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

OSF SAINT LUKE MEDICAL CENTER

Kewanee, IL · CCN 141325 · Rates published

955 distinct procedures filed
13 distinct payers
13,120 rate rows
2026-03-31 last MRF observed
Data quality

640 of 13,120 rate rows are consumer-grade (4.9%)

12,480 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 10,702
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 1,778
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://osf-p-001.sitecorecontenthub.cloud/api/public/content/370813229_1871919381_osf-healthcare-system_standardcharges.json
Found on page https://www.osfhealthcare.org/patients-visitors/billing-insurance/price-transparency
Discovered viaDiscovered by HANK
Last fetch success · 2026-10-21
Content fingerprint be2a4975598e66f6… · 7,241,925 bytes · first seen 2026-09-21

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
977
MS_DRG 		HIV With Or Without Other Related Condition 1 $44,163.70 $44,163.70 $44,163.70 nat. median
$13,520
outlier · 3.3×
560
MS_DRG 		Aftercare, Musculoskeletal System And Connective Tissue With Cc 1 $41,009.15 $41,009.15 $41,009.15 nat. median
$11,475
outlier · 3.6×
948
MS_DRG 		Signs And Symptoms Without Mcc 2 $20,693.46 $27,591.28 $24,142.37 nat. median
$7,968
outlier · 3.0×
176
MS_DRG 		Pulmonary Embolism Without Mcc 1 $20,212.50 $20,212.50 $20,212.50 nat. median
$8,582
outlier · 2.4×
2043
OTHER 		Orth/matrx/bn Fill Drug-elut 1 $17,515.95 $17,515.95 $17,515.95 nat. median
$6,984
outlier · 2.5×
193
MS_DRG 		Simple Pneumonia And Pleurisy With Mcc 3 $10,088.76 $20,626.45 $16,501.16 nat. median
$12,858
1.3× median
596
MS_DRG 		Major Skin Disorders Without Mcc 1 $16,501.16 $16,501.16 $16,501.16 nat. median
$10,796
1.5× median
177
MS_DRG 		Respiratory Infections And Inflammations With Mcc 1 $16,501.16 $16,501.16 $16,501.16 nat. median
$15,375
1.1× median
871
MS_DRG 		Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 5 $6,840.30 $48,551.21 $11,294.14 nat. median
$18,625
0.6× median
178
MS_DRG 		Respiratory Infections And Inflammations With Cc 1 $10,260.45 $10,260.45 $10,260.45 nat. median
$10,189
1.0× median
872
MS_DRG 		Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 3 $4,455.49 $31,040.19 $10,260.45 nat. median
$10,397
1.0× median
5114
OTHER 		Level 4 Musculoskeletal Procedures 4 $1,229.74 $17,466.31 $9,918.62 nat. median
$7,727
1.3× median
190
MS_DRG 		Chronic Obstructive Pulmonary Disease With Mcc 4 $3,999.34 $10,260.45 $8,462.11 nat. median
$11,057
0.8× median
308
MS_DRG 		Cardiac Arrhythmia And Conduction Disorders With Mcc 1 $8,250.58 $8,250.58 $8,250.58 nat. median
$11,976
0.7× median
377
MS_DRG 		Gastrointestinal Hemorrhage With Mcc 1 $8,250.58 $8,250.58 $8,250.58 nat. median
$17,281
outlier · 0.5×
389
MS_DRG 		Gastrointestinal Obstruction With Cc 1 $8,250.58 $8,250.58 $8,250.58 nat. median
$8,337
1.0× median
291
MS_DRG 		Heart Failure And Shock With Mcc 4 $6,276.37 $20,693.46 $7,974.63 nat. median
$12,759
0.6× median
5674
OTHER 		Level 4 Pathology 1 $6,767.28 $6,767.28 $6,767.28 nat. median
$841
outlier · 8.0×
5361
OTHER 		Level 1 Laparoscopy And Related Services 4 $6,740.20 $27,168.80 $6,742.12 nat. median
$6,439
1.0× median
640
MS_DRG 		Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 1 $6,737.01 $6,737.01 $6,737.01 nat. median
$12,833
0.5× median
305
MS_DRG 		Hypertension Without Mcc 1 $5,752.30 $5,752.30 $5,752.30 nat. median
$8,030
0.7× median
5691
OTHER 		Level 1 Drug Administration 4 $5,254.02 $19,177.25 $5,509.68 nat. median
$99
outlier · 55.4×
5183
OTHER 		Level 3 Vascular Procedures 1 $5,254.37 $5,254.37 $5,254.37 nat. median
$3,363
1.6× median
5113
OTHER 		Level 3 Musculoskeletal Procedures 5 $1,492.73 $28,995.20 $5,169.72 nat. median
$3,577
1.4× median
5341
OTHER 		Level 1 Abdominal/Peritoneal/Biliary And Related Procedures 5 $4,125.77 $17,004.70 $5,147.80 nat. median
$3,824
1.3× median
5164
OTHER 		Level 4 ENT Procedures 1 $4,975.33 $4,975.33 $4,975.33 nat. median
