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

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Hospital

WAYNE GENERAL HOSPITAL

Waynesboro, MS · CCN 250077 · Rates published

4,430 distinct procedures filed
31 distinct payers
118,879 rate rows
2026-05-07 last MRF observed
Data quality

117,388 of 118,879 rate rows are consumer-grade (98.7%)

1,491 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
per-diem day rate — not a per-procedure price 1,277
exceeds 10× this hospital's gross charge — excluded from medians 147
percent-of-charges filed in the dollar field — excluded from medians 42
exceeds 3× this hospital's gross charge for a DRG stay — excluded 19
placeholder amount (≤ $0.02) — 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=dbWGHWWAYNESBOROMS&type=CDMWithoutLabel&fileType=CSV
Found on page https://waynegeneralhospital.org/cms-hpt/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-16
Content fingerprint 1c812b3bec04d38c… · 54,528,984 bytes · first seen 2026-05-09

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
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 24 $24,560.93 $72,700.35 $53,989.12 nat. median
$62,134
0.9× median
876
MS_DRG 		O.r. Procedures With Principal Diagnosis Of Mental Illness 24 $14,752.13 $117,129.90 $49,860.47 nat. median
$34,333
1.5× median
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 24 $17,544.61 $89,530.32 $48,820.52 nat. median
$44,810
1.1× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 24 $20,491.13 $51,227.82 $43,969.97 nat. median
$66,526
0.7× median
974
MS_DRG 		HIV With Major Related Condition With Mcc 24 $11,015.72 $106,181.29 $41,172.46 nat. median
$29,015
1.4× median
94
MS_DRG 		Bacterial And Tuberculous Infections Of Nervous System With Mcc 24 $13,433.37 $84,453.11 $40,728.27 nat. median
$35,264
1.2× median
239
MS_DRG 		Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 24 $18,785.88 $52,747.21 $40,189.43 nat. median
$47,740
0.8× median
901
MS_DRG 		Wound Debridements For Injuries With Mcc 24 $16,018.21 $54,728.87 $38,826.14 nat. median
$41,872
0.9× median
335
MS_DRG 		Peritoneal Adhesiolysis With Mcc 24 $13,629.95 $51,315.15 $35,245.60 nat. median
$35,058
1.0× median
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 24 $15,273.84 $38,184.61 $31,417.30 nat. median
$48,170
0.7× median
40
MS_DRG 		Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 23 $14,738.01 $38,834.91 $30,023.27 nat. median
$37,698
0.8× median
466
MS_DRG 		Revision Of Hip Or Knee Replacement With Mcc 24 $11,771.91 $33,114.57 $27,222.53 nat. median
$49,191
0.6× median
330
MS_DRG 		Major Small And Large Bowel Procedures With Cc 24 $9,149.99 $53,056.19 $26,800.96 nat. median
$24,346
1.1× median
628
MS_DRG 		Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 24 $11,149.36 $27,873.39 $23,708.34 nat. median
$37,237
0.6× median
559
MS_DRG 		Aftercare, Musculoskeletal System And Connective Tissue With Mcc 23 $7,118.23 $28,787.39 $23,426.87 nat. median
$19,049
1.2× median
570
MS_DRG 		Skin Debridement With Mcc 24 $11,226.03 $29,849.03 $23,076.28 nat. median
$29,069
0.8× median
289
MS_DRG 		Acute And Subacute Endocarditis With Cc 23 $6,515.15 $38,751.97 $22,260.09 nat. median
$17,042
1.3× median
616
MS_DRG 		Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 24 $11,186.63 $27,966.58 $22,185.37 nat. median
$35,856
0.6× median
357
MS_DRG 		Other Digestive System O.r. Procedures With Cc 24 $8,876.32 $31,456.77 $22,155.08 nat. median
$22,941
1.0× median
417
MS_DRG 		Laparoscopic Cholecystectomy Without C.d.e. With Mcc 24 $9,108.77 $31,121.62 $22,030.12 nat. median
$23,832
0.9× median
475
MS_DRG 		Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 24 $8,686.23 $29,677.95 $21,039.35 nat. median
$22,403
0.9× median
336
MS_DRG 		Peritoneal Adhesiolysis With Cc 24 $8,048.80 $30,231.50 $20,784.34 nat. median
$21,529
1.0× median
629
MS_DRG 		Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 24 $8,316.37 $29,454.08 $20,750.02 nat. median
$22,198
0.9× median
854
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Cc 24 $7,626.65 $31,037.13 $20,667.20 nat. median
$20,421
1.0× median
331
MS_DRG 		Major Small And Large Bowel Procedures Without Cc/mcc 24 $6,423.55 $42,051.40 $19,826.47 nat. median
$17,704
1.1× median
808
MS_DRG 		Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 24 $8,427.44 $27,848.43 $19,647.19 nat. median
$22,208
0.9× median
91
MS_DRG 		Other Disorders Of Nervous System With Mcc 23 $6,703.33 $24,134.97 $19,640.79 nat. median
$17,987
1.1× median
255
MS_DRG 		Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 24 $10,010.01 $25,025.03 $19,346.85 nat. median
$26,350
0.7× median
354
MS_DRG 		Hernia Procedures Except Inguinal And Femoral With Cc 24 $6,421.64 $39,729.21 $19,334.33 nat. median
$17,599
1.1× median
208
MS_DRG 		Respiratory System Diagnosis With Ventilator Support <=96 Hours 24 $9,858.83 $24,647.07 $19,054.65 nat. median
$26,748
0.7× median
441
MS_DRG 		Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 24 $6,850.28 $29,214.32 $18,922.64 nat. median
$18,509
1.0× median
283
MS_DRG 		Acute Myocardial Infarction, Expired With Mcc 24 $7,560.61 $25,832.09 $18,460.03 nat. median
$19,749
0.9× median
299
MS_DRG 		Peripheral Vascular Disorders With Mcc 23 $6,231.93 $22,245.29 $18,102.98 nat. median
$16,473
1.1× median
264
MS_DRG 		Other Circulatory System O.r. Procedures 24 $7,605.43 $21,251.49 $17,587.57 nat. median
$33,061
0.5× median
418
MS_DRG 		Laparoscopic Cholecystectomy Without C.d.e. With Cc 24 $6,456.75 $25,561.04 $17,205.96 nat. median
$17,483
1.0× median
