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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

MERCY HEALTH-ST RITA'S MEDICAL CENTER

Lima, OH · CCN 360066 · Rates published

1,308 distinct procedures filed
32 distinct payers
41,344 rate rows
2026-04-01 last MRF observed
Data quality

25,933 of 41,344 rate rows are consumer-grade (62.7%)

15,411 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 15,411
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.mercy.com/-/media/mercy/patient-resources/hospital-pricing-transparency/341105619_mercy-health-st-ritas-medical-center-llc_standardcharges.ashx
Found on page https://www.mercy.com/pay-a-bill/estimate-your-cost
Discovered viaDiscovered by HANK
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-05-16
Content fingerprint f438784d12b5776e… · 13,570,130 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
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 1 $153,930.14 $153,930.14 $153,930.14 nat. median
$202,986
0.8× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 22 $100,631.24 $319,814.97 $100,631.24 nat. median
$133,176
0.8× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 29 $3,979.82 $254,468.49 $80,174.16 nat. median
$98,905
0.8× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 22 $79,110.91 $251,072.09 $79,110.91 nat. median
$102,358
0.8× median
215
MS_DRG 		Other Heart Assist System Implant 22 $72,481.98 $229,897.17 $72,481.98 nat. median
$99,019
0.7× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 22 $71,222.84 $225,875.07 $71,222.84 nat. median
$93,672
0.8× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 26 $9,237.02 $194,637.96 $61,443.87 nat. median
$79,312
0.8× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 29 $15,346.49 $181,682.72 $57,388.15 nat. median
$77,576
0.7× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 22 $56,011.21 $177,284.27 $56,011.21 nat. median
$74,915
0.7× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 29 $7,934.10 $176,520.02 $55,771.95 nat. median
$73,807
0.8× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 22 $55,589.07 $175,935.87 $55,589.07 nat. median
$72,138
0.8× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 22 $52,050.90 $164,633.81 $52,050.90 nat. median
$68,887
0.8× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 11 $50,470.83 $159,586.55 $50,975.54 nat. median
$66,526
0.8× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 23 $49,164.70 $158,685.68 $49,410.52 nat. median
$64,732
0.8× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 23 $4,018.92 $163,994.24 $48,913.29 nat. median
$68,090
0.7× median
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 29 $11,249.35 $154,384.60 $48,842.32 nat. median
$60,691
0.8× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 22 $48,806.91 $154,271.46 $48,806.91 nat. median
$63,738
0.8× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 22 $48,038.56 $151,817.10 $48,038.56 nat. median
$64,510
0.7× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 24 $3,176.54 $151,698.05 $47,022.28 nat. median
$62,134
0.8× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 22 $44,808.31 $141,498.63 $44,808.31 nat. median
$60,726
0.7× median
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 23 $43,927.90 $141,605.60 $44,147.54 nat. median
$59,099
0.7× median
5
MS_DRG 		Tracheostomy With Mv >96 Hours Without Extensive Procedure,major 7 $41,845.71 $43,938.00 $43,938.00 nat. median
$100,136
outlier · 0.4×
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 23 $43,613.48 $140,580.08 $43,831.54 nat. median
$58,024
0.8× median
64568
CPT 		Open Implantation Cranial Nerve Nea & Pulse Gen 4 $43,669.39 $44,542.77 $43,669.39 nat. median
$27,541
1.6× median
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 25 $3,434.00 $83,769.63 $43,471.82 nat. median
$52,278
0.8× median
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 18 $42,930.43 $135,500.11 $43,359.73 nat. median
$57,424
0.8× median
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 22 $41,930.77 $132,306.90 $41,930.77 nat. median
$55,929
0.7× median
463
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 32 $3,142.03 $134,365.71 $41,708.14 nat. median
$52,753
0.8× median
428
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 22 $41,147.96 $129,806.36 $41,147.96 nat. median
$54,211
0.8× median
834
MS_DRG 		Acute Leukemia With Mcc 25 $40,193.13 $129,424.39 $40,595.06 nat. median
$53,173
0.8× median
11
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 25 $39,934.38 $128,580.41 $40,333.72 nat. median
$52,857
0.8× median
234
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 29 $4,584.35 $126,128.28 $39,996.53 nat. median
$53,268
0.8× median
21
