Price Transparencybeta Hospital negotiated rates

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

MH ST JOSEPH WARREN HOSPITAL

Warren, OH · CCN 360161 · Rates published

Your selected procedure

You selected 29806 (CPT)

Surgical Arthroscopy Shoulder Capsulorrhaphy|RIGHT SIDE

This hospital’s price: $6,865 across 3 payers

Source: https://www.mercy.com/-/media/mercy/patient-resources/hospital-pricing-transparency/340505560-1629009964_mercy-health-youngstown-llc_standardcharges.ashx · observed 2026-04-01

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

1,142 distinct procedures filed
35 distinct payers
41,131 rate rows
2026-04-01 last MRF observed
Data quality

25,373 of 41,131 rate rows are consumer-grade (61.7%)

15,758 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 15,618
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 140
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.mercy.com/-/media/mercy/patient-resources/hospital-pricing-transparency/340505560-1629009964_mercy-health-youngstown-llc_standardcharges.ashx
Found on page https://www.mercy.com/pay-a-bill/estimate-your-cost
Discovered viaCMS hospital list
Last fetch success · 2026-11-03
Content fingerprint 7eb5da7e25937114… · 13,258,078 bytes · first seen 2026-05-09

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 3 $252,973.30 $428,897.62 $321,200.95 nat. median
$190,274
1.7× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 7 $96,119.86 $279,895.24 $123,434.30 nat. median
$126,240
1.0× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 28 $48,258.56 $139,666.74 $75,680.47 nat. median
$62,605
1.2× median
215
MS_DRG 		Other Heart Assist System Implant 25 $69,260.83 $201,201.10 $70,078.44 nat. median
$93,531
0.7× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 25 $68,059.39 $197,681.04 $68,862.69 nat. median
$90,525
0.8× median
270
MS_DRG 		Other Major Cardiovascular Procedures With Mcc 28 $36,978.79 $106,618.19 $57,988.68 nat. median
$49,269
1.2× median
653
MS_DRG 		Major Bladder Procedures With Mcc 28 $36,427.74 $105,003.65 $57,124.38 nat. median
$49,933
1.1× median
326
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Mcc 28 $34,986.30 $100,780.39 $54,863.54 nat. median
$46,321
1.2× median
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 28 $34,649.73 $99,794.29 $54,335.65 nat. median
$45,281
1.2× median
239
MS_DRG 		Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 28 $34,533.16 $99,452.79 $54,152.82 nat. median
$45,076
1.2× median
981
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 28 $32,947.58 $94,807.20 $51,665.90 nat. median
$43,542
1.2× median
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 28 $32,290.31 $92,881.48 $50,635.01 nat. median
$42,583
1.2× median
823
MS_DRG 		Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 28 $32,209.63 $92,645.05 $50,508.46 nat. median
$42,696
1.2× median
856
MS_DRG 		Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 28 $31,960.65 $91,915.58 $50,117.95 nat. median
$41,637
1.2× median
163
MS_DRG 		Major Chest Procedures With Mcc 28 $31,499.25 $90,563.73 $49,394.27 nat. median
$42,632
1.2× median
356
MS_DRG 		Other Digestive System O.r. Procedures With Mcc 28 $30,885.43 $88,765.31 $48,431.52 nat. median
$40,214
1.2× median
474
MS_DRG 		Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 28 $30,196.43 $86,746.63 $47,350.86 nat. median
$39,860
1.2× median
901
MS_DRG 		Wound Debridements For Injuries With Mcc 22 $29,532.27 $84,800.70 $46,626.68 nat. median
$39,526
1.2× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 25 $45,937.77 $132,867.09 $46,477.69 nat. median
$59,554
0.8× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 25 $45,937.77 $132,867.09 $46,477.69 nat. median
$61,992
0.7× median
673
MS_DRG 		Other Kidney And Urinary Tract Procedures With Mcc 28 $29,566.75 $84,901.73 $46,363.23 nat. median
$37,940
1.2× median
423
MS_DRG 		Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 28 $29,231.58 $83,919.67 $45,837.53 nat. median
$38,534
1.2× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 35 $3,746.94 $130,025.98 $44,968.10 nat. median
$59,289
0.8× median
802
MS_DRG 		Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 28 $28,061.06 $80,506.71 $44,010.47 nat. median
$35,191
1.3× median
907
MS_DRG 		Other O.r. Procedures For Injuries With Mcc 28 $27,056.10 $77,580.74 $42,444.08 nat. median
$35,875
1.2× median
956
MS_DRG 		Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 28 $26,526.58 $76,038.94 $41,618.74 nat. median
$35,358
1.2× median
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 28 $1,012.00 $73,619.70 $41,580.36 nat. median
$50,769
0.8× median
166
MS_DRG 		Other Respiratory System O.r. Procedures With Mcc 28 $26,350.98 $75,527.70 $41,345.06 nat. median
$35,655
1.2× median
628
MS_DRG 		Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 28 $26,275.32 $75,307.45 $41,227.15 nat. median
$35,150
1.2× median
492
MS_DRG 		Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 28 $25,892.23 $74,192.02 $40,630.03 nat. median
$33,640
1.2× median
97
MS_DRG 		Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 28 $25,477.19 $72,983.64 $39,983.15 nat. median
$33,149
1.2× median
463
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 35 $2,758.26 $115,169.80 $39,897.53 nat. median
$49,857
0.8× median
323
MS_DRG 		Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 28 $30,434.39 $87,443.77 $39,840.10 nat. median
$39,112
1.0× median
335
MS_DRG 		Peritoneal Adhesiolysis With Mcc 28 $25,193.34 $72,157.18 $39,540.70 nat. median
$33,068
1.2× median
408
MS_DRG 		Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 28 $25,156.54 $72,050.08 $39,483.38 nat. median
$33,264
1.2× median
622
MS_DRG 		Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 28 $25,112.12 $71,920.75 $39,414.16 nat. median
$33,522
1.2× median
467
MS_DRG 		Revision Of Hip Or Knee Replacement With Cc 28 $24,885.87 $71,262.01 $39,061.50 nat. median
$32,654
1.2× median
11
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 27 $38,205.05 $110,211.00 $38,969.15 nat. median
$49,925
0.8× median
616
MS_DRG 		Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 28 $24,613.81 $70,469.89 $38,637.45 nat. median
$33,692
1.1× median
477
MS_DRG 		Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 28 $24,386.18 $69,807.10 $38,282.66 nat. median
$31,854
1.2× median
359
MS_DRG 		Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 28 $24,275.13 $69,483.79 $38,109.57 nat. median
$29,922
1.3× median
264
MS_DRG 		Other Circulatory System O.r. Procedures 28 $23,594.97 $67,503.50 $37,049.48 nat. median
$31,077
1.2× median
411
MS_DRG 		Cholecystectomy With C.d.e. With Mcc 28 $23,336.12 $66,749.78 $36,646.00 nat. median
$29,464
1.2× median
466
MS_DRG 		Revision Of Hip Or Knee Replacement With Mcc 35 $3,702.10 $105,185.52 $36,489.80 nat. median
$46,310
0.8× median
579
MS_DRG 		Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 28 $22,886.38 $65,440.37 $35,945.03 nat. median
$30,192
1.2× median
840
MS_DRG 		Lymphoma And Non-acute Leukemia With Mcc 28 $22,861.39 $65,367.62 $35,906.08 nat. median
$29,795
1.2× median
515
MS_DRG 		Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 28 $22,528.26 $64,397.69 $35,386.84 nat. median
$30,137
1.2× median
656
MS_DRG 		Kidney And Ureter Procedures For Neoplasm With Mcc 28 $22,506.76 $64,335.05 $35,353.30 nat. median
$30,337
1.2× median
500
MS_DRG 		Soft Tissue Procedures With Mcc 28 $22,374.88 $63,951.11 $35,147.78 nat. median
$29,651
1.2× median
464
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 28 $22,027.16 $62,938.74 $34,605.83 nat. median
$28,658
1.2× median

