Price Transparencybeta Hospital negotiated rates

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

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Hospital

DANBURY HOSPITAL

Danbury, CT · CCN 070033 · Rates published

Your selected procedure

You selected 29916 (HCPCS)

Hip arthro w/labral repair

This hospital’s price: $5,090 across 8 payers · range $1,912-$26,065

Source: https://www.northwell.edu/sites/northwell.edu/files/machine-readable-files/060646597_danbury-hospital_standardcharges.zip · observed 2026-04-01

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

16,919 distinct procedures filed
18 distinct payers
320,574 rate rows
2026-04-01 last MRF observed
Data quality

274,351 of 320,574 rate rows are consumer-grade (85.6%)

46,223 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 45,319
placeholder amount (≤ $0.02) — excluded from medians 860
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 22
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 17
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 5
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.northwell.edu/sites/northwell.edu/files/machine-readable-files/060646597_danbury-hospital_standardcharges.zip
Found on page https://www.northwell.edu/hudson-valley-connecticut-billing-insurance/price-transparency-and-cost-estimator-tools
Discovered viaCMS hospital list
Last fetch not_modified · 2026-11-02
Content fingerprint 4f02371c12d8339b… · 2,766,556 bytes · first seen 2026-08-03

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
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 5 $3,685,266.67 $4,526,200.00 $3,758,972.00 nat. median
$3,705,478
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 5 $3,316,462.59 $4,021,120.00 $3,382,791.84 nat. median
$3,324,572
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 4 $3,248,445.72 $3,345,899.09 $3,289,051.29 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 4 $2,945,740.00 $3,034,112.20 $2,982,561.75 nat. median
$2,994,107
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 5 $2,455,110.60 $2,809,397.30 $2,504,212.82 nat. median
$2,467,989
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 4 $2,332,000.00 $2,401,960.00 $2,361,150.00 nat. median
$2,401,965
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 4 $770,620.00 $793,738.60 $780,252.75 nat. median
$813,967
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 5 $591,726.20 $623,508.45 $603,560.73 nat. median
$739,658
0.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 5 $565,868.94 $618,779.02 $577,186.32 nat. median
$646,415
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 5 $562,538.19 $579,414.33 $573,788.95 nat. median
$640,950
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 5 $557,317.93 $591,322.17 $568,464.29 nat. median
$623,527
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 5 $533,230.17 $549,227.08 $543,894.77 nat. median
$608,239
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 5 $489,304.61 $548,316.80 $499,090.70 nat. median
$592,235
0.8× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 11 $281,054.20 $693,871.76 $460,896.32 nat. median
$248,541
1.9× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 10 $432,797.61 $1,069,206.13 $438,207.58 nat. median
$359,244
1.2× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 10 $214,252.23 $528,638.38 $355,973.27 nat. median
$198,115
1.8× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 10 $120,831.16 $300,370.79 $231,224.40 nat. median
$110,084
outlier · 2.1×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 13 $127,036.46 $525,535.95 $218,322.90 nat. median
$190,359
1.1× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 10 $113,963.18 $337,379.56 $218,023.83 nat. median
$103,938
