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

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Hospital

HARTFORD HOSPITAL

Hartford, CT · CCN 070025 · Rates published

11,363 distinct procedures filed
12 distinct payers
231,583 rate rows
2026-04-01 last MRF observed
Data quality

118,138 of 231,583 rate rows are consumer-grade (51.0%)

113,445 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 109,456
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 2,157
per-diem day rate — not a per-procedure price 1,287
template filing: same amount across many unrelated codes — excluded 176
exceeds 10× this hospital's gross charge — excluded from medians 130
placeholder amount (≤ $0.02) — excluded from medians 101
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 75
percent-of-charges filed in the dollar field — excluded from medians 30
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 19
exceeds 3× this hospital's gross charge for a DRG stay — excluded 14
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://hartfordhealthcare.org/file%20library/price%20data/060646668_hartford_hospital_standardcharges.csv
Found on page https://hartfordhealthcare.org/patients-visitors/patients/price-transparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-16
Content fingerprint d0c4f212b3883c57… · 66,267,542 bytes · first seen 2026-05-06

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
81000003
CDM 		Hc Liver Aquistion 5 $147,130.06 $224,832.00 $224,832.00 —
81000004
CDM 		Hc Heart Acquistion 5 $145,423.39 $222,224.00 $222,224.00 —
81000002
CDM 		Hc Kidney Aquisition - Cadaver 5 $108,609.46 $165,968.00 $165,968.00 —
81000001
CDM 		Hc Kidney Acquisition - Live 5 $108,609.46 $165,968.00 $165,968.00 —
81000009
CDM 		Hc Transport Charge Heart, Transmedic 5 $67,403.20 $103,000.00 $103,000.00 —
81000012
CDM 		Hc Transport Charge Liver, Ocs Transmedic 5 $58,896.00 $90,000.00 $90,000.00 —
48000279
CDM 		Hc Insj/rplcmt Icds W/substernal Electrode 5 $44,793.68 $68,450.00 $68,450.00 —
A9543
HCPCS 		Hc Yttrium90,zavalin 9 $22,729.82 $110,830.07 $63,349.52 nat. median
$65,477
1.0× median
48000140
CDM 		Hc Ephys Eval W/ablation Supravent Arrhythmia 5 $38,705.80 $59,147.00 $59,147.00 —
48000143
CDM 		Hc Ephys Evl Trnsptl Tx Atrial Fib Isolat Pulm Vein 5 $35,694.25 $54,545.00 $54,545.00 —
81000010
CDM 		Hc Transport Charge Heart, Paragonix 5 $30,985.84 $47,350.00 $47,350.00 —
0571T
CPT 		Hc Insj/rplcmt Icds W/substernal Electrode 9 $2,859.30 $90,402.00 $44,793.68 nat. median
$32,945
1.4× median
48000023
CDM 		Hc Ins/rep Pac Perm Cvdfb Trnsven Leads 1/2 Chamber 5 $28,077.69 $42,906.00 $42,906.00 —
48000141
CDM 		Hc Ephys Eval W/ablation Ventricular Tachycardia 5 $25,625.00 $39,158.00 $39,158.00 —
48000169
CDM 		Hc Ins/rplcmnt Perm Subq Impltbl Dfb W/subq Eltrd 5 $24,455.58 $37,371.00 $37,371.00 —
69488-010-61
NDC 		Lutetium Lu 177 Vipivotide Tet 1000 Mbq/ml IV Soln 6 $19,810.71 $63,905.52 $37,205.79 —
48000024
CDM 		Hc Rem Pac Cvdfb Plse Gen &repl Plse Gen Sngl Lea 5 $24,079.30 $36,796.00 $36,796.00 —
48000025
CDM 		Hc Rem Pac Cvdfb Plse Gen &repl Plse Gen Dual Lea 5 $24,079.30 $36,796.00 $36,796.00 —
48000026
CDM 		Hc Rem Pac Cvdfb Pls Gen &repl Plse Gen Multi Lea 5 $24,079.30 $36,796.00 $36,796.00 —
48000275
CDM 		Hc Tcat Insj Perm 1chmbr Ldls Pacemaker R Atrial 5 $23,305.15 $35,613.00 $35,613.00 —
581
MS_DRG 		Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/mcc 9 $10,533.14 $80,000.00 $29,985.00 nat. median
$10,677
outlier · 2.8×
580
MS_DRG 		Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 9 $10,533.14 $80,000.00 $29,985.00 nat. median
$12,953
outlier · 2.3×
585
MS_DRG 		Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/mcc 9 $10,533.14 $80,000.00 $29,894.70 nat. median
$13,636
outlier · 2.2×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 6 $21,960.00 $182,077.00 $29,280.00 nat. median
$51,518
0.6× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 6 $21,960.00 $171,794.00 $29,280.00 nat. median
$60,505
outlier · 0.5×
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 6 $21,960.00 $130,795.00 $29,280.00 nat. median
$2,958
outlier · 9.9×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 6 $21,960.00 $186,204.00 $29,280.00 nat. median
$55,923
0.5× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 6 $21,960.00 $165,403.00 $29,280.00 nat. median
$59,651
outlier · 0.5×
36000702
CDM 		Hc Perq Vert Agmntj Cavity Crtj Uni/bi Cannulation 5 $19,035.19 $29,088.00 $29,088.00 —
36000703
CDM 		Hc Perq Vert Agmntj Cavity Crtj Uni/bi Cannulj Lmbr 5 $19,035.19 $29,088.00 $29,088.00 —
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 7 $10,743.80 $159,478.00 $29,000.00 nat. median
$43,533
0.7× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 5 $21,960.00 $33,730.00 $29,000.00 nat. median
$49,569
0.6× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 5 $21,960.00 $33,730.00 $29,000.00 nat. median
$55,935
0.5× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 5 $21,960.00 $33,730.00 $29,000.00 nat. median
$69,822
outlier · 0.4×
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 5 $21,960.00 $33,730.00 $29,000.00 nat. median
$47,458
0.6× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 5 $21,960.00 $33,730.00 $29,000.00 nat. median
$43,299
0.7× median
48000127
CDM 		Hc Prq Tcat Clsr Cgen Intratrl Comunicaj W/implt 5 $18,688.36 $28,558.00 $28,558.00 —
48000224
CDM 		Hc Tcat Insj/rpl Perm Ldls Pm 5 $18,506.43 $28,280.00 $28,280.00 —
75000289
