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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

11,573 distinct procedures filed
26 distinct payers
250,011 rate rows
2026-04-01 last MRF observed
Data quality

74,217 of 250,011 rate rows are consumer-grade (29.7%)

175,794 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 174,086
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
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://www.nuvancehealth.org/sites/default/files/PDF%20Files/Billing%20and%20insurance/Standard%20Charge%20File/January2025/060646597_danbury-hospital_standardcharges.csv
Found on page https://www.nuvancehealth.org/patients-and-visitors/billing-and-insurance/price-transparency-and-cost-estimator-tools
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint 9bce9c84aa20d96f… · 4,400,585 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
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 11 $10,533.14 $305,672.64 $305,672.64 nat. median
$202,986
1.5× median
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 19 $10,533.14 $212,966.46 $166,746.33 nat. median
$48,170
outlier · 3.5×
224
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 2 $148,310.37 $148,310.37 $148,310.37 nat. median
$54,196
outlier · 2.7×
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 2 $127,121.60 $127,121.60 $127,121.60 nat. median
$87,411
1.5× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 14 $10,533.14 $186,204.00 $120,696.95 nat. median
$74,915
1.6× median
223
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 2 $113,255.24 $113,255.24 $113,255.24 nat. median
$44,728
outlier · 2.5×
267
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 13 $10,533.14 $193,527.00 $91,789.18 nat. median
$47,651
1.9× median
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 15 $10,533.14 $87,317.67 $87,317.67 nat. median
$57,424
1.5× median
220
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 14 $10,533.14 $111,291.00 $85,377.62 nat. median
$52,879
1.6× median
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 4 $81,151.18 $81,151.18 $81,151.18 nat. median
$65,381
1.2× median
982
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 3 $79,420.51 $79,420.51 $79,420.51 nat. median
$24,493
outlier · 3.2×
222
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 3 $74,544.65 $74,544.65 $74,544.65 nat. median
$63,570
1.2× median
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 16 $10,533.14 $120,557.00 $74,322.29 nat. median
$44,810
1.7× median
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 7 $70,524.74 $70,524.74 $70,524.74 nat. median
$62,270
1.1× median
236
MS_DRG 		Coronary Bypass Without Cardiac Catheterization Without Mcc 14 $10,533.14 $92,277.00 $68,662.05 nat. median
$42,002
1.6× median
2616
OTHER 		Brachytx, Non-str,yttrium-90 1 $66,276.12 $66,276.12 $66,276.12 nat. median
$17,692
outlier · 3.7×
460
MS_DRG 		Spinal Fusion Except Cervical Without Mcc 6 $63,722.25 $63,722.25 $63,722.25 nat. median
$39,075
1.6× median
907
MS_DRG 		Other O.r. Procedures For Injuries With Mcc 14 $10,533.14 $90,824.58 $63,037.08 nat. median
$38,112
1.7× median
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 16 $10,533.14 $140,757.00 $62,400.53 nat. median
$55,929
1.1× median
227
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 3 $60,406.50 $60,406.50 $60,406.50 nat. median
$39,020
1.5× median
226
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 1 $59,039.35 $59,039.35 $59,039.35 nat. median
$49,935
1.2× median
884
MS_DRG 		Organic Disturbances And Intellectual Disability 9 $1,138.23 $58,460.00 $58,460.00 nat. median
$14,856
outlier · 3.9×
455
MS_DRG 		Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 7 $57,768.18 $57,768.18 $57,768.18 nat. median
$48,483
1.2× median
5465
OTHER 		Level 5 Neurostimulator And Related Procedures 4 $56,612.79 $56,612.79 $56,612.79 nat. median
$31,444
1.8× median
987
MS_DRG 		Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 4 $55,298.97 $55,298.97 $55,298.97 nat. median
$33,847
1.6× median
5094
OTHER 		Level 4 Breast/Lymphatic Surgery And Related Procedures 5 $53,703.68 $53,703.68 $53,703.68 nat. median
$16,303
outlier · 3.3×
270
MS_DRG 		Other Major Cardiovascular Procedures With Mcc 13 $10,533.14 $72,765.04 $53,247.52 nat. median
$51,307
1.0× median
467
MS_DRG 		Revision Of Hip Or Knee Replacement With Cc 14 $10,533.14 $87,787.00 $52,092.32 nat. median
$34,721
1.5× median
252
MS_DRG 		Other Vascular Procedures With Mcc 14 $10,533.14 $51,540.46 $51,540.46 nat. median
$34,043
1.5× median
882
MS_DRG 		Neuroses Except Depressive 10 $1,138.23 $51,535.86 $51,535.86 nat. median
$9,793
outlier · 5.3×
949
MS_DRG 		Aftercare With Cc/mcc 14 $10,533.14 $49,994.81 $49,994.81 nat. median
$12,475
outlier · 4.0×
5232
OTHER 		Level 2 Icd And Similar Procedures 6 $49,897.40 $49,897.40 $49,897.40 nat. median
$32,531
1.5× median
299
MS_DRG 		Peripheral Vascular Disorders With Mcc 15 $10,533.14 $51,849.95 $49,259.47 nat. median
$16,473
outlier · 3.0×
246
MS_DRG 		Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 5 $48,965.08 $48,965.08 $48,965.08 nat. median
$26,892
1.8× median
56