outlier · 2.1×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 11 $115,840.88 $342,960.66 $208,712.50 nat. median
$126,461
1.7× median
7
MS_DRG 		Lung Transplant 10 $130,163.66 $320,646.95 $205,795.67 nat. median
$117,977
1.7× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 6 $84,278.95 $238,704.58 $204,723.83 nat. median
$70,795
outlier · 2.9×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 10 $103,739.77 $257,746.86 $198,374.02 nat. median
$94,943
outlier · 2.1×
215
MS_DRG 		Other Heart Assist System Implant 10 $98,894.99 $323,892.12 $189,183.00 nat. median
$93,787
outlier · 2.0×
222
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 7 $73,892.21 $204,528.52 $178,291.02 nat. median
$47,543
outlier · 3.8×
224
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 7 $130,373.19 $186,619.83 $164,819.71 nat. median
$39,601
outlier · 4.2×
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 5 $108,243.35 $307,905.11 $164,091.43 nat. median
$111,503
1.5× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 10 $84,914.62 $211,106.35 $162,191.28 nat. median
$76,979
outlier · 2.1×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 12 $79,297.90 $492,661.00 $151,395.71 nat. median
$74,298
outlier · 2.0×
226
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 6 $59,039.35 $171,375.46 $147,527.94 nat. median
$38,225
outlier · 3.9×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 12 $72,565.58 $191,973.59 $144,888.95 nat. median
$71,737
outlier · 2.0×
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 11 $74,042.90 $192,891.77 $140,260.78 nat. median
$67,908
outlier · 2.1×
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 7 $19,507.19 $164,215.75 $139,603.21 nat. median
$52,917
outlier · 2.6×
223
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 6 $88,894.95 $159,763.09 $135,388.29 nat. median
$32,619
outlier · 4.2×
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 9 $7,106.56 $159,275.47 $127,088.50 nat. median
$49,522
outlier · 2.6×
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 10 $67,909.31 $166,662.04 $126,733.70 nat. median
$61,660
outlier · 2.1×
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 $64,124.22 $162,804.43 $126,508.77 nat. median
$61,995
outlier · 2.0×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 11 $59,143.17 $229,361.90 $123,426.71 nat. median
$77,487
1.6× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 13 $9,551.87 $193,328.37 $121,830.64 nat. median
$72,247
1.7× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 13 $4,739.41 $306,825.20 $121,535.90 nat. median
$62,577
1.9× median
225
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 5 $98,524.00 $143,757.12 $121,157.68 nat. median
$34,024
outlier · 3.6×
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 11 $11,088.17 $177,596.05 $119,839.84 nat. median
$61,263
2.0× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 $66,349.73 $162,804.43 $119,457.79 nat. median
$59,493
outlier · 2.0×
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 10 $61,217.50 $215,724.58 $118,099.45 nat. median
$57,798
outlier · 2.0×
209
MS_DRG 		Complex Aortic Arch Procedures 10 $113,833.04 $280,253.49 $115,255.96 nat. median
$92,645
1.2× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 12 $51,735.55 $162,635.55 $115,240.31 nat. median
$59,324
1.9× median
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 12 $60,025.29 $791,174.06 $114,773.57 nat. median
$50,808
outlier · 2.3×
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 10 $61,805.10 $151,563.39 $114,413.83 nat. median
$58,234
2.0× median
16
MS_DRG 		Autologous Bone Marrow Transplant With Cc/Mcc 10 $59,887.15 $164,367.82 $114,087.43 nat. median
$53,841
outlier · 2.1×
820
MS_DRG 		Lymphoma And Leukemia With Major O.r. Procedures With Mcc 11 $59,237.49 $145,212.45 $113,834.61 nat. median
$53,768
outlier · 2.1×

