-01
66 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction Without Cc/mcc 12 8 $38,590.07 $38,590.07 $12,790.91 $22,599.00 $13,078.70 2026-04-01
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 12 8 $92,711.15 $92,711.15 $12,790.91 $22,599.00 $13,078.70 2026-04-01
637 MS_DRG Diabetes With Mcc 12 8 $37,861.89 $37,861.89 $12,790.91 $22,599.00 $13,078.70 2026-04-01
312 MS_DRG Syncope And Collapse 12 8 $30,739.13 $30,739.13 $12,790.91 $22,599.00 $13,078.70 2026-04-01
669 MS_DRG Transurethral Procedures With Cc 12 8 $72,910.67 $72,910.67 $12,790.91 $22,599.00 $13,078.70 2026-04-01
561 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue Without Cc/mcc 12 8 $34,988.52 $34,988.52 $12,790.91 $22,599.00 $13,078.70 2026-04-01
858 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures Without Cc/mcc 12 8 $42,682.70 $42,682.70 $12,790.91 $22,599.00 $13,078.70 2026-04-01
639 MS_DRG Diabetes Without Cc/mcc 12 8 $20,119.99 $20,119.99 $12,790.91 $22,599.00 $13,078.70 2026-04-01
565 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Cc 12 8 $46,425.58 $46,425.58 $12,790.91 $22,599.00 $13,078.70 2026-04-01
570 MS_DRG Skin Debridement With Mcc 12 8 $58,106.63 $58,106.63 $12,790.91 $22,599.00 $13,078.70 2026-04-01
661 MS_DRG Kidney And Ureter Procedures For Non-neoplasm Without Cc/mcc 12 8 $31,804.68 $31,804.68 $12,790.91 $22,599.00 $13,078.70 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 12 8 $94,940.06 $94,940.06 $12,790.91 $22,599.00 $13,078.70 2026-04-01
684 MS_DRG Renal Failure Without Cc/mcc 12 8 $14,805.04 $14,805.04 $12,790.91 $22,774.00 $13,078.70 2026-04-01
291 MS_DRG Heart Failure And Shock With Mcc 12 8 $44,402.55 $44,402.55 $12,790.91 $22,599.00 $13,078.70 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 12 8 $153,286.82 $153,286.82 $12,790.91 $22,599.00 $13,078.70 2026-04-01
381 MS_DRG Complicated Peptic Ulcer With Cc 12 8 $34,485.87 $34,485.87 $12,790.91 $22,599.00 $13,078.70 2026-04-01
607 MS_DRG Minor Skin Disorders Without Mcc 12 8 $21,614.86 $21,614.86 $12,790.91 $22,599.00 $13,078.70 2026-04-01
92 MS_DRG Other Disorders Of Nervous System With Cc 12 8 $26,772.61 $26,772.61 $12,790.91 $22,599.00 $13,078.70 2026-04-01
439 MS_DRG Disorders Of Pancreas Except Malignancy With Cc 12 8 $28,364.85 $28,364.85 $12,790.91 $22,599.00 $13,078.70 2026-04-01
69 MS_DRG Transient Ischemia Without Thrombolytic 12 8 $41,991.45 $41,991.45 $12,790.91 $22,599.00 $13,078.70 2026-04-01
309 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Cc 12 8 $31,744.06 $31,744.06 $12,790.91 $22,599.00 $13,078.70 2026-04-01
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 12 8 $31,188.62 $31,188.62 $12,790.91 $22,599.00 $13,078.70 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 12 8 $110,694.85 $110,694.85 $12,790.91 $22,599.00 $13,078.70 2026-04-01
