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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

ST ELIZABETH YOUNGSTOWN HOSPITAL

Youngstown, OH · CCN 360064 · Rates published

1,152 distinct procedures filed
35 distinct payers
45,510 rate rows
2026-04-01 last MRF observed
Data quality

29,913 of 45,510 rate rows are consumer-grade (65.7%)

15,597 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 15,468
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 129
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.mercy.com/-/media/mercy/patient-resources/hospital-pricing-transparency/340505560-1548296106_mercy-health-youngstown-llc_standardcharges.ashx
Found on page https://www.mercy.com/pay-a-bill/estimate-your-cost
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-08-01
Content fingerprint 6f4b82566fe949e8… · 42,048,685 bytes · first seen 2026-07-31

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
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 23 $49,098.70 $138,981.73 $85,157.64 nat. median
$49,569
1.7× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 25 $77,295.33 $219,732.94 $78,841.24 nat. median
$74,509
1.1× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 28 $48,062.91 $136,015.34 $75,939.40 nat. median
$47,340
1.6× median
215
MS_DRG 		Other Heart Assist System Implant 25 $70,824.40 $201,201.10 $72,240.89 nat. median
$73,023
1.0× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 25 $69,595.28 $197,681.04 $70,987.19 nat. median
$69,822
1.0× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 28 $43,760.25 $123,693.11 $63,992.07 nat. median
$41,943
1.5× median
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 28 $42,644.01 $120,496.36 $62,338.25 nat. median
$42,674
1.5× median
163
MS_DRG 		Major Chest Procedures With Mcc 11 $32,192.16 $90,563.73 $61,438.20 nat. median
$31,995
1.9× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 25 $59,862.41 $169,807.50 $60,760.35 nat. median
$59,651
1.0× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 28 $21,616.17 $170,342.99 $60,349.63 nat. median
$60,505
1.0× median
213
MS_DRG 		Endovascular Abdominal Aorta With Iliac Branch Procedures 28 $40,836.29 $115,319.33 $59,659.93 nat. median
$2,222
outlier · 26.9×
278
MS_DRG 		Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures… 28 $39,843.52 $112,476.20 $58,189.05 nat. median
$35,985
1.6× median
834
MS_DRG 		Acute Leukemia With Mcc 28 $39,305.16 $110,934.41 $57,391.41 nat. median
$37,487
1.5× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 25 $56,090.36 $159,004.84 $57,212.17 nat. median
$56,428
1.0× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 25 $54,746.21 $155,155.41 $55,841.13 nat. median
$55,923
1.0× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 25 $54,334.15 $139,383.21 $55,420.83 nat. median
$52,327
1.1× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 25 $54,512.65 $154,486.56 $55,330.34 nat. median
$55,935
1.0× median
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 28 $41,001.39 $115,792.17 $55,325.29 nat. median
$40,301
1.4× median
270
MS_DRG 		Other Major Cardiovascular Procedures With Mcc 28 $37,798.04 $106,618.19 $55,158.44 nat. median
$37,725
1.5× median
653
MS_DRG 		Major Bladder Procedures With Mcc 28 $37,234.27 $105,003.65 $54,323.17 nat. median
$36,547
1.5× median
326
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Mcc 28 $35,759.62 $100,780.39 $52,138.28 nat. median
$35,986
1.4× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 25 $50,880.32 $144,083.99 $51,897.93 nat. median
$51,518
1.0× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 27 $47,713.64 $122,219.83 $51,743.97 nat. median
$2,958
outlier · 17.5×
25
MS_DRG 		Craniotomy And Endovascular Intracranial Procedures With Mcc 28 $32,650.08 $91,875.17 $51,587.13 nat. median
$32,531
1.6× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 32 $2,714.10 $112,646.25 $51,502.64 nat. median
$9,905
outlier · 5.2×
239
MS_DRG 		Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 28 $35,296.03 $99,452.79 $51,451.45 nat. median
$34,615
1.5× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 25 $49,337.89 $139,666.74 $50,324.65 nat. median
$48,611
1.0× median
5
MS_DRG 		Tracheostomy With Mv >96 Hours Without Extensive Procedure,extreme 6 $49,683.46 $50,629.81 $49,683.46 nat. median
$69,922
0.7× median
981
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 28 $33,673.88 $94,807.20 $49,048.08 nat. median
$33,546
1.5× median
826
MS_DRG 		Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r.… 28 $33,575.10 $94,524.30 $48,901.72 nat. median
$32,899
1.5× median
28
MS_DRG 		Spinal Procedures With Mcc 27 $42,962.93 $121,409.72 $48,066.05 nat. median
$41,895
1.1× median
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 28 $33,001.47 $92,881.48 $48,051.81 nat. median