Other procedures at this hospital

Browse this hospital's 16,919 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
             
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 5 5 — — $3,685,266.67 $4,526,200.00 $3,758,972.00 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 5 5 — — $3,316,462.59 $4,021,120.00 $3,382,791.84 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 4 4 — — $3,248,445.72 $3,345,899.09 $3,289,051.29 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 4 4 — — $2,945,740.00 $3,034,112.20 $2,982,561.75 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 5 5 — — $2,455,110.60 $2,809,397.30 $2,504,212.82 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 4 4 — — $2,332,000.00 $2,401,960.00 $2,361,150.00 2026-04-01
Q2057 HCPCS Afamitresgene Autoleucel 4 4 — — $770,620.00 $793,738.60 $780,252.75 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 5 5 — — $591,726.20 $623,508.45 $603,560.73 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 5 5 — — $565,868.94 $618,779.02 $577,186.32 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 5 5 — — $562,538.19 $579,414.33 $573,788.95 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 5 5 — — $557,317.93 $591,322.17 $568,464.29 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 5 5 — — $533,230.17 $549,227.08 $543,894.77 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 5 5 — — $489,304.61 $548,316.80 $499,090.70 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 22 11 — — $281,054.20 $693,871.76 $460,896.32 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 14 10 — — $432,797.61 $1,069,206.13 $438,207.58 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 20 10 — — $214,252.23 $528,638.38 $355,973.27 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 20 10 — — $120,831.16 $300,370.79 $231,224.40 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 26 13 — — $127,036.46 $525,535.95 $218,322.90 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 20 10 — — $113,963.18 $337,379.56 $218,023.83 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 25 11 — — $115,840.88 $342,960.66 $208,712.50 2026-04-01
7 MS_DRG Lung Transplant 20 10 — — $130,163.66 $320,646.95 $205,795.67 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 12 6 — — $84,278.95 $238,704.58 $204,723.83 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 20 10 — — $103,739.77 $257,746.86 $198,374.02 2026-04-01
215 MS_DRG Other Heart Assist System Implant 23 10 — — $98,894.99 $323,892.12 $189,183.00 2026-04-01
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 13 7 — — $73,892.21 $204,528.52 $178,291.02 2026-04-01
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 12 7 — — $130,373.19 $186,619.83 $164,819.71 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 8 5 — — $108,243.35 $307,905.11 $164,091.43 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 20 10 — — $84,914.62 $211,106.35 $162,191.28 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 32 12 — — $79,297.90 $492,661.00 $151,395.71 2026-04-01
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 11 6 — — $59,039.35 $171,375.46 $147,527.94 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 30 12 — — $72,565.58 $191,973.59 $144,888.95 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 26 11 — — $74,042.90 $192,891.77 $140,260.78 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 14 7 — — $19,507.19 $164,215.75 $139,603.21 2026-04-01
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 12 6 — — $88,894.95 $159,763.09 $135,388.29 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 21 9 — — $7,106.56 $159,275.47 $127,088.50 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 20 10 — — $67,909.31 $166,662.04 $126,733.70 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 22 11 — — $64,124.22 $162,804.43 $126,508.77 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 22 11 — — $59,143.17 $229,361.90 $123,426.71 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 39 13 — — $9,551.87 $193,328.37 $121,830.64 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 34 13 — — $4,739.41 $306,825.20 $121,535.90 2026-04-01
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 10 5 — — $98,524.00 $143,757.12 $121,157.68 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 21 11 — — $11,088.17 $177,596.05 $119,839.84 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 20 10 — — $66,349.73 $162,804.43 $119,457.79 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 21 10 — — $61,217.50 $215,724.58 $118,099.45 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 14 10 — — $113,833.04 $280,253.49 $115,255.96 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 29 12 — — $51,735.55 $162,635.55 $115,240.31 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 30 12 — — $60,025.29 $791,174.06 $114,773.57 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 20 10 — — $61,805.10 $151,563.39 $114,413.83 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 20 10 — — $59,887.15 $164,367.82 $114,087.43 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 21 11 — — $59,237.49 $145,212.45 $113,834.61 2026-04-01