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 25 $38,775.69 $124,801.34 $39,163.45 nat. median
$54,066
0.7× median
220
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 29 $11,717.24 $123,129.02 $39,057.59 nat. median
$52,879
0.7× median
450
MS_DRG 		Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically… 22 $39,034.47 $123,055.13 $39,034.47 nat. median
$51,319
0.8× median
270
MS_DRG 		Other Major Cardiovascular Procedures With Mcc 23 $38,649.21 $124,388.77 $38,842.46 nat. median
$51,307
0.8× median
653
MS_DRG 		Major Bladder Procedures With Mcc 25 $38,071.67 $122,505.13 $38,452.39 nat. median
$51,418
0.7× median
466
MS_DRG 		Revision Of Hip Or Knee Replacement With Mcc 30 $3,147.56 $122,717.31 $38,136.74 nat. median
$49,191
0.8× median
221
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 23 $36,942.65 $118,822.72 $37,127.37 nat. median
$48,732
0.8× median
326
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Mcc 11 $36,561.00 $115,154.08 $36,926.61 nat. median
$48,178
0.8× median
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 23 $36,208.26 $116,427.50 $36,389.30 nat. median
$48,170
0.8× median
228
MS_DRG 		Other Cardiothoracic Procedures With Mcc 30 $6,442.79 $116,634.96 $36,271.87 nat. median
$50,673
0.7× median
239
MS_DRG 		Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 23 $36,086.10 $116,029.08 $36,266.53 nat. median
$47,740
0.8× median
471
MS_DRG 		Cervical Spinal Fusion With Mcc 22 $35,413.88 $111,489.85 $35,413.88 nat. median
$46,647
0.8× median
612
MS_DRG 		Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 7 $33,579.67 $35,258.65 $35,258.65 nat. median
$50,031
0.7× median
267
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 23 $34,923.08 $112,235.86 $35,097.69 nat. median
$47,651
0.7× median
981
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 25 $34,424.35 $110,609.19 $34,768.59 nat. median
$46,084
0.8× median
826
MS_DRG 		Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r.… 23 $34,323.17 $110,279.14 $34,323.17 nat. median
$46,259
0.7× median
277
MS_DRG 		Cardiac Defibrillator Implant Without Mcc 23 $33,894.53 $108,881.14 $34,064.01 nat. median
$46,109
0.7× median
823
MS_DRG 		Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 25 $33,650.94 $108,086.66 $33,987.45 nat. median
$45,113
0.8× median

Other procedures at this hospital

Browse this hospital's 1,308 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
             
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 63 32 — — $3,142.03 $134,365.71 $41,708.14 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 41 32 — — $5,993.54 $97,906.98 $30,529.83 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 49 32 — — $18,705.90 $88,116.28 $27,527.99 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 42 32 — — $13,297.58 $83,908.14 $26,237.76 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 55 32 — — $4,640.25 $82,236.67 $25,725.28 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 42 32 — — $8,587.63 $74,249.46 $23,276.39 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 52 32 — — $4,988.75 $72,174.86 $22,640.30 2026-04-01
299 MS_DRG Peripheral Vascular Disorders With Mcc 49 32 — — $12,312.74 $38,490.90 $22,308.24 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 49 32 — — $11,774.52 $64,142.86 $20,177.68 2026-04-01
300 MS_DRG Peripheral Vascular Disorders With Cc 56 32 — — $8,227.40 $56,501.96 $19,294.09 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 42 32 — — $4,260.69 $61,191.27 $19,272.71 2026-04-01
950 MS_DRG Aftercare Without Cc/mcc 45 32 — — $1,743.00 $50,875.39 $18,005.86 2026-04-01
304 MS_DRG Hypertension With Mcc 49 32 — — $9,112.84 $28,054.25 $17,487.94 2026-04-01
347 MS_DRG Anal And Stomal Procedures With Mcc 49 32 — — $3,727.24 $54,118.77 $17,104.28 2026-04-01
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 42 32 — — $8,319.00 $54,102.27 $17,099.22 2026-04-01
30 MS_DRG Spinal Procedures Without Cc/mcc 47 32 — — $15,071.14 $51,751.84 $16,706.14 2026-04-01
614 MS_DRG Adrenal And Pituitary Procedures With Cc/mcc 42 32 — — $10,495.76 $51,671.69 $16,354.00 2026-04-01
141 MS_DRG Major Head And Neck Procedures With Cc 56 32 — — $3,947.38 $51,419.43 $16,276.66 2026-04-01
314 MS_DRG Other Circulatory System Diagnoses With Mcc 49 32 — — $7,476.57 $49,158.59 $15,583.48 2026-04-01
283 MS_DRG Acute Myocardial Infarction, Expired With Mcc 42 32 — — $3,732.76 $46,697.36 $14,828.86 2026-04-01
539 MS_DRG Osteomyelitis With Mcc 49 32 — — $4,972.88 $46,435.68 $14,748.61 2026-04-01
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 42 32 — — $4,401.47 $44,536.37 $14,453.72 2026-04-01
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 42 32 — — $13,483.70 $42,310.05 $14,269.15 2026-04-01