$33,435
1.4× median
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 32 $4,853.01 $135,114.11 $47,748.21 nat. median
$2,633
outlier · 18.1×
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 27 $43,810.32 $123,836.58 $47,508.14 nat. median
$44,036
1.1× median
31
MS_DRG 		Ventricular Shunt Procedures With Mcc 28 $32,182.98 $90,537.46 $46,839.15 nat. median
$30,700
1.5× median
430
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 28 $41,261.05 $105,491.79 $46,159.31 nat. median
$2,596
outlier · 17.8×
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 35 $5,538.51 $130,025.98 $45,971.54 nat. median
$47,121
1.0× median
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 27 $35,415.26 $99,794.29 $45,618.98 nat. median
$34,733
1.3× median
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 27 $41,977.22 $118,586.80 $45,518.89 nat. median
$43,023
1.1× median
474
MS_DRG 		Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 28 $30,859.29 $86,746.63 $44,877.98 nat. median
$29,481
1.5× median
673
MS_DRG 		Other Kidney And Urinary Tract Procedures With Mcc 28 $30,215.10 $84,901.73 $43,923.53 nat. median
$29,327
1.5× median
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 25 $42,950.93 $121,375.37 $43,809.95 nat. median
$43,533
1.0× median
428
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 27 $40,237.26 $102,837.62 $43,630.70 nat. median
$10,799
outlier · 4.0×
423
MS_DRG 		Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 28 $29,872.20 $83,919.67 $43,415.46 nat. median
$29,159
1.5× median
450
MS_DRG 		Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically… 28 $36,500.00 $97,489.04 $42,700.78 nat. median
$2,736
outlier · 15.6×
518
MS_DRG 		Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 28 $26,939.07 $75,519.62 $42,563.73 nat. median
$26,354
1.6× median
856
MS_DRG 		Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 28 $32,664.19 $91,915.58 $42,039.86 nat. median
$31,991
1.3× median
402
MS_DRG 		Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 28 $28,937.29 $75,487.00 $42,030.31 nat. median
$12,698
outlier · 3.3×
234
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 26 $39,113.24 $110,384.78 $41,068.90 nat. median
$39,159
1.0× median
269
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 28 $30,367.50 $85,338.20 $40,967.55 nat. median
$30,768
1.3× median

Other procedures at this hospital

Browse this hospital's 1,152 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
             
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 33 23 — — $49,098.70 $138,981.73 $85,157.64 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 35 25 — — $77,295.33 $219,732.94 $78,841.24 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 43 28 — — $48,062.91 $136,015.34 $75,939.40 2026-04-01
215 MS_DRG Other Heart Assist System Implant 35 25 — — $70,824.40 $201,201.10 $72,240.89 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 35 25 — — $69,595.28 $197,681.04 $70,987.19 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 43 28 — — $43,760.25 $123,693.11 $63,992.07 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 43 28 — — $42,644.01 $120,496.36 $62,338.25 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 13 11 — — $32,192.16 $90,563.73 $61,438.20 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 34 25 — — $59,862.41 $169,807.50 $60,760.35 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 38 28 — — $21,616.17 $170,342.99 $60,349.63 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 43 28 — — $40,836.29 $115,319.33 $59,659.93 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 43 28 — — $39,843.52 $112,476.20 $58,189.05 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 43 28 — — $39,305.16 $110,934.41 $57,391.41 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 35 25 — — $56,090.36 $159,004.84 $57,212.17 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 35 25 — — $54,746.21 $155,155.41 $55,841.13 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 37 25 — — $54,334.15 $139,383.21 $55,420.83 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 34 25 — — $54,512.65 $154,486.56 $55,330.34 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 42 28 — — $41,001.39 $115,792.17 $55,325.29 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 43 28 — — $37,798.04 $106,618.19 $55,158.44 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 43 28 — — $37,234.27 $105,003.65 $54,323.17 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 43 28 — — $35,759.62 $100,780.39 $52,138.28 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 35 25 — — $50,880.32 $144,083.99 $51,897.93 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 40 27 — — $47,713.64 $122,219.83 $51,743.97 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 43 28 — — $32,650.08 $91,875.17 $51,587.13 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 56 32 — — $2,714.10 $112,646.25 $51,502.64 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 43 28 — — $35,296.03 $99,452.79 $51,451.45 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 34 25 — — $49,337.89 $139,666.74 $50,324.65 2026-04-01