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 13 6 — — $36,757.23 $133,635.25 $113,616.40 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 20 10 — — $92,896.60 $270,721.54 $112,116.05 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 17 10 — — $47,905.56 $272,884.91 $111,408.28 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 24 12 — — $37,280.36 $179,403.65 $107,330.83 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 20 10 — — $7,131.24 $125,675.00 $106,426.51 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 20 10 — — $56,632.84 $138,769.90 $106,385.52 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 23 12 — — $16,504.25 $141,119.62 $105,419.31 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 22 10 — — $55,126.31 $205,595.58 $103,382.26 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 23 11 — — $53,521.67 $198,707.26 $103,123.22 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 38 13 — — $46,409.94 $148,207.84 $102,603.07 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 27 12 — — $79,522.15 $246,848.32 $101,411.12 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 21 10 — — $31,486.26 $137,966.02 $98,731.60 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 20 10 — — $55,816.01 $136,749.48 $98,585.86 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 22 11 — — $47,355.40 $124,365.47 $98,417.71 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 22 10 — — $50,983.09 $124,795.35 $96,335.43 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 20 10 — — $54,908.08 $134,503.75 $94,372.27 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 20 10 — — $49,591.67 $122,676.39 $94,184.04 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 22 11 — — $48,621.69 $271,059.00 $92,434.73 2026-04-01
10 MS_DRG Pancreas Transplant 20 10 — — $72,359.84 $177,670.33 $91,888.35 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 16 10 — — $82,687.37 $223,077.70 $91,851.49 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 20 10 — — $46,946.98 $122,294.34 $89,215.88 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 22 10 — — $58,103.80 $148,765.51 $88,325.93 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 14 10 — — $87,212.96 $214,409.22 $88,303.12 2026-04-01
245 MS_DRG Aicd Generator Procedures 20 10 — — $46,200.22 $125,979.13 $87,780.58 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 29 13 — — $48,847.52 $146,031.84 $87,477.13 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 12 6 — — $56,824.55 $103,465.35 $87,397.35 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 43 14 — — $34,370.84 $268,252.09 $87,333.50 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 21 10 — — $45,864.88 $118,174.72 $86,049.10 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 25 12 — — $14,376.43 $110,937.18 $85,607.09 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 20 10 — — $66,110.48 $162,212.66 $85,400.54 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 31 12 — — $44,931.67 $152,055.24 $85,210.98 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 7 3 — — $64,742.69 $98,733.00 $84,677.78 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 21 8 — — $35,900.09 $101,482.56 $84,307.28 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 23 12 — — $40,153.38 $105,059.27 $82,086.77 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 35 13 — — $5,210.90 $103,714.69 $81,597.82 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 26 12 — — $53,084.02 $157,702.33 $81,444.62 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 27 11 — — $42,298.25 $128,721.36 $81,282.25 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 21 10 — — $30,927.03 $106,292.20 $81,082.31 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 36 13 — — $6,586.61 $141,882.23 $80,744.35 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 20 10 — — $42,538.50 $112,225.26 $80,742.58 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 16 7 — — $55,272.32 $150,919.06 $79,365.11 2026-04-01
791 MS_DRG Prematurity With Major Problems 29 13 — — $6,937.07 $167,680.70 $79,069.32 2026-04-01
C9150 HCPCS Xe129 Xenon, Diagnostic 5 2 — — $59,935.20 $87,100.00 $78,390.00 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 11 6 — — $63,342.28 $100,500.00 $75,882.73 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 26 12 — — $33,973.17 $98,514.12 $75,264.96 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 27 12 — — $34,093.37 $102,147.38 $75,204.05 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 26 10 — — $39,007.48 $178,732.54 $74,609.02 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 25 11 — — $44,602.57 $113,725.82 $74,372.02 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 31 11 — — $37,963.32 $108,765.73 $74,241.79 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 20 10 — — $42,732.69 $104,388.16 $74,053.74 2026-04-01