CDM 		Hc Bronchoscopy Balloon Occlusion 5 $17,690.40 $27,033.00 $27,033.00 —
61000105
CDM 		Operating Room Services: Minor Surgery 5 $17,685.16 $27,025.00 $27,025.00 —
76000120
CDM 		Hc Insj 1/2 Chmbr Pacing Cardioverterdefib Pls Gen 5 $17,587.00 $26,875.00 $26,875.00 —
33000028
CDM 		Hc Radiation Delivery Stereotactic Cranial Linear 5 $17,188.63 $26,266.24 $26,266.24 —
48000210
CDM 		Hc Perq Transcath Cls Paravalvr Leak 1 Aortic Valve 5 $16,829.86 $25,718.00 $25,718.00 —
48000209
CDM 		Hc Perq Transcath Cls Paravalvr Leak 1 Mitral Valve 5 $16,829.86 $25,718.00 $25,718.00 —
48000292
CDM 		Cardiology: Cardiac Catheter Lab 5 $16,787.49 $25,653.26 $25,653.26 —
80446-401-01
NDC 		Tebentafusp-tebn 100 Mcg/0.5ml IV Soln 6 $13,465.61 $43,437.44 $25,289.28 —
282
MS_DRG 		Acute Myocardial Infarction, Discharged Alive Without Cc/mcc 9 $10,533.14 $33,730.00 $24,813.00 nat. median
$5,680
outlier · 4.4×
283
MS_DRG 		Acute Myocardial Infarction, Expired With Mcc 9 $10,533.14 $89,714.00 $24,813.00 nat. median
$13,931
1.8× median
164
MS_DRG 		Major Chest Procedures With Cc 9 $10,533.14 $54,391.00 $24,813.00 nat. median
$18,379
1.4× median
286
MS_DRG 		Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 9 $10,533.14 $68,839.00 $24,813.00 nat. median
$16,072
1.5× median

Other procedures at this hospital

Browse this hospital's 11,363 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
81000003 CDM Hc Liver Aquistion 9 5 $224,832.00 $224,832.00 $147,130.06 $224,832.00 $224,832.00 2026-04-01
81000004 CDM Hc Heart Acquistion 9 5 $222,224.00 $222,224.00 $145,423.39 $222,224.00 $222,224.00 2026-04-01
81000002 CDM Hc Kidney Aquisition - Cadaver 9 5 $165,968.00 $165,968.00 $108,609.46 $165,968.00 $165,968.00 2026-04-01
81000001 CDM Hc Kidney Acquisition - Live 9 5 $165,968.00 $165,968.00 $108,609.46 $165,968.00 $165,968.00 2026-04-01
81000009 CDM Hc Transport Charge Heart, Transmedic 9 5 $103,000.00 $103,000.00 $67,403.20 $103,000.00 $103,000.00 2026-04-01
81000012 CDM Hc Transport Charge Liver, Ocs Transmedic 9 5 $90,000.00 $90,000.00 $58,896.00 $90,000.00 $90,000.00 2026-04-01
48000279 CDM Hc Insj/rplcmt Icds W/substernal Electrode 9 5 $68,450.00 $68,450.00 $44,793.68 $68,450.00 $68,450.00 2026-04-01
A9543 HCPCS Hc Yttrium90,zavalin 19 9 $96,805.50 $96,805.50 $22,729.82 $110,830.07 $63,349.52 2026-04-01
48000140 CDM Hc Ephys Eval W/ablation Supravent Arrhythmia 9 5 $59,147.00 $59,147.00 $38,705.80 $59,147.00 $59,147.00 2026-04-01
48000143 CDM Hc Ephys Evl Trnsptl Tx Atrial Fib Isolat Pulm Vein 9 5 $54,545.00 $54,545.00 $35,694.25 $54,545.00 $54,545.00 2026-04-01
81000010 CDM Hc Transport Charge Heart, Paragonix 9 5 $47,350.00 $47,350.00 $30,985.84 $47,350.00 $47,350.00 2026-04-01
0571T CPT Hc Insj/rplcmt Icds W/substernal Electrode 19 9 $68,450.00 $68,450.00 $2,859.30 $90,402.00 $44,793.68 2026-04-01
48000023 CDM Hc Ins/rep Pac Perm Cvdfb Trnsven Leads 1/2 Chamber 9 5 $42,906.00 $42,906.00 $28,077.69 $42,906.00 $42,906.00 2026-04-01
48000141 CDM Hc Ephys Eval W/ablation Ventricular Tachycardia 9 5 $39,158.00 $39,158.00 $25,625.00 $39,158.00 $39,158.00 2026-04-01
48000169 CDM Hc Ins/rplcmnt Perm Subq Impltbl Dfb W/subq Eltrd 9 5 $37,371.00 $37,371.00 $24,455.58 $37,371.00 $37,371.00 2026-04-01
69488-010-61 NDC Lutetium Lu 177 Vipivotide Tet 1000 Mbq/ml IV Soln 10 6 $63,905.52 $63,905.52 $19,810.71 $63,905.52 $37,205.79 2026-04-01
48000024 CDM Hc Rem Pac Cvdfb Plse Gen &repl Plse Gen Sngl Lea 9 5 $36,796.00 $36,796.00 $24,079.30 $36,796.00 $36,796.00 2026-04-01
48000026 CDM Hc Rem Pac Cvdfb Pls Gen &repl Plse Gen Multi Lea 9 5 $36,796.00 $36,796.00 $24,079.30 $36,796.00 $36,796.00 2026-04-01
48000025 CDM Hc Rem Pac Cvdfb Plse Gen &repl Plse Gen Dual Lea 9 5 $36,796.00 $36,796.00 $24,079.30 $36,796.00 $36,796.00 2026-04-01
48000275 CDM Hc Tcat Insj Perm 1chmbr Ldls Pacemaker R Atrial 9 5 $35,613.00 $35,613.00 $23,305.15 $35,613.00 $35,613.00 2026-04-01
581 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/mcc 16 9 $72,708.33 $72,708.33 $10,533.14 $80,000.00 $29,985.00 2026-04-01
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 16 9 $72,355.19 $72,355.19 $10,533.14 $80,000.00 $29,985.00 2026-04-01
585 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/mcc 16 9 $74,730.28 $74,730.28 $10,533.14 $80,000.00 $29,894.70 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 9 6 $254,635.76 $254,635.76 $21,960.00 $130,795.00 $29,280.00 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 9 6 $283,215.35 $283,215.35 $21,960.00 $182,077.00 $29,280.00 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 9 6 $203,843.22 $203,843.22 $21,960.00 $186,204.00 $29,280.00 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 9 6 $290,975.89 $290,975.89 $21,960.00 $171,794.00 $29,280.00 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 9 6 $382,070.50 $382,070.50 $21,960.00 $165,403.00 $29,280.00 2026-04-01
36000702 CDM Hc Perq Vert Agmntj Cavity Crtj Uni/bi Cannulation 9 5 $29,088.00 $29,088.00 $19,035.19 $29,088.00 $29,088.00 2026-04-01
36000703 CDM Hc Perq Vert Agmntj Cavity Crtj Uni/bi Cannulj Lmbr 9 5 $29,088.00 $29,088.00 $19,035.19 $29,088.00 $29,088.00 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 7 5 $203,285.13 $203,285.13 $21,960.00 $33,730.00 $29,000.00 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 7 5 $345,247.81 $345,247.81 $21,960.00 $33,730.00 $29,000.00 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 7 5 $267,406.67 $267,406.67 $21,960.00 $33,730.00 $29,000.00 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 11 7 $210,260.77 $210,260.77 $10,743.80 $159,478.00 $29,000.00 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 7 5 $241,921.61 $241,921.61 $21,960.00 $33,730.00 $29,000.00 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 7 5 $91,748.95 $91,748.95 $21,960.00 $33,730.00 $29,000.00 2026-04-01
