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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 - TIFFIN HOSPITAL

Tiffin, OH · CCN 360089 · Rates published

510 distinct procedures filed
26 distinct payers
22,598 rate rows
2026-04-01 last MRF observed
Data quality

7,628 of 22,598 rate rows are consumer-grade (33.8%)

14,970 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 14,970
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.mercy.com/-/media/mercy/patient-resources/hospital-pricing-transparency/344431174_mercy-health-tiffin-hospital-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 · 2026-05-18
Content fingerprint 9abe7142417038ff… · 7,218,748 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
326
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Mcc 18 $35,389.05 $61,930.84 $35,389.05 nat. median
$48,178
0.7× median
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 19 $35,051.01 $64,201.80 $35,051.01 nat. median
$48,170
0.7× median
981
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 19 $33,341.44 $60,993.40 $33,341.44 nat. median
$46,084
0.7× median
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 19 $32,681.30 $59,754.50 $32,681.30 nat. median
$44,810
0.7× median
856
MS_DRG 		Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 19 $32,350.18 $59,133.10 $32,350.18 nat. median
$43,963
0.7× median
793
MS_DRG 		Full Term Neonate With Major Problems 19 $29,724.18 $54,204.80 $29,724.18 nat. median
$34,190
0.9× median
791
MS_DRG 		Prematurity With Major Problems 19 $28,958.05 $52,767.00 $28,958.05 nat. median
$35,271
0.8× median
231
MS_DRG 		Major Large Bowel Procedures,extreme 7 $28,372.48 $29,331.93 $28,783.67 nat. median
$79,312
outlier · 0.4×
907
MS_DRG 		Other O.r. Procedures For Injuries With Mcc 19 $27,436.20 $49,910.90 $27,436.20 nat. median
$38,112
0.7× median
94
MS_DRG 		Bacterial And Tuberculous Infections Of Nervous System With Mcc 19 $25,220.27 $45,752.20 $25,220.27 nat. median
$35,264
0.7× median
477
MS_DRG 		Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 19 $24,771.39 $44,909.80 $24,771.39 nat. median
$33,771
0.7× median
464
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 19 $22,416.92 $40,491.10 $22,416.92 nat. median
$30,262
0.7× median
469
MS_DRG 		Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 26 $4,409.24 $39,431.60 $21,852.39 nat. median
$31,075
0.7× median
480
MS_DRG 		Hip And Femur Procedures Except Major Joint With Mcc 19 $21,014.92 $37,859.90 $21,014.92 nat. median
$29,218
0.7× median
521
MS_DRG 		Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 19 $20,723.27 $37,312.60 $20,723.27 nat. median
$28,961
0.7× median
483
MS_DRG 		Major Joint Or Limb Reattachment Procedures Of Upper Extremities 19 $20,042.36 $36,034.70 $20,042.36 nat. median
$26,699
0.8× median
208
MS_DRG 		Respiratory System Diagnosis With Ventilator Support <=96 Hours 19 $19,881.66 $35,733.10 $19,881.66 nat. median
$26,748
0.7× median
95
MS_DRG 		Bacterial And Tuberculous Infections Of Nervous System With Cc 19 $18,707.53 $33,529.60 $18,707.53 nat. median
$24,991
0.7× median
659
MS_DRG 		Kidney And Ureter Procedures For Non-neoplasm With Mcc 19 $18,442.23 $33,031.70 $18,442.23 nat. median
$25,587
0.7× median
64581
CPT 		Open Implantation Nea Sacral Nerve 3 $18,306.43 $18,672.56 $18,306.43 nat. median
$6,852
outlier · 2.7×
64590
CPT 		Implant Neurostim/Receiver 4 $18,306.43 $18,672.56 $18,306.43 nat. median
$18,334
1.0× median
350
MS_DRG 		Inguinal And Femoral Hernia Procedures With Mcc 19 $18,102.81 $32,394.70 $18,102.81 nat. median
$24,405
0.7× median
783
MS_DRG 		Cesarean Section With Sterilization With Mcc 18 $17,847.91 $31,233.84 $17,847.91 nat. median
$19,234
0.9× median
792
MS_DRG 		Prematurity Without Major Problems 19 $17,807.03 $31,839.60 $17,807.03 nat. median
$20,884
0.9× median
330
MS_DRG 		Major Small And Large Bowel Procedures With Cc 19 $17,446.83 $31,163.60 $17,446.83 nat. median
$24,346
0.7× median
982
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 12 $17,435.74 $27,548.47 $17,435.74 nat. median
$24,493
0.7× median
417
MS_DRG 		Laparoscopic Cholecystectomy Without C.d.e. With Mcc 19 $17,372.01 $31,023.20 $17,372.01 nat. median
$23,829
0.7× median
56
MS_DRG 		Degenerative Nervous System Disorders With Mcc 19 $16,933.53 $30,200.30 $16,933.53 nat. median
$22,361
0.8× median
82
MS_DRG 		Traumatic Stupor And Coma >1 Hour With Mcc 19 $16,673.79 $29,712.80 $16,673.79 nat. median
$22,770
0.7× median
23472
CPT 		Arthroplasty Glenohumeral Joint Total Shoulder|RIGHT Side 3 $16,545.35 $16,876.26 $16,545.35 nat. median
$16,400
1.0× median
01638
CPT 		Anesth,Shoulder Replacement 3 $16,545.35 $16,545.35 $16,545.35 nat. median
$263
outlier · 63.0×
808
MS_DRG 		Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 13 $16,316.86 $29,773.90 $16,316.86 nat. median
$22,208
0.7× median
286