438
MS_DRG 		Disorders Of Pancreas Except Malignancy With Mcc 24 $6,222.39 $26,672.69 $17,188.21 nat. median
$16,973
1.0× median
196
MS_DRG 		Interstitial Lung Disease With Mcc 24 $7,203.35 $24,578.44 $17,093.00 nat. median
$18,723
0.9× median
100
MS_DRG 		Seizures With Mcc 24 $7,392.67 $23,611.04 $16,918.60 nat. median
$19,360
0.9× median
57
MS_DRG 		Degenerative Nervous System Disorders Without Mcc 23 $4,945.24 $21,226.08 $16,896.23 nat. median
$13,201
1.3× median
909
MS_DRG 		Other O.r. Procedures For Injuries Without Cc/mcc 24 $5,010.51 $39,181.37 $16,808.33 nat. median
$13,888
1.2× median
205
MS_DRG 		Other Respiratory System Diagnoses With Mcc 24 $6,988.84 $23,193.82 $16,331.68 nat. median
$18,295
0.9× median
351
MS_DRG 		Inguinal And Femoral Hernia Procedures With Cc 24 $5,818.94 $25,490.22 $16,073.75 nat. median
$15,589
1.0× median
915
MS_DRG 		Allergic Reactions With Mcc 24 $6,418.58 $22,743.10 $16,019.12 nat. median
$17,183
0.9× median
368
MS_DRG 		Major Esophageal Disorders With Mcc 24 $6,076.20 $23,515.40 $15,972.51 nat. median
$16,679
1.0× median
871
MS_DRG 		Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 24 $7,414.43 $20,799.06 $15,854.88 nat. median
$19,635
0.8× median
580
MS_DRG 		Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 24 $6,595.69 $22,535.26 $15,760.99 nat. median
$17,923
0.9× median
256
MS_DRG 		Upper Limb And Toe Amputation For Circulatory System Disorders With Cc 24 $6,480.80 $22,142.72 $15,675.83 nat. median
$17,337
0.9× median
949
MS_DRG 		Aftercare With Cc/mcc 23 $4,541.03 $24,505.51 $15,515.16 nat. median
$12,475
1.2× median
64
MS_DRG 		Intracranial Hemorrhage Or Cerebral Infarction With Mcc 23 $7,675.89 $19,961.64 $15,432.35 nat. median
$20,254
0.8× median
186
MS_DRG 		Pleural Effusion With Mcc 24 $5,948.72 $21,964.95 $15,207.27 nat. median
$15,980
1.0× median

Other procedures at this hospital

Browse this hospital's 4,430 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
             
27355 HCPCS Removal Of Cyst Or Growth Of Thigh Bone 31 31 $1,643.00 $1,643.00 $186.70 $5,229.24 $1,396.55 2026-05-07
44145 HCPCS Partial Removal Of Large Bowel And Reattachment To Rectum 12 12 $3,333.00 $3,333.00 $986.31 $2,999.70 $1,409.01 2026-05-07
44143 HCPCS Partial Removal Of Large Bowel With Creation Of Opening From Large Bowel To Skin 17 17 $3,013.00 $3,013.00 $991.84 $2,711.70 $1,416.91 2026-05-07
20240 HCPCS Biopsy Of Surface Bone 112 31 $624.00 $624.00 $83.69 $9,638.97 $1,417.47 2026-05-07
54163 HCPCS Repair Of Incomplete Removal Of Foreskin 48 31 $1,854.00 $1,854.00 $134.14 $4,439.46 $1,418.98 2026-05-07
J0248 HCPCS Injection, Remdesivir, 1 Mg 30 30 $1,597.45 $1,597.45 $6.21 $2,987.23 $1,437.71 2026-05-07
90381 HCPCS Respiratory Syncytial Virus Antibody, 1.0 Ml Dosage For Injection Into Muscle 23 23 $1,600.00 $1,600.00 $480.00 $2,992.00 $1,440.00 2026-05-07
90380 HCPCS Respiratory Syncytial Virus Antibody, 0.5 Ml Dosage For Injection Into Muscle 23 23 $1,600.00 $1,600.00 $480.00 $2,992.00 $1,440.00 2026-05-07
C1781 HCPCS Mesh (implantable) 323 17 $1,630.25 $1,630.25 $143.10 $15,530.35 $1,467.23 2026-05-07
12542919_1 CDM Port-a-cath Tray 8.5 Fr 17 17 $1,735.63 $1,735.63 $242.99 $1,648.85 $1,475.29 2026-05-07
795 MS_DRG Normal Newborn 23 23 $1,911.82 $1,911.82 $762.63 $4,911.82 $1,478.02 2026-05-07
11420 HCPCS Removal Of Noncancer Skin Growth Of Scalp, Neck, Hands, Feet, Or Genitals, 0.5 C… 179 31 $1,986.16 $1,986.16 $48.83 $7,284.88 $1,484.00 2026-05-07
27752 HCPCS Closed Treatment Of Middle Part Of Broken Shin Bone With Manipulation 63 31 $3,158.00 $3,158.00 $317.79 $5,937.25 $1,484.77 2026-05-07
12543413_1 CDM Ez Io Needle 15mmx15ga 17 17 $1,757.50 $1,757.50 $246.05 $1,669.63 $1,493.88 2026-05-07
12543401_1 CDM Ez Io Needle 25mmx15ga 17 17 $1,757.50 $1,757.50 $246.05 $1,669.63 $1,493.88 2026-05-07
44144 HCPCS Partial Removal Of Large Bowel With Creation Of 2 Openings From Small Or Large B… 17 17 $2,781.00 $2,781.00 $1,059.94 $2,502.90 $1,514.20 2026-05-07
7963118_3 CDM Rev - Ihs-moa Clinic Visit 17 17 $1,782.00 $1,782.00 $249.48 $1,692.90 $1,514.70 2026-05-07
7962822_3 CDM Rev - Ihs-moa Clinic Visit 17 17 $1,793.00 $1,793.00 $251.02 $1,703.35 $1,524.05 2026-05-07
11044 HCPCS Removal Of Bone, 20.0 Sq Cm Or Less 96 31 $2,953.72 $2,953.72 $132.36 $7,890.65 $1,525.04 2026-05-07
44207 HCPCS Partial Removal Of Large Bowel And Reattachment To Rectum Using An Endoscope 12 12 $3,502.00 $3,502.00 $1,077.05 $3,151.80 $1,538.64 2026-05-07
28112 HCPCS Removal Of Toe Bone At Second, Third, Or Fourth Joints 26 17 $712.75 $712.75 $192.22 $7,114.53 $1,541.48 2026-05-07
44141 HCPCS Partial Removal Of Large Bowel With Creation Of Opening To Skin 17 17 $2,735.00 $2,735.00 $1,093.56 $2,499.57 $1,562.23 2026-05-07
49561 HCPCS Repair Initial Incisional Or Ventral Hernia; Incarcerated Or Strangulated 31 31 $1,849.00 $1,849.00 $186.70 $3,457.63 $1,571.65 2026-05-07
14637771_1 CDM Puraply 2x2 17 17 $1,875.00 $1,875.00 $262.50 $1,781.25 $1,593.75 2026-05-07
78452 HCPCS Nuclear Medicine Studies Of Heart Muscle At Rest And With Stress And Spect 31 31 $2,126.00 $2,126.00 $637.80 $3,975.62 $1,594.50 2026-05-07
47360 HCPCS Control Of Bleeding Of Wound Of Liver With Complex Suture 17 17 $3,451.00 $3,451.00 $1,127.57 $3,105.90 $1,610.82 2026-05-07
44147 HCPCS Partial Removal Of Large Bowel Through Abdomen And Anus 12 12 $2,823.00 $2,823.00 $1,129.20 $2,619.15 $1,636.97 2026-05-07
7961772_3 CDM Rev - Ihs-moa Clinic Visit 17 17 $1,937.00 $1,937.00 $271.18 $1,840.15 $1,646.45 2026-05-07