153 MS_DRG Otitis Media And Uri Without Mcc 12 8 $32,723.15 $32,723.15 $12,790.91 $22,599.00 $13,078.70 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 12 8 $90,184.21 $90,184.21 $12,790.91 $22,599.00 $13,078.70 2026-04-01
809 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 12 8 $34,903.75 $34,903.75 $12,790.91 $22,599.00 $13,078.70 2026-04-01
303 MS_DRG Atherosclerosis Without Mcc 12 8 $30,285.78 $30,285.78 $12,790.91 $22,599.00 $13,078.70 2026-04-01
865 MS_DRG Viral Illness With Mcc 12 8 $37,125.18 $37,125.18 $12,790.91 $22,599.00 $13,078.70 2026-04-01
645 MS_DRG Endocrine Disorders Without Cc/mcc 12 8 $25,180.26 $25,180.26 $12,790.91 $22,599.00 $13,078.70 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 12 8 $68,842.12 $68,842.12 $12,790.91 $22,599.00 $13,078.70 2026-04-01
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 12 8 $27,757.44 $27,757.44 $12,790.91 $22,599.00 $13,078.70 2026-04-01
188 MS_DRG Pleural Effusion Without Cc/mcc 12 8 $33,093.96 $33,093.96 $12,790.91 $22,599.00 $13,078.70 2026-04-01
813 MS_DRG Coagulation Disorders 12 8 $35,535.13 $35,535.13 $12,790.91 $22,599.00 $13,078.70 2026-04-01
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc 12 8 $74,665.80 $74,665.80 $12,790.91 $22,599.00 $13,078.70 2026-04-01
73 MS_DRG Cranial And Peripheral Nerve Disorders With Mcc 12 8 $47,569.52 $47,569.52 $12,790.91 $22,599.00 $13,078.70 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 12 8 $101,453.17 $101,453.17 $12,790.91 $22,599.00 $13,078.70 2026-04-01
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 12 8 $78,785.60 $78,785.60 $12,790.91 $22,599.00 $13,078.70 2026-04-01
70 MS_DRG Other Cerebrovascular Disorders With Mcc 12 8 $60,727.06 $60,727.06 $12,790.91 $22,599.00 $13,078.70 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 12 8 $107,848.21 $107,848.21 $12,790.91 $22,599.00 $13,078.70 2026-04-01
389 MS_DRG Gastrointestinal Obstruction With Cc 12 8 $29,239.61 $29,239.61 $12,790.91 $22,599.00 $13,078.70 2026-04-01
385 MS_DRG Inflammatory Bowel Disease With Mcc 12 8 $51,436.06 $51,436.06 $12,790.91 $22,599.00 $13,078.70 2026-04-01
517 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures Without Cc/mc… 12 8 $40,766.37 $40,766.37 $12,790.91 $22,599.00 $13,078.70 2026-04-01
386 MS_DRG Inflammatory Bowel Disease With Cc 12 8 $46,796.83 $46,796.83 $12,790.91 $22,599.00 $13,078.70 2026-04-01
60 MS_DRG Multiple Sclerosis And Cerebellar Ataxia Without Cc/mcc 12 8 $41,637.80 $41,637.80 $12,790.91 $24,072.00 $13,078.70 2026-04-01
388 MS_DRG Gastrointestinal Obstruction With Mcc 12 8 $58,826.26 $58,826.26 $12,790.91 $22,599.00 $13,078.70 2026-04-01
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 12 8 $99,843.31 $99,843.31 $12,790.91 $22,599.00 $13,078.70 2026-04-01
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 12 8 $62,946.50 $62,946.50 $12,790.91 $22,599.00 $13,078.70 2026-04-01
503 MS_DRG Foot Procedures With Mcc 12 8 $85,738.79 $85,738.79 $12,790.91 $22,599.00 $13,078.70 2026-04-01