MS_DRG 		Degenerative Nervous System Disorders With Mcc 11 $1,138.23 $48,655.61 $48,655.61 nat. median
$22,354
outlier · 2.2×
472
MS_DRG 		Cervical Spinal Fusion With Cc 14 $10,533.14 $61,955.00 $47,545.10 nat. median
$29,860
1.6× median
321
MS_DRG 		Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 14 $10,533.14 $75,594.00 $47,254.14 nat. median
$28,170
1.7× median
468
MS_DRG 		Revision Of Hip Or Knee Replacement Without Cc/mcc 14 $10,533.14 $61,493.00 $44,884.01 nat. median
$27,218
1.6× median
480
MS_DRG 		Hip And Femur Procedures Except Major Joint With Mcc 16 $10,533.14 $78,664.00 $44,503.81 nat. median
$29,218
1.5× median
469
MS_DRG 		Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 13 $10,533.14 $59,661.00 $44,308.31 nat. median
$31,075
1.4× median
5116
OTHER 		Level 6 Musculoskeletal Procedures 5 $44,233.33 $44,233.33 $44,233.33 nat. median
$18,574
outlier · 2.4×
57
MS_DRG 		Degenerative Nervous System Disorders Without Mcc 15 $1,138.23 $44,160.75 $44,160.75 nat. median
$13,201
outlier · 3.3×
5224
OTHER 		Level 4 Pacemaker And Similar Procedures 2 $43,276.95 $43,276.95 $43,276.95 nat. median
$19,497
outlier · 2.2×
9287
OTHER 		Brentuximab Vedotin Inj 3 $43,105.50 $43,105.50 $43,105.50 nat. median
$268
outlier · 160.6×
330
MS_DRG 		Major Small And Large Bowel Procedures With Cc 15 $10,533.14 $83,754.00 $42,726.75 nat. median
$24,346
1.8× median
438
MS_DRG 		Disorders Of Pancreas Except Malignancy With Mcc 15 $10,533.14 $43,598.00 $42,336.56 nat. median
$16,973
outlier · 2.5×
9284
OTHER 		Ipilimumab Injection 2 $42,188.07 $42,188.07 $42,188.07 nat. median
$188
outlier · 225.0×
164
MS_DRG 		Major Chest Procedures With Cc 13 $10,533.14 $54,391.00 $40,067.29 nat. median
$25,707
1.6× median
9302
OTHER 		Inj Daunorubicin, Cytarabine 1 $39,019.99 $39,019.99 $39,019.99 nat. median
$266
outlier · 146.9×
417
MS_DRG 		Laparoscopic Cholecystectomy Without C.d.e. With Mcc 15 $10,533.14 $38,180.38 $38,180.38 nat. median
$23,832
1.6× median

Other procedures at this hospital

Browse this hospital's 11,573 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
             
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 20 11 $1,134,439.03 $1,134,439.03 $10,533.14 $458,930.00 $28,885.00 2026-04-01
100 MS_DRG Seizures With Mcc 30 15 $130,666.02 $130,666.02 $10,533.14 $33,730.00 $27,096.60 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 16 10 $274,218.67 $274,218.67 $10,533.14 $205,595.58 $24,813.00 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 16 10 $216,772.64 $216,772.64 $10,533.14 $90,395.37 $24,813.00 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 18 10 $176,353.89 $176,353.89 $10,533.14 $87,196.00 $28,218.00 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
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 17 10 $182,566.25 $182,566.25 $10,533.14 $263,714.26 $27,666.00 2026-04-01
150 MS_DRG Epistaxis With Mcc 16 10 $59,956.34 $59,956.34 $10,533.14 $33,730.00 $24,813.00 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 22 12 $159,682.89 $159,682.89 $10,533.14 $98,765.85 $29,140.00 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 28 13 $89,119.14 $89,119.14 $10,533.14 $54,391.00 $40,067.29 2026-04-01
165 MS_DRG Major Chest Procedures Without Cc/mcc 22 12 $61,763.69 $61,763.69 $10,533.14 $53,154.00 $29,140.00 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 26 12 $195,236.83 $195,236.83 $10,533.14 $140,979.00 $32,465.00 2026-04-01
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 22 12 $74,854.67 $74,854.67 $10,533.14 $48,188.00 $25,749.74 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
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 27 12 $391,453.80 $391,453.80 $10,533.14 $299,040.56 $33,730.00 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 20 12 $303,961.58 $303,961.58 $10,533.14 $101,312.68 $28,885.00 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 28 15 $115,275.80 $115,275.80 $10,533.14 $41,356.50 $37,543.25 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
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 16 10 $100,159.14 $100,159.14 $10,533.14 $196,835.13 $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
215 MS_DRG Other Heart Assist System Implant 18 10 $268,111.32 $268,111.32 $10,533.14 $297,757.00 $28,218.00 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 20 11 $345,247.81 $345,247.81 $10,533.14 $152,235.29 $28,885.00 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 10 $203,285.13 $203,285.13 $10,533.14 $143,774.92 $24,813.00 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 32 14 $203,843.22 $203,843.22 $10,533.14 $186,204.00 $120,696.95 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 31 14 $140,379.76 $140,379.76 $10,533.14 $111,291.00 $85,377.62 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
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 6 3 — — $74,544.65 $74,544.65 $74,544.65 2025-01-01
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 4 2 — — $113,255.24 $113,255.24 $113,255.24 2025-01-01
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 4 2 — — $148,310.37 $148,310.37 $148,310.37 2025-01-01