12345781_1 CDM Hemabate 250 Mcg/ml Ampul 17 17 $1,939.50 $1,939.50 $271.53 $1,842.53 $1,648.58 2026-05-07
12542689_1 CDM Blood Glucose Strip 17 17 $1,968.00 $1,968.00 $275.52 $1,869.60 $1,672.80 2026-05-07
44208 HCPCS Partial Removal Of Large Bowel And Reattachment To Rectum And Creation Of Openin… 12 12 $3,351.60 $3,351.60 $1,174.61 $3,016.44 $1,678.02 2026-05-07
J3111 HCPCS Injection, Romosozumab-aqqg, 1 Mg 30 30 $2,931.09 $2,931.09 $9.09 $5,481.13 $1,685.38 2026-05-07
21933 HCPCS Removal Of Growth Of Muscle Of Back Or Lower Sides, 5.0 Cm Or More 26 17 $6,162.85 $6,162.85 $449.67 $5,546.57 $1,694.78 2026-05-07
27339 HCPCS Removal Of Growth Of Muscle Of Thigh Or Knee, 5.0 Cm Or More 26 17 $6,193.50 $6,193.50 $458.67 $5,574.15 $1,703.22 2026-05-07
J0897 HCPCS Injection, Denosumab, 1 Mg 31 30 $4,405.70 $4,405.70 $19.28 $8,238.66 $1,762.28 2026-05-07
44155 HCPCS Removal Of Large Bowel And Rectum And Creation Of Opening From End Of Small Bowe… 17 17 $3,662.00 $3,662.00 $1,245.08 $3,295.80 $1,778.68 2026-05-07
44146 HCPCS Partial Removal Of Large Bowel And Reattachment To Rectum And Creation Of Large … 12 12 $3,595.00 $3,595.00 $1,259.73 $3,235.50 $1,799.61 2026-05-07
7962539_3 CDM Rev - Ihs-moa Clinic Visit 17 17 $2,148.00 $2,148.00 $300.72 $2,040.60 $1,825.80 2026-05-07
12543978_1 CDM Gammaguard 10 Gram 17 17 $2,185.00 $2,185.00 $305.90 $2,075.75 $1,857.25 2026-05-07
11426 HCPCS Removal Of Noncancer Skin Growth Of Scalp, Neck, Hands, Feet, Or Genitals, More … 95 31 $1,611.00 $1,611.00 $158.70 $10,044.61 $1,857.40 2026-05-07
12542844_1 CDM Eea Ecs33a 17 17 $2,198.00 $2,198.00 $307.72 $2,088.10 $1,868.30 2026-05-07
44157 HCPCS Removal Of Large Bowel And Rectum With Attachment Of Small Bowel To Anus 17 17 $4,275.00 $4,275.00 $1,317.34 $3,847.50 $1,881.91 2026-05-07
794 MS_DRG Neonate With Other Significant Problems 20 20 $2,064.70 $2,064.70 $825.88 $5,633.44 $1,909.85 2026-05-07
14637770_1 CDM Puraply 2x4 17 17 $2,250.00 $2,250.00 $315.00 $2,137.50 $1,912.50 2026-05-07
G0418 HCPCS Bill Only Prostate Biopsy 41-60 23 23 $2,228.00 $2,228.00 $668.40 $4,166.36 $2,005.20 2026-05-07
12542943_1 CDM Endostitch Reload Suture 17 17 $2,394.00 $2,394.00 $335.16 $2,274.30 $2,034.90 2026-05-07
59400 HCPCS Vaginal Delivery With Care Before And After Delivery 12 12 $4,250.00 $4,250.00 $1,424.85 $3,825.00 $2,035.50 2026-05-07
12542817_1 CDM Structural Trocar 17 17 $2,395.00 $2,395.00 $335.30 $2,275.25 $2,035.75 2026-05-07
28208 HCPCS Repair Of Tendon Of Top Side Of Foot 31 31 $1,094.45 $1,094.45 $328.34 $6,948.92 $2,046.62 2026-05-07
951 MS_DRG Other Factors Influencing Health Status 25 25 $2,724.12 $2,724.12 $1,089.65 $5,034.12 $2,106.01 2026-05-07
13888668_1 CDM Dermaclose 17 17 $2,500.00 $2,500.00 $350.00 $2,375.00 $2,125.00 2026-05-07
59610 HCPCS Vaginal Delivery And Care Before And After Delivery After Previous Cesarean Deli… 12 12 $2,500.00 $2,500.00 $1,000.00 $3,417.23 $2,135.77 2026-05-07
1378486_1 CDM Operating Room Services - General Classification 17 17 $2,575.00 $2,575.00 $360.50 $2,446.25 $2,188.75 2026-05-07
28113 HCPCS Complete Removal Of Foot Bone At Fifth Toe Joint 96 31 $1,709.98 $1,709.98 $262.65 $15,265.37 $2,204.06 2026-05-07
59510 HCPCS Cesarean Delivery With Care Before And After Delivery 12 12 $5,975.00 $5,975.00 $1,587.01 $5,377.50 $2,267.15 2026-05-07
59618 HCPCS Cesarean Delivery And Care Before And After Delivery Following Attempted Vaginal… 12 12 $6,400.00 $6,400.00 $1,603.97 $5,760.00 $2,291.39 2026-05-07
601 MS_DRG Non-malignant Breast Disorders Without Cc/mcc 24 24 $2,478.60 $2,478.60 $991.44 $3,848.76 $2,354.67 2026-05-07
J0875 HCPCS Injection, Dalbavancin, 5 Mg 30 30 $4,125.43 $4,125.43 $13.50 $7,714.56 $2,372.12 2026-05-07
36558 HCPCS Insertion Of Tunneled Central Venous Tube For Infusion (5 Years Or Older) 51 31 $5,083.00 $5,083.00 $152.85 $9,505.21 $2,398.51 2026-05-07
12542759_1 CDM Platelets Filter 17 17 $2,897.00 $2,897.00 $405.58 $2,752.15 $2,462.45 2026-05-07
49521 HCPCS Repair Of Trapped Or Strangulated Groin Hernia 31 31 $1,530.00 $1,530.00 $459.00 $13,748.80 $2,490.54 2026-05-07
G0419 HCPCS Bill Only Prostate Biopsy >60 23 23 $2,786.00 $2,786.00 $835.80 $5,209.82 $2,507.40 2026-05-07
73720 HCPCS MRI Scan Of Leg Before And After Contrast 61 31 $3,664.00 $3,664.00 $289.93 $6,851.68 $2,525.00 2026-05-07
31525 HCPCS Diagnostic Exam Of Voice Box Using An Endoscope 31 31 $3,425.00 $3,425.00 $1,000.00 $6,404.75 $2,568.75 2026-05-07
26727 HCPCS Placement Of Stabilizing Device For Broken Finger Or Thumb At Midportion Or Part… 48 31 $4,142.00 $4,142.00 $289.58 $7,745.54 $2,595.82 2026-05-07
30310 HCPCS Removal Of Foreign Body In Nose Under Anesthesia 31 31 $2,947.45 $2,947.45 $1,000.00 $7,041.22 $2,652.71 2026-05-07
1378487_1 CDM Operating Room Services - General Classification 17 17 $3,142.00 $3,142.00 $439.88 $2,984.90 $2,670.70 2026-05-07
59412 HCPCS Turning Of Fetus Through External Manipulation 43 31 $3,500.00 $3,500.00 $60.79 $6,874.86 $2,690.16 2026-05-07
12542911_1 CDM Kidney Shaped Balloon Trocar 17 17 $3,219.00 $3,219.00 $450.66 $3,058.05 $2,736.15 2026-05-07
12542963_1 CDM Eea 29mm 17 17 $3,317.00 $3,317.00 $464.38 $3,151.15 $2,819.45 2026-05-07
535 MS_DRG Fractures Of Hip And Pelvis With Mcc 24 24 $2,919.94 $2,919.94 $1,167.98 $8,155.55 $2,846.94 2026-05-07
47531 HCPCS Injection Of Bile Duct For X-ray Through Already Existing Skin Access Using Imag… 31 31 $3,167.21 $3,167.21 $950.16 $7,603.89 $2,850.49 2026-05-07
791 MS_DRG Prematurity With Major Problems 19 19 $3,220.66 $3,220.66 $1,288.26 $3,220.66 $2,898.59 2026-05-07
12542497_1 CDM Echelon Reload White 17 17 $3,477.00 $3,477.00 $486.78 $3,303.15 $2,955.45 2026-05-07
