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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 ST VINCENT MEDICAL CENTER

Toledo, OH · CCN 360112 · Rates published

1,263 distinct procedures filed
35 distinct payers
47,984 rate rows
2026-04-01 last MRF observed
Data quality

31,685 of 47,984 rate rows are consumer-grade (66.0%)

16,299 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 16,236
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 63
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.mercy.com/-/media/mercy/patient-resources/hospital-pricing-transparency/344428250-1467493551_mercy-health-st-vincent-medical-center-llc_v_standardcharges.ashx
Found on page https://www.mercy.com/pay-a-bill/estimate-your-cost
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-23
Content fingerprint 8a452fd9070274ee… · 14,960,119 bytes · first seen 2026-05-14

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
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 25 $199,596.55 $542,430.61 $205,584.45 nat. median
$249,036
0.8× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 14 $99,026.35 $268,107.70 $159,323.84 nat. median
$126,695
1.3× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 1 $151,351.94 $151,351.94 $151,351.94 nat. median
$190,559
0.8× median
9
MS_DRG 		Extracorporeal Membrane Oxygenation (ecmo),extreme 7 $109,774.27 $113,486.45 $111,365.21 nat. median
$2,024
outlier · 55.0×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 19 $70,154.95 $189,355.88 $81,382.73 nat. median
$90,551
0.9× median
589
MS_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 7 $75,690.14 $78,249.71 $76,787.10 nat. median
$74,862
1.0× median
215
MS_DRG 		Other Heart Assist System Implant 25 $71,391.09 $192,727.69 $73,532.82 nat. median
$93,901
0.8× median
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 18 $43,358.47 $172,047.04 $70,331.28 nat. median
$56,687
1.2× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 27 $60,366.52 $240,698.59 $70,011.68 nat. median
$77,632
0.9× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 25 $64,668.20 $135,765.66 $67,254.93 nat. median
$78,049
0.9× median
681
MS_DRG 		Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms,extreme 7 $66,124.62 $68,360.72 $67,082.95 nat. median
$29,557
outlier · 2.3×
820
MS_DRG 		Lymphoma And Leukemia With Major O.r. Procedures With Mcc 28 $42,352.23 $167,985.47 $66,916.52 nat. median
$53,856
1.2× median
213
MS_DRG 		Endovascular Abdominal Aorta With Iliac Branch Procedures 28 $41,231.73 $163,462.74 $65,146.13 nat. median
$48,463
1.3× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 25 $60,554.56 $163,169.14 $62,371.20 nat. median
$77,028
0.8× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 27 $51,959.00 $206,762.36 $60,244.79 nat. median
$63,648
0.9× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 27 $51,633.28 $205,447.65 $59,866.42 nat. median
$61,308
1.0× median
28
MS_DRG 		Spinal Procedures With Mcc 28 $43,370.53 $172,095.74 $59,521.62 nat. median
$54,460
1.1× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 27 $51,333.12 $204,236.05 $59,517.72 nat. median
$66,649
0.9× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 27 $49,541.33 $197,003.69 $57,436.23 nat. median
$63,873
0.9× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 25 $55,221.08 $148,621.17 $56,877.71 nat. median
$72,398
0.8× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 25 $54,986.22 $147,980.49 $56,635.81 nat. median
$71,748
0.8× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 26 $13,879.59 $152,308.49 $56,572.93 nat. median
$74,370
0.8× median
576
MS_DRG 		Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 28 $35,514.38 $140,385.07 $56,112.72 nat. median
$46,674
1.2× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 23 $54,806.69 $114,824.27 $55,902.82 nat. median
$67,976
0.8× median
277
MS_DRG 		Cardiac Defibrillator Implant Without Mcc 25 $32,870.92 $133,244.37 $54,469.10 nat. median
$44,126
1.2× median
823
MS_DRG 		Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 28 $33,269.15 $131,322.43 $52,565.26 nat. median
$42,823
1.2× median
856
MS_DRG 		Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 28 $33,012.98 $130,288.41 $52,160.51 nat. median
$41,685
1.3× median
799
MS_DRG 		Splenic Procedures With Mcc 15 $32,872.48 $129,721.28 $51,938.52 nat. median
$43,255
1.2× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 24 $49,781.89 $133,784.80 $51,026.44 nat. median
$62,655
0.8× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 25 $48,148.35 $191,381.07 $50,555.77 nat. median
$60,596
0.8× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 18 $48,499.62 $101,430.95 $49,469.61 nat. median
$61,728
0.8× median
474