$3,497
1.4× median
194
MS_DRG 		Simple Pneumonia And Pleurisy With Cc 2 $4,125.29 $5,790.79 $4,958.04 nat. median
$8,511
0.6× median
5073
OTHER 		Level 3 Excision/ Biopsy/ Incision And Drainage 3 $2,349.21 $12,647.05 $4,545.79 nat. median
$3,093
1.5× median
189
MS_DRG 		Pulmonary Edema And Respiratory Failure 3 $2,333.83 $41,009.15 $4,125.29 nat. median
$12,270
outlier · 0.3×
192
MS_DRG 		Chronic Obstructive Pulmonary Disease Without Cc/Mcc 1 $4,125.29 $4,125.29 $4,125.29 nat. median
$7,109
0.6× median
809
MS_DRG 		Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 1 $4,125.29 $4,125.29 $4,125.29 nat. median
$12,507
outlier · 0.3×
9512
OTHER 		Rbc Leukocytes Reduced 1 $4,105.88 $4,105.88 $4,105.88 nat. median
$193
outlier · 21.2×
951
MS_DRG 		Other Factors Influencing Health Status 3 $338.90 $4,452.70 $4,049.98 nat. median
$6,223
0.7× median
180
MS_DRG 		Respiratory Neoplasms With Mcc 1 $4,042.79 $4,042.79 $4,042.79 nat. median
$17,028
outlier · 0.2×
5313
OTHER 		Level 3 Lower Gi Procedures 2 $3,951.47 $4,057.33 $4,004.40 nat. median
$2,964
1.4× median
304
MS_DRG 		Hypertension With Mcc 1 $3,961.65 $3,961.65 $3,961.65 nat. median
$11,819
outlier · 0.3×
557
MS_DRG 		Tendonitis, Myositis And Bursitis With Mcc 1 $3,710.81 $3,710.81 $3,710.81 nat. median
$14,487
outlier · 0.3×
5491
OTHER 		Level 1 Intraocular Procedures 5 $2,914.06 $16,970.30 $3,706.75 nat. median
$2,434
1.5× median
5072
OTHER 		Level 2 Excision/ Biopsy/ Incision And Drainage 4 $2,612.32 $10,059.55 $3,510.31 nat. median
$1,810
1.9× median
102
MS_DRG 		Headaches With Mcc 1 $3,420.15 $3,420.15 $3,420.15 nat. median
$11,480
outlier · 0.3×
698
MS_DRG 		Other Kidney And Urinary Tract Diagnoses With Mcc 3 $3,357.14 $6,840.30 $3,420.15 nat. median
$15,902
outlier · 0.2×
179
MS_DRG 		Respiratory Infections And Inflammations Without Cc/Mcc 1 $3,357.15 $3,357.15 $3,357.15 nat. median
$8,185
outlier · 0.4×
5442
OTHER 		Level 2 Nerve Injections 2 $1,035.90 $4,650.12 $2,843.01 nat. median
$792
outlier · 3.6×
5312
OTHER 		Level 2 Lower Gi Procedures 6 $537.25 $14,902.10 $2,626.73 nat. median
$1,550
1.7× median
5672
OTHER 		Level 2 Pathology 3 $451.34 $3,192.67 $2,550.32 nat. median
$186
outlier · 13.7×
5431
OTHER 		Level 1 Nerve Procedures 1 $2,540.66 $2,540.66 $2,540.66 nat. median
$2,079
1.2× median
5694
OTHER 		Level 4 Drug Administration 2 $578.45 $13,614.95 $2,368.25 nat. median
$730
outlier · 3.2×
5301
OTHER 		Level 1 Upper Gi Procedures 5 $1,764.39 $11,818.80 $2,360.14 nat. median
$1,132
outlier · 2.1×
5182
OTHER 		Level 2 Vascular Procedures 1 $2,351.06 $2,351.06 $2,351.06 nat. median
$1,668
1.4× median
5311
OTHER 		Level 1 Lower Gi Procedures 6 $939.12 $9,506.30 $2,198.56 nat. median
$1,106
2.0× median

Other procedures at this hospital

Browse this hospital's 955 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
100 MS_DRG Seizures With Mcc 0 0 — — — — — 2026-03-31
102 MS_DRG Headaches With Mcc 1 1 — — $3,420.15 $3,420.15 $3,420.15 2026-03-31
103 MS_DRG Headaches Without Mcc 0 0 — — — — — 2026-03-31
104 MS_DRG Cardiac Valve & Oth Major Cardiothoracic Proc W Cardiac Cath 0 0 — — — — — 2026-03-31
107 MS_DRG No Longer Valid 0 0 — — — — — 2026-03-31
108 MS_DRG Other Cardiothoracic Procedures 0 0 — — — — — 2026-03-31
109 MS_DRG No Longer Valid 0 0 — — — — — 2026-03-31
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 0 0 — — — — — 2026-03-31
110 MS_DRG Major Cardiovascular Procedures W Cc 0 0 — — — — — 2026-03-31
111 MS_DRG Major Cardiovascular Procedures Without Cc 0 0 — — — — — 2026-03-31
115 MS_DRG Extraocular Procedures Except Orbit 0 0 — — — — — 2026-03-31
116 MS_DRG Intraocular Procedures With Cc/Mcc 0 0 — — — — — 2026-03-31
117 MS_DRG Intraocular Procedures Without Cc/Mcc 0 0 — — — — — 2026-03-31
118 MS_DRG Cardiac Pacemaker Device Replacement 0 0 — — — — — 2026-03-31
119 MS_DRG Vein Ligation & Stripping 0 0 — — — — — 2026-03-31