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 12 8 $61,468.75 $61,468.75 $12,790.91 $22,599.00 $13,078.70 2026-04-01
543 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 12 8 $39,178.45 $39,178.45 $12,790.91 $22,599.00 $13,078.70 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 12 8 $65,638.42 $65,638.42 $12,790.91 $22,599.00 $13,078.70 2026-04-01
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 12 8 $50,010.37 $50,010.37 $12,790.91 $22,599.00 $13,078.70 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 12 8 $158,159.69 $158,159.69 $12,790.91 $22,599.00 $13,078.70 2026-04-01
392 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc 12 8 $29,566.63 $29,566.63 $12,790.91 $22,599.00 $13,078.70 2026-04-01
177 MS_DRG Respiratory Infections And Inflammations With Mcc 12 8 $54,888.30 $54,888.30 $12,790.91 $22,599.00 $13,078.70 2026-04-01
199 MS_DRG Pneumothorax With Mcc 12 8 $47,326.92 $47,326.92 $12,790.91 $22,599.00 $13,078.70 2026-04-01
125 MS_DRG Other Disorders Of The Eye Without Mcc 12 8 $33,215.57 $33,215.57 $12,790.91 $22,599.00 $13,078.70 2026-04-01
638 MS_DRG Diabetes With Cc 12 8 $30,559.88 $30,559.88 $12,790.91 $22,599.00 $13,078.70 2026-04-01
374 MS_DRG Digestive Malignancy With Mcc 12 8 $62,412.23 $62,412.23 $12,790.91 $22,599.00 $13,078.70 2026-04-01
682 MS_DRG Renal Failure With Mcc 12 8 $42,651.46 $42,651.46 $12,790.91 $55,223.00 $13,078.70 2026-04-01
419 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. Without Cc/mcc 12 8 $47,533.86 $47,533.86 $12,790.91 $22,599.00 $13,078.70 2026-04-01
535 MS_DRG Fractures Of Hip And Pelvis With Mcc 12 8 $26,709.19 $26,709.19 $12,790.91 $22,599.00 $13,078.70 2026-04-01
179 MS_DRG Respiratory Infections And Inflammations Without Cc/mcc 12 8 $24,539.76 $24,539.76 $12,790.91 $22,599.00 $13,078.70 2026-04-01
305 MS_DRG Hypertension Without Mcc 12 8 $31,128.66 $31,128.66 $12,790.91 $22,599.00 $13,078.70 2026-04-01
195 MS_DRG Simple Pneumonia And Pleurisy Without Cc/mcc 12 8 $25,828.14 $25,828.14 $12,790.91 $22,599.00 $13,078.70 2026-04-01
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 12 8 $32,824.92 $32,824.92 $12,790.91 $22,599.00 $13,078.70 2026-04-01
196 MS_DRG Interstitial Lung Disease With Mcc 12 8 $61,858.08 $61,858.08 $12,790.91 $22,599.00 $13,078.70 2026-04-01
149 MS_DRG Dysequilibrium 12 8 $23,645.87 $23,645.87 $12,790.91 $22,599.00 $13,078.70 2026-04-01
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 12 8 $51,399.27 $51,399.27 $12,790.91 $22,599.00 $13,078.70 2026-04-01
812 MS_DRG Red Blood Cell Disorders Without Mcc 12 8 $43,075.53 $43,075.53 $12,790.91 $22,599.00 $13,078.70 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 12 8 $82,653.53 $82,653.53 $12,790.91 $22,599.00 $13,078.70 2026-04-01
643 MS_DRG Endocrine Disorders With Mcc 12 8 $44,460.08 $44,460.08 $12,790.91 $22,599.00 $13,078.70 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 12 8 $47,886.25 $47,886.25 $12,790.91 $22,599.00 $13,078.70 2026-04-01