MS_DRG 		Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 28 $31,197.79 $122,961.53 $49,292.51 nat. median
$39,984
1.2× median
239
MS_DRG 		Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 28 $35,659.85 $140,972.25 $48,929.21 nat. median
$45,237
1.1× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 25 $47,394.03 $127,271.51 $48,815.85 nat. median
$62,031
0.8× median
12
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 28 $30,652.09 $120,758.89 $48,430.30 nat. median
$38,715
1.3× median
673
MS_DRG 		Other Kidney And Urinary Tract Procedures With Mcc 28 $30,549.90 $120,346.43 $48,268.84 nat. median
$38,022
1.3× median
901
MS_DRG 		Wound Debridements For Injuries With Mcc 28 $30,514.44 $120,203.21 $48,212.82 nat. median
$39,652
1.2× median
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 32 $6,874.28 $129,423.89 $48,183.14 nat. median
$57,556
0.8× median
423
MS_DRG 		Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 28 $30,205.04 $118,954.38 $47,723.96 nat. median
$38,555
1.2× median
273
MS_DRG 		Percutaneous And Other Intracardiac Procedures With Mcc 28 $30,009.88 $118,166.70 $47,415.61 nat. median
$38,094
1.2× median
162
MS_DRG 		Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis,major 7 $46,735.68 $48,316.12 $47,413.01 nat. median
$49,043
1.0× median
267
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 28 $34,518.07 $136,363.59 $47,360.71 nat. median
$45,868
1.0× median
981
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 28 $34,028.45 $134,387.23 $46,688.11 nat. median
$43,696
1.1× median
278
MS_DRG 		Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures… 27 $40,233.31 $159,432.67 $46,623.26 nat. median
$48,018
1.0× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 33 $3,866.37 $184,309.11 $46,396.32 nat. median
$59,371
0.8× median
834
MS_DRG 		Acute Leukemia With Mcc 27 $39,691.87 $157,247.21 $45,765.45 nat. median
$50,371
0.9× median
11
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 27 $39,437.83 $156,221.79 $45,699.16 nat. median
$50,018
0.9× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 25 $44,222.77 $118,621.31 $45,549.45 nat. median
$58,280
0.8× median
130
MS_DRG 		Respiratory System Diagnosis With Ventilator Support > 96 Hours,extreme 7 $44,784.45 $46,298.90 $45,433.50 nat. median
$2,596
outlier · 17.5×
450
MS_DRG 		Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically… 28 $38,554.38 $152,655.73 $45,398.07 nat. median
$48,253
0.9× median

Other procedures at this hospital

Browse this hospital's 1,263 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
             
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 35 25 — — $199,596.55 $542,430.61 $205,584.45 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 16 14 — — $99,026.35 $268,107.70 $159,323.84 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 1 1 — — $151,351.94 $151,351.94 $151,351.94 2026-04-01
9 MS_DRG Extracorporeal Membrane Oxygenation (ecmo),extreme 7 7 — — $109,774.27 $113,486.45 $111,365.21 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 26 19 — — $70,154.95 $189,355.88 $81,382.73 2026-04-01
589 MS_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 7 7 — — $75,690.14 $78,249.71 $76,787.10 2026-04-01
215 MS_DRG Other Heart Assist System Implant 35 25 — — $71,391.09 $192,727.69 $73,532.82 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 25 18 — — $43,358.47 $172,047.04 $70,331.28 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 40 27 — — $60,366.52 $240,698.59 $70,011.68 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 34 25 — — $64,668.20 $135,765.66 $67,254.93 2026-04-01
681 MS_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms,extreme 7 7 — — $66,124.62 $68,360.72 $67,082.95 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 43 28 — — $42,352.23 $167,985.47 $66,916.52 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 43 28 — — $41,231.73 $163,462.74 $65,146.13 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 35 25 — — $60,554.56 $163,169.14 $62,371.20 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 40 27 — — $51,959.00 $206,762.36 $60,244.79 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 40 27 — — $51,633.28 $205,447.65 $59,866.42 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 42 28 — — $43,370.53 $172,095.74 $59,521.62 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 40 27 — — $51,333.12 $204,236.05 $59,517.72 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 40 27 — — $49,541.33 $197,003.69 $57,436.23 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 35 25 — — $55,221.08 $148,621.17 $56,877.71 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 35 25 — — $54,986.22 $147,980.49 $56,635.81 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 43 26 — — $13,879.59 $152,308.49 $56,572.93 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 43 28 — — $35,514.38 $140,385.07 $56,112.72 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 32 23 — — $54,806.69 $114,824.27 $55,902.82 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 35 25 — — $32,870.92 $133,244.37 $54,469.10 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 43 28 — — $33,269.15 $131,322.43 $52,565.26 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 43 28 — — $33,012.98 $130,288.41 $52,160.51 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 25 15 — — $32,872.48 $129,721.28 $51,938.52 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 34 24 — — $49,781.89 $133,784.80 $51,026.44 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 37 25 — — $48,148.35 $191,381.07 $50,555.77 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 21 18 — — $48,499.62 $101,430.95 $49,469.61 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 43 28 — — $31,197.79 $122,961.53 $49,292.51 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 42 28 — — $35,659.85 $140,972.25 $48,929.21 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 35 25 — — $47,394.03 $127,271.51 $48,815.85 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 43 28 — — $30,652.09 $120,758.89 $48,430.30 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 43 28 — — $30,549.90 $120,346.43 $48,268.84 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 43 28 — — $30,514.44 $120,203.21 $48,212.82 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 47 32 — — $6,874.28 $129,423.89 $48,183.14 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 43 28 — — $30,205.04 $118,954.38 $47,723.96 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 43 28 — — $30,009.88 $118,166.70 $47,415.61 2026-04-01
162 MS_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis,major 7 7 — — $46,735.68 $48,316.12 $47,413.01 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 42 28 — — $34,518.07 $136,363.59 $47,360.71 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 42 28 — — $34,028.45 $134,387.23 $46,688.11 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 40 27 — — $40,233.31 $159,432.67 $46,623.26 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 60 33 — — $3,866.37 $184,309.11 $46,396.32 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 39 27 — — $39,691.87 $157,247.21 $45,765.45 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 40 27 — — $39,437.83 $156,221.79 $45,699.16 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 35 25 — — $44,222.77 $118,621.31 $45,549.45 2026-04-01
130 MS_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours,extreme 7 7 — — $44,784.45 $46,298.90 $45,433.50 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 42 28 — — $38,554.38 $152,655.73 $45,398.07 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 31 22 — — $44,172.39 $92,241.87 $45,055.84 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 43 28 — — $29,264.79 $115,159.18 $45,000.00 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 43 28 — — $28,201.79 $110,868.46 $44,558.83 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 35 25 — — $43,049.78 $115,421.76 $44,341.27 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 40 27 — — $38,176.15 $151,129.06 $44,233.49 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 43 28 — — $27,978.97 $109,969.07 $44,206.77 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 35 25 — — $42,379.20 $113,592.62 $43,650.58 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 39 26 — — $37,609.15 $148,840.49 $43,358.02 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 43 28 — — $27,255.16 $107,047.48 $43,063.15 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 43 28 — — $27,180.66 $106,746.73 $42,945.44 2026-04-01
64568 CPT Open Implantation Cranial Nerve Nea & Pulse Gen 8 4 — — $42,789.18 $43,644.96 $42,789.18 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 43 28 — — $26,799.59 $105,208.60 $42,343.35 2026-04-01
800 MS_DRG Splenic Procedures With Cc 14 12 — — $20,670.65 $80,469.64 $42,334.85 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 43 28 — — $26,788.95 $105,165.64 $42,326.54 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 42 28 — — $30,703.19 $120,965.12 $42,120.10 2026-04-01
