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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 Charles Hospital

Oregon, OH · CCN 360081 · Rates published

802 distinct procedures filed
35 distinct payers
25,064 rate rows
2026-04-01 last MRF observed
Data quality

18,005 of 25,064 rate rows are consumer-grade (71.8%)

7,059 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 6,995
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 58
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 6

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
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 10 $99,026.35 $177,243.14 $101,006.88 nat. median
$126,461
0.8× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 28 $54,806.69 $189,735.51 $86,594.57 nat. median
$67,908
1.3× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 33 $3,632.85 $168,734.57 $78,942.82 nat. median
$93,226
0.8× median
28
MS_DRG 		Spinal Procedures With Mcc 28 $43,370.53 $149,606.67 $68,525.44 nat. median
$54,377
1.3× median
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 28 $43,358.47 $149,564.34 $68,506.38 nat. median
$56,633
1.2× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 26 $49,781.89 $172,103.82 $57,428.54 nat. median
$62,577
0.9× median
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 28 $35,779.76 $122,971.14 $56,532.02 nat. median
$45,362
1.2× median
239
MS_DRG 		Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 28 $35,659.85 $122,550.33 $56,342.56 nat. median
$45,172
1.2× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 25 $54,986.22 $117,048.01 $56,085.94 nat. median
$71,737
0.8× median
981
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 28 $34,028.45 $116,825.82 $53,764.95 nat. median
$43,609
1.2× median
277
MS_DRG 		Cardiac Defibrillator Implant Without Mcc 28 $33,508.29 $115,000.65 $52,943.10 nat. median
$44,088
1.2× median
856
MS_DRG 		Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 28 $33,012.98 $113,262.63 $52,160.51 nat. median
$41,655
1.3× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 33 $4,843.24 $110,516.77 $51,959.00 nat. median
$63,564
0.8× median
163
MS_DRG 		Major Chest Procedures With Mcc 28 $32,538.24 $111,596.82 $51,410.42 nat. median
$42,636
1.2× median
673
MS_DRG 		Other Kidney And Urinary Tract Procedures With Mcc 28 $30,549.90 $104,619.84 $48,268.84 nat. median
$37,952
1.3× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 18 $5,195.18 $98,515.26 $46,396.32 nat. median
$59,324
0.8× median
130
MS_DRG 		Respiratory System Diagnosis With Ventilator Support > 96 Hours,extreme 3 $44,784.45 $46,298.90 $45,433.50 nat. median
$2,614
outlier · 17.4×
402
MS_DRG 		Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 28 $29,264.79 $76,835.78 $45,000.00 nat. median
$36,864
1.2× median
34
MS_DRG 		Carotid Artery Stent Procedures With Mcc 28 $28,201.79 $96,380.43 $44,558.83 nat. median
$36,335
1.2× median
907
MS_DRG 		Other O.r. Procedures For Injuries With Mcc 28 $27,978.97 $95,598.57 $44,206.77 nat. median
$35,937
1.2× median
230
MS_DRG 		Major Small Bowel Procedures,extreme 7 $43,449.75 $44,919.06 $44,079.45 nat. median
$12,593
outlier · 3.5×
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 21 $33,352.17 $87,843.71 $43,858.10 nat. median
$42,609
1.0× median
472
MS_DRG 		Cervical Spinal Fusion With Cc 12 $21,640.68 $56,302.92 $43,431.41 nat. median
$28,214
1.5× median
956
MS_DRG 		Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 28 $27,437.55 $93,698.70 $43,351.33 nat. median
$35,435
1.2× median
628
MS_DRG 		Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 28 $27,180.66 $92,797.32 $42,945.44 nat. median
$35,211
1.2× median
904
MS_DRG 		Skin Grafts For Injuries With Cc/mcc 28 $26,799.59 $91,460.19 $42,343.35 nat. median
$34,740
1.2× median
492
MS_DRG 		Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 28 $26,788.95 $91,422.84 $42,326.54 nat. median
$33,619
1.3× median
463
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 35 $3,824.37 $141,917.55 $41,385.13 nat. median
$49,873
0.8× median
335
MS_DRG 		Peritoneal Adhesiolysis With Mcc 28 $26,074.37 $88,915.41 $41,197.50 nat. median
$33,064
1.2× median
471
MS_DRG 		Cervical Spinal Fusion With Mcc 28 $28,966.00 $120,234.63 $40,341.98 nat. median
$44,798
0.9× median
616
MS_DRG 		Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 28 $25,481.83 $86,836.26 $40,261.29 nat. median
$33,713
1.2× median
574
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Cc 28 $25,368.29 $86,437.86 $40,081.90 nat. median
$32,307
1.2× median
477
MS_DRG 		Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 28 $25,249.07 $86,019.54 $39,893.53 nat. median
$31,866
1.3× median
987
MS_DRG 		Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 28 $25,063.15 $85,367.16 $39,599.78 nat. median
$31,832
1.2× median
