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Hospital

HUDSON REGIONAL HOSPITAL

Secaucus, NJ · CCN 310118 · Rates published

4,965 distinct procedures filed
8 distinct payers
64,804 rate rows
2026-01-19 last MRF observed
Data quality

63,700 of 64,804 rate rows are consumer-grade (98.3%)

1,104 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
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 552
per-diem day rate — not a per-procedure price 232
exceeds 10× this hospital's gross charge — excluded from medians 142
exceeds 3× this hospital's gross charge for a DRG stay — excluded 92
percent-of-charges filed in the dollar field — excluded from medians 56
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 24
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 6
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbLHCSECAUCUSNJ&type=CDMWithoutLabel&fileType=CSV
Found on page https://apps.para-hcfs.com/PTT/FinalLinks/HudsonRegional.aspx
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-12
Content fingerprint bec85e163e98a95d… · 13,663,684 bytes · first seen 2026-05-08

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 5 $273,805.08 $329,521.23 $307,553.15 nat. median
$145,435
outlier · 2.1×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 3 $120,025.76 $130,462.79 $121,765.27 nat. median
$59,651
outlier · 2.0×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 5 $66,504.52 $130,874.20 $120,404.26 nat. median
$60,505
2.0× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 5 $89,162.22 $107,305.70 $100,151.98 nat. median
$48,611
outlier · 2.1×
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 3 $94,729.14 $102,966.46 $96,102.03 nat. median
$2,106
outlier · 45.6×
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 5 $83,007.63 $99,898.72 $91,906.82 nat. median
$47,121
2.0× median
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 3 $87,359.11 $94,955.56 $88,625.19 nat. median
$2,106
outlier · 42.1×
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 3 $85,170.96 $92,577.13 $86,405.32 nat. median
$42,674
outlier · 2.0×
16
MS_DRG 		Autologous Bone Marrow Transplant With Cc/mcc 3 $84,693.91 $92,058.59 $85,921.35 nat. median
$38,932
outlier · 2.2×
463
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 4 $72,127.74 $88,484.74 $81,995.86 nat. median
$38,795
outlier · 2.1×
234
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 4 $54,903.36 $84,808.42 $78,589.13 nat. median
$39,159
outlier · 2.0×
466
MS_DRG 		Revision Of Hip Or Knee Replacement With Mcc 4 $74,348.73 $80,813.84 $76,753.62 nat. median
$36,541
outlier · 2.1×
326
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Mcc 4 $71,235.03 $77,429.39 $73,539.21 nat. median
$35,986
outlier · 2.0×
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 4 $70,538.02 $76,671.77 $72,819.65 nat. median
$34,733
outlier · 2.1×
221
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 5 $49,168.89 $78,249.11 $71,989.18 nat. median
$35,297
outlier · 2.0×
471
MS_DRG 		Cervical Spinal Fusion With Mcc 3 $68,968.32 $74,965.57 $69,967.86 nat. median
$34,932
outlier · 2.0×
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 4 $65,651.81 $71,360.66 $67,775.39 nat. median
$33,435
outlier · 2.0×
981
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 4 $54,546.68 $72,840.20 $67,498.58 nat. median
$33,546
outlier · 2.0×
856
MS_DRG 		Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 4 $64,969.08 $70,618.57 $67,070.58 nat. median
$31,991
outlier · 2.1×
455
MS_DRG 		Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 3 $65,781.78 $71,501.94 $66,735.14 nat. median
$2,106
outlier · 31.7×
799
MS_DRG 		Splenic Procedures With Mcc 5 $58,422.81 $70,311.17 $65,623.76 nat. median
$32,381
outlier · 2.0×
33289
HCPCS 		Insertion Of Wireless Pressure Sensor Into Lung Artery Through Tube With Review… 6 $11,108.00 $252,698.81 $61,935.98 nat. median
$28,889
outlier · 2.1×
901
MS_DRG 		Wound Debridements For Injuries With Mcc 4 $59,940.04 $65,152.22 $61,878.87 nat. median
$28,755
outlier · 2.2×
77285
HCPCS 		Obtaining Data Needed To Develop The Optimal Radiation Treatment, 2 Treatment Ar… 4 $25,117.63 $145,836.80 $61,828.00 nat. median
$403
outlier · 153.4×
140
MS_DRG 		Major Head And Neck Procedures With Mcc 5 $22,254.33 $66,218.78 $60,921.28 nat. median
$28,105
outlier · 2.2×
673
MS_DRG 		Other Kidney And Urinary Tract Procedures With Mcc 5 $54,200.64 $65,229.84 $60,881.18 nat. median
$29,327
outlier · 2.1×
907
MS_DRG 		Other O.r. Procedures For Injuries With Mcc 4 $54,836.72 $59,605.13 $56,610.48 nat. median
$27,194
outlier · 2.1×
24
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 4 $36,196.70 $60,732.25 $56,278.55 nat. median
$27,920
outlier · 2.0×
40
MS_DRG 		Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 3 $55,149.52 $59,945.13 $55,948.79 nat. median
$27,156
outlier · 2.1×
518
MS_DRG 		Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 4 $53,379.86 $58,021.58 $55,106.49 nat. median
$26,354
outlier · 2.1×
904
MS_DRG 		Skin Grafts For Injuries With Cc/mcc 4 $52,462.89 $57,024.88 $54,159.86 nat. median
$25,168
outlier · 2.2×
166
MS_DRG 		Other Respiratory System O.r. Procedures With Mcc 5 $48,216.33 $58,027.79 $54,159.27 nat. median
$26,952
outlier · 2.0×
492
MS_DRG 		Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 3 $52,441.46 $57,001.59 $53,201.48 nat. median
$25,953
outlier · 2.0×
460
MS_DRG 		Spinal Fusion Except Cervical Without Mcc 3 $52,245.79 $56,788.90 $53,002.97 nat. median
$2,106
outlier · 25.2×
335
MS_DRG 		Peritoneal Adhesiolysis With Mcc 4 $51,003.16 $55,438.22 $52,652.92 nat. median
$25,494
outlier · 2.1×
408
MS_DRG 		Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 4 $50,927.46 $55,355.94 $52,574.77 nat. median
$25,077
outlier · 2.1×
467
MS_DRG 		Revision Of Hip Or Knee Replacement With Cc 4 $50,370.43 $54,750.47 $51,999.71 nat. median