5 MS_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure,extreme 6 6 — — $49,683.46 $50,629.81 $49,683.46 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 43 28 — — $33,673.88 $94,807.20 $49,048.08 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 43 28 — — $33,575.10 $94,524.30 $48,901.72 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 39 27 — — $42,962.93 $121,409.72 $48,066.05 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 43 28 — — $33,001.47 $92,881.48 $48,051.81 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 54 32 — — $4,853.01 $135,114.11 $47,748.21 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 40 27 — — $43,810.32 $123,836.58 $47,508.14 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 43 28 — — $32,182.98 $90,537.46 $46,839.15 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 43 28 — — $41,261.05 $105,491.79 $46,159.31 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 57 35 — — $5,538.51 $130,025.98 $45,971.54 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 42 27 — — $35,415.26 $99,794.29 $45,618.98 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 40 27 — — $41,977.22 $118,586.80 $45,518.89 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 43 28 — — $30,859.29 $86,746.63 $44,877.98 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 43 28 — — $30,215.10 $84,901.73 $43,923.53 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 35 25 — — $42,950.93 $121,375.37 $43,809.95 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 40 27 — — $40,237.26 $102,837.62 $43,630.70 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 43 28 — — $29,872.20 $83,919.67 $43,415.46 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 43 28 — — $36,500.00 $97,489.04 $42,700.78 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 43 28 — — $26,939.07 $75,519.62 $42,563.73 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 42 28 — — $32,664.19 $91,915.58 $42,039.86 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 43 28 — — $28,937.29 $75,487.00 $42,030.31 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 39 26 — — $39,113.24 $110,384.78 $41,068.90 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 42 28 — — $30,367.50 $85,338.20 $40,967.55 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 62 35 — — $2,699.88 $115,169.80 $40,784.07 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 43 28 — — $25,661.95 $71,862.15 $40,545.88 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 43 28 — — $27,880.32 $78,215.23 $40,464.30 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 43 28 — — $27,813.29 $78,023.27 $40,364.98 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 12 11 — — $32,524.48 $91,515.48 $40,260.04 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 43 28 — — $25,452.40 $71,262.01 $40,214.79 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 43 28 — — $27,658.76 $77,580.74 $40,136.04 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 35 25 — — $39,168.29 $110,542.39 $39,951.66 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 37 25 — — $39,052.56 $99,766.40 $39,833.61 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 40 27 — — $36,132.16 $101,847.32 $39,175.90 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 43 28 — — $26,864.99 $75,307.45 $38,959.97 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 43 28 — — $28,751.00 $88,326.58 $38,741.06 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 50 35 — — $14,427.39 $106,971.82 $38,679.94 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 42 28 — — $30,010.48 $84,315.73 $38,587.41 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 43 28 — — $26,475.50 $74,192.02 $38,382.91 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 43 28 — — $26,053.56 $72,983.64 $37,757.76 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 43 28 — — $26,015.45 $72,874.52 $37,701.31 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 43 28 — — $25,764.97 $72,157.18 $37,330.19 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 67 35 — — $2,704.61 $105,185.52 $37,297.77 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 43 28 — — $25,727.57 $72,050.08 $37,274.78 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 43 28 — — $25,682.42 $71,920.75 $37,207.88 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 