265 MS_DRG Aicd Lead Procedures 43 28 — — $26,410.01 $103,636.10 $41,727.82 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 43 28 — — $26,364.61 $103,452.79 $41,656.08 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 43 31 — — $12,798.55 $164,132.98 $41,397.79 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 43 28 — — $26,158.82 $102,622.14 $41,330.94 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 43 28 — — $26,074.37 $102,281.29 $41,197.50 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 59 35 — — $3,842.84 $163,250.78 $41,179.24 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 42 28 — — $30,828.09 $121,469.23 $40,887.99 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 35 25 — — $39,554.22 $105,887.00 $40,740.85 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 43 28 — — $25,760.00 $101,012.40 $40,700.80 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 35 25 — — $39,498.87 $105,736.02 $40,683.84 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 43 28 — — $25,708.91 $100,806.17 $40,620.08 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 43 28 — — $25,481.83 $99,889.60 $40,261.29 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 43 28 — — $25,249.07 $98,950.11 $39,893.53 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 49 32 — — $10,870.83 $103,221.68 $39,734.37 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 43 28 — — $25,135.54 $98,491.82 $39,714.15 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 43 28 — — $25,063.15 $98,199.66 $39,599.78 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 43 28 — — $24,943.94 $97,718.46 $39,411.43 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 34 25 — — $33,352.17 $131,657.55 $38,629.54 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 49 24 — — $15,702.32 $151,630.31 $38,300.32 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 40 27 — — $32,998.80 $130,231.13 $38,219.04 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 43 28 — — $24,095.96 $94,295.62 $38,071.62 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 43 28 — — $24,093.13 $94,284.16 $38,067.15 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 61 34 — — $3,831.08 $149,098.27 $37,673.03 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 42 28 — — $27,437.55 $107,783.61 $37,633.99 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 43 28 — — $23,817.09 $93,169.95 $37,631.00 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 43 28 — — $23,715.61 $92,760.36 $37,470.66 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 43 28 — — $23,690.06 $92,657.24 $37,430.29 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 50 35 — — $5,717.65 $141,708.38 $37,275.91 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 43 28 — — $23,590.01 $92,253.37 $37,272.22 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 49 35 — — $10,812.03 $142,854.10 $37,209.85 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 43 28 — — $23,391.31 $91,451.37 $36,958.27 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 40 27 — — $31,906.68 $125,822.97 $36,950.35 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 43 28 — — $23,349.45 $91,282.38 $36,892.13 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 35 25 — — $35,779.76 $95,591.54 $36,853.15 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 43 28 — — $23,192.62 $90,649.37 $36,644.34 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 43 28 — — $23,658.13 $92,528.35 $36,500.00 2026-04-01
665 MS_DRG Prostatectomy With Mcc 43 28 — — $22,883.24 $89,400.53 $36,155.52 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 43 28 — — $22,837.10 $89,214.35 $36,082.62 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 35 25 — — $34,999.90 $72,763.68 $36,049.90 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 43 28 — — $22,798.08 $89,056.82 $36,020.97 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 20 17 — — $33,929.10 $90,543.50 $35,286.26 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 43 28 — — $22,168.65 $86,516.18 $35,026.47 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 43 28 — — $22,142.38 $86,410.20 $34,984.96 2026-04-01
842 MS_DRG Burns With Skin Graft Except Extensive Third Degree Burns,major 14 7 — — $24,842.83 $44,769.70 $34,494.10 2026-04-01
570 MS_DRG Skin Debridement With Mcc 43 28 — — $21,605.21 $84,241.93 $34,136.23 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 43 28 — — $21,455.49 $83,637.56 $33,899.67 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 43 28 — — $21,327.75 $83,121.99 $33,697.85 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 43 28 — — $21,314.97 $83,070.43 $33,677.65 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 43 28 — — $21,214.21 $82,663.70 $33,518.45 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 43 28 — — $21,102.10 $82,211.14 $33,341.32 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 57 35 — — $26,934.34 $128,372.20 $32,538.24 2026-04-01
503 MS_DRG Foot Procedures With Mcc 43 28 — — $20,540.79 $79,945.48 $32,454.45 2026-04-01