$25,622
outlier · 2.0×
271
MS_DRG 		Other Major Cardiovascular Procedures With Cc 5 $45,876.27 $55,211.56 $51,530.79 nat. median
$25,964
2.0× median
143
MS_DRG 		Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 4 $18,326.95 $54,288.23 $50,921.92 nat. median
$24,795
outlier · 2.1×
252
MS_DRG 		Other Vascular Procedures With Mcc 5 $44,999.07 $54,155.86 $50,545.47 nat. median
$25,156
outlier · 2.0×
29
MS_DRG 		Spinal Procedures With Cc Or Spinal Neurostimulators 4 $48,727.88 $52,965.09 $50,304.04 nat. median
$24,349
outlier · 2.1×
574
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Cc 4 $48,252.10 $53,893.49 $49,941.30 nat. median
$23,839
outlier · 2.1×
63685
HCPCS 		Insertion Or Replacement Of Spinal Neurostimulator Generator Or Receiver 6 $1,731.00 $386,234.93 $48,747.88 nat. median
$21,812
outlier · 2.2×
420
MS_DRG 		Hepatobiliary Diagnostic Procedures With Mcc 5 $18,418.35 $52,895.23 $48,663.61 nat. median
$23,398
outlier · 2.1×
264
MS_DRG 		Other Circulatory System O.r. Procedures 4 $35,388.70 $51,862.82 $48,059.54 nat. median
$23,998
outlier · 2.0×
515
MS_DRG 		Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 4 $45,518.49 $49,476.62 $46,990.84 nat. median
$22,579
outlier · 2.1×
500
MS_DRG 		Soft Tissue Procedures With Mcc 4 $45,202.84 $49,133.52 $46,664.97 nat. median
$22,181
outlier · 2.1×
242
MS_DRG 		Permanent Cardiac Pacemaker Implant With Mcc 5 $41,187.12 $49,568.22 $46,263.67 nat. median
$23,970
1.9× median
840
MS_DRG 		Lymphoma And Non-acute Leukemia With Mcc 5 $29,237.51 $50,221.82 $46,204.08 nat. median
$22,339
outlier · 2.1×
464
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 4 $44,487.26 $48,355.72 $45,926.25 nat. median
$21,906
outlier · 2.1×

Other procedures at this hospital

Browse this hospital's 4,965 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
             
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 10 5 $494,262.31 $494,262.31 $273,805.08 $329,521.23 $307,553.15 2026-01-19
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 6 3 $472,748.49 $472,748.49 $120,025.76 $130,462.79 $121,765.27 2026-01-19
231 MS_DRG Coronary Bypass With Ptca With Mcc 10 5 $66,504.52 $66,504.52 $66,504.52 $130,874.20 $120,404.26 2026-01-19
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 10 5 $132,423.57 $132,423.57 $89,162.22 $107,305.70 $100,151.98 2026-01-19
459 MS_DRG Spinal Fusion Except Cervical With Mcc 6 3 $169,874.96 $169,874.96 $94,729.14 $102,966.46 $96,102.03 2026-01-19
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 10 5 $85,348.41 $85,348.41 $83,007.63 $99,898.72 $91,906.82 2026-01-19
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 6 3 $244,856.79 $244,856.79 $87,359.11 $94,955.56 $88,625.19 2026-01-19
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 6 3 $410,173.26 $410,173.26 $85,170.96 $92,577.13 $86,405.32 2026-01-19
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 6 3 $395,191.98 $395,191.98 $84,693.91 $92,058.59 $85,921.35 2026-01-19
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 8 4 $72,127.74 $72,127.74 $72,127.74 $88,484.74 $81,995.86 2026-01-19
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 8 4 $54,903.36 $54,903.36 $54,903.36 $84,808.42 $78,589.13 2026-01-19
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 8 4 $113,451.90 $113,451.90 $74,348.73 $80,813.84 $76,753.62 2026-01-19
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 8 4 $78,660.57 $78,660.57 $71,235.03 $77,429.39 $73,539.21 2026-01-19
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 8 4 $122,914.13 $122,914.13 $70,538.02 $76,671.77 $72,819.65 2026-01-19
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 10 5 $49,168.89 $49,168.89 $49,168.89 $78,249.11 $71,989.18 2026-01-19
471 MS_DRG Cervical Spinal Fusion With Mcc 6 3 $278,578.67 $278,578.67 $68,968.32 $74,965.57 $69,967.86 2026-01-19
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 8 4 $92,650.20 $92,650.20 $65,651.81 $71,360.66 $67,775.39 2026-01-19
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 8 4 $54,546.68 $54,546.68 $54,546.68 $72,840.20 $67,498.58 2026-01-19
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 8 4 $118,275.86 $118,275.86 $64,969.08 $70,618.57 $67,070.58 2026-01-19
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 6 3 $199,646.81 $199,646.81 $65,781.78 $71,501.94 $66,735.14 2026-01-19
799 MS_DRG Splenic Procedures With Mcc 10 5 $163,910.55 $163,910.55 $58,422.81 $70,311.17 $65,623.76 2026-01-19
33289 HCPCS Insertion Of Wireless Pressure Sensor Into Lung Artery Through Tube With Review … 12 6 $133,915.64 $133,915.64 $11,108.00 $252,698.81 $61,935.98 2026-01-19
901 MS_DRG Wound Debridements For Injuries With Mcc 8 4 $89,038.48 $89,038.48 $59,940.04 $65,152.22 $61,878.87 2026-01-19
77285 HCPCS Obtaining Data Needed To Develop The Optimal Radiation Treatment, 2 Treatment Ar… 8 4 $77,285.00 $77,285.00 $25,117.63 $145,836.80 $61,828.00 2026-01-19
140 MS_DRG Major Head And Neck Procedures With Mcc 10 5 $22,254.33 $22,254.33 $22,254.33 $66,218.78 $60,921.28 2026-01-19
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 10 5 $72,994.98 $72,994.98 $54,200.64 $65,229.84 $60,881.18 2026-01-19
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 8 4 $80,963.12 $80,963.12 $54,836.72 $59,605.13 $56,610.48 2026-01-19
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 8 4 $36,196.70 $36,196.70 $36,196.70 $60,732.25 $56,278.55 2026-01-19
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 6 3 $273,339.87 $273,339.87 $55,149.52 $59,945.13 $55,948.79 2026-01-19
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 8 4 $77,077.61 $77,077.61 $53,379.86 $58,021.58 $55,106.49 2026-01-19
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 8 4 $85,195.27 $85,195.27 $52,462.89 $57,024.88 $54,159.86 2026-01-19