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 2 1 — — $59,039.35 $59,039.35 $59,039.35 2025-01-01
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 6 3 — — $60,406.50 $60,406.50 $60,406.50 2025-01-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 18 11 $172,948.08 $172,948.08 $10,533.14 $45,539.68 $28,218.00 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
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 32 16 $249,667.29 $249,667.29 $10,533.14 $140,757.00 $62,400.53 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 16 9 $290,975.89 $290,975.89 $10,533.14 $171,794.00 $24,813.00 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 24 14 $267,406.67 $267,406.67 $10,533.14 $127,586.54 $30,240.00 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
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 30 15 $143,853.35 $143,853.35 $10,533.14 $87,317.67 $87,317.67 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 32 14 $120,473.21 $120,473.21 $10,533.14 $92,277.00 $68,662.05 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 18 11 $200,110.96 $200,110.96 $10,533.14 $71,143.04 $28,218.00 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 24 13 $112,130.28 $112,130.28 $10,533.14 $101,409.00 $30,240.00 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 26 14 $129,088.14 $129,088.14 $10,533.14 $52,380.35 $32,465.00 2026-04-01
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 28 12 $81,657.13 $81,657.13 $10,533.14 $66,274.00 $30,835.26 2026-04-01
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/mcc 24 13 $72,342.95 $72,342.95 $10,533.14 $34,371.87 $30,240.00 2026-04-01
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 16 5 — — $48,965.08 $48,965.08 $48,965.08 2025-01-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 17 9 $217,556.65 $217,556.65 $10,533.14 $141,816.24 $27,666.00 2026-04-01
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 18 10 $119,060.05 $119,060.05 $10,533.14 $60,206.20 $28,218.00 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
252 MS_DRG Other Vascular Procedures With Mcc 30 14 $147,314.12 $147,314.12 $10,533.14 $51,540.46 $51,540.46 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 24 14 $109,844.65 $109,844.65 $10,533.14 $71,321.05 $30,240.00 2026-04-01
254 MS_DRG Other Vascular Procedures Without Cc/mcc 22 12 $64,438.48 $64,438.48 $10,533.14 $33,730.00 $27,067.06 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 16 10 $86,554.12 $86,554.12 $10,533.14 $62,203.88 $24,813.00 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 22 12 $102,846.54 $102,846.54 $10,533.14 $92,918.00 $29,140.00 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 20 12 $170,528.57 $170,528.57 $10,533.14 $73,958.20 $28,885.00 2026-04-01
261 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Cc 20 11 $95,064.02 $95,064.02 $10,533.14 $33,730.00 $28,885.00 2026-04-01
2616 OTHER Brachytx, Non-str,yttrium-90 2 1 — — $66,276.12 $66,276.12 $66,276.12 2025-01-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 26 14 $180,998.99 $180,998.99 $10,533.14 $243,691.00 $30,380.54 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 30 13 $119,725.96 $119,725.96 $10,533.14 $193,527.00 $91,789.18 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 20 12 $241,921.61 $241,921.61 $10,533.14 $122,662.23 $28,885.00 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 24 14 $118,079.88 $118,079.88 $10,533.14 $69,674.10 $30,240.00 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 24 12 $77,305.96 $77,305.96 $10,533.14 $78,195.00 $30,240.00 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 28 13 $196,450.61 $196,450.61 $10,533.14 $72,765.04 $53,247.52 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 24 13 $84,625.63 $84,625.63 $10,533.14 $35,369.25 $30,240.00 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 20 12 $128,961.93 $128,961.93 $10,533.14 $62,485.89 $28,885.00 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 26 13 $80,241.78 $80,241.78 $10,533.14 $53,571.21 $32,465.00 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 20 11 $283,215.35 $283,215.35 $10,533.14 $182,077.00 $28,885.00 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 18 10 $210,260.77 $210,260.77 $10,533.14 $159,478.00 $28,218.00 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 17 9 $167,895.46 $167,895.46 $10,533.14 $150,299.00 $27,666.00 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 16 10 $254,165.79 $254,165.79 $10,533.14 $58,103.80 $24,813.00 2026-04-01
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 41 17 $104,901.99 $104,901.99 $10,533.14 $60,082.24 $25,315.27 2026-04-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 38 16 $130,311.66 $130,311.66 $10,533.14 $68,839.00 $35,147.54 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 16 10 $146,459.28 $146,459.28 $10,533.14 $75,242.48 $24,813.00 2026-04-01
299 MS_DRG Peripheral Vascular Disorders With Mcc 32 15 $74,469.56 $74,469.56 $10,533.14 $51,849.95 $49,259.47 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 15 11 $829,941.78 $829,941.78 $10,533.14 $305,672.64 $305,672.64 2026-04-01