48000127 CDM Hc Prq Tcat Clsr Cgen Intratrl Comunicaj W/implt 9 5 $28,558.00 $28,558.00 $18,688.36 $28,558.00 $28,558.00 2026-04-01
48000224 CDM Hc Tcat Insj/rpl Perm Ldls Pm 9 5 $28,280.00 $28,280.00 $18,506.43 $28,280.00 $28,280.00 2026-04-01
75000289 CDM Hc Bronchoscopy Balloon Occlusion 9 5 $27,033.00 $27,033.00 $17,690.40 $27,033.00 $27,033.00 2026-04-01
61000105 CDM Operating Room Services: Minor Surgery 9 5 $27,025.00 $27,025.00 $17,685.16 $27,025.00 $27,025.00 2026-04-01
76000120 CDM Hc Insj 1/2 Chmbr Pacing Cardioverterdefib Pls Gen 9 5 $26,875.00 $26,875.00 $17,587.00 $26,875.00 $26,875.00 2026-04-01
33000028 CDM Hc Radiation Delivery Stereotactic Cranial Linear 9 5 $26,266.24 $26,266.24 $17,188.63 $26,266.24 $26,266.24 2026-04-01
48000209 CDM Hc Perq Transcath Cls Paravalvr Leak 1 Mitral Valve 9 5 $25,718.00 $25,718.00 $16,829.86 $25,718.00 $25,718.00 2026-04-01
48000210 CDM Hc Perq Transcath Cls Paravalvr Leak 1 Aortic Valve 9 5 $25,718.00 $25,718.00 $16,829.86 $25,718.00 $25,718.00 2026-04-01
48000292 CDM Cardiology: Cardiac Catheter Lab 9 5 $25,653.26 $25,653.26 $16,787.49 $25,653.26 $25,653.26 2026-04-01
80446-401-01 NDC Tebentafusp-tebn 100 Mcg/0.5ml IV Soln 10 6 $43,437.44 $43,437.44 $13,465.61 $43,437.44 $25,289.28 2026-04-01
165 MS_DRG Major Chest Procedures Without Cc/mcc 16 9 $61,763.69 $61,763.69 $10,533.14 $53,154.00 $24,813.00 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 16 9 $122,427.95 $122,427.95 $10,533.14 $96,375.00 $24,813.00 2026-04-01
189 MS_DRG Pulmonary Edema And Respiratory Failure 16 9 $63,302.01 $63,302.01 $10,533.14 $66,698.00 $24,813.00 2026-04-01
281 MS_DRG Acute Myocardial Infarction, Discharged Alive With Cc 16 9 $56,412.77 $56,412.77 $10,533.14 $33,730.00 $24,813.00 2026-04-01
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/mcc 16 9 $59,721.77 $59,721.77 $10,533.14 $42,833.00 $24,813.00 2026-04-01
328 MS_DRG Stomach, Esophageal And Duodenal Procedures Without Cc/mcc 16 9 $69,759.06 $69,759.06 $10,533.14 $47,688.00 $24,813.00 2026-04-01
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/mcc 16 9 $60,691.42 $60,691.42 $10,533.14 $40,871.00 $24,813.00 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 16 9 $89,119.14 $89,119.14 $10,533.14 $54,391.00 $24,813.00 2026-04-01
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 16 9 $93,989.59 $93,989.59 $10,533.14 $57,416.00 $24,813.00 2026-04-01
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 16 9 $69,433.66 $69,433.66 $10,533.14 $33,730.00 $24,813.00 2026-04-01
176 MS_DRG Pulmonary Embolism Without Mcc 16 9 $43,960.57 $43,960.57 $10,533.14 $33,730.00 $24,813.00 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 9 $127,975.25 $127,975.25 $10,533.14 $121,755.00 $24,813.00 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 16 9 $133,274.49 $133,274.49 $10,533.14 $135,384.00 $24,813.00 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 16 9 $112,130.28 $112,130.28 $10,533.14 $101,409.00 $24,813.00 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 16 9 $119,725.96 $119,725.96 $10,533.14 $193,527.00 $24,813.00 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 16 9 $249,667.29 $249,667.29 $10,533.14 $140,757.00 $24,813.00 2026-04-01
300 MS_DRG Peripheral Vascular Disorders With Cc 16 9 $49,622.52 $49,622.52 $10,533.14 $33,730.00 $24,813.00 2026-04-01
637 MS_DRG Diabetes With Mcc 16 9 $84,419.35 $84,419.35 $10,533.14 $83,306.00 $24,813.00 2026-04-01
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 16 9 $83,544.29 $83,544.29 $10,533.14 $51,504.00 $24,813.00 2026-04-01
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 16 9 $77,529.07 $77,529.07 $10,533.14 $47,358.00 $24,813.00 2026-04-01
291 MS_DRG Heart Failure And Shock With Mcc 16 9 $78,808.02 $78,808.02 $10,533.14 $57,673.00 $24,813.00 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 16 9 $180,998.99 $180,998.99 $10,533.14 $243,691.00 $24,813.00 2026-04-01
292 MS_DRG Heart Failure And Shock With Cc 16 9 $53,741.35 $53,741.35 $10,533.14 $38,498.00 $24,813.00 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 16 9 $84,554.50 $84,554.50 $10,533.14 $87,787.00 $24,813.00 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 16 9 $117,477.26 $117,477.26 $10,533.14 $140,351.00 $24,813.00 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 16 9 $185,879.49 $185,879.49 $10,533.14 $240,882.00 $24,813.00 2026-04-01
63 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 16 9 $58,374.09 $58,374.09 $10,533.14 $36,904.00 $24,813.00 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 16 9 $218,742.92 $218,742.92 $10,533.14 $98,991.00 $24,813.00 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 16 9 $148,627.49 $148,627.49 $10,533.14 $90,987.00 $24,813.00 2026-04-01
144 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Cc 16 9 $69,586.21 $69,586.21 $10,533.14 $51,630.00 $24,813.00 2026-04-01
388 MS_DRG Gastrointestinal Obstruction With Mcc 16 9 $65,270.58 $65,270.58 $10,533.14 $36,714.00 $24,813.00 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 16 9 $383,465.22 $383,465.22 $10,533.14 $251,886.00 $24,813.00 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 16 9 $140,379.76 $140,379.76 $10,533.14 $111,291.00 $24,813.00 2026-04-01