40 27 — — $34,160.74 $96,201.49 $37,036.54 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 43 28 — — $30,491.69 $78,577.78 $36,500.00 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 43 28 — — $23,362.45 $75,487.00 $36,500.00 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 43 28 — — $25,175.79 $70,469.89 $36,457.28 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 49 35 — — $8,536.06 $99,972.11 $36,186.91 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 43 28 — — $24,944.37 $69,807.10 $36,114.39 2026-04-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 15 12 — — $16,876.70 $46,702.42 $36,066.28 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 43 28 — — $22,802.21 $63,672.26 $36,027.49 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 37 25 — — $35,151.40 $89,652.75 $35,854.43 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 43 28 — — $24,640.98 $68,938.20 $35,664.87 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 43 28 — — $22,507.28 $62,827.60 $35,561.50 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 43 28 — — $24,140.00 $67,503.50 $34,922.63 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 43 28 — — $23,797.79 $66,523.46 $34,415.61 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 40 27 — — $31,564.18 $88,765.31 $34,218.79 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 35 25 — — $33,156.68 $93,326.03 $33,819.81 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 43 28 — — $23,394.20 $65,367.62 $33,817.64 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 43 28 — — $23,097.15 $64,516.91 $33,377.53 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 43 28 — — $23,055.52 $64,397.69 $33,315.85 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 43 28 — — $22,899.59 $63,951.11 $33,084.82 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 43 28 — — $22,865.72 $63,854.12 $33,034.64 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 36 25 — — $30,316.70 $85,192.71 $32,865.04 2026-04-01
245 MS_DRG Aicd Generator Procedures 54 34 — — $3,235.34 $92,192.42 $32,760.86 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 43 28 — — $22,546.09 $62,938.74 $32,561.07 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 40 27 — — $29,678.15 $83,363.98 $32,172.09 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 50 35 — — $10,873.02 $87,443.77 $31,724.79 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 43 28 — — $21,881.42 $61,035.24 $31,576.31 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 43 28 — — $21,855.32 $60,960.48 $31,537.63 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 37 25 — — $30,301.89 $77,080.66 $30,907.93 2026-04-01
570 MS_DRG Skin Debridement With Mcc 43 28 — — $21,321.19 $59,430.81 $30,746.26 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 63 35 — — $2,944.18 $86,188.92 $30,664.56 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 42 28 — — $23,794.97 $66,515.38 $30,501.10 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 43 28 — — $21,117.98 $58,848.85 $30,445.18 2026-04-01
00534 CPT Anesth,Cardioverter/Defib 5 4 — — $30,362.03 $30,969.27 $30,362.03 2026-04-01
01926 CPT Anesth,Inter Rad,Intracra/Intracar/Aort 5 3 — — $30,362.03 $30,969.27 $30,362.03 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 43 28 — — $21,032.59 $58,604.34 $30,318.69 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 43 28 — — $20,932.42 $58,317.40 $30,170.24 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 43 28 — — $20,820.92 $57,998.13 $30,005.07 2026-04-01
63655 CPT Surg Implnt Neuroelect,Epidural 5 4 — — $29,848.24 $30,445.21 $29,848.24 2026-04-01
00620 CPT Anesth,Thor Spine,Cord Surgery 5 2 — — $29,848.24 $29,848.24 $29,848.24 2026-04-01
63685 CPT Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj 6 4 — — $29,848.24 $30,445.21 $29,848.24 2026-04-01
64582 CPT Open Impltj Hpglsl Nrv Nstim Ra Pg&Respir Sensor|RIGHT Side 15 4 — — $29,848.24 $30,445.21 $29,848.24 2026-04-01
800 MS_DRG Splenic Procedures With Cc 43 28 — — $20,391.93 $56,769.55 $29,369.47 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 43 28 — — $18,582.82 $51,588.47 $29,360.86 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 43 28 — — $18,463.57 $51,246.97 $29,172.44 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 43 28 — — $20,127.33 $56,011.78 $28,977.44 2026-04-01
849 MS_DRG Radiotherapy 22 16 — — $18,981.27 $53,974.92 $28,957.04 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 43 28 — — $20,022.90 $55,712.72 $28,822.72 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 43 28 — — $21,356.47 $56,906.00 $28,751.00 2026-04-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 41 27 — — $17,916.02 $49,678.91 $28,307.31 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 43 28 — — $19,663.77 $54,684.18 $28,290.61 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 43 28 — — $19,601.68 $54,506.36 $28,198.62 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 57 35 — — $5,026.76 $79,047.76 $28,171.03 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 43 28 — — $17,794.68 $56,906.00 $28,115.59 2026-04-01