Other procedures at this hospital

Browse this hospital's 1,142 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
             
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 3 3 — — $252,973.30 $428,897.62 $321,200.95 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 8 7 — — $96,119.86 $279,895.24 $123,434.30 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 43 28 — — $48,258.56 $139,666.74 $75,680.47 2026-04-01
215 MS_DRG Other Heart Assist System Implant 35 25 — — $69,260.83 $201,201.10 $70,078.44 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 35 25 — — $68,059.39 $197,681.04 $68,862.69 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 43 28 — — $36,978.79 $106,618.19 $57,988.68 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 43 28 — — $36,427.74 $105,003.65 $57,124.38 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 43 28 — — $34,986.30 $100,780.39 $54,863.54 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 43 28 — — $34,649.73 $99,794.29 $54,335.65 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 43 28 — — $34,533.16 $99,452.79 $54,152.82 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 43 28 — — $32,947.58 $94,807.20 $51,665.90 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 43 28 — — $32,290.31 $92,881.48 $50,635.01 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 43 28 — — $32,209.63 $92,645.05 $50,508.46 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 43 28 — — $31,960.65 $91,915.58 $50,117.95 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 43 28 — — $31,499.25 $90,563.73 $49,394.27 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 43 28 — — $30,885.43 $88,765.31 $48,431.52 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 43 28 — — $30,196.43 $86,746.63 $47,350.86 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 31 22 — — $29,532.27 $84,800.70 $46,626.68 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 35 25 — — $45,937.77 $132,867.09 $46,477.69 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 35 25 — — $45,937.77 $132,867.09 $46,477.69 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 43 28 — — $29,566.75 $84,901.73 $46,363.23 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 43 28 — — $29,231.58 $83,919.67 $45,837.53 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 57 35 — — $3,746.94 $130,025.98 $44,968.10 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 43 28 — — $28,061.06 $80,506.71 $44,010.47 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 43 28 — — $27,056.10 $77,580.74 $42,444.08 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 43 28 — — $26,526.58 $76,038.94 $41,618.74 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 43 28 — — $1,012.00 $73,619.70 $41,580.36 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 43 28 — — $26,350.98 $75,527.70 $41,345.06 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 43 28 — — $26,275.32 $75,307.45 $41,227.15 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 43 28 — — $25,892.23 $74,192.02 $40,630.03 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 43 28 — — $25,477.19 $72,983.64 $39,983.15 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 58 35 — — $2,758.26 $115,169.80 $39,897.53 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 42 28 — — $30,434.39 $87,443.77 $39,840.10 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 43 28 — — $25,193.34 $72,157.18 $39,540.70 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 43 28 — — $25,156.54 $72,050.08 $39,483.38 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 43 28 — — $25,112.12 $71,920.75 $39,414.16 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 43 28 — — $24,885.87 $71,262.01 $39,061.50 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 37 27 — — $38,205.05 $110,211.00 $38,969.15 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 43 28 — — $24,613.81 $70,469.89 $38,637.45 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 43 28 — — $24,386.18 $69,807.10 $38,282.66 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 43 28 — — $24,275.13 $69,483.79 $38,109.57 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 43 28 — — $23,594.97 $67,503.50 $37,049.48 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 43 28 — — $23,336.12 $66,749.78 $36,646.00 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 64 35 — — $3,702.10 $105,185.52 $36,489.80 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 43 28 — — $22,886.38 $65,440.37 $35,945.03 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 43 28 — — $22,861.39 $65,367.62 $35,906.08 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 43 28 — — $22,528.26 $64,397.69 $35,386.84 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 43 28 — — $22,506.76 $64,335.05 $35,353.30 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 43 28 — — $22,374.88 $63,951.11 $35,147.78 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 43 28 — — $22,027.16 $62,938.74 $34,605.83 2026-04-01