539 MS_DRG Osteomyelitis With Mcc 12 8 $85,918.50 $85,918.50 $12,790.91 $22,599.00 $13,078.70 2026-04-01
202 MS_DRG Bronchitis And Asthma With Cc/mcc 12 8 $27,435.79 $27,435.79 $12,790.91 $22,599.00 $13,078.70 2026-04-01
102 MS_DRG Headaches With Mcc 12 8 $64,400.65 $64,400.65 $12,790.91 $22,599.00 $13,078.70 2026-04-01
728 MS_DRG Inflammation Of The Male Reproductive System Without Mcc 12 8 $29,918.10 $29,918.10 $12,790.91 $22,599.00 $13,078.70 2026-04-01
563 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 12 8 $40,865.56 $40,865.56 $12,790.91 $22,599.00 $13,078.70 2026-04-01
201 MS_DRG Pneumothorax Without Cc/mcc 12 8 $27,747.99 $27,747.99 $12,790.91 $22,599.00 $13,078.70 2026-04-01
562 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 12 8 $53,081.10 $53,081.10 $12,790.91 $22,599.00 $13,078.70 2026-04-01
758 MS_DRG Infections, Female Reproductive System With Cc 12 8 $24,193.48 $24,193.48 $12,790.91 $22,599.00 $13,078.70 2026-04-01
375 MS_DRG Digestive Malignancy With Cc 12 8 $37,334.05 $37,334.05 $12,790.91 $22,599.00 $13,078.70 2026-04-01
421 MS_DRG Hepatobiliary Diagnostic Procedures With Cc 12 8 $39,991.35 $39,991.35 $12,790.91 $22,599.00 $13,078.70 2026-04-01
205 MS_DRG Other Respiratory System Diagnoses With Mcc 12 8 $45,442.34 $45,442.34 $12,790.91 $22,599.00 $13,078.70 2026-04-01
200 MS_DRG Pneumothorax With Cc 12 8 $44,831.01 $44,831.01 $12,790.91 $22,599.00 $13,078.70 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 12 8 $38,639.01 $38,639.01 $12,790.91 $22,599.00 $13,078.70 2026-04-01
369 MS_DRG Major Esophageal Disorders With Cc 12 8 $19,694.11 $19,694.11 $12,790.91 $22,599.00 $13,078.70 2026-04-01
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Mcc 12 8 $76,262.04 $76,262.04 $12,790.91 $22,599.00 $13,078.70 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 12 8 $62,629.44 $62,629.44 $12,790.91 $22,599.00 $13,078.70 2026-04-01
178 MS_DRG Respiratory Infections And Inflammations With Cc 12 8 $52,941.44 $52,941.44 $12,790.91 $22,599.00 $13,078.70 2026-04-01
690 MS_DRG Kidney And Urinary Tract Infections Without Mcc 12 8 $37,588.16 $37,588.16 $12,790.91 $22,599.00 $13,078.70 2026-04-01
699 MS_DRG Other Kidney And Urinary Tract Diagnoses With Cc 12 8 $45,824.11 $45,824.11 $12,790.91 $22,599.00 $13,078.70 2026-04-01
918 MS_DRG Poisoning And Toxic Effects Of Drugs Without Mcc 12 8 $34,879.83 $34,879.83 $12,790.91 $22,599.00 $13,078.70 2026-04-01
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 12 8 $54,296.71 $54,296.71 $12,790.91 $22,599.00 $13,078.70 2026-04-01
194 MS_DRG Simple Pneumonia And Pleurisy With Cc 12 8 $29,126.76 $29,126.76 $12,790.91 $22,599.00 $13,078.70 2026-04-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 12 8 $95,207.05 $95,207.05 $12,790.91 $22,599.00 $13,078.70 2026-04-01