12542849_1 CDM Contour Blue Reload Cr40b 17 17 $3,911.00 $3,911.00 $547.54 $3,715.45 $3,324.35 2026-05-07
12542850_1 CDM Contour Green Reload Cr40g 17 17 $3,911.00 $3,911.00 $547.54 $3,715.45 $3,324.35 2026-05-07
833 MS_DRG Other Antepartum Diagnoses Without O.r. Procedures Without Cc/mcc 24 24 $3,943.10 $3,943.10 $1,577.24 $3,943.10 $3,326.47 2026-05-07
12542784_1 CDM Hemostat Absorbable 17 17 $3,943.00 $3,943.00 $552.02 $3,745.85 $3,351.55 2026-05-07
13855745_1 CDM Nsv5kitus Ablation Device 17 17 $3,974.18 $3,974.18 $556.39 $3,775.47 $3,378.05 2026-05-07
792 MS_DRG Prematurity Without Major Problems 20 20 $3,692.24 $3,692.24 $1,476.89 $9,348.47 $3,415.32 2026-05-07
916 MS_DRG Allergic Reactions Without Mcc 24 24 $3,779.73 $3,779.73 $1,511.89 $4,238.72 $3,496.25 2026-05-07
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 19 19 $3,915.65 $3,915.65 $1,566.26 $3,915.65 $3,524.08 2026-05-07
565 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Cc 24 24 $3,654.88 $3,654.88 $1,461.95 $6,198.72 $3,563.51 2026-05-07
13827002_1 CDM Ventralex St10x13 Mesh 17 17 $4,300.00 $4,300.00 $602.00 $4,085.00 $3,655.00 2026-05-07
776 MS_DRG Postpartum And Post Abortion Diagnoses Without O.r. Procedures 24 24 $5,202.19 $5,202.19 $2,080.88 $5,202.19 $4,164.93 2026-05-07
36557 HCPCS Insertion Of Tunneled Central Venous Tube For Infusion (younger Than 5 Years) 48 31 $8,800.00 $8,800.00 $197.66 $16,456.00 $4,325.31 2026-05-07
316 MS_DRG Other Circulatory System Diagnoses Without Cc/mcc 25 25 $5,565.93 $5,565.93 $2,226.37 $12,915.93 $4,339.23 2026-05-07
J1569 HCPCS Injection, Immune Globulin, (gammagard Liquid), Non-lyophilized, (e.g., Liquid),… 30 30 $7,637.83 $7,637.83 $39.92 $14,282.75 $4,391.75 2026-05-07
81 MS_DRG Nontraumatic Stupor And Coma Without Mcc 24 24 $4,711.73 $4,711.73 $1,884.69 $5,697.43 $4,425.14 2026-05-07
47379 HCPCS Other Procedure On Liver Using An Endoscope 8 8 $1,700.00 $1,700.00 $680.00 $4,890.60 $4,446.00 2026-05-07
44238 HCPCS Other Procedure On Bowel Using An Endoscope 8 8 $1,777.00 $1,777.00 $710.80 $4,890.60 $4,446.00 2026-05-07
49329 HCPCS Other Procedure On Abdomen Using An Endoscope 8 8 $1,618.00 $1,618.00 $647.20 $4,890.60 $4,446.00 2026-05-07
807 MS_DRG Vaginal Delivery Without Sterilization Or D&c Without Cc/mcc 27 27 $10,958.20 $10,958.20 $850.00 $10,410.29 $4,500.00 2026-05-07
881 MS_DRG Depressive Neuroses 24 24 $4,782.16 $4,782.16 $1,912.86 $5,985.61 $4,543.05 2026-05-07
301 MS_DRG Peripheral Vascular Disorders Without Cc/mcc 24 24 $5,333.75 $5,333.75 $2,133.50 $5,333.75 $4,578.43 2026-05-07
793 MS_DRG Full Term Neonate With Major Problems 19 19 $5,179.45 $5,179.45 $2,071.78 $5,179.45 $4,661.51 2026-05-07
58550 HCPCS Removal Of Uterus Through Vagina Using An Endoscope, 250.0 G Or Less 31 31 $5,282.23 $5,282.23 $1,584.67 $12,839.22 $4,754.01 2026-05-07
J0840 HCPCS Injection, Crotalidae Polyvalent Immune Fab (ovine), Up To 1 Gram 30 30 $7,867.09 $7,867.09 $1,656.92 $14,711.45 $4,756.75 2026-05-07
76 MS_DRG Viral Meningitis Without Cc/mcc 24 24 $5,695.25 $5,695.25 $2,278.10 $5,695.25 $4,763.55 2026-05-07
1378484_1 CDM Operating Room Services - General Classification 17 17 $5,665.00 $5,665.00 $793.10 $5,381.75 $4,815.25 2026-05-07
806 MS_DRG Vaginal Delivery Without Sterilization Or D&c With Cc 27 27 $12,160.82 $12,160.82 $850.00 $11,552.78 $4,864.33 2026-05-07
832 MS_DRG Other Antepartum Diagnoses Without O.r. Procedures With Cc 24 24 $6,306.76 $6,306.76 $2,522.70 $6,306.76 $4,875.76 2026-05-07
639 MS_DRG Diabetes Without Cc/mcc 24 24 $6,370.54 $6,370.54 $2,371.09 $6,370.54 $4,925.06 2026-05-07
12678201_1 CDM Operating Room Services - General Classification 17 17 $5,835.00 $5,835.00 $816.90 $5,543.25 $4,959.75 2026-05-07
761 MS_DRG Menstrual And Other Female Reproductive System Disorders Without Cc/mcc 24 24 $7,069.82 $7,069.82 $2,174.13 $7,069.82 $5,024.34 2026-05-07
282 MS_DRG Acute Myocardial Infarction, Discharged Alive Without Cc/mcc 24 24 $6,638.73 $6,638.73 $2,655.49 $6,638.73 $5,132.40 2026-05-07
390 MS_DRG Gastrointestinal Obstruction Without Cc/mcc 24 24 $7,803.83 $7,803.83 $2,076.42 $7,413.64 $5,205.08 2026-05-07
310 MS_DRG Cardiac Arrhythmia And Conduction Disorders Without Cc/mcc 24 24 $8,175.06 $8,175.06 $2,160.78 $7,766.30 $5,437.49 2026-05-07
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 21 21 $5,737.82 $5,737.82 $2,295.13 $5,737.82 $5,450.93 2026-05-07
831 MS_DRG Other Antepartum Diagnoses Without O.r. Procedures With Mcc 24 24 $5,837.30 $5,837.30 $2,334.92 $7,649.80 $5,545.43 2026-05-07
558 MS_DRG Tendonitis, Myositis And Bursitis Without Mcc 24 24 $6,179.03 $6,179.03 $2,471.61 $6,179.03 $5,621.64 2026-05-07
43274 HCPCS Insertion Of Stent Into Pancreatic Or Bile Duct Using A Flexible Endoscope 31 31 $7,500.00 $7,500.00 $2,000.00 $14,025.00 $5,625.00 2026-05-07
373 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections Without Cc/mcc 25 25 $12,923.19 $12,923.19 $2,500.00 $12,277.03 $5,852.66 2026-05-07
566 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses Without Cc/mcc 24 24 $7,695.68 $7,695.68 $2,860.04 $7,695.68 $5,949.53 2026-05-07
394 MS_DRG Other Digestive System Diagnoses With Cc 24 24 $7,224.04 $7,224.04 $2,889.61 $7,224.04 $5,952.53 2026-05-07
694 MS_DRG Urinary Stones Without Mcc 24 24 $8,116.03 $8,116.03 $2,983.71 $8,116.03 $6,274.50 2026-05-07
392 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc 24 24 $8,305.22 $8,305.22 $2,975.69 $8,305.22 $6,346.72 2026-05-07
690 MS_DRG Kidney And Urinary Tract Infections Without Mcc 23 23 $8,224.30 $8,224.30 $3,089.82 $8,224.30 $6,358.21 2026-05-07