306 MS_DRG Cardiac Congenital And Valvular Disorders With Mcc 22 12 $66,019.40 $66,019.40 $10,533.14 $33,730.00 $28,461.62 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 18 11 $284,011.57 $284,011.57 $10,533.14 $52,002.03 $28,218.00 2026-04-01
314 MS_DRG Other Circulatory System Diagnoses With Mcc 32 15 $97,665.47 $97,665.47 $10,533.14 $99,882.00 $24,289.85 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
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
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 30 14 $127,520.74 $127,520.74 $10,533.14 $75,594.00 $47,254.14 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
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
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
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 26 14 $178,179.11 $178,179.11 $10,533.14 $208,451.00 $32,465.00 2026-04-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 24 13 $109,563.07 $109,563.07 $10,533.14 $101,154.00 $30,240.00 2026-04-01
328 MS_DRG Stomach, Esophageal And Duodenal Procedures Without Cc/mcc 28 13 $69,759.06 $69,759.06 $10,533.14 $47,688.00 $25,996.98 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 40 16 $188,490.27 $188,490.27 $10,533.14 $120,557.00 $74,322.29 2026-04-01
33 MS_DRG Ventricular Shunt Procedures Without Cc/mcc 16 10 $55,423.81 $55,423.81 $10,533.14 $53,159.59 $24,813.00 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 38 15 $84,680.14 $84,680.14 $10,533.14 $83,754.00 $42,726.75 2026-04-01
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/mcc 34 14 $60,691.42 $60,691.42 $10,533.14 $40,871.00 $28,393.58 2026-04-01
334 MS_DRG Rectal Resection Without Cc/mcc 16 10 $55,906.26 $55,906.26 $10,533.14 $36,341.07 $24,813.00 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 20 12 $180,888.79 $180,888.79 $10,533.14 $51,344.13 $28,885.00 2026-04-01
336 MS_DRG Peritoneal Adhesiolysis With Cc 26 14 $104,474.82 $104,474.82 $10,533.14 $33,730.00 $31,839.04 2026-04-01
337 MS_DRG Peritoneal Adhesiolysis Without Cc/mcc 20 12 $79,854.36 $79,854.36 $10,533.14 $35,871.25 $28,885.00 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 16 10 $145,592.02 $145,592.02 $10,533.14 $40,866.15 $24,813.00 2026-04-01
340 MS_DRG Appendectomy With Complicated Principal Diagnosis Without Cc/Mcc 8 4 — — $27,348.92 $27,348.92 $27,348.92 2025-01-01
35 MS_DRG Carotid Artery Stent Procedures With Cc 20 12 $85,902.58 $85,902.58 $10,533.14 $35,943.42 $28,885.00 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 18 11 $132,669.41 $132,669.41 $10,533.14 $33,730.00 $27,557.16 2026-04-01
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 24 13 $85,383.22 $85,383.22 $10,533.14 $33,730.00 $27,037.40 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 24 13 $172,607.50 $172,607.50 $10,533.14 $68,437.65 $30,240.00 2026-04-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 20 12 $108,791.74 $108,791.74 $10,533.14 $37,036.40 $28,885.00 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
36 MS_DRG Carotid Artery Stent Procedures Without Cc/mcc 22 13 $58,289.85 $58,289.85 $10,533.14 $33,730.00 $29,140.00 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
368 MS_DRG Major Esophageal Disorders With Mcc 18 11 $124,899.45 $124,899.45 $10,533.14 $33,730.00 $26,394.60 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 18 11 $138,339.69 $138,339.69 $10,533.14 $33,730.00 $28,218.00 2026-04-01
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 20 11 $115,114.27 $115,114.27 $10,533.14 $33,730.00 $28,111.78 2026-04-01
374 MS_DRG Digestive Malignancy With Mcc 24 14 $101,207.26 $101,207.26 $10,533.14 $33,730.00 $28,187.45 2026-04-01
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 32 15 $93,989.59 $93,989.59 $10,533.14 $57,416.00 $25,611.62 2026-04-01
38 MS_DRG Extracranial Procedures With Cc 18 10 $79,696.90 $79,696.90 $10,533.14 $33,730.00 $24,851.74 2026-04-01
393 MS_DRG Other Digestive System Diagnoses With Mcc 32 14 $79,451.80 $79,451.80 $10,533.14 $41,012.00 $24,762.60 2026-04-01
398 MS_DRG Appendix Procedures With Cc 16 10 $82,931.91 $82,931.91 $10,533.14 $33,730.00 $24,813.00 2026-04-01
399 MS_DRG Appendix Procedures Without Cc/mcc 18 11 $63,379.76 $63,379.76 $10,533.14 $33,730.00 $28,218.00 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 20 12 $159,062.06 $159,062.06 $10,533.14 $57,936.68 $28,885.00 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 17 9 $94,989.75 $94,989.75 $10,533.14 $131,910.00 $27,666.00 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 22 13 $206,345.68 $206,345.68 $10,533.14 $80,282.60 $29,140.00 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 22 12 $130,101.49 $130,101.49 $10,533.14 $86,323.01 $29,140.00 2026-04-01
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/mcc 18 11 $117,858.99 $117,858.99 $10,533.14 $33,730.00 $25,610.93 2026-04-01
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 24 12 $81,291.45 $81,291.45 $10,533.14 $39,046.18 $30,240.00 2026-04-01
410 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 16 10 $82,989.03 $82,989.03 $10,533.14 $34,296.94 $24,813.00 2026-04-01