311 MS_DRG Angina Pectoris 12 8 $13,708.32 $13,708.32 $12,790.91 $22,599.00 $13,078.70 2026-04-01
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 12 8 $56,294.74 $56,294.74 $12,790.91 $22,599.00 $13,078.70 2026-04-01
184 MS_DRG Major Chest Trauma With Cc 12 8 $46,148.35 $46,148.35 $12,790.91 $22,599.00 $13,078.70 2026-04-01
183 MS_DRG Major Chest Trauma With Mcc 12 8 $61,324.49 $61,324.49 $12,790.91 $22,599.00 $13,078.70 2026-04-01
380 MS_DRG Complicated Peptic Ulcer With Mcc 12 8 $25,474.53 $25,474.53 $12,790.91 $22,599.00 $13,078.70 2026-04-01
191 MS_DRG Chronic Obstructive Pulmonary Disease With Cc 12 8 $33,728.34 $33,728.34 $12,790.91 $22,599.00 $13,078.70 2026-04-01
552 MS_DRG Medical Back Problems Without Mcc 12 8 $28,854.81 $28,854.81 $12,790.91 $22,599.00 $13,078.70 2026-04-01
502 MS_DRG Soft Tissue Procedures Without Cc/mcc 12 8 $31,333.28 $31,333.28 $12,790.91 $22,599.00 $13,078.70 2026-04-01
307 MS_DRG Cardiac Congenital And Valvular Disorders Without Mcc 12 8 $33,346.95 $33,346.95 $12,790.91 $22,599.00 $13,078.70 2026-04-01
373 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections Without Cc/mcc 12 8 $58,556.24 $58,556.24 $12,790.91 $22,599.00 $13,078.70 2026-04-01
302 MS_DRG Atherosclerosis With Mcc 12 8 $17,138.06 $17,138.06 $12,790.91 $22,599.00 $13,078.70 2026-04-01
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/mcc 12 8 $57,126.04 $57,126.04 $12,790.91 $22,599.00 $13,078.70 2026-04-01
440 MS_DRG Disorders Of Pancreas Except Malignancy Without Cc/mcc 12 8 $24,808.73 $24,808.73 $12,790.91 $22,599.00 $13,078.70 2026-04-01
600 MS_DRG Non-malignant Breast Disorders With Cc/mcc 12 8 $40,921.88 $40,921.88 $12,790.91 $22,599.00 $13,078.70 2026-04-01
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 12 8 $34,676.61 $34,676.61 $12,790.91 $22,599.00 $13,078.70 2026-04-01
602 MS_DRG Cellulitis With Mcc 12 8 $49,297.45 $49,297.45 $12,790.91 $63,200.00 $13,078.70 2026-04-01
445 MS_DRG Disorders Of The Biliary Tract With Cc 12 8 $24,721.27 $24,721.27 $12,790.91 $22,599.00 $13,078.70 2026-04-01
283 MS_DRG Acute Myocardial Infarction, Expired With Mcc 12 8 $47,422.40 $47,422.40 $12,790.91 $22,599.00 $13,078.70 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 12 8 $119,693.62 $119,693.62 $12,790.91 $22,599.00 $13,078.70 2026-04-01
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 12 8 $64,293.06 $64,293.06 $12,790.91 $22,599.00 $13,078.70 2026-04-01
314 MS_DRG Other Circulatory System Diagnoses With Mcc 12 8 $41,648.06 $41,648.06 $12,790.91 $22,599.00 $13,078.70 2026-04-01
444 MS_DRG Disorders Of The Biliary Tract With Mcc 12 8 $40,034.13 $40,034.13 $12,790.91 $22,599.00 $13,078.70 2026-04-01
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 12 8 $43,152.13 $43,152.13 $12,790.91 $22,599.00 $13,078.70 2026-04-01
557 MS_DRG Tendonitis, Myositis And Bursitis With Mcc 12 8 $40,916.11 $40,916.11 $12,790.91 $22,599.00 $13,078.70 2026-04-01