MS_DRG 		Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 19 $16,169.50 $28,766.40 $16,169.50 nat. median
$22,019
0.7× median
629
MS_DRG 		Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 19 $15,933.98 $28,324.40 $15,933.98 nat. median
$22,198
0.7× median
584
MS_DRG 		Breast Biopsy, Local Excision And Other Breast Procedures With Cc/mcc 15 $15,670.06 $27,829.10 $15,670.06 nat. median
$21,182
0.7× median
374
MS_DRG 		Digestive Malignancy With Mcc 19 $15,656.21 $27,803.10 $15,656.21 nat. median
$21,276
0.7× median
522
MS_DRG 		Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 19 $15,510.73 $27,530.10 $15,510.73 nat. median
$21,760
0.7× median
481
MS_DRG 		Hip And Femur Procedures Except Major Joint With Cc 19 $15,350.04 $27,228.50 $15,350.04 nat. median
$21,529
0.7× median
835
MS_DRG 		Acute Leukemia With Cc 19 $15,289.76 $27,115.40 $15,289.76 nat. median
$21,480
0.7× median
744
MS_DRG 		D&c, Conization, Laparoscopy And Tubal Interruption With Cc/mcc 19 $15,035.55 $26,638.30 $15,035.55 nat. median
$19,898
0.8× median
64
MS_DRG 		Intracranial Hemorrhage Or Cerebral Infarction With Mcc 19 $14,771.64 $26,143.00 $14,771.64 nat. median
$20,254
0.7× median
494
MS_DRG 		Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc 19 $14,740.47 $26,084.50 $14,740.47 nat. median
$19,793
0.7× median
854
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Cc 19 $14,682.28 $25,975.30 $14,682.28 nat. median
$20,421
0.7× median
432
MS_DRG 		Cirrhosis And Alcoholic Hepatitis With Mcc 19 $14,475.16 $25,586.60 $14,475.16 nat. median
$19,681
0.7× median
380
MS_DRG 		Complicated Peptic Ulcer With Mcc 26 $4,983.65 $25,508.60 $14,433.60 nat. median
$19,314
0.7× median
871
MS_DRG 		Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 19 $14,297.14 $25,252.50 $14,297.14 nat. median
$19,634
0.7× median
548
MS_DRG 		Septic Arthritis With Mcc 19 $14,216.78 $25,101.70 $14,216.78 nat. median
$19,687
0.7× median
470
MS_DRG 		Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without… 19 $14,202.93 $25,075.70 $14,202.93 nat. median
$20,055
0.7× median
196
MS_DRG 		Interstitial Lung Disease With Mcc 19 $13,914.07 $24,533.60 $13,914.07 nat. median
$18,723
0.7× median
617
MS_DRG 		Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 19 $13,797.01 $24,313.90 $13,797.01 nat. median
$19,472
0.7× median

Other procedures at this hospital

Browse this hospital's 510 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
             
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 25 18 — — $35,389.05 $61,930.84 $35,389.05 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 26 19 — — $35,051.01 $64,201.80 $35,051.01 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 26 19 — — $33,341.44 $60,993.40 $33,341.44 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 26 19 — — $32,681.30 $59,754.50 $32,681.30 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 26 19 — — $32,350.18 $59,133.10 $32,350.18 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 26 19 — — $29,724.18 $54,204.80 $29,724.18 2026-04-01
791 MS_DRG Prematurity With Major Problems 26 19 — — $28,958.05 $52,767.00 $28,958.05 2026-04-01
231 MS_DRG Major Large Bowel Procedures,extreme 7 7 — — $28,372.48 $29,331.93 $28,783.67 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 26 19 — — $27,436.20 $49,910.90 $27,436.20 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 26 19 — — $25,220.27 $45,752.20 $25,220.27 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 26 19 — — $24,771.39 $44,909.80 $24,771.39 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 26 19 — — $22,416.92 $40,491.10 $22,416.92 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 33 26 — — $4,409.24 $39,431.60 $21,852.39 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 26 19 — — $21,014.92 $37,859.90 $21,014.92 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 26 19 — — $20,723.27 $37,312.60 $20,723.27 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 26 19 — — $20,042.36 $36,034.70 $20,042.36 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 26 19 — — $19,881.66 $35,733.10 $19,881.66 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 26 19 — — $18,707.53 $33,529.60 $18,707.53 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 26 19 — — $18,442.23 $33,031.70 $18,442.23 2026-04-01
64581 CPT Open Implantation Nea Sacral Nerve 4 3 — — $18,306.43 $18,672.56 $18,306.43 2026-04-01
64590 CPT Implant Neurostim/Receiver 6 4 — — $18,306.43 $18,672.56 $18,306.43 2026-04-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 26 19 — — $18,102.81 $32,394.70 $18,102.81 2026-04-01
783 MS_DRG Cesarean Section With Sterilization With Mcc 25 18 — — $17,847.91 $31,233.84 $17,847.91 2026-04-01