415 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 18 11 $108,026.96 $108,026.96 $10,533.14 $33,730.00 $28,218.00 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 34 15 $104,770.13 $104,770.13 $10,533.14 $38,180.38 $38,180.38 2026-04-01
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 38 17 $81,876.56 $81,876.56 $10,533.14 $42,071.00 $26,133.93 2026-04-01
42 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/mcc 18 11 $67,892.27 $67,892.27 $10,533.14 $46,642.19 $28,218.00 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 16 10 $146,414.64 $146,414.64 $10,533.14 $36,407.07 $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
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
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
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
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
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 26 14 $123,055.90 $123,055.90 $10,533.14 $33,730.00 $26,762.69 2026-04-01
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Mcc 30 14 $108,700.26 $108,700.26 $10,533.14 $33,730.00 $28,652.39 2026-04-01
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 32 15 $103,052.16 $103,052.16 $10,533.14 $43,598.00 $42,336.56 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 16 9 $254,635.76 $254,635.76 $10,533.14 $130,795.00 $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
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
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
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 4 2 — — $127,121.60 $127,121.60 $127,121.60 2025-01-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 22 7 — — $70,524.74 $70,524.74 $70,524.74 2025-01-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 20 7 — — $57,768.18 $57,768.18 $57,768.18 2025-01-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 18 10 $382,070.50 $382,070.50 $10,533.14 $165,403.00 $28,218.00 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 22 12 $196,070.19 $196,070.19 $10,533.14 $124,935.00 $29,140.00 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 26 13 $122,427.95 $122,427.95 $10,533.14 $96,375.00 $32,465.00 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 8 4 — — $81,151.18 $81,151.18 $81,151.18 2025-01-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 22 6 — — $63,722.25 $63,722.25 $63,722.25 2025-01-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 20 11 $221,298.13 $221,298.13 $10,533.14 $87,105.73 $28,885.00 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 18 11 $268,653.28 $268,653.28 $10,533.14 $57,103.58 $28,218.00 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 24 12 $172,250.76 $172,250.76 $10,533.14 $68,726.00 $30,240.00 2026-04-01
465 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 18 10 $70,916.85 $70,916.85 $10,533.14 $43,575.00 $28,218.00 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 20 11 $218,742.92 $218,742.92 $10,533.14 $98,991.00 $28,885.00 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 30 14 $84,554.50 $84,554.50 $10,533.14 $87,787.00 $52,092.32 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 30 14 $65,821.01 $65,821.01 $10,533.14 $61,493.00 $44,884.01 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 28 13 $97,494.14 $97,494.14 $10,533.14 $59,661.00 $44,308.31 2026-04-01
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 34 16 $52,434.58 $52,434.58 $10,533.14 $36,714.00 $33,113.71 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 24 11 $179,732.73 $179,732.73 $10,533.14 $74,106.51 $30,240.00 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 34 14 $99,980.40 $99,980.40 $10,533.14 $61,955.00 $47,545.10 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 26 12 $69,380.38 $69,380.38 $10,533.14 $53,509.00 $32,465.00 2026-04-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 24 12 $123,157.07 $123,157.07 $10,533.14 $37,771.28 $30,240.00 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 32 16 $127,314.65 $127,314.65 $10,533.14 $78,664.00 $44,503.81 2026-04-01
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 38 17 $80,335.90 $80,335.90 $10,533.14 $54,502.00 $30,513.10 2026-04-01
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/mcc 26 13 $59,721.77 $59,721.77 $10,533.14 $42,833.00 $25,347.92 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 22 12 $66,887.71 $66,887.71 $10,533.14 $65,709.00 $29,140.00 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 18 11 $256,288.40 $256,288.40 $10,533.14 $33,730.00 $27,801.39 2026-04-01
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 18 10 $91,969.93 $91,969.93 $10,533.14 $33,730.00 $28,218.00 2026-04-01
488 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection With Cc/mcc 20 12 $107,084.62 $107,084.62 $10,533.14 $42,364.46 $28,885.00 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
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 31 13 $87,624.38 $87,624.38 $10,533.14 $57,632.00 $35,331.24 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 16 10 $138,973.61 $138,973.61 $10,533.14 $37,163.24 $24,813.00 2026-04-01
501 MS_DRG Soft Tissue Procedures With Cc 20 12 $94,782.64 $94,782.64 $10,533.14 $33,730.00 $28,551.08 2026-04-01