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 12 8 $45,973.89 $45,973.89 $12,790.91 $22,599.00 $13,078.70 2026-04-01
189 MS_DRG Pulmonary Edema And Respiratory Failure 12 8 $45,804.87 $45,804.87 $12,790.91 $22,599.00 $13,078.70 2026-04-01
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 12 8 $39,245.70 $39,245.70 $12,790.91 $22,599.00 $13,078.70 2026-04-01
348 MS_DRG Anal And Stomal Procedures With Cc 12 8 $32,911.44 $32,911.44 $12,790.91 $22,599.00 $13,078.70 2026-04-01
315 MS_DRG Other Circulatory System Diagnoses With Cc 12 8 $29,162.48 $29,162.48 $12,790.91 $22,599.00 $13,078.70 2026-04-01
566 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses Without Cc/mcc 12 8 $38,671.88 $38,671.88 $12,790.91 $22,599.00 $13,078.70 2026-04-01
304 MS_DRG Hypertension With Mcc 12 8 $42,981.26 $42,981.26 $12,790.91 $22,599.00 $13,078.70 2026-04-01
558 MS_DRG Tendonitis, Myositis And Bursitis Without Mcc 12 8 $31,295.22 $31,295.22 $12,790.91 $22,599.00 $13,078.70 2026-04-01
556 MS_DRG Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without Mcc 12 8 $37,635.44 $37,635.44 $12,790.91 $22,599.00 $13,078.70 2026-04-01
572 MS_DRG Skin Debridement Without Cc/mcc 12 8 $36,558.62 $36,558.62 $12,790.91 $22,599.00 $13,078.70 2026-04-01
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 12 8 $46,936.18 $46,936.18 $12,790.91 $22,599.00 $13,078.70 2026-04-01
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 12 8 $14,921.05 $14,921.05 $12,790.91 $22,599.00 $13,078.70 2026-04-01
58 MS_DRG Multiple Sclerosis And Cerebellar Ataxia With Mcc 11 8 $16,482.01 $16,482.01 $12,790.91 $37,365.00 $13,046.73 2026-04-01
832 MS_DRG Other Antepartum Diagnoses Without O.r. Procedures With Cc 10 8 $14,027.41 $14,027.41 $12,790.91 $20,120.00 $12,918.82 2026-04-01
831 MS_DRG Other Antepartum Diagnoses Without O.r. Procedures With Mcc 10 8 $24,114.60 $24,114.60 $12,790.91 $20,120.00 $12,918.82 2026-04-01
776 MS_DRG Postpartum And Post Abortion Diagnoses Without O.r. Procedures 10 8 $45,781.76 $45,781.76 $12,790.91 $20,120.00 $12,918.82 2026-04-01
50590 CPT Hc Lithotripsy Xtrcorp Shock Wave 18 8 $14,398.00 $14,398.00 $1,440.53 $13,476.00 $9,971.75 2026-04-01
22633 CPT Arthrd Cmbn 1ntrspc Lumbar 19 10 $11,857.50 $11,857.50 $3,740.18 $32,357.00 $9,242.00 2026-04-01
36000612 CDM Hc Spine M/m Initial 30 Minutes 16 6 $8,711.00 $8,711.00 $5,602.92 $8,711.00 $7,665.68 2026-04-01
23472 CPT Reconstruct Shoulder Joint 20 10 $8,310.00 $8,310.00 $2,624.85 $34,668.00 $7,165.44 2026-04-01
22612 CPT Arthrd Pst Tq 1ntrspc Lumbar 20 10 $10,425.00 $10,425.00 $2,653.40 $32,357.00 $7,165.44 2026-04-01
27487 CPT Revise/replace Knee Joint 20 10 $10,070.00 $10,070.00 $3,134.97 $34,668.00 $7,165.44 2026-04-01
36000609 CDM Hc Ortho M/m Initial 30 Minutes 16 6 $7,576.00 $7,576.00 $4,872.88 $7,576.00 $6,666.88 2026-04-01
75000011 CDM Hc Edg Transoral Control Bleeding Any Method 7 5 $6,602.00 $6,602.00 $4,246.41 $6,602.00 $6,602.00 2026-04-01