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 0 0 — — — — — 2026-03-31
120 MS_DRG Other Circulatory System O.r. Procedures 0 0 — — — — — 2026-03-31
121 MS_DRG Acute Major Eye Infections With Cc/Mcc 0 0 — — — — — 2026-03-31
122 MS_DRG Acute Major Eye Infections Without Cc/Mcc 0 0 — — — — — 2026-03-31
123 MS_DRG Neurological Eye Disorders 0 0 — — — — — 2026-03-31
124 MS_DRG Other Disorders Of The Eye With Mcc Or Thrombolytic Agent 0 0 — — — — — 2026-03-31
125 MS_DRG Other Disorders Of The Eye Without Mcc 0 0 — — — — — 2026-03-31
126 MS_DRG Acute & Subacute Endocarditis 0 0 — — — — — 2026-03-31
132 MS_DRG Cranial/Facial Procedures Without Cc/Mcc 0 0 — — — — — 2026-03-31
133 MS_DRG Other Ear, Nose, Mouth & Throat O.r. Procedures W Cc/Mcc 0 0 — — — — — 2026-03-31
134 MS_DRG Other Ear, Nose, Mouth & Throat O.r. Procedures Without Cc/Mcc 0 0 — — — — — 2026-03-31
135 MS_DRG Sinus And Mastoid Procedures With Cc/Mcc 0 0 — — — — — 2026-03-31
136 MS_DRG Sinus And Mastoid Procedures Without Cc/Mcc 0 0 — — — — — 2026-03-31
137 MS_DRG Mouth Procedures With Cc/Mcc 0 0 — — — — — 2026-03-31
138 MS_DRG Mouth Procedures Without Cc/Mcc 0 0 — — — — — 2026-03-31
139 MS_DRG Salivary Gland Procedures 0 0 — — — — — 2026-03-31
14 MS_DRG Allogeneic Bone Marrow Transplant 0 0 — — — — — 2026-03-31
140 MS_DRG Major Head And Neck Procedures With Mcc 0 0 — — — — — 2026-03-31
141 MS_DRG Major Head And Neck Procedures With Cc 0 0 — — — — — 2026-03-31
142 MS_DRG Major Head And Neck Procedures Without Cc/Mcc 0 0 — — — — — 2026-03-31
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 0 0 — — — — — 2026-03-31
144 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Cc 0 0 — — — — — 2026-03-31
145 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures Without Cc/Mcc 0 0 — — — — — 2026-03-31
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 0 0 — — — — — 2026-03-31
147 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Cc 0 0 — — — — — 2026-03-31
148 MS_DRG Ear, Nose, Mouth And Throat Malignancy Without Cc/Mcc 0 0 — — — — — 2026-03-31
149 MS_DRG Dysequilibrium 0 0 — — — — — 2026-03-31
150 MS_DRG Epistaxis With Mcc 0 0 — — — — — 2026-03-31
151 MS_DRG Epistaxis Without Mcc 0 0 — — — — — 2026-03-31
152 MS_DRG Otitis Media And Uri With Mcc 0 0 — — — — — 2026-03-31
153 MS_DRG Otitis Media And Uri Without Mcc 0 0 — — — — — 2026-03-31
154 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses With Mcc 0 0 — — — — — 2026-03-31
155 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses With Cc 0 0 — — — — — 2026-03-31
156 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses Without Cc/Mcc 0 0 — — — — — 2026-03-31
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 0 0 — — — — — 2026-03-31
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 0 0 — — — — — 2026-03-31
168 MS_DRG Other Respiratory System O.r. Procedures Without Cc/Mcc 0 0 — — — — — 2026-03-31
169 MS_DRG Mouth Procedures Without Cc 0 0 — — — — — 2026-03-31
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 0 0 — — — — — 2026-03-31
171 MS_DRG Other Digestive System O.r. Procedures Without Cc 0 0 — — — — — 2026-03-31
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 0 0 — — — — — 2026-03-31
174 MS_DRG G.i. Hemorrhage W Cc 0 0 — — — — — 2026-03-31
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 0 0 — — — — — 2026-03-31
176 MS_DRG Pulmonary Embolism Without Mcc 1 1 — — $20,212.50 $20,212.50 $20,212.50 2026-03-31
177 MS_DRG Respiratory Infections And Inflammations With Mcc 1 1 — — $16,501.16 $16,501.16 $16,501.16 2026-03-31
178 MS_DRG Respiratory Infections And Inflammations With Cc 1 1 — — $10,260.45 $10,260.45 $10,260.45 2026-03-31
179 MS_DRG Respiratory Infections And Inflammations Without Cc/Mcc 1 1 — — $3,357.15 $3,357.15 $3,357.15 2026-03-31
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 0 0 — — — — — 2026-03-31
180 MS_DRG Respiratory Neoplasms With Mcc 1 1 — — $4,042.79 $4,042.79 $4,042.79 2026-03-31
