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

WILLIAM W BACKUS HOSPITAL

Norwich, CT · CCN 070024 · Rates published

7,777 distinct procedures filed
12 distinct payers
145,206 rate rows
2026-04-01 last MRF observed
Data quality

38,757 of 145,206 rate rows are consumer-grade (26.7%)

106,449 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 106,135
per-diem day rate — not a per-procedure price 120
exceeds 10× this hospital's gross charge — excluded from medians 101
placeholder amount (≤ $0.02) — excluded from medians 89
exceeds 3× this hospital's gross charge for a DRG stay — excluded 4
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://hartfordhealthcare.org/file%20library/price%20data/060250773_the_william_w_backus_hospital_standardcharges.csv
Found on page https://hartfordhealthcare.org/patients-visitors/patients/price-transparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint 8861b8f3a3cb2370… · 42,917,723 bytes · first seen 2026-05-08

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
J9266
HCPCS 		Pegaspargase 750 Unit/ml Ij Soln 8 $11,369.62 $50,310.59 $38,447.80 nat. median
$34,109
1.1× median
896
MS_DRG 		Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 2 $19,050.00 $91,639.39 $31,513.90 nat. median
$16,145
2.0× median
885
MS_DRG 		Psychoses 2 $19,050.00 $29,784.40 $25,400.00 nat. median
$12,884
2.0× median
897
MS_DRG 		Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc 2 $19,050.00 $25,850.82 $25,400.00 nat. median
$8,726
outlier · 2.9×
871
MS_DRG 		Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 8 $8,967.08 $53,213.00 $24,193.65 nat. median
$19,634
1.2× median
883
MS_DRG 		Disorders Of Personality And Impulse Control 1 $19,050.00 $25,400.00 $22,225.00 nat. median
$17,090
1.3× median
876
MS_DRG 		O.r. Procedures With Principal Diagnosis Of Mental Illness 1 $19,050.00 $25,400.00 $22,225.00 nat. median
$34,345
0.6× median
56
MS_DRG 		Degenerative Nervous System Disorders With Mcc 1 $19,050.00 $25,400.00 $22,225.00 nat. median
$22,361
1.0× median
886
MS_DRG 		Behavioral And Developmental Disorders 1 $19,050.00 $25,400.00 $22,225.00 nat. median
$17,368
1.3× median
884
MS_DRG 		Organic Disturbances And Intellectual Disability 1 $19,050.00 $25,400.00 $22,225.00 nat. median
$14,858
1.5× median
894
MS_DRG 		Alcohol, Drug Abuse Or Dependence, Left Ama 1 $19,050.00 $25,400.00 $22,225.00 nat. median
$6,409
outlier · 3.5×
57
MS_DRG 		Degenerative Nervous System Disorders Without Mcc 1 $19,050.00 $25,400.00 $22,225.00 nat. median
$13,201
1.7× median
881
MS_DRG 		Depressive Neuroses 1 $19,050.00 $25,400.00 $22,225.00 nat. median
$8,971
outlier · 2.5×
880
MS_DRG 		Acute Adjustment Reaction And Psychosocial Dysfunction 1 $19,050.00 $25,400.00 $22,225.00 nat. median
$9,366
outlier · 2.4×
882
MS_DRG 		Neuroses Except Depressive 1 $19,050.00 $25,400.00 $22,225.00 nat. median
$9,789
outlier · 2.3×
872
MS_DRG 		Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 8 $8,967.08 $43,082.00 $14,622.88 nat. median
$11,103
1.3× median
660
MS_DRG 		Kidney And Ureter Procedures For Non-neoplasm With Cc 7 $8,967.08 $25,697.04 $14,120.63 nat. median
$14,195
1.0× median
661
MS_DRG 		Kidney And Ureter Procedures For Non-neoplasm Without Cc/mcc 8 $8,967.08 $28,847.01 $14,120.63 nat. median
$11,382
1.2× median
331
MS_DRG 		Major Small And Large Bowel Procedures Without Cc/mcc 8 $8,967.08 $53,250.13 $14,120.63 nat. median
$17,703
0.8× median
451
MS_DRG 		Single Level Spinal Fusion Except Cervical Without Mcc 8 $8,967.08 $70,644.69 $14,120.63 nat. median
$31,714
outlier · 0.4×
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 8 $8,967.08 $117,010.00 $14,120.63 nat. median
$44,810
outlier · 0.3×
176
MS_DRG 		Pulmonary Embolism Without Mcc 8 $8,967.08 $34,560.00 $14,120.63 nat. median
$9,177
1.5× median
330
MS_DRG 		Major Small And Large Bowel Procedures With Cc 8 $8,967.08 $56,409.00 $14,120.63 nat. median
$24,346
0.6× median
33264
CPT 		Hc Rem Pac Cvdfb Pls Gen &repl Plse Gen Multi Lea 7 $12,827.49 $96,065.28 $12,827.49 nat. median
$31,873
outlier · 0.4×
33270
CPT 		Hc Ins/rplcmnt Perm Subq Impltbl Dfb W/subq Eltrd 7 $12,827.49 $37,174.74 $12,827.49 nat. median
$32,221
outlier · 0.4×
785
MS_DRG 		Cesarean Section With Sterilization Without Cc/mcc 8 $8,967.08 $21,719.00 $11,900.13 nat. median
$10,028
1.2× median
788
MS_DRG 		Cesarean Section Without Sterilization Without Cc/mcc 8 $8,967.08 $21,719.00 $11,900.13 nat. median
$10,164
1.2× median
787
MS_DRG 		Cesarean Section Without Sterilization With Cc 8 $8,967.08 $21,719.00 $11,732.20 nat. median
$11,413
1.0× median
33289
CPT 		Hc Tcat Impl Wrls P-art Prs Snr 7 $11,721.85 $12,014.89 $11,721.85 nat. median
$28,318
outlier · 0.4×
22630
CPT 		Arthrd Pst Tq 1ntrspc Lum 8 $2,648.32 $11,365.91 $11,088.69 nat. median
$17,462
0.6× median
22633
CPT 		Arthrd Cmbn 1ntrspc Lumbar 10 $2,907.85 $81,469.40 $11,088.69 nat. median
$17,658
0.6× median
193
MS_DRG 		Simple Pneumonia And Pleurisy With Mcc 8 $8,967.08 $43,392.89 $11,039.95 nat. median
$13,648
0.8× median
93656
CPT 		Hc Ephys Evl Trnsptl Tx Atrial Fib Isolat Pulm Vein 8 $10,681.60 $104,682.13 $10,895.23 nat. median
$26,811
outlier · 0.4×
93653
CPT 		Hc Ephys Eval W/ablation Supravent Arrhythmia 8 $10,681.60 $81,065.00 $10,681.60 nat. median
$26,156
outlier · 0.4×
807
MS_DRG 		Vaginal Delivery Without Sterilization Or D&c Without Cc/mcc 8 $8,967.08 $18,144.73 $9,886.63 nat. median
$7,387
1.3× median
805