75000010 CDM Hc Edg Removal Tumor Polyp/other Lesion Snare Tech 7 5 $6,602.00 $6,602.00 $4,246.41 $6,602.00 $6,602.00 2026-04-01
75000009 CDM Hc Edg Balloon Dilation Esophagus <30 Mm Diam 7 5 $6,602.00 $6,602.00 $4,246.41 $6,602.00 $6,602.00 2026-04-01
36000188 CDM Hc Img-guide Fluid Collxn Drainag Cath Periton Perq 7 5 $6,237.00 $6,237.00 $4,011.64 $6,237.00 $6,237.00 2026-04-01
36000696 CDM Hc Colorectal M/m Initial 30 Minutes 11 6 $7,014.00 $7,014.00 $4,511.40 $6,520.92 $5,906.49 2026-04-01
45000232 CDM Hc Critical Care Ill/injured Patient Init 30-74 Min 7 5 $5,890.00 $5,890.00 $3,788.45 $5,890.00 $5,890.00 2026-04-01
36001085 CDM Hc Insertion Picc W/rs&i 5 Yr/> 7 5 $5,594.00 $5,594.00 $3,598.06 $5,594.00 $5,594.00 2026-04-01
20000003 CDM Hc Monitored Stepdown 4 4 $7,419.00 $7,419.00 $4,771.90 $7,419.00 $5,559.80 2026-04-01
47562 CPT Laparoscopic Cholecystectomy 14 8 — — $2,470.59 $20,826.30 $5,540.60 2026-04-01
44970 CPT Laparoscopy Appendectomy 14 8 — — $2,470.59 $23,714.42 $5,540.60 2026-04-01
27758 CPT Treatment Of Tibia Fracture 12 8 — — $5,246.70 $36,288.19 $5,364.76 2026-04-01
24546 CPT Treat Humerus Fracture 11 7 — — $5,246.70 $15,501.00 $5,351.64 2026-04-01
24545 CPT Treat Humerus Fracture 11 7 — — $5,246.70 $15,501.00 $5,351.64 2026-04-01
12000002 CDM Hc R&b - Semiprivate (two-beds) (medical Or General) - Medical/surgical/gyn 4 4 $7,134.00 $7,134.00 $4,588.59 $7,134.00 $5,346.22 2026-04-01
36000619 CDM Hc Podia M/m Initial 30 Minutes 16 6 $5,991.00 $5,991.00 $3,853.41 $5,991.00 $5,272.08 2026-04-01
36000677 CDM Hc Urology M/m Initial 30 Minutes 16 6 $5,991.00 $5,991.00 $3,853.41 $5,991.00 $5,272.08 2026-04-01
22551 CPT Arthrd Ant Ntrbdy Cervical 19 10 $11,167.50 $11,167.50 $3,465.07 $32,357.00 $5,246.70 2026-04-01
27759 CPT Treatment Of Tibia Fracture 19 9 $5,785.00 $5,785.00 $1,982.84 $17,167.14 $5,246.70 2026-04-01
27486 CPT Revise/replace Knee Joint 20 10 $8,100.00 $8,100.00 $2,451.63 $34,668.00 $5,246.70 2026-04-01
27447 CPT Total Knee Arthroplasty 23 10 $7,390.00 $7,390.00 $2,690.60 $34,668.00 $5,246.70 2026-04-01
27130 CPT Total Hip Arthroplasty 22 10 $7,400.00 $7,400.00 $2,509.37 $34,668.00 $5,246.70 2026-04-01
24579 CPT Treat Humerus Fracture 20 10 $4,885.00 $4,885.00 $1,657.61 $15,501.00 $5,246.70 2026-04-01
38500 CPT Hc Bx/exc Lymph Node Open Superficial 18 8 $7,002.00 $7,002.00 $1,600.10 $8,482.00 $5,135.62 2026-04-01
36000608 CDM Hc GYN M/m Initial 30 Minutes 11 6 $5,991.00 $5,991.00 $3,853.41 $5,569.83 $5,045.02 2026-04-01
76000150 CDM Hc I&d Ischiorectal&/perirectal Abscess Spx 7 5 $4,956.00 $4,956.00 $3,187.70 $4,956.00 $4,956.00 2026-04-01
44361 CPT Hc Endoscopy Upper Small Intestine W/biopsy 18 8 $6,602.00 $6,602.00 $784.19 $8,145.00 $4,842.24 2026-04-01
43251 CPT Hc Edg Removal Tumor Polyp/other Lesion Snare Tech 18 8 $6,602.00 $6,602.00 $784.19 $8,145.00 $4,842.24 2026-04-01