264
MS_DRG 		Other Circulatory System O.r. Procedures 28 $24,440.12 $83,180.94 $38,615.39 nat. median
$31,156
1.2× median
464
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 22 $22,837.10 $59,525.03 $38,110.28 nat. median
$28,649
1.3× median
466
MS_DRG 		Revision Of Hip Or Knee Replacement With Mcc 35 $3,831.08 $129,614.46 $37,673.03 nat. median
$46,347
0.8× median
579
MS_DRG 		Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 28 $23,715.61 $80,638.65 $37,470.66 nat. median
$30,192
1.2× median
840
MS_DRG 		Lymphoma And Non-acute Leukemia With Mcc 28 $23,690.06 $80,549.01 $37,430.29 nat. median
$29,799
1.3× median
242
MS_DRG 		Permanent Cardiac Pacemaker Implant With Mcc 28 $23,391.31 $79,500.72 $36,958.27 nat. median
$30,977
1.2× median
228
MS_DRG 		Other Cardiothoracic Procedures With Mcc 35 $7,841.92 $123,190.26 $36,738.27 nat. median
$47,347
0.8× median
500
MS_DRG 		Soft Tissue Procedures With Mcc 28 $23,192.62 $78,803.52 $36,644.34 nat. median
$29,659
1.2× median
451
MS_DRG 		Single Level Spinal Fusion Except Cervical Without Mcc 28 $23,658.13 $61,736.17 $36,500.00 nat. median
$30,000
1.2× median
448
MS_DRG 		Multiple Level Spinal Fusion Except Cervical Without Mcc 28 $30,828.09 $81,045.93 $36,500.00 nat. median
$39,065
0.9× median
510
MS_DRG 		Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 28 $22,168.65 $75,210.45 $35,026.47 nat. median
$27,688
1.3× median
327
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Cc 12 $18,079.12 $46,711.11 $34,655.09 nat. median
$23,552
1.5× median
570
MS_DRG 		Skin Debridement With Mcc 28 $21,605.21 $73,233.39 $34,136.23 nat. median
$28,015
1.2× median
668
MS_DRG 		Transurethral Procedures With Mcc 28 $21,455.49 $72,708.00 $33,899.67 nat. median
$27,351
1.2× median
480
MS_DRG 		Hip And Femur Procedures Except Major Joint With Mcc 28 $21,400.84 $72,516.27 $33,813.33 nat. median
$27,794
1.2× median
974
MS_DRG 		HIV With Major Related Condition With Mcc 28 $21,214.21 $71,861.40 $33,518.45 nat. median
$27,506
1.2× median

Other procedures at this hospital

Browse this hospital's 802 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
             
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 10 10 — — $99,026.35 $177,243.14 $101,006.88 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 43 28 — — $54,806.69 $189,735.51 $86,594.57 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 57 33 — — $3,632.85 $168,734.57 $78,942.82 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 43 28 — — $43,370.53 $149,606.67 $68,525.44 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 43 28 — — $43,358.47 $149,564.34 $68,506.38 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 39 26 — — $49,781.89 $172,103.82 $57,428.54 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 43 28 — — $35,779.76 $122,971.14 $56,532.02 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 43 28 — — $35,659.85 $122,550.33 $56,342.56 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 35 25 — — $54,986.22 $117,048.01 $56,085.94 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 43 28 — — $34,028.45 $116,825.82 $53,764.95 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 43 28 — — $33,508.29 $115,000.65 $52,943.10 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 43 28 — — $33,012.98 $113,262.63 $52,160.51 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 45 33 — — $4,843.24 $110,516.77 $51,959.00 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 43 28 — — $32,538.24 $111,596.82 $51,410.42 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 43 28 — — $30,549.90 $104,619.84 $48,268.84 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 18 18 — — $5,195.18 $98,515.26 $46,396.32 2026-04-01
130 MS_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours,extreme 3 3 — — $44,784.45 $46,298.90 $45,433.50 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 43 28 — — $29,264.79 $76,835.78 $45,000.00 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 43 28 — — $28,201.79 $96,380.43 $44,558.83 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 43 28 — — $27,978.97 $95,598.57 $44,206.77 2026-04-01
