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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 REGIONAL MEDICAL CENTER

Lorain, OH · CCN 360172 · Rates published

1,008 distinct procedures filed
35 distinct payers
39,388 rate rows
2026-04-01 last MRF observed
Data quality

23,761 of 39,388 rate rows are consumer-grade (60.3%)

15,627 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 15,627
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.mercy.com/-/media/mercy/patient-resources/hospital-pricing-transparency/340714704_mercy-health-regional-medical-center-llc_standardcharges.ashx
Found on page https://www.mercy.com/pay-a-bill/estimate-your-cost
Discovered viaDiscovered by HANK
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-05-15
Content fingerprint 4095a8b5059298d5… · 12,585,923 bytes · first seen 2026-05-08

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… 15 $146,645.77 $378,148.16 $190,476.40 nat. median
$202,986
0.9× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 21 $67,816.45 $246,776.54 $96,017.45 nat. median
$133,176
0.7× median
215
MS_DRG 		Other Heart Assist System Implant 26 $69,278.61 $177,393.91 $70,664.18 nat. median
$99,019
0.7× median
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 28 $40,258.20 $102,091.02 $52,939.54 nat. median
$55,929
0.9× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 26 $50,476.84 $128,606.58 $51,486.38 nat. median
$68,090
0.8× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 26 $49,871.25 $127,035.21 $50,868.68 nat. median
$68,887
0.7× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 27 $48,370.35 $123,140.63 $50,063.32 nat. median
$66,526
0.8× median
907
MS_DRG 		Other O.r. Procedures For Injuries With Mcc 19 $27,274.64 $68,400.97 $48,861.94 nat. median
$38,112
1.3× median
270
MS_DRG 		Other Major Cardiovascular Procedures With Mcc 28 $37,141.05 $94,002.56 $48,840.48 nat. median
$51,307
1.0× median
326
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Mcc 28 $35,157.47 $88,855.52 $46,232.07 nat. median
$48,178
1.0× median
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 28 $34,822.40 $87,986.10 $45,791.46 nat. median
$48,170
1.0× median
239
MS_DRG 		Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 28 $34,706.38 $87,685.01 $45,638.89 nat. median
$47,740
1.0× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 34 $3,465.56 $114,640.62 $45,094.59 nat. median
$62,134
0.7× median
981
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 28 $33,127.89 $83,589.11 $43,563.18 nat. median
$46,084
0.9× median
428
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 28 $39,514.62 $100,161.55 $43,245.18 nat. median
$54,211
0.8× median
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 28 $32,473.57 $81,891.24 $42,702.74 nat. median
$44,810
1.0× median
856
MS_DRG 		Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 28 $32,145.36 $81,039.64 $42,271.15 nat. median
$43,966
1.0× median
25
MS_DRG 		Craniotomy And Endovascular Intracranial Procedures With Mcc 28 $32,131.64 $81,004.01 $42,253.10 nat. median
$45,125
0.9× median
163
MS_DRG 		Major Chest Procedures With Mcc 28 $31,686.03 $79,847.75 $41,667.13 nat. median