374 MS_DRG Digestive Malignancy With Mcc 19 15 — — $15,911.27 $61,258.78 $32,228.07 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 37 25 — — $30,637.18 $120,698.74 $32,169.04 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 43 28 — — $20,299.52 $78,971.62 $32,073.24 2026-04-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 22 16 — — $17,348.61 $69,548.07 $31,999.92 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 43 28 — — $20,239.90 $78,731.01 $31,979.04 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 43 28 — — $20,234.94 $78,710.96 $31,971.21 2026-04-01
911 MS_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma,extre… 14 7 — — $16,406.21 $47,632.72 $31,517.82 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 43 28 — — $19,938.33 $77,513.69 $31,502.56 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 61 34 — — $13,145.46 $123,949.72 $31,442.61 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 35 25 — — $30,459.07 $81,078.41 $31,372.84 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 43 28 — — $19,544.48 $75,924.00 $30,880.28 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 43 28 — — $19,131.50 $74,256.98 $30,227.77 2026-04-01
169 MS_DRG Major Abdominal Vascular Procedures,extreme 14 7 — — $17,275.58 $43,748.49 $30,088.62 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 43 28 — — $19,037.11 $73,876.03 $30,078.63 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 43 28 — — $19,037.11 $73,876.03 $30,078.63 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 40 27 — — $25,970.76 $101,863.10 $30,054.68 2026-04-01
63685 CPT Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj 5 4 — — $29,976.87 $30,576.41 $29,976.87 2026-04-01
00620 CPT Anesth,Thor Spine,Cord Surgery 3 2 — — $29,976.87 $29,976.87 $29,976.87 2026-04-01
63655 CPT Surg Implnt Neuroelect,Epidural 6 4 — — $29,976.87 $30,576.41 $29,976.87 2026-04-01
61885 CPT Imp Stim,Cranial,Subq,1 Array 13 4 — — $29,976.87 $30,576.41 $29,976.87 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 35 24 — — $18,954.80 $73,543.77 $29,948.58 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 37 25 — — $28,368.55 $111,541.57 $29,786.98 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 43 28 — — $18,765.33 $72,779.00 $29,649.22 2026-04-01
791 MS_DRG Prematurity With Major Problems 43 28 — — $3,061.00 $55,291.93 $29,538.00 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 57 35 — — $3,061.00 $56,798.55 $29,505.32 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 43 28 — — $18,645.42 $72,294.93 $29,459.76 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 57 35 — — $13,897.23 $72,263.42 $29,447.41 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 49 35 — — $7,120.39 $112,048.55 $29,348.98 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 42 28 — — $21,400.84 $83,417.01 $29,341.17 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 43 28 — — $21,640.68 $84,385.14 $28,966.00 2026-04-01
165 MS_DRG Major Chest Procedures Without Cc/mcc 64 35 — — $14,318.17 $54,828.43 $28,750.40 2026-04-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 43 28 — — $18,185.58 $70,438.87 $28,733.22 2026-04-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 43 28 — — $18,180.60 $70,418.82 $28,725.35 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 43 28 — — $18,058.56 $69,926.16 $28,532.52 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 50 35 — — $8,294.66 $107,313.86 $28,414.01 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 50 35 — — $24,149.01 $107,058.94 $28,348.32 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 42 28 — — $20,598.99 $80,180.35 $28,239.64 2026-04-01
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 43 28 — — $17,866.95 $69,152.79 $28,229.78 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 54 34 — — $13,852.71 $110,596.35 $28,134.38 2026-04-01
35 MS_DRG Carotid Artery Stent Procedures With Cc 43 28 — — $17,698.08 $68,471.09 $27,962.97 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 43 28 — — $17,668.98 $68,353.66 $27,916.99 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 30 21 — — $25,368.29 $67,192.42 $27,542.21 2026-04-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 43 28 — — $17,329.78 $66,984.52 $27,381.05 2026-04-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 43 28 — — $17,317.72 $66,935.83 $27,362.00 2026-04-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 43 28 — — $17,236.82 $66,609.30 $27,229.28 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 40 27 — — $23,327.45 $91,193.58 $26,984.00 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 35 25 — — $26,099.91 $69,188.02 $26,882.91 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 33 25 — — $25,991.33 $68,891.88 $26,771.07 2026-04-01
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 42 27 — — $16,883.43 $65,182.88 $26,660.99 2026-04-01