196 MS_DRG Interstitial Lung Disease With Mcc 49 32 — — $5,569.12 $44,490.74 $14,152.30 2026-04-01
862 MS_DRG Postoperative And Post-traumatic Infections With Mcc 48 32 — — $8,388.19 $42,993.73 $13,830.24 2026-04-01
722 MS_DRG Malignancy, Male Reproductive System With Mcc 49 32 — — $3,350.45 $42,663.68 $13,592.13 2026-04-01
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/mcc 49 32 — — $3,175.85 $48,704.00 $13,576.22 2026-04-01
254 MS_DRG Other Vascular Procedures Without Cc/mcc 56 32 — — $4,035.03 $42,003.58 $13,389.74 2026-04-01
91 MS_DRG Other Disorders Of Nervous System With Mcc 49 32 — — $8,183.92 $41,402.42 $13,337.46 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 47 31 — — $4,275.18 $75,270.26 $23,589.36 2026-04-01
711 MS_DRG Testes Procedures With Cc/mcc 40 31 — — $9,135.57 $49,125.59 $15,573.35 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 60 30 — — $3,147.56 $122,717.31 $38,136.74 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 39 30 — — $6,442.79 $116,634.96 $36,271.87 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 46 30 — — $3,595.43 $88,326.10 $27,592.32 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 39 30 — — $15,368.57 $75,685.18 $23,716.57 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 51 30 — — $2,883.94 $70,033.55 $22,435.75 2026-04-01
542 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 46 30 — — $4,066.08 $41,645.24 $13,279.86 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 38 29 — — $3,979.82 $254,468.49 $80,174.16 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 38 29 — — $15,346.49 $181,682.72 $57,388.15 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 38 29 — — $7,934.10 $176,520.02 $55,771.95 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 38 29 — — $11,249.35 $154,384.60 $48,842.32 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 44 29 — — $4,584.35 $126,128.28 $39,996.53 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 38 29 — — $11,717.24 $123,129.02 $39,057.59 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 38 29 — — $4,384.91 $83,268.17 $26,578.93 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 38 29 — — $15,363.74 $73,299.39 $22,985.09 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 47 28 — — $3,927.37 $98,481.51 $31,341.56 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 40 26 — — $9,237.02 $194,637.96 $61,443.87 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 35 25 — — $3,434.00 $83,769.63 $43,471.82 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 35 25 — — $40,193.13 $129,424.39 $40,595.06 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 35 25 — — $39,934.38 $128,580.41 $40,333.72 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 35 25 — — $38,775.69 $124,801.34 $39,163.45 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 35 25 — — $38,071.67 $122,505.13 $38,452.39 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 35 25 — — $34,424.35 $110,609.19 $34,768.59 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 35 25 — — $33,650.94 $108,086.66 $33,987.45 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 35 25 — — $33,389.99 $107,235.60 $33,723.89 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 35 25 — — $30,985.20 $99,392.20 $31,295.05 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 35 25 — — $30,881.11 $99,052.72 $31,189.92 2026-04-01
949 MS_DRG Aftercare With Cc/mcc 35 25 — — $1,743.00 $54,093.53 $30,910.59 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 35 25 — — $3,434.00 $59,034.76 $30,649.81 2026-04-01
791 MS_DRG Prematurity With Major Problems 35 25 — — $3,434.00 $57,492.58 $29,850.37 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 35 25 — — $28,489.32 $91,251.75 $28,774.21 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 35 25 — — $28,262.37 $90,511.50 $28,544.99 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 35 25 — — $27,525.09 $88,106.85 $27,800.34 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 35 25 — — $27,449.20 $87,859.31 $27,723.69 2026-04-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 35 25 — — $1,743.00 $48,163.06 $27,521.75 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 35 25 — — $27,050.19 $86,557.97 $27,320.69 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 35 25 — — $26,718.42 $85,475.88 $26,985.60 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 35 25 — — $1,743.00 $51,489.80 $26,738.66 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 35 25 — — $26,322.32 $84,183.97 $26,585.54 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 35 25 — — $26,262.34 $83,988.30 $26,524.96 2026-04-01