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 10 5 $200,991.33 $200,991.33 $48,216.33 $58,027.79 $54,159.27 2026-01-19
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 6 3 $121,492.00 $121,492.00 $52,441.46 $57,001.59 $53,201.48 2026-01-19
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 6 3 $184,127.04 $184,127.04 $52,245.79 $56,788.90 $53,002.97 2026-01-19
335 MS_DRG Peritoneal Adhesiolysis With Mcc 8 4 $88,053.37 $88,053.37 $51,003.16 $55,438.22 $52,652.92 2026-01-19
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 8 4 $199,102.95 $199,102.95 $50,927.46 $55,355.94 $52,574.77 2026-01-19
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 8 4 $72,273.25 $72,273.25 $50,370.43 $54,750.47 $51,999.71 2026-01-19
271 MS_DRG Other Major Cardiovascular Procedures With Cc 10 5 $144,693.47 $144,693.47 $45,876.27 $55,211.56 $51,530.79 2026-01-19
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 8 4 $18,326.95 $18,326.95 $18,326.95 $54,288.23 $50,921.92 2026-01-19
252 MS_DRG Other Vascular Procedures With Mcc 10 5 $156,814.79 $156,814.79 $44,999.07 $54,155.86 $50,545.47 2026-01-19
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 8 4 $116,727.60 $116,727.60 $48,727.88 $52,965.09 $50,304.04 2026-01-19
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 8 4 $48,252.10 $48,252.10 $48,252.10 $53,893.49 $49,941.30 2026-01-19
63685 HCPCS Insertion Or Replacement Of Spinal Neurostimulator Generator Or Receiver 16 6 $204,682.00 $204,682.00 $1,731.00 $386,234.93 $48,747.88 2026-01-19
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 10 5 $18,418.35 $18,418.35 $18,418.35 $52,895.23 $48,663.61 2026-01-19
264 MS_DRG Other Circulatory System O.r. Procedures 8 4 $35,388.70 $35,388.70 $35,388.70 $51,862.82 $48,059.54 2026-01-19
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 8 4 $102,119.43 $102,119.43 $45,518.49 $49,476.62 $46,990.84 2026-01-19
500 MS_DRG Soft Tissue Procedures With Mcc 8 4 $90,894.04 $90,894.04 $45,202.84 $49,133.52 $46,664.97 2026-01-19
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 10 5 $196,528.90 $196,528.90 $41,187.12 $49,568.22 $46,263.67 2026-01-19
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 10 5 $29,237.51 $29,237.51 $29,237.51 $50,221.82 $46,204.08 2026-01-19
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 8 4 $82,127.32 $82,127.32 $44,487.26 $48,355.72 $45,926.25 2026-01-19
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 8 4 $90,509.69 $90,509.69 $44,408.70 $48,270.33 $45,845.15 2026-01-19
263 MS_DRG Vein Ligation And Stripping 8 4 $109,233.18 $109,233.18 $43,668.84 $47,466.14 $45,081.37 2026-01-19
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 8 4 $33,893.84 $33,893.84 $33,893.84 $47,090.43 $43,637.13 2026-01-19
33206 HCPCS Insertion Of Pacemaker And Upper Heart Chamber Electrode 20 6 $104,404.90 $104,404.90 $1,731.00 $197,012.05 $42,897.20 2026-01-19
472 MS_DRG Cervical Spinal Fusion With Cc 6 3 $269,371.57 $269,371.57 $42,079.15 $45,738.20 $42,688.99 2026-01-19
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 8 4 $97,920.27 $97,920.27 $40,995.07 $44,559.86 $42,321.10 2026-01-19
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 6 3 $102,047.54 $102,047.54 $41,596.38 $45,213.46 $42,199.23 2026-01-19
570 MS_DRG Skin Debridement With Mcc 10 5 $31,232.99 $31,232.99 $31,232.99 $45,660.58 $42,007.73 2026-01-19
33274 HCPCS Insertion Of Permanent Leadless Pacemaker Using Imaging Guidance 12 6 $90,132.56 $90,132.56 $9,172.00 $170,080.14 $41,686.31 2026-01-19
76679 HCPCS Operating Room Services - General Classification 8 4 $76,679.88 $76,679.88 $1,731.00 $144,694.93 $41,539.94 2026-01-19
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 6 3 $51,389.80 $51,389.80 $39,591.05 $43,033.75 $40,164.83 2026-01-19
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 10 5 $65,412.56 $65,412.56 $35,566.59 $42,803.98 $39,950.38 2026-01-19
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 10 5 $111,474.87 $111,474.87 $35,458.23 $42,673.57 $39,828.66 2026-01-19
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 8 4 $32,317.59 $32,317.59 $32,317.59 $42,662.70 $39,534.10 2026-01-19
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 6 3 $228,239.26 $228,239.26 $38,861.19 $42,240.42 $39,424.39 2026-01-19
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 8 4 $59,310.38 $59,310.38 $37,992.78 $41,296.50 $39,221.70 2026-01-19
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 10 5 $235,712.00 $235,712.00 $34,194.03 $41,152.12 $38,408.64 2026-01-19
253 MS_DRG Other Vascular Procedures With Cc 8 4 $40,108.13 $40,108.13 $37,072.95 $40,296.69 $38,272.12 2026-01-19
37225 HCPCS Removal Of Plaque In Arteries Of Leg 20 6 $108,318.30 $108,318.30 $1,731.00 $204,396.63 $37,514.30 2026-01-19
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 6 3 $80,693.64 $80,693.64 $36,223.12 $39,372.95 $36,748.09 2026-01-19
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 8 4 $43,071.32 $43,071.32 $35,124.75 $38,179.08 $36,260.90 2026-01-19
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 8 4 $72,108.62 $72,108.62 $35,114.76 $38,168.21 $36,250.58 2026-01-19
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 6 3 $240,885.45 $240,885.45 $34,869.09 $37,901.18 $35,374.44 2026-01-19
330 MS_DRG Major Small And Large Bowel Procedures With Cc 8 4 $127,404.33 $127,404.33 $34,239.21 $37,216.53 $35,346.71 2026-01-19
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 8 4 $129,894.94 $129,894.94 $34,084.95 $37,048.86 $35,187.47 2026-01-19
397 MS_DRG Appendix Procedures With Mcc 10 5 $73,547.76 $73,547.76 $30,894.21 $37,180.82 $34,702.10 2026-01-19
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 10 5 $97,206.86 $97,206.86 $30,167.94 $36,306.77 $33,886.31 2026-01-19
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 8 4 $231,736.72 $231,736.72 $32,778.06 $35,628.32 $33,838.30 2026-01-19