230 MS_DRG Major Small Bowel Procedures,extreme 7 7 — — $43,449.75 $44,919.06 $44,079.45 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 28 21 — — $33,352.17 $87,843.71 $43,858.10 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 17 12 — — $21,640.68 $56,302.92 $43,431.41 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 43 28 — — $27,437.55 $93,698.70 $43,351.33 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 43 28 — — $27,180.66 $92,797.32 $42,945.44 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 43 28 — — $26,799.59 $91,460.19 $42,343.35 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 43 28 — — $26,788.95 $91,422.84 $42,326.54 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 56 35 — — $3,824.37 $141,917.55 $41,385.13 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 43 28 — — $26,074.37 $88,915.41 $41,197.50 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 43 28 — — $28,966.00 $120,234.63 $40,341.98 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 43 28 — — $25,481.83 $86,836.26 $40,261.29 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 43 28 — — $25,368.29 $86,437.86 $40,081.90 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 43 28 — — $25,249.07 $86,019.54 $39,893.53 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 43 28 — — $25,063.15 $85,367.16 $39,599.78 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 43 28 — — $24,440.12 $83,180.94 $38,615.39 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 29 22 — — $22,837.10 $59,525.03 $38,110.28 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 57 35 — — $3,831.08 $129,614.46 $37,673.03 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 43 28 — — $23,715.61 $80,638.65 $37,470.66 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 43 28 — — $23,690.06 $80,549.01 $37,430.29 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 43 28 — — $23,391.31 $79,500.72 $36,958.27 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 50 35 — — $7,841.92 $123,190.26 $36,738.27 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 43 28 — — $23,192.62 $78,803.52 $36,644.34 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 43 28 — — $23,658.13 $61,736.17 $36,500.00 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 43 28 — — $30,828.09 $81,045.93 $36,500.00 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 43 28 — — $22,168.65 $75,210.45 $35,026.47 2026-04-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 16 12 — — $18,079.12 $46,711.11 $34,655.09 2026-04-01
570 MS_DRG Skin Debridement With Mcc 43 28 — — $21,605.21 $73,233.39 $34,136.23 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 43 28 — — $21,455.49 $72,708.00 $33,899.67 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 43 28 — — $21,400.84 $72,516.27 $33,813.33 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 43 28 — — $21,214.21 $71,861.40 $33,518.45 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 43 28 — — $21,102.10 $71,467.98 $33,341.32 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 43 28 — — $20,404.54 $69,020.31 $32,239.17 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 36 26 — — $31,442.61 $66,252.49 $32,228.67 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 43 28 — — $20,239.90 $68,442.63 $31,979.04 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 43 28 — — $20,234.94 $68,425.20 $31,971.21 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 3 3 — — $26,364.61 $55,296.66 $30,360.41 2026-04-01
63650 CPT Hc Perc Implnt Neuro Stim,Epidurl 4 3 — — $29,976.87 $29,976.87 $29,976.87 2026-04-01
63655 CPT Surg Implnt Neuroelect,Epidural 4 3 — — $29,976.87 $29,976.87 $29,976.87 2026-04-01
63685 CPT Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj 3 1 — — $29,976.87 $29,976.87 $29,976.87 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 50 35 — — $27,258.00 $93,068.73 $29,718.35 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 43 28 — — $18,765.33 $63,268.41 $29,649.22 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 43 28 — — $18,731.26 $63,148.89 $29,595.39 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 43 28 — — $18,645.42 $62,847.60 $29,459.76 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 42 28 — — $1,028.27 $73,862.10 $29,146.25 2026-04-01
545 MS_DRG Connective Tissue Disorders With Mcc 43 28 — — $18,345.26 $61,794.33 $28,985.51 2026-04-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 43 28 — — $18,185.58 $61,234.08 $28,733.22 2026-04-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 43 28 — — $18,180.60 $61,216.65 $28,725.35 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 43 28 — — $18,058.56 $60,788.37 $28,532.52 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 43 28 — — $17,745.60 $59,690.28 $28,038.05 2026-04-01
60 MS_DRG Multiple Sclerosis And Cerebellar Ataxia Without Cc/mcc 43 28 — — $1,743.00 $43,294.96 $27,932.23 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 43 28 — — $17,668.98 $59,421.36 $27,916.99 2026-04-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 43 28 — — $17,329.78 $58,231.14 $27,381.05 2026-04-01
902 MS_DRG Wound Debridements For Injuries With Cc 25 19 — — $14,320.30 $36,588.01 $27,105.49 2026-04-01
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Mcc 42 28 — — $1,743.00 $41,689.61 $26,896.52 2026-04-01
592 MS_DRG Skin Ulcers With Mcc 25 21 — — $14,841.92 $39,297.95 $26,653.07 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 36 26 — — $25,991.33 $54,491.35 $26,641.11 2026-04-01