570 MS_DRG Skin Debridement With Mcc 43 28 — — $20,822.34 $59,430.81 $32,727.92 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 43 28 — — $20,675.90 $59,004.44 $32,499.70 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 43 28 — — $20,622.46 $58,848.85 $32,416.39 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 43 28 — — $20,550.99 $58,640.71 $32,304.98 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 43 28 — — $20,538.47 $58,604.34 $32,285.51 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 43 28 — — $20,439.93 $58,317.40 $32,131.90 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 43 28 — — $20,330.25 $57,998.13 $31,960.97 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 42 28 — — $24,204.34 $69,277.68 $31,722.51 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 43 28 — — $19,838.20 $56,565.46 $31,194.03 2026-04-01
503 MS_DRG Foot Procedures With Mcc 43 28 — — $19,781.28 $56,399.76 $31,105.34 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 43 28 — — $19,648.05 $56,011.78 $30,897.62 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 43 28 — — $19,545.33 $55,712.72 $30,737.52 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 43 28 — — $19,487.01 $55,542.98 $30,646.66 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 43 28 — — $19,383.62 $55,241.90 $30,485.48 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 43 28 — — $19,293.38 $54,979.21 $30,344.88 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 43 28 — — $19,192.06 $54,684.18 $30,186.95 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 42 28 — — $22,985.62 $65,729.33 $30,136.96 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 43 28 — — $19,130.99 $54,506.36 $30,091.72 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 47 32 — — $1,012.00 $76,270.32 $29,346.05 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 16 14 — — $16,394.44 $48,517.01 $29,208.56 2026-04-01
63650 CPT Hc Perc Implnt Neuro Stim,Epidurl 6 4 — — $29,193.76 $29,777.64 $29,193.76 2026-04-01
63685 CPT Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj 6 4 — — $29,193.76 $29,777.64 $29,193.76 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 43 28 — — $18,424.46 $52,449.29 $28,990.53 2026-04-01
791 MS_DRG Prematurity With Major Problems 43 28 — — $1,012.00 $74,247.23 $28,583.26 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 43 28 — — $18,044.84 $51,343.97 $28,398.82 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 43 28 — — $17,927.55 $51,002.47 $28,216.00 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 29 21 — — $22,310.59 $63,641.95 $28,198.03 2026-04-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 43 28 — — $17,704.73 $50,353.82 $27,868.75 2026-04-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 43 28 — — $17,477.80 $49,693.05 $27,515.03 2026-04-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 43 28 — — $17,472.94 $49,678.91 $27,507.48 2026-04-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 43 28 — — $17,373.70 $49,389.95 $27,352.76 2026-04-01
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 43 28 — — $17,166.19 $48,785.76 $27,029.35 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 43 28 — — $17,047.51 $48,440.22 $26,844.36 2026-04-01
397 MS_DRG Appendix Procedures With Mcc 43 28 — — $17,031.55 $48,393.74 $26,819.46 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 41 28 — — $25,092.02 $71,862.15 $26,372.03 2026-04-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 43 28 — — $16,640.81 $47,256.09 $26,210.47 2026-04-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 43 28 — — $16,628.99 $47,221.74 $26,192.09 2026-04-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 43 28 — — $16,549.89 $46,991.38 $26,068.77 2026-04-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 43 28 — — $16,533.23 $46,942.88 $26,042.81 2026-04-01
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 43 28 — — $16,337.51 $46,373.04 $25,737.73 2026-04-01