$44,938
0.9× median
213
MS_DRG 		Endovascular Abdominal Aorta With Iliac Branch Procedures 26 $40,097.54 $101,674.13 $40,899.49 nat. median
$51,061
0.8× median
323
MS_DRG 		Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 28 $30,625.94 $77,096.96 $40,273.11 nat. median
$41,311
1.0× median
673
MS_DRG 		Other Kidney And Urinary Tract Procedures With Mcc 28 $29,762.19 $74,855.71 $39,137.28 nat. median
$40,457
1.0× median
458
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 28 $29,563.08 $74,339.04 $38,875.45 nat. median
$42,730
0.9× median
402
MS_DRG 		Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 28 $28,518.76 $71,643.00 $37,472.35 nat. median
$39,420
1.0× median
466
MS_DRG 		Revision Of Hip Or Knee Replacement With Mcc 35 $3,424.10 $92,739.41 $36,654.26 nat. median
$49,191
0.7× median
551
MS_DRG 		Medical Back Problems With Mcc 28 $1,453.00 $63,423.82 $36,242.18 nat. median
$16,881
outlier · 2.1×
34
MS_DRG 		Carotid Artery Stent Procedures With Mcc 28 $27,490.24 $68,960.39 $36,149.67 nat. median
$38,285
0.9× median
956
MS_DRG 		Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 28 $26,750.78 $67,041.61 $35,177.28 nat. median
$37,664
0.9× median
166
MS_DRG 		Other Respiratory System O.r. Procedures With Mcc 28 $26,577.06 $66,590.86 $34,948.83 nat. median
$37,476
0.9× median
492
MS_DRG 		Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 28 $26,123.23 $65,413.23 $34,352.04 nat. median
$35,489
1.0× median
471
MS_DRG 		Cervical Spinal Fusion With Mcc 22 $1,453.00 $61,041.58 $34,067.83 nat. median
$46,647
0.7× median
448
MS_DRG 		Multiple Level Spinal Fusion Except Cervical Without Mcc 28 $30,031.34 $75,554.09 $34,016.46 nat. median
$41,169
0.8× median
332
MS_DRG 		Rectal Resection With Mcc 28 $25,773.74 $64,506.39 $33,892.47 nat. median
$35,238
1.0× median
335
MS_DRG 		Peritoneal Adhesiolysis With Mcc 28 $25,431.83 $63,619.15 $33,442.85 nat. median
$35,058
1.0× median
622
MS_DRG 		Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 28 $25,351.48 $63,410.71 $33,337.19 nat. median
$35,325
0.9× median
271
MS_DRG 		Other Major Cardiovascular Procedures With Cc 28 $25,331.57 $63,359.04 $33,311.01 nat. median
$35,597
0.9× median
467
MS_DRG 		Revision Of Hip Or Knee Replacement With Cc 28 $25,127.65 $62,829.91 $33,042.86 nat. median
$34,721
1.0× median
100
MS_DRG 		Seizures With Mcc 28 $1,453.00 $57,165.87 $32,666.21 nat. median
$19,360
1.7× median
29
MS_DRG 		Spinal Procedures With Cc Or Spinal Neurostimulators 28 $24,338.07 $60,781.07 $32,004.56 nat. median
$33,835
0.9× median
356
MS_DRG 		Other Digestive System O.r. Procedures With Mcc 26 $31,074.97 $78,262.12 $31,696.47 nat. median
$42,444
0.7× median
374
MS_DRG 		Digestive Malignancy With Mcc 11 $15,598.37 $38,103.08 $31,662.38 nat. median
$21,277
1.5× median
269
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 28 $29,910.49 $75,240.53 $31,406.01 nat. median
$41,527
0.8× median
264
MS_DRG 		Other Circulatory System O.r. Procedures 28 $23,850.58 $59,516.13 $31,363.51 nat. median
$33,061
0.9× median
69930
CPT 		Implant Cochlear Device|LEFT Side 4 $31,194.17 $31,818.05 $31,194.17 nat. median
$29,663
1.1× median
130