947 MS_DRG Signs And Symptoms With Mcc 35 25 — — $1,743.00 $46,151.84 $26,372.48 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 35 25 — — $26,002.12 $83,139.60 $26,262.14 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 35 25 — — $25,950.06 $82,969.86 $26,209.56 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 35 25 — — $25,718.78 $82,215.46 $25,975.97 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 35 25 — — $25,481.70 $81,442.20 $25,736.52 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 35 25 — — $25,366.06 $81,065.00 $25,619.72 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 35 25 — — $25,292.31 $80,824.53 $25,545.23 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 35 25 — — $25,170.88 $80,428.47 $25,422.59 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 35 25 — — $24,657.69 $78,754.65 $24,904.27 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 35 25 — — $24,307.12 $77,611.26 $24,550.19 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 35 25 — — $24,304.23 $77,601.83 $24,547.27 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 35 25 — — $24,023.05 $76,684.76 $24,263.28 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 35 25 — — $23,919.69 $76,347.64 $24,158.89 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 35 25 — — $23,893.66 $76,262.77 $24,132.60 2026-04-01
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Mcc 35 25 — — $1,743.00 $41,782.20 $23,875.54 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 35 25 — — $23,546.73 $75,131.17 $23,782.20 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 35 25 — — $23,386.96 $74,610.16 $23,620.83 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 35 25 — — $23,352.28 $74,497.00 $23,585.80 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 35 25 — — $23,287.24 $74,284.83 $23,520.11 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 35 25 — — $23,024.84 $73,429.05 $23,255.09 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 35 25 — — $22,317.23 $71,121.06 $22,540.40 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 35 25 — — $21,806.19 $68,022.50 $22,024.25 2026-04-01
570 MS_DRG Skin Debridement With Mcc 35 25 — — $21,770.04 $69,336.43 $21,987.74 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 35 25 — — $21,617.53 $68,839.00 $21,833.71 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 35 25 — — $21,487.42 $68,414.65 $21,702.29 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 35 25 — — $21,381.90 $66,667.18 $21,595.72 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 35 25 — — $21,257.58 $67,664.97 $21,470.16 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 35 25 — — $21,115.18 $67,200.54 $21,326.33 2026-04-01
948 MS_DRG Signs And Symptoms Without Mcc 35 25 — — $1,743.00 $36,865.17 $21,065.81 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 35 25 — — $20,440.06 $64,998.63 $20,644.46 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 35 25 — — $20,379.35 $64,800.60 $20,583.14 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 34 25 — — $20,072.15 $63,798.67 $20,272.87 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 34 25 — — $8,319.00 $61,118.19 $19,346.56 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 34 25 — — $19,154.18 $60,804.64 $19,345.72 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 35 25 — — $18,964.80 $60,186.98 $19,154.45 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 34 25 — — $8,319.00 $60,804.64 $19,154.18 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 35 25 — — $18,877.33 $59,901.72 $19,066.10 2026-04-01
302 MS_DRG Atherosclerosis With Mcc 35 25 — — $1,743.00 $33,164.90 $18,951.37 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 35 25 — — $18,755.17 $59,503.30 $18,942.72 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 35 25 — — $18,747.23 $59,477.37 $18,934.70 2026-04-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 35 25 — — $18,281.73 $57,959.14 $18,464.55 2026-04-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 35 25 — — $18,178.38 $57,622.02 $18,360.16 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 35 25 — — $18,157.41 $56,367.18 $18,338.98 2026-04-01
792 MS_DRG Prematurity Without Major Problems 35 25 — — $1,800.00 $35,045.92 $18,214.51 2026-04-01
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 35 25 — — $17,962.25 $56,917.12 $18,141.87 2026-04-01
397 MS_DRG Appendix Procedures With Mcc 35 25 — — $17,822.04 $56,459.77 $18,000.26 2026-04-01
35 MS_DRG Carotid Artery Stent Procedures With Cc 35 25 — — $17,790.23 $56,356.04 $17,968.13 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 35 25 — — $17,760.58 $56,259.38 $17,938.19 2026-04-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 35 25 — — $17,402.80 $55,092.42 $17,576.83 2026-04-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 35 25 — — $17,320.39 $54,823.66 $17,493.59 2026-04-01