357 MS_DRG Other Digestive System O.r. Procedures With Cc 10 5 $61,598.02 $61,598.02 $29,998.95 $36,103.39 $33,696.50 2026-01-19
347 MS_DRG Anal And Stomal Procedures With Mcc 10 5 $44,338.31 $44,338.31 $29,613.24 $35,639.19 $33,263.24 2026-01-19
33213 HCPCS Insertion Of Pacemaker Pulse Generator With Existing Dual Leads 12 6 $70,720.64 $70,720.64 $7,616.00 $133,449.85 $32,708.29 2026-01-19
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 10 5 $17,775.39 $17,775.39 $17,775.39 $35,483.94 $32,645.22 2026-01-19
49621 HCPCS Repair Of Sliding Hernia Next To Stoma 8 4 $58,232.00 $58,232.00 $1,731.00 $109,883.78 $32,316.00 2026-01-19
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 8 4 $102,257.97 $102,257.97 $31,098.38 $33,802.58 $32,104.29 2026-01-19
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 10 5 $35,218.15 $35,218.15 $28,545.12 $34,353.72 $32,063.47 2026-01-19
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 10 5 $41,667.00 $41,667.00 $28,481.91 $34,277.65 $31,992.47 2026-01-19
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 10 5 $35,985.79 $35,985.79 $28,363.23 $34,134.82 $31,859.16 2026-01-19
30 MS_DRG Spinal Procedures Without Cc/mcc 6 3 $166,957.24 $166,957.24 $31,354.04 $34,080.48 $31,808.45 2026-01-19
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 8 4 $35,152.69 $35,152.69 $30,587.04 $33,246.79 $31,576.42 2026-01-19
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 6 3 $66,919.33 $66,919.33 $31,119.80 $33,825.87 $31,570.81 2026-01-19
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/mcc 8 4 $223,735.83 $223,735.83 $30,575.62 $33,234.37 $31,564.62 2026-01-19
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 8 4 $67,371.47 $67,371.47 $30,247.11 $32,877.29 $31,225.49 2026-01-19
655 MS_DRG Major Bladder Procedures Without Cc/mcc 8 4 $229,404.66 $229,404.66 $30,231.40 $32,860.22 $31,209.26 2026-01-19
336 MS_DRG Peritoneal Adhesiolysis With Cc 8 4 $96,436.12 $96,436.12 $30,118.56 $32,737.57 $31,092.78 2026-01-19
374 MS_DRG Digestive Malignancy With Mcc 10 5 $59,252.38 $59,252.38 $27,589.23 $33,203.32 $30,989.76 2026-01-19
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 10 5 $38,017.47 $38,017.47 $27,434.43 $33,017.02 $30,815.88 2026-01-19
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 8 4 $110,889.49 $110,889.49 $29,681.50 $32,262.50 $30,641.58 2026-01-19
33210 HCPCS Insertion Of Temporary Pacemaker Lead In Single Heart Chamber 28 6 $51,113.48 $51,113.48 $1,330.00 $108,299.80 $30,530.07 2026-01-19
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 6 3 $48,306.90 $48,306.90 $29,915.74 $32,517.11 $30,349.31 2026-01-19
314 MS_DRG Other Circulatory System Diagnoses With Mcc 6 3 $78,070.39 $78,070.39 $29,782.91 $32,372.73 $30,214.55 2026-01-19
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 6 3 $121,918.50 $121,918.50 $29,700.07 $32,282.69 $30,130.51 2026-01-19
744 MS_DRG D&c, Conization, Laparoscopy And Tubal Interruption With Cc/mcc 10 5 $175,252.63 $175,252.63 $26,433.39 $31,812.28 $29,691.46 2026-01-19
22102 HCPCS Removal Of Rear Piece Of Lower Spine Bone 16 6 $48,449.80 $48,449.80 $1,731.00 $91,424.77 $29,543.50 2026-01-19
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 8 4 $133,478.75 $133,478.75 $28,568.86 $31,053.11 $29,492.95 2026-01-19
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 8 4 $90,828.49 $90,828.49 $28,538.86 $31,020.50 $29,461.99 2026-01-19
908 MS_DRG Other O.r. Procedures For Injuries With Cc 8 4 $53,704.08 $53,704.08 $28,497.44 $30,975.48 $29,419.22 2026-01-19
29847 HCPCS Placement Of Internal Stabilizing Device Using An Endoscope To Treat Broken Or U… 16 6 $50,586.00 $50,586.00 $1,731.00 $95,455.78 $29,382.50 2026-01-19
941 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/… 6 3 $308,783.14 $308,783.14 $28,961.64 $31,480.04 $29,381.37 2026-01-19
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 10 5 $41,444.35 $41,444.35 $25,941.90 $31,220.78 $29,139.39 2026-01-19
A9604 HCPCS Samarium Sm-153 Lexidronam, Therapeutic, Per Treatment Dose, Up To 150 Millicuri… 12 6 $39,596.30 $39,596.30 $21,057.02 $74,718.22 $29,135.69 2026-01-19
22857 HCPCS Insertion Of Artificial Disc Between Bones Of Lower Spine, Single Space 20 6 $47,548.90 $47,548.90 $1,731.00 $89,724.77 $29,126.95 2026-01-19
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc 6 3 $130,878.25 $130,878.25 $28,658.84 $31,150.91 $29,074.19 2026-01-19
33212 HCPCS Insertion Of Pacemaker Pulse Generator With Existing Single Lead 12 6 $62,538.32 $62,538.32 $7,616.00 $118,009.81 $28,923.97 2026-01-19
283 MS_DRG Acute Myocardial Infarction, Expired With Mcc 10 5 $51,993.19 $51,993.19 $25,552.32 $30,751.92 $28,701.79 2026-01-19
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 8 4 $56,324.92 $56,324.92 $27,744.73 $30,157.31 $28,642.17 2026-01-19
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 10 5 $158,355.92 $158,355.92 $25,389.78 $30,556.31 $28,519.22 2026-01-19
585 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/mcc 8 4 $120,139.80 $120,139.80 $27,553.34 $29,949.28 $28,444.58 2026-01-19
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 8 4 $34,695.69 $34,695.69 $27,550.48 $29,946.17 $28,441.63 2026-01-19
100 MS_DRG Seizures With Mcc 10 5 $44,430.12 $44,430.12 $24,984.72 $30,068.82 $28,064.23 2026-01-19
380 MS_DRG Complicated Peptic Ulcer With Mcc 10 5 $19,900.64 $19,900.64 $19,900.64 $30,463.16 $28,026.10 2026-01-19
504 MS_DRG Foot Procedures With Cc 8 4 $105,275.35 $105,275.35 $26,697.78 $29,019.33 $27,561.35 2026-01-19
196 MS_DRG Interstitial Lung Disease With Mcc 10 5 $81,211.61 $81,211.61 $24,344.88 $29,298.78 $27,345.53 2026-01-19
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc 8 4 $169,836.74 $169,836.74 $26,206.45 $28,485.27 $27,054.12 2026-01-19