MS_DRG 		Respiratory System Diagnosis With Ventilator Support > 96 Hours,extreme 7 $29,874.46 $31,057.60 $31,057.60 nat. median
$12,579
outlier · 2.5×
411
MS_DRG 		Cholecystectomy With C.d.e. With Mcc 28 $23,594.50 $58,851.59 $31,026.77 nat. median
$30,452
1.0× median
37
MS_DRG 		Extracranial Procedures With Mcc 28 $23,517.58 $58,652.05 $30,925.62 nat. median
$32,921
0.9× median
91
MS_DRG 		Other Disorders Of Nervous System With Mcc 28 $1,453.00 $53,844.32 $30,768.18 nat. median
$17,987
1.7× median
939
MS_DRG 		O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 28 $1,453.00 $53,286.61 $30,449.49 nat. median
$33,732
0.9× median
579
MS_DRG 		Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 28 $23,149.57 $57,697.12 $30,441.68 nat. median
$31,572
1.0× median

Other procedures at this hospital

Browse this hospital's 1,008 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
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
             
28320 CPT Repair Nonunion/Malunion Tarsal Bones|LEFT Side 4 3 — — $12,146.38 $12,389.31 $12,146.38 2026-04-01
27691 CPT Tr/Trnspl 1 Tdn W/Musc Redirion/Rerouting Dp|LEFT Side 7 3 — — $6,864.94 $12,389.31 $12,146.38 2026-04-01
27447 CPT Arthrp Kne Condyle&Platu Medial&Lat Compartments|LEFT Side 7 4 — — $12,146.38 $12,389.31 $12,146.38 2026-04-01
61783 CPT Stereotactic Comp Assist Proc,Spinal 6 3 — — $12,146.38 $16,588.34 $12,146.38 2026-04-01
27130 CPT Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft|RIGHT Side 8 4 — — $12,146.38 $12,389.31 $12,146.38 2026-04-01
01402 CPT Anesth,Total Knee Arthroplasty 3 2 — — $12,146.38 $12,389.31 $12,146.38 2026-04-01
24685 CPT Open Treatment Ulnar Fracture Proximal End 5 4 — — $6,864.94 $12,389.31 $12,146.38 2026-04-01
24545 CPT Open Tx Humeral Supracondylar Fracture Without Xtn|LEFT Side 3 2 — — $12,146.38 $12,146.38 $12,146.38 2026-04-01
24343 CPT Repair Lateral Collateral Ligament Elbow 5 4 — — $12,146.38 $12,389.31 $12,146.38 2026-04-01
01215 CPT Anesth,Revise Total Hip Arthroplasty 2 2 — — $12,146.38 $12,146.38 $12,146.38 2026-04-01
01214 CPT Anesth,Total Hip Arthroplasty 5 3 — — $12,146.38 $12,389.31 $12,146.38 2026-04-01
23473 CPT Revis Shoulder Arthrplsty Humeral/Glenoid Compnt 4 3 — — $12,146.38 $12,389.31 $12,146.38 2026-04-01
22846 CPT Anterior Instrumentation 4-7 Vertebral Segments 5 2 — — $12,146.38 $12,146.38 $12,146.38 2026-04-01
22830 CPT Exploration Spinal Fusion|SEPARATE Structure 4 4 — — $12,146.38 $12,389.31 $12,146.38 2026-04-01
844 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 42 28 — — $9,272.76 $21,689.20 $12,193.68 2026-04-01
786 MS_DRG Cesarean Section Without Sterilization With Mcc 36 24 — — $6,393.00 $21,905.26 $12,239.54 2026-04-01
24665 CPT Open Tx Radial Head/Neck Fracture|LEFT Side 2 2 — — $12,146.38 $12,389.31 $12,267.84 2026-04-01
24579 CPT Open Treatment Humeral Condylar Fracture 2 2 — — $12,146.38 $12,389.31 $12,267.84 2026-04-01
22853 CPT Insj Biomchn Dev Intervertebral Dsc Spc W/Arthrd 2 2 — — $12,146.38 $12,389.31 $12,267.84 2026-04-01
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With Mcc 26 20 — — $11,896.90 $29,946.91 $12,313.30 2026-04-01
189 MS_DRG Pulmonary Edema And Respiratory Failure 42 28 — — $9,396.35 $22,009.89 $12,356.20 2026-04-01