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 35 25 — — $16,960.42 $53,649.63 $17,130.02 2026-04-01
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/mcc 35 25 — — $16,682.88 $52,744.35 $16,849.71 2026-04-01
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 35 25 — — $1,743.00 $29,377.04 $16,786.88 2026-04-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 35 25 — — $16,505.79 $52,166.76 $16,670.85 2026-04-01
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 35 25 — — $16,286.76 $51,452.44 $16,449.63 2026-04-01
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 35 25 — — $16,260.03 $51,365.21 $16,422.63 2026-04-01
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 35 25 — — $15,990.43 $50,485.86 $16,150.33 2026-04-01
374 MS_DRG Digestive Malignancy With Mcc 35 25 — — $15,970.19 $50,419.85 $16,129.89 2026-04-01
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 35 25 — — $15,913.81 $50,235.97 $16,072.95 2026-04-01
595 MS_DRG Major Skin Disorders With Mcc 35 25 — — $15,840.07 $49,995.50 $15,998.47 2026-04-01
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 35 25 — — $15,816.21 $49,917.71 $15,974.37 2026-04-01
81 MS_DRG Nontraumatic Stupor And Coma Without Mcc 35 25 — — $1,743.00 $27,725.51 $15,843.15 2026-04-01
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 35 25 — — $15,641.30 $49,347.19 $15,797.71 2026-04-01
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 35 25 — — $15,626.12 $49,297.68 $15,782.38 2026-04-01
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 35 25 — — $15,532.16 $48,991.21 $15,687.48 2026-04-01
835 MS_DRG Acute Leukemia With Cc 34 25 — — $8,319.00 $49,172.74 $15,587.80 2026-04-01
499 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Without… 35 25 — — $15,074.61 $47,498.91 $15,225.36 2026-04-01
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 35 25 — — $15,047.16 $47,409.33 $15,197.63 2026-04-01
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 35 25 — — $14,969.08 $47,154.72 $15,118.77 2026-04-01
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 35 25 — — $14,953.90 $47,105.21 $15,103.44 2026-04-01
908 MS_DRG Other O.r. Procedures For Injuries With Cc 35 25 — — $14,932.93 $47,036.84 $15,082.26 2026-04-01
843 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 35 25 — — $14,930.04 $47,027.41 $15,079.34 2026-04-01
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 35 25 — — $14,737.79 $46,400.32 $14,885.17 2026-04-01
380 MS_DRG Complicated Peptic Ulcer With Mcc 34 25 — — $14,694.41 $46,258.87 $14,841.35 2026-04-01
36 MS_DRG Carotid Artery Stent Procedures Without Cc/mcc 35 25 — — $14,554.20 $45,801.51 $14,699.74 2026-04-01
100 MS_DRG Seizures With Mcc 35 25 — — $14,510.83 $45,660.06 $14,655.94 2026-04-01
585 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/mcc 35 25 — — $14,455.17 $45,478.53 $14,599.72 2026-04-01
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 35 25 — — $8,319.00 $45,794.44 $14,552.00 2026-04-01
75 MS_DRG Viral Meningitis With Cc/mcc 35 25 — — $14,371.32 $45,205.06 $14,515.03 2026-04-01
902 MS_DRG Wound Debridements For Injuries With Cc 35 25 — — $14,349.62 $45,134.34 $14,493.12 2026-04-01
261 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Cc 35 25 — — $14,176.15 $44,568.54 $14,317.91 2026-04-01
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 35 25 — — $14,030.15 $44,092.32 $14,170.45 2026-04-01
504 MS_DRG Foot Procedures With Cc 35 25 — — $14,022.20 $44,066.39 $14,162.42 2026-04-01
479 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue Without Cc/mcc 35 25 — — $13,947.75 $43,823.57 $14,087.23 2026-04-01
803 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Cc 35 25 — — $13,947.75 $43,823.57 $14,087.23 2026-04-01
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc 35 25 — — $13,773.55 $43,255.41 $13,911.29 2026-04-01
205 MS_DRG Other Respiratory System Diagnoses With Mcc 35 25 — — $13,746.08 $43,165.83 $13,883.54 2026-04-01
919 MS_DRG Complications Of Treatment With Mcc 35 25 — — $13,744.63 $43,161.11 $13,882.08 2026-04-01
657 MS_DRG Kidney And Ureter Procedures For Neoplasm With Cc 35 25 — — $13,738.84 $43,142.25 $13,876.23 2026-04-01
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 35 25 — — $13,724.38 $43,095.10 $13,861.62 2026-04-01
80 MS_DRG Nontraumatic Stupor And Coma With Mcc 35 25 — — $13,594.30 $42,670.75 $13,730.24 2026-04-01
496 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 35 25 — — $13,550.21 $42,526.94 $13,685.71 2026-04-01
686 MS_DRG Kidney And Urinary Tract Neoplasms With Mcc 35 25 — — $13,548.76 $42,522.23 $13,684.25 2026-04-01
575 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis Without Cc/mcc 35 25 — — $13,500.33 $42,364.28 $13,635.33 2026-04-01