792 MS_DRG Prematurity Without Major Problems 26 19 — — $17,807.03 $31,839.60 $17,807.03 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 26 19 — — $17,446.83 $31,163.60 $17,446.83 2026-04-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 15 12 — — $17,435.74 $27,548.47 $17,435.74 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 26 19 — — $17,372.01 $31,023.20 $17,372.01 2026-04-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 26 19 — — $16,933.53 $30,200.30 $16,933.53 2026-04-01
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 26 19 — — $16,673.79 $29,712.80 $16,673.79 2026-04-01
01638 CPT Anesth,Shoulder Replacement 5 3 — — $16,545.35 $16,545.35 $16,545.35 2026-04-01
23472 CPT Arthroplasty Glenohumeral Joint Total Shoulder|RIGHT Side 9 3 — — $16,545.35 $16,876.26 $16,545.35 2026-04-01
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 16 13 — — $16,316.86 $29,773.90 $16,316.86 2026-04-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 26 19 — — $16,169.50 $28,766.40 $16,169.50 2026-04-01
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 26 19 — — $15,933.98 $28,324.40 $15,933.98 2026-04-01
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/mcc 18 15 — — $15,670.06 $27,829.10 $15,670.06 2026-04-01
374 MS_DRG Digestive Malignancy With Mcc 26 19 — — $15,656.21 $27,803.10 $15,656.21 2026-04-01
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 26 19 — — $15,510.73 $27,530.10 $15,510.73 2026-04-01
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 26 19 — — $15,350.04 $27,228.50 $15,350.04 2026-04-01
835 MS_DRG Acute Leukemia With Cc 26 19 — — $15,289.76 $27,115.40 $15,289.76 2026-04-01
744 MS_DRG D&c, Conization, Laparoscopy And Tubal Interruption With Cc/mcc 26 19 — — $15,035.55 $26,638.30 $15,035.55 2026-04-01
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 26 19 — — $14,771.64 $26,143.00 $14,771.64 2026-04-01
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc 26 19 — — $14,740.47 $26,084.50 $14,740.47 2026-04-01
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 26 19 — — $14,682.28 $25,975.30 $14,682.28 2026-04-01
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 26 19 — — $14,475.16 $25,586.60 $14,475.16 2026-04-01
380 MS_DRG Complicated Peptic Ulcer With Mcc 33 26 — — $4,983.65 $25,508.60 $14,433.60 2026-04-01
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 26 19 — — $14,297.14 $25,252.50 $14,297.14 2026-04-01
548 MS_DRG Septic Arthritis With Mcc 26 19 — — $14,216.78 $25,101.70 $14,216.78 2026-04-01
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 26 19 — — $14,202.93 $25,075.70 $14,202.93 2026-04-01
196 MS_DRG Interstitial Lung Disease With Mcc 26 19 — — $13,914.07 $24,533.60 $13,914.07 2026-04-01
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 26 19 — — $13,797.01 $24,313.90 $13,797.01 2026-04-01
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Mcc 26 19 — — $13,564.26 $23,877.10 $13,564.26 2026-04-01
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 26 19 — — $13,503.99 $23,764.00 $13,503.99 2026-04-01
862 MS_DRG Postoperative And Post-traumatic Infections With Mcc 33 26 — — $13,474.20 $23,708.10 $13,474.20 2026-04-01
426 MS_DRG Non-hypovolemic Sodium Disorders,extreme 7 7 — — $13,135.88 $13,580.09 $13,326.25 2026-04-01
789 MS_DRG Neonates, Died Or Transferred To Another Acute Care Facility 26 19 — — $13,325.29 $23,428.60 $13,325.29 2026-04-01
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 26 19 — — $13,267.79 $23,320.70 $13,267.79 2026-04-01
505 MS_DRG Foot Procedures Without Cc/mcc 20 18 — — $13,260.17 $23,306.40 $13,260.17 2026-04-01
91 MS_DRG Other Disorders Of Nervous System With Mcc 12 11 — — $13,140.08 $23,697.70 $13,140.08 2026-04-01
542 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 26 19 — — $13,077.99 $22,964.50 $13,077.99 2026-04-01
180 MS_DRG Respiratory Neoplasms With Mcc 26 19 — — $13,074.53 $22,958.00 $13,074.53 2026-04-01
922 MS_DRG Other Injury, Poisoning And Toxic Effect Diagnoses With Mcc 26 19 — — $12,959.54 $22,742.20 $12,959.54 2026-04-01
501 MS_DRG Soft Tissue Procedures With Cc 26 19 — — $12,950.53 $22,725.30 $12,950.53 2026-04-01
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 26 19 — — $12,811.31 $22,464.00 $12,811.31 2026-04-01
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 17 13 — — $12,559.15 $19,466.68 $12,559.15 2026-04-01
444 MS_DRG Disorders Of The Biliary Tract With Mcc 26 19 — — $12,415.77 $21,727.60 $12,415.77 2026-04-01
01402 CPT Anesth,Total Knee Arthroplasty 1 1 — — $12,357.20 $12,357.20 $12,357.20 2026-04-01
512 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures Without Cc/… 26 19 — — $12,308.40 $21,539.70 $12,308.40 2026-04-01
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 16 13 — — $12,303.49 $22,114.30 $12,303.49 2026-04-01
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With Mcc 26 19 — — $12,301.48 $21,527.59 $12,301.48 2026-04-01
786 MS_DRG Cesarean Section Without Sterilization With Mcc 26 19 — — $12,267.54 $21,468.20 $12,267.54 2026-04-01
01214 CPT Anesth,Total Hip Arthroplasty 2 2 — — $12,114.90 $12,357.20 $12,236.05 2026-04-01