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 43 28 — — $16,204.26 $45,985.07 $25,530.07 2026-04-01
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 43 28 — — $16,177.90 $45,908.28 $25,488.93 2026-04-01
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 43 28 — — $16,134.16 $45,780.98 $25,420.79 2026-04-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 43 28 — — $15,767.72 $44,714.05 $24,849.65 2026-04-01
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 43 28 — — $15,733.70 $44,615.04 $24,796.64 2026-04-01
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 43 28 — — $15,531.76 $44,027.01 $24,481.86 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 71 35 — — $2,961.20 $68,847.27 $24,087.22 2026-04-01
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 43 28 — — $15,272.88 $43,273.29 $24,078.38 2026-04-01
374 MS_DRG Digestive Malignancy With Mcc 43 28 — — $15,253.44 $43,216.71 $24,048.08 2026-04-01
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 43 28 — — $15,170.16 $42,974.23 $23,918.27 2026-04-01
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 43 28 — — $15,107.69 $42,792.36 $23,820.90 2026-04-01
336 MS_DRG Peritoneal Adhesiolysis With Cc 43 28 — — $15,045.23 $42,610.50 $23,723.56 2026-04-01
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 43 28 — — $14,946.69 $42,323.56 $23,569.94 2026-04-01
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 43 28 — — $14,923.08 $42,254.86 $23,533.17 2026-04-01
769 MS_DRG Postpartum And Post Abortion Diagnoses With O.r. Procedures 30 22 — — $12,137.94 $34,145.79 $23,501.03 2026-04-01
835 MS_DRG Acute Leukemia With Cc 43 28 — — $14,886.30 $42,147.76 $23,475.82 2026-04-01
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 43 28 — — $14,841.88 $42,018.44 $23,406.61 2026-04-01
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 43 28 — — $14,832.85 $41,992.17 $23,392.54 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 18 15 — — $17,047.62 $48,221.98 $23,386.53 2026-04-01
935 MS_DRG Non-extensive Burns 43 28 — — $14,707.23 $41,626.42 $23,196.73 2026-04-01
744 MS_DRG D&c, Conization, Laparoscopy And Tubal Interruption With Cc/mcc 43 28 — — $14,631.60 $41,406.16 $23,078.83 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 50 35 — — $16,066.69 $64,516.91 $22,966.40 2026-04-01
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc 43 28 — — $14,335.94 $40,545.35 $22,618.02 2026-04-01
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 43 28 — — $14,277.64 $40,375.61 $22,527.16 2026-04-01
908 MS_DRG Other O.r. Procedures For Injuries With Cc 43 28 — — $14,257.51 $40,317.01 $22,495.75 2026-04-01
843 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 43 28 — — $14,254.75 $40,308.92 $22,491.46 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 54 34 — — $8,048.80 $63,672.26 $22,320.94 2026-04-01
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 43 28 — — $14,070.13 $39,771.42 $22,203.72 2026-04-01
231 MS_DRG Major Large Bowel Procedures,extreme 7 7 — — $22,083.60 $22,504.24 $22,083.60 2026-04-01
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 43 28 — — $13,891.76 $39,252.10 $21,925.70 2026-04-01
100 MS_DRG Seizures With Mcc 43 28 — — $13,852.21 $39,136.92 $21,864.05 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 37 25 — — $21,373.40 $55,250.99 $21,849.31 2026-04-01
75 MS_DRG Viral Meningitis With Cc/mcc 43 28 — — $13,718.24 $38,746.92 $21,655.25 2026-04-01
902 MS_DRG Wound Debridements For Injuries With Cc 43 28 — — $13,697.44 $38,686.30 $21,622.81 2026-04-01
121 MS_DRG Other Respiratory And Chest Procedures,extreme 14 7 — — $15,993.39 $27,339.31 $21,563.17 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 43 28 — — $20,295.00 $52,816.32 $21,528.08 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 30 21 — — $6,004.79 $55,483.29 $21,485.01 2026-04-01
717 MS_DRG Other Male Reproductive System O.r. Procedures Except Malignancy With Cc/mcc 43 28 — — $13,530.87 $38,201.33 $21,363.22 2026-04-01
196 MS_DRG Interstitial Lung Disease With Mcc 43 28 — — $13,507.95 $38,134.65 $21,327.49 2026-04-01
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 43 28 — — $13,390.67 $37,793.15 $21,144.68 2026-04-01
504 MS_DRG Foot Procedures With Cc 43 28 — — $13,383.04 $37,770.92 $21,132.81 2026-04-01
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Mcc 43 28 — — $13,353.19 $37,684.03 $21,086.28 2026-04-01
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Mcc 43 28 — — $13,157.48 $37,114.20 $20,781.22 2026-04-01