505 MS_DRG Foot Procedures Without Cc/mcc 16 10 $45,316.67 $45,316.67 $10,533.14 $33,730.00 $24,813.00 2026-04-01
5094 OTHER Level 4 Breast/Lymphatic Surgery And Related Procedures 12 5 — — $53,703.68 $53,703.68 $53,703.68 2025-01-01
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 20 11 $84,692.47 $84,692.47 $10,533.14 $39,587.97 $28,885.00 2026-04-01
5115 OTHER Level 5 Musculoskeletal Procedures 30 10 — — $32,551.01 $32,551.01 $32,551.01 2025-01-01
5116 OTHER Level 6 Musculoskeletal Procedures 16 5 — — $44,233.33 $44,233.33 $44,233.33 2025-01-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 16 10 $134,767.68 $134,767.68 $10,533.14 $33,730.00 $24,813.00 2026-04-01
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 20 12 $78,937.29 $78,937.29 $10,533.14 $37,911.95 $28,885.00 2026-04-01
517 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures Without Cc/mc… 16 10 $56,544.78 $56,544.78 $10,533.14 $33,730.00 $24,750.04 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 17 10 $149,635.25 $149,635.25 $10,533.14 $56,430.86 $27,666.00 2026-04-01
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 24 13 $96,804.30 $96,804.30 $10,533.14 $33,730.00 $30,032.99 2026-04-01
5193 OTHER Level 3 Endovascular Procedures 22 7 — — $26,097.60 $26,097.60 $26,097.60 2025-01-01
5194 OTHER Level 4 Endovascular Procedures 14 4 — — $28,183.08 $28,183.08 $28,183.08 2025-01-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 26 14 $145,839.56 $145,839.56 $10,533.14 $81,383.00 $32,465.00 2026-04-01
5212 OTHER Level 2 Electrophysiologic Procedures 10 4 — — $24,441.74 $24,441.74 $24,441.74 2025-01-01
5213 OTHER Level 3 Electrophysiologic Procedures 26 9 — — $36,315.75 $36,315.75 $36,315.75 2025-01-01
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 30 15 $77,529.07 $77,529.07 $10,533.14 $47,358.00 $34,358.04 2026-04-01
5224 OTHER Level 4 Pacemaker And Similar Procedures 4 2 — — $43,276.95 $43,276.95 $43,276.95 2025-01-01
5232 OTHER Level 2 Icd And Similar Procedures 14 6 — — $49,897.40 $49,897.40 $49,897.40 2025-01-01
5362 OTHER Level 2 Laparoscopy And Related Services 30 9 — — $25,677.85 $25,677.85 $25,677.85 2025-01-01
5376 OTHER Level 6 Urology And Related Services 12 5 — — $28,446.62 $28,446.62 $28,446.62 2025-01-01
5378 OTHER Level 8 Urology And Related Services 6 3 — — $25,689.08 $25,689.08 $25,689.08 2025-01-01
542 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 22 13 $107,922.15 $107,922.15 $10,533.14 $33,730.00 $28,500.88 2026-04-01
5432 OTHER Level 2 Nerve Procedures 2 1 — — $27,619.86 $27,619.86 $27,619.86 2025-01-01
545 MS_DRG Connective Tissue Disorders With Mcc 20 11 $153,339.79 $153,339.79 $10,533.14 $42,356.82 $28,885.00 2026-04-01
5464 OTHER Level 4 Neurostimulator And Related Procedures 12 4 — — $28,754.33 $28,754.33 $28,754.33 2025-01-01
5465 OTHER Level 5 Neurostimulator And Related Procedures 10 4 — — $56,612.79 $56,612.79 $56,612.79 2025-01-01
551 MS_DRG Medical Back Problems With Mcc 24 13 $83,472.73 $83,472.73 $10,533.14 $33,730.00 $27,120.47 2026-04-01
553 MS_DRG Bone Diseases And Arthropathies With Mcc 16 10 $68,925.21 $68,925.21 $10,533.14 $33,730.00 $24,813.00 2026-04-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 20 11 $118,322.42 $118,322.42 $1,138.23 $48,655.61 $48,655.61 2026-04-01
560 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Cc 28 15 $88,292.74 $88,292.74 $10,533.14 $34,762.13 $34,246.07 2026-04-01
561 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue Without Cc/mcc 24 14 $62,025.14 $62,025.14 $10,533.14 $33,730.00 $30,240.00 2026-04-01
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 36 15 $92,581.84 $92,581.84 $1,138.23 $44,160.75 $44,160.75 2026-04-01
570 MS_DRG Skin Debridement With Mcc 16 10 $110,910.77 $110,910.77 $10,533.14 $59,516.30 $24,813.00 2026-04-01
571 MS_DRG Skin Debridement With Cc 22 12 $81,045.84 $81,045.84 $10,533.14 $33,730.00 $26,751.13 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
582 MS_DRG Mastectomy For Malignancy With Cc/mcc 18 11 $49,531.51 $49,531.51 $10,533.14 $80,000.00 $32,465.00 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
606 MS_DRG Minor Skin Disorders With Mcc 18 11 $65,649.78 $65,649.78 $10,533.14 $33,730.00 $26,768.53 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 20 12 $128,542.83 $128,542.83 $10,533.14 $33,730.00 $26,442.53 2026-04-01
614 MS_DRG Adrenal And Pituitary Procedures With Cc/mcc 23 12 $133,238.47 $133,238.47 $10,533.14 $80,386.54 $29,280.00 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 20 11 $163,540.34 $163,540.34 $10,533.14 $61,575.40 $28,885.00 2026-04-01
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 28 15 $86,645.37 $86,645.37 $10,533.14 $33,730.00 $31,153.26 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 20 11 $65,142.41 $65,142.41 $10,533.14 $64,176.54 $24,945.00 2026-04-01
62 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 26 14 $81,926.29 $81,926.29 $10,533.14 $38,197.17 $32,465.00 2026-04-01
620 MS_DRG O.r. Procedures For Obesity With Cc 20 11 $48,560.70 $48,560.70 $10,533.14 $38,687.03 $24,945.00 2026-04-01
621 MS_DRG O.r. Procedures For Obesity Without Cc/mcc 30 13 $42,071.10 $42,071.10 $10,533.14 $33,730.00 $26,496.52 2026-04-01