988 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 26 19 — — $12,226.67 $21,396.67 $12,226.67 2026-04-01
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/mcc 26 19 — — $12,139.39 $21,243.93 $12,139.39 2026-04-01
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 26 19 — — $12,133.84 $21,234.22 $12,133.84 2026-04-01
27447 CPT Arthrp Kne Condyle&Platu Medial&Lat Compartments|LEFT Side 6 3 — — $12,114.90 $12,357.20 $12,114.90 2026-04-01
23473 CPT Revis Shoulder Arthrplsty Humeral/Glenoid Compnt 7 4 — — $12,114.90 $12,357.20 $12,114.90 2026-04-01
27130 CPT Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft|LEFT Side 4 2 — — $12,114.90 $12,114.90 $12,114.90 2026-04-01
01744 CPT Anesth,Humerus Repair 3 2 — — $12,114.90 $12,114.90 $12,114.90 2026-04-01
24515 CPT Optx Humeral Shft Fx W/Plate/Screws W/Wocerclage|LEFT Side 3 3 — — $12,114.90 $12,114.90 $12,114.90 2026-04-01
27486 CPT Revj Total Knee Arthrp W/wo Algrft 1 Component 2 1 — — $12,114.90 $12,114.90 $12,114.90 2026-04-01
64447 CPT Hc Peripheral Block - Femoral Single Or Saphenous W/Img Gdn|UNUSUAL Non-overlapp… 18 4 — — $12,114.90 $12,357.20 $12,114.90 2026-04-01
884 MS_DRG Organic Disturbances And Intellectual Disability 26 19 — — $2,500.00 $20,976.01 $11,986.29 2026-04-01
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 26 19 — — $11,953.06 $20,917.86 $11,953.06 2026-04-01
393 MS_DRG Other Digestive System Diagnoses With Mcc 26 19 — — $11,919.79 $20,859.63 $11,919.79 2026-04-01
306 MS_DRG Cardiac Congenital And Valvular Disorders With Mcc 26 19 — — $11,757.02 $20,574.79 $11,757.02 2026-04-01
513 MS_DRG Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures With Cc/mcc 38 26 — — $6,155.80 $20,556.60 $11,746.63 2026-04-01
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 26 19 — — $11,705.75 $20,485.06 $11,705.75 2026-04-01
177 MS_DRG Respiratory Infections And Inflammations With Mcc 26 19 — — $11,666.27 $20,415.97 $11,666.27 2026-04-01
324 MS_DRG Elective Hip Joint Replacement,moderate 7 7 — — $11,451.57 $11,838.82 $11,617.54 2026-04-01
669 MS_DRG Transurethral Procedures With Cc 26 19 — — $11,592.16 $20,286.28 $11,592.16 2026-04-01
564 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc 33 26 — — $2,446.29 $20,184.47 $11,533.98 2026-04-01
337 MS_DRG Peritoneal Adhesiolysis Without Cc/mcc 16 12 — — $11,474.40 $19,955.00 $11,474.40 2026-04-01
183 MS_DRG Major Chest Trauma With Mcc 26 19 — — $11,439.07 $20,018.37 $11,439.07 2026-04-01
813 MS_DRG Coagulation Disorders 26 19 — — $11,407.21 $19,962.62 $11,407.21 2026-04-01
398 MS_DRG Appendix Procedures With Cc 26 19 — — $11,326.16 $19,820.78 $11,326.16 2026-04-01
345 MS_DRG Minor Small And Large Bowel Procedures With Cc 12 10 — — $11,264.50 $11,827.73 $11,264.50 2026-04-01
228 MS_DRG Inguinal, Femoral And Umbilical Hernia Procedures,major 11 7 — — $5,298.09 $11,582.94 $11,258.19 2026-04-01
137 MS_DRG Mouth Procedures With Cc/mcc 30 22 — — $4,514.22 $19,411.60 $11,184.86 2026-04-01
557 MS_DRG Tendonitis, Myositis And Bursitis With Mcc 26 19 — — $11,141.22 $19,497.14 $11,141.22 2026-04-01
682 MS_DRG Renal Failure With Mcc 26 19 — — $11,100.34 $19,425.60 $11,100.34 2026-04-01
388 MS_DRG Gastrointestinal Obstruction With Mcc 26 19 — — $11,071.25 $19,374.69 $11,071.25 2026-04-01
794 MS_DRG Neonate With Other Significant Problems 26 19 — — $11,065.02 $19,363.79 $11,065.02 2026-04-01
637 MS_DRG Diabetes With Mcc 26 19 — — $10,793.48 $18,888.59 $10,793.48 2026-04-01
757 MS_DRG Infections, Female Reproductive System With Mcc 26 19 — — $10,760.23 $18,830.40 $10,760.23 2026-04-01
642 MS_DRG Inborn And Other Disorders Of Metabolism 26 19 — — $10,692.34 $18,711.60 $10,692.34 2026-04-01
602 MS_DRG Cellulitis With Mcc 26 19 — — $10,686.80 $18,701.90 $10,686.80 2026-04-01
811 MS_DRG Red Blood Cell Disorders With Mcc 26 19 — — $10,569.05 $18,495.84 $10,569.05 2026-04-01
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 26 19 — — $10,356.39 $18,123.68 $10,356.39 2026-04-01
419 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. Without Cc/mcc 16 14 — — $10,302.35 $18,029.11 $10,302.35 2026-04-01
355 MS_DRG Hernia Procedures Except Inguinal And Femoral Without Cc/mcc 15 11 — — $10,158.27 $17,485.00 $10,158.27 2026-04-01
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 47 26 — — $1,570.67 $17,663.03 $10,093.16 2026-04-01
58571 CPT Laps Total Hysterect 250 Gm/< W/Rmvl Tube/Ovary|BILATERAL Procedure 17 4 — — $10,030.58 $10,231.19 $10,030.58 2026-04-01
00840 CPT Anesth,Surg Lower Abdomen 4 2 — — $10,030.58 $10,030.58 $10,030.58 2026-04-01
57425 CPT Laparoscopy Colpopexy Suspension Vaginal Apex 6 3 — — $10,030.58 $10,231.19 $10,030.58 2026-04-01
58572 CPT Laparoscopy Total Hysterectomy Uterus >250 Gm 5 4 — — $10,030.58 $10,231.19 $10,030.58 2026-04-01
58542 CPT Laps Supracrv Hysterect 250 Gm/< Rmvl Tube/Ovar 4 3 — — $10,030.58 $10,030.58 $10,030.58 2026-04-01