439 MS_DRG Disorders Of Pancreas Except Malignancy With Cc 16 9 $49,639.06 $49,639.06 $10,533.14 $38,449.00 $24,813.00 2026-04-01
168 MS_DRG Other Respiratory System O.r. Procedures Without Cc/mcc 16 9 $55,500.04 $55,500.04 $10,533.14 $51,265.00 $24,813.00 2026-04-01
287 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization Without Mcc 16 9 $62,997.34 $62,997.34 $10,533.14 $33,963.00 $24,813.00 2026-04-01
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 16 9 $65,732.21 $65,732.21 $10,533.14 $38,449.00 $24,813.00 2026-04-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 16 9 $109,563.07 $109,563.07 $10,533.14 $101,154.00 $24,813.00 2026-04-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 16 9 $130,311.66 $130,311.66 $10,533.14 $68,839.00 $24,813.00 2026-04-01
314 MS_DRG Other Circulatory System Diagnoses With Mcc 16 9 $97,665.47 $97,665.47 $10,533.14 $99,882.00 $24,813.00 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 16 9 $167,895.46 $167,895.46 $10,533.14 $150,299.00 $24,813.00 2026-04-01
393 MS_DRG Other Digestive System Diagnoses With Mcc 16 9 $79,451.80 $79,451.80 $10,533.14 $41,012.00 $24,813.00 2026-04-01
389 MS_DRG Gastrointestinal Obstruction With Cc 16 9 $44,654.66 $44,654.66 $10,533.14 $40,072.00 $24,813.00 2026-04-01
145 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures Without Cc/mcc 16 9 $67,161.30 $67,161.30 $10,533.14 $35,797.00 $24,813.00 2026-04-01
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 16 9 $81,876.56 $81,876.56 $10,533.14 $42,071.00 $24,813.00 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 16 9 $188,490.27 $188,490.27 $10,533.14 $120,557.00 $24,813.00 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 16 9 $197,908.18 $197,908.18 $10,533.14 $114,065.00 $24,813.00 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 16 9 $84,680.14 $84,680.14 $10,533.14 $83,754.00 $24,813.00 2026-04-01
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 16 9 $104,901.99 $104,901.99 $10,533.14 $40,704.00 $24,813.00 2026-04-01
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 16 9 $71,725.46 $71,725.46 $1,138.23 $42,293.00 $24,813.00 2026-04-01
862 MS_DRG Postoperative And Post-traumatic Infections With Mcc 16 9 $76,472.55 $76,472.55 $10,533.14 $44,310.00 $24,813.00 2026-04-01
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 16 9 $64,661.62 $64,661.62 $10,533.14 $49,335.00 $24,813.00 2026-04-01
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 16 9 $108,503.09 $108,503.09 $10,533.14 $47,986.00 $24,813.00 2026-04-01
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 16 9 $81,657.13 $81,657.13 $10,533.14 $66,274.00 $24,813.00 2026-04-01
283 MS_DRG Acute Myocardial Infarction, Expired With Mcc 16 9 $110,690.19 $110,690.19 $10,533.14 $89,714.00 $24,813.00 2026-04-01
282 MS_DRG Acute Myocardial Infarction, Discharged Alive Without Cc/mcc 16 9 $45,607.19 $45,607.19 $10,533.14 $33,730.00 $24,813.00 2026-04-01
708 MS_DRG Major Male Pelvic Procedures Without Cc/mcc 16 9 $68,044.38 $68,044.38 $10,533.14 $37,167.00 $24,813.00 2026-04-01
65 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours 16 9 $60,949.28 $60,949.28 $10,533.14 $33,730.00 $24,813.00 2026-04-01
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 16 9 $119,060.05 $119,060.05 $10,533.14 $53,154.00 $24,813.00 2026-04-01
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 16 9 $108,654.76 $108,654.76 $10,533.14 $51,630.00 $24,813.00 2026-04-01
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 16 9 $95,622.52 $95,622.52 $10,533.14 $56,205.00 $24,813.00 2026-04-01
299 MS_DRG Peripheral Vascular Disorders With Mcc 16 9 $74,469.56 $74,469.56 $10,533.14 $46,669.00 $24,813.00 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 16 9 $94,989.75 $94,989.75 $10,533.14 $131,910.00 $24,813.00 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 16 9 $97,465.60 $97,465.60 $10,533.14 $140,315.00 $24,813.00 2026-04-01
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 16 9 $111,815.21 $111,815.21 $10,533.14 $62,711.00 $24,813.00 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 16 9 $376,169.84 $376,169.84 $10,533.14 $207,500.00 $24,813.00 2026-04-01
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 16 9 $80,335.90 $80,335.90 $10,533.14 $54,502.00 $24,813.00 2026-04-01
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 16 9 $91,490.66 $91,490.66 $10,533.14 $67,523.00 $24,813.00 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 16 9 $104,770.13 $104,770.13 $10,533.14 $36,053.00 $24,813.00 2026-04-01
215 MS_DRG Other Heart Assist System Implant 16 9 $268,111.32 $268,111.32 $10,533.14 $297,757.00 $24,813.00 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 16 9 $93,247.91 $93,247.91 $10,533.14 $76,125.00 $24,813.00 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 16 9 $120,473.21 $120,473.21 $10,533.14 $92,277.00 $24,813.00 2026-04-01
251 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc 16 9 $87,816.36 $87,816.36 $10,533.14 $44,857.00 $24,813.00 2026-04-01
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 16 9 $74,854.67 $74,854.67 $10,533.14 $48,188.00 $24,813.00 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 16 9 $195,236.83 $195,236.83 $10,533.14 $140,979.00 $24,813.00 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 16 9 $77,305.96 $77,305.96 $10,533.14 $78,195.00 $24,813.00 2026-04-01