MS_DRG 		Vaginal Delivery Without Sterilization Or D&c With Mcc 8 $8,967.08 $21,074.81 $9,886.63 nat. median
$10,236
1.0× median
768
MS_DRG 		Vaginal Delivery With O.r. Procedures Except Sterilization And/or D&c 8 $8,967.08 $27,649.48 $9,886.63 nat. median
$10,536
0.9× median
806
MS_DRG 		Vaginal Delivery Without Sterilization Or D&c With Cc 8 $8,967.08 $15,482.64 $9,886.63 nat. median
$8,000
1.2× median
603
MS_DRG 		Cellulitis Without Mcc 8 $8,967.08 $37,037.27 $9,191.26 nat. median
$9,571
1.0× median
581
MS_DRG 		Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/mcc 8 $8,967.08 $80,000.00 $9,191.26 nat. median
$14,835
0.6× median
175
MS_DRG 		Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 8 $8,967.08 $56,665.00 $9,191.26 nat. median
$14,623
0.6× median
621
MS_DRG 		O.r. Procedures For Obesity Without Cc/mcc 8 $8,967.08 $51,830.17 $9,191.26 nat. median
$16,153
0.6× median
191
MS_DRG 		Chronic Obstructive Pulmonary Disease With Cc 7 $8,967.08 $34,062.43 $9,191.26 nat. median
$9,406
1.0× median
482
MS_DRG 		Hip And Femur Procedures Except Major Joint Without Cc/mcc 7 $8,967.08 $59,512.66 $9,191.26 nat. median
$17,025
0.5× median
392
MS_DRG 		Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc 8 $8,967.08 $28,838.21 $9,191.26 nat. median
$8,728
1.1× median
786
MS_DRG 		Cesarean Section Without Sterilization With Mcc 8 $8,967.08 $21,719.00 $9,191.26 nat. median
$15,316
0.6× median
291
MS_DRG 		Heart Failure And Shock With Mcc 8 $8,967.08 $54,860.78 $9,191.26 nat. median
$13,521
0.7× median
783
MS_DRG 		Cesarean Section With Sterilization With Mcc 8 $8,967.08 $25,024.81 $9,191.26 nat. median
$19,234
outlier · 0.5×
784
MS_DRG 		Cesarean Section With Sterilization With Cc 8 $8,967.08 $24,439.37 $9,191.26 nat. median
$11,116
0.8× median
481
MS_DRG 		Hip And Femur Procedures Except Major Joint With Cc 7 $8,967.08 $50,111.05 $9,191.26 nat. median
$21,529
outlier · 0.4×

Other procedures at this hospital

Browse this hospital's 7,777 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
             
100 MS_DRG Seizures With Mcc 9 7 $93,665.55 $93,665.55 $8,967.08 $25,400.00 $8,967.08 2026-04-01
102 MS_DRG Headaches With Mcc 9 7 $31,542.28 $31,542.28 $8,967.08 $25,400.00 $8,967.08 2026-04-01
103 MS_DRG Headaches Without Mcc 10 8 $39,893.28 $39,893.28 $8,967.08 $76,943.84 $9,056.75 2026-04-01
115 MS_DRG Extraocular Procedures Except Orbit 9 7 $45,853.25 $45,853.25 $8,967.08 $25,400.00 $8,967.08 2026-04-01
123 MS_DRG Neurological Eye Disorders 10 7 $39,032.48 $39,032.48 $8,967.08 $25,400.00 $9,056.75 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 9 7 $73,241.51 $73,241.51 $8,967.08 $25,400.00 $8,967.08 2026-04-01
153 MS_DRG Otitis Media And Uri Without Mcc 9 7 $26,392.09 $26,392.09 $8,967.08 $25,400.00 $8,967.08 2026-04-01
154 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses With Mcc 10 7 $66,386.15 $66,386.15 $8,967.08 $37,240.49 $9,056.75 2026-04-01
155 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses With Cc 10 7 $41,970.57 $41,970.57 $8,967.08 $31,366.23 $9,056.75 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 10 7 $143,039.87 $143,039.87 $8,967.08 $164,142.53 $9,056.75 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 10 7 $78,042.57 $78,042.57 $8,967.08 $41,402.32 $9,056.75 2026-04-01
165 MS_DRG Major Chest Procedures Without Cc/mcc 10 7 $53,584.77 $53,584.77 $8,967.08 $27,041.05 $9,056.75 2026-04-01
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 10 7 $58,176.59 $58,176.59 $8,967.08 $43,918.11 $9,056.75 2026-04-01
168 MS_DRG Other Respiratory System O.r. Procedures Without Cc/mcc 11 8 $54,238.73 $54,238.73 $8,967.08 $47,010.17 $9,146.42 2026-04-01
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 13 8 $64,098.24 $64,098.24 $8,967.08 $56,665.00 $9,191.26 2026-04-01
176 MS_DRG Pulmonary Embolism Without Mcc 14 8 $33,849.18 $33,849.18 $8,967.08 $34,560.00 $14,120.63 2026-04-01
177 MS_DRG Respiratory Infections And Inflammations With Mcc 12 8 $66,968.52 $66,968.52 $8,967.08 $70,663.48 $9,168.84 2026-04-01
181 MS_DRG Respiratory Neoplasms With Cc 9 7 $44,328.78 $44,328.78 $8,967.08 $25,400.00 $8,967.08 2026-04-01
183 MS_DRG Major Chest Trauma With Mcc 10 7 $50,223.95 $50,223.95 $8,967.08 $25,400.00 $9,056.75 2026-04-01
185 MS_DRG Major Chest Trauma Without Cc/mcc 9 7 $23,345.06 $23,345.06 $8,967.08 $25,400.00 $8,967.08 2026-04-01
186 MS_DRG Pleural Effusion With Mcc 9 7 $61,581.18 $61,581.18 $8,967.08 $25,400.00 $8,967.08 2026-04-01
187 MS_DRG Pleural Effusion With Cc 9 7 $30,167.29 $30,167.29 $8,967.08 $25,400.00 $8,967.08 2026-04-01
189 MS_DRG Pulmonary Edema And Respiratory Failure 11 7 $51,403.06 $51,403.06 $8,967.08 $58,249.88 $9,146.42 2026-04-01
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 12 7 $51,282.99 $51,282.99 $8,967.08 $39,266.00 $9,168.84 2026-04-01
191 MS_DRG Chronic Obstructive Pulmonary Disease With Cc 13 7 $35,460.38 $35,460.38 $8,967.08 $34,062.43 $9,191.26 2026-04-01
192 MS_DRG Chronic Obstructive Pulmonary Disease Without Cc/mcc 12 7 $31,570.70 $31,570.70 $8,967.08 $25,400.00 $9,168.84 2026-04-01
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 14 8 $56,340.47 $56,340.47 $8,967.08 $43,392.89 $11,039.95 2026-04-01
194 MS_DRG Simple Pneumonia And Pleurisy With Cc 14 8 $33,456.52 $33,456.52 $8,759.95 $25,400.00 $9,168.84 2026-04-01
200 MS_DRG Pneumothorax With Cc 10 7 $44,302.12 $44,302.12 $8,967.08 $43,917.98 $9,056.75 2026-04-01