58570 CPT Laparoscopy W Total Hysterectomy Uterus 250 Gm/< 7 3 — — $10,030.58 $10,030.58 $10,030.58 2026-04-01
58573 CPT Laparoscopy Tot Hysterectomy >250 G W/Tube/Ovar 3 2 — — $10,030.58 $10,030.58 $10,030.58 2026-04-01
58674 CPT Laps Abltj Uterine Fibroids W/Intraop US Gdn 7 4 — — $10,030.58 $10,231.19 $10,030.58 2026-04-01
58552 CPT Laps W/Vag Hysterect 250 Gm/&Rmvl Tube&/Ovaries 8 4 — — $10,030.58 $10,231.19 $10,030.58 2026-04-01
555 MS_DRG Signs And Symptoms Of Musculoskeletal System And Connective Tissue With Mcc 26 19 — — $9,997.57 $17,495.75 $9,997.57 2026-04-01
660 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Cc 30 23 — — $7,375.11 $17,494.52 $9,996.87 2026-04-01
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 26 19 — — $9,946.31 $17,406.04 $9,946.31 2026-04-01
33228 CPT Hc Remv & Replc Pm Gen Dual 6 4 — — $9,862.77 $10,060.02 $9,862.77 2026-04-01
00530 CPT Anesth,Pacemaker Insertion 3 3 — — $9,862.77 $9,862.77 $9,862.77 2026-04-01
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 26 19 — — $9,816.08 $17,178.14 $9,816.08 2026-04-01
291 MS_DRG Heart Failure And Shock With Mcc 26 19 — — $9,734.35 $17,035.11 $9,734.35 2026-04-01
535 MS_DRG Fractures Of Hip And Pelvis With Mcc 26 19 — — $9,721.87 $17,013.27 $9,721.87 2026-04-01
947 MS_DRG Signs And Symptoms With Mcc 26 19 — — $9,634.60 $16,860.55 $9,634.60 2026-04-01
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 26 19 — — $9,626.98 $16,847.22 $9,626.98 2026-04-01
809 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 26 19 — — $9,610.36 $16,818.13 $9,610.36 2026-04-01
263 MS_DRG Cholecystectomy,major 14 7 — — $8,311.78 $10,674.49 $9,459.10 2026-04-01
743 MS_DRG Uterine And Adnexa Procedures For Non-malignancy Without Cc/mcc 26 19 — — $9,435.79 $16,512.63 $9,435.79 2026-04-01
375 MS_DRG Digestive Malignancy With Cc 26 19 — — $9,220.37 $16,135.65 $9,220.37 2026-04-01
549 MS_DRG Septic Arthritis With Cc 26 19 — — $9,203.73 $16,106.53 $9,203.73 2026-04-01
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 26 19 — — $9,181.58 $16,067.77 $9,181.58 2026-04-01
831 MS_DRG Other Antepartum Diagnoses Without O.r. Procedures With Mcc 26 19 — — $9,171.17 $16,049.55 $9,171.17 2026-04-01
189 MS_DRG Pulmonary Edema And Respiratory Failure 17 15 — — $9,118.49 $16,086.20 $9,118.49 2026-04-01
304 MS_DRG Hypertension With Mcc 20 14 — — $9,084.61 $15,470.00 $9,084.61 2026-04-01
233 MS_DRG Appendectomy With Complex Principal Diagnosis,minor 7 7 — — $8,948.47 $9,251.07 $9,078.15 2026-04-01
593 MS_DRG Skin Ulcers With Cc 26 19 — — $9,058.96 $15,853.18 $9,058.96 2026-04-01
346 MS_DRG Minor Small And Large Bowel Procedures Without Cc/mcc 26 19 — — $9,058.27 $15,851.97 $9,058.27 2026-04-01
C9761 CPT Cysto, Litho, Vacuum kidney|LEFT Side 16 4 — — $8,932.79 $9,111.45 $8,932.79 2026-04-01
00910 CPT Anesth,Transurethral Surg,Nos 3 2 — — $8,932.79 $8,932.79 $8,932.79 2026-04-01
689 MS_DRG Kidney And Urinary Tract Infections With Mcc 26 19 — — $8,878.86 $15,538.01 $8,878.86 2026-04-01
818 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Cc 26 19 — — $8,871.24 $15,524.67 $8,871.24 2026-04-01
572 MS_DRG Skin Debridement Without Cc/mcc 26 19 — — $8,781.90 $15,368.33 $8,781.90 2026-04-01
399 MS_DRG Appendix Procedures Without Cc/mcc 23 17 — — $8,770.80 $15,348.90 $8,770.80 2026-04-01
436 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Cc 26 19 — — $8,676.60 $15,184.05 $8,676.60 2026-04-01
560 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Cc 47 26 — — $4,136.05 $15,123.45 $8,641.97 2026-04-01
787 MS_DRG Cesarean Section Without Sterilization With Cc 25 18 — — $8,577.54 $15,010.70 $8,577.54 2026-04-01
317 MS_DRG Tendon, Muscle And Other Soft Tissue Procedures,moderate 7 7 — — $8,410.64 $8,695.06 $8,532.53 2026-04-01
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 22 20 — — $5,093.39 $14,900.38 $8,514.50 2026-04-01
712 MS_DRG Testes Procedures Without Cc/mcc 26 19 — — $8,459.09 $14,803.41 $8,459.09 2026-04-01
445 MS_DRG Disorders Of The Biliary Tract With Cc 26 19 — — $8,422.37 $14,739.15 $8,422.37 2026-04-01
596 MS_DRG Major Skin Disorders Without Mcc 26 19 — — $8,339.94 $14,594.90 $8,339.94 2026-04-01
805 MS_DRG Vaginal Delivery Without Sterilization Or D&c With Mcc 26 19 — — $8,317.08 $14,554.89 $8,317.08 2026-04-01
768 MS_DRG Vaginal Delivery With O.r. Procedures Except Sterilization And/or D&c 25 18 — — $8,264.45 $14,462.79 $8,264.45 2026-04-01
181 MS_DRG Respiratory Neoplasms With Cc 26 19 — — $8,260.28 $14,455.49 $8,260.28 2026-04-01
287 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization Without Mcc 11 10 — — $8,254.05 $8,419.13 $8,254.05 2026-04-01
300 MS_DRG Peripheral Vascular Disorders With Cc 26 19 — — $8,236.05 $14,413.09 $8,236.05 2026-04-01
184 MS_DRG Major Chest Trauma With Cc 26 19 — — $8,212.49 $14,371.86 $8,212.49 2026-04-01
784 MS_DRG Cesarean Section With Sterilization With Cc 25 18 — — $8,184.77 $14,323.35 $8,184.77 2026-04-01