22633 CPT Arthrodesis Combined Tq 1ntrspc Lumbar 2 2 — — $26,359.48 $26,886.67 $26,623.07 2026-04-01
22840 CPT Posterior Non-segmental Instrumentation 3 2 — — $26,359.48 $26,359.48 $26,359.48 2026-04-01
22630 CPT Arthrodesis Posterior Interbody 1 Ntrspc Lumbar 5 2 — — $26,359.48 $26,359.48 $26,359.48 2026-04-01
63052 CPT Lam Facetec/Foramot DRG Arthrd Lumbar 1 Vrt Sgm 4 3 — — $26,359.48 $26,886.67 $26,359.48 2026-04-01
22634 CPT Arthrodesis Cmbn Tq 1ntrspc Each Additional 3 3 — — $26,359.48 $26,359.48 $26,359.48 2026-04-01
20936 CPT Autograft Spine Surgery Local From Same Incision 1 1 — — $26,359.48 $26,359.48 $26,359.48 2026-04-01
63053 CPT Lam Facetec/Foramot DRG Arthrd Lmbr Ea Addl Sgm 3 2 — — $26,359.48 $26,359.48 $26,359.48 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 50 26 — — $14,331.49 $51,997.21 $26,257.65 2026-04-01
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 27 22 — — $13,785.45 $47,628.72 $26,056.30 2026-04-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 43 28 — — $16,437.08 $55,098.72 $25,970.59 2026-04-01
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 43 28 — — $16,402.31 $54,976.71 $25,915.65 2026-04-01
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 43 28 — — $16,337.02 $54,747.63 $25,812.49 2026-04-01
30 MS_DRG Spinal Procedures Without Cc/mcc 43 28 — — $16,312.20 $54,660.48 $25,773.28 2026-04-01
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 43 28 — — $16,195.83 $54,252.12 $25,589.41 2026-04-01
947 MS_DRG Signs And Symptoms With Mcc 43 28 — — $1,743.00 $39,267.78 $25,334.05 2026-04-01
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 43 28 — — $15,931.13 $53,323.35 $25,171.19 2026-04-01
374 MS_DRG Digestive Malignancy With Mcc 43 28 — — $15,911.27 $53,253.63 $25,139.81 2026-04-01
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 43 28 — — $15,762.25 $52,730.73 $24,904.36 2026-04-01
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 43 28 — — $15,597.60 $52,153.05 $24,644.21 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 23 19 — — $24,095.96 $50,402.05 $24,577.88 2026-04-01
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 43 28 — — $15,481.22 $51,744.69 $24,460.33 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 19 16 — — $23,349.45 $48,791.44 $23,816.44 2026-04-01
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 43 28 — — $15,005.09 $50,073.90 $23,708.04 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 36 26 — — $23,094.69 $48,241.81 $23,672.06 2026-04-01
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc 43 28 — — $14,973.14 $49,961.85 $23,657.56 2026-04-01
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 43 28 — — $14,913.53 $49,752.69 $23,563.38 2026-04-01
908 MS_DRG Other O.r. Procedures For Injuries With Cc 43 28 — — $14,892.95 $49,680.48 $23,530.86 2026-04-01
843 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 43 28 — — $14,890.11 $49,670.52 $23,526.37 2026-04-01
539 MS_DRG Osteomyelitis With Mcc 43 28 — — $14,712.00 $49,045.53 $23,244.96 2026-04-01
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 43 28 — — $14,701.37 $49,008.18 $23,228.16 2026-04-01
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 43 28 — — $14,518.99 $48,368.25 $22,940.00 2026-04-01
100 MS_DRG Seizures With Mcc 43 28 — — $14,478.55 $48,226.32 $22,876.11 2026-04-01
585 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/mcc 43 28 — — $14,423.90 $48,034.59 $22,789.76 2026-04-01
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 43 28 — — $1,743.00 $35,058.55 $22,618.42 2026-04-01
801 MS_DRG Splenic Procedures Without Cc/mcc 43 28 — — $14,280.56 $47,531.61 $22,563.28 2026-04-01
717 MS_DRG Other Male Reproductive System O.r. Procedures Except Malignancy With Cc/mcc 43 28 — — $14,149.99 $47,073.45 $22,356.98 2026-04-01
196 MS_DRG Interstitial Lung Disease With Mcc 43 28 — — $14,126.58 $46,991.28 $22,320.00 2026-04-01
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 43 28 — — $14,006.63 $46,570.47 $22,130.48 2026-04-01
504 MS_DRG Foot Procedures With Cc 43 28 — — $13,998.84 $46,543.08 $22,118.17 2026-04-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 43 28 — — $1,743.00 $44,396.76 $22,086.32 2026-04-01
299 MS_DRG Peripheral Vascular Disorders With Mcc 50 35 — — $12,320.60 $45,885.55 $22,068.71 2026-04-01
754 MS_DRG Malignancy, Female Reproductive System With Mcc 43 28 — — $13,803.70 $45,858.33 $21,809.85 2026-04-01
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Mcc 43 28 — — $13,768.22 $45,733.83 $21,753.79 2026-04-01
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc 43 28 — — $13,754.73 $45,686.52 $21,732.47 2026-04-01
205 MS_DRG Other Respiratory System Diagnoses With Mcc 43 28 — — $13,727.77 $45,591.90 $21,689.88 2026-04-01