465 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 8 4 $91,210.46 $91,210.46 $26,047.91 $28,312.94 $26,890.46 2026-01-19
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Mcc 10 5 $67,800.55 $67,800.55 $23,693.43 $28,514.77 $26,613.78 2026-01-19
496 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 8 4 $52,564.74 $52,564.74 $25,765.10 $28,005.55 $26,598.50 2026-01-19
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 10 5 $42,323.01 $42,323.01 $23,581.20 $28,379.70 $26,487.72 2026-01-19
22514 HCPCS Treatment Of Broken Lower Spine Bone With Placement Of Stabilizing Device 24 6 $33,638.47 $33,638.47 $1,731.00 $63,475.89 $26,473.99 2026-01-19
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 8 4 $38,116.46 $38,116.46 $25,622.27 $27,850.30 $26,451.06 2026-01-19
862 MS_DRG Postoperative And Post-traumatic Infections With Mcc 10 5 $63,406.55 $63,406.55 $23,525.73 $28,312.94 $26,425.41 2026-01-19
722 MS_DRG Malignancy, Male Reproductive System With Mcc 10 5 $87,955.18 $87,955.18 $23,345.13 $28,095.59 $26,222.55 2026-01-19
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/mcc 10 5 $64,445.76 $64,445.76 $23,316.75 $28,061.44 $26,190.68 2026-01-19
205 MS_DRG Other Respiratory System Diagnoses With Mcc 10 5 $18,100.69 $18,100.69 $18,100.69 $28,426.28 $26,152.17 2026-01-19
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 8 4 $111,170.33 $111,170.33 $25,325.19 $27,527.38 $26,144.36 2026-01-19
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 10 5 $34,240.21 $34,240.21 $23,151.63 $27,862.72 $26,005.20 2026-01-19
505 MS_DRG Foot Procedures Without Cc/mcc 6 3 $102,288.86 $102,288.86 $25,606.56 $27,833.22 $25,977.67 2026-01-19
501 MS_DRG Soft Tissue Procedures With Cc 8 4 $54,160.51 $54,160.51 $24,968.11 $27,139.25 $25,775.74 2026-01-19
254 MS_DRG Other Vascular Procedures Without Cc/mcc 8 4 $14,950.27 $14,950.27 $14,950.27 $27,660.89 $25,632.43 2026-01-19
180 MS_DRG Respiratory Neoplasms With Mcc 10 5 $132,422.45 $132,422.45 $22,781.40 $27,417.15 $25,589.34 2026-01-19
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 10 5 $68,857.54 $68,857.54 $22,742.70 $27,370.58 $25,545.87 2026-01-19
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 8 4 $26,230.70 $26,230.70 $24,681.02 $26,827.20 $25,479.36 2026-01-19
42 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/mcc 8 4 $90,255.95 $90,255.95 $24,676.74 $26,822.54 $25,474.93 2026-01-19
62 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 10 5 $86,471.06 $86,471.06 $22,667.88 $27,280.53 $25,461.83 2026-01-19
91 MS_DRG Other Disorders Of Nervous System With Mcc 10 5 $26,727.17 $26,727.17 $22,654.98 $27,265.01 $25,447.34 2026-01-19
52 MS_DRG Spinal Disorders And Injuries With Cc/mcc 10 5 $14,052.54 $14,052.54 $14,052.54 $27,646.92 $25,435.17 2026-01-19
199 MS_DRG Pneumothorax With Mcc 10 5 $25,378.19 $25,378.19 $22,756.89 $27,387.65 $25,378.19 2026-01-19
983 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/mcc 8 4 $116,329.59 $116,329.59 $24,481.06 $26,609.85 $25,272.93 2026-01-19
144 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Cc 10 5 $40,835.03 $40,835.03 $22,354.41 $26,903.27 $25,109.72 2026-01-19
922 MS_DRG Other Injury, Poisoning And Toxic Effect Diagnoses With Mcc 10 5 $16,578.02 $16,578.02 $16,578.02 $27,159.44 $24,986.68 2026-01-19
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 8 4 $91,929.46 $91,929.46 $24,161.12 $26,262.09 $24,942.64 2026-01-19
896 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 10 5 $9,953.39 $9,953.39 $9,953.39 $27,092.68 $24,925.26 2026-01-19
157 MS_DRG Dental And Oral Diseases With Mcc 10 5 $49,776.56 $49,776.56 $22,146.72 $26,653.32 $24,876.43 2026-01-19
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/mcc 8 4 $36,744.29 $36,744.29 $24,036.86 $26,127.02 $24,814.36 2026-01-19
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 8 4 $76,591.26 $76,591.26 $24,029.72 $26,119.26 $24,806.99 2026-01-19
36226 HCPCS Insertion Of Tube Into Brain Artery For Diagnosis Or Treatment With Review By Ra… 12 6 $53,610.10 $53,610.10 $10,314.00 $101,162.26 $24,794.67 2026-01-19
36224 HCPCS Insertion Of Tube Into Internal Neck Artery For Diagnosis Or Treatment With Revi… 12 6 $53,610.10 $53,610.10 $10,314.00 $101,162.26 $24,794.67 2026-01-19
19324 HCPCS Mammaplasty, Augmentation; Without Prosthetic Implant 8 4 $42,601.70 $42,601.70 $1,731.00 $80,389.41 $24,500.85 2026-01-19
58 MS_DRG Multiple Sclerosis And Cerebellar Ataxia With Mcc 10 5 $22,295.26 $22,295.26 $22,052.55 $26,539.99 $24,416.79 2026-01-19
915 MS_DRG Allergic Reactions With Mcc 10 5 $57,912.91 $57,912.91 $21,692.64 $26,106.84 $24,366.38 2026-01-19
988 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 8 4 $46,896.56 $46,896.56 $23,475.54 $25,516.89 $24,234.88 2026-01-19
444 MS_DRG Disorders Of The Biliary Tract With Mcc 10 5 $82,324.70 $82,324.70 $21,554.61 $25,940.72 $24,211.34 2026-01-19
597 MS_DRG Malignant Breast Disorders With Mcc 10 5 $52,838.11 $52,838.11 $21,505.59 $25,881.73 $24,156.28 2026-01-19
70 MS_DRG Other Cerebrovascular Disorders With Mcc 10 5 $40,587.76 $40,587.76 $21,475.92 $25,846.02 $24,122.95 2026-01-19
512 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures Without Cc/… 6 3 $124,454.77 $124,454.77 $23,644.08 $25,700.09 $23,986.75 2026-01-19
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/mcc 6 3 $49,992.31 $49,992.31 $23,295.57 $25,321.28 $23,633.19 2026-01-19
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With Mcc 10 5 $14,048.76 $14,048.76 $14,048.76 $25,684.56 $23,629.80 2026-01-19
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 10 5 $31,956.87 $31,956.87 $21,029.58 $25,308.86 $23,621.60 2026-01-19
620 MS_DRG O.r. Procedures For Obesity With Cc 8 4 $54,480.88 $54,480.88 $22,857.08 $24,844.66 $23,596.42 2026-01-19
37226 HCPCS Insertion Of Stent In Arteries Of Leg 20 6 $108,318.30 $108,318.30 $1,731.00 $204,396.63 $23,535.66 2026-01-19