24666 CPT Open Tx Radial Head/Neck Fracture Prosthetic 1 1 — — $12,389.31 $12,389.31 $12,389.31 2026-04-01
760 MS_DRG Menstrual And Other Female Reproductive System Disorders With Cc/mcc 35 25 — — $7,831.59 $17,949.62 $12,401.92 2026-04-01
59 MS_DRG Multiple Sclerosis And Cerebellar Ataxia With Cc 42 28 — — $9,434.10 $22,107.87 $12,405.84 2026-04-01
624 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 42 28 — — $9,509.64 $22,303.85 $12,505.17 2026-04-01
621 MS_DRG O.r. Procedures For Obesity Without Cc/mcc 49 35 — — $11,270.76 $26,873.65 $12,569.95 2026-04-01
809 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 42 28 — — $9,605.77 $22,553.27 $12,631.59 2026-04-01
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 42 28 — — $9,622.24 $22,596.03 $12,653.24 2026-04-01
535 MS_DRG Fractures Of Hip And Pelvis With Mcc 42 28 — — $9,716.29 $22,840.11 $12,776.92 2026-04-01
58 MS_DRG Multiple Sclerosis And Cerebellar Ataxia With Mcc 63 35 — — $4,642.23 $30,456.45 $12,778.03 2026-04-01
291 MS_DRG Heart Failure And Shock With Mcc 42 28 — — $9,728.65 $22,872.18 $12,793.17 2026-04-01
896 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 41 28 — — $814.60 $31,090.70 $12,895.93 2026-04-01
915 MS_DRG Allergic Reactions With Mcc 42 28 — — $6,564.00 $29,959.39 $12,896.04 2026-04-01
553 MS_DRG Bone Diseases And Arthropathies With Mcc 42 28 — — $9,814.49 $23,094.88 $12,906.05 2026-04-01
86 MS_DRG Traumatic Stupor And Coma <1 Hour With Cc 42 28 — — $9,858.43 $23,208.90 $12,963.83 2026-04-01
348 MS_DRG Anal And Stomal Procedures With Cc 42 28 — — $9,900.31 $23,317.58 $13,018.91 2026-04-01
184 MS_DRG Major Chest Trauma With Cc 27 20 — — $8,220.20 $18,958.01 $13,019.04 2026-04-01
19357 CPT Tissue Expander Placement Breast Reconstruction|BILATERAL Procedure 6 3 — — $13,037.84 $13,037.84 $13,037.84 2026-04-01
501 MS_DRG Soft Tissue Procedures With Cc 49 35 — — $3,478.45 $31,144.15 $13,045.69 2026-04-01
909 MS_DRG Other O.r. Procedures For Injuries Without Cc/mcc 42 28 — — $9,927.08 $23,387.06 $13,054.11 2026-04-01
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 42 28 — — $9,938.75 $23,417.35 $13,069.46 2026-04-01
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 42 28 — — $1,453.00 $23,426.80 $13,088.18 2026-04-01
660 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Cc 42 28 — — $9,988.87 $23,547.41 $13,135.36 2026-04-01
555 MS_DRG Signs And Symptoms Of Musculoskeletal System And Connective Tissue With Mcc 42 28 — — $9,989.56 $23,549.19 $13,136.27 2026-04-01
180 MS_DRG Respiratory Neoplasms With Mcc 49 35 — — $6,933.93 $31,463.06 $13,169.82 2026-04-01
254 MS_DRG Other Vascular Procedures Without Cc/mcc 49 35 — — $3,276.18 $31,742.77 $13,278.71 2026-04-01
789 MS_DRG Neonates, Died Or Transferred To Another Acute Care Facility 42 28 — — $726.00 $30,637.40 $13,287.98 2026-04-01
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/mcc 56 35 — — $2,578.58 $32,202.42 $13,324.36 2026-04-01
718 MS_DRG Other Male Reproductive System O.r. Procedures Except Malignancy Without Cc/mcc 42 28 — — $10,135.81 $23,928.67 $13,328.59 2026-04-01