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 16 9 $103,052.16 $103,052.16 $10,533.14 $43,598.00 $24,813.00 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 16 9 $102,846.54 $102,846.54 $10,533.14 $92,918.00 $24,813.00 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 16 9 $217,556.65 $217,556.65 $10,533.14 $103,259.00 $24,813.00 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 16 9 $118,201.15 $118,201.15 $10,533.14 $51,504.00 $24,813.00 2026-04-01
707 MS_DRG Major Male Pelvic Procedures With Cc/mcc 16 9 $74,633.89 $74,633.89 $10,533.14 $40,883.00 $24,813.00 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 16 9 $176,353.89 $176,353.89 $10,533.14 $87,196.00 $24,813.00 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 16 9 $634,252.20 $634,252.20 $10,533.14 $230,181.00 $24,813.00 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 16 9 $1,134,439.03 $1,134,439.03 $10,533.14 $458,930.00 $24,813.00 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 16 9 $127,520.74 $127,520.74 $10,533.14 $75,594.00 $24,813.00 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 9 $334,005.03 $334,005.03 $10,533.14 $207,500.00 $24,813.00 2026-04-01
602 MS_DRG Cellulitis With Mcc 16 9 $77,308.18 $77,308.18 $10,533.14 $33,730.00 $24,813.00 2026-04-01
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 16 9 $84,692.47 $84,692.47 $10,533.14 $33,730.00 $24,813.00 2026-04-01
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc 16 9 $63,462.58 $63,462.58 $10,533.14 $40,156.00 $24,813.00 2026-04-01
512 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures Without Cc/… 16 9 $56,028.91 $56,028.91 $10,533.14 $40,049.00 $24,813.00 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 16 9 $66,887.71 $66,887.71 $10,533.14 $65,709.00 $24,813.00 2026-04-01
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 16 9 $120,197.58 $120,197.58 $10,533.14 $62,799.00 $24,813.00 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 16 9 $119,225.60 $119,225.60 $10,533.14 $82,608.00 $24,813.00 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 16 9 $143,680.03 $143,680.03 $10,533.14 $75,355.00 $24,813.00 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 16 9 $145,839.56 $145,839.56 $10,533.14 $81,383.00 $24,813.00 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 16 9 $357,307.92 $357,307.92 $10,533.14 $262,187.00 $24,813.00 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 16 9 $179,732.73 $179,732.73 $10,533.14 $68,839.00 $24,813.00 2026-04-01
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 16 9 $52,434.58 $52,434.58 $10,533.14 $36,714.00 $24,813.00 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 16 9 $99,980.40 $99,980.40 $10,533.14 $61,955.00 $24,813.00 2026-04-01
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 16 9 $73,710.68 $73,710.68 $10,533.14 $33,730.00 $24,813.00 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 16 9 $65,821.01 $65,821.01 $10,533.14 $61,493.00 $24,813.00 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 16 9 $178,179.11 $178,179.11 $10,533.14 $208,451.00 $24,813.00 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 16 9 $97,494.14 $97,494.14 $10,533.14 $59,661.00 $24,813.00 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 16 9 $69,380.38 $69,380.38 $10,533.14 $53,509.00 $24,813.00 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 16 9 $221,298.13 $221,298.13 $10,533.14 $64,475.00 $24,813.00 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 16 9 $295,396.67 $295,396.67 $10,533.14 $143,415.00 $24,813.00 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 16 9 $173,688.25 $173,688.25 $10,533.14 $75,594.00 $24,813.00 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 16 9 $218,458.62 $218,458.62 $10,533.14 $86,542.00 $24,813.00 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 16 9 $196,070.19 $196,070.19 $10,533.14 $124,935.00 $24,813.00 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 16 9 $172,250.76 $172,250.76 $10,533.14 $68,726.00 $24,813.00 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 16 9 $115,565.17 $115,565.17 $10,533.14 $76,125.00 $24,813.00 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 9 $158,206.81 $158,206.81 $10,533.14 $135,384.00 $24,813.00 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 16 9 $251,449.83 $251,449.83 $10,533.14 $130,795.00 $24,813.00 2026-04-01
465 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 16 9 $70,916.85 $70,916.85 $10,533.14 $43,575.00 $24,813.00 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 16 9 $127,314.65 $127,314.65 $10,533.14 $78,664.00 $24,813.00 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 16 9 $87,624.38 $87,624.38 $10,533.14 $57,632.00 $24,813.00 2026-04-01
392 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc 16 9 $39,868.76 $39,868.76 $10,533.14 $33,730.00 $24,604.42 2026-04-01
315 MS_DRG Other Circulatory System Diagnoses With Cc 16 9 $50,130.68 $50,130.68 $10,533.14 $33,730.00 $24,604.42 2026-04-01
66 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction Without Cc/mcc 16 9 $43,845.42 $43,845.42 $10,533.14 $33,730.00 $24,450.53 2026-04-01
293 MS_DRG Heart Failure And Shock Without Cc/mcc 16 9 $35,950.89 $35,950.89 $10,533.14 $33,730.00 $24,313.25 2026-04-01
390 MS_DRG Gastrointestinal Obstruction Without Cc/mcc 16 9 $33,321.14 $33,321.14 $10,533.14 $33,730.00 $24,145.58 2026-04-01
440 MS_DRG Disorders Of Pancreas Except Malignancy Without Cc/mcc 16 9 $33,324.72 $33,324.72 $10,533.14 $33,730.00 $24,068.62 2026-04-01