919 MS_DRG Complications Of Treatment With Mcc 43 28 — — $13,726.35 $45,586.92 $21,687.63 2026-04-01
336 MS_DRG Peritoneal Adhesiolysis With Cc 40 26 — — $15,698.37 $52,506.63 $21,417.34 2026-04-01
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 43 28 — — $13,531.91 $44,904.66 $21,380.42 2026-04-01
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 43 28 — — $13,470.17 $44,688.03 $21,282.87 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 46 31 — — $5,211.00 $64,630.44 $21,068.10 2026-04-01
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 43 28 — — $13,316.90 $44,150.19 $21,040.70 2026-04-01
488 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection With Cc/mcc 43 28 — — $13,287.10 $44,045.61 $20,993.62 2026-04-01
180 MS_DRG Respiratory Neoplasms With Mcc 43 28 — — $13,266.52 $43,973.40 $20,961.10 2026-04-01
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 43 28 — — $13,245.25 $43,898.70 $20,927.50 2026-04-01
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 43 28 — — $12,996.88 $43,027.20 $20,535.07 2026-04-01
583 MS_DRG Mastectomy For Malignancy Without Cc/mcc 43 28 — — $12,971.33 $42,937.56 $20,494.70 2026-04-01
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 23 18 — — $12,302.87 $31,154.75 $20,454.27 2026-04-01
157 MS_DRG Dental And Oral Diseases With Mcc 43 28 — — $12,917.40 $42,748.32 $20,409.49 2026-04-01
398 MS_DRG Appendix Procedures With Cc 31 23 — — $11,475.46 $37,688.64 $20,382.47 2026-04-01
983 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/mcc 43 28 — — $12,897.52 $42,678.60 $20,378.08 2026-04-01
256 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Cc 43 28 — — $12,783.27 $42,277.71 $20,197.57 2026-04-01
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 43 28 — — $12,738.57 $42,120.84 $20,126.94 2026-04-01
571 MS_DRG Skin Debridement With Cc 43 28 — — $12,723.68 $42,068.55 $20,103.41 2026-04-01
560 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Cc 43 28 — — $1,743.00 $31,050.67 $20,032.69 2026-04-01
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/mcc 43 28 — — $12,676.83 $41,904.21 $20,029.39 2026-04-01
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 43 28 — — $12,673.29 $41,891.76 $20,023.80 2026-04-01
551 MS_DRG Medical Back Problems With Mcc 43 28 — — $12,628.58 $41,734.89 $19,953.16 2026-04-01
444 MS_DRG Disorders Of The Biliary Tract With Mcc 43 28 — — $12,591.67 $41,605.41 $19,894.84 2026-04-01
70 MS_DRG Other Cerebrovascular Disorders With Mcc 43 28 — — $12,548.39 $41,453.52 $19,826.46 2026-04-01
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With Mcc 43 28 — — $12,474.60 $41,194.56 $19,709.87 2026-04-01
643 MS_DRG Endocrine Disorders With Mcc 43 28 — — $12,415.70 $40,987.89 $19,616.81 2026-04-01
988 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 43 28 — — $12,397.96 $40,925.64 $19,588.78 2026-04-01
773 MS_DRG Opioid Abuse And Dependence,extreme 7 7 — — $19,276.37 $19,928.23 $19,555.74 2026-04-01
913 MS_DRG Traumatic Injury With Mcc 43 28 — — $12,334.09 $40,701.54 $19,487.86 2026-04-01
841 MS_DRG Lymphoma And Non-acute Leukemia With Cc 43 28 — — $12,311.38 $40,621.86 $19,451.98 2026-04-01
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/mcc 43 28 — — $12,308.55 $40,611.90 $19,447.51 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 35 25 — — $19,037.11 $39,487.55 $19,417.85 2026-04-01
890 MS_DRG HIV With Multiple Major HIV Related Conditions,extreme 7 7 — — $19,003.39 $19,646.01 $19,278.80 2026-04-01
73 MS_DRG Cranial And Peripheral Nerve Disorders With Mcc 43 28 — — $12,119.07 $39,947.07 $19,148.13 2026-04-01
328 MS_DRG Stomach, Esophageal And Duodenal Procedures Without Cc/mcc 43 28 — — $12,104.87 $39,897.27 $19,125.69 2026-04-01
393 MS_DRG Other Digestive System Diagnoses With Mcc 43 28 — — $12,083.59 $39,822.57 $19,092.07 2026-04-01
368 MS_DRG Major Esophageal Disorders With Mcc 43 28 — — $12,031.08 $39,638.31 $19,009.11 2026-04-01
850 MS_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 4 4 — — $18,668.23 $18,938.79 $18,848.60 2026-04-01
306 MS_DRG Cardiac Congenital And Valvular Disorders With Mcc 43 28 — — $11,916.84 $39,237.42 $18,828.61 2026-04-01
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 43 28 — — $948.56 $39,053.16 $18,745.61 2026-04-01
154 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses With Mcc 43 28 — — $11,829.56 $38,931.15 $18,690.70 2026-04-01
177 MS_DRG Respiratory Infections And Inflammations With Mcc 43 28 — — $11,823.87 $38,911.23 $18,681.71 2026-04-01
296 MS_DRG Cardiac Arrest, Unexplained With Mcc 43 28 — — $11,818.20 $38,891.31 $18,672.76 2026-04-01
186 MS_DRG Pleural Effusion With Mcc 43 28 — — $11,794.07 $38,806.65 $18,634.63 2026-04-01
581 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/mcc 28 23 — — $10,975.18 $35,933.19 $18,422.49 2026-04-01