L7181 HCPCS Electronic Elbo Simultaneous 8 5 — — $48,155.50 $136,946.48 $72,989.01 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 14 10 — — $71,948.42 $176,652.70 $72,847.77 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 20 11 — — $69,160.17 $176,844.83 $72,805.21 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 20 10 — — $39,218.12 $95,694.92 $71,983.76 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 46 14 — — $28,277.09 $127,110.21 $70,738.10 2026-04-01
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 10 5 — — $58,630.90 $79,743.30 $70,426.31 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 24 12 — — $35,439.27 $103,938.25 $70,290.30 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 23 11 — — $36,851.71 $128,794.78 $70,049.43 2026-04-01
9494 OTHER Injection, Ocrelizumab 1 1 — — $69,963.69 $69,963.69 $69,963.69 2026-04-01
332 MS_DRG Rectal Resection With Mcc 20 10 — — $36,773.63 $89,648.53 $69,662.27 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 23 10 — — $36,311.16 $101,309.13 $69,631.26 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 18 10 — — $61,431.03 $165,557.74 $69,149.43 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 22 10 — — $35,915.44 $90,428.19 $68,933.07 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 31 13 — — $26,744.53 $157,793.54 $68,881.01 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 17 10 — — $60,885.22 $168,510.07 $68,762.09 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 20 10 — — $36,222.07 $101,708.78 $68,602.14 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 20 10 — — $36,192.04 $89,912.92 $68,544.42 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 20 10 — — $36,158.00 $95,462.73 $68,479.01 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 34 12 — — $11,167.42 $88,053.99 $68,423.21 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 20 10 — — $40,411.33 $98,646.32 $68,385.59 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 23 11 — — $32,924.31 $90,945.96 $68,307.91 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 20 10 — — $46,263.89 $120,205.62 $67,958.07 2026-04-01
265 MS_DRG Aicd Lead Procedures 20 10 — — $36,748.60 $89,586.63 $67,667.05 2026-04-01
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 18 8 — — $27,808.20 $81,407.24 $67,469.27 2026-04-01
L7180 HCPCS Electronic Elbow Sequential 8 5 — — $46,081.51 $124,262.95 $67,457.81 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 21 10 — — $35,110.94 $123,202.31 $67,051.92 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 23 11 — — $35,377.66 $92,444.02 $66,418.42 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 21 10 — — $34,635.45 $88,414.88 $66,370.31 2026-04-01
2616 OTHER Brachytx, Non-str,yttrium-90 1 1 — — $66,276.12 $66,276.12 $66,276.12 2025-01-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 26 11 — — $34,333.66 $84,471.22 $65,639.18 2026-04-01
J9226 HCPCS Supprelin La Implant 16 7 — — $45,020.65 $110,428.85 $65,332.72 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 30 12 — — $45,541.06 $135,449.58 $65,292.93 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 27 12 — — $6,757.90 $112,813.42 $64,967.00 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 21 10 — — $33,596.40 $100,492.24 $64,348.28 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 20 10 — — $36,823.68 $89,772.33 $63,303.80 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 20 10 — — $39,511.42 $96,420.39 $62,908.01 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 26 11 — — $18,148.90 $110,848.06 $62,239.47 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 20 10 — — $35,279.11 $85,951.86 $62,196.23 2026-04-01
338 MS_DRG Appendectomy With Complicated Principal Diagnosis With Mcc 10 5 — — $51,748.62 $72,006.75 $62,159.44 2026-04-01
652 MS_DRG Kidney Transplant 20 10 — — $32,857.65 $83,312.47 $62,135.58 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 21 10 — — $32,400.18 $83,639.23 $62,020.42 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 29 11 — — $47,279.07 $180,758.35 $61,876.17 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 17 11 — — $57,351.13 $148,723.42 $61,870.07 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 23 11 — — $32,161.94 $78,241.60 $61,556.80 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 29 12 — — $44,683.85 $165,468.55 $61,425.92 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 32 13 — — $21,189.16 $87,318.62 $61,258.96 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 24 11 — — $36,407.07 $102,828.28 $61,136.06 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 24 11 — — $29,632.81 $89,428.17 $61,090.21 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 26 11 — — $30,100.19 $98,735.31 $60,847.82 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 21 10 — — $32,336.11 $129,633.76 $60,370.60 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 33 14 — — $21,100.92 $232,528.42 $60,139.74 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 43 13 — — $4,512.06 $112,576.29 $59,918.88 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 18 10 — — $54,373.76 $142,793.40 $59,715.97 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 21 10 — — $26,694.12 $77,798.40 $59,699.90 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 22 11 — — $29,433.16 $73,411.79 $59,323.65 2026-04-01