181 MS_DRG Respiratory Neoplasms With Cc 0 0 — — — — — 2026-03-31
182 MS_DRG Respiratory Neoplasms Without Cc/Mcc 0 0 — — — — — 2026-03-31
183 MS_DRG Major Chest Trauma With Mcc 0 0 — — — — — 2026-03-31
184 MS_DRG Major Chest Trauma With Cc 0 0 — — — — — 2026-03-31
185 MS_DRG Major Chest Trauma Without Cc/Mcc 0 0 — — — — — 2026-03-31
186 MS_DRG Pleural Effusion With Mcc 0 0 — — — — — 2026-03-31
187 MS_DRG Pleural Effusion With Cc 0 0 — — — — — 2026-03-31
188 MS_DRG Pleural Effusion Without Cc/Mcc 0 0 — — — — — 2026-03-31
189 MS_DRG Pulmonary Edema And Respiratory Failure 3 3 — — $2,333.83 $41,009.15 $4,125.29 2026-03-31
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 0 0 — — — — — 2026-03-31
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 4 4 — — $3,999.34 $10,260.45 $8,462.11 2026-03-31
191 MS_DRG Chronic Obstructive Pulmonary Disease With Cc 0 0 — — — — — 2026-03-31
192 MS_DRG Chronic Obstructive Pulmonary Disease Without Cc/Mcc 1 1 — — $4,125.29 $4,125.29 $4,125.29 2026-03-31
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 3 3 — — $10,088.76 $20,626.45 $16,501.16 2026-03-31
194 MS_DRG Simple Pneumonia And Pleurisy With Cc 2 2 — — $4,125.29 $5,790.79 $4,958.04 2026-03-31
195 MS_DRG Simple Pneumonia And Pleurisy Without Cc/Mcc 0 0 — — — — — 2026-03-31
196 MS_DRG Interstitial Lung Disease With Mcc 0 0 — — — — — 2026-03-31
197 MS_DRG Interstitial Lung Disease With Cc 0 0 — — — — — 2026-03-31
198 MS_DRG Interstitial Lung Disease Without Cc/Mcc 0 0 — — — — — 2026-03-31
199 MS_DRG Pneumothorax With Mcc 0 0 — — — — — 2026-03-31
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 0 0 — — — — — 2026-03-31
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 0 0 — — — — — 2026-03-31
200 MS_DRG Pneumothorax With Cc 0 0 — — — — — 2026-03-31
201 MS_DRG Pneumothorax Without Cc/Mcc 0 0 — — — — — 2026-03-31
202 MS_DRG Bronchitis And Asthma With Cc/Mcc 0 0 — — — — — 2026-03-31
203 MS_DRG Bronchitis And Asthma Without Cc/Mcc 0 0 — — — — — 2026-03-31
204 MS_DRG Respiratory Signs And Symptoms 0 0 — — — — — 2026-03-31
2043 OTHER Orth/matrx/bn Fill Drug-elut 1 1 — — $17,515.95 $17,515.95 $17,515.95 2026-03-31
205 MS_DRG Other Respiratory System Diagnoses With Mcc 0 0 — — — — — 2026-03-31
206 MS_DRG Other Respiratory System Diagnoses Without Mcc 0 0 — — — — — 2026-03-31
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 0 0 — — — — — 2026-03-31
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 0 0 — — — — — 2026-03-31
209 MS_DRG Complex Aortic Arch Procedures 0 0 — — — — — 2026-03-31
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 0 0 — — — — — 2026-03-31
210 MS_DRG Hip & Femur Procedures Except Major Joint Age >17 W Cc 0 0 — — — — — 2026-03-31
211 MS_DRG Hip & Femur Procedures Except Major Joint Age >17 Without Cc 0 0 — — — — — 2026-03-31
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 0 0 — — — — — 2026-03-31
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 0 0 — — — — — 2026-03-31
214 MS_DRG No Longer Valid 0 0 — — — — — 2026-03-31
215 MS_DRG Other Heart Assist System Implant 0 0 — — — — — 2026-03-31
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 0 0 — — — — — 2026-03-31
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 0 0 — — — — — 2026-03-31
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 0 0 — — — — — 2026-03-31
237 MS_DRG Major Cardiovasc Procedures W Mcc 0 0 — — — — — 2026-03-31
238 MS_DRG Major Cardiovasc Procedures Without Mcc 0 0 — — — — — 2026-03-31
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 0 0 — — — — — 2026-03-31
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 0 0 — — — — — 2026-03-31
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 0 0 — — — — — 2026-03-31
241 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe Without Cc… 0 0 — — — — — 2026-03-31
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 0 0 — — — — — 2026-03-31
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 0 0 — — — — — 2026-03-31