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 35 25 — — $13,477.93 $42,291.19 $13,612.71 2026-04-01
505 MS_DRG Foot Procedures Without Cc/mcc 35 25 — — $13,469.96 $42,265.26 $13,604.66 2026-04-01
789 MS_DRG Neonates, Died Or Transferred To Another Acute Care Facility 35 25 — — $1,800.00 $26,024.32 $13,537.91 2026-04-01
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 35 25 — — $13,327.57 $41,800.83 $13,460.85 2026-04-01
488 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection With Cc/mcc 35 25 — — $13,297.21 $41,701.82 $13,430.18 2026-04-01
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 35 25 — — $13,254.58 $48,704.00 $13,387.13 2026-04-01
62 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 35 25 — — $13,212.64 $41,425.99 $13,344.77 2026-04-01
666 MS_DRG Prostatectomy With Cc 35 25 — — $13,155.53 $41,239.75 $13,287.09 2026-04-01
501 MS_DRG Soft Tissue Procedures With Cc 35 25 — — $13,146.87 $41,211.46 $13,278.34 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 38 24 — — $3,176.54 $151,698.05 $47,022.28 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 31 24 — — $30,331.07 $97,258.66 $30,937.69 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 33 24 — — $28,787.13 $92,223.04 $29,075.00 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 34 24 — — $920.71 $91,115.02 $28,589.65 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 32 23 — — $49,164.70 $158,685.68 $49,410.52 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 30 23 — — $4,018.92 $163,994.24 $48,913.29 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 32 23 — — $43,927.90 $141,605.60 $44,147.54 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 32 23 — — $43,613.48 $140,580.08 $43,831.54 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 32 23 — — $38,649.21 $124,388.77 $38,842.46 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 32 23 — — $36,942.65 $118,822.72 $37,127.37 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 32 23 — — $36,208.26 $116,427.50 $36,389.30 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 32 23 — — $36,086.10 $116,029.08 $36,266.53 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 32 23 — — $34,923.08 $112,235.86 $35,097.69 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 31 23 — — $34,323.17 $110,279.14 $34,323.17 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 32 23 — — $33,894.53 $108,881.14 $34,064.01 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 32 23 — — $33,735.51 $108,362.49 $33,904.19 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 32 23 — — $32,263.14 $103,560.26 $32,424.46 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 32 23 — — $25,842.00 $102,018.46 $31,790.42 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 32 23 — — $31,541.04 $101,205.12 $31,698.75 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 32 23 — — $31,164.47 $99,976.86 $31,320.29 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 32 23 — — $30,788.58 $98,750.96 $30,942.53 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 32 23 — — $27,710.86 $88,712.73 $27,849.42 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 32 23 — — $26,216.81 $83,839.77 $26,347.90 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 32 23 — — $23,861.16 $76,156.68 $23,980.47 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 32 23 — — $21,561.88 $68,657.47 $21,669.69 2026-04-01
800 MS_DRG Splenic Procedures With Cc 32 23 — — $20,818.09 $66,231.61 $20,922.18 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 32 23 — — $20,547.03 $65,347.54 $20,649.76 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 32 23 — — $20,374.29 $64,784.10 $20,476.16 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 32 23 — — $18,842.65 $59,788.56 $18,936.87 2026-04-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 32 23 — — $18,523.15 $58,746.54 $18,615.76 2026-04-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 32 23 — — $18,286.80 $57,975.64 $18,378.24 2026-04-01
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 32 23 — — $17,032.00 $53,883.02 $17,117.16 2026-04-01
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 32 23 — — $16,932.96 $53,560.04 $17,017.62 2026-04-01
32 MS_DRG Ventricular Shunt Procedures With Cc 32 23 — — $15,914.53 $50,238.33 $15,994.10 2026-04-01
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 32 23 — — $15,818.40 $49,924.78 $15,897.49 2026-04-01
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 32 23 — — $15,650.69 $49,377.84 $15,728.94 2026-04-01
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 32 23 — — $15,541.55 $49,021.86 $15,619.26 2026-04-01
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc 32 23 — — $15,014.62 $47,303.24 $15,089.69 2026-04-01