665 MS_DRG Prostatectomy With Mcc 21 10 — — $31,773.54 $79,899.14 $59,302.80 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 27 12 — — $30,892.65 $79,783.52 $59,086.74 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 29 10 — — $14,168.76 $76,983.79 $59,074.80 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 27 10 — — $39,282.94 $139,200.72 $58,511.23 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 28 11 — — $6,006.95 $125,943.94 $57,932.84 2026-04-01
131 MS_DRG Cranial/Facial Procedures W Cc/Mcc 6 2 — — $54,026.05 $66,064.83 $57,807.71 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 16 10 — — $7,099.43 $141,302.84 $57,801.02 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 32 13 — — $40,670.21 $130,641.19 $57,613.04 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 26 11 — — $44,174.76 $121,861.29 $57,332.14 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 16 10 — — $50,315.56 $137,819.11 $56,951.56 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 33 11 — — $44,130.64 $135,256.45 $56,868.76 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 34 13 — — $12,960.12 $104,031.62 $56,728.76 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 20 10 — — $30,761.51 $74,777.68 $56,498.65 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 27 11 — — $35,419.89 $92,535.55 $56,430.86 2026-04-01
L8614 HCPCS Cochlear Device 4 1 — — $46,525.75 $66,109.97 $56,317.86 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 38 13 — — $24,616.75 $76,031.68 $55,975.90 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 20 10 — — $29,419.15 $71,457.36 $55,526.64 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 22 11 — — $27,156.84 $115,190.57 $55,418.84 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 20 10 — — $32,770.56 $79,747.01 $55,374.27 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 29 12 — — $27,828.54 $144,148.87 $55,103.80 2026-04-01
90288 HCPCS Botulism Ig IV 1 1 — — $55,036.65 $55,036.65 $55,036.65 2026-04-01
570 MS_DRG Skin Debridement With Mcc 22 11 — — $29,649.79 $76,277.18 $54,533.62 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 23 11 — — $50,025.91 $128,885.70 $54,215.87 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 14 10 — — $51,546.00 $131,960.90 $54,014.74 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 24 12 — — $28,446.95 $72,220.40 $53,858.53 2026-04-01
129 MS_DRG Major Head & Neck Procedures W Cc/Mcc Or Major Device 6 2 — — $48,167.91 $61,103.19 $53,466.20 2026-04-01
800 MS_DRG Splenic Procedures With Cc 21 10 — — $28,652.37 $69,560.74 $53,378.60 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 21 10 — — $27,531.23 $66,787.62 $52,545.35 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 24 10 — — $32,024.80 $90,908.82 $52,515.83 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 21 10 — — $13,567.12 $72,895.92 $52,359.21 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 20 10 — — $30,765.52 $74,787.58 $52,286.95 2026-04-01
503 MS_DRG Foot Procedures With Mcc 20 10 — — $28,469.18 $69,107.64 $52,278.54 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 33 12 — — $3,113.02 $70,161.84 $52,212.00 2026-04-01
341 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Mcc 10 5 — — $44,005.32 $57,420.91 $52,171.65 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 23 11 — — $45,534.62 $165,292.79 $51,555.76 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 21 10 — — $27,547.29 $67,716.20 $51,417.80 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 34 12 — — $6,852.54 $144,022.68 $51,388.37 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 20 10 — — $26,930.61 $70,068.84 $50,743.57 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 27 12 — — $16,271.06 $77,119.97 $50,613.34 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 20 10 — — $29,377.10 $71,353.37 $50,159.69 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 32 13 — — $24,020.12 $118,621.99 $49,939.35 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 33 13 — — $6,143.67 $84,887.18 $49,434.39 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 33 12 — — $42,060.18 $146,991.99 $49,149.96 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 29 13 — — $21,357.42 $62,467.00 $49,146.09 2026-04-01
263 MS_DRG Vein Ligation And Stripping 23 10 — — $30,840.01 $75,701.22 $49,102.94 2026-04-01