61783 CPT Stereotactic Comp Assist Proc,Spinal 5 4 — — $26,359.48 $26,886.67 $26,359.48 2026-04-01
22840 CPT Posterior Non-segmental Instrumentation 4 4 — — $26,359.48 $26,886.67 $26,359.48 2026-04-01
22630 CPT Arthrodesis Posterior Interbody 1 Ntrspc Lumbar 3 2 — — $26,359.48 $26,359.48 $26,359.48 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 49 32 — — $5,337.14 $69,805.48 $26,326.29 2026-04-01
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/mcc 43 28 — — $16,485.35 $63,576.00 $25,989.30 2026-04-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 43 28 — — $16,437.08 $63,381.23 $25,909.68 2026-04-01
934 MS_DRG Full Thickness Burn Without Skin Graft Or Inhalation Injury 43 28 — — $16,421.46 $63,318.22 $25,883.92 2026-04-01
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 43 28 — — $16,402.31 $63,240.88 $25,852.30 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 42 28 — — $18,851.19 $73,125.58 $25,838.63 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 42 28 — — $18,731.26 $72,641.51 $25,723.78 2026-04-01
30 MS_DRG Spinal Procedures Without Cc/mcc 57 35 — — $16,312.20 $62,877.11 $25,703.60 2026-04-01
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 43 28 — — $16,222.07 $62,513.35 $25,554.89 2026-04-01
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 43 28 — — $16,195.83 $62,407.37 $25,511.57 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 50 35 — — $11,089.23 $95,684.81 $25,417.72 2026-04-01
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 27 20 — — $15,610.68 $62,135.26 $25,400.33 2026-04-01
00410 CPT Anesth,Correct Heart Rhythm 3 2 — — $25,391.76 $25,391.76 $25,391.76 2026-04-01
00537 CPT Anesth,Card Electrophys Proc 2 1 — — $25,391.76 $25,391.76 $25,391.76 2026-04-01
950 MS_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis,extreme 21 7 — — $16,232.34 $60,969.15 $25,321.32 2026-04-01
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 43 28 — — $15,931.13 $61,338.98 $25,074.82 2026-04-01
545 MS_DRG Connective Tissue Disorders With Mcc 24 19 — — $18,345.26 $71,083.33 $25,074.52 2026-04-01
32 MS_DRG Ventricular Shunt Procedures With Cc 43 28 — — $15,856.61 $61,038.23 $24,951.88 2026-04-01
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/mcc 43 28 — — $15,849.51 $61,009.59 $24,940.17 2026-04-01
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 43 28 — — $15,762.25 $60,657.28 $24,796.15 2026-04-01
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 43 28 — — $15,760.11 $60,648.69 $24,792.64 2026-04-01
655 MS_DRG Major Bladder Procedures Without Cc/mcc 43 28 — — $15,754.43 $60,625.77 $24,783.27 2026-04-01
336 MS_DRG Peritoneal Adhesiolysis With Cc 43 28 — — $15,698.37 $60,399.49 $24,690.77 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 43 28 — — $21,224.14 $82,703.80 $24,662.71 2026-04-01
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 43 28 — — $15,597.60 $59,992.76 $24,524.50 2026-04-01
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 43 28 — — $15,588.39 $59,955.53 $24,509.28 2026-04-01
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 43 28 — — $15,573.48 $59,895.38 $24,484.69 2026-04-01
835 MS_DRG Acute Leukemia With Cc 43 28 — — $15,535.88 $59,743.57 $24,422.63 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 25 22 — — $9,940.99 $98,256.95 $24,386.41 2026-04-01
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 43 28 — — $15,490.46 $59,560.25 $24,347.69 2026-04-01
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 43 28 — — $15,481.22 $59,523.02 $24,332.47 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 42 28 — — $17,745.60 $68,663.00 $24,319.85 2026-04-01
397 MS_DRG Appendix Procedures With Mcc 42 28 — — $17,729.29 $68,597.12 $24,297.44 2026-04-01
415 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 43 28 — — $15,400.34 $59,196.49 $24,198.99 2026-04-01
737 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 43 28 — — $15,357.05 $59,021.77 $24,127.57 2026-04-01
744 MS_DRG D&c, Conization, Laparoscopy And Tubal Interruption With Cc/mcc 43 28 — — $15,275.44 $58,692.37 $23,992.91 2026-04-01
180 MS_DRG Respiratory Neoplasms With Mcc 50 35 — — $13,266.52 $50,583.54 $23,823.99 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 43 30 — — $12,358.42 $91,517.25 $23,784.82 2026-04-01
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 29 20 — — $15,014.17 $59,878.19 $23,722.39 2026-04-01
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 43 28 — — $15,005.09 $57,601.07 $23,546.80 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 44 32 — — $13,937.55 $91,010.27 $23,514.84 2026-04-01
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 43 28 — — $14,913.53 $57,231.58 $23,395.75 2026-04-01