309 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Cc 16 9 $41,663.53 $41,663.53 $10,533.14 $33,730.00 $24,003.08 2026-04-01
48000047 CDM Hc Revsc Opn/prq Iliac Art W/stnt Plmt & Angioplsty 9 5 $23,594.00 $23,594.00 $15,439.91 $23,594.00 $23,594.00 2026-04-01
855 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures Without Cc/mcc 16 9 $71,302.57 $71,302.57 $10,533.14 $33,730.00 $23,569.40 2026-04-01
419 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. Without Cc/mcc 16 9 $76,996.81 $76,996.81 $10,533.14 $33,730.00 $23,514.78 2026-04-01
75000257 CDM Hc Colonoscopy Flx With Endoscopic Stent Placement 9 5 $23,346.00 $23,346.00 $15,277.62 $23,346.00 $23,346.00 2026-04-01
75000209 CDM Hc Ercp Biliary/panc Duct Stent Exchange W/dil&wire 9 5 $23,346.00 $23,346.00 $15,277.62 $23,346.00 $23,346.00 2026-04-01
75000206 CDM Hc Edg Endoscopic Stent Placement W/wire& Dilation 9 5 $23,346.00 $23,346.00 $15,277.62 $23,346.00 $23,346.00 2026-04-01
75000180 CDM Hc Esophagoscopy Transoral Stent Placement 9 5 $23,346.00 $23,346.00 $15,277.62 $23,346.00 $23,346.00 2026-04-01
75000207 CDM Hc Ercp Stent Placement Biliary/pancreatic Duct 9 5 $23,346.00 $23,346.00 $15,277.62 $23,346.00 $23,346.00 2026-04-01
36000159 CDM Hc Vascular Embolization Or Occlusion Arterial Rs&i 9 5 $23,029.00 $23,029.00 $15,070.18 $23,029.00 $23,029.00 2026-04-01
36000160 CDM Hc Vascular Embolize/occlude Organ Tumor Infarct 9 5 $23,029.00 $23,029.00 $15,070.18 $23,029.00 $23,029.00 2026-04-01
36000161 CDM Hc Vascular Embolization Or Occlusion Hemorrhage 9 5 $23,029.00 $23,029.00 $15,070.18 $23,029.00 $23,029.00 2026-04-01
858 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures Without Cc/mcc 16 9 $102,269.63 $102,269.63 $10,533.14 $33,730.00 $22,969.47 2026-04-01
378 MS_DRG Gastrointestinal Hemorrhage With Cc 16 9 $57,799.77 $57,799.77 $10,533.14 $33,730.00 $22,969.47 2026-04-01
394 MS_DRG Other Digestive System Diagnoses With Cc 16 9 $56,985.18 $56,985.18 $10,533.14 $33,730.00 $22,933.38 2026-04-01
36000582 CDM Hc Open/perq Placement Intravascular Stent Same 1st 9 5 $22,669.79 $22,669.79 $14,835.11 $22,669.79 $22,669.79 2026-04-01
36001117 CDM Hc Replace Aortic Valve Perq Femoral Artry Approach 9 5 $22,469.40 $22,469.40 $14,703.98 $22,469.40 $22,469.40 2026-04-01
36001409 CDM Hc Trans Cartoid Tavr 9 5 $22,469.00 $22,469.00 $14,703.71 $22,469.00 $22,469.00 2026-04-01
442 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc 16 9 $55,990.06 $55,990.06 $10,533.14 $33,730.00 $22,424.17 2026-04-01
603 MS_DRG Cellulitis Without Mcc 16 9 $38,154.32 $38,154.32 $10,533.14 $33,730.00 $22,241.78 2026-04-01
863 MS_DRG Postoperative And Post-traumatic Infections Without Mcc 16 9 $58,901.47 $58,901.47 $10,533.14 $33,730.00 $21,929.22 2026-04-01
301 MS_DRG Peripheral Vascular Disorders Without Cc/mcc 16 9 $40,281.86 $40,281.86 $10,533.14 $33,730.00 $21,728.30 2026-04-01
918 MS_DRG Poisoning And Toxic Effects Of Drugs Without Mcc 16 9 $38,949.65 $38,949.65 $1,138.23 $33,730.00 $21,511.70 2026-04-01
48000114 CDM Hc R & L Hrt Cath Winjx Hrt Art& L Ventr Img 9 5 $21,439.00 $21,439.00 $14,029.68 $21,439.00 $21,439.00 2026-04-01
48000051 CDM Hc Revsc Opn/prq Fem/pop W/stnt/angiop Sm Vsl 9 5 $21,050.00 $21,050.00 $13,775.12 $21,050.00 $21,050.00 2026-04-01
36000584 CDM Hc Vascular Embolization Or Occlusion Venous Rs&i 9 5 $20,950.39 $20,950.39 $13,709.94 $20,950.39 $20,950.39 2026-04-01
443 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis Without C… 16 9 $30,012.64 $30,012.64 $10,533.14 $33,730.00 $20,744.10 2026-04-01
36000104 CDM Hc Slctv Cath Carotid/innom Art Angio Intrcranl Art 18 5 $19,188.00 $19,188.00 $12,556.63 $33,579.00 $20,581.05 2026-04-01
36000105 CDM Hc Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art 18 5 $19,188.00 $19,188.00 $12,556.63 $33,579.00 $20,581.05 2026-04-01
48000003 CDM Hc Ins New/rplcmt Prm Pm W/transv Eltrd Atrial&vent 9 5 $20,477.00 $20,477.00 $13,400.15 $20,477.00 $20,477.00 2026-04-01
948 MS_DRG Signs And Symptoms Without Mcc 16 9 $58,012.83 $58,012.83 $1,138.23 $33,730.00 $20,298.53 2026-04-01
621 MS_DRG O.r. Procedures For Obesity Without Cc/mcc 16 9 $42,071.10 $42,071.10 $10,533.14 $33,730.00 $20,000.00 2026-04-01
620 MS_DRG O.r. Procedures For Obesity With Cc 16 9 $48,560.70 $48,560.70 $10,533.14 $33,730.00 $20,000.00 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 16 9 $65,142.41 $65,142.41 $10,533.14 $33,730.00 $20,000.00 2026-04-01
36000107 CDM Hc Slctv Cath Vertebral Art Angio Vertebral Artery 18 5 $18,451.00 $18,451.00 $12,074.33 $32,289.00 $19,790.46 2026-04-01
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/mcc 14 9 $131,609.09 $131,609.09 $10,533.14 $80,000.00 $19,783.24 2026-04-01
583 MS_DRG Mastectomy For Malignancy Without Cc/mcc 14 9 $148,952.22 $148,952.22 $10,533.14 $80,000.00 $19,783.24 2026-04-01
582 MS_DRG Mastectomy For Malignancy With Cc/mcc 14 9 $49,531.51 $49,531.51 $10,533.14 $80,000.00 $19,783.24 2026-04-01
48000111 CDM Hc Cath Plmt R Hrt/arts/grfts W/njx& Angio Img S&i 9 5 $19,733.00 $19,733.00 $12,913.28 $19,733.00 $19,733.00 2026-04-01
641 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou… 16 9 $41,306.68 $41,306.68 $10,533.14 $33,730.00 $19,493.17 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 14 9 $75,576.11 $75,576.11 $10,533.14 $50,000.00 $19,231.24 2026-04-01
842 MS_DRG Lymphoma And Non-acute Leukemia Without Cc/mcc 14 9 $52,718.17 $52,718.17 $10,533.14 $50,000.00 $19,231.24 2026-04-01