201 MS_DRG Pneumothorax Without Cc/mcc 10 8 $22,794.60 $22,794.60 $8,967.08 $25,400.00 $9,056.75 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 12 7 $230,129.97 $230,129.97 $8,967.08 $66,881.00 $9,168.84 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 13 7 $93,520.89 $93,520.89 $8,967.08 $147,455.77 $9,191.26 2026-04-01
22630 CPT Arthrd Pst Tq 1ntrspc Lum 15 8 $10,410.00 $10,410.00 $2,648.32 $11,365.91 $11,088.69 2026-04-01
22633 CPT Arthrd Cmbn 1ntrspc Lumbar 21 10 $11,857.50 $11,857.50 $2,907.85 $81,469.40 $11,088.69 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 10 7 $115,370.09 $115,370.09 $8,967.08 $124,263.97 $9,056.75 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 9 7 $101,358.59 $101,358.59 $8,967.08 $25,400.00 $8,967.08 2026-04-01
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 9 7 $71,963.55 $71,963.55 $8,967.08 $25,400.00 $8,967.08 2026-04-01
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/mcc 9 7 $61,922.74 $61,922.74 $8,967.08 $25,400.00 $8,967.08 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 11 8 $123,966.83 $123,966.83 $8,967.08 $129,484.37 $9,146.42 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 10 7 $77,491.71 $77,491.71 $8,967.08 $55,661.60 $9,056.75 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 9 7 $142,930.24 $142,930.24 $8,967.08 $25,400.00 $8,967.08 2026-04-01
254 MS_DRG Other Vascular Procedures Without Cc/mcc 9 7 $62,249.20 $62,249.20 $8,967.08 $25,400.00 $8,967.08 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 9 7 $125,515.25 $125,515.25 $8,967.08 $25,400.00 $8,967.08 2026-04-01
256 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Cc 9 7 $84,753.04 $84,753.04 $8,967.08 $25,400.00 $8,967.08 2026-04-01
262 MS_DRG Cardiac Pacemaker Revision Except Device Replacement Without Cc/mcc 9 7 $46,251.13 $46,251.13 $8,967.08 $25,400.00 $8,967.08 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 10 7 $176,917.98 $176,917.98 $8,967.08 $219,238.83 $9,056.75 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 10 7 $89,675.83 $89,675.83 $8,967.08 $50,654.20 $9,056.75 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 10 8 $70,331.89 $70,331.89 $8,967.08 $25,400.00 $9,056.75 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 9 7 $217,652.94 $217,652.94 $8,967.08 $25,400.00 $8,967.08 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 9 7 $217,345.36 $217,345.36 $8,967.08 $25,400.00 $8,967.08 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 9 7 $115,234.40 $115,234.40 $8,967.08 $25,400.00 $8,967.08 2026-04-01
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 10 7 $54,942.83 $54,942.83 $8,967.08 $35,236.22 $9,056.75 2026-04-01
282 MS_DRG Acute Myocardial Infarction, Discharged Alive Without Cc/mcc 9 7 $23,425.10 $23,425.10 $8,967.08 $25,400.00 $8,967.08 2026-04-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 10 7 $87,896.44 $87,896.44 $8,967.08 $69,560.08 $9,056.75 2026-04-01
289 MS_DRG Acute And Subacute Endocarditis With Cc 10 8 $48,307.03 $48,307.03 $8,967.08 $35,940.26 $9,056.75 2026-04-01
291 MS_DRG Heart Failure And Shock With Mcc 13 8 $55,606.69 $55,606.69 $8,967.08 $54,860.78 $9,191.26 2026-04-01
292 MS_DRG Heart Failure And Shock With Cc 9 7 $34,869.83 $34,869.83 $8,967.08 $25,400.00 $8,967.08 2026-04-01
299 MS_DRG Peripheral Vascular Disorders With Mcc 11 7 $49,041.15 $49,041.15 $8,967.08 $31,987.61 $9,146.42 2026-04-01
301 MS_DRG Peripheral Vascular Disorders Without Cc/mcc 9 7 $38,261.95 $38,261.95 $8,967.08 $25,400.00 $8,967.08 2026-04-01
303 MS_DRG Atherosclerosis Without Mcc 10 7 $26,963.14 $26,963.14 $8,967.08 $25,400.00 $9,056.75 2026-04-01
305 MS_DRG Hypertension Without Mcc 12 8 $32,107.86 $32,107.86 $8,967.08 $26,439.13 $9,168.84 2026-04-01
306 MS_DRG Cardiac Congenital And Valvular Disorders With Mcc 9 7 $77,167.47 $77,167.47 $8,967.08 $25,400.00 $8,967.08 2026-04-01
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 11 7 $43,204.53 $43,204.53 $8,967.08 $69,055.84 $9,146.42 2026-04-01
309 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Cc 12 7 $30,263.97 $30,263.97 $8,967.08 $26,372.98 $9,168.84 2026-04-01
310 MS_DRG Cardiac Arrhythmia And Conduction Disorders Without Cc/mcc 10 7 $25,078.33 $25,078.33 $8,967.08 $25,400.00 $9,056.75 2026-04-01
311 MS_DRG Angina Pectoris 10 8 $24,628.53 $24,628.53 $8,967.08 $25,400.00 $9,056.75 2026-04-01
312 MS_DRG Syncope And Collapse 10 7 $40,972.60 $40,972.60 $8,967.08 $50,701.56 $9,056.75 2026-04-01
315 MS_DRG Other Circulatory System Diagnoses With Cc 10 8 $34,828.18 $34,828.18 $8,967.08 $39,014.32 $9,056.75 2026-04-01
32 MS_DRG Ventricular Shunt Procedures With Cc 9 7 $36,576.56 $36,576.56 $8,967.08 $25,400.00 $8,967.08 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 9 7 $140,364.89 $140,364.89 $8,967.08 $25,400.00 $8,967.08 2026-04-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 10 7 $99,715.40 $99,715.40 $8,967.08 $233,758.83 $9,056.75 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 14 8 $120,141.35 $120,141.35 $8,967.08 $117,010.00 $14,120.63 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 14 8 $74,263.86 $74,263.86 $8,967.08 $56,409.00 $14,120.63 2026-04-01
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/mcc 14 8 $54,586.84 $54,586.84 $8,967.08 $53,250.13 $14,120.63 2026-04-01
33240 CPT Hc Insj 1/2 Chmbr Pacing Cardioverterdefib Pls Gen 9 7 $26,875.00 $26,875.00 $9,090.14 $89,165.00 $9,090.14 2026-04-01