707 MS_DRG Major Male Pelvic Procedures With Cc/mcc 32 23 — — $14,969.80 $47,157.07 $15,044.65 2026-04-01
507 MS_DRG Major Shoulder Or Elbow Joint Procedures With Cc/mcc 32 23 — — $13,568.26 $42,585.88 $13,636.10 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 31 22 — — $100,631.24 $319,814.97 $100,631.24 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 31 22 — — $79,110.91 $251,072.09 $79,110.91 2026-04-01
215 MS_DRG Other Heart Assist System Implant 31 22 — — $72,481.98 $229,897.17 $72,481.98 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 31 22 — — $71,222.84 $225,875.07 $71,222.84 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 31 22 — — $56,011.21 $177,284.27 $56,011.21 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 31 22 — — $55,589.07 $175,935.87 $55,589.07 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 31 22 — — $52,050.90 $164,633.81 $52,050.90 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 31 22 — — $48,806.91 $154,271.46 $48,806.91 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 31 22 — — $48,038.56 $151,817.10 $48,038.56 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 31 22 — — $44,808.31 $141,498.63 $44,808.31 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 31 22 — — $41,930.77 $132,306.90 $41,930.77 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 31 22 — — $41,147.96 $129,806.36 $41,147.96 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 31 22 — — $39,034.47 $123,055.13 $39,034.47 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 31 22 — — $35,413.88 $111,489.85 $35,413.88 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 31 22 — — $33,375.54 $104,978.76 $33,375.54 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 31 22 — — $33,246.90 $104,567.77 $33,246.90 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 31 22 — — $32,897.05 $103,450.26 $32,897.05 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 31 22 — — $31,037.25 $97,509.46 $31,037.25 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 30 22 — — $30,970.02 $97,294.74 $30,970.02 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 31 22 — — $29,572.11 $92,829.32 $29,572.11 2026-04-01
336 MS_DRG Peritoneal Adhesiolysis With Cc 27 22 — — $15,753.34 $49,712.60 $16,541.01 2026-04-01
615 MS_DRG Adrenal And Pituitary Procedures Without Cc/mcc 26 22 — — $10,625.69 $32,988.50 $14,224.69 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 30 21 — — $23,837.28 $74,510.51 $23,837.28 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 23 19 — — $4,763.77 $83,392.85 $26,617.95 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 26 19 — — $20,271.65 $64,449.34 $20,271.65 2026-04-01
627 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures Without Cc/mcc 24 19 — — $9,008.56 $29,251.45 $14,547.13 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 23 18 — — $42,930.43 $135,500.11 $43,359.73 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 20 18 — — $8,319.00 $70,399.67 $20,782.92 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 20 18 — — $7,523.49 $60,889.51 $19,180.20 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 18 17 — — $31,754.35 $105,658.44 $33,342.07 2026-04-01
717 MS_DRG Other Male Reproductive System O.r. Procedures Except Malignancy With Cc/mcc 22 17 — — $14,176.15 $44,568.54 $14,176.15 2026-04-01
744 MS_DRG D&c, Conization, Laparoscopy And Tubal Interruption With Cc/mcc 22 16 — — $15,322.54 $47,311.67 $16,463.49 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 21 15 — — $17,838.65 $55,348.95 $17,838.65 2026-04-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 17 15 — — $15,920.37 $56,160.37 $17,388.15 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 18 14 — — $25,603.13 $80,151.15 $25,603.13 2026-04-01
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Mcc 14 14 — — $13,787.28 $43,300.20 $13,856.22 2026-04-01
165 MS_DRG Major Chest Procedures Without Cc/mcc 18 13 — — $14,347.46 $45,127.27 $22,561.28 2026-04-01
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 18 13 — — $14,662.09 $48,267.55 $14,882.02 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 13 11 — — $50,470.83 $159,586.55 $50,975.54 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 13 11 — — $36,561.00 $115,154.08 $36,926.61 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 12 11 — — $22,148.82 $89,151.25 $25,838.46 2026-04-01
5 MS_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure,major 7 7 — — $41,845.71 $43,938.00 $43,938.00 2026-04-01
612 MS_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $33,579.67 $35,258.65 $35,258.65 2026-04-01
710 MS_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure,extreme 7 7 — — $31,751.59 $33,339.17 $33,339.17 2026-04-01