227 MS_DRG Hernia Procedures Except Inguinal, Femoral And Umbilical,minor 3 3 — — $8,084.82 $8,084.82 $8,084.82 2026-04-01
952 MS_DRG Non-extensive O.r. Procedure Unrelated To Principal Diagnosis,moderate 7 7 — — $7,938.19 $8,206.63 $8,053.24 2026-04-01
661 MS_DRG Kidney And Ureter Procedures For Non-neoplasm Without Cc/mcc 26 19 — — $8,013.69 $14,023.96 $8,013.69 2026-04-01
74 MS_DRG Cranial And Peripheral Nerve Disorders Without Mcc 26 19 — — $7,981.82 $13,968.19 $7,981.82 2026-04-01
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 21 15 — — $7,929.88 $13,877.29 $7,929.88 2026-04-01
372 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Cc 26 19 — — $7,913.94 $13,849.40 $7,913.94 2026-04-01
543 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 12 9 — — $7,906.16 $13,791.70 $7,906.16 2026-04-01
92 MS_DRG Other Disorders Of Nervous System With Cc 19 16 — — $7,873.55 $13,778.71 $7,873.55 2026-04-01
699 MS_DRG Other Kidney And Urinary Tract Diagnoses With Cc 26 19 — — $7,872.38 $13,776.67 $7,872.38 2026-04-01
65 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours 26 19 — — $7,839.82 $13,719.69 $7,839.82 2026-04-01
770 MS_DRG Abortion With D&c, Aspiration Curettage Or Hysterotomy 26 19 — — $7,787.18 $13,627.57 $7,787.18 2026-04-01
920 MS_DRG Complications Of Treatment With Cc 26 19 — — $7,784.41 $13,622.72 $7,784.41 2026-04-01
187 MS_DRG Pleural Effusion With Cc 18 13 — — $7,692.97 $13,462.70 $7,692.97 2026-04-01
378 MS_DRG Gastrointestinal Hemorrhage With Cc 26 19 — — $7,634.78 $13,360.87 $7,634.78 2026-04-01
178 MS_DRG Respiratory Infections And Inflammations With Cc 26 19 — — $7,602.23 $13,303.90 $7,602.23 2026-04-01
565 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Cc 26 19 — — $7,591.15 $13,284.51 $7,591.15 2026-04-01
202 MS_DRG Bronchitis And Asthma With Cc/mcc 26 19 — — $7,568.97 $13,245.70 $7,568.97 2026-04-01
315 MS_DRG Other Circulatory System Diagnoses With Cc 20 17 — — $7,514.25 $13,149.94 $7,514.25 2026-04-01
552 MS_DRG Medical Back Problems Without Mcc 26 19 — — $7,500.40 $13,125.70 $7,500.40 2026-04-01
880 MS_DRG Acute Adjustment Reaction And Psychosocial Dysfunction 25 18 — — $7,492.79 $13,112.38 $7,492.79 2026-04-01
788 MS_DRG Cesarean Section Without Sterilization Without Cc/mcc 25 18 — — $7,483.08 $13,095.39 $7,483.08 2026-04-01
941 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/… 26 19 — — $7,483.08 $13,095.39 $7,483.08 2026-04-01
785 MS_DRG Cesarean Section With Sterilization Without Cc/mcc 26 19 — — $7,476.16 $13,083.28 $7,476.16 2026-04-01
863 MS_DRG Postoperative And Post-traumatic Infections Without Mcc 18 14 — — $7,470.65 $11,803.63 $7,470.65 2026-04-01
760 MS_DRG Menstrual And Other Female Reproductive System Disorders With Cc/mcc 20 17 — — $7,374.48 $12,905.34 $7,374.48 2026-04-01
206 MS_DRG Other Respiratory System Diagnoses Without Mcc 26 19 — — $7,360.48 $12,880.84 $7,360.48 2026-04-01
600 MS_DRG Non-malignant Breast Disorders With Cc/mcc 9 7 — — $7,339.96 $13,331.50 $7,339.96 2026-04-01
710 MS_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure,minor 14 7 — — $5,672.47 $9,113.48 $7,339.84 2026-04-01
442 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc 16 15 — — $7,239.73 $12,560.60 $7,239.73 2026-04-01
281 MS_DRG Acute Myocardial Infarction, Discharged Alive With Cc 26 19 — — $7,208.10 $12,614.18 $7,208.10 2026-04-01
812 MS_DRG Red Blood Cell Disorders Without Mcc 28 24 — — $3,681.51 $12,603.24 $7,201.85 2026-04-01
605 MS_DRG Trauma To The Skin, Subcutaneous Tissue And Breast Without Mcc 26 19 — — $7,186.61 $12,576.57 $7,186.61 2026-04-01
158 MS_DRG Dental And Oral Diseases With Cc 26 19 — — $7,143.66 $12,501.41 $7,143.66 2026-04-01
101 MS_DRG Seizures Without Mcc 21 17 — — $7,093.78 $12,414.12 $7,093.78 2026-04-01
394 MS_DRG Other Digestive System Diagnoses With Cc 15 12 — — $7,070.86 $12,236.90 $7,070.86 2026-04-01
638 MS_DRG Diabetes With Cc 16 11 — — $7,049.44 $12,336.52 $7,049.44 2026-04-01
563 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 11 11 — — $7,044.61 $11,130.48 $7,044.61 2026-04-01
558 MS_DRG Tendonitis, Myositis And Bursitis Without Mcc 11 8 — — $7,028.66 $11,611.60 $7,028.66 2026-04-01
343 MS_DRG Musculoskeletal Malignancy And Pathological Fracture Due To Musculoskeletal Mali… 6 6 — — $6,911.57 $7,145.30 $7,011.74 2026-04-01
57282 CPT Colpopexy Vaginal Extraperitoneal Approach 4 3 — — $6,997.39 $7,137.34 $6,997.39 2026-04-01
57240 CPT Anterior Colporraphy Rpr Cystocele W/Cysto 6 3 — — $6,997.39 $6,997.39 $6,997.39 2026-04-01
57250 CPT Post Colporrhaphy Rectocele W/wo Perineorrhaphy 6 3 — — $6,997.39 $6,997.39 $6,997.39 2026-04-01
864 MS_DRG Fever And Inflammatory Conditions 19 14 — — $6,990.57 $11,045.10 $6,990.57 2026-04-01
897 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc 26 19 — — $2,500.00 $12,174.10 $6,956.63 2026-04-01
683 MS_DRG Renal Failure With Cc 26 19 — — $6,908.15 $12,089.26 $6,908.15 2026-04-01