33264 CPT Hc Rem Pac Cvdfb Pls Gen &repl Plse Gen Multi Lea 8 7 $36,796.00 $36,796.00 $12,827.49 $96,065.28 $12,827.49 2026-04-01
33270 CPT Hc Ins/rplcmnt Perm Subq Impltbl Dfb W/subq Eltrd 8 7 $38,235.00 $38,235.00 $12,827.49 $37,174.74 $12,827.49 2026-04-01
33289 CPT Hc Tcat Impl Wrls P-art Prs Snr 7 7 $16,003.00 $16,003.00 $11,721.85 $12,014.89 $11,721.85 2026-04-01
333 MS_DRG Rectal Resection With Cc 10 7 $35,385.82 $35,385.82 $8,967.08 $28,191.51 $9,056.75 2026-04-01
334 MS_DRG Rectal Resection Without Cc/mcc 9 7 $41,240.56 $41,240.56 $8,967.08 $25,400.00 $8,967.08 2026-04-01
336 MS_DRG Peritoneal Adhesiolysis With Cc 11 8 $72,694.90 $72,694.90 $8,967.08 $64,754.94 $9,146.42 2026-04-01
337 MS_DRG Peritoneal Adhesiolysis Without Cc/mcc 11 7 $48,041.14 $48,041.14 $8,967.08 $41,762.68 $9,146.42 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 10 7 $124,852.65 $124,852.65 $8,967.08 $92,709.92 $9,056.75 2026-04-01
345 MS_DRG Minor Small And Large Bowel Procedures With Cc 10 7 $52,261.89 $52,261.89 $8,967.08 $67,166.34 $9,056.75 2026-04-01
346 MS_DRG Minor Small And Large Bowel Procedures Without Cc/mcc 10 8 $38,095.68 $38,095.68 $8,967.08 $25,668.96 $9,056.75 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 10 7 $76,136.96 $76,136.96 $8,967.08 $55,670.97 $9,056.75 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 11 8 $144,085.83 $144,085.83 $8,967.08 $123,399.99 $9,146.42 2026-04-01
369 MS_DRG Major Esophageal Disorders With Cc 10 7 $31,480.16 $31,480.16 $8,967.08 $26,056.48 $9,056.75 2026-04-01
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 10 7 $79,288.92 $79,288.92 $8,967.08 $36,963.85 $9,056.75 2026-04-01
374 MS_DRG Digestive Malignancy With Mcc 10 8 $64,013.67 $64,013.67 $8,967.08 $45,489.12 $9,056.75 2026-04-01
375 MS_DRG Digestive Malignancy With Cc 10 8 $54,292.17 $54,292.17 $8,967.08 $35,114.07 $9,056.75 2026-04-01
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 11 7 $71,708.63 $71,708.63 $8,967.08 $46,129.46 $9,146.42 2026-04-01
378 MS_DRG Gastrointestinal Hemorrhage With Cc 11 8 $44,020.13 $44,020.13 $8,967.08 $27,801.42 $9,146.42 2026-04-01
379 MS_DRG Gastrointestinal Hemorrhage Without Cc/mcc 10 7 $31,922.46 $31,922.46 $8,967.08 $29,357.93 $9,056.75 2026-04-01
38 MS_DRG Extracranial Procedures With Cc 9 7 $56,144.95 $56,144.95 $8,967.08 $25,400.00 $8,967.08 2026-04-01
380 MS_DRG Complicated Peptic Ulcer With Mcc 9 7 $52,238.11 $52,238.11 $8,967.08 $25,400.00 $8,967.08 2026-04-01
381 MS_DRG Complicated Peptic Ulcer With Cc 9 7 $46,893.60 $46,893.60 $8,967.08 $25,400.00 $8,967.08 2026-04-01
382 MS_DRG Complicated Peptic Ulcer Without Cc/mcc 9 7 $33,412.63 $33,412.63 $8,967.08 $25,400.00 $8,967.08 2026-04-01
383 MS_DRG Uncomplicated Peptic Ulcer With Mcc 9 7 $38,407.01 $38,407.01 $8,967.08 $25,400.00 $8,967.08 2026-04-01
384 MS_DRG Uncomplicated Peptic Ulcer Without Mcc 10 7 $51,089.11 $51,089.11 $8,967.08 $32,873.28 $9,056.75 2026-04-01
385 MS_DRG Inflammatory Bowel Disease With Mcc 10 7 $50,495.88 $50,495.88 $8,967.08 $60,015.44 $9,056.75 2026-04-01
386 MS_DRG Inflammatory Bowel Disease With Cc 10 7 $31,006.97 $31,006.97 $8,967.08 $25,400.00 $9,056.75 2026-04-01
387 MS_DRG Inflammatory Bowel Disease Without Cc/mcc 10 7 $31,639.23 $31,639.23 $8,967.08 $33,170.97 $9,056.75 2026-04-01
388 MS_DRG Gastrointestinal Obstruction With Mcc 10 7 $54,736.64 $54,736.64 $8,967.08 $172,455.39 $9,056.75 2026-04-01
389 MS_DRG Gastrointestinal Obstruction With Cc 11 7 $31,131.06 $31,131.06 $8,967.08 $101,269.48 $9,146.42 2026-04-01
390 MS_DRG Gastrointestinal Obstruction Without Cc/mcc 10 7 $20,999.40 $20,999.40 $8,967.08 $25,400.00 $9,056.75 2026-04-01
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 12 8 $62,696.28 $62,696.28 $8,967.08 $87,701.84 $9,168.84 2026-04-01
392 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc 13 8 $33,798.58 $33,798.58 $8,967.08 $28,838.21 $9,191.26 2026-04-01
394 MS_DRG Other Digestive System Diagnoses With Cc 11 7 $34,431.86 $34,431.86 $8,967.08 $55,100.43 $9,146.42 2026-04-01
395 MS_DRG Other Digestive System Diagnoses Without Cc/mcc 10 7 $25,803.47 $25,803.47 $8,967.08 $32,361.55 $9,056.75 2026-04-01
398 MS_DRG Appendix Procedures With Cc 11 7 $66,026.38 $66,026.38 $8,967.08 $50,886.70 $9,146.42 2026-04-01
399 MS_DRG Appendix Procedures Without Cc/mcc 10 7 $40,983.45 $40,983.45 $8,967.08 $34,959.54 $9,056.75 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 10 7 $71,849.37 $71,849.37 $8,967.08 $42,604.68 $9,056.75 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 10 7 $104,034.36 $104,034.36 $8,967.08 $99,468.76 $9,056.75 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 10 7 $91,813.04 $91,813.04 $8,967.08 $104,669.77 $9,056.75 2026-04-01
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 9 7 $78,048.10 $78,048.10 $8,967.08 $25,400.00 $8,967.08 2026-04-01
415 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 9 7 $74,344.36 $74,344.36 $8,967.08 $25,400.00 $8,967.08 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 10 7 $87,833.92 $87,833.92 $8,967.08 $44,633.48 $9,056.75 2026-04-01
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 12 8 $68,338.49 $68,338.49 $8,967.08 $48,351.95 $9,168.84 2026-04-01
419 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. Without Cc/mcc 10 7 $64,747.99 $64,747.99 $8,967.08 $54,039.65 $9,056.75 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 10 7 $206,847.33 $206,847.33 $8,967.08 $206,542.49 $9,056.75 2026-04-01