130 MS_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours,extreme 14 7 — — $24,103.76 $32,218.53 $28,089.60 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 20 15 — — $27,120.39 $68,832.80 $28,069.60 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 43 28 — — $21,971.03 $55,483.29 $27,872.00 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 40 27 — — $25,706.40 $71,989.46 $27,862.00 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 43 28 — — $19,272.17 $53,562.69 $27,710.42 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 16 14 — — $17,483.50 $48,440.22 $27,657.82 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 57 35 — — $7,379.14 $63,641.95 $27,601.19 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 43 28 — — $18,861.52 $52,386.65 $27,102.00 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 42 28 — — $21,172.32 $59,004.44 $27,089.04 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 37 25 — — $26,486.08 $67,188.35 $27,015.80 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 43 28 — — $18,767.68 $52,117.89 $26,962.96 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 43 28 — — $18,767.68 $52,117.89 $26,962.96 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 57 35 — — $16,073.52 $75,527.70 $26,941.88 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 42 28 — — $21,045.31 $58,640.71 $26,923.81 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 43 28 — — $18,497.44 $51,343.97 $26,562.57 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 43 28 — — $18,378.19 $51,002.47 $26,385.90 2026-04-01
63052 CPT Lam Facetec/Foramot DRG Arthrd Lumbar 1 Vrt Sgm 3 3 — — $26,246.38 $26,771.31 $26,246.38 2026-04-01
22853 CPT Insj Biomchn Dev Intervertebral Dsc Spc W/Arthrd|SEPARATE Structure 7 3 — — $26,246.38 $26,246.38 $26,246.38 2026-04-01
22840 CPT Posterior Non-segmental Instrumentation 2 2 — — $26,246.38 $26,246.38 $26,246.38 2026-04-01
22634 CPT Arthrodesis Cmbn Tq 1ntrspc Each Additional 4 2 — — $26,246.38 $26,246.38 $26,246.38 2026-04-01
22633 CPT Arthrodesis Combined Tq 1ntrspc Lumbar 2 2 — — $26,246.38 $26,246.38 $26,246.38 2026-04-01
22632 CPT Arthrodesis Posterior Interbody 1 Ntrspc Ea Addl 1 1 — — $26,246.38 $26,246.38 $26,246.38 2026-04-01
22630 CPT Arthrodesis Posterior Interbody 1 Ntrspc Lumbar 1 1 — — $26,246.38 $26,246.38 $26,246.38 2026-04-01
63053 CPT Lam Facetec/Foramot DRG Arthrd Lmbr Ea Addl Sgm 4 3 — — $26,246.38 $26,771.31 $26,246.38 2026-04-01
20936 CPT Autograft Spine Surgery Local From Same Incision 1 1 — — $26,246.38 $26,246.38 $26,246.38 2026-04-01
00670 CPT Anesth,Extensive Spine,Cord Proced 1 1 — — $26,246.38 $26,246.38 $26,246.38 2026-04-01
20930 CPT Allograft For Spine Surgery Only Morselized 2 2 — — $26,246.38 $26,246.38 $26,246.38 2026-04-01
61783 CPT Stereotactic Comp Assist Proc,Spinal|UNUSUAL Non-overlapping Service 4 2 — — $26,246.38 $26,771.31 $26,246.38 2026-04-01
22842 CPT Posterior Segmental Instrumentation 3-6 Vrt Seg 1 1 — — $26,246.38 $26,246.38 $26,246.38 2026-04-01
265 MS_DRG Aicd Lead Procedures 20 15 — — $26,098.72 $73,112.97 $26,098.72 2026-04-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 43 28 — — $18,151.69 $50,353.82 $26,050.32 2026-04-01
545 MS_DRG Connective Tissue Disorders With Mcc 43 28 — — $18,079.73 $50,147.71 $25,943.69 2026-04-01
503 MS_DRG Foot Procedures With Mcc 42 28 — — $20,262.81 $56,399.76 $25,905.79 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 50 35 — — $11,673.55 $70,488.08 $25,685.80 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 35 25 — — $25,062.91 $70,146.58 $25,564.17 2026-04-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 43 28 — — $17,815.14 $49,389.95 $25,551.67 2026-04-01
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 43 28 — — $17,659.91 $48,945.40 $25,321.68 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 36 24 — — $23,339.18 $65,210.01 $25,293.12 2026-04-01
00537 CPT Anesth,Card Electrophys Proc 1 1 — — $25,282.80 $25,282.80 $25,282.80 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 33 24 — — $24,759.51 $69,277.68 $25,254.70 2026-04-01
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 43 28 — — $17,604.15 $48,785.76 $25,239.09 2026-04-01
35 MS_DRG Carotid Artery Stent Procedures With Cc 43 28 — — $17,436.23 $48,304.83 $24,990.29 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 43 28 — — $17,407.31 $48,221.98 $24,947.43 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 69 35 — — $2,898.53 $68,847.27 $24,609.22 2026-04-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 43 28 — — $17,070.04 $47,256.09 $24,447.72 2026-04-01