355 MS_DRG Hernia Procedures Except Inguinal And Femoral Without Cc/mcc 42 28 — — $10,148.86 $23,962.52 $13,345.75 2026-04-01
502 MS_DRG Soft Tissue Procedures Without Cc/mcc 42 28 — — $10,155.03 $23,978.55 $13,353.87 2026-04-01
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 27 20 — — $13,236.49 $31,974.38 $13,368.85 2026-04-01
80 MS_DRG Nontraumatic Stupor And Coma With Mcc 42 28 — — $1,337.63 $32,246.96 $13,474.95 2026-04-01
416 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. Without Cc/mcc 42 28 — — $10,274.50 $24,288.55 $13,510.97 2026-04-01
168 MS_DRG Other Respiratory System O.r. Procedures Without Cc/mcc 42 28 — — $10,295.79 $24,343.78 $13,538.97 2026-04-01
862 MS_DRG Postoperative And Post-traumatic Infections With Mcc 49 35 — — $8,400.28 $32,491.04 $13,569.95 2026-04-01
74 MS_DRG Cranial And Peripheral Nerve Disorders Without Mcc 21 16 — — $7,588.20 $18,571.40 $13,576.99 2026-04-01
858 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures Without Cc/mcc 42 28 — — $10,477.72 $24,815.91 $13,778.20 2026-04-01
63 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 42 28 — — $10,552.58 $25,010.10 $13,876.65 2026-04-01
399 MS_DRG Appendix Procedures Without Cc/mcc 38 26 — — $8,773.60 $20,393.98 $13,880.07 2026-04-01
593 MS_DRG Skin Ulcers With Cc 28 22 — — $8,784.71 $21,783.62 $13,925.51 2026-04-01
919 MS_DRG Complications Of Treatment With Mcc 42 28 — — $6,564.00 $32,617.53 $13,956.30 2026-04-01
205 MS_DRG Other Respiratory System Diagnoses With Mcc 42 28 — — $6,564.00 $32,621.10 $13,957.72 2026-04-01
642 MS_DRG Inborn And Other Disorders Of Metabolism 42 28 — — $10,678.21 $25,336.13 $14,041.85 2026-04-01
562 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 42 28 — — $10,696.75 $25,384.24 $14,066.23 2026-04-01
548 MS_DRG Septic Arthritis With Mcc 56 35 — — $2,316.35 $34,400.91 $14,171.61 2026-04-01
637 MS_DRG Diabetes With Mcc 42 28 — — $10,778.46 $25,596.25 $14,173.67 2026-04-01
581 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/mcc 42 28 — — $10,822.40 $25,710.27 $14,231.45 2026-04-01
300 MS_DRG Peripheral Vascular Disorders With Cc 39 30 — — $6,564.00 $20,097.13 $14,279.95 2026-04-01
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 49 35 — — $3,573.70 $37,881.00 $14,299.47 2026-04-01
630 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures Without Cc/mcc 42 28 — — $10,935.01 $26,002.45 $14,379.54 2026-04-01
380 MS_DRG Complicated Peptic Ulcer With Mcc 40 24 — — $2,728.75 $34,958.56 $14,386.53 2026-04-01
883 MS_DRG Disorders Of Personality And Impulse Control 41 28 — — $1.19 $35,031.60 $14,414.69 2026-04-01
539 MS_DRG Osteomyelitis With Mcc 56 35 — — $4,037.65 $35,092.18 $14,438.03 2026-04-01
604 MS_DRG Trauma To The Skin, Subcutaneous Tissue And Breast With Mcc 42 28 — — $11,021.51 $26,226.93 $14,493.29 2026-04-01
283 MS_DRG Acute Myocardial Infarction, Expired With Mcc 49 35 — — $2,298.43 $35,289.93 $14,514.24 2026-04-01
388 MS_DRG Gastrointestinal Obstruction With Mcc 42 28 — — $11,053.79 $26,310.67 $14,535.74 2026-04-01
682 MS_DRG Renal Failure With Mcc 42 28 — — $11,082.63 $26,385.50 $14,573.66 2026-04-01
557 MS_DRG Tendonitis, Myositis And Bursitis With Mcc 42 28 — — $11,123.14 $26,490.61 $14,626.93 2026-04-01