61626 HCPCS Occlusion Of Head Or Neck Artery 20 6 $50,887.92 $50,887.92 $1,731.00 $96,025.51 $23,531.03 2026-01-19
299 MS_DRG Peripheral Vascular Disorders With Mcc 10 5 $8,486.13 $8,486.13 $8,486.13 $25,347.67 $23,319.85 2026-01-19
841 MS_DRG Lymphoma And Non-acute Leukemia With Cc 10 5 $22,632.00 $22,632.00 $21,045.06 $25,327.49 $23,301.29 2026-01-19
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 10 5 $37,995.01 $37,995.01 $20,692.89 $24,903.65 $23,243.41 2026-01-19
328 MS_DRG Stomach, Esophageal And Duodenal Procedures Without Cc/mcc 10 5 $49,155.19 $49,155.19 $20,669.67 $24,875.71 $23,217.33 2026-01-19
513 MS_DRG Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures With Cc/mcc 8 4 $118,246.65 $118,246.65 $22,485.73 $24,441.01 $23,213.06 2026-01-19
393 MS_DRG Other Digestive System Diagnoses With Mcc 10 5 $41,910.24 $41,910.24 $20,630.97 $24,829.13 $23,173.86 2026-01-19
487 MS_DRG Knee Procedures With Principal Diagnosis Of Infection Without Cc/mcc 8 4 $64,669.92 $64,669.92 $22,370.03 $24,315.26 $23,093.62 2026-01-19
410 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 10 5 $101,852.08 $101,852.08 $20,481.33 $24,649.04 $23,005.77 2026-01-19
92924 HCPCS Removal Of Plaque With Balloon Dilation Of Single Coronary Artery Or Branch 18 6 $105,027.80 $105,027.80 $1,731.00 $198,187.46 $23,000.00 2026-01-19
92937 HCPCS Removal Of Plaque, Insertion Of Stent And/or Balloon Dilation Of Single Coronary… 18 6 $75,585.80 $75,585.80 $1,731.00 $142,630.40 $23,000.00 2026-01-19
884 MS_DRG Organic Disturbances And Intellectual Disability 10 5 $11,401.09 $11,401.09 $11,401.09 $24,978.17 $22,979.92 2026-01-19
385 MS_DRG Inflammatory Bowel Disease With Mcc 10 5 $33,505.42 $33,505.42 $20,411.67 $24,565.21 $22,927.53 2026-01-19
73 MS_DRG Cranial And Peripheral Nerve Disorders With Mcc 10 5 $20,361.28 $20,361.28 $20,361.28 $24,906.76 $22,914.22 2026-01-19
306 MS_DRG Cardiac Congenital And Valvular Disorders With Mcc 10 5 $30,555.64 $30,555.64 $20,327.82 $24,464.30 $22,833.34 2026-01-19
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 10 5 $39,961.05 $39,961.05 $20,232.36 $24,349.41 $22,726.12 2026-01-19
517 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures Without Cc/mc… 8 4 $103,160.28 $103,160.28 $21,948.69 $23,857.27 $22,658.64 2026-01-19
177 MS_DRG Respiratory Infections And Inflammations With Mcc 10 5 $48,209.51 $48,209.51 $20,158.83 $24,260.92 $22,643.52 2026-01-19
337 MS_DRG Peritoneal Adhesiolysis Without Cc/mcc 8 4 $79,845.73 $79,845.73 $21,924.41 $23,830.88 $22,633.58 2026-01-19
669 MS_DRG Transurethral Procedures With Cc 10 5 $64,261.86 $64,261.86 $20,020.80 $24,094.80 $22,488.48 2026-01-19
351 MS_DRG Inguinal And Femoral Hernia Procedures With Cc 8 4 $55,269.37 $55,269.37 $21,774.43 $23,667.86 $22,478.75 2026-01-19
398 MS_DRG Appendix Procedures With Cc 8 4 $54,280.41 $54,280.41 $21,618.75 $23,498.64 $22,318.03 2026-01-19
54 MS_DRG Nervous System Neoplasms With Mcc 10 5 $55,164.62 $55,164.62 $19,697.01 $23,705.12 $22,124.78 2026-01-19
813 MS_DRG Coagulation Disorders 10 5 $69,123.62 $69,123.62 $19,676.37 $23,680.28 $22,101.60 2026-01-19
488 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection With Cc/mcc 6 3 $310,450.33 $310,450.33 $21,761.58 $23,653.89 $22,076.96 2026-01-19
663 MS_DRG Minor Bladder Procedures With Cc 10 5 $24,112.06 $24,112.06 $19,610.58 $23,601.11 $22,027.70 2026-01-19
520 MS_DRG Back And Neck Procedures Except Spinal Fusion Without Cc/mcc 8 4 $96,100.07 $96,100.07 $21,337.37 $23,192.80 $22,027.56 2026-01-19
27278 HCPCS Fusion Of Pelvic Joint Including Joint Implant Using Imaging Guidance 8 4 $86,204.60 $86,204.60 $1,731.00 $162,668.08 $21,936.33 2026-01-19
115 MS_DRG Extraocular Procedures Except Orbit 10 5 $17,847.51 $17,847.51 $17,847.51 $23,829.32 $21,922.98 2026-01-19
621 MS_DRG O.r. Procedures For Obesity Without Cc/mcc 10 5 $29,316.99 $29,316.99 $20,059.50 $23,417.91 $21,856.72 2026-01-19
425 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures Without Cc/mcc 10 5 $22,104.87 $22,104.87 $19,353.87 $23,292.16 $21,739.35 2026-01-19
682 MS_DRG Renal Failure With Mcc 10 5 $26,040.26 $26,040.26 $19,104.90 $22,992.53 $21,459.69 2026-01-19
251 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc 10 5 $12,276.55 $12,276.55 $12,276.55 $23,202.11 $21,345.94 2026-01-19
581 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/mcc 8 4 $20,991.34 $20,991.34 $20,611.80 $22,404.13 $20,950.93 2026-01-19
G2171 HCPCS Percutaneous Arteriovenous Fistula Creation (avf), Direct, Any Site, Using Magne… 12 6 $45,296.76 $45,296.76 $7,616.00 $85,474.99 $20,949.76 2026-01-19
37236 HCPCS Insertion Of Stent In Artery (except Lower Extremity, Chest, Heart, Neck And Bra… 24 6 $42,041.84 $42,041.84 $1,731.00 $96,025.51 $20,881.83 2026-01-19
757 MS_DRG Infections, Female Reproductive System With Mcc 10 5 $96,128.20 $96,128.20 $18,471.51 $22,230.25 $20,748.23 2026-01-19
602 MS_DRG Cellulitis With Mcc 10 5 $31,118.66 $31,118.66 $18,334.77 $22,065.68 $20,594.64 2026-01-19
858 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures Without Cc/mcc 8 4 $53,936.77 $53,936.77 $19,894.79 $21,624.77 $20,538.31 2026-01-19
637 MS_DRG Diabetes With Mcc 10 5 $12,596.72 $12,596.72 $12,596.72 $22,304.77 $20,520.39 2026-01-19
741 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy Without… 8 4 $14,750.53 $14,750.53 $14,750.53 $22,140.20 $20,516.59 2026-01-19
748 MS_DRG Female Reproductive System Reconstructive Procedures 8 4 $100,473.84 $100,473.84 $19,814.81 $21,537.83 $20,455.74 2026-01-19
241 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe Without Cc… 8 4 $28,955.71 $28,955.71 $19,773.39 $21,492.81 $20,412.98 2026-01-19
811 MS_DRG Red Blood Cell Disorders With Mcc 10 5 $43,508.61 $43,508.61 $18,115.47 $21,801.76 $20,348.31 2026-01-19