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 43 28 — — $15,347.70 $42,323.56 $24,249.37 2026-04-01
347 MS_DRG Anal And Stomal Procedures With Mcc 43 28 — — $16,766.63 $46,387.19 $23,998.20 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 37 25 — — $23,419.61 $59,238.64 $23,888.00 2026-04-01
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 43 28 — — $16,626.23 $45,985.07 $23,790.17 2026-04-01
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 43 28 — — $16,599.40 $45,908.28 $23,750.44 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 49 35 — — $13,205.83 $64,872.55 $23,685.77 2026-04-01
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 43 28 — — $16,554.95 $45,780.98 $23,684.58 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 71 35 — — $9,462.89 $65,729.33 $23,520.50 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 50 35 — — $9,839.45 $64,205.72 $23,448.27 2026-04-01
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc 43 28 — — $14,726.78 $40,545.35 $23,268.31 2026-04-01
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/mcc 43 28 — — $16,230.39 $44,851.46 $23,203.70 2026-04-01
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 43 28 — — $14,682.34 $40,418.04 $23,198.10 2026-04-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 43 28 — — $16,182.40 $44,714.05 $23,132.61 2026-04-01
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 43 28 — — $16,147.83 $44,615.04 $23,081.39 2026-04-01
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 43 28 — — $16,006.72 $44,210.90 $22,872.31 2026-04-01
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 43 28 — — $15,968.62 $44,101.78 $22,815.86 2026-04-01
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 43 28 — — $15,942.52 $44,027.01 $22,777.18 2026-04-01
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 43 28 — — $15,931.92 $43,996.70 $22,761.49 2026-04-01
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 43 28 — — $15,679.32 $43,273.29 $22,387.24 2026-04-01
374 MS_DRG Digestive Malignancy With Mcc 43 28 — — $15,659.56 $43,216.71 $22,357.97 2026-04-01
32 MS_DRG Ventricular Shunt Procedures With Cc 43 28 — — $15,605.23 $43,061.12 $22,277.47 2026-04-01
263 MS_DRG Vein Ligation And Stripping 62 35 — — $4,893.92 $61,780.88 $22,141.79 2026-04-01
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 43 28 — — $15,511.40 $42,792.36 $22,138.44 2026-04-01
336 MS_DRG Peritoneal Adhesiolysis With Cc 43 28 — — $15,447.90 $42,610.50 $22,044.35 2026-04-01
412 MS_DRG Cholecystectomy With C.d.e. With Cc 43 28 — — $15,404.14 $42,485.22 $21,979.54 2026-04-01
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 43 28 — — $15,338.53 $42,297.29 $21,882.31 2026-04-01
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 43 28 — — $15,323.70 $42,254.86 $21,860.36 2026-04-01
835 MS_DRG Acute Leukemia With Cc 43 28 — — $15,286.33 $42,147.76 $21,804.95 2026-04-01
415 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 43 28 — — $15,151.54 $41,761.81 $21,605.28 2026-04-01
361 MS_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses,major 7 7 — — $21,549.76 $21,960.23 $21,549.76 2026-04-01
259 MS_DRG Cardiac Pacemaker Device Replacement Without Mcc 43 28 — — $14,836.84 $40,860.57 $21,139.03 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 50 35 — — $3,958.20 $57,600.05 $21,095.56 2026-04-01
499 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Without… 43 28 — — $14,785.35 $40,713.06 $21,062.72 2026-04-01
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 43 28 — — $14,758.53 $40,636.28 $21,022.99 2026-04-01
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 43 28 — — $13,293.74 $36,441.30 $21,004.11 2026-04-01
675 MS_DRG Other Kidney And Urinary Tract Procedures Without Cc/mcc 29 22 — — $12,150.68 $33,167.77 $20,994.44 2026-04-01
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 43 28 — — $14,667.52 $40,375.61 $20,888.14 2026-04-01
908 MS_DRG Other O.r. Procedures For Injuries With Cc 43 28 — — $14,647.04 $40,317.01 $20,857.82 2026-04-01
91 MS_DRG Other Disorders Of Nervous System With Mcc 45 20 — — $7,032.24 $40,068.76 $20,772.35 2026-04-01
539 MS_DRG Osteomyelitis With Mcc 43 28 — — $14,467.13 $39,801.73 $20,591.24 2026-04-01
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 43 28 — — $14,456.55 $39,771.42 $20,575.56 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 37 25 — — $19,963.64 $50,279.22 $20,362.91 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 50 35 — — $14,959.30 $55,528.84 $20,357.86 2026-04-01
36 MS_DRG Carotid Artery Stent Procedures Without Cc/mcc 43 28 — — $14,277.34 $39,258.16 $20,310.03 2026-04-01