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 9 7 $56,170.06 $56,170.06 $8,967.08 $25,400.00 $8,967.08 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 7 $219,135.02 $219,135.02 $8,967.08 $200,629.05 $9,056.75 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 11 8 $158,422.29 $158,422.29 $8,967.08 $116,922.98 $9,146.42 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 11 8 $154,205.44 $154,205.44 $8,967.08 $150,302.84 $9,146.42 2026-04-01
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 11 7 $76,030.81 $76,030.81 $8,967.08 $70,852.99 $9,146.42 2026-04-01
433 MS_DRG Cirrhosis And Alcoholic Hepatitis With Cc 10 8 $42,803.75 $42,803.75 $8,967.08 $25,400.00 $9,056.75 2026-04-01
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Mcc 10 7 $73,594.97 $73,594.97 $8,967.08 $80,586.14 $9,056.75 2026-04-01
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 12 8 $65,226.64 $65,226.64 $8,967.08 $149,741.19 $9,168.84 2026-04-01
439 MS_DRG Disorders Of Pancreas Except Malignancy With Cc 11 8 $39,771.96 $39,771.96 $8,967.08 $41,584.02 $9,146.42 2026-04-01
440 MS_DRG Disorders Of Pancreas Except Malignancy Without Cc/mcc 11 8 $31,736.45 $31,736.45 $8,967.08 $40,123.01 $9,146.42 2026-04-01
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 9 7 $64,921.14 $64,921.14 $8,967.08 $25,400.00 $8,967.08 2026-04-01
442 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc 11 8 $37,370.17 $37,370.17 $8,967.08 $33,995.02 $9,146.42 2026-04-01
444 MS_DRG Disorders Of The Biliary Tract With Mcc 11 8 $66,285.24 $66,285.24 $8,967.08 $33,734.99 $9,146.42 2026-04-01
445 MS_DRG Disorders Of The Biliary Tract With Cc 9 7 $57,799.70 $57,799.70 $8,967.08 $25,400.00 $8,967.08 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 12 7 $221,623.27 $221,623.27 $8,967.08 $80,888.00 $9,168.84 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 13 7 $135,566.53 $135,566.53 $8,967.08 $109,062.64 $9,191.26 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 14 8 $79,886.36 $79,886.36 $8,967.08 $70,644.69 $14,120.63 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 10 7 $61,452.27 $61,452.27 $8,967.08 $40,430.64 $9,056.75 2026-04-01
465 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 10 7 $73,359.98 $73,359.98 $8,967.08 $58,458.24 $9,056.75 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 13 7 $150,447.01 $150,447.01 $8,967.08 $111,809.76 $9,191.26 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 12 7 $94,145.08 $94,145.08 $8,967.08 $69,942.00 $9,168.84 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 13 8 $84,508.34 $84,508.34 $8,967.08 $65,150.66 $9,191.26 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 12 7 $135,331.88 $135,331.88 $8,967.08 $50,462.00 $9,168.84 2026-04-01
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 12 7 $52,761.70 $52,761.70 $8,967.08 $32,384.00 $9,168.84 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 10 7 $236,228.41 $236,228.41 $8,967.08 $241,580.87 $9,056.75 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 11 8 $80,333.85 $80,333.85 $8,967.08 $52,035.18 $9,146.42 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 10 7 $62,991.14 $62,991.14 $8,967.08 $35,946.34 $9,056.75 2026-04-01
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 10 7 $73,615.55 $73,615.55 $8,967.08 $61,796.52 $9,056.75 2026-04-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 10 7 $92,881.79 $92,881.79 $8,967.08 $78,388.32 $9,056.75 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 12 7 $98,635.54 $98,635.54 $8,967.08 $35,075.00 $9,168.84 2026-04-01
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 13 7 $73,671.29 $73,671.29 $8,967.08 $50,111.05 $9,191.26 2026-04-01
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/mcc 13 7 $60,466.31 $60,466.31 $8,967.08 $59,512.66 $9,191.26 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 12 7 $89,498.56 $89,498.56 $8,967.08 $32,904.00 $9,168.84 2026-04-01
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 10 8 $80,711.90 $80,711.90 $8,967.08 $84,974.68 $9,056.75 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 9 7 $103,637.74 $103,637.74 $8,967.08 $25,400.00 $8,967.08 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 10 7 $86,129.47 $86,129.47 $8,967.08 $108,982.66 $9,056.75 2026-04-01
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc 10 7 $68,620.31 $68,620.31 $8,967.08 $58,627.22 $9,056.75 2026-04-01
496 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 9 7 $87,446.03 $87,446.03 $8,967.08 $25,400.00 $8,967.08 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 9 7 $103,829.08 $103,829.08 $8,967.08 $25,400.00 $8,967.08 2026-04-01
501 MS_DRG Soft Tissue Procedures With Cc 11 7 $60,368.21 $60,368.21 $8,967.08 $37,691.25 $9,146.42 2026-04-01
504 MS_DRG Foot Procedures With Cc 9 7 $59,240.62 $59,240.62 $8,967.08 $25,400.00 $8,967.08 2026-04-01
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 9 7 $80,115.13 $80,115.13 $8,967.08 $25,400.00 $8,967.08 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 10 7 $65,353.84 $65,353.84 $8,967.08 $46,735.64 $9,056.75 2026-04-01
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 9 7 $61,097.00 $61,097.00 $8,967.08 $25,400.00 $8,967.08 2026-04-01
517 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures Without Cc/mc… 9 7 $64,049.65 $64,049.65 $8,967.08 $25,400.00 $8,967.08 2026-04-01
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 10 8 $74,093.70 $74,093.70 $8,967.08 $36,807.21 $9,056.75 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 12 7 $83,635.20 $83,635.20 $8,967.08 $50,462.00 $9,168.84 2026-04-01