419 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. Without Cc/mcc 8 4 $94,282.34 $94,282.34 $19,507.72 $21,204.05 $20,138.72 2026-01-19
422 MS_DRG Hepatobiliary Diagnostic Procedures Without Cc/mcc 10 5 $11,688.84 $11,688.84 $11,688.84 $21,727.24 $19,989.06 2026-01-19
885 MS_DRG Psychoses 10 5 $10,700.40 $10,700.40 $10,700.40 $21,685.32 $19,950.49 2026-01-19
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 10 5 $22,591.93 $22,591.93 $17,719.44 $21,325.14 $19,903.46 2026-01-19
502 MS_DRG Soft Tissue Procedures Without Cc/mcc 8 4 $91,741.35 $91,741.35 $19,223.49 $20,895.10 $19,845.29 2026-01-19
383 MS_DRG Uncomplicated Peptic Ulcer With Mcc 10 5 $9,378.21 $9,378.21 $9,378.21 $21,435.37 $19,720.54 2026-01-19
37227 HCPCS Removal Of Plaque And Insertion Of Stents In Arteries Of Leg 20 6 $188,125.31 $188,125.31 $1,731.00 $354,992.46 $19,444.35 2026-01-19
909 MS_DRG Other O.r. Procedures For Injuries Without Cc/mcc 8 4 $57,193.85 $57,193.85 $18,749.29 $20,379.67 $19,355.76 2026-01-19
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 10 5 $34,074.45 $34,074.45 $17,229.24 $20,735.19 $19,352.84 2026-01-19
114 MS_DRG Orbital Procedures Without Cc/mcc 10 5 $10,675.85 $10,675.85 $10,675.85 $21,005.33 $19,324.90 2026-01-19
555 MS_DRG Signs And Symptoms Of Musculoskeletal System And Connective Tissue With Mcc 10 5 $97,176.63 $97,176.63 $17,051.22 $20,520.95 $19,152.88 2026-01-19
660 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Cc 10 5 $34,937.92 $34,937.92 $17,049.93 $20,519.39 $19,151.43 2026-01-19
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 10 5 $27,640.11 $27,640.11 $16,955.76 $20,406.06 $19,045.66 2026-01-19
19366 HCPCS Breast Reconstruction With Other Technique 8 4 $31,541.30 $31,541.30 $1,731.00 $59,518.43 $18,970.65 2026-01-19
348 MS_DRG Anal And Stomal Procedures With Cc 10 5 $27,598.24 $27,598.24 $16,883.52 $20,319.12 $18,964.51 2026-01-19
25545 HCPCS Treatment Of Broken Midpart Of Forearm Bone On Small Finger Side 16 6 $61,414.00 $61,414.00 $1,731.00 $115,888.22 $18,963.50 2026-01-19
31266 HCPCS Operating Room Services - General Classification 8 4 $31,266.10 $31,266.10 $1,731.00 $58,999.13 $18,833.05 2026-01-19
553 MS_DRG Bone Diseases And Arthropathies With Mcc 10 5 $35,741.75 $35,741.75 $16,722.27 $20,125.06 $18,783.39 2026-01-19
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 10 5 $32,104.94 $32,104.94 $16,713.24 $20,114.19 $18,773.24 2026-01-19
30849 HCPCS Operating Room Services - General Classification 8 4 $30,849.64 $30,849.64 $1,731.00 $58,213.27 $18,624.82 2026-01-19
291 MS_DRG Heart Failure And Shock With Mcc 10 5 $33,441.04 $33,441.04 $16,561.02 $19,931.00 $18,602.26 2026-01-19
63650 HCPCS Insertion Of Spinal Neurostimulator Electrode Array Through Skin 16 6 $54,950.80 $54,950.80 $1,731.00 $103,692.16 $18,573.17 2026-01-19
22860 HCPCS Insertion Of Artificial Disc Between Bones Of Lower Spine, Additional Space 8 4 $30,372.00 $30,372.00 $1,731.00 $57,311.96 $18,386.00 2026-01-19
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 10 5 $35,810.95 $35,810.95 $16,361.07 $19,690.36 $18,377.67 2026-01-19
28103 HCPCS Removal Of Cyst Or Growth Of Heel Or Ankle Bone With Donor Bone Graft 16 6 $25,496.45 $25,496.45 $1,731.00 $109,133.70 $18,361.22 2026-01-19
36222 HCPCS Insertion Of Tube Into Extracranial Artery For Diagnosis Or Treatment With Revie… 10 5 $30,601.40 $30,601.40 $5,118.00 $57,744.84 $18,360.84 2026-01-19
535 MS_DRG Fractures Of Hip And Pelvis With Mcc 10 5 $14,704.85 $14,704.85 $14,704.85 $19,903.05 $18,310.81 2026-01-19
743 MS_DRG Uterine And Adnexa Procedures For Non-malignancy Without Cc/mcc 8 4 $120,519.18 $120,519.18 $17,720.92 $19,261.87 $18,294.12 2026-01-19
59 MS_DRG Multiple Sclerosis And Cerebellar Ataxia With Cc 10 5 $21,554.31 $21,554.31 $16,007.61 $19,264.97 $17,980.64 2026-01-19
189 MS_DRG Pulmonary Edema And Respiratory Failure 10 5 $41,318.61 $41,318.61 $15,936.66 $19,179.59 $17,900.95 2026-01-19
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 8 4 $34,275.56 $34,275.56 $17,196.73 $18,692.10 $17,752.98 2026-01-19
145 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures Without Cc/mcc 8 4 $35,731.71 $35,731.71 $17,172.45 $18,665.71 $17,727.92 2026-01-19
139 MS_DRG Salivary Gland Procedures 10 5 $39,087.41 $39,087.41 $15,590.94 $18,763.52 $17,512.61 2026-01-19
302 MS_DRG Atherosclerosis With Mcc 6 3 $32,085.34 $32,085.34 $17,091.04 $18,577.22 $17,338.73 2026-01-19
304 MS_DRG Hypertension With Mcc 6 3 $140,781.32 $140,781.32 $16,996.77 $18,474.75 $17,243.10 2026-01-19
539 MS_DRG Osteomyelitis With Mcc 4 2 $9,012.50 $9,012.50 $9,012.50 $25,409.13 $17,210.82 2026-01-19
63001 HCPCS Partial Removal Of Spine Bone With Exploration And/or Release Of Upper Spinal Co… 16 6 $61,414.00 $61,414.00 $1,731.00 $115,888.22 $17,153.35 2026-01-19
92928 HCPCS Insertion Of Stents With Balloon Dilation Of Coronary Artery Or Branch, Single A… 16 6 $75,585.80 $75,585.80 $1,731.00 $142,630.40 $17,113.00 2026-01-19
593 MS_DRG Skin Ulcers With Cc 10 5 $16,150.60 $16,150.60 $15,303.27 $18,417.31 $16,943.92 2026-01-19
44186 HCPCS Creation Of Opening From Small Bowel To Skin With Insertion Of A Tube For Decomp… 16 6 $22,659.64 $22,659.64 $1,731.00 $42,758.74 $16,942.80 2026-01-19
352 MS_DRG Inguinal And Femoral Hernia Procedures Without Cc/mcc 10 5 $71,899.02 $71,899.02 $15,064.62 $18,130.10 $16,921.42 2026-01-19
572 MS_DRG Skin Debridement Without Cc/mcc 8 4 $22,880.38 $22,880.38 $16,372.60 $17,796.31 $16,902.19 2026-01-19
399 MS_DRG Appendix Procedures Without Cc/mcc 8 4 $55,592.46 $55,592.46 $16,349.75 $17,771.47 $16,878.60 2026-01-19
689 MS_DRG Kidney And Urinary Tract Infections With Mcc 10 5 $17,657.16 $17,657.16 $14,967.87 $18,013.66 $16,812.75 2026-01-19
33217 HCPCS Insertion Of 2 Electrodes For Permanent Pacemaker Or Defibrillator 16 6 $22,186.95 $22,186.95 $1,731.00 $103,142.67 $16,706.47 2026-01-19