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc 43 28 — — $13,144.29 $37,075.80 $20,760.67 2026-04-01
919 MS_DRG Complications Of Treatment With Mcc 43 28 — — $13,116.53 $36,994.98 $20,717.39 2026-04-01
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 43 28 — — $13,097.10 $36,938.40 $20,687.09 2026-04-01
862 MS_DRG Postoperative And Post-traumatic Infections With Mcc 43 28 — — $13,067.25 $36,851.51 $20,640.58 2026-04-01
52 MS_DRG Spinal Disorders And Injuries With Cc/mcc 43 28 — — $12,981.20 $36,600.94 $20,506.47 2026-04-01
80 MS_DRG Nontraumatic Stupor And Coma With Mcc 43 28 — — $12,972.17 $36,574.67 $20,492.40 2026-04-01
507 MS_DRG Major Shoulder Or Elbow Joint Procedures With Cc/mcc 43 28 — — $12,947.19 $36,501.92 $20,453.44 2026-04-01
496 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 43 28 — — $12,929.83 $36,451.41 $20,426.40 2026-04-01
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 43 28 — — $12,926.35 $36,441.30 $20,421.00 2026-04-01
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 43 28 — — $12,865.99 $36,265.50 $20,326.87 2026-04-01
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 43 28 — — $12,860.44 $36,249.34 $20,318.24 2026-04-01
505 MS_DRG Foot Procedures Without Cc/mcc 43 28 — — $12,852.81 $36,227.11 $20,306.32 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 57 35 — — $7,032.24 $57,600.05 $20,248.45 2026-04-01
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 43 28 — — $12,716.07 $35,829.03 $20,093.25 2026-04-01
542 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 43 28 — — $12,670.26 $35,695.67 $20,021.86 2026-04-01
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 43 28 — — $12,645.98 $35,624.94 $19,983.98 2026-04-01
91 MS_DRG Other Disorders Of Nervous System With Mcc 27 21 — — $7,150.00 $36,835.34 $19,982.54 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 50 35 — — $4,119.51 $55,528.84 $19,849.75 2026-04-01
922 MS_DRG Other Injury, Poisoning And Toxic Effect Diagnoses With Mcc 43 28 — — $12,551.59 $35,350.13 $19,836.85 2026-04-01
512 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures Without Cc/… 25 19 — — $12,006.03 $33,450.67 $19,729.96 2026-04-01
746 MS_DRG Vagina, Cervix And Vulva Procedures With Cc/mcc 43 28 — — $12,466.22 $35,101.58 $19,703.83 2026-04-01
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 43 28 — — $12,403.07 $34,917.70 $19,605.38 2026-04-01
256 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Cc 43 28 — — $12,194.14 $34,309.47 $19,279.75 2026-04-01
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 43 28 — — $12,150.42 $34,182.16 $19,211.63 2026-04-01
989 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/mcc 43 28 — — $12,150.42 $34,182.16 $19,211.63 2026-04-01
571 MS_DRG Skin Debridement With Cc 43 28 — — $12,135.88 $34,139.73 $19,188.91 2026-04-01
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/mcc 43 28 — — $12,090.05 $34,006.36 $19,117.53 2026-04-01
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 43 28 — — $12,086.60 $33,996.26 $19,112.10 2026-04-01
915 MS_DRG Allergic Reactions With Mcc 43 28 — — $12,081.03 $33,980.09 $19,103.47 2026-04-01
551 MS_DRG Medical Back Problems With Mcc 43 28 — — $12,042.86 $33,868.95 $19,043.95 2026-04-01
444 MS_DRG Disorders Of The Biliary Tract With Mcc 43 28 — — $12,006.78 $33,763.88 $18,987.70 2026-04-01
70 MS_DRG Other Cerebrovascular Disorders With Mcc 43 28 — — $11,964.44 $33,640.61 $18,921.70 2026-04-01
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With Mcc 43 28 — — $11,892.27 $33,430.46 $18,809.23 2026-04-01
643 MS_DRG Endocrine Disorders With Mcc 43 28 — — $11,834.65 $33,262.74 $18,719.46 2026-04-01
988 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 43 28 — — $11,817.31 $33,212.23 $18,692.40 2026-04-01
299 MS_DRG Peripheral Vascular Disorders With Mcc 43 28 — — $11,741.64 $32,991.97 $18,574.50 2026-04-01
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/mcc 43 28 — — $11,729.86 $32,957.62 $18,556.09 2026-04-01
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 43 28 — — $11,724.30 $32,941.45 $18,547.44 2026-04-01
64590 CPT Implant Neurostim/Receiver 4 4 — — $18,354.00 $18,721.08 $18,354.00 2026-04-01
73 MS_DRG Cranial And Peripheral Nerve Disorders With Mcc 43 28 — — $11,544.55 $32,418.09 $18,267.26 2026-04-01
328 MS_DRG Stomach, Esophageal And Duodenal Procedures Without Cc/mcc 43 28 — — $11,530.67 $32,377.68 $18,245.64 2026-04-01
620 MS_DRG O.r. Procedures For Obesity With Cc 43 28 — — $11,516.78 $29,272.69 $18,224.00 2026-04-01