121 MS_DRG Acute Major Eye Infections With Cc/mcc 49 35 — — $8,901.30 $20,725.35 $14,732.03 2026-04-01
75 MS_DRG Viral Meningitis With Cc/mcc 41 28 — — $14,079.63 $34,162.18 $14,783.61 2026-04-01
345 MS_DRG Minor Small And Large Bowel Procedures With Cc 42 28 — — $11,245.35 $26,807.74 $14,787.64 2026-04-01
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 49 35 — — $5,486.07 $35,635.56 $14,793.91 2026-04-01
183 MS_DRG Major Chest Trauma With Mcc 42 28 — — $11,418.38 $27,256.70 $15,015.17 2026-04-01
964 MS_DRG Other Multiple Significant Trauma With Cc 42 28 — — $11,436.92 $27,304.80 $15,039.55 2026-04-01
337 MS_DRG Peritoneal Adhesiolysis Without Cc/mcc 42 28 — — $11,453.38 $27,347.56 $15,061.19 2026-04-01
517 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures Without Cc/mc… 42 28 — — $11,465.06 $27,377.85 $15,076.55 2026-04-01
843 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 42 28 — — $6,564.00 $35,539.36 $15,121.74 2026-04-01
230 MS_DRG Major Small Bowel Procedures,major 7 7 — — $14,627.09 $15,206.38 $15,206.38 2026-04-01
177 MS_DRG Respiratory Infections And Inflammations With Mcc 42 28 — — $11,643.57 $27,841.06 $15,311.30 2026-04-01
154 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses With Mcc 42 28 — — $11,649.07 $27,855.32 $15,318.52 2026-04-01
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 42 28 — — $969.37 $27,942.61 $15,362.76 2026-04-01
314 MS_DRG Other Circulatory System Diagnoses With Mcc 49 35 — — $6,070.48 $37,149.92 $15,383.35 2026-04-01
385 MS_DRG Inflammatory Bowel Disease With Mcc 42 28 — — $11,778.15 $28,190.26 $15,488.27 2026-04-01
393 MS_DRG Other Digestive System Diagnoses With Mcc 42 28 — — $11,894.85 $28,493.13 $15,641.73 2026-04-01
620 MS_DRG O.r. Procedures For Obesity With Cc 42 28 — — $11,901.73 $28,510.94 $15,650.77 2026-04-01
328 MS_DRG Stomach, Esophageal And Duodenal Procedures Without Cc/mcc 42 28 — — $11,915.46 $28,546.58 $15,668.83 2026-04-01
835 MS_DRG Acute Leukemia With Cc 42 28 — — $6,564.00 $37,160.61 $15,768.39 2026-04-01
38 MS_DRG Extracranial Procedures With Cc 42 28 — — $12,054.85 $28,908.24 $15,852.12 2026-04-01
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 42 28 — — $12,107.03 $29,043.64 $15,920.74 2026-04-01
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/mcc 42 28 — — $12,112.52 $29,057.90 $15,927.97 2026-04-01
841 MS_DRG Lymphoma And Non-acute Leukemia With Cc 42 28 — — $12,115.27 $29,065.02 $15,931.58 2026-04-01
334 MS_DRG Rectal Resection Without Cc/mcc 42 28 — — $12,159.89 $29,180.83 $15,990.26 2026-04-01
988 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 42 28 — — $12,199.03 $29,282.38 $16,041.73 2026-04-01
643 MS_DRG Endocrine Disorders With Mcc 42 28 — — $12,216.20 $29,326.92 $16,064.31 2026-04-01
30 MS_DRG Spinal Procedures Without Cc/mcc 47 33 — — $12,236.78 $39,109.68 $16,146.16 2026-04-01
512 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures Without Cc/… 42 28 — — $12,280.05 $29,492.61 $16,148.26 2026-04-01
413 MS_DRG Cholecystectomy With C.d.e. Without Cc/mcc 42 28 — — $12,315.07 $29,583.47 $16,194.32 2026-04-01