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 12 7 $69,223.03 $69,223.03 $8,967.08 $37,241.00 $9,168.84 2026-04-01
54 MS_DRG Nervous System Neoplasms With Mcc 10 7 $71,794.88 $71,794.88 $8,967.08 $61,477.19 $9,056.75 2026-04-01
546 MS_DRG Connective Tissue Disorders With Cc 10 7 $34,791.77 $34,791.77 $8,967.08 $35,839.35 $9,056.75 2026-04-01
547 MS_DRG Connective Tissue Disorders Without Cc/mcc 9 7 $15,409.75 $15,409.75 $8,967.08 $25,400.00 $8,967.08 2026-04-01
549 MS_DRG Septic Arthritis With Cc 9 7 $76,615.35 $76,615.35 $8,967.08 $25,400.00 $8,967.08 2026-04-01
55 MS_DRG Nervous System Neoplasms Without Mcc 9 7 $112,078.42 $112,078.42 $8,967.08 $25,400.00 $8,967.08 2026-04-01
551 MS_DRG Medical Back Problems With Mcc 10 7 $65,095.74 $65,095.74 $8,967.08 $27,496.25 $9,056.75 2026-04-01
552 MS_DRG Medical Back Problems Without Mcc 11 7 $37,186.75 $37,186.75 $8,967.08 $27,033.89 $9,146.42 2026-04-01
553 MS_DRG Bone Diseases And Arthropathies With Mcc 9 7 $60,624.63 $60,624.63 $8,967.08 $25,400.00 $8,967.08 2026-04-01
557 MS_DRG Tendonitis, Myositis And Bursitis With Mcc 9 7 $144,738.62 $144,738.62 $8,967.08 $25,400.00 $8,967.08 2026-04-01
558 MS_DRG Tendonitis, Myositis And Bursitis Without Mcc 9 7 $40,697.12 $40,697.12 $8,967.08 $25,400.00 $8,967.08 2026-04-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 2 1 $505,165.71 $505,165.71 $19,050.00 $25,400.00 $22,225.00 2026-04-01
560 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Cc 9 7 $47,528.25 $47,528.25 $8,967.08 $25,400.00 $8,967.08 2026-04-01
562 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 9 7 $62,757.11 $62,757.11 $8,967.08 $25,400.00 $8,967.08 2026-04-01
563 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 9 7 $37,381.85 $37,381.85 $8,967.08 $25,400.00 $8,967.08 2026-04-01
565 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Cc 9 7 $39,384.56 $39,384.56 $8,967.08 $25,400.00 $8,967.08 2026-04-01
566 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses Without Cc/mcc 10 7 $35,764.65 $35,764.65 $8,967.08 $28,102.58 $9,056.75 2026-04-01
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 2 1 $50,432.34 $50,432.34 $19,050.00 $25,400.00 $22,225.00 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 9 7 $22,416.62 $22,416.62 $8,967.08 $25,400.00 $8,967.08 2026-04-01
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 12 8 $63,756.10 $63,756.10 $8,967.08 $80,000.00 $9,168.84 2026-04-01
581 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/mcc 13 8 $80,679.82 $80,679.82 $8,967.08 $80,000.00 $9,191.26 2026-04-01
582 MS_DRG Mastectomy For Malignancy With Cc/mcc 10 7 $61,198.01 $61,198.01 $8,967.08 $80,000.00 $9,056.75 2026-04-01
583 MS_DRG Mastectomy For Malignancy Without Cc/mcc 10 7 $65,436.33 $65,436.33 $8,967.08 $80,000.00 $9,056.75 2026-04-01
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/mcc 10 7 $63,390.48 $63,390.48 $8,967.08 $80,000.00 $9,056.75 2026-04-01
585 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/mcc 10 7 $40,125.00 $40,125.00 $8,967.08 $80,000.00 $9,056.75 2026-04-01
60 MS_DRG Multiple Sclerosis And Cerebellar Ataxia Without Cc/mcc 10 7 $66,322.09 $66,322.09 $8,967.08 $36,290.37 $9,056.75 2026-04-01
602 MS_DRG Cellulitis With Mcc 10 7 $65,719.48 $65,719.48 $8,967.08 $25,400.00 $9,056.75 2026-04-01
603 MS_DRG Cellulitis Without Mcc 13 8 $30,627.40 $30,627.40 $8,967.08 $37,037.27 $9,191.26 2026-04-01
607 MS_DRG Minor Skin Disorders Without Mcc 10 7 $28,675.83 $28,675.83 $8,967.08 $25,488.67 $9,056.75 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 10 7 $121,766.31 $121,766.31 $8,967.08 $72,395.91 $9,056.75 2026-04-01
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 10 7 $83,246.87 $83,246.87 $8,967.08 $76,210.88 $9,056.75 2026-04-01
62 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 11 7 $58,628.37 $58,628.37 $8,967.08 $45,766.64 $9,146.42 2026-04-01
620 MS_DRG O.r. Procedures For Obesity With Cc 10 7 $39,699.84 $39,699.84 $8,967.08 $31,512.50 $9,056.75 2026-04-01
621 MS_DRG O.r. Procedures For Obesity Without Cc/mcc 13 8 $39,685.43 $39,685.43 $8,967.08 $51,830.17 $9,191.26 2026-04-01
626 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Cc 10 7 $54,808.20 $54,808.20 $8,967.08 $42,394.13 $9,056.75 2026-04-01
637 MS_DRG Diabetes With Mcc 11 7 $60,504.54 $60,504.54 $8,967.08 $65,641.43 $9,146.42 2026-04-01
638 MS_DRG Diabetes With Cc 11 8 $32,845.77 $32,845.77 $8,967.08 $30,815.76 $9,146.42 2026-04-01
639 MS_DRG Diabetes Without Cc/mcc 10 7 $23,373.17 $23,373.17 $8,967.08 $25,400.00 $9,056.75 2026-04-01
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 11 8 $63,912.08 $63,912.08 $8,967.08 $25,400.00 $9,146.42 2026-04-01
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 10 7 $49,403.64 $49,403.64 $8,967.08 $25,400.00 $9,056.75 2026-04-01
641 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou… 10 7 $36,161.65 $36,161.65 $8,967.08 $35,638.26 $9,056.75 2026-04-01
65 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours 12 8 $42,397.40 $42,397.40 $8,967.08 $68,286.68 $9,168.84 2026-04-01
657 MS_DRG Kidney And Ureter Procedures For Neoplasm With Cc 12 7 $54,292.28 $54,292.28 $8,967.08 $26,990.00 $9,168.84 2026-04-01
658 MS_DRG Kidney And Ureter Procedures For Neoplasm Without Cc/mcc 12 7 $46,181.83 $46,181.83 $8,967.08 $25,400.00 $9,168.84 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 12 7 $89,949.54 $89,949.54 $8,967.08 $46,566.00 $9,168.84 2026-04-01