393 MS_DRG Other Digestive System Diagnoses With Mcc 43 28 — — $11,509.84 $32,317.06 $18,213.17 2026-04-01
368 MS_DRG Major Esophageal Disorders With Mcc 43 28 — — $11,458.48 $32,167.52 $18,133.14 2026-04-01
120 MS_DRG Major Respiratory And Chest Procedures,major 7 7 — — $18,071.32 $18,415.53 $18,071.32 2026-04-01
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 43 28 — — $11,295.39 $31,692.66 $17,878.91 2026-04-01
154 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses With Mcc 43 28 — — $11,261.38 $31,593.64 $17,825.91 2026-04-01
177 MS_DRG Respiratory Infections And Inflammations With Mcc 43 28 — — $11,255.82 $31,577.48 $17,817.27 2026-04-01
186 MS_DRG Pleural Effusion With Mcc 43 28 — — $11,226.68 $31,492.61 $17,771.82 2026-04-01
669 MS_DRG Transurethral Procedures With Cc 43 28 — — $11,181.56 $31,361.26 $17,701.51 2026-04-01
228 MS_DRG Inguinal, Femoral And Umbilical Hernia Procedures,extreme 7 7 — — $17,644.83 $17,980.92 $17,644.83 2026-04-01
479 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue Without Cc/mcc 30 22 — — $13,311.54 $37,562.79 $17,625.94 2026-04-01
783 MS_DRG Cesarean Section With Sterilization With Mcc 43 28 — — $7,960.00 $49,610.21 $17,521.44 2026-04-01
337 MS_DRG Peritoneal Adhesiolysis Without Cc/mcc 43 28 — — $11,063.59 $31,017.75 $17,517.60 2026-04-01
964 MS_DRG Other Multiple Significant Trauma With Cc 43 28 — — $11,046.94 $30,969.25 $17,491.67 2026-04-01
792 MS_DRG Prematurity Without Major Problems 43 28 — — $1,012.00 $30,943.24 $17,480.74 2026-04-01
183 MS_DRG Major Chest Trauma With Mcc 43 28 — — $11,028.19 $30,914.69 $17,462.46 2026-04-01
398 MS_DRG Appendix Procedures With Cc 43 28 — — $10,915.06 $30,585.32 $17,286.14 2026-04-01
606 MS_DRG Minor Skin Disorders With Mcc 43 28 — — $10,912.28 $30,577.23 $17,281.79 2026-04-01
855 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures Without Cc/mcc 43 28 — — $10,801.25 $30,253.92 $17,108.71 2026-04-01
517 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures Without Cc/mc… 22 18 — — $10,375.20 $30,162.99 $17,083.56 2026-04-01
557 MS_DRG Tendonitis, Myositis And Bursitis With Mcc 43 28 — — $10,729.77 $30,045.79 $16,997.28 2026-04-01
682 MS_DRG Renal Failure With Mcc 43 28 — — $10,688.81 $29,926.57 $16,933.49 2026-04-01
23472 CPT Arthroplasty Glenohumeral Joint Total Shoulder|LEFT Side 3 3 — — $16,588.34 $16,588.34 $16,588.34 2026-04-01
01638 CPT Anesth,Shoulder Replacement 3 1 — — $16,588.34 $16,588.34 $16,588.34 2026-04-01
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 50 35 — — $4,765.91 $46,104.29 $16,581.76 2026-04-01
637 MS_DRG Diabetes With Mcc 43 28 — — $10,381.36 $29,031.40 $16,454.26 2026-04-01
562 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 43 28 — — $10,298.77 $28,790.93 $16,325.56 2026-04-01
501 MS_DRG Soft Tissue Procedures With Cc 28 21 — — $12,265.88 $36,063.43 $16,308.32 2026-04-01
602 MS_DRG Cellulitis With Mcc 43 28 — — $10,274.48 $28,720.21 $16,287.71 2026-04-01
83 MS_DRG Traumatic Stupor And Coma >1 Hour With Cc 43 28 — — $10,097.51 $28,204.93 $16,011.84 2026-04-01
355 MS_DRG Hernia Procedures Except Inguinal And Femoral Without Cc/mcc 26 20 — — $9,383.80 $26,939.97 $16,010.09 2026-04-01
977 MS_DRG HIV With Or Without Other Related Condition 27 22 — — $7,150.00 $29,136.47 $15,947.52 2026-04-01
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 50 35 — — $4,231.58 $44,210.90 $15,925.19 2026-04-01
88 MS_DRG Concussion With Mcc 43 28 — — $9,792.12 $27,315.82 $15,535.87 2026-04-01
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 50 35 — — $4,403.64 $43,059.10 $15,525.82 2026-04-01
502 MS_DRG Soft Tissue Procedures Without Cc/mcc 43 28 — — $9,751.17 $27,196.60 $15,472.04 2026-04-01
693 MS_DRG Urinary Stones With Mcc 43 28 — — $9,741.46 $27,168.31 $15,456.89 2026-04-01
555 MS_DRG Signs And Symptoms Of Musculoskeletal System And Connective Tissue With Mcc 43 28 — — $9,583.91 $26,709.61 $15,211.36 2026-04-01
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 43 28 — — $9,532.56 $26,560.08 $15,131.33 2026-04-01
348 MS_DRG Anal And Stomal Procedures With Cc 43 28 — — $9,493.69 $26,446.92 $15,070.73 2026-04-01
314 MS_DRG Other Circulatory System Diagnoses With Mcc 64 35 — — $6,548.81 $42,135.64 $14,970.29 2026-04-01
553 MS_DRG Bone Diseases And Arthropathies With Mcc 43 28 — — $9,406.94 $26,194.33 $14,935.52 2026-04-01
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 43 28 — — $9,402.08 $26,180.19 $14,927.94 2026-04-01