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 24 18 — — $13,706.48 $34,934.91 $18,393.71 2026-04-01
517 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures Without Cc/mc… 43 28 — — $11,639.37 $38,263.83 $18,390.20 2026-04-01
183 MS_DRG Major Chest Trauma With Mcc 43 28 — — $11,591.12 $38,094.51 $18,313.97 2026-04-01
948 MS_DRG Signs And Symptoms Without Mcc 43 28 — — $1,743.00 $28,328.19 $18,276.25 2026-04-01
345 MS_DRG Minor Small And Large Bowel Procedures With Cc 43 28 — — $11,412.28 $37,467.03 $18,031.40 2026-04-01
693 MS_DRG Urinary Stones With Mcc 27 23 — — $7,516.00 $28,100.81 $17,993.56 2026-04-01
865 MS_DRG Viral Illness With Mcc 43 28 — — $11,366.89 $37,307.67 $17,959.69 2026-04-01
855 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures Without Cc/mcc 43 28 — — $11,359.07 $37,280.28 $17,947.33 2026-04-01
727 MS_DRG Inflammation Of The Male Reproductive System With Mcc 43 28 — — $11,257.59 $36,924.21 $17,786.99 2026-04-01
682 MS_DRG Renal Failure With Mcc 43 28 — — $11,244.11 $36,876.90 $17,765.69 2026-04-01
388 MS_DRG Gastrointestinal Obstruction With Mcc 43 28 — — $11,214.31 $36,772.32 $17,718.61 2026-04-01
347 MS_DRG Anal And Stomal Procedures With Mcc 36 27 — — $4,602.40 $57,160.44 $17,535.38 2026-04-01
750 MS_DRG Schizophrenia And Other Severe Psychotic Disorders,extreme 21 7 — — $10,598.69 $41,760.79 $17,427.95 2026-04-01
637 MS_DRG Diabetes With Mcc 43 28 — — $10,929.76 $35,773.83 $17,269.02 2026-04-01
757 MS_DRG Infections, Female Reproductive System With Mcc 43 28 — — $10,895.71 $35,654.31 $17,215.22 2026-04-01
562 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 43 28 — — $10,845.31 $35,477.52 $17,135.59 2026-04-01
602 MS_DRG Cellulitis With Mcc 43 28 — — $10,820.48 $35,390.37 $17,096.36 2026-04-01
22632 CPT Arthrodesis Posterior Interbody 1 Ntrspc Ea Addl 3 3 — — $17,033.32 $17,033.32 $17,033.32 2026-04-01
22614 CPT Arthrodesis Pst/Pstlat Tq 1ntrspc Ea Addl Ntrspc 3 3 — — $17,033.32 $17,033.32 $17,033.32 2026-04-01
22612 CPT Arthrodesis Posterior/Pstlat Tq 1ntrspc Lumbar 2 2 — — $17,033.32 $17,033.32 $17,033.32 2026-04-01
01638 CPT Anesth,Shoulder Replacement 6 3 — — $17,033.32 $17,033.32 $17,033.32 2026-04-01
23472 CPT Arthroplasty Glenohumeral Joint Total Shoulder|LEFT Side 13 4 — — $17,033.32 $17,373.98 $17,033.32 2026-04-01
23395 CPT Muscle Transfer Shoulder/Upper Arm Single|LEFT Side 7 2 — — $17,033.32 $17,033.32 $17,033.32 2026-04-01
61783 CPT Stereotactic Comp Assist Proc,Spinal 3 2 — — $17,033.32 $17,033.32 $17,033.32 2026-04-01
22842 CPT Posterior Segmental Instrumentation 3-6 Vrt Seg 2 2 — — $17,033.32 $17,033.32 $17,033.32 2026-04-01
811 MS_DRG Red Blood Cell Disorders With Mcc 43 28 — — $10,699.86 $34,967.07 $16,905.78 2026-04-01
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 25 19 — — $16,856.48 $34,782.79 $16,856.48 2026-04-01
419 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. Without Cc/mcc 43 28 — — $10,426.63 $34,008.42 $16,474.08 2026-04-01
88 MS_DRG Concussion With Mcc 43 28 — — $10,327.30 $33,659.82 $16,317.13 2026-04-01
304 MS_DRG Hypertension With Mcc 50 35 — — $9,179.13 $29,631.00 $16,239.24 2026-04-01
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 43 28 — — $10,212.34 $33,256.44 $16,135.50 2026-04-01
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 54 35 — — $5,267.07 $53,059.41 $16,093.73 2026-04-01
660 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Cc 43 28 — — $10,113.69 $32,910.33 $15,979.63 2026-04-01
689 MS_DRG Kidney And Urinary Tract Infections With Mcc 21 17 — — $8,651.23 $22,365.60 $15,941.89 2026-04-01
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 43 28 — — $10,061.90 $32,728.56 $15,897.80 2026-04-01
909 MS_DRG Other O.r. Procedures For Injuries Without Cc/mcc 43 28 — — $10,049.84 $32,686.23 $15,878.75 2026-04-01
348 MS_DRG Anal And Stomal Procedures With Cc 43 28 — — $10,022.16 $32,589.12 $15,835.01 2026-04-01
80 MS_DRG Nontraumatic Stupor And Coma With Mcc 43 28 — — $1,308.33 $45,069.00 $15,581.19 2026-04-01
291 MS_DRG Heart Failure And Shock With Mcc 43 28 — — $9,844.77 $31,966.62 $15,554.74 2026-04-01
535 MS_DRG Fractures Of Hip And Pelvis With Mcc 43 28 — — $9,832.00 $31,921.80 $15,534.56 2026-04-01
314 MS_DRG Other Circulatory System Diagnoses With Mcc 57 35 — — $9,100.19 $51,921.48 $15,531.61 2026-04-01
886 MS_DRG Behavioral And Developmental Disorders 43 28 — — $852.90 $39,661.06 $15,461.36 2026-04-01
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 43 28 — — $9,734.77 $31,580.67 $15,380.94 2026-04-01
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 50 35 — — $8,224.10 $49,804.98 $15,301.65 2026-04-01
62 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 41 27 — — $13,204.06 $43,754.28 $15,148.08 2026-04-01
743 MS_DRG Uterine And Adnexa Procedures For Non-malignancy Without Cc/mcc 43 28 — — $9,538.92 $30,893.43 $15,071.49 2026-04-01