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 43 28 — — $14,275.21 $39,252.10 $20,306.90 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 37 25 — — $19,858.52 $50,006.67 $20,255.69 2026-04-01
592 MS_DRG Skin Ulcers With Mcc 43 28 — — $14,224.42 $39,106.61 $20,231.63 2026-04-01
346 MS_DRG Connective Tissue Disorders,extreme 6 6 — — $20,188.26 $20,572.79 $20,188.26 2026-04-01
582 MS_DRG Mastectomy For Malignancy With Cc/mcc 43 28 — — $14,163.03 $38,930.81 $20,140.68 2026-04-01
30 MS_DRG Percutaneous Intracranial And Extracranial Vascular Procedures,extreme 21 7 — — $14,746.41 $30,529.56 $20,130.74 2026-04-01
583 MS_DRG Mastectomy For Malignancy Without Cc/mcc 33 22 — — $12,736.32 $34,844.95 $20,123.39 2026-04-01
398 MS_DRG Appendix Procedures With Cc 38 25 — — $11,248.95 $30,585.32 $20,088.74 2026-04-01
75 MS_DRG Viral Meningitis With Cc/mcc 43 28 — — $14,098.81 $38,746.92 $20,045.55 2026-04-01
902 MS_DRG Wound Debridements For Injuries With Cc 43 28 — — $14,077.65 $38,686.30 $20,014.18 2026-04-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 19 17 — — $17,920.98 $49,693.05 $20,009.69 2026-04-01
165 MS_DRG Major Chest Procedures Without Cc/mcc 50 35 — — $14,075.53 $38,680.24 $19,940.98 2026-04-01
934 MS_DRG Full Thickness Burn Without Skin Graft Or Inhalation Injury 26 18 — — $15,323.83 $39,250.97 $19,869.90 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 57 35 — — $12,742.71 $54,979.21 $19,766.79 2026-04-01
717 MS_DRG Other Male Reproductive System O.r. Procedures Except Malignancy With Cc/mcc 43 28 — — $13,908.32 $38,201.33 $19,763.29 2026-04-01
261 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Cc 43 28 — — $13,908.32 $38,201.33 $19,763.29 2026-04-01
850 MS_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 14 7 — — $13,179.15 $26,546.73 $19,740.35 2026-04-01
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 43 28 — — $13,765.77 $37,793.15 $19,552.12 2026-04-01
504 MS_DRG Foot Procedures With Cc 43 28 — — $13,758.03 $37,770.92 $19,540.62 2026-04-01
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Mcc 43 28 — — $13,727.69 $37,684.03 $19,495.66 2026-04-01
479 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue Without Cc/mcc 43 28 — — $13,685.34 $37,562.79 $19,432.94 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 50 35 — — $5,607.29 $52,449.29 $19,261.07 2026-04-01
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 16 12 — — $9,334.45 $25,955.89 $19,257.22 2026-04-01
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Mcc 43 28 — — $13,528.69 $37,114.20 $19,200.86 2026-04-01
299 MS_DRG Peripheral Vascular Disorders With Mcc 50 35 — — $12,089.31 $32,991.97 $19,168.92 2026-04-01
205 MS_DRG Other Respiratory System Diagnoses With Mcc 43 28 — — $13,488.48 $36,999.02 $19,141.27 2026-04-01
919 MS_DRG Complications Of Treatment With Mcc 43 28 — — $13,487.07 $36,994.98 $19,139.18 2026-04-01
657 MS_DRG Kidney And Ureter Procedures For Neoplasm With Cc 43 28 — — $13,481.42 $36,978.81 $19,130.82 2026-04-01
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 43 28 — — $13,467.32 $36,938.40 $19,109.91 2026-04-01
841 MS_DRG Lymphoma And Non-acute Leukemia With Cc 29 21 — — $12,080.14 $32,965.70 $19,086.62 2026-04-01
496 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 43 28 — — $13,297.27 $36,451.41 $18,857.97 2026-04-01
686 MS_DRG Kidney And Urinary Tract Neoplasms With Mcc 43 28 — — $13,295.86 $36,447.37 $18,855.88 2026-04-01
64590 CPT Implant Neurostim/Receiver 7 4 — — $18,765.47 $19,140.78 $18,765.47 2026-04-01
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 43 28 — — $13,232.34 $36,265.50 $18,761.79 2026-04-01
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 43 28 — — $13,226.70 $36,249.34 $18,753.43 2026-04-01
505 MS_DRG Foot Procedures Without Cc/mcc 43 28 — — $13,218.94 $36,227.11 $18,741.93 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 50 35 — — $9,810.98 $50,980.24 $18,737.83 2026-04-01
00530 CPT Anesth,Pacemaker Insertion 7 4 — — $18,631.58 $19,004.21 $18,631.58 2026-04-01
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 43 28 — — $13,079.96 $35,829.03 $18,535.99 2026-04-01
488 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection With Cc/mcc 43 28 — — $13,050.31 $35,744.16 $18,492.08 2026-04-01
542 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 43 28 — — $13,033.38 $35,695.67 $18,466.99 2026-04-01
180 MS_DRG Respiratory Neoplasms With Mcc 43 28 — — $13,029.85 $35,685.56 $18,461.76 2026-04-01
62 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 43 28 — — $12,967.75 $35,507.74 $18,369.77 2026-04-01
01924 CPT Anesth,Inter Rad,Arterial Sys,Nos 1 1 — — $18,086.59 $18,086.59 $18,086.59 2026-04-01