847 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Cc 14 9 $47,543.17 $47,543.17 $10,533.14 $50,000.00 $19,231.24 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 14 9 $170,396.16 $170,396.16 $10,533.14 $50,000.00 $19,231.24 2026-04-01
841 MS_DRG Lymphoma And Non-acute Leukemia With Cc 14 9 $97,567.12 $97,567.12 $10,533.14 $50,000.00 $19,231.24 2026-04-01
848 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis Without Cc/mcc 14 9 $42,227.69 $42,227.69 $10,533.14 $50,000.00 $19,231.24 2026-04-01
36000108 CDM Hc Slctv Cath Xtrnl Carotid Angio Xtrnl Carotd Circ 9 5 $19,188.00 $19,188.00 $12,556.63 $19,188.00 $19,188.00 2026-04-01
638 MS_DRG Diabetes With Cc 16 9 $49,698.65 $49,698.65 $10,533.14 $33,730.00 $19,128.53 2026-04-01
15054-1060-4 NDC Lanreotide Acetate 60 Mg/0.2ml Sc Soln 10 6 $32,631.68 $32,631.68 $10,115.82 $32,631.68 $18,998.17 2026-04-01
76000119 CDM Hc Remvl Perm Pm Pls Gen W/repl Plse Gen 2 Lead Sys 9 5 $18,931.00 $18,931.00 $12,388.45 $18,931.00 $18,931.00 2026-04-01
48000016 CDM Hc Remvl Perm Pm Pls Gen W/repl Plse Gen Mult Lead 9 5 $18,931.00 $18,931.00 $12,388.45 $18,931.00 $18,931.00 2026-04-01
75000205 CDM Hc Ercp Destruction/lithotripsy Calculi Any Method 9 5 $18,656.00 $18,656.00 $12,208.49 $18,656.00 $18,656.00 2026-04-01
75000014 CDM Hc Ercp W/sphincterotomy/papillotomy 9 5 $18,656.00 $18,656.00 $12,208.49 $18,656.00 $18,656.00 2026-04-01
75000013 CDM Hc Ercp W/biopsy Single/multiple 9 5 $18,656.00 $18,656.00 $12,208.49 $18,656.00 $18,656.00 2026-04-01
75000012 CDM Hc Ercp Dx Collection Specimen Brushing/washing 9 5 $18,656.00 $18,656.00 $12,208.49 $18,656.00 $18,656.00 2026-04-01
36000106 CDM Hc Slctv Cath Subclavian Art Angio Vertebral Artery 9 5 $18,451.00 $18,451.00 $12,074.33 $18,451.00 $18,451.00 2026-04-01
C2616 HCPCS Hc Sir-spheres Drug 19 9 $37,350.42 $37,350.42 $7,108.40 $33,839.48 $18,339.06 2026-04-01
36000743 CDM Hc Trluml Balo Angiop 1st Vein 9 5 $18,214.00 $18,214.00 $11,919.24 $18,214.00 $18,214.00 2026-04-01
36000103 CDM Hc Slctv Cath Carotid/innom Art Angio Xtrcranl Art 18 5 $16,784.00 $16,784.00 $10,983.45 $29,372.00 $18,002.52 2026-04-01
48000071 CDM Hc Prq Trluml Coronry Chronic Occlus Revasc One Vsl 9 5 $17,928.00 $17,928.00 $11,732.08 $17,928.00 $17,928.00 2026-04-01
48000068 CDM Hc Prq Trluml Coronary Byp Grft Revasc One Vessel 9 5 $17,928.00 $17,928.00 $11,732.08 $17,928.00 $17,928.00 2026-04-01
48000070 CDM Hc Prq Trluml Coronry Tot Occlus Revasc Mi One Vsl 9 5 $17,928.00 $17,928.00 $11,732.08 $17,928.00 $17,928.00 2026-04-01
639 MS_DRG Diabetes Without Cc/mcc 16 9 $34,252.23 $34,252.23 $10,533.14 $33,730.00 $17,316.00 2026-04-01
36000741 CDM Hc Trluml Balo Angiop 1st Art 9 5 $16,853.00 $16,853.00 $11,028.60 $16,853.00 $16,853.00 2026-04-01
0914T CPT Cardiology: Cardiac Catheter Lab 11 6 $25,653.26 $25,653.26 $2,458.00 $23,241.85 $16,787.49 2026-04-01
382 MS_DRG Complicated Peptic Ulcer Without Cc/mcc 14 9 $47,502.26 $47,502.26 $10,533.14 $33,730.00 $16,378.24 2026-04-01
397 MS_DRG Appendix Procedures With Mcc 14 9 $97,726.77 $97,726.77 $10,533.14 $33,730.00 $16,378.24 2026-04-01
138 MS_DRG Mouth Procedures Without Cc/mcc 14 9 $31,381.60 $31,381.60 $10,533.14 $33,730.00 $16,378.24 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 14 9 $200,110.96 $200,110.96 $10,533.14 $33,730.00 $16,378.24 2026-04-01
380 MS_DRG Complicated Peptic Ulcer With Mcc 14 9 $90,399.71 $90,399.71 $10,533.14 $33,730.00 $16,378.24 2026-04-01
39 MS_DRG Extracranial Procedures Without Cc/mcc 14 9 $43,506.23 $43,506.23 $10,533.14 $33,730.00 $16,378.24 2026-04-01
139 MS_DRG Salivary Gland Procedures 14 9 $32,403.59 $32,403.59 $10,533.14 $33,730.00 $16,378.24 2026-04-01
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 14 9 $61,937.12 $61,937.12 $10,533.14 $33,730.00 $16,378.24 2026-04-01
313 MS_DRG Chest Pain 14 9 $38,168.53 $38,168.53 $10,533.14 $33,730.00 $16,378.24 2026-04-01
32 MS_DRG Ventricular Shunt Procedures With Cc 14 9 $73,723.99 $73,723.99 $10,533.14 $33,730.00 $16,378.24 2026-04-01
259 MS_DRG Cardiac Pacemaker Device Replacement Without Mcc 14 9 $45,136.64 $45,136.64 $10,533.14 $33,730.00 $16,378.24 2026-04-01
200 MS_DRG Pneumothorax With Cc 14 9 $54,709.17 $54,709.17 $10,533.14 $33,730.00 $16,378.24 2026-04-01
254 MS_DRG Other Vascular Procedures Without Cc/mcc 14 9 $64,438.48 $64,438.48 $10,533.14 $33,730.00 $16,378.24 2026-04-01
30 MS_DRG Spinal Procedures Without Cc/mcc 14 9 $71,353.21 $71,353.21 $10,533.14 $33,730.00 $16,378.24 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 14 9 $118,079.88 $118,079.88 $10,533.14 $33,730.00 $16,378.24 2026-04-01
336 MS_DRG Peritoneal Adhesiolysis With Cc 14 9 $104,474.82 $104,474.82 $10,533.14 $33,730.00 $16,378.24 2026-04-01
179 MS_DRG Respiratory Infections And Inflammations Without Cc/mcc 14 9 $51,093.79 $51,093.79 $10,533.14 $33,730.00 $16,378.24 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 14 9 $216,772.64 $216,772.64 $10,533.14 $33,730.00 $16,378.24 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 14 9 $391,453.80 $391,453.80 $10,533.14 $33,730.00 $16,378.24 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 14 9 $276,424.62 $276,424.62 $10,533.14 $33,730.00 $16,378.24 2026-04-01
155 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses With Cc 14 9 $38,777.07 $38,777.07 $10,533.14 $33,730.00 $16,378.24 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 14 9 $84,625.63 $84,625.63 $10,533.14 $33,730.00 $16,378.24 2026-04-01