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/Mcc 0 0 — — — — — 2026-03-31
245 MS_DRG Aicd Generator Procedures 0 0 — — — — — 2026-03-31
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 0 0 — — — — — 2026-03-31
247 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent Without Mcc 0 0 — — — — — 2026-03-31
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 0 0 — — — — — 2026-03-31
249 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent Without Mcc 0 0 — — — — — 2026-03-31
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 0 0 — — — — — 2026-03-31
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 0 0 — — — — — 2026-03-31
251 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc 0 0 — — — — — 2026-03-31
252 MS_DRG Other Vascular Procedures With Mcc 0 0 — — — — — 2026-03-31
253 MS_DRG Other Vascular Procedures With Cc 0 0 — — — — — 2026-03-31
254 MS_DRG Other Vascular Procedures Without Cc/Mcc 0 0 — — — — — 2026-03-31
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 0 0 — — — — — 2026-03-31
256 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Cc 0 0 — — — — — 2026-03-31
257 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders Without Cc/Mcc 0 0 — — — — — 2026-03-31
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 0 0 — — — — — 2026-03-31
259 MS_DRG Cardiac Pacemaker Device Replacement Without Mcc 0 0 — — — — — 2026-03-31
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 0 0 — — — — — 2026-03-31
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 0 0 — — — — — 2026-03-31
261 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Cc 0 0 — — — — — 2026-03-31
262 MS_DRG Cardiac Pacemaker Revision Except Device Replacement Without Cc/Mcc 0 0 — — — — — 2026-03-31
263 MS_DRG Vein Ligation And Stripping 0 0 — — — — — 2026-03-31
264 MS_DRG Other Circulatory System O.r. Procedures 0 0 — — — — — 2026-03-31
265 MS_DRG Aicd Lead Procedures 0 0 — — — — — 2026-03-31
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 0 0 — — — — — 2026-03-31
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 0 0 — — — — — 2026-03-31
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 0 0 — — — — — 2026-03-31
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 0 0 — — — — — 2026-03-31
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 0 0 — — — — — 2026-03-31
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 0 0 — — — — — 2026-03-31
271 MS_DRG Other Major Cardiovascular Procedures With Cc 0 0 — — — — — 2026-03-31
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 0 0 — — — — — 2026-03-31
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 0 0 — — — — — 2026-03-31
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 0 0 — — — — — 2026-03-31
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 0 0 — — — — — 2026-03-31
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 0 0 — — — — — 2026-03-31
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 0 0 — — — — — 2026-03-31
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 0 0 — — — — — 2026-03-31
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 0 0 — — — — — 2026-03-31
28 MS_DRG Spinal Procedures With Mcc 0 0 — — — — — 2026-03-31
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 0 0 — — — — — 2026-03-31
281 MS_DRG Acute Myocardial Infarction, Discharged Alive With Cc 0 0 — — — — — 2026-03-31
282 MS_DRG Acute Myocardial Infarction, Discharged Alive Without Cc/Mcc 0 0 — — — — — 2026-03-31
283 MS_DRG Acute Myocardial Infarction, Expired With Mcc 0 0 — — — — — 2026-03-31
284 MS_DRG Acute Myocardial Infarction, Expired With Cc 0 0 — — — — — 2026-03-31
285 MS_DRG Acute Myocardial Infarction, Expired Without Cc/Mcc 0 0 — — — — — 2026-03-31
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 0 0 — — — — — 2026-03-31
287 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization Without Mcc 0 0 — — — — — 2026-03-31