305 MS_DRG Hypertension Without Mcc 24 24 $8,893.84 $8,893.84 $2,882.18 $8,893.84 $6,475.67 2026-05-07
603 MS_DRG Cellulitis Without Mcc 23 23 $8,388.82 $8,388.82 $3,324.18 $8,388.82 $6,485.39 2026-05-07
918 MS_DRG Poisoning And Toxic Effects Of Drugs Without Mcc 24 24 $8,426.21 $8,426.21 $3,271.51 $8,426.21 $6,514.30 2026-05-07
536 MS_DRG Fractures Of Hip And Pelvis Without Mcc 24 24 $8,486.96 $8,486.96 $3,082.57 $8,486.96 $6,529.61 2026-05-07
68 MS_DRG Precerebral Occlusion Without Infarction Without Mcc 24 24 $8,507.95 $8,507.95 $3,299.37 $8,507.95 $6,577.50 2026-05-07
J3101 HCPCS Injection, Tenecteplase, 1 Mg 30 30 $11,463.51 $11,463.51 $125.42 $21,436.76 $6,591.51 2026-05-07
84 MS_DRG Traumatic Stupor And Coma >1 Hour Without Cc/mcc 24 24 $8,620.65 $8,620.65 $3,448.26 $8,620.65 $6,664.62 2026-05-07
309 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Cc 24 24 $9,586.85 $9,586.85 $2,808.13 $9,586.85 $6,665.51 2026-05-07
315 MS_DRG Other Circulatory System Diagnoses With Cc 24 24 $8,729.65 $8,729.65 $3,491.86 $8,729.65 $6,748.89 2026-05-07
184 MS_DRG Major Chest Trauma With Cc 25 25 $7,782.41 $7,782.41 $3,112.96 $16,182.41 $6,769.36 2026-05-07
768 MS_DRG Vaginal Delivery With O.r. Procedures Except Sterilization And/or D&c 28 28 $12,063.86 $12,063.86 $850.00 $11,460.67 $6,817.07 2026-05-07
395 MS_DRG Other Digestive System Diagnoses Without Cc/mcc 24 24 $12,838.04 $12,838.04 $2,477.20 $12,196.14 $6,842.81 2026-05-07
805 MS_DRG Vaginal Delivery Without Sterilization Or D&c With Mcc 28 28 $11,571.03 $11,571.03 $850.00 $10,992.48 $6,865.42 2026-05-07
191 MS_DRG Chronic Obstructive Pulmonary Disease With Cc 24 24 $9,048.79 $9,048.79 $3,217.69 $9,048.79 $6,889.20 2026-05-07
699 MS_DRG Other Kidney And Urinary Tract Diagnoses With Cc 24 24 $8,936.36 $8,936.36 $3,574.54 $8,936.36 $6,908.70 2026-05-07
194 MS_DRG Simple Pneumonia And Pleurisy With Cc 24 24 $9,571.31 $9,571.31 $3,076.08 $9,571.31 $6,941.93 2026-05-07
379 MS_DRG Gastrointestinal Hemorrhage Without Cc/mcc 22 22 $11,469.22 $11,469.22 $2,406.21 $10,895.76 $6,969.53 2026-05-07
202 MS_DRG Bronchitis And Asthma With Cc/mcc 24 24 $9,015.09 $9,015.09 $3,606.04 $9,015.09 $6,969.57 2026-05-07
389 MS_DRG Gastrointestinal Obstruction With Cc 24 24 $9,861.36 $9,861.36 $3,014.63 $9,861.36 $6,989.27 2026-05-07
950 MS_DRG Aftercare Without Cc/mcc 23 23 $9,051.53 $9,051.53 $2,395.90 $8,598.96 $6,997.74 2026-05-07
445 MS_DRG Disorders Of The Biliary Tract With Cc 24 24 $9,123.55 $9,123.55 $3,649.42 $9,123.55 $7,053.42 2026-05-07
923 MS_DRG Other Injury, Poisoning And Toxic Effect Diagnoses Without Mcc 25 25 $9,188.54 $9,188.54 $3,675.42 $20,388.54 $7,103.66 2026-05-07
683 MS_DRG Renal Failure With Cc 24 24 $9,494.79 $9,494.79 $3,342.88 $9,494.79 $7,193.56 2026-05-07
J1306 HCPCS Injection, Inclisiran, 1 Mg 30 30 $7,995.00 $7,995.00 $11.35 $14,950.65 $7,195.50 2026-05-07
439 MS_DRG Disorders Of Pancreas Except Malignancy With Cc 24 24 $10,044.78 $10,044.78 $3,210.82 $10,044.78 $7,266.96 2026-05-07
372 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Cc 25 25 $9,529.01 $9,529.01 $2,500.00 $9,529.01 $7,366.88 2026-05-07
885 MS_DRG Psychoses 24 24 $8,005.84 $8,005.84 $3,202.34 $8,885.85 $7,405.41 2026-05-07
101 MS_DRG Seizures Without Mcc 24 24 $9,856.88 $9,856.88 $3,445.18 $9,856.88 $7,441.34 2026-05-07
638 MS_DRG Diabetes With Cc 24 24 $10,003.97 $10,003.97 $3,420.75 $10,003.97 $7,472.45 2026-05-07
71 MS_DRG Other Cerebrovascular Disorders With Cc 24 24 $9,745.81 $9,745.81 $3,898.32 $9,745.81 $7,534.48 2026-05-07
66 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction Without Cc/mcc 24 24 $15,442.43 $15,442.43 $2,612.32 $14,670.31 $7,551.19 2026-05-07
785 MS_DRG Cesarean Section With Sterilization Without Cc/mcc 28 28 $21,360.67 $21,360.67 $1,500.00 $20,292.64 $7,558.20 2026-05-07
798 MS_DRG Vaginal Delivery With Sterilization And/or D&c Without Cc/mcc 27 27 $20,062.93 $20,062.93 $850.00 $19,059.78 $7,610.84 2026-05-07
788 MS_DRG Cesarean Section Without Sterilization Without Cc/mcc 27 27 $21,360.14 $21,360.14 $1,500.00 $20,292.13 $7,624.36 2026-05-07
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 24 24 $7,838.68 $7,838.68 $3,135.47 $16,430.69 $7,642.72 2026-05-07
641 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou… 24 24 $11,868.22 $11,868.22 $2,970.35 $11,274.81 $7,718.36 2026-05-07
812 MS_DRG Red Blood Cell Disorders Without Mcc 24 24 $10,437.88 $10,437.88 $3,504.72 $10,437.88 $7,728.68 2026-05-07
292 MS_DRG Heart Failure And Shock With Cc 24 24 $11,413.49 $11,413.49 $3,240.59 $11,072.01 $7,827.41 2026-05-07
155 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses With Cc 24 24 $11,080.06 $11,080.06 $3,498.23 $11,080.06 $7,970.07 2026-05-07
796 MS_DRG Vaginal Delivery With Sterilization And/or D&c With Mcc 28 28 $21,427.21 $21,427.21 $850.00 $20,355.85 $7,997.42 2026-05-07
199 MS_DRG Pneumothorax With Mcc 24 24 $8,478.74 $8,478.74 $3,391.50 $11,222.46 $8,054.80 2026-05-07
884 MS_DRG Organic Disturbances And Intellectual Disability 24 24 $8,724.66 $8,724.66 $3,489.86 $10,235.15 $8,073.18 2026-05-07
195 MS_DRG Simple Pneumonia And Pleurisy Without Cc/mcc 23 23 $10,819.43 $10,819.43 $2,398.95 $10,278.46 $8,196.42 2026-05-07
557 MS_DRG Tendonitis, Myositis And Bursitis With Mcc 24 24 $8,985.12 $8,985.12 $3,594.05 $9,459.03 $8,311.24 2026-05-07
784 MS_DRG Cesarean Section With Sterilization With Cc 27 27 $21,674.40 $21,674.40 $1,500.00 $20,590.68 $8,429.89 2026-05-07
564 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc 24 24 $9,120.21 $9,120.21 $3,648.08 $9,819.73 $8,436.19 2026-05-07