975 MS_DRG HIV With Major Related Condition With Cc 43 28 — — $9,397.92 $26,168.07 $14,921.45 2026-04-01
906 MS_DRG Hand Procedures For Injuries 27 19 — — $14,043.06 $39,692.61 $14,843.28 2026-04-01
291 MS_DRG Heart Failure And Shock With Mcc 43 28 — — $9,320.18 $25,941.75 $14,800.31 2026-04-01
535 MS_DRG Fractures Of Hip And Pelvis With Mcc 43 28 — — $9,307.71 $25,905.37 $14,780.83 2026-04-01
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 43 28 — — $7,150.00 $40,636.28 $14,747.71 2026-04-01
947 MS_DRG Signs And Symptoms With Mcc 43 28 — — $9,220.25 $25,650.77 $14,644.56 2026-04-01
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 43 28 — — $9,212.62 $25,628.54 $14,632.64 2026-04-01
809 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 43 28 — — $9,195.96 $25,580.04 $14,606.67 2026-04-01
380 MS_DRG Complicated Peptic Ulcer With Mcc 50 35 — — $3,879.00 $39,650.18 $14,343.75 2026-04-01
743 MS_DRG Uterine And Adnexa Procedures For Non-malignancy Without Cc/mcc 43 28 — — $9,021.06 $25,070.82 $14,334.09 2026-04-01
189 MS_DRG Pulmonary Edema And Respiratory Failure 43 28 — — $8,984.27 $24,963.73 $14,276.74 2026-04-01
283 MS_DRG Acute Myocardial Infarction, Expired With Mcc 50 35 — — $5,325.08 $40,026.03 $14,250.26 2026-04-01
345 MS_DRG Minor Small And Large Bowel Procedures With Cc 24 19 — — $10,268.17 $30,082.16 $14,187.86 2026-04-01
539 MS_DRG Osteomyelitis With Mcc 57 35 — — $4,365.47 $39,801.73 $14,173.70 2026-04-01
750 MS_DRG Other Female Reproductive System O.r. Procedures Without Cc/mcc 32 23 — — $10,652.72 $29,821.49 $14,091.46 2026-04-01
375 MS_DRG Digestive Malignancy With Cc 43 28 — — $8,805.22 $24,442.39 $13,997.65 2026-04-01
549 MS_DRG Septic Arthritis With Cc 43 28 — — $8,788.56 $24,393.89 $13,971.68 2026-04-01
831 MS_DRG Other Antepartum Diagnoses Without O.r. Procedures With Mcc 43 28 — — $8,755.94 $24,298.92 $13,920.83 2026-04-01
304 MS_DRG Hypertension With Mcc 43 28 — — $8,669.18 $24,046.33 $13,785.64 2026-04-01
593 MS_DRG Skin Ulcers With Cc 43 28 — — $8,643.51 $23,971.56 $13,745.60 2026-04-01
346 MS_DRG Minor Small And Large Bowel Procedures Without Cc/mcc 43 28 — — $8,642.81 $23,969.54 $13,744.52 2026-04-01
689 MS_DRG Kidney And Urinary Tract Infections With Mcc 43 28 — — $8,463.05 $23,446.18 $13,464.35 2026-04-01
818 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Cc 43 28 — — $8,455.42 $23,423.95 $13,452.47 2026-04-01
465 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 47 32 — — $2,870.93 $36,851.51 $13,430.09 2026-04-01
302 MS_DRG Atherosclerosis With Mcc 26 18 — — $7,150.00 $23,506.80 $13,394.67 2026-04-01
205 MS_DRG Other Respiratory System Diagnoses With Mcc 19 17 — — $7,150.00 $38,146.77 $13,356.01 2026-04-01
572 MS_DRG Skin Debridement Without Cc/mcc 43 28 — — $8,365.90 $23,163.28 $13,312.92 2026-04-01
399 MS_DRG Appendix Procedures Without Cc/mcc 43 28 — — $8,354.78 $23,130.95 $13,295.59 2026-04-01
723 MS_DRG Malignancy, Male Reproductive System With Cc 43 28 — — $8,340.90 $23,090.54 $13,273.95 2026-04-01
598 MS_DRG Malignant Breast Disorders With Cc 43 28 — — $8,261.80 $22,860.18 $13,150.67 2026-04-01
436 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Cc 43 28 — — $8,260.40 $22,856.14 $13,148.46 2026-04-01
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 30 25 — — $3,863.85 $34,489.57 $13,078.75 2026-04-01
621 MS_DRG O.r. Procedures For Obesity Without Cc/mcc 57 35 — — $4,400.00 $27,591.65 $13,072.77 2026-04-01
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/mcc 57 35 — — $3,415.56 $36,524.15 $13,055.03 2026-04-01
789 MS_DRG Neonates, Died Or Transferred To Another Acute Care Facility 43 28 — — $1,012.00 $23,041.32 $13,018.48 2026-04-01
180 MS_DRG Respiratory Neoplasms With Mcc 50 35 — — $11,036.05 $35,685.56 $12,969.01 2026-04-01
62 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 43 28 — — $7,150.00 $35,507.74 $12,962.28 2026-04-01
199 MS_DRG Pneumothorax With Mcc 64 35 — — $2,495.34 $35,647.17 $12,755.71 2026-04-01
445 MS_DRG Disorders Of The Biliary Tract With Cc 43 28 — — $8,005.69 $22,114.54 $12,751.49 2026-04-01
381 MS_DRG Complicated Peptic Ulcer With Cc 43 28 — — $7,930.04 $21,894.28 $12,633.55 2026-04-01
896 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 29 24 — — $2,352.00 $35,263.24 $12,624.68 2026-04-01
58 MS_DRG Multiple Sclerosis And Cerebellar Ataxia With Mcc 50 35 — — $5,019.14 $34,543.87 $12,573.14 2026-04-01
287 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization Without Mcc 43 28 — — $7,837.03 $21,623.51 $12,488.61 2026-04-01