288 MS_DRG Acute And Subacute Endocarditis With Mcc 0 0 — — — — — 2026-03-31
289 MS_DRG Acute And Subacute Endocarditis With Cc 0 0 — — — — — 2026-03-31
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 0 0 — — — — — 2026-03-31
290 MS_DRG Acute And Subacute Endocarditis Without Cc/Mcc 0 0 — — — — — 2026-03-31
291 MS_DRG Heart Failure And Shock With Mcc 4 4 — — $6,276.37 $20,693.46 $7,974.63 2026-03-31
292 MS_DRG Heart Failure And Shock With Cc 0 0 — — — — — 2026-03-31
293 MS_DRG Heart Failure And Shock Without Cc/Mcc 0 0 — — — — — 2026-03-31
294 MS_DRG Deep Vein Thrombophlebitis With Cc/Mcc 0 0 — — — — — 2026-03-31
295 MS_DRG Deep Vein Thrombophlebitis Without Cc/Mcc 0 0 — — — — — 2026-03-31
296 MS_DRG Cardiac Arrest, Unexplained With Mcc 0 0 — — — — — 2026-03-31
297 MS_DRG Cardiac Arrest, Unexplained With Cc 0 0 — — — — — 2026-03-31
298 MS_DRG Cardiac Arrest, Unexplained Without Cc/Mcc 0 0 — — — — — 2026-03-31
299 MS_DRG Peripheral Vascular Disorders With Mcc 0 0 — — — — — 2026-03-31
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 0 0 — — — — — 2026-03-31
30 MS_DRG Spinal Procedures Without Cc/Mcc 0 0 — — — — — 2026-03-31
300 MS_DRG Peripheral Vascular Disorders With Cc 0 0 — — — — — 2026-03-31
301 MS_DRG Peripheral Vascular Disorders Without Cc/Mcc 0 0 — — — — — 2026-03-31
302 MS_DRG Atherosclerosis With Mcc 0 0 — — — — — 2026-03-31
303 MS_DRG Atherosclerosis Without Mcc 0 0 — — — — — 2026-03-31
304 MS_DRG Hypertension With Mcc 1 1 — — $3,961.65 $3,961.65 $3,961.65 2026-03-31
305 MS_DRG Hypertension Without Mcc 1 1 — — $5,752.30 $5,752.30 $5,752.30 2026-03-31
306 MS_DRG Cardiac Congenital And Valvular Disorders With Mcc 0 0 — — — — — 2026-03-31
307 MS_DRG Cardiac Congenital And Valvular Disorders Without Mcc 0 0 — — — — — 2026-03-31
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 1 1 — — $8,250.58 $8,250.58 $8,250.58 2026-03-31
309 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Cc 0 0 — — — — — 2026-03-31
31 MS_DRG Ventricular Shunt Procedures With Mcc 0 0 — — — — — 2026-03-31
310 MS_DRG Cardiac Arrhythmia And Conduction Disorders Without Cc/Mcc 0 0 — — — — — 2026-03-31
311 MS_DRG Angina Pectoris 0 0 — — — — — 2026-03-31
312 MS_DRG Syncope And Collapse 0 0 — — — — — 2026-03-31
313 MS_DRG Chest Pain 0 0 — — — — — 2026-03-31
314 MS_DRG Other Circulatory System Diagnoses With Mcc 0 0 — — — — — 2026-03-31
315 MS_DRG Other Circulatory System Diagnoses With Cc 0 0 — — — — — 2026-03-31
316 MS_DRG Other Circulatory System Diagnoses Without Cc/Mcc 0 0 — — — — — 2026-03-31
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 0 0 — — — — — 2026-03-31
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 0 0 — — — — — 2026-03-31
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 0 0 — — — — — 2026-03-31
32 MS_DRG Ventricular Shunt Procedures With Cc 0 0 — — — — — 2026-03-31
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 0 0 — — — — — 2026-03-31
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 0 0 — — — — — 2026-03-31
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 0 0 — — — — — 2026-03-31
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 0 0 — — — — — 2026-03-31
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 0 0 — — — — — 2026-03-31
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 0 0 — — — — — 2026-03-31
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 0 0 — — — — — 2026-03-31
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 0 0 — — — — — 2026-03-31
328 MS_DRG Stomach, Esophageal And Duodenal Procedures Without Cc/Mcc 0 0 — — — — — 2026-03-31
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 0 0 — — — — — 2026-03-31
33 MS_DRG Ventricular Shunt Procedures Without Cc/Mcc 0 0 — — — — — 2026-03-31
330 MS_DRG Major Small And Large Bowel Procedures With Cc 0 0 — — — — — 2026-03-31
368 MS_DRG Major Esophageal Disorders With Mcc 0 0 — — — — — 2026-03-31
369 MS_DRG Major Esophageal Disorders With Cc 0 0 — — — — — 2026-03-31