689 MS_DRG Kidney And Urinary Tract Infections With Mcc 24 24 $11,306.21 $11,306.21 $4,428.81 $11,306.21 $8,740.83 2026-05-07
304 MS_DRG Hypertension With Mcc 24 24 $11,377.73 $11,377.73 $4,542.17 $11,377.73 $8,796.12 2026-05-07
897 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc 24 24 $13,671.20 $13,671.20 $3,369.60 $12,987.64 $8,836.10 2026-05-07
787 MS_DRG Cesarean Section Without Sterilization With Cc 27 27 $24,596.35 $24,596.35 $1,500.00 $23,366.53 $8,880.77 2026-05-07
593 MS_DRG Skin Ulcers With Cc 23 23 $11,493.95 $11,493.95 $4,528.05 $11,493.95 $8,885.98 2026-05-07
552 MS_DRG Medical Back Problems Without Mcc 24 24 $13,496.20 $13,496.20 $3,669.23 $12,821.39 $9,084.26 2026-05-07
818 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Cc 24 24 $12,553.81 $12,553.81 $4,023.83 $12,553.81 $9,093.72 2026-05-07
181 MS_DRG Respiratory Neoplasms With Cc 24 24 $12,489.39 $12,489.39 $4,087.95 $12,489.39 $9,136.41 2026-05-07
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 23 23 $11,831.34 $11,831.34 $3,905.88 $11,831.34 $9,146.81 2026-05-07
388 MS_DRG Gastrointestinal Obstruction With Mcc 24 24 $11,186.67 $11,186.67 $4,474.67 $11,186.67 $9,394.78 2026-05-07
281 MS_DRG Acute Myocardial Infarction, Discharged Alive With Cc 24 24 $17,509.15 $17,509.15 $3,508.16 $16,633.69 $9,690.64 2026-05-07
894 MS_DRG Alcohol, Drug Abuse Or Dependence, Left Ama 24 24 $28,599.19 $28,599.19 $2,354.68 $27,169.23 $9,742.41 2026-05-07
77 MS_DRG Hypertensive Encephalopathy With Mcc 24 24 $12,598.31 $12,598.31 $5,039.32 $12,598.31 $9,836.28 2026-05-07
378 MS_DRG Gastrointestinal Hemorrhage With Cc 24 24 $15,312.91 $15,312.91 $3,743.28 $14,547.26 $9,864.56 2026-05-07
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 24 24 $11,383.27 $11,383.27 $4,553.31 $11,383.27 $9,977.50 2026-05-07
770 MS_DRG Abortion With D&c, Aspiration Curettage Or Hysterotomy 24 24 $15,411.34 $15,411.34 $3,827.26 $14,640.77 $9,991.11 2026-05-07
442 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc 24 24 $18,868.70 $18,868.70 $3,684.50 $17,925.27 $10,177.75 2026-05-07
88 MS_DRG Concussion With Mcc 24 24 $13,176.63 $13,176.63 $5,159.75 $13,176.63 $10,186.85 2026-05-07
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 24 24 $14,942.04 $14,942.04 $4,228.04 $14,445.78 $10,232.12 2026-05-07
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 24 24 $14,126.05 $14,126.05 $4,595.61 $14,126.05 $10,304.11 2026-05-07
93 MS_DRG Other Disorders Of Nervous System Without Cc/mcc 23 23 $23,859.36 $23,859.36 $3,039.44 $22,666.39 $10,384.74 2026-05-07
189 MS_DRG Pulmonary Edema And Respiratory Failure 24 24 $14,101.15 $14,101.15 $4,715.46 $14,101.15 $10,420.82 2026-05-07
948 MS_DRG Signs And Symptoms Without Mcc 23 23 $20,272.88 $20,272.88 $3,055.47 $19,259.24 $10,439.51 2026-05-07
561 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue Without Cc/mcc 23 23 $19,266.75 $19,266.75 $3,068.45 $18,303.41 $10,483.85 2026-05-07
562 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 24 24 $13,608.35 $13,608.35 $5,438.39 $13,608.35 $10,520.62 2026-05-07
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With Mcc 24 24 $13,015.64 $13,015.64 $5,206.25 $13,015.64 $10,524.60 2026-05-07
291 MS_DRG Heart Failure And Shock With Mcc 24 24 $13,883.70 $13,883.70 $4,900.20 $13,883.70 $10,531.47 2026-05-07
176 MS_DRG Pulmonary Embolism Without Mcc 23 23 $26,443.41 $26,443.41 $3,072.64 $25,121.24 $10,577.36 2026-05-07
504 MS_DRG Foot Procedures With Cc 24 24 $11,478.96 $11,478.96 $4,591.58 $11,891.07 $10,618.03 2026-05-07
786 MS_DRG Cesarean Section Without Sterilization With Mcc 28 28 $27,016.20 $27,016.20 $1,500.00 $25,665.39 $10,649.95 2026-05-07
307 MS_DRG Cardiac Congenital And Valvular Disorders Without Mcc 24 24 $23,634.65 $23,634.65 $3,485.64 $22,452.92 $10,681.56 2026-05-07
178 MS_DRG Respiratory Infections And Inflammations With Cc 23 23 $13,848.62 $13,848.62 $3,725.34 $13,156.19 $10,706.37 2026-05-07
643 MS_DRG Endocrine Disorders With Mcc 24 24 $13,961.99 $13,961.99 $5,584.80 $13,961.99 $10,794.01 2026-05-07
556 MS_DRG Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without Mcc 23 23 $24,484.89 $24,484.89 $3,170.36 $23,260.64 $10,832.05 2026-05-07
314 MS_DRG Other Circulatory System Diagnoses With Mcc 24 24 $11,711.80 $11,711.80 $4,684.72 $13,265.17 $10,833.42 2026-05-07
12543540_1 CDM Gi Verification Kit 17 17 $12,747.00 $12,747.00 $1,784.58 $12,109.65 $10,834.95 2026-05-07
637 MS_DRG Diabetes With Mcc 24 24 $14,219.32 $14,219.32 $5,483.81 $14,185.68 $10,992.96 2026-05-07
J2323 HCPCS Injection, Natalizumab, 1 Mg 30 30 $19,325.50 $19,325.50 $20.90 $36,138.69 $11,112.16 2026-05-07
433 MS_DRG Cirrhosis And Alcoholic Hepatitis With Cc 24 24 $20,256.00 $20,256.00 $4,031.46 $19,243.20 $11,136.17 2026-05-07
300 MS_DRG Peripheral Vascular Disorders With Cc 23 23 $14,509.60 $14,509.60 $4,074.59 $13,921.52 $11,217.37 2026-05-07
180 MS_DRG Respiratory Neoplasms With Mcc 24 24 $12,451.50 $12,451.50 $4,980.60 $12,451.50 $11,220.45 2026-05-07
602 MS_DRG Cellulitis With Mcc 24 24 $14,560.59 $14,560.59 $5,425.03 $14,560.59 $11,256.79 2026-05-07
312 MS_DRG Syncope And Collapse 23 23 $23,250.95 $23,250.95 $3,326.85 $22,088.40 $11,366.74 2026-05-07
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 22 22 $15,599.59 $15,599.59 $5,097.92 $14,819.61 $11,403.14 2026-05-07
290 MS_DRG Acute And Subacute Endocarditis Without Cc/mcc 24 24 $26,881.33 $26,881.33 $3,548.62 $25,537.26 $11,438.49 2026-05-07