66 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction Without Cc/mcc 10 7 $33,508.86 $33,508.86 $8,967.08 $25,400.00 $9,056.75 2026-04-01
660 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Cc 14 7 $45,559.36 $45,559.36 $8,967.08 $25,697.04 $14,120.63 2026-04-01
661 MS_DRG Kidney And Ureter Procedures For Non-neoplasm Without Cc/mcc 14 8 $36,652.20 $36,652.20 $8,967.08 $28,847.01 $14,120.63 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 11 7 $132,216.89 $132,216.89 $8,967.08 $99,758.67 $9,146.42 2026-04-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 10 7 $78,113.69 $78,113.69 $8,967.08 $38,429.01 $9,056.75 2026-04-01
682 MS_DRG Renal Failure With Mcc 10 7 $62,266.05 $62,266.05 $8,967.08 $41,512.23 $9,056.75 2026-04-01
683 MS_DRG Renal Failure With Cc 12 8 $38,370.66 $38,370.66 $8,967.08 $71,834.84 $9,168.84 2026-04-01
684 MS_DRG Renal Failure Without Cc/mcc 10 7 $30,226.64 $30,226.64 $8,967.08 $25,400.00 $9,056.75 2026-04-01
686 MS_DRG Kidney And Urinary Tract Neoplasms With Mcc 10 8 $103,676.65 $103,676.65 $8,967.08 $137,902.20 $9,056.75 2026-04-01
69 MS_DRG Transient Ischemia Without Thrombolytic 10 8 $39,192.01 $39,192.01 $8,967.08 $34,648.37 $9,056.75 2026-04-01
690 MS_DRG Kidney And Urinary Tract Infections Without Mcc 12 8 $31,139.88 $31,139.88 $8,967.08 $25,400.00 $9,168.84 2026-04-01
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With Mcc 10 7 $59,319.53 $59,319.53 $8,967.08 $63,408.41 $9,056.75 2026-04-01
699 MS_DRG Other Kidney And Urinary Tract Diagnoses With Cc 10 7 $38,552.93 $38,552.93 $8,967.08 $25,400.00 $9,056.75 2026-04-01
70 MS_DRG Other Cerebrovascular Disorders With Mcc 10 7 $146,986.66 $146,986.66 $8,967.08 $31,294.93 $9,056.75 2026-04-01
700 MS_DRG Other Kidney And Urinary Tract Diagnoses Without Cc/mcc 10 8 $36,655.38 $36,655.38 $8,967.08 $25,400.00 $9,056.75 2026-04-01
707 MS_DRG Major Male Pelvic Procedures With Cc/mcc 12 7 $46,924.53 $46,924.53 $8,967.08 $51,605.00 $9,168.84 2026-04-01
708 MS_DRG Major Male Pelvic Procedures Without Cc/mcc 12 7 $53,170.94 $53,170.94 $8,967.08 $25,400.00 $9,168.84 2026-04-01
71 MS_DRG Other Cerebrovascular Disorders With Cc 10 7 $69,187.09 $69,187.09 $8,967.08 $25,400.00 $9,056.75 2026-04-01
73 MS_DRG Cranial And Peripheral Nerve Disorders With Mcc 10 8 $45,888.19 $45,888.19 $8,967.08 $25,400.00 $9,056.75 2026-04-01
740 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Cc 10 7 $74,663.82 $74,663.82 $8,967.08 $58,663.34 $9,056.75 2026-04-01
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc 13 7 $59,445.78 $59,445.78 $8,967.08 $70,526.07 $9,191.26 2026-04-01
743 MS_DRG Uterine And Adnexa Procedures For Non-malignancy Without Cc/mcc 13 7 $37,598.98 $37,598.98 $8,967.08 $26,669.32 $9,191.26 2026-04-01
758 MS_DRG Infections, Female Reproductive System With Cc 11 8 $25,759.08 $25,759.08 $8,967.08 $25,719.22 $9,146.42 2026-04-01
759 MS_DRG Infections, Female Reproductive System Without Cc/mcc 11 8 $32,260.21 $32,260.21 $8,967.08 $29,083.29 $9,146.42 2026-04-01
768 MS_DRG Vaginal Delivery With O.r. Procedures Except Sterilization And/or D&c 14 8 $22,568.46 $22,568.46 $8,967.08 $27,649.48 $9,886.63 2026-04-01
783 MS_DRG Cesarean Section With Sterilization With Mcc 13 8 $28,786.96 $28,786.96 $8,967.08 $25,024.81 $9,191.26 2026-04-01
784 MS_DRG Cesarean Section With Sterilization With Cc 13 8 $23,662.72 $23,662.72 $8,967.08 $24,439.37 $9,191.26 2026-04-01
785 MS_DRG Cesarean Section With Sterilization Without Cc/mcc 14 8 $22,941.53 $22,941.53 $8,967.08 $21,719.00 $11,900.13 2026-04-01
786 MS_DRG Cesarean Section Without Sterilization With Mcc 13 8 $30,975.22 $30,975.22 $8,967.08 $21,719.00 $9,191.26 2026-04-01
787 MS_DRG Cesarean Section Without Sterilization With Cc 14 8 $27,398.77 $27,398.77 $8,967.08 $21,719.00 $11,732.20 2026-04-01
788 MS_DRG Cesarean Section Without Sterilization Without Cc/mcc 14 8 $22,825.39 $22,825.39 $8,967.08 $21,719.00 $11,900.13 2026-04-01
791 MS_DRG Prematurity With Major Problems 10 7 $60,669.85 $60,669.85 $8,967.08 $25,400.00 $9,056.75 2026-04-01
798 MS_DRG Vaginal Delivery With Sterilization And/or D&c Without Cc/mcc 12 8 $21,724.90 $21,724.90 $8,967.08 $14,699.00 $9,168.84 2026-04-01
80 MS_DRG Nontraumatic Stupor And Coma With Mcc 10 7 $92,471.92 $92,471.92 $8,967.08 $118,247.33 $9,056.75 2026-04-01
801 MS_DRG Splenic Procedures Without Cc/mcc 10 7 $60,420.64 $60,420.64 $8,967.08 $49,568.40 $9,056.75 2026-04-01
805 MS_DRG Vaginal Delivery Without Sterilization Or D&c With Mcc 14 8 $21,555.05 $21,555.05 $8,967.08 $21,074.81 $9,886.63 2026-04-01
806 MS_DRG Vaginal Delivery Without Sterilization Or D&c With Cc 14 8 $19,523.41 $19,523.41 $8,967.08 $15,482.64 $9,886.63 2026-04-01
807 MS_DRG Vaginal Delivery Without Sterilization Or D&c Without Cc/mcc 14 8 $17,875.53 $17,875.53 $8,967.08 $18,144.73 $9,886.63 2026-04-01
809 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 10 7 $41,717.96 $41,717.96 $8,967.08 $31,364.48 $9,056.75 2026-04-01
812 MS_DRG Red Blood Cell Disorders Without Mcc 11 8 $37,752.94 $37,752.94 $8,967.08 $31,999.42 $9,146.42 2026-04-01
813 MS_DRG Coagulation Disorders 11 7 $54,734.80 $54,734.80 $8,967.08 $42,827.58 $9,146.42 2026-04-01
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 11 7 $56,391.90 $56,391.90 $8,967.08 $61,047.76 $9,146.42 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 10 7 $115,290.82 $115,290.82 $8,967.08 $169,343.80 $9,056.75 2026-04-01