27814 HCPCS Treatment Of Both Broken Lower Leg Bones At Ankle 16 6 $48,992.10 $48,992.10 $1,731.00 $92,448.09 $16,700.25 2026-01-19
497 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 6 3 $125,391.51 $125,391.51 $16,449.73 $17,880.14 $16,688.13 2026-01-19
560 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Cc 8 4 $38,583.21 $38,583.21 $16,084.09 $17,482.70 $16,604.35 2026-01-19
59510 HCPCS Cesarean Delivery With Care Before And After Delivery 8 4 $26,768.15 $26,768.15 $1,731.00 $50,511.50 $16,584.08 2026-01-19
59618 HCPCS Cesarean Delivery And Care Before And After Delivery Following Attempted Vaginal… 8 4 $26,728.80 $26,728.80 $1,731.00 $50,437.25 $16,564.40 2026-01-19
489 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection Without Cc/mcc 8 4 $63,074.18 $63,074.18 $15,951.25 $17,338.32 $16,467.22 2026-01-19
245 MS_DRG Aicd Generator Procedures 2 1 $16,462.64 $16,462.64 $16,462.64 $16,462.64 $16,462.64 2026-01-19
64628 HCPCS Heat Destruction Of Intraosseous Basivertebral Nerve In Bones Of Spine In Lower … 8 4 $60,730.88 $60,730.88 $1,731.00 $114,599.17 $16,431.95 2026-01-19
436 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Cc 10 5 $27,301.10 $27,301.10 $14,591.19 $17,560.33 $16,389.64 2026-01-19
723 MS_DRG Malignancy, Male Reproductive System With Cc 10 5 $13,195.09 $13,195.09 $13,195.09 $17,740.42 $16,321.18 2026-01-19
102 MS_DRG Headaches With Mcc 10 5 $44,295.47 $44,295.47 $14,459.61 $17,401.97 $16,241.84 2026-01-19
37248 HCPCS Balloon Dilation Of Vein With Review By Radiologist, Initial Vein 24 6 $50,887.92 $50,887.92 $1,731.00 $96,025.51 $16,200.95 2026-01-19
33207 HCPCS Insertion Of Pacemaker And Lower Heart Chamber Electrode 16 6 $74,200.56 $74,200.56 $1,731.00 $140,016.46 $16,196.59 2026-01-19
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 10 5 $33,434.88 $33,434.88 $14,289.33 $17,197.04 $16,050.57 2026-01-19
27416 HCPCS Implantation Of Self Cartilage Cells Into Knee Bone 16 6 $30,346.24 $30,346.24 $1,731.00 $57,263.35 $16,006.90 2026-01-19
93650 HCPCS Destruction Of Heart Conduction Tissue To Create Heart Block 12 6 $34,545.48 $34,545.48 $10,314.00 $65,187.32 $15,977.28 2026-01-19
200 MS_DRG Pneumothorax With Cc 10 5 $65,915.67 $65,915.67 $14,180.97 $17,066.63 $15,928.86 2026-01-19
33285 HCPCS Insertion Of Heart Rhythm Monitor Under Skin 12 6 $39,172.80 $39,172.80 $1,330.00 $73,919.07 $15,890.84 2026-01-19
33211 HCPCS Insertion Of Temporary Pacemaker Lead In Upper And Lower Heart Chambers 12 6 $34,159.52 $34,159.52 $10,314.00 $64,459.01 $15,860.85 2026-01-19
445 MS_DRG Disorders Of The Biliary Tract With Cc 10 5 $66,232.98 $66,232.98 $14,117.76 $16,990.56 $15,857.86 2026-01-19
14060 HCPCS Repair Of Wound Of Eyelids, Nose, Ears, Or Lips By Transferring Skin, 10.0 Sq Cm… 20 6 $16,286.20 $16,286.20 $1,731.00 $31,871.43 $15,837.10 2026-01-19
755 MS_DRG Malignancy, Female Reproductive System With Cc 10 5 $25,870.87 $25,870.87 $14,032.62 $16,888.10 $15,762.22 2026-01-19
49594 HCPCS Initial Repair Of Entrapped Hernia Of Abdomen, 3-10 Cm In Length 8 4 $25,013.88 $25,013.88 $1,731.00 $47,201.19 $15,706.94 2026-01-19
49614 HCPCS Repair Of Recurrent Entrapped Hernia Of Abdomen, Less Than 3 Cm In Length 8 4 $25,012.88 $25,012.88 $1,731.00 $47,199.30 $15,706.44 2026-01-19
49592 HCPCS Initial Repair Of Entrapped Hernia Of Abdomen, Less Than 3 Cm In Length 8 4 $25,012.88 $25,012.88 $1,731.00 $47,199.30 $15,706.44 2026-01-19
882 MS_DRG Neuroses Except Depressive 10 5 $34,920.55 $34,920.55 $13,852.02 $16,670.75 $15,559.36 2026-01-19
22513 HCPCS Treatment Of Broken Middle Spine Bone With Placement Of Stabilizing Device Using… 20 6 $33,092.48 $33,092.48 $1,731.00 $115,888.22 $15,540.75 2026-01-19
287 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization Without Mcc 10 5 $38,060.35 $38,060.35 $13,804.29 $16,613.30 $15,505.75 2026-01-19
596 MS_DRG Major Skin Disorders Without Mcc 10 5 $12,785.80 $12,785.80 $12,785.80 $16,805.81 $15,461.35 2026-01-19
26615 HCPCS Treatment Of Broken Midhand Bone 16 6 $48,992.10 $48,992.10 $1,731.00 $92,448.09 $15,453.30 2026-01-19
C1785 HCPCS Pacemaker, Dual Chamber, Rate-responsive (implantable) 12 6 $45,123.00 $45,123.00 $15,341.82 $85,147.10 $15,341.82 2026-01-19
433 MS_DRG Cirrhosis And Alcoholic Hepatitis With Cc 10 5 $26,872.52 $26,872.52 $13,624.98 $16,397.51 $15,304.34 2026-01-19
818 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Cc 10 5 $265,893.19 $265,893.19 $13,599.18 $16,366.46 $15,275.36 2026-01-19
300 MS_DRG Peripheral Vascular Disorders With Cc 10 5 $11,724.97 $11,724.97 $11,724.97 $16,572.94 $15,247.10 2026-01-19
59400 HCPCS Vaginal Delivery With Care Before And After Delivery 8 4 $24,037.85 $24,037.85 $1,731.00 $45,359.42 $15,218.92 2026-01-19
74 MS_DRG Cranial And Peripheral Nerve Disorders Without Mcc 8 4 $20,360.97 $20,360.97 $14,722.92 $16,003.17 $15,199.15 2026-01-19
28645 HCPCS Treatment Of Dislocated Joint Between Toe And Foot 16 6 $24,756.05 $24,756.05 $1,731.00 $46,714.67 $15,149.80 2026-01-19
661 MS_DRG Kidney And Ureter Procedures For Non-neoplasm Without Cc/mcc 10 5 $55,235.80 $55,235.80 $13,356.66 $16,074.59 $15,002.95 2026-01-19
28039 HCPCS Removal (1.5 Centimeters Or Greater) Tissue Growth Beneath The Skin Of Foot Or T… 16 6 $33,420.05 $33,420.05 $1,731.00 $63,063.63 $14,926.50 2026-01-19
C1767 HCPCS Generator, Neurostimulator (implantable), Non-rechargeable 24 6 $33,075.50 $33,075.50 $7,658.84 $82,320.38 $14,832.50 2026-01-19
92 MS_DRG Other Disorders Of Nervous System With Cc 10 5 $16,827.44 $16,827.44 $13,196.70 $15,882.08 $14,823.27 2026-01-19
514 MS_DRG Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures Without Cc/mcc 10 5 $44,878.60 $44,878.60 $13,187.67 $15,871.21 $14,813.13 2026-01-19
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