80 MS_DRG Nontraumatic Stupor And Coma With Mcc 24 24 $13,861.64 $13,861.64 $5,544.66 $13,861.64 $11,514.46 2026-05-07
862 MS_DRG Postoperative And Post-traumatic Infections With Mcc 24 24 $12,771.53 $12,771.53 $5,108.61 $12,771.53 $11,547.99 2026-05-07
811 MS_DRG Red Blood Cell Disorders With Mcc 24 24 $15,358.72 $15,358.72 $5,360.14 $15,358.72 $11,586.42 2026-05-07
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Mcc 24 24 $14,253.16 $14,253.16 $5,701.26 $14,253.16 $11,684.31 2026-05-07
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 24 24 $12,133.32 $12,133.32 $4,853.33 $24,424.01 $11,829.99 2026-05-07
539 MS_DRG Osteomyelitis With Mcc 24 24 $12,802.76 $12,802.76 $5,121.10 $12,802.76 $11,842.55 2026-05-07
444 MS_DRG Disorders Of The Biliary Tract With Mcc 24 24 $15,413.42 $15,413.42 $6,165.37 $15,413.42 $11,916.11 2026-05-07
65 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours 23 23 $15,505.46 $15,505.46 $3,856.26 $14,730.19 $11,987.27 2026-05-07
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 24 24 $17,903.67 $17,903.67 $4,841.04 $17,008.49 $12,023.03 2026-05-07
56 MS_DRG Degenerative Nervous System Disorders With Mcc 23 23 $12,702.60 $12,702.60 $5,081.04 $14,778.59 $12,067.47 2026-05-07
551 MS_DRG Medical Back Problems With Mcc 24 24 $16,124.09 $16,124.09 $6,397.59 $16,124.09 $12,465.53 2026-05-07
69 MS_DRG Transient Ischemia Without Thrombolytic 24 24 $36,460.87 $36,460.87 $3,048.98 $34,637.83 $12,500.85 2026-05-07
600 MS_DRG Non-malignant Breast Disorders With Cc/mcc 24 24 $29,447.29 $29,447.29 $3,975.74 $27,974.93 $12,681.34 2026-05-07
183 MS_DRG Major Chest Trauma With Mcc 24 24 $17,099.28 $17,099.28 $5,839.55 $17,099.28 $12,764.51 2026-05-07
52 MS_DRG Spinal Disorders And Injuries With Cc/mcc 24 24 $16,660.63 $16,660.63 $6,664.25 $16,660.63 $12,880.33 2026-05-07
896 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 24 24 $16,713.57 $16,713.57 $6,660.96 $16,713.57 $12,921.26 2026-05-07
540 MS_DRG Osteomyelitis With Cc 24 24 $20,352.25 $20,352.25 $4,947.91 $19,334.64 $13,082.18 2026-05-07
12543541_1 CDM Me Verification Kit 17 17 $15,399.00 $15,399.00 $2,155.86 $14,629.05 $13,089.15 2026-05-07
606 MS_DRG Minor Skin Disorders With Mcc 24 24 $18,216.37 $18,216.37 $5,775.81 $18,216.37 $13,129.15 2026-05-07
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 23 23 $17,010.03 $17,010.03 $5,017.00 $17,010.03 $13,150.46 2026-05-07
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 24 24 $17,395.45 $17,395.45 $6,122.77 $17,395.45 $13,177.51 2026-05-07
J1437 HCPCS Injection, Ferric Derisomaltose, 10 Mg 30 30 $14,646.55 $14,646.55 $19.74 $27,389.05 $13,181.90 2026-05-07
865 MS_DRG Viral Illness With Mcc 24 24 $18,723.45 $18,723.45 $5,718.94 $18,723.45 $13,265.21 2026-05-07
947 MS_DRG Signs And Symptoms With Mcc 23 23 $17,218.78 $17,218.78 $4,845.24 $16,554.55 $13,311.84 2026-05-07
92 MS_DRG Other Disorders Of Nervous System With Cc 23 23 $23,410.66 $23,410.66 $3,904.74 $22,240.13 $13,341.19 2026-05-07
177 MS_DRG Respiratory Infections And Inflammations With Mcc 24 24 $18,387.41 $18,387.41 $5,964.75 $18,387.41 $13,394.40 2026-05-07
374 MS_DRG Digestive Malignancy With Mcc 25 25 $17,336.58 $17,336.58 $2,500.00 $17,336.58 $13,605.51 2026-05-07
682 MS_DRG Renal Failure With Mcc 24 24 $20,447.16 $20,447.16 $5,652.90 $19,424.80 $13,861.92 2026-05-07
815 MS_DRG Reticuloendothelial And Immunity Disorders With Cc 24 24 $36,369.22 $36,369.22 $3,870.39 $34,550.76 $13,885.76 2026-05-07
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 24 24 $21,785.73 $21,785.73 $5,242.96 $20,696.45 $13,947.27 2026-05-07
54 MS_DRG Nervous System Neoplasms With Mcc 24 24 $20,915.16 $20,915.16 $5,828.10 $19,912.67 $14,227.48 2026-05-07
419 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. Without Cc/mcc 24 24 $26,754.73 $26,754.73 $5,213.19 $25,416.99 $14,400.48 2026-05-07
70 MS_DRG Other Cerebrovascular Disorders With Mcc 24 24 $20,564.25 $20,564.25 $6,354.46 $20,564.25 $14,646.60 2026-05-07
560 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Cc 23 23 $20,345.41 $20,345.41 $4,298.27 $19,328.14 $14,685.74 2026-05-07
571 MS_DRG Skin Debridement With Cc 24 24 $20,572.39 $20,572.39 $6,448.74 $20,572.39 $14,749.11 2026-05-07
710 MS_DRG Penis Procedures Without Cc/mcc 24 24 $24,114.71 $24,114.71 $5,348.31 $22,908.97 $14,773.72 2026-05-07
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 24 24 $16,601.10 $16,601.10 $6,640.44 $16,601.10 $14,877.19 2026-05-07
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 24 24 $19,478.88 $19,478.88 $6,977.38 $19,478.88 $14,883.60 2026-05-07
542 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 24 24 $20,151.32 $20,151.32 $6,742.64 $20,151.32 $14,896.12 2026-05-07
399 MS_DRG Appendix Procedures Without Cc/mcc 25 25 $23,182.83 $23,182.83 $4,369.26 $22,023.69 $14,928.31 2026-05-07
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 24 24 $15,390.99 $15,390.99 $6,156.40 $36,257.83 $15,006.22 2026-05-07
186 MS_DRG Pleural Effusion With Mcc 24 24 $23,121.00 $23,121.00 $5,948.72 $21,964.95 $15,207.27 2026-05-07
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 23 23 $19,961.64 $19,961.64 $7,675.89 $19,961.64 $15,432.35 2026-05-07
949 MS_DRG Aftercare With Cc/mcc 23 23 $25,795.27 $25,795.27 $4,541.03 $24,505.51 $15,515.16 2026-05-07
256 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Cc 24 24 $22,882.37 $22,882.37 $6,480.80 $22,142.72 $15,675.83 2026-05-07
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 24 24 $22,789.42 $22,789.42 $6,595.69 $22,535.26 $15,760.99 2026-05-07
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 24 24 $20,799.90 $20,799.90 $7,414.43 $20,799.06 $15,854.88 2026-05-07