614 MS_DRG Adrenal And Pituitary Procedures With Cc/Mcc 28 12 — — $22,470.08 $59,409.09 $49,042.36 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 29 12 — — $3,748.33 $116,168.97 $48,920.41 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 23 11 — — $8,266.59 $65,401.27 $48,784.40 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 21 11 — — $22,752.45 $74,695.97 $48,669.47 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 22 12 — — $32,374.17 $81,512.40 $48,519.35 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 27 13 — — $12,754.03 $65,805.94 $48,507.00 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 35 12 — — $3,356.42 $68,057.81 $48,255.57 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 14 10 — — $47,591.64 $116,406.66 $48,186.54 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 28 11 — — $20,976.57 $63,860.99 $48,186.02 2026-04-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 27 12 — — $17,149.96 $57,225.31 $48,107.57 2026-04-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 20 10 — — $25,474.13 $61,699.44 $47,944.15 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 30 12 — — $23,739.28 $60,446.59 $47,853.81 2026-04-01
545 MS_DRG Connective Tissue Disorders With Mcc 26 11 — — $22,108.62 $62,312.18 $47,747.91 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 24 11 — — $3,820.28 $83,048.55 $47,566.76 2026-04-01
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 28 12 — — $2,735.20 $59,278.38 $47,261.26 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 22 11 — — $30,274.03 $78,907.64 $46,977.62 2026-04-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 29 12 — — $14,616.56 $144,224.47 $46,711.50 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 42 13 — — $17,736.49 $63,423.15 $46,564.07 2026-04-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 28 11 — — $23,245.52 $58,114.63 $46,277.96 2026-04-01
133 MS_DRG Other Ear, Nose, Mouth & Throat O.r. Procedures W Cc/Mcc 6 2 — — $41,723.53 $52,748.31 $46,155.56 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 33 12 — — $19,265.28 $62,793.84 $45,997.94 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 22 11 — — $24,049.35 $77,695.30 $45,855.17 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 15 10 — — $5,551.89 $110,501.40 $45,430.23 2026-04-01
113 MS_DRG Orbital Procedures With Cc/Mcc 20 10 — — $24,064.70 $58,213.24 $45,235.17 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 19 10 — — $42,431.44 $107,146.42 $44,724.79 2026-04-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 34 13 — — $2,881.38 $95,008.29 $44,475.11 2026-04-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 27 11 — — $14,802.08 $57,579.38 $44,125.20 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 15 11 — — $43,226.20 $105,608.83 $44,090.72 2026-04-01
L5856 HCPCS Elec Knee-shin Swing/stance 8 5 — — $29,180.00 $82,166.76 $43,940.67 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 29 10 — — $31,029.52 $105,002.21 $43,840.57 2026-04-01
709 MS_DRG Penis Procedures With Cc/Mcc 20 10 — — $23,824.45 $57,619.00 $43,812.15 2026-04-01
247 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent Without Mcc 20 8 — — $2,226.45 $52,207.91 $43,626.35 2026-04-01
347 MS_DRG Anal And Stomal Procedures With Mcc 21 11 — — $23,509.13 $60,603.00 $43,616.40 2026-04-01
L6880 HCPCS Elec Hand Ind Art Digits 8 5 — — $28,715.00 $81,681.40 $43,530.40 2026-04-01
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 22 10 — — $21,692.17 $56,346.33 $43,205.32 2026-04-01
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 25 10 — — $20,492.44 $56,096.26 $43,046.40 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 31 12 — — $37,102.78 $104,566.43 $43,018.79 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 22 10 — — $26,568.61 $72,299.20 $43,009.44 2026-04-01
336 MS_DRG Peritoneal Adhesiolysis With Cc 33 13 — — $15,198.78 $57,765.26 $42,969.65 2026-04-01
249 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent Without Mcc 10 5 — — $35,389.32 $50,021.16 $42,832.56 2026-04-01
5465 OTHER Level 5 Neurostimulator And Related Procedures 13 8 — — $33,268.24 $79,718.07 $42,814.26 2026-04-01
30 MS_DRG Spinal Procedures Without Cc/Mcc 21 10 — — $22,504.11 $54,686.22 $42,762.50 2026-04-01
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 23 11 — — $21,361.48 $65,019.22 $42,515.10 2026-04-01
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/Mcc 21 10 — — $7,128.88 $55,545.84 $42,508.70 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 31 13 — — $5,436.68 $103,239.30 $42,479.56 2026-04-01
9284 OTHER Ipilimumab Injection 2 2 — — $25,913.27 $58,462.87 $42,188.07 2025-01-01
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/Mcc 25 12 — — $8,663.81 $54,957.30 $42,172.40 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 22 10 — — $29,063.79 $70,578.38 $42,047.60 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 17 10 — — $40,775.70 $99,547.58 $41,998.97 2026-04-01
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 26 10 — — $20,550.11 $55,759.48 $41,994.96 2026-04-01
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 26 11 — — $21,538.06 $58,783.22 $41,920.11 2026-04-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 28 12 — — $21,505.98 $60,889.79 $41,672.17 2026-04-01