825 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures Without Cc/mcc 10 8 $38,864.27 $38,864.27 $8,967.08 $32,909.60 $9,056.75 2026-04-01
828 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 10 8 $61,104.13 $61,104.13 $8,967.08 $35,839.83 $9,056.75 2026-04-01
83 MS_DRG Traumatic Stupor And Coma >1 Hour With Cc 10 7 $38,444.14 $38,444.14 $8,967.08 $30,317.04 $9,056.75 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 10 7 $110,236.57 $110,236.57 $8,967.08 $61,893.43 $9,056.75 2026-04-01
847 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Cc 10 7 $45,139.80 $45,139.80 $8,967.08 $46,881.52 $9,056.75 2026-04-01
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 10 8 $59,621.89 $59,621.89 $8,967.08 $37,761.36 $9,056.75 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 10 7 $310,003.78 $310,003.78 $8,967.08 $263,193.21 $9,056.75 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 11 8 $167,319.94 $167,319.94 $8,967.08 $193,379.36 $9,146.42 2026-04-01
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 10 7 $69,302.21 $69,302.21 $8,967.08 $42,030.31 $9,056.75 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 10 7 $150,100.83 $150,100.83 $8,967.08 $76,277.79 $9,056.75 2026-04-01
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 10 7 $67,368.15 $67,368.15 $8,967.08 $39,157.33 $9,056.75 2026-04-01
86 MS_DRG Traumatic Stupor And Coma <1 Hour With Cc 10 7 $36,208.94 $36,208.94 $8,967.08 $29,326.92 $9,056.75 2026-04-01
862 MS_DRG Postoperative And Post-traumatic Infections With Mcc 11 8 $62,376.51 $62,376.51 $8,967.08 $25,400.00 $9,146.42 2026-04-01
863 MS_DRG Postoperative And Post-traumatic Infections Without Mcc 10 7 $35,292.71 $35,292.71 $8,967.08 $38,013.86 $9,056.75 2026-04-01
864 MS_DRG Fever And Inflammatory Conditions 10 7 $38,661.73 $38,661.73 $8,967.08 $38,137.29 $9,056.75 2026-04-01
869 MS_DRG Other Infectious And Parasitic Diseases Diagnoses Without Cc/mcc 10 7 $33,010.01 $33,010.01 $8,967.08 $26,976.45 $9,056.75 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 10 8 $243,921.56 $243,921.56 $8,967.08 $175,101.00 $9,056.75 2026-04-01
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 16 8 $72,332.14 $72,332.14 $8,967.08 $53,213.00 $24,193.65 2026-04-01
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 14 8 $38,911.61 $38,911.61 $8,967.08 $43,082.00 $14,622.88 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 2 1 $84,774.10 $84,774.10 $19,050.00 $25,400.00 $22,225.00 2026-04-01
880 MS_DRG Acute Adjustment Reaction And Psychosocial Dysfunction 2 1 $32,944.89 $32,944.89 $19,050.00 $25,400.00 $22,225.00 2026-04-01
881 MS_DRG Depressive Neuroses 2 1 $29,210.20 $29,210.20 $19,050.00 $25,400.00 $22,225.00 2026-04-01
882 MS_DRG Neuroses Except Depressive 2 1 $29,368.08 $29,368.08 $19,050.00 $25,400.00 $22,225.00 2026-04-01
883 MS_DRG Disorders Of Personality And Impulse Control 2 1 $49,914.47 $49,914.47 $19,050.00 $25,400.00 $22,225.00 2026-04-01
884 MS_DRG Organic Disturbances And Intellectual Disability 2 1 $206,443.92 $206,443.92 $19,050.00 $25,400.00 $22,225.00 2026-04-01
885 MS_DRG Psychoses 3 2 $50,774.37 $50,774.37 $19,050.00 $29,784.40 $25,400.00 2026-04-01
886 MS_DRG Behavioral And Developmental Disorders 2 1 $53,862.25 $53,862.25 $19,050.00 $25,400.00 $22,225.00 2026-04-01
894 MS_DRG Alcohol, Drug Abuse Or Dependence, Left Ama 2 1 $30,125.12 $30,125.12 $19,050.00 $25,400.00 $22,225.00 2026-04-01
896 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 4 2 $63,934.46 $63,934.46 $19,050.00 $91,639.39 $31,513.90 2026-04-01
897 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc 3 2 $39,741.71 $39,741.71 $19,050.00 $25,850.82 $25,400.00 2026-04-01
90 MS_DRG Concussion Without Cc/mcc 10 7 $51,263.87 $51,263.87 $8,967.08 $43,317.51 $9,056.75 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 10 7 $30,900.50 $30,900.50 $8,967.08 $25,400.00 $9,056.75 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 11 8 $104,834.17 $104,834.17 $8,967.08 $129,001.06 $9,146.42 2026-04-01
908 MS_DRG Other O.r. Procedures For Injuries With Cc 12 8 $53,655.84 $53,655.84 $8,967.08 $59,322.13 $9,168.84 2026-04-01
91 MS_DRG Other Disorders Of Nervous System With Mcc 10 7 $70,481.16 $70,481.16 $8,967.08 $49,366.48 $9,056.75 2026-04-01
916 MS_DRG Allergic Reactions Without Mcc 10 7 $26,319.99 $26,319.99 $8,967.08 $25,400.00 $9,056.75 2026-04-01
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 11 8 $67,104.29 $67,104.29 $8,967.08 $131,833.95 $9,146.42 2026-04-01
918 MS_DRG Poisoning And Toxic Effects Of Drugs Without Mcc 11 8 $29,825.60 $29,825.60 $8,967.08 $29,741.48 $9,146.42 2026-04-01
919 MS_DRG Complications Of Treatment With Mcc 11 7 $65,629.80 $65,629.80 $8,967.08 $33,245.13 $9,146.42 2026-04-01
93653 CPT Hc Ephys Eval W/ablation Supravent Arrhythmia 9 8 $59,147.00 $59,147.00 $10,681.60 $81,065.00 $10,681.60 2026-04-01
93656 CPT Hc Ephys Evl Trnsptl Tx Atrial Fib Isolat Pulm Vein 11 8 $54,545.00 $54,545.00 $10,681.60 $104,682.13 $10,895.23 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 10 7 $120,560.19 $120,560.19 $8,967.08 $59,172.66 $9,056.75 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 10 7 $86,873.92 $86,873.92 $8,967.08 $200,221.48 $9,056.75 2026-04-01
J9266 HCPCS Pegaspargase 750 Unit/ml Ij Soln 16 8 $5,214.66 $5,214.66 $11,369.62 $50,310.59 $38,447.80 2026-04-01
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