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 17 10 $90,758.28 $90,758.28 $10,533.14 $38,795.49 $25,742.82 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 20 12 $146,440.53 $146,440.53 $10,533.14 $33,730.00 $28,885.00 2026-04-01
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 21 12 $102,563.45 $102,563.45 $10,533.14 $81,734.23 $29,000.00 2026-04-01
63 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 20 11 $58,374.09 $58,374.09 $10,533.14 $36,904.00 $28,885.00 2026-04-01
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 44 17 $108,654.76 $108,654.76 $10,533.14 $51,630.00 $28,170.00 2026-04-01
643 MS_DRG Endocrine Disorders With Mcc 30 14 $89,499.12 $89,499.12 $10,533.14 $33,730.00 $25,433.58 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 18 11 $155,972.84 $155,972.84 $10,533.14 $48,753.23 $28,218.00 2026-04-01
657 MS_DRG Kidney And Ureter Procedures For Neoplasm With Cc 20 12 $88,822.27 $88,822.27 $10,533.14 $57,514.22 $28,885.00 2026-04-01
658 MS_DRG Kidney And Ureter Procedures For Neoplasm Without Cc/mcc 26 15 $62,447.79 $62,447.79 $10,533.14 $33,730.00 $25,294.08 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 24 12 $159,893.89 $159,893.89 $10,533.14 $33,730.00 $26,242.98 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 18 11 $148,368.11 $148,368.11 $10,533.14 $36,887.04 $28,218.00 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 18 11 $141,120.60 $141,120.60 $10,533.14 $33,730.00 $27,216.06 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 26 13 $261,106.98 $261,106.98 $10,533.14 $50,428.94 $32,465.00 2026-04-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 18 10 $95,844.17 $95,844.17 $10,533.14 $38,610.00 $28,218.00 2026-04-01
717 MS_DRG Other Male Reproductive System O.r. Procedures Except Malignancy With Cc/mcc 18 11 $54,240.60 $54,240.60 $10,533.14 $36,518.12 $28,218.00 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 16 10 $206,958.50 $206,958.50 $10,533.14 $86,165.57 $24,813.00 2026-04-01
737 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 24 12 $121,036.08 $121,036.08 $10,533.14 $33,730.00 $30,240.00 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 18 10 $114,980.41 $114,980.41 $10,533.14 $55,451.52 $28,218.00 2026-04-01
740 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Cc 18 11 $103,578.44 $103,578.44 $10,533.14 $33,730.00 $24,425.92 2026-04-01
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc 31 15 $75,410.68 $75,410.68 $10,533.14 $40,867.68 $29,711.21 2026-04-01
743 MS_DRG Uterine And Adnexa Procedures For Non-malignancy Without Cc/mcc 24 13 $47,788.78 $47,788.78 $10,533.14 $42,922.23 $30,240.00 2026-04-01
744 MS_DRG D&c, Conization, Laparoscopy And Tubal Interruption With Cc/mcc 16 10 $156,141.46 $156,141.46 $10,533.14 $33,730.00 $24,813.00 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 18 11 $181,928.13 $181,928.13 $10,533.14 $33,730.00 $28,218.00 2026-04-01
75 MS_DRG Viral Meningitis With Cc/mcc 20 12 $35,910.10 $35,910.10 $10,533.14 $33,730.00 $25,017.58 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 22 12 $11,314.55 $11,314.55 $10,533.14 $452,107.03 $29,140.00 2026-04-01
791 MS_DRG Prematurity With Major Problems 24 14 $14,055.94 $14,055.94 $10,533.14 $70,932.54 $30,240.00 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 28 14 $11,705.73 $11,705.73 $10,533.14 $33,730.00 $31,557.80 2026-04-01
803 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Cc 16 10 $75,997.96 $75,997.96 $10,533.14 $33,730.00 $24,813.00 2026-04-01
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 22 12 $109,247.22 $109,247.22 $10,533.14 $33,730.00 $25,547.79 2026-04-01
813 MS_DRG Coagulation Disorders 30 15 $79,548.96 $79,548.96 $10,533.14 $33,730.00 $25,007.97 2026-04-01
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 16 10 $98,291.54 $98,291.54 $10,533.14 $33,730.00 $24,312.64 2026-04-01
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 28 14 $130,160.75 $130,160.75 $10,533.14 $37,057.39 $35,393.70 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 16 10 $302,430.63 $302,430.63 $10,533.14 $132,429.46 $24,813.00 2026-04-01
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 18 11 $108,971.50 $108,971.50 $10,533.14 $43,432.17 $28,218.00 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 16 10 $200,218.98 $200,218.98 $10,533.14 $74,372.02 $24,813.00 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 16 10 $201,028.98 $201,028.98 $10,533.14 $118,330.25 $24,813.00 2026-04-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 22 12 $97,457.61 $97,457.61 $10,533.14 $39,100.00 $29,140.00 2026-04-01
828 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 16 10 $59,826.21 $59,826.21 $10,533.14 $38,639.50 $24,813.00 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 16 10 $125,923.68 $125,923.68 $10,533.14 $77,425.90 $24,813.00 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 20 12 $262,527.45 $262,527.45 $10,533.14 $105,393.18 $28,885.00 2026-04-01
835 MS_DRG Acute Leukemia With Cc 22 13 $206,047.83 $206,047.83 $10,533.14 $33,730.00 $29,140.00 2026-04-01