130 MS_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours,extreme 14 7 — — $28,051.27 $38,633.88 $33,124.00 2026-04-01
952 MS_DRG Non-extensive O.r. Procedure Unrelated To Principal Diagnosis,extreme 7 7 — — $29,811.03 $31,301.58 $31,301.58 2026-04-01
608 MS_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition,minor 14 7 — — $20,755.51 $30,221.91 $25,288.03 2026-04-01
930 MS_DRG Multiple Significant Trauma Without O.r. Procedure,extreme 14 7 — — $6,915.51 $22,722.96 $14,451.10 2026-04-01
625 MS_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition,moderate 7 7 — — $13,502.54 $14,177.67 $14,177.67 2026-04-01
911 MS_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma,major 7 7 — — $13,479.07 $14,153.02 $14,153.02 2026-04-01
850 MS_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 14 7 — — $12,175.47 $16,104.40 $14,060.88 2026-04-01
320 MS_DRG Other Musculoskeletal System And Connective Tissue Procedures,major 7 7 — — $12,724.10 $13,360.31 $13,360.31 2026-04-01
64568 CPT Open Implantation Cranial Nerve Nea & Pulse Gen 14 4 — — $43,669.39 $44,542.77 $43,669.39 2026-04-01
61886 CPT Imp Stim,Cranial,Subq,>1 Array 7 4 — — $30,593.52 $31,205.39 $30,593.52 2026-04-01
63655 CPT Surg Implnt Neuroelect,Epidural 6 4 — — $30,593.52 $31,205.39 $30,593.52 2026-04-01
64582 CPT Open Impltj Hpglsl Nrv Nstim Ra Pg&Respir Sensor|RIGHT Side 11 4 — — $30,593.52 $31,205.39 $30,593.52 2026-04-01
64583 CPT Revj/Rplcmt Hpglsl Nerve Nstim Ra Pg&Respir Snr 8 4 — — $30,593.52 $31,205.39 $30,593.52 2026-04-01
54401 CPT Insj Penile Prosthesos Inflatable Self-contained 5 4 — — $20,548.68 $20,959.66 $20,548.68 2026-04-01
53445 CPT Insj Inflatable Urethral/Bladder Neck Sphincter 8 4 — — $20,548.68 $20,959.66 $20,548.68 2026-04-01
64590 CPT Implant Neurostim/Receiver 6 4 — — $19,234.03 $19,618.71 $19,234.03 2026-04-01
64581 CPT Open Implantation Nea Sacral Nerve 7 4 — — $19,234.03 $19,618.71 $19,234.03 2026-04-01
01170 CPT Anesth,Pubis,Sacroiliac Closed Proc 5 4 — — $17,383.71 $17,731.38 $17,383.71 2026-04-01
01160 CPT Anesth,Pubis,Sacroiliac Open Proc 4 4 — — $17,383.71 $17,731.38 $17,383.71 2026-04-01
27279 CPT Arthrodesis Si Joint Percutaneous/Min Invasive|RIGHT Side 13 4 — — $17,383.71 $17,731.38 $17,383.71 2026-04-01
00534 CPT Anesth,Cardioverter/Defib 3 3 — — $31,120.14 $31,742.54 $31,120.14 2026-04-01
63685 CPT Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj 12 3 — — $30,593.52 $30,593.52 $30,593.52 2026-04-01
63053 CPT Lam Facetec/Foramot DRG Arthrd Lmbr Ea Addl Sgm 5 3 — — $26,901.72 $26,901.72 $26,901.72 2026-04-01
54405 CPT Insj Multi-component Inflatable Penile Prosth 6 3 — — $20,548.68 $20,548.68 $20,548.68 2026-04-01
19328 CPT Removal Intact Breast Implant|UNUSUAL Non-overlapping Service|bilateral Procedur… 3 3 — — $13,662.97 $13,662.97 $13,662.97 2026-04-01
00537 CPT Anesth,Card Electrophys Proc 3 2 — — $25,914.09 $25,914.09 $25,914.09 2026-04-01
00938 CPT Anesth,Insert Penis Prosthesis 3 2 — — $20,548.68 $20,548.68 $20,548.68 2026-04-01
00630 CPT Anesth,Lumbar Spine,Cord Surgery 2 2 — — $19,234.03 $19,234.03 $19,234.03 2026-04-01
01638 CPT Anesth,Shoulder Replacement 2 2 — — $17,383.71 $17,731.38 $17,557.54 2026-04-01
22840 CPT Posterior Non-segmental Instrumentation 2 2 — — $17,383.71 $17,383.71 $17,383.71 2026-04-01
63047 CPT Laminec/Facetect/Foramin,Lumbar 2 2 — — $17,383.71 $17,383.71 $17,383.71 2026-04-01
63048 CPT Lam Facetectomy&Foramot 1 Vrt Sgm Ea Addl Sgm 2 2 — — $17,383.71 $17,383.71 $17,383.71 2026-04-01
19357 CPT Tissue Expander Placement Breast Reconstruction|BILATERAL Procedure 3 2 — — $13,662.97 $13,936.23 $13,936.23 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 1 1 — — $153,930.14 $153,930.14 $153,930.14 2026-04-01
22859 CPT Insj Biomchn Dev Ntrvrt Disc Space Without Arthrd 2 1 — — $26,901.72 $26,901.72 $26,901.72 2026-04-01
63052 CPT Lam Facetec/Foramot DRG Arthrd Lumbar 1 Vrt Sgm 1 1 — — $26,901.72 $26,901.72 $26,901.72 2026-04-01
22634 CPT Arthrodesis Cmbn Tq 1ntrspc Each Additional 1 1 — — $26,901.72 $26,901.72 $26,901.72 2026-04-01
22633 CPT Arthrodesis Combined Tq 1ntrspc Lumbar 2 1 — — $26,901.72 $26,901.72 $26,901.72 2026-04-01
22853 CPT Insj Biomchn Dev Intervertebral Dsc Spc W/Arthrd 2 1 — — $17,383.71 $26,901.72 $22,142.72 2026-04-01
23472 CPT Arthroplasty Glenohumeral Joint Total Shoulder|LEFT Side 1 1 — — $17,383.71 $17,383.71 $17,383.71 2026-04-01
22842 CPT Posterior Segmental Instrumentation 3-6 Vrt Seg 1 1 — — $17,383.71 $17,383.71 $17,383.71 2026-04-01
22614 CPT Arthrodesis Pst/Pstlat Tq 1ntrspc Ea Addl Ntrspc 1 1 — — $17,383.71 $17,383.71 $17,383.71 2026-04-01
20937 CPT Autograft Spine Surgery Morselized Sep Incision 1 1 — — $17,383.71 $17,383.71 $17,383.71 2026-04-01
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