37 MS_DRG Extracranial Procedures With Mcc 0 0 — — — — — 2026-03-31
370 MS_DRG Major Esophageal Disorders Without Cc/Mcc 0 0 — — — — — 2026-03-31
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 0 0 — — — — — 2026-03-31
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 1 1 — — $8,250.58 $8,250.58 $8,250.58 2026-03-31
389 MS_DRG Gastrointestinal Obstruction With Cc 1 1 — — $8,250.58 $8,250.58 $8,250.58 2026-03-31
392 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc 2 2 — — $435.12 $3,230.92 $1,833.02 2026-03-31
5021 OTHER Level 1 Type A Ed Visits 9 5 — — $51.06 $594.66 $222.00 2026-03-31
5022 OTHER Level 2 Type A Ed Visits 20 11 — — $101.42 $477.55 $310.52 2026-03-31
5023 OTHER Level 3 Type A Ed Visits 23 13 — — $250.00 $2,562.40 $407.54 2026-03-31
5024 OTHER Level 4 Type A Ed Visits 20 11 — — $250.00 $4,444.35 $999.54 2026-03-31
5025 OTHER Level 5 Type A Ed Visits 21 11 — — $250.00 $9,359.60 $1,975.27 2026-03-31
5041 OTHER Critical Care 12 7 — — $401.19 $14,309.10 $1,827.60 2026-03-31
5052 OTHER Level 2 Skin Procedures 3 3 — — $264.40 $1,218.12 $708.19 2026-03-31
5071 OTHER Level 1 Excision/ Biopsy/ Incision And Drainage 3 2 — — $49.73 $1,017.22 $302.60 2026-03-31
5072 OTHER Level 2 Excision/ Biopsy/ Incision And Drainage 7 4 — — $2,612.32 $10,059.55 $3,510.31 2026-03-31
5073 OTHER Level 3 Excision/ Biopsy/ Incision And Drainage 5 3 — — $2,349.21 $12,647.05 $4,545.79 2026-03-31
5112 OTHER Level 2 Musculoskeletal Procedures 3 3 — — $1,452.89 $6,644.40 $1,452.89 2026-03-31
5113 OTHER Level 3 Musculoskeletal Procedures 10 5 — — $1,492.73 $28,995.20 $5,169.72 2026-03-31
5114 OTHER Level 4 Musculoskeletal Procedures 4 4 — — $1,229.74 $17,466.31 $9,918.62 2026-03-31
5164 OTHER Level 4 ENT Procedures 1 1 — — $4,975.33 $4,975.33 $4,975.33 2026-03-31
5181 OTHER Level 1 Vascular Procedures 2 2 — — $661.04 $1,446.98 $1,054.01 2026-03-31
5182 OTHER Level 2 Vascular Procedures 1 1 — — $2,351.06 $2,351.06 $2,351.06 2026-03-31
5183 OTHER Level 3 Vascular Procedures 1 1 — — $5,254.37 $5,254.37 $5,254.37 2026-03-31
5241 OTHER Level 1 Blood Product Exchange And Related Services 4 4 — — $375.89 $2,806.83 $800.40 2026-03-31
5301 OTHER Level 1 Upper Gi Procedures 10 5 — — $1,764.39 $11,818.80 $2,360.14 2026-03-31
5311 OTHER Level 1 Lower Gi Procedures 11 6 — — $939.12 $9,506.30 $2,198.56 2026-03-31
5312 OTHER Level 2 Lower Gi Procedures 12 6 — — $537.25 $14,902.10 $2,626.73 2026-03-31
5313 OTHER Level 3 Lower Gi Procedures 2 2 — — $3,951.47 $4,057.33 $4,004.40 2026-03-31
5341 OTHER Level 1 Abdominal/Peritoneal/Biliary And Related Procedures 6 5 — — $4,125.77 $17,004.70 $5,147.80 2026-03-31
536 MS_DRG Fractures Of Hip And Pelvis Without Mcc 2 2 — — $140.00 $3,961.65 $2,050.82 2026-03-31
5361 OTHER Level 1 Laparoscopy And Related Services 7 4 — — $6,740.20 $27,168.80 $6,742.12 2026-03-31
5412 OTHER Level 2 Gynecologic Procedures 1 1 — — $345.67 $345.67 $345.67 2026-03-31
5431 OTHER Level 1 Nerve Procedures 1 1 — — $2,540.66 $2,540.66 $2,540.66 2026-03-31
5442 OTHER Level 2 Nerve Injections 2 2 — — $1,035.90 $4,650.12 $2,843.01 2026-03-31
5491 OTHER Level 1 Intraocular Procedures 5 5 — — $2,914.06 $16,970.30 $3,706.75 2026-03-31
5521 OTHER Level 1 Imaging Without Contrast 21 11 — — $101.51 $1,161.00 $196.56 2026-03-31
5522 OTHER Level 2 Imaging Without Contrast 21 12 — — $134.16 $1,184.05 $303.66 2026-03-31
5523 OTHER Level 3 Imaging Without Contrast 20 10 — — $473.81 $3,630.00 $768.39 2026-03-31
5524 OTHER Level 4 Imaging Without Contrast 19 10 — — $579.76 $3,157.00 $850.33 2026-03-31
557 MS_DRG Tendonitis, Myositis And Bursitis With Mcc 1 1 — — $3,710.81 $3,710.81 $3,710.81 2026-03-31
5571 OTHER Level 1 Imaging With Contrast 18 10 — — $596.75 $6,160.00 $896.54 2026-03-31
5572 OTHER Level 2 Imaging With Contrast 19 11 — — $695.17 $4,773.00 $1,085.14 2026-03-31
5573 OTHER Level 3 Imaging With Contrast 3 3 — — $731.91 $1,474.23 $801.62 2026-03-31