189 MS_DRG Pulmonary Edema And Respiratory Failure 43 28 — — $9,501.31 $30,761.46 $15,012.07 2026-04-01
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 50 35 — — $9,292.54 $48,029.61 $14,783.05 2026-04-01
883 MS_DRG Disorders Of Personality And Impulse Control 42 28 — — $2.01 $37,577.96 $14,761.31 2026-04-01
375 MS_DRG Digestive Malignancy With Cc 43 28 — — $9,318.22 $30,119.04 $14,722.79 2026-04-01
497 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 43 28 — — $9,309.00 $30,086.67 $14,708.22 2026-04-01
380 MS_DRG Complicated Peptic Ulcer With Mcc 57 35 — — $4,090.63 $48,858.78 $14,658.78 2026-04-01
261 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Cc 20 14 — — $14,149.99 $36,129.35 $14,645.24 2026-04-01
989 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/mcc 43 28 — — $9,244.42 $29,860.08 $14,606.18 2026-04-01
302 MS_DRG Atherosclerosis With Mcc 43 28 — — $9,225.98 $29,795.34 $14,577.05 2026-04-01
593 MS_DRG Skin Ulcers With Cc 43 28 — — $9,152.88 $29,538.87 $14,461.55 2026-04-01
143 MS_DRG Other Respiratory Diagnoses Except Signs, Symptoms And Miscellaneous Diagnoses,e… 7 7 — — $13,914.87 $14,385.42 $14,116.54 2026-04-01
546 MS_DRG Connective Tissue Disorders With Cc 43 28 — — $8,919.42 $28,719.66 $14,092.68 2026-04-01
102 MS_DRG Headaches With Mcc 24 19 — — $8,688.79 $27,910.41 $14,062.57 2026-04-01
862 MS_DRG Postoperative And Post-traumatic Infections With Mcc 50 35 — — $12,592.76 $45,410.13 $14,017.87 2026-04-01
399 MS_DRG Appendix Procedures Without Cc/mcc 43 28 — — $8,857.68 $28,503.03 $13,995.13 2026-04-01
723 MS_DRG Malignancy, Male Reproductive System With Cc 43 28 — — $8,843.49 $28,453.23 $13,972.71 2026-04-01
542 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 31 22 — — $7,516.00 $33,759.58 $13,933.58 2026-04-01
436 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Cc 43 28 — — $8,761.18 $28,164.39 $13,842.66 2026-04-01
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 43 28 — — $8,595.12 $27,581.73 $13,580.29 2026-04-01
896 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 42 28 — — $797.11 $33,350.61 $13,577.35 2026-04-01
721 MS_DRG Post-operative, Post-traumatic, Other Device Infections,extreme 14 7 — — $6,462.70 $21,055.37 $13,523.94 2026-04-01
200 MS_DRG Pneumothorax With Cc 43 28 — — $8,535.50 $27,372.57 $13,486.09 2026-04-01
755 MS_DRG Malignancy, Female Reproductive System With Cc 43 28 — — $8,453.91 $27,086.22 $13,357.18 2026-04-01
650 MS_DRG Splenic Procedures,moderate 7 7 — — $13,137.06 $13,581.31 $13,327.45 2026-04-01
352 MS_DRG Inguinal And Femoral Hernia Procedures Without Cc/mcc 30 21 — — $8,183.11 $27,454.74 $13,312.38 2026-04-01
381 MS_DRG Complicated Peptic Ulcer With Cc 43 28 — — $8,423.40 $26,979.15 $13,308.97 2026-04-01
915 MS_DRG Allergic Reactions With Mcc 43 28 — — $7,516.00 $41,871.84 $13,300.96 2026-04-01
596 MS_DRG Major Skin Disorders Without Mcc 43 28 — — $8,416.30 $26,954.25 $13,297.75 2026-04-01
91 MS_DRG Other Disorders Of Nervous System With Mcc 43 28 — — $1,743.00 $33,562.74 $13,196.97 2026-04-01
287 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization Without Mcc 43 28 — — $8,328.30 $26,645.49 $13,158.71 2026-04-01
433 MS_DRG Cirrhosis And Alcoholic Hepatitis With Cc 43 28 — — $8,229.67 $26,299.38 $13,002.88 2026-04-01
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 50 35 — — $9,278.49 $29,979.60 $12,949.10 2026-04-01
600 MS_DRG Non-malignant Breast Disorders With Cc/mcc 43 28 — — $8,126.07 $25,935.84 $12,839.19 2026-04-01
45 MS_DRG Cva And Precerebral Occlusion With Infarction,extreme 14 7 — — $6,708.81 $19,241.35 $12,773.82 2026-04-01
661 MS_DRG Kidney And Ureter Procedures For Non-neoplasm Without Cc/mcc 43 28 — — $8,082.07 $25,781.46 $12,769.67 2026-04-01
543 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 43 28 — — $8,029.57 $25,597.20 $12,686.72 2026-04-01
71 MS_DRG Other Cerebrovascular Disorders With Cc 43 28 — — $8,015.38 $25,547.40 $12,664.30 2026-04-01
644 MS_DRG Endocrine Disorders With Cc 43 28 — — $8,008.27 $25,522.50 $12,653.07 2026-04-01
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 43 28 — — $7,996.21 $25,480.17 $12,634.01 2026-04-01
372 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Cc 43 28 — — $7,979.89 $25,422.90 $12,608.23 2026-04-01
923 MS_DRG Other Injury, Poisoning And Toxic Effect Diagnoses Without Mcc 43 28 — — $7,956.47 $25,340.73 $12,571.22 2026-04-01
385 MS_DRG Inflammatory Bowel Disease With Mcc 43 28 — — $7,516.00 $39,399.27 $12,561.10 2026-04-01
699 MS_DRG Other Kidney And Urinary Tract Diagnoses With Cc 43 28 — — $7,937.30 $25,273.50 $12,540.93 2026-04-01
65 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours 43 28 — — $7,903.97 $25,156.47 $12,488.27 2026-04-01