908 MS_DRG Other O.r. Procedures For Injuries With Cc 43 28 — — $14,892.95 $57,148.51 $23,361.80 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 39 24 — — $7,495.85 $90,211.13 $23,084.05 2026-04-01
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 43 28 — — $14,701.37 $56,375.15 $23,045.65 2026-04-01
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 42 28 — — $16,811.76 $64,893.58 $23,019.67 2026-04-01
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 25 16 — — $13,630.55 $54,146.73 $22,901.71 2026-04-01
36 MS_DRG Carotid Artery Stent Procedures Without Cc/mcc 43 28 — — $14,521.13 $55,647.62 $22,748.25 2026-04-01
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 43 28 — — $14,518.99 $55,639.03 $22,744.73 2026-04-01
100 MS_DRG Seizures With Mcc 43 28 — — $14,478.55 $55,475.76 $22,677.99 2026-04-01
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc 25 21 — — $13,516.72 $53,539.50 $22,667.98 2026-04-01
75 MS_DRG Viral Meningitis With Cc/mcc 43 28 — — $14,341.59 $54,922.95 $22,452.01 2026-04-01
263 MS_DRG Vein Ligation And Stripping 52 34 — — $6,932.23 $87,573.11 $22,430.50 2026-04-01
902 MS_DRG Wound Debridements For Injuries With Cc 43 28 — — $14,320.30 $54,837.02 $22,416.88 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 56 35 — — $8,325.74 $86,879.95 $22,258.76 2026-04-01
717 MS_DRG Other Male Reproductive System O.r. Procedures Except Malignancy With Cc/mcc 43 28 — — $14,149.99 $54,149.59 $22,135.86 2026-04-01
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 43 28 — — $14,006.63 $53,571.00 $21,899.34 2026-04-01
504 MS_DRG Foot Procedures With Cc 27 19 — — $13,998.84 $53,539.50 $21,886.46 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 50 35 — — $9,750.32 $81,646.87 $21,800.79 2026-04-01
00534 CPT Anesth,Cardioverter/Defib 6 4 — — $21,608.64 $22,040.81 $21,608.64 2026-04-01
754 MS_DRG Malignancy, Female Reproductive System With Mcc 43 28 — — $13,803.70 $52,751.81 $21,564.47 2026-04-01
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Mcc 43 28 — — $13,768.22 $52,608.60 $21,505.92 2026-04-01
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc 43 28 — — $13,754.73 $52,554.18 $21,483.67 2026-04-01
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 32 22 — — $13,245.25 $50,497.61 $21,480.62 2026-04-01
983 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/mcc 33 24 — — $12,897.52 $49,094.10 $21,450.94 2026-04-01
205 MS_DRG Other Respiratory System Diagnoses With Mcc 43 28 — — $13,727.77 $52,445.33 $21,439.18 2026-04-01
657 MS_DRG Kidney And Ureter Procedures For Neoplasm With Cc 43 28 — — $13,720.68 $52,416.69 $21,427.47 2026-04-01
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 43 28 — — $13,706.48 $52,359.40 $21,404.05 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 50 35 — — $17,131.10 $79,395.53 $21,220.72 2026-04-01
722 MS_DRG Malignancy, Male Reproductive System With Mcc 43 28 — — $13,576.62 $51,835.24 $21,189.78 2026-04-01
740 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Cc 43 28 — — $13,575.92 $51,832.37 $21,188.61 2026-04-01
177 MS_DRG Respiratory Infections And Inflammations With Mcc 50 35 — — $11,823.87 $44,760.42 $21,146.94 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 37 25 — — $20,134.18 $78,304.23 $21,140.89 2026-04-01
496 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 43 28 — — $13,535.45 $51,669.11 $21,121.87 2026-04-01
686 MS_DRG Kidney And Urinary Tract Neoplasms With Mcc 43 28 — — $13,534.05 $51,663.38 $21,119.52 2026-04-01
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 57 35 — — $13,531.91 $51,654.79 $21,116.01 2026-04-01
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 43 28 — — $13,464.51 $51,382.68 $21,004.78 2026-04-01
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 43 28 — — $13,316.90 $50,786.90 $20,761.23 2026-04-01
508 MS_DRG Major Shoulder Or Elbow Joint Procedures Without Cc/mcc 29 21 — — $11,481.13 $43,376.96 $20,629.23 2026-04-01
62 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 43 28 — — $13,204.06 $50,331.48 $20,575.05 2026-04-01
501 MS_DRG Soft Tissue Procedures With Cc 43 28 — — $13,139.49 $50,070.83 $20,468.50 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 31 24 — — $10,728.04 $82,122.35 $20,384.17 2026-04-01
421 MS_DRG Hepatobiliary Diagnostic Procedures With Cc 43 28 — — $13,064.28 $49,767.21 $20,344.39 2026-04-01
746 MS_DRG Vagina, Cervix And Vulva Procedures With Cc/mcc 43 28 — — $13,061.43 $49,755.76 $20,339.70 2026-04-01
520 MS_DRG Back And Neck Procedures Except Spinal Fusion Without Cc/mcc 28 21 — — $11,335.66 $42,789.78 $20,240.99 2026-04-01
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 43 28 — — $12,996.88 $49,495.10 $20,233.15 2026-04-01
614 MS_DRG Adrenal And Pituitary Procedures With Cc/mcc 50 35 — — $16,288.06 $62,779.73 $20,185.47 2026-04-01