43249 CPT Hc Edg Balloon Dilation Esophagus <30 Mm Diam 18 8 $6,602.00 $6,602.00 $784.19 $15,558.80 $4,842.24 2026-04-01
43245 CPT Hc Edg Dilation Gastric/duodenal Stricture 18 8 $6,602.00 $6,602.00 $784.19 $8,145.00 $4,842.24 2026-04-01
43244 CPT Hc Edg Band Ligation Esophgeal/gastric Varices 18 8 $6,602.00 $6,602.00 $784.19 $8,145.00 $4,842.24 2026-04-01
43215 CPT Hc Esophagoscopy Flexible Removal Foreign Body 18 8 $6,602.00 $6,602.00 $784.19 $8,145.00 $4,842.24 2026-04-01
19084 CPT Hc Bx Breast W Device Addl Lesion Ultrasound Guide 18 8 $6,588.00 $6,588.00 $67.98 $8,145.00 $4,831.97 2026-04-01
19082 CPT Hc Bx Breast W Device Addl Lesion Stereotact Guide 18 8 $6,588.00 $6,588.00 $72.51 $8,145.00 $4,831.97 2026-04-01
27134 CPT Revise Hip Joint Replacement 9 7 $10,910.00 $10,910.00 $3,478.22 $5,514.22 $4,780.52 2026-04-01
45000231 CDM Hc Emergency Department Visit Level 5 - Ed 7 5 $4,646.00 $4,646.00 $2,988.31 $4,646.00 $4,646.00 2026-04-01
30000375 CDM Hc Unlisted Chemistry Procedure 7 5 $4,600.68 $4,600.68 $2,959.16 $4,600.68 $4,600.68 2026-04-01
36000604 CDM Hc Genl M/m Initial 30 Minutes 16 6 $5,223.00 $5,223.00 $3,359.43 $5,223.00 $4,596.24 2026-04-01
57425 CPT Laparoscopy Surg Colpopexy 11 7 — — $4,344.03 $15,054.00 $4,430.91 2026-04-01
61000017 CDM Hc MRI Chest Without & W/contrast Material 7 5 $4,430.00 $4,430.00 $2,849.38 $4,430.00 $4,430.00 2026-04-01
49591 CPT Rpr Aa Hrn 1st < 3 Cm Rdc 14 8 — — $1,463.18 $10,101.65 $4,223.82 2026-04-01
75000040 CDM Hc Colsc Flx Prox Splenic Flxr Rmvl Les Snare Tq 7 5 $4,214.00 $4,214.00 $2,710.44 $4,214.00 $4,214.00 2026-04-01
75000035 CDM Hc Colonoscopy W/biopsy Single/multiple 7 5 $4,214.00 $4,214.00 $2,710.44 $4,214.00 $4,214.00 2026-04-01
36573 CPT Hc Insertion Picc W/rs&i 5 Yr/> 19 8 $5,594.00 $5,594.00 $643.30 $8,482.00 $4,211.72 2026-04-01
20206 CPT Hc Biopsy Muscle Percutaneous Needle 18 8 $5,717.00 $5,717.00 $674.95 $8,145.00 $4,193.14 2026-04-01
19083 CPT Hc Bx Breast W Device 1st Lesion Ultrasound Guide 18 8 $5,717.00 $5,717.00 $674.95 $8,145.00 $4,193.14 2026-04-01
19081 CPT Hc Bx Breast W Device 1st Lesion Stereotactic Guide 18 8 $5,717.00 $5,717.00 $674.95 $8,145.00 $4,193.14 2026-04-01
27096 CPT Hc Inject Si Joint Arthrgrphy&/anes/steroid W/ima 29 8 $6,335.00 $6,335.00 $77.38 $8,145.00 $4,074.67 2026-04-01
19281 CPT Hc Perq Device Placemt Breast Loc 1st Les W Guidnce 18 8 $5,419.00 $5,419.00 $674.95 $8,145.00 $3,974.57 2026-04-01
27252 CPT Hc Fac-clsd Tmt Of Hip Dislocation 18 8 $5,656.00 $5,656.00 $657.13 $5,258.38 $3,970.51 2026-04-01
55873 CPT Cryoablate Prostate 11 7 — — $3,868.60 $9,242.00 $3,945.97 2026-04-01
21315 CPT Hc Closed Tx Nasal Fracture Without Stabilization 18 8 $5,496.00 $5,496.00 $634.08 $5,109.63 $3,858.19 2026-04-01
27132 CPT Total Hip Arthroplasty 5 4 $9,605.00 $9,605.00 $2,916.07 $4,170.19 $3,797.75 2026-04-01
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