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 21 11 — — $21,953.60 $55,073.30 $41,570.10 2026-04-01
333 MS_DRG Rectal Resection With Cc 20 10 — — $23,975.61 $57,992.87 $41,526.93 2026-04-01
135 MS_DRG Sinus And Mastoid Procedures With Cc/Mcc 21 10 — — $22,251.85 $57,765.26 $41,230.00 2026-04-01
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/Mcc 22 10 — — $21,639.04 $57,958.80 $40,981.20 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 23 10 — — $32,312.49 $95,838.53 $40,866.15 2026-04-01
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 23 10 — — $2,659.18 $54,484.88 $40,399.77 2026-04-01
655 MS_DRG Major Bladder Procedures Without Cc/Mcc 23 11 — — $20,900.87 $52,407.02 $40,215.40 2026-04-01
838 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Che… 22 11 — — $21,425.01 $59,132.60 $40,161.57 2026-04-01
711 MS_DRG Testes Procedures With Cc/Mcc 20 10 — — $21,388.98 $52,368.77 $40,092.31 2026-04-01
415 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 22 12 — — $19,683.88 $51,171.49 $39,763.31 2026-04-01
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 28 11 — — $15,821.59 $129,257.74 $39,514.24 2026-04-01
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 24 12 — — $14,865.61 $56,821.72 $39,376.51 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 31 12 — — $10,135.11 $92,545.45 $39,297.92 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 26 12 — — $20,778.75 $92,371.13 $39,271.06 2026-04-01
902 MS_DRG Wound Debridements For Injuries With Cc 22 10 — — $19,694.25 $56,178.67 $39,161.90 2026-04-01
737 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 29 11 — — $19,960.47 $51,059.24 $39,151.40 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 22 10 — — $17,337.47 $65,631.33 $39,119.48 2026-04-01
9302 OTHER Inj Daunorubicin, Cytarabine 1 1 — — $39,019.99 $39,019.99 $39,019.99 2025-01-01
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/Mcc 21 10 — — $21,958.56 $53,003.73 $39,010.77 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 25 12 — — $18,635.32 $95,105.81 $38,962.04 2026-04-01
941 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/… 20 10 — — $20,827.40 $50,205.85 $38,784.35 2026-04-01
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 29 12 — — $10,615.31 $47,696.18 $38,764.05 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 36 12 — — $3,139.88 $68,793.74 $38,615.29 2026-04-01
509 MS_DRG Arthroscopy 10 5 — — $34,216.62 $43,490.94 $38,504.33 2026-04-01
5232 OTHER Level 2 Icd And Similar Procedures 17 10 — — $4,415.02 $74,722.43 $38,444.33 2026-04-01
259 MS_DRG Cardiac Pacemaker Device Replacement Without Mcc 21 10 — — $17,847.58 $52,708.10 $38,419.90 2026-04-01
E0766 HCPCS Elec Stim Cancer Treatment 4 1 — — $31,603.88 $44,906.99 $38,255.43 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 15 10 — — $31,515.56 $92,765.82 $38,224.08 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 24 12 — — $3,701.97 $79,896.62 $38,199.24 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 14 10 — — $37,625.50 $91,755.61 $38,095.82 2026-04-01
165 MS_DRG Major Chest Procedures Without Cc/Mcc 28 12 — — $18,013.05 $47,395.59 $38,087.76 2026-04-01
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 30 12 — — $16,401.58 $49,524.95 $37,909.57 2026-04-01
32 MS_DRG Ventricular Shunt Procedures With Cc 23 10 — — $15,762.94 $57,863.28 $37,893.12 2026-04-01
707 MS_DRG Major Male Pelvic Procedures With Cc/Mcc 21 11 — — $10,390.99 $49,527.43 $37,865.73 2026-04-01
849 MS_DRG Radiotherapy 20 10 — — $27,652.35 $67,087.22 $37,827.60 2026-04-01
0915T OTHER Insj Perm Ccm-d Sys Pg&eltrd 5 5 — — $14,039.00 $38,758.33 $37,817.60 2026-04-01
J9266 HCPCS Pegaspargase Injection 16 7 — — $28,424.06 $55,342.18 $37,786.60 2026-04-01
835 MS_DRG Acute Leukemia With Cc 25 12 — — $2,534.63 $53,688.36 $37,640.23 2026-04-01
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 25 12 — — $11,706.76 $67,469.19 $37,527.43 2026-04-01
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 4 4 — — $36,992.68 $38,102.46 $37,455.08 2026-04-01
339 MS_DRG Appendectomy With Complicated Principal Diagnosis With Cc 14 6 — — $6,333.64 $43,749.98 $37,359.64 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 26 12 — — $23,680.10 $102,098.37 $37,182.00 2026-04-01
0909T OTHER Rplcmt Int Nstim Sys Vgs Nrv 5 5 — — $3,281.00 $38,102.46 $37,177.64 2026-04-01
0908T OTHER Opn Imp Int Nstm Sys Vgs Nrv 5 5 — — $3,281.00 $38,102.46 $37,177.64 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 16 10 — — $31,979.10 $89,294.46 $37,088.36 2026-04-01
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/Mcc 29 11 — — $7,571.24 $49,680.94 $36,901.27 2026-04-01
36 MS_DRG Carotid Artery Stent Procedures Without Cc/Mcc 28 12 — — $18,177.39 $48,103.73 $36,894.60 2026-04-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 42 14 — — $12,588.61 $54,814.41 $36,794.75 2026-04-01
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