00938 CPT Anesth,Insert Penis Prosthesis 2 2 — — $20,134.50 $20,134.50 $20,134.50 2026-04-01
54410 CPT Rmvl & Rplcmt Inflatable Penile Prosth Same Sess 7 4 — — $20,134.50 $20,537.19 $20,134.50 2026-04-01
54405 CPT Insj Multi-component Inflatable Penile Prosth 7 4 — — $20,134.50 $20,537.19 $20,134.50 2026-04-01
53445 CPT Insj Inflatable Urethral/Bladder Neck Sphincter 6 4 — — $20,134.50 $20,537.19 $20,134.50 2026-04-01
157 MS_DRG Dental And Oral Diseases With Mcc 43 28 — — $12,917.40 $49,174.30 $20,102.01 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 57 35 — — $14,331.49 $77,931.87 $20,041.93 2026-04-01
256 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Cc 43 28 — — $12,783.27 $48,632.95 $19,880.71 2026-04-01
306 MS_DRG Cardiac Congenital And Valvular Disorders With Mcc 25 20 — — $11,916.84 $45,135.64 $19,807.26 2026-04-01
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 43 28 — — $12,738.57 $48,452.50 $19,806.94 2026-04-01
769 MS_DRG Postpartum And Post Abortion Diagnoses With O.r. Procedures 43 28 — — $12,725.78 $48,400.94 $19,785.87 2026-04-01
571 MS_DRG Skin Debridement With Cc 43 28 — — $12,723.68 $48,392.35 $19,782.36 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 49 35 — — $7,942.71 $74,345.77 $19,728.08 2026-04-01
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/mcc 43 28 — — $12,676.83 $48,203.30 $19,705.08 2026-04-01
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 43 28 — — $12,673.29 $48,188.98 $19,699.22 2026-04-01
915 MS_DRG Allergic Reactions With Mcc 43 28 — — $12,667.58 $48,166.07 $19,689.85 2026-04-01
551 MS_DRG Medical Back Problems With Mcc 43 28 — — $12,628.58 $48,008.53 $19,625.45 2026-04-01
597 MS_DRG Malignant Breast Disorders With Mcc 43 28 — — $12,564.70 $47,750.75 $19,520.07 2026-04-01
70 MS_DRG Other Cerebrovascular Disorders With Mcc 43 28 — — $12,548.39 $47,684.87 $19,493.14 2026-04-01
33 MS_DRG Ventricular Shunt Procedures Without Cc/mcc 43 28 — — $12,534.92 $47,630.44 $19,470.90 2026-04-01
512 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures Without Cc/… 43 28 — — $12,481.68 $47,415.62 $19,383.08 2026-04-01
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With Mcc 43 28 — — $12,474.60 $47,386.98 $19,371.37 2026-04-01
711 MS_DRG Testes Procedures With Cc/mcc 66 35 — — $8,392.97 $59,686.28 $19,358.30 2026-04-01
578 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis Without Cc/mcc 25 21 — — $12,247.59 $48,418.13 $19,351.19 2026-04-01
643 MS_DRG Endocrine Disorders With Mcc 43 28 — — $12,415.70 $47,149.24 $19,274.18 2026-04-01
299 MS_DRG Peripheral Vascular Disorders With Mcc 43 28 — — $12,320.60 $46,765.43 $19,117.28 2026-04-01
841 MS_DRG Lymphoma And Non-acute Leukemia With Cc 43 28 — — $12,311.38 $46,728.19 $19,102.06 2026-04-01
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 43 28 — — $12,302.87 $46,693.82 $19,088.01 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 64 35 — — $5,788.21 $73,979.14 $19,062.65 2026-04-01
38 MS_DRG Extracranial Procedures With Cc 43 28 — — $12,248.93 $46,476.13 $18,999.02 2026-04-01
00300 CPT Anesth,Skin Surg Head/Neck 5 4 — — $18,846.34 $19,223.27 $18,846.34 2026-04-01
64581 CPT Open Implantation Nea Sacral Nerve 7 3 — — $18,846.34 $18,846.34 $18,846.34 2026-04-01
64590 CPT Implant Neurostim/Receiver 6 3 — — $18,846.34 $18,846.34 $18,846.34 2026-04-01
328 MS_DRG Stomach, Esophageal And Duodenal Procedures Without Cc/mcc 43 28 — — $12,104.87 $45,894.68 $18,761.33 2026-04-01
620 MS_DRG O.r. Procedures For Obesity With Cc 43 28 — — $12,090.69 $45,837.39 $18,737.91 2026-04-01
393 MS_DRG Other Digestive System Diagnoses With Mcc 43 28 — — $12,083.59 $45,808.75 $18,726.20 2026-04-01
912 MS_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma,major 14 7 — — $14,059.35 $23,609.25 $18,685.89 2026-04-01
368 MS_DRG Major Esophageal Disorders With Mcc 43 28 — — $12,031.08 $45,596.79 $18,639.56 2026-04-01
513 MS_DRG Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures With Cc/mcc 43 28 — — $11,906.19 $45,092.67 $18,433.48 2026-04-01
533 MS_DRG Fractures Of Femur With Mcc 43 28 — — $11,859.35 $44,903.63 $18,356.20 2026-04-01
803 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Cc 30 21 — — $13,925.75 $53,244.47 $18,312.36 2026-04-01
154 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses With Mcc 43 28 — — $11,829.56 $44,783.33 $18,307.02 2026-04-01
505 MS_DRG Foot Procedures Without Cc/mcc 30 22 — — $13,456.71 $51,351.17 $18,293.21 2026-04-01
186 MS_DRG Pleural Effusion With Mcc 43 28 — — $11,794.07 $44,640.12 $18,248.48 2026-04-01
669 MS_DRG Transurethral Procedures With Cc 43 28 — — $11,747.94 $44,453.94 $18,172.37 2026-04-01
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