836 MS_DRG Acute Leukemia Without Cc/Mcc 2 1 — — $33,559.45 $33,559.45 $33,559.45 2025-01-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 18 11 $203,609.34 $203,609.34 $10,533.14 $165,740.45 $28,218.00 2026-04-01
838 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Che… 18 11 $87,442.84 $87,442.84 $10,533.14 $37,106.49 $28,218.00 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 18 10 $170,396.16 $170,396.16 $10,533.14 $71,152.79 $28,885.00 2026-04-01
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 24 13 $103,867.06 $103,867.06 $10,533.14 $35,796.46 $30,240.00 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
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 45 19 $295,396.67 $295,396.67 $10,533.14 $212,966.46 $166,746.33 2026-04-01
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 32 14 $95,622.52 $95,622.52 $10,533.14 $56,205.00 $35,230.79 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 22 12 $218,458.62 $218,458.62 $10,533.14 $86,542.00 $29,140.00 2026-04-01
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 24 13 $108,503.09 $108,503.09 $10,533.14 $47,986.00 $30,240.00 2026-04-01
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 30 15 $76,459.16 $76,459.16 $10,533.14 $33,730.00 $32,739.27 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 24 14 $290,724.55 $290,724.55 $10,533.14 $186,431.94 $30,240.00 2026-04-01
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 44 18 $102,687.08 $102,687.08 $10,533.14 $33,730.00 $31,124.31 2026-04-01
882 MS_DRG Neuroses Except Depressive 18 10 $49,818.73 $49,818.73 $1,138.23 $51,535.86 $51,535.86 2026-04-01
884 MS_DRG Organic Disturbances And Intellectual Disability 14 9 $96,937.31 $96,937.31 $1,138.23 $58,460.00 $58,460.00 2026-04-01
896 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 30 13 $78,168.54 $78,168.54 $1,138.23 $28,234.47 $28,234.47 2026-04-01
902 MS_DRG Wound Debridements For Injuries With Cc 16 10 $63,030.86 $63,030.86 $10,533.14 $42,671.49 $24,813.00 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 16 10 $118,381.11 $118,381.11 $10,533.14 $33,730.00 $24,813.00 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 29 14 $168,274.17 $168,274.17 $10,533.14 $90,824.58 $63,037.08 2026-04-01
908 MS_DRG Other O.r. Procedures For Injuries With Cc 22 11 $78,310.14 $78,310.14 $10,533.14 $33,730.00 $29,140.00 2026-04-01
91 MS_DRG Other Disorders Of Nervous System With Mcc 24 14 $99,467.58 $99,467.58 $10,533.14 $36,384.26 $30,240.00 2026-04-01
922 MS_DRG Other Injury, Poisoning And Toxic Effect Diagnoses With Mcc 16 10 $82,285.19 $82,285.19 $10,533.14 $47,755.94 $24,813.00 2026-04-01
9284 OTHER Ipilimumab Injection 4 2 — — $42,188.07 $42,188.07 $42,188.07 2025-01-01
9287 OTHER Brentuximab Vedotin Inj 6 3 — — $43,105.50 $43,105.50 $43,105.50 2025-01-01
92929 CPT Hc Prq Trluml Coronary Stent W/angio Addl Art/brnch 5 4 $14,940.00 $14,940.00 $14,407.00 $36,595.00 $33,624.30 2026-04-01
92934 CPT Hc Prq Trluml Coronary Stent/ath/angio Addl Branch 5 4 $14,940.00 $14,940.00 $14,407.00 $36,595.00 $33,624.30 2026-04-01
93 MS_DRG Other Disorders Of Nervous System Without Cc/mcc 24 13 $37,546.14 $37,546.14 $10,533.14 $33,730.00 $30,240.00 2026-04-01
9302 OTHER Inj Daunorubicin, Cytarabine 2 1 — — $39,019.99 $39,019.99 $39,019.99 2025-01-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 18 11 $355,775.89 $355,775.89 $10,533.14 $75,661.08 $28,218.00 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 16 10 $194,776.60 $194,776.60 $10,533.14 $66,418.42 $24,813.00 2026-04-01
949 MS_DRG Aftercare With Cc/mcc 30 14 $90,889.38 $90,889.38 $10,533.14 $49,994.81 $49,994.81 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 21 12 $103,938.49 $103,938.49 $10,533.14 $117,315.35 $29,000.00 2026-04-01
950 MS_DRG Aftercare Without Cc/mcc 22 12 $71,562.62 $71,562.62 $10,533.14 $33,730.00 $29,140.00 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 20 12 $217,296.98 $217,296.98 $10,533.14 $33,730.00 $28,885.00 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 16 11 $150,851.56 $150,851.56 $10,533.14 $65,324.28 $28,218.00 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 17 10 $76,146.76 $76,146.76 $10,533.14 $77,695.30 $27,666.00 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 20 12 $119,942.54 $119,942.54 $10,533.14 $33,730.00 $25,035.95 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 18 11 $148,156.77 $148,156.77 $10,533.14 $41,594.52 $28,218.00 2026-04-01
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 20 12 $80,141.55 $80,141.55 $10,533.14 $33,730.00 $27,465.02 2026-04-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 8 3 — — $79,420.51 $79,420.51 $79,420.51 2025-01-01
983 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/Mcc 4 2 — — $36,224.14 $36,224.14 $36,224.14 2025-01-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 14 4 — — $55,298.97 $55,298.97 $55,298.97 2025-01-01
99 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis Without Cc/mcc 16 10 $46,334.89 $46,334.89 $10,533.14 $33,730.00 $24,813.00 2026-04-01
J9266 HCPCS Pegaspargase 750 Unit/ml Ij Soln 16 9 $5,214.66 $5,214.66 $11,369.62 $46,899.70 $30,982.22 2026-04-01
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