5591 OTHER Level 1 Nuclear Medicine And Related Services 7 6 — — $459.36 $1,968.37 $721.58 2026-03-31
5592 OTHER Level 2 Nuclear Medicine And Related Services 8 6 — — $526.90 $5,305.95 $916.61 2026-03-31
5593 OTHER Level 3 Nuclear Medicine And Related Services 15 8 — — $1,833.79 $8,240.00 $2,053.75 2026-03-31
560 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Cc 1 1 — — $41,009.15 $41,009.15 $41,009.15 2026-03-31
5671 OTHER Level 1 Pathology 8 6 — — $52.32 $2,447.37 $99.39 2026-03-31
5672 OTHER Level 2 Pathology 3 3 — — $451.34 $3,192.67 $2,550.32 2026-03-31
5673 OTHER Level 3 Pathology 4 4 — — $351.98 $3,798.00 $374.97 2026-03-31
5674 OTHER Level 4 Pathology 1 1 — — $6,767.28 $6,767.28 $6,767.28 2026-03-31
5691 OTHER Level 1 Drug Administration 4 4 — — $5,254.02 $19,177.25 $5,509.68 2026-03-31
5692 OTHER Level 2 Drug Administration 11 6 — — $259.60 $5,672.30 $1,377.40 2026-03-31
5693 OTHER Level 3 Drug Administration 13 9 — — $90.96 $1,093.57 $547.67 2026-03-31
5694 OTHER Level 4 Drug Administration 4 2 — — $578.45 $13,614.95 $2,368.25 2026-03-31
5721 OTHER Level 1 Diagnostic Tests And Related Services 15 7 — — $221.70 $1,368.50 $298.11 2026-03-31
5722 OTHER Level 2 Diagnostic Tests And Related Services 18 10 — — $152.83 $1,182.40 $407.53 2026-03-31
5724 OTHER Level 4 Diagnostic Tests And Related Services 15 9 — — $1,181.68 $6,120.00 $1,552.16 2026-03-31
5731 OTHER Level 1 Minor Procedures 5 5 — — $15.96 $461.38 $23.12 2026-03-31
5732 OTHER Level 2 Minor Procedures 9 7 — — $50.05 $335.07 $121.24 2026-03-31
5733 OTHER Level 3 Minor Procedures 19 10 — — $50.48 $920.71 $181.31 2026-03-31
5734 OTHER Level 4 Minor Procedures 16 8 — — $111.33 $643.68 $199.09 2026-03-31
5741 OTHER Level 1 Electronic Analysis Of Devices 4 3 — — $57.86 $263.00 $71.21 2026-03-31
596 MS_DRG Major Skin Disorders Without Mcc 1 1 — — $16,501.16 $16,501.16 $16,501.16 2026-03-31
603 MS_DRG Cellulitis Without Mcc 1 1 — — $435.12 $435.12 $435.12 2026-03-31
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 1 1 — — $6,737.01 $6,737.01 $6,737.01 2026-03-31
66 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction Without Cc/Mcc 1 1 — — $825.67 $825.67 $825.67 2026-03-31
689 MS_DRG Kidney And Urinary Tract Infections With Mcc 1 1 — — $476.56 $476.56 $476.56 2026-03-31
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With Mcc 3 3 — — $3,357.14 $6,840.30 $3,420.15 2026-03-31
809 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 1 1 — — $4,125.29 $4,125.29 $4,125.29 2026-03-31
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 5 5 — — $6,840.30 $48,551.21 $11,294.14 2026-03-31
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 3 3 — — $4,455.49 $31,040.19 $10,260.45 2026-03-31
9272 OTHER Inj, Denosumab 2 2 — — $22.88 $1,218.87 $620.87 2026-03-31
948 MS_DRG Signs And Symptoms Without Mcc 2 2 — — $20,693.46 $27,591.28 $24,142.37 2026-03-31
951 MS_DRG Other Factors Influencing Health Status 3 3 — — $338.90 $4,452.70 $4,049.98 2026-03-31
9512 OTHER Rbc Leukocytes Reduced 1 1 — — $4,105.88 $4,105.88 $4,105.88 2026-03-31
9522 OTHER Rbc Leukoreduced Irradiated 1 1 — — $566.59 $566.59 $566.59 2026-03-31
9530 OTHER Plate Pheres Leukoredu Irrad 2 2 — — $1,729.24 $2,492.17 $2,110.70 2026-03-31
977 MS_DRG HIV With Or Without Other Related Condition 1 1 — — $44,163.70 $44,163.70 $44,163.70 2026-03-31
N800 OTHER Clinical Diagnostic Lab Services 22 12 — — $29.05 $1,138.90 $117.34 2026-03-31
N801 OTHER Therapy Services 16 10 — — $35.76 $1,198.50 $131.68 2026-03-31
N804 OTHER Mammography Services 21 11 — — $140.67 $703.00 $165.35 2026-03-31
N809 OTHER Other Medicine 2 2 — — $442.81 $442.93 $442.87 2026-03-31
N900 OTHER Non-covered Services 7 3 — — $54.43 $1,684.00 $1,099.00 2026-03-31
N902 OTHER Packaged Services 1 1 — — $155.25 $155.25 $155.25 2026-03-31
N905 OTHER Not Recognized By Opps 1 1 — — $22.28 $22.28 $22.28 2026-03-31
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