312 MS_DRG Syncope And Collapse 14 12 — — $6,879.06 $12,038.36 $6,879.06 2026-04-01
603 MS_DRG Cellulitis Without Mcc 17 12 — — $6,874.20 $12,029.85 $6,874.20 2026-04-01
29828 CPT Surgical Arthroscopy Shoulder Biceps Tenodesis 5 3 — — $6,847.15 $6,847.15 $6,847.15 2026-04-01
28200 CPT Rpr Tdn Flxr Foot 1/2 Without Free Grafg Each Tendon|RIGHT Side 4 3 — — $6,847.15 $6,847.15 $6,847.15 2026-04-01
28119 CPT Ostectomy Calcaneus Spur W/wo Plntar Fascial Rls|LEFT Side 4 3 — — $6,847.15 $6,847.15 $6,847.15 2026-04-01
25607 CPT Optx Dstl Radl X-artic Fx/Epiphysl Sep|LEFT Side 5 3 — — $6,847.15 $6,847.15 $6,847.15 2026-04-01
29827 CPT Surgical Arthroscopy Shoulder W/Rotator Cuff Rpr|LEFT Side 3 3 — — $6,847.15 $6,847.15 $6,847.15 2026-04-01
01630 CPT Anesth,Shoulder Joint,Nos 3 3 — — $6,847.15 $6,847.15 $6,847.15 2026-04-01
01716 CPT Anesth,Biceps Tendon Repair 4 3 — — $6,847.15 $6,847.15 $6,847.15 2026-04-01
01830 CPT Anesth,Distal Radius/Ulna Wrist/Hand,Nos 5 4 — — $6,847.15 $6,984.09 $6,847.15 2026-04-01
27814 CPT Open Treatment Bimalleolar Ankle Fracture 5 2 — — $6,847.15 $6,847.15 $6,847.15 2026-04-01
0707T CPT Njx Bone Sub Matrl Into Subchondral Bone Defect 5 3 — — $6,847.15 $6,847.15 $6,847.15 2026-04-01
29826 CPT Surgical Arthroscopy Sho W/Coracoacrm Ligm Rls|LEFT Side 5 3 — — $6,847.15 $6,847.15 $6,847.15 2026-04-01
27685 CPT Lngth/Shrt Tendon Leg/Ankle 1 Tendon Spx|LEFT Side 4 2 — — $6,847.15 $6,847.15 $6,847.15 2026-04-01
29822 CPT Surgical Arthroscopy Shoulder Lmtd Dbrdmt 1/2|right Side|separate Structure 7 3 — — $6,847.15 $6,984.09 $6,847.15 2026-04-01
27650 CPT Repair Primary Open/Prq Ruptured Achilles Tendon|LEFT Side 4 3 — — $6,847.15 $6,847.15 $6,847.15 2026-04-01
29824 CPT Surgical Arthroscopy Shoulder Dstl Claviculc|LEFT Side 4 2 — — $6,847.15 $6,847.15 $6,847.15 2026-04-01
29823 CPT Surgical Arthroscopy Shoulder Xtnsv Dbrdmt 3+|left Side 7 3 — — $6,847.15 $6,847.15 $6,847.15 2026-04-01
23430 CPT Tenodesis Long Tendon Biceps|LEFT Side 9 4 — — $6,847.15 $6,984.09 $6,847.15 2026-04-01
918 MS_DRG Poisoning And Toxic Effects Of Drugs Without Mcc 13 10 — — $6,778.61 $11,862.57 $6,778.61 2026-04-01
292 MS_DRG Heart Failure And Shock With Cc 26 19 — — $6,722.50 $11,764.38 $6,722.50 2026-04-01
191 MS_DRG Chronic Obstructive Pulmonary Disease With Cc 26 19 — — $6,680.94 $11,691.65 $6,680.94 2026-04-01
779 MS_DRG Abortion Without D&c 26 19 — — $6,669.16 $11,671.03 $6,669.16 2026-04-01
439 MS_DRG Disorders Of Pancreas Except Malignancy With Cc 26 19 — — $6,668.47 $11,669.82 $6,668.47 2026-04-01
364 MS_DRG Other Skin, Subcutaneous Tissue And Related Procedures,moderate 7 7 — — $6,526.30 $6,746.99 $6,620.88 2026-04-01
556 MS_DRG Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without Mcc 19 15 — — $6,595.05 $11,541.34 $6,595.05 2026-04-01
446 MS_DRG Disorders Of The Biliary Tract Without Cc/mcc 15 14 — — $6,572.18 $10,384.04 $6,572.18 2026-04-01
540 MS_DRG Cesarean Section Without Sterilization,major 21 7 — — $5,259.95 $7,974.09 $6,502.44 2026-04-01
728 MS_DRG Inflammation Of The Male Reproductive System Without Mcc 26 19 — — $6,460.67 $11,306.17 $6,460.67 2026-04-01
690 MS_DRG Kidney And Urinary Tract Infections Without Mcc 26 19 — — $6,448.89 $11,285.56 $6,448.89 2026-04-01
536 MS_DRG Fractures Of Hip And Pelvis Without Mcc 26 19 — — $6,435.73 $11,262.53 $6,435.73 2026-04-01
204 MS_DRG Respiratory Signs And Symptoms 30 23 — — $4,524.47 $11,260.11 $6,434.35 2026-04-01
194 MS_DRG Simple Pneumonia And Pleurisy With Cc 40 26 — — $4,859.89 $11,241.90 $6,423.94 2026-04-01
176 MS_DRG Pulmonary Embolism Without Mcc 15 12 — — $6,417.71 $11,230.99 $6,417.71 2026-04-01
948 MS_DRG Signs And Symptoms Without Mcc 26 19 — — $6,386.54 $11,176.45 $6,386.54 2026-04-01
554 MS_DRG Bone Diseases And Arthropathies Without Mcc 12 11 — — $6,339.55 $11,094.21 $6,339.55 2026-04-01
389 MS_DRG Gastrointestinal Obstruction With Cc 26 19 — — $6,312.43 $11,046.75 $6,312.43 2026-04-01
19303 CPT Mastectomy Simple Complete|LEFT Side 3 3 — — $6,265.83 $6,391.15 $6,265.83 2026-04-01
641 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou… 26 19 — — $6,232.08 $10,906.14 $6,232.08 2026-04-01
344 MS_DRG Osteomyelitis, Septic Arthritis And Other Musculoskeletal Infections,moderate 7 7 — — $6,099.77 $6,306.05 $6,188.18 2026-04-01
125 MS_DRG Other Disorders Of The Eye Without Mcc 26 19 — — $6,160.03 $10,780.05 $6,160.03 2026-04-01
49593 CPT Rpr Aa Hernia 1st 3-10 Cm Reducible 6 4 — — $6,108.86 $6,231.04 $6,108.86 2026-04-01
305 MS_DRG Hypertension Without Mcc 17 12 — — $6,072.07 $10,626.12 $6,072.07 2026-04-01
179 MS_DRG Respiratory Infections And Inflammations Without Cc/mcc 18 14 — — $6,071.36 $10,624.88 $6,071.36 2026-04-01
544 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 26 19 — — $6,068.60 $10,620.05 $6,068.60 2026-04-01
806 MS_DRG Vaginal Delivery Without Sterilization Or D&c With Cc 25 18 — — $6,064.45 $10,612.79 $6,064.45 2026-04-01