01940 CPT Anes Perq Img Dstrj Px Nulyt Agt Spi/Sp Lmbr/Sac 5 3 — — $12,472.20 $12,472.20 $12,472.20 2026-04-01
22552 CPT Arthrd Ant Interdy Cervcl Belw C2 Ea Addl Ntrspc 3 1 — — $12,472.20 $12,472.20 $12,472.20 2026-04-01
00670 CPT Anesth,Extensive Spine,Cord Proced 3 3 — — $12,472.20 $12,721.65 $12,472.20 2026-04-01
22551 CPT Arthrd Ant Interbody Decompress Cervical Belw C2 3 2 — — $12,472.20 $12,472.20 $12,472.20 2026-04-01
22515 CPT Hc Vertebroplasty Addl Inject 4 2 — — $12,472.20 $12,721.65 $12,472.20 2026-04-01
20930 CPT Allograft For Spine Surgery Only Morselized 3 2 — — $12,472.20 $12,721.65 $12,472.20 2026-04-01
20251 CPT Biopsy Vertebral Body Open Lumbar/Cervical 2 2 — — $12,472.20 $12,472.20 $12,472.20 2026-04-01
01402 CPT Anesth,Total Knee Arthroplasty 3 2 — — $12,472.20 $12,472.20 $12,472.20 2026-04-01
28750 CPT Arthrodesis Great Toe Metatarsophalangeal Joint|RIGHT Foot, Great Toe 3 3 — — $12,472.20 $12,721.65 $12,472.20 2026-04-01
28725 CPT Hc Arthodesis Of Subtalar|LEFT Side 1 1 — — $12,472.20 $12,472.20 $12,472.20 2026-04-01
28297 CPT Corrj Hallux Valgus W/Sesmdc W/1metar Medial Cnf|LEFT Side 4 4 — — $12,472.20 $12,721.65 $12,472.20 2026-04-01
64628 CPT Thermal Dstrj Intraosseous Bvn 1st 2 Lmbr/Sac 4 3 — — $12,472.20 $12,721.65 $12,472.20 2026-04-01
00600 CPT Anesth,Cerv Spine,Cord Surgery 4 3 — — $12,472.20 $12,472.20 $12,472.20 2026-04-01
01214 CPT Anesth,Total Hip Arthroplasty 3 3 — — $12,472.20 $12,721.65 $12,472.20 2026-04-01
28104 CPT Exc/Curtg Bone Cyst/B9 Tumortarsal/Metatarsal|LEFT Side|unusual Non-overlapping … 1 1 — — $12,472.20 $12,472.20 $12,472.20 2026-04-01
64629 CPT Thermal Dstrj Intraosseous Bvn Ea Addl Lmbr/Sac 6 4 — — $12,472.20 $12,721.65 $12,472.20 2026-04-01
27638 CPT Exc/Curettage Cyst/Tumor Tibia/Fibula W/Algraft 3 2 — — $12,472.20 $12,472.20 $12,472.20 2026-04-01
27447 CPT Arthrp Kne Condyle&Platu Medial&Lat Compartments|RIGHT Side 12 4 — — $12,472.20 $12,721.65 $12,472.20 2026-04-01
27130 CPT Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft|BILATERAL Procedure 11 3 — — $12,472.20 $12,472.20 $12,472.20 2026-04-01
23615 CPT Optx Prox Humeral Fx W/Int Fixj Rpr Tuberosity|RIGHT Side 4 3 — — $12,472.20 $12,472.20 $12,472.20 2026-04-01
23474 CPT Revis Shoulder Arthrplsty Humeral&Glenoid Compnt 9 4 — — $12,472.20 $12,721.65 $12,472.20 2026-04-01
22853 CPT Insj Biomchn Dev Intervertebral Dsc Spc W/Arthrd 4 3 — — $12,472.20 $12,472.20 $12,472.20 2026-04-01
22845 CPT Anterior Instrumentation 2-3 Vertebral Segments|UNUSUAL Non-overlapping Service 5 2 — — $12,472.20 $12,472.20 $12,472.20 2026-04-01
760 MS_DRG Menstrual And Other Female Reproductive System Disorders With Cc/mcc 43 28 — — $7,884.10 $25,086.75 $12,456.88 2026-04-01
920 MS_DRG Complications Of Treatment With Cc 43 28 — — $7,847.19 $24,957.27 $12,398.56 2026-04-01
240 MS_DRG Digestive Malignancy,extreme 14 7 — — $7,014.56 $18,108.99 $12,384.20 2026-04-01
369 MS_DRG Major Esophageal Disorders With Cc 43 28 — — $7,832.28 $24,904.98 $12,375.00 2026-04-01
863 MS_DRG Postoperative And Post-traumatic Infections Without Mcc 43 28 — — $7,815.97 $24,847.71 $12,349.23 2026-04-01
884 MS_DRG Organic Disturbances And Intellectual Disability 43 28 — — $860.87 $30,747.69 $12,151.72 2026-04-01
378 MS_DRG Gastrointestinal Hemorrhage With Cc 22 20 — — $7,482.67 $24,496.62 $12,145.82 2026-04-01
758 MS_DRG Infections, Female Reproductive System With Cc 43 28 — — $7,681.86 $24,377.10 $12,137.34 2026-04-01
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 57 35 — — $5,022.15 $39,942.09 $12,117.65 2026-04-01
386 MS_DRG Inflammatory Bowel Disease With Cc 43 28 — — $7,662.71 $24,309.87 $12,107.08 2026-04-01
178 MS_DRG Respiratory Infections And Inflammations With Cc 43 28 — — $7,660.55 $24,302.40 $12,103.67 2026-04-01
202 MS_DRG Bronchitis And Asthma With Cc/mcc 43 28 — — $7,626.50 $24,182.88 $12,049.87 2026-04-01
813 MS_DRG Coagulation Disorders 44 30 — — $6,001.01 $37,979.97 $12,020.81 2026-04-01
552 MS_DRG Medical Back Problems Without Mcc 43 28 — — $7,556.25 $23,936.37 $11,938.88 2026-04-01
351 MS_DRG Inguinal And Femoral Hernia Procedures With Cc 49 34 — — $4,401.58 $37,960.05 $11,899.39 2026-04-01
54 MS_DRG Nervous System Neoplasms With Mcc 50 35 — — $5,752.08 $38,019.81 $11,859.09 2026-04-01
557 MS_DRG Tendonitis, Myositis And Bursitis With Mcc 43 28 — — $7,516.00 $37,023.81 $11,850.28 2026-04-01
103 MS_DRG Headaches Without Mcc 23 17 — — $6,669.24 $20,823.87 $11,840.34 2026-04-01
67 MS_DRG Precerebral Occlusion Without Infarction With Mcc 43 28 — — $7,516.00 $36,570.63 $11,714.68 2026-04-01
206 MS_DRG Other Respiratory System Diagnoses Without Mcc 43 28 — — $7,412.91 $23,433.39 $11,712.40 2026-04-01
394 MS_DRG Other Digestive System Diagnoses With Cc 43 28 — — $7,374.59 $23,298.93 $11,651.85 2026-04-01
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