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 43 28 — — $12,761.72 $34,917.70 $18,064.51 2026-04-01
157 MS_DRG Dental And Oral Diseases With Mcc 43 28 — — $12,682.70 $34,691.38 $17,947.43 2026-04-01
983 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/mcc 43 28 — — $12,662.95 $34,634.80 $17,918.16 2026-04-01
289 MS_DRG Acute And Subacute Endocarditis With Cc 43 28 — — $12,612.85 $34,491.33 $17,843.93 2026-04-01
828 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 43 28 — — $12,590.98 $34,428.69 $17,811.53 2026-04-01
01932 CPT Anesth,Inter Rad,Intrathoracic/Jugular 5 3 — — $17,771.01 $18,126.43 $17,771.01 2026-04-01
256 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Cc 43 28 — — $12,549.35 $34,309.47 $17,749.85 2026-04-01
01931 CPT Anesth,Inter Rad,Intrahepat/Portal Circ 2 2 — — $17,731.95 $17,731.95 $17,731.95 2026-04-01
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 43 28 — — $12,504.89 $34,182.16 $17,683.99 2026-04-01
571 MS_DRG Skin Debridement With Cc 43 28 — — $12,490.08 $34,139.73 $17,662.03 2026-04-01
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/mcc 43 28 — — $12,443.51 $34,006.36 $17,593.04 2026-04-01
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 43 28 — — $12,439.98 $33,996.26 $17,587.81 2026-04-01
915 MS_DRG Allergic Reactions With Mcc 43 28 — — $12,434.33 $33,980.09 $17,579.45 2026-04-01
520 MS_DRG Back And Neck Procedures Except Spinal Fusion Without Cc/mcc 43 28 — — $11,109.95 $30,187.24 $17,553.72 2026-04-01
358 MS_DRG Other Digestive System O.r. Procedures Without Cc/mcc 24 18 — — $9,827.71 $27,382.51 $17,479.97 2026-04-01
01938 CPT Anes Perq Img Njx Drg/Aspir Px Spi/Sp Lmbr/Sac 2 2 — — $17,434.23 $17,434.23 $17,434.23 2026-04-01
62350 CPT Impltj Revj/Rpsg Ithcl/Edrl Cath Pmp Without Lam 7 4 — — $17,434.23 $17,782.92 $17,434.23 2026-04-01
597 MS_DRG Malignant Breast Disorders With Mcc 43 28 — — $12,332.02 $33,687.09 $17,427.86 2026-04-01
33 MS_DRG Ventricular Shunt Procedures Without Cc/mcc 43 28 — — $12,302.40 $33,602.22 $17,383.96 2026-04-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 37 25 — — $16,977.59 $42,538.05 $17,317.14 2026-04-01
512 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures Without Cc/… 43 28 — — $12,249.45 $33,450.67 $17,305.55 2026-04-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 43 28 — — $1,295.99 $46,942.88 $17,299.87 2026-04-01
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With Mcc 43 28 — — $12,242.42 $33,430.46 $17,295.10 2026-04-01
988 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 43 28 — — $12,166.20 $33,212.23 $17,182.19 2026-04-01
913 MS_DRG Traumatic Injury With Mcc 43 28 — — $12,102.71 $33,030.36 $17,088.11 2026-04-01
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/mcc 43 28 — — $12,077.32 $32,957.62 $17,050.47 2026-04-01
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 43 28 — — $12,071.66 $32,941.45 $17,042.11 2026-04-01
262 MS_DRG Cardiac Pacemaker Revision Except Device Replacement Without Cc/mcc 43 28 — — $12,069.55 $32,935.39 $17,038.97 2026-04-01
548 MS_DRG Postpartum And Post Abortion Diagnosis With O.r. Procedure,extreme 7 7 — — $16,998.58 $17,322.36 $16,998.58 2026-04-01
38 MS_DRG Extracranial Procedures With Cc 43 28 — — $12,018.04 $32,787.88 $16,962.66 2026-04-01
23472 CPT Arthroplasty Glenohumeral Joint Total Shoulder|LEFT Side 12 4 — — $16,960.23 $17,299.43 $16,960.23 2026-04-01
22614 CPT Arthrodesis Pst/Pstlat Tq 1ntrspc Ea Addl Ntrspc 1 1 — — $16,960.23 $16,960.23 $16,960.23 2026-04-01
22612 CPT Arthrodesis Posterior/Pstlat Tq 1ntrspc Lumbar|M/CAID Care Lev 11 State Def 2 1 — — $16,960.23 $16,960.23 $16,960.23 2026-04-01
22600 CPT Arthrd Pst/Pstlat Tq 1ntrspc Crv Belw C2 Segment 1 1 — — $16,960.23 $16,960.23 $16,960.23 2026-04-01
01160 CPT Anesth,Pubis,Sacroiliac Open Proc 3 3 — — $16,960.23 $17,299.43 $16,960.23 2026-04-01
63045 CPT Laminec/Facetect/Foramin,Cervical 3 3 — — $16,960.23 $17,299.43 $16,960.23 2026-04-01
28730 CPT Arthrd Midtarsl/Tarsometatarsal Mult/Transvrs|LEFT Side 3 2 — — $16,960.23 $16,960.23 $16,960.23 2026-04-01
28725 CPT Hc Arthodesis Of Subtalar|UNUSUAL Non-overlapping Service|right Side 5 2 — — $16,960.23 $16,960.23 $16,960.23 2026-04-01
28715 CPT Whmc Arthrodesis Triple|LEFT Side 1 1 — — $16,960.23 $16,960.23 $16,960.23 2026-04-01
27871 CPT Arthrodesis Tibiofibular Joint Proximal/Distal|RIGHT Side 1 1 — — $16,960.23 $16,960.23 $16,960.23 2026-04-01
27870 CPT Hc Arthrodesis, Ankle, Open|UNUSUAL Non-overlapping Service|right Side 8 4 — — $16,960.23 $17,299.43 $16,960.23 2026-04-01
01638 CPT Anesth,Shoulder Replacement 3 2 — — $16,960.23 $16,960.23 $16,960.23 2026-04-01
27279 CPT Arthrodesis Si Joint Percutaneous/Min Invasive|LEFT Side 8 4 — — $16,960.23 $17,299.43 $16,960.23 2026-04-01
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