149 MS_DRG Dysequilibrium 15 14 — — $6,047.81 $10,583.67 $6,047.81 2026-04-01
539 MS_DRG Cesarean Section With Sterilization,minor 14 7 — — $5,608.64 $6,477.44 $6,031.94 2026-04-01
566 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses Without Cc/mcc 32 25 — — $2,487.54 $10,555.79 $6,031.88 2026-04-01
64555 CPT Hc Peripheral Nerve Stim Implant|DISCONTINUED Out-patient Hospital/ambulatory Su… 13 4 — — $6,013.72 $6,133.99 $6,013.72 2026-04-01
64561 CPT Hc Prq Impltj Neurostim Eltrd Sacral Nrve W/Imaging|BILATERAL Procedure|pbb Char… 14 4 — — $6,013.72 $6,133.99 $6,013.72 2026-04-01
694 MS_DRG Urinary Stones Without Mcc 18 13 — — $5,986.38 $10,476.17 $5,986.38 2026-04-01
392 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc 16 13 — — $5,978.83 $10,143.90 $5,978.83 2026-04-01
153 MS_DRG Otitis Media And Uri Without Mcc 26 19 — — $5,954.99 $10,421.23 $5,954.99 2026-04-01
309 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Cc 26 19 — — $5,937.68 $10,390.94 $5,937.68 2026-04-01
636 MS_DRG Neonate Birth Weight > 2499 Grams With Congenital Or Perinatal Infection,minor 7 7 — — $5,748.75 $5,943.15 $5,832.07 2026-04-01
313 MS_DRG Chest Pain 26 19 — — $5,828.93 $10,200.63 $5,828.93 2026-04-01
188 MS_DRG Pleural Effusion Without Cc/mcc 26 19 — — $5,809.53 $10,166.68 $5,809.53 2026-04-01
159 MS_DRG Dental And Oral Diseases Without Cc/mcc 19 14 — — $5,749.27 $10,061.22 $5,749.27 2026-04-01
832 MS_DRG Other Antepartum Diagnoses Without O.r. Procedures With Cc 16 12 — — $5,740.48 $10,045.84 $5,740.48 2026-04-01
49651 CPT Laps Surg Rpr Recurrent Inguinal Hernia|BILATERAL Procedure 4 3 — — $5,704.71 $5,704.71 $5,704.71 2026-04-01
58350 CPT Chromotubation Oviduct W/Materials|UNUSUAL Non-overlapping Service 8 4 — — $5,704.71 $5,818.81 $5,704.71 2026-04-01
47562 CPT Laparoscopy Surg Cholecystectomy 7 4 — — $5,704.71 $5,818.81 $5,704.71 2026-04-01
49650 CPT Laparoscopy Surg Rpr Initial Inguinal Hernia|BILATERAL Procedure 12 4 — — $5,704.71 $5,818.81 $5,704.71 2026-04-01
47563 CPT Laps Surg Cholecystectomy W/Cholangiography 4 3 — — $5,704.71 $5,704.71 $5,704.71 2026-04-01
00832 CPT Anesth,Repair Lo Hernia Ventr/Incis 4 3 — — $5,704.71 $5,704.71 $5,704.71 2026-04-01
58662 CPT Laps Fulg/Exc Ovary Viscera/Peritoneal Surface|LEFT Side 20 4 — — $5,704.71 $5,818.81 $5,704.71 2026-04-01
58661 CPT Laparoscopy W/Rmvl Adnexal Structures|BILATERAL Procedure 19 4 — — $5,704.71 $5,818.81 $5,704.71 2026-04-01
49322 CPT Laps Surg W/Aspir Cavity/Cyst Single/Multiple 5 3 — — $5,704.71 $5,818.81 $5,704.71 2026-04-01
00830 CPT Anesth,Repair Lo Abd Hernia Nos 5 4 — — $5,704.71 $5,818.81 $5,704.71 2026-04-01
49592 CPT Rpr Aa Hernia 1st < 3 Cm Ncrc8/Strangulated 7 4 — — $5,704.71 $5,818.81 $5,704.71 2026-04-01
00790 CPT Anesth,Surg Upper Abdomen 3 3 — — $5,704.71 $5,818.81 $5,704.71 2026-04-01
00752 CPT Anesth,Repair Up Hernia Lumbar/Ventr 2 2 — — $5,704.71 $5,704.71 $5,704.71 2026-04-01
49594 CPT Rpr Aa Hernia 1st 3-10 Cm Ncrc8/Strangulated 4 3 — — $5,704.71 $5,704.71 $5,704.71 2026-04-01
44970 CPT Laparoscopic Appendectomy 3 2 — — $5,704.71 $5,704.71 $5,704.71 2026-04-01
696 MS_DRG Kidney And Urinary Tract Signs And Symptoms Without Mcc 26 19 — — $5,614.19 $9,824.83 $5,614.19 2026-04-01
244 MS_DRG Diverticulitis And Diverticulosis,major 14 7 — — $4,388.22 $6,914.36 $5,612.40 2026-04-01
133 MS_DRG Respiratory Failure,minor 7 7 — — $5,474.00 $5,659.11 $5,553.33 2026-04-01
807 MS_DRG Vaginal Delivery Without Sterilization Or D&c Without Cc/mcc 26 19 — — $5,511.67 $9,645.42 $5,511.67 2026-04-01
246 MS_DRG Gastrointestinal Vascular Insufficiency,moderate 4 4 — — $5,432.75 $5,511.48 $5,511.48 2026-04-01
303 MS_DRG Atherosclerosis Without Mcc 20 15 — — $5,504.73 $9,633.28 $5,504.73 2026-04-01
192 MS_DRG Chronic Obstructive Pulmonary Disease Without Cc/mcc 40 26 — — $5,288.63 $9,255.10 $5,473.73 2026-04-01
443 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis Without C… 21 15 — — $5,435.51 $9,512.14 $5,435.51 2026-04-01
311 MS_DRG Angina Pectoris 14 13 — — $5,405.34 $9,459.35 $5,432.36 2026-04-01
776 MS_DRG Postpartum And Post Abortion Diagnoses Without O.r. Procedures 26 19 — — $5,376.59 $9,409.03 $5,376.59 2026-04-01
48 MS_DRG Peripheral, Cranial And Autonomic Nerve Disorders,moderate 7 7 — — $5,288.76 $5,467.60 $5,365.41 2026-04-01
639 MS_DRG Diabetes Without Cc/mcc 40 26 — — $5,144.54 $11,669.85 $5,324.60 2026-04-01
316 MS_DRG Other Circulatory System Diagnoses Without Cc/mcc 18 14 — — $5,308.45 $9,289.79 $5,308.45 2026-04-01
195 MS_DRG Simple Pneumonia And Pleurisy Without Cc/mcc 26 19 — — $5,195.11 $9,091.44 $5,195.11 2026-04-01
247 MS_DRG Intestinal Obstruction,moderate 7 7 — — $5,002.33 $5,171.49 $5,074.83 2026-04-01
00918 CPT Anesth,Stone Rmvoval 4 4 — — $5,059.53 $5,160.72 $5,059.53 2026-04-01
52332 CPT Cysto W/Insert Ureteral Stent 35 4 — — $3,326.26 $9,111.45 $5,059.53 2026-04-01
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