184 MS_DRG Major Chest Trauma With Cc 26 20 — — $7,150.00 $21,583.10 $12,424.90 2026-04-01
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 57 35 — — $7,261.84 $24,329.23 $12,411.84 2026-04-01
433 MS_DRG Cirrhosis And Alcoholic Hepatitis With Cc 43 28 — — $7,740.57 $21,342.63 $12,338.25 2026-04-01
27130 CPT Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft|LEFT Side 19 4 — — $12,146.38 $12,389.31 $12,146.38 2026-04-01
J3370 HCPCS Vancomycin Hcl Injection|CMS 340b Informational Modifier|state/fed Funded Progra… 36 4 — — $3,095.56 $12,389.31 $12,146.38 2026-04-01
J2270 HCPCS Morphine Sulfate Injection|CMS 340b Informational Modifier|state/fed Funded Prog… 21 4 — — $12,146.38 $12,389.31 $12,146.38 2026-04-01
01402 CPT Anesth,Total Knee Arthroplasty|LEFT Side 5 3 — — $12,146.38 $12,389.31 $12,146.38 2026-04-01
24515 CPT Optx Humeral Shft Fx W/Plate/Screws W/Wocerclage|RIGHT Side 12 4 — — $12,146.38 $12,389.31 $12,146.38 2026-04-01
01392 CPT Anesth,Upper Leg,Open Procedure 4 3 — — $12,146.38 $12,146.38 $12,146.38 2026-04-01
23615 CPT Optx Prox Humeral Fx W/Int Fixj Rpr Tuberosity|LEFT Side 7 3 — — $12,146.38 $12,146.38 $12,146.38 2026-04-01
23470 CPT Arthroplasty Glenohumrl Jt Hemiarthroplasty 4 3 — — $12,146.38 $12,146.38 $12,146.38 2026-04-01
64628 CPT Thermal Dstrj Intraosseous Bvn 1st 2 Lmbr/Sac 6 4 — — $12,146.38 $12,389.31 $12,146.38 2026-04-01
22513 CPT Hc Perq Vert Agmntj Cavity Crtj Uni/Bi Cannulation 3 2 — — $12,146.38 $12,146.38 $12,146.38 2026-04-01
01214 CPT Anesth,Total Hip Arthroplasty 3 1 — — $12,146.38 $12,146.38 $12,146.38 2026-04-01
20985 CPT Cptr-asst Surgical Navigation Image-less 2 1 — — $12,146.38 $12,146.38 $12,146.38 2026-04-01
28730 CPT Arthrd Midtarsl/Tarsometatarsal Mult/Transvrs|RIGHT Side 5 4 — — $12,146.38 $12,389.31 $12,146.38 2026-04-01
0055T CPT Bone Surgery Using Computer|RIGHT Side 9 3 — — $12,146.38 $12,146.38 $12,146.38 2026-04-01
J0171 HCPCS Adrenalin Epinephrine inject|CMS 340b Informational Modifier|state/fed Funded Pr… 28 4 — — $5,600.62 $12,389.31 $12,146.38 2026-04-01
28725 CPT Hc Arthodesis Of Subtalar|RIGHT Side 7 3 — — $12,146.38 $12,146.38 $12,146.38 2026-04-01
01941 CPT Anes Perq Img Neuromd/Ntrvrt Px Spi/Sp Crv/Thrc 4 3 — — $12,146.38 $12,146.38 $12,146.38 2026-04-01
97116 CPT Hc Pt Gait Training Ea 15 Min|OP Pt Services|documentation On File 17 4 — — $12,146.38 $12,389.31 $12,146.38 2026-04-01
97535 CPT Hc Ot Adl Training 15 Min|OP Occupational Therapy Serv 14 4 — — $12,146.38 $12,389.31 $12,146.38 2026-04-01
27871 CPT Arthrodesis Tibiofibular Joint Proximal/Distal|LEFT Side 4 3 — — $12,146.38 $12,146.38 $12,146.38 2026-04-01
27870 CPT Hc Arthrodesis, Ankle, Open|RIGHT Side 5 2 — — $12,146.38 $12,146.38 $12,146.38 2026-04-01
28297 CPT Corrj Hallux Valgus W/Sesmdc W/1metar Medial Cnf|LEFT Side 10 4 — — $12,146.38 $12,389.31 $12,146.38 2026-04-01
27827 CPT Open Treatment Fracture Distal Tibia Only|LEFT Side 9 4 — — $12,146.38 $12,389.31 $12,146.38 2026-04-01
01744 CPT Anesth,Humerus Repair 4 3 — — $12,146.38 $12,146.38 $12,146.38 2026-04-01
01740 CPT Anesth,Elbow,Nos 6 3 — — $12,146.38 $12,146.38 $12,146.38 2026-04-01
64629 CPT Thermal Dstrj Intraosseous Bvn Ea Addl Lmbr/Sac 5 3 — — $12,146.38 $12,389.31 $12,146.38 2026-04-01
28485 CPT Open Treatment Metatarsal Fracture Each|RIGHT Side 17 4 — — $6,864.94 $12,146.38 $12,146.38 2026-04-01
27447 CPT Arthrp Kne Condyle&Platu Medial&Lat Compartments|RIGHT Side 13 4 — — $12,146.38 $12,389.31 $12,146.38 2026-04-01
27438 CPT Arthroplasty Patella W/Prosthesis 10 4 — — $12,146.38 $12,389.31 $12,146.38 2026-04-01
27132 CPT Conv Prev Hip Tot Hip Arthrp W/wo Agrft/Algrft|LEFT Side 3 3 — — $12,146.38 $12,146.38 $12,146.38 2026-04-01
661 MS_DRG Kidney And Ureter Procedures For Non-neoplasm Without Cc/mcc 43 28 — — $7,596.20 $20,922.33 $12,113.25 2026-04-01
841 MS_DRG Lymphoma And Non-acute Leukemia With Cc 30 24 — — $7,150.00 $32,965.70 $12,077.32 2026-04-01
74 MS_DRG Cranial And Peripheral Nerve Disorders Without Mcc 43 28 — — $7,564.28 $20,829.38 $12,063.48 2026-04-01
71 MS_DRG Other Cerebrovascular Disorders With Cc 28 19 — — $7,150.00 $20,732.38 $12,057.08 2026-04-01
644 MS_DRG Endocrine Disorders With Cc 43 28 — — $7,524.03 $20,712.18 $12,000.77 2026-04-01
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 43 28 — — $7,512.25 $20,677.82 $11,982.37 2026-04-01
514 MS_DRG Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures Without Cc/mcc 43 28 — — $7,505.30 $20,657.62 $11,971.56 2026-04-01
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