289 MS_DRG Acute And Subacute Endocarditis With Cc 14 9 $64,833.54 $64,833.54 $10,533.14 $33,730.00 $16,378.24 2026-04-01
372 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Cc 14 9 $53,208.08 $53,208.08 $10,533.14 $33,730.00 $16,378.24 2026-04-01
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 14 9 $98,252.87 $98,252.87 $10,533.14 $33,730.00 $16,378.24 2026-04-01
368 MS_DRG Major Esophageal Disorders With Mcc 14 9 $124,899.45 $124,899.45 $10,533.14 $33,730.00 $16,378.24 2026-04-01
195 MS_DRG Simple Pneumonia And Pleurisy Without Cc/mcc 14 9 $34,523.55 $34,523.55 $10,533.14 $33,730.00 $16,378.24 2026-04-01
376 MS_DRG Digestive Malignancy Without Cc/mcc 14 9 $53,448.32 $53,448.32 $10,533.14 $33,730.00 $16,378.24 2026-04-01
182 MS_DRG Respiratory Neoplasms Without Cc/mcc 14 9 $76,869.82 $76,869.82 $10,533.14 $33,730.00 $16,378.24 2026-04-01
311 MS_DRG Angina Pectoris 14 9 $36,741.83 $36,741.83 $10,533.14 $33,730.00 $16,378.24 2026-04-01
373 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections Without Cc/mcc 14 9 $38,387.93 $38,387.93 $10,533.14 $33,730.00 $16,378.24 2026-04-01
412 MS_DRG Cholecystectomy With C.d.e. With Cc 14 9 $99,245.49 $99,245.49 $10,533.14 $33,730.00 $16,378.24 2026-04-01
201 MS_DRG Pneumothorax Without Cc/mcc 14 9 $29,857.26 $29,857.26 $10,533.14 $33,730.00 $16,378.24 2026-04-01
103 MS_DRG Headaches Without Mcc 14 9 $36,299.00 $36,299.00 $10,533.14 $33,730.00 $16,378.24 2026-04-01
101 MS_DRG Seizures Without Mcc 14 9 $47,055.35 $47,055.35 $10,533.14 $33,730.00 $16,378.24 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 14 9 $159,062.06 $159,062.06 $10,533.14 $33,730.00 $16,378.24 2026-04-01
206 MS_DRG Other Respiratory System Diagnoses Without Mcc 14 9 $34,562.04 $34,562.04 $10,533.14 $33,730.00 $16,378.24 2026-04-01
192 MS_DRG Chronic Obstructive Pulmonary Disease Without Cc/mcc 14 9 $24,492.11 $24,492.11 $10,533.14 $33,730.00 $16,378.24 2026-04-01
337 MS_DRG Peritoneal Adhesiolysis Without Cc/mcc 14 9 $79,854.36 $79,854.36 $10,533.14 $33,730.00 $16,378.24 2026-04-01
183 MS_DRG Major Chest Trauma With Mcc 14 9 $75,560.15 $75,560.15 $10,533.14 $33,730.00 $16,378.24 2026-04-01
304 MS_DRG Hypertension With Mcc 14 9 $66,509.98 $66,509.98 $10,533.14 $33,730.00 $16,378.24 2026-04-01
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 14 9 $85,383.22 $85,383.22 $10,533.14 $33,730.00 $16,378.24 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 14 9 $130,101.49 $130,101.49 $10,533.14 $33,730.00 $16,378.24 2026-04-01
444 MS_DRG Disorders Of The Biliary Tract With Mcc 14 9 $102,076.59 $102,076.59 $10,533.14 $33,730.00 $16,378.24 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 14 9 $147,314.12 $147,314.12 $10,533.14 $33,730.00 $16,378.24 2026-04-01
113 MS_DRG Orbital Procedures With Cc/mcc 14 9 $41,166.80 $41,166.80 $10,533.14 $33,730.00 $16,378.24 2026-04-01
305 MS_DRG Hypertension Without Mcc 14 9 $46,416.85 $46,416.85 $10,533.14 $33,730.00 $16,378.24 2026-04-01
151 MS_DRG Epistaxis Without Mcc 14 9 $39,011.61 $39,011.61 $10,533.14 $33,730.00 $16,378.24 2026-04-01
369 MS_DRG Major Esophageal Disorders With Cc 14 9 $47,853.64 $47,853.64 $10,533.14 $33,730.00 $16,378.24 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 14 9 $138,339.69 $138,339.69 $10,533.14 $33,730.00 $16,378.24 2026-04-01
148 MS_DRG Ear, Nose, Mouth And Throat Malignancy Without Cc/mcc 14 9 $53,001.57 $53,001.57 $10,533.14 $33,730.00 $16,378.24 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 14 9 $274,218.67 $274,218.67 $10,533.14 $33,730.00 $16,378.24 2026-04-01
303 MS_DRG Atherosclerosis Without Mcc 14 9 $33,039.48 $33,039.48 $10,533.14 $33,730.00 $16,378.24 2026-04-01
153 MS_DRG Otitis Media And Uri Without Mcc 14 9 $32,995.71 $32,995.71 $10,533.14 $33,730.00 $16,378.24 2026-04-01
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 14 9 $115,114.27 $115,114.27 $10,533.14 $33,730.00 $16,378.24 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 14 9 $180,888.79 $180,888.79 $10,533.14 $33,730.00 $16,378.24 2026-04-01
186 MS_DRG Pleural Effusion With Mcc 14 9 $74,578.46 $74,578.46 $10,533.14 $33,730.00 $16,378.24 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 14 9 $145,592.02 $145,592.02 $10,533.14 $33,730.00 $16,378.24 2026-04-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 14 9 $137,321.36 $137,321.36 $10,533.14 $33,730.00 $16,378.24 2026-04-01
352 MS_DRG Inguinal And Femoral Hernia Procedures Without Cc/mcc 14 9 $74,731.23 $74,731.23 $10,533.14 $33,730.00 $16,378.24 2026-04-01
156 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses Without Cc/mcc 14 9 $33,409.19 $33,409.19 $10,533.14 $33,730.00 $16,378.24 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 14 9 $196,450.61 $196,450.61 $10,533.14 $33,730.00 $16,378.24 2026-04-01
351 MS_DRG Inguinal And Femoral Hernia Procedures With Cc 14 9 $86,566.80 $86,566.80 $10,533.14 $33,730.00 $16,378.24 2026-04-01
137 MS_DRG Mouth Procedures With Cc/mcc 14 9 $57,581.61 $57,581.61 $10,533.14 $33,730.00 $16,378.24 2026-04-01
355 MS_DRG Hernia Procedures Except Inguinal And Femoral Without Cc/mcc 14 9 $72,285.42 $72,285.42 $10,533.14 $33,730.00 $16,378.24 2026-04-01
410 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 14 9 $82,989.03 $82,989.03 $10,533.14 $33,730.00 $16,378.24 2026-04-01
307 MS_DRG Cardiac Congenital And Valvular Disorders Without Mcc 14 9 $36,738.72 $36,738.72 $10,533.14 $33,730.00 $16,378.24 2026-04-01
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