368 MS_DRG Major Esophageal Disorders With Mcc 24 24 $24,753.05 $24,753.05 $6,076.20 $23,515.40 $15,972.51 2026-05-07
915 MS_DRG Allergic Reactions With Mcc 24 24 $23,940.11 $23,940.11 $6,418.58 $22,743.10 $16,019.12 2026-05-07
351 MS_DRG Inguinal And Femoral Hernia Procedures With Cc 24 24 $26,831.81 $26,831.81 $5,818.94 $25,490.22 $16,073.75 2026-05-07
205 MS_DRG Other Respiratory System Diagnoses With Mcc 24 24 $23,193.82 $23,193.82 $6,988.84 $23,193.82 $16,331.68 2026-05-07
909 MS_DRG Other O.r. Procedures For Injuries Without Cc/mcc 24 24 $41,243.55 $41,243.55 $5,010.51 $39,181.37 $16,808.33 2026-05-07
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 23 23 $22,343.24 $22,343.24 $4,945.24 $21,226.08 $16,896.23 2026-05-07
100 MS_DRG Seizures With Mcc 24 24 $23,611.04 $23,611.04 $7,392.67 $23,611.04 $16,918.60 2026-05-07
196 MS_DRG Interstitial Lung Disease With Mcc 24 24 $24,578.44 $24,578.44 $7,203.35 $24,578.44 $17,093.00 2026-05-07
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 24 24 $28,076.52 $28,076.52 $6,222.39 $26,672.69 $17,188.21 2026-05-07
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 24 24 $26,906.36 $26,906.36 $6,456.75 $25,561.04 $17,205.96 2026-05-07
264 MS_DRG Other Circulatory System O.r. Procedures 24 24 $19,013.59 $19,013.59 $7,605.43 $21,251.49 $17,587.57 2026-05-07
299 MS_DRG Peripheral Vascular Disorders With Mcc 23 23 $23,416.10 $23,416.10 $6,231.93 $22,245.29 $18,102.98 2026-05-07
283 MS_DRG Acute Myocardial Infarction, Expired With Mcc 24 24 $27,140.80 $27,140.80 $7,560.61 $25,832.09 $18,460.03 2026-05-07
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 24 24 $30,751.92 $30,751.92 $6,850.28 $29,214.32 $18,922.64 2026-05-07
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 24 24 $24,647.07 $24,647.07 $9,858.83 $24,647.07 $19,054.65 2026-05-07
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 24 24 $41,820.22 $41,820.22 $6,421.64 $39,729.21 $19,334.33 2026-05-07
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 24 24 $25,025.03 $25,025.03 $10,010.01 $25,025.03 $19,346.85 2026-05-07
91 MS_DRG Other Disorders Of Nervous System With Mcc 23 23 $25,405.24 $25,405.24 $6,703.33 $24,134.97 $19,640.79 2026-05-07
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 24 24 $27,848.43 $27,848.43 $8,427.44 $27,848.43 $19,647.19 2026-05-07
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/mcc 24 24 $44,264.63 $44,264.63 $6,423.55 $42,051.40 $19,826.47 2026-05-07
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 24 24 $32,670.66 $32,670.66 $7,626.65 $31,037.13 $20,667.20 2026-05-07
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 24 24 $31,004.29 $31,004.29 $8,316.37 $29,454.08 $20,750.02 2026-05-07
336 MS_DRG Peritoneal Adhesiolysis With Cc 24 24 $31,822.63 $31,822.63 $8,048.80 $30,231.50 $20,784.34 2026-05-07
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 24 24 $30,744.30 $30,744.30 $8,686.23 $29,677.95 $21,039.35 2026-05-07
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 24 24 $32,155.33 $32,155.33 $9,108.77 $31,121.62 $22,030.12 2026-05-07
357 MS_DRG Other Digestive System O.r. Procedures With Cc 24 24 $33,112.39 $33,112.39 $8,876.32 $31,456.77 $22,155.08 2026-05-07
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 24 24 $27,966.58 $27,966.58 $11,186.63 $27,966.58 $22,185.37 2026-05-07
289 MS_DRG Acute And Subacute Endocarditis With Cc 23 23 $40,791.55 $40,791.55 $6,515.15 $38,751.97 $22,260.09 2026-05-07
570 MS_DRG Skin Debridement With Mcc 24 24 $29,849.03 $29,849.03 $11,226.03 $29,849.03 $23,076.28 2026-05-07
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Mcc 23 23 $30,302.51 $30,302.51 $7,118.23 $28,787.39 $23,426.87 2026-05-07
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 24 24 $27,873.39 $27,873.39 $11,149.36 $27,873.39 $23,708.34 2026-05-07
330 MS_DRG Major Small And Large Bowel Procedures With Cc 24 24 $55,848.62 $55,848.62 $9,149.99 $53,056.19 $26,800.96 2026-05-07
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 24 24 $29,429.77 $29,429.77 $11,771.91 $33,114.57 $27,222.53 2026-05-07
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 23 23 $38,834.91 $38,834.91 $14,738.01 $38,834.91 $30,023.27 2026-05-07
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 24 24 $38,184.61 $38,184.61 $15,273.84 $38,184.61 $31,417.30 2026-05-07
335 MS_DRG Peritoneal Adhesiolysis With Mcc 24 24 $54,015.95 $54,015.95 $13,629.95 $51,315.15 $35,245.60 2026-05-07
901 MS_DRG Wound Debridements For Injuries With Mcc 24 24 $56,766.83 $56,766.83 $16,018.21 $54,728.87 $38,826.14 2026-05-07
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 24 24 $52,747.21 $52,747.21 $18,785.88 $52,747.21 $40,189.43 2026-05-07
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 24 24 $88,898.01 $88,898.01 $13,433.37 $84,453.11 $40,728.27 2026-05-07
974 MS_DRG HIV With Major Related Condition With Mcc 24 24 $111,769.78 $111,769.78 $11,015.72 $106,181.29 $41,172.46 2026-05-07
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 24 24 $51,227.82 $51,227.82 $20,491.13 $51,227.82 $43,969.97 2026-05-07
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 24 24 $94,242.44 $94,242.44 $17,544.61 $89,530.32 $48,820.52 2026-05-07
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 24 24 $123,294.63 $123,294.63 $14,752.13 $117,129.90 $49,860.47 2026-05-07
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 24 24 $72,700.35 $72,700.35 $24,560.93 $72,700.35 $53,989.12 2026-05-07
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