489 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection Without Cc/mcc 24 19 — — $8,888.90 $22,063.33 $16,237.62 2026-04-01
597 MS_DRG Malignant Breast Disorders With Mcc 42 28 — — $12,360.38 $29,701.05 $16,253.90 2026-04-01
419 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. Without Cc/mcc 23 16 — — $10,291.65 $24,333.09 $16,260.81 2026-04-01
63048 CPT Lam Facetectomy&Foramot 1 Vrt Sgm Ea Addl Sgm 12 4 — — $6,864.94 $26,184.29 $16,267.91 2026-04-01
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 42 28 — — $12,465.45 $29,973.64 $16,392.06 2026-04-01
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/mcc 42 28 — — $12,468.87 $29,982.55 $16,396.56 2026-04-01
571 MS_DRG Skin Debridement With Cc 42 28 — — $12,514.19 $30,100.13 $16,456.16 2026-04-01
769 MS_DRG Postpartum And Post Abortion Diagnoses With O.r. Procedures 42 28 — — $12,516.24 $30,105.48 $16,458.85 2026-04-01
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 42 28 — — $12,528.59 $30,137.55 $16,475.10 2026-04-01
93 MS_DRG Other Disorders Of Nervous System Without Cc/mcc 42 28 — — $1,453.00 $28,938.81 $16,536.46 2026-04-01
01638 CPT Anesth,Shoulder Replacement 4 4 — — $16,588.34 $16,920.11 $16,588.34 2026-04-01
27487 CPT Revj Tot Knee Arthrp Fem&Entire Tibial Compone|LEFT Side 3 2 — — $16,588.34 $16,588.34 $16,588.34 2026-04-01
01462 CPT Anesth,Lower Leg,Closed Procedure 5 2 — — $16,588.34 $16,588.34 $16,588.34 2026-04-01
63267 CPT Excis Intrasp Lesn,Xdural,Lumbar 5 3 — — $16,588.34 $25,670.88 $16,588.34 2026-04-01
23472 CPT Arthroplasty Glenohumeral Joint Total Shoulder|RIGHT Side 7 3 — — $16,588.34 $16,588.34 $16,588.34 2026-04-01
23430 CPT Tenodesis Long Tendon Biceps|LEFT Side 14 3 — — $6,864.94 $16,588.34 $16,588.34 2026-04-01
22614 CPT Arthrodesis Pst/Pstlat Tq 1ntrspc Ea Addl Ntrspc 3 2 — — $16,588.34 $16,588.34 $16,588.34 2026-04-01
22612 CPT Arthrodesis Posterior/Pstlat Tq 1ntrspc Lumbar 4 2 — — $16,588.34 $16,920.11 $16,588.34 2026-04-01
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 35 27 — — $4,170.44 $40,885.94 $16,670.82 2026-04-01
983 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/mcc 42 28 — — $12,682.40 $30,536.62 $16,677.35 2026-04-01
42 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/mcc 42 28 — — $12,776.46 $30,780.70 $16,801.05 2026-04-01
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 42 28 — — $12,778.53 $30,786.05 $16,803.77 2026-04-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 42 28 — — $912.35 $41,388.35 $16,864.47 2026-04-01
922 MS_DRG Other Injury, Poisoning And Toxic Effect Diagnoses With Mcc 42 28 — — $12,925.45 $31,167.31 $16,996.97 2026-04-01
62361 CPT Insert Infusn Pump,Nonprogram 8 4 — — $17,051.95 $17,392.99 $17,051.95 2026-04-01
62362 CPT Impltj/Rplcmt Ithcl/Edrl Drug Nfs Prgrbl Pump 8 4 — — $17,051.95 $17,392.99 $17,051.95 2026-04-01
62 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 42 28 — — $12,979.00 $31,306.28 $17,067.39 2026-04-01
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 42 28 — — $13,018.81 $31,409.61 $17,119.74 2026-04-01
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 42 28 — — $6,564.00 $40,720.25 $17,188.24 2026-04-01
01924 CPT Anesth,Inter Rad,Arterial Sys,Nos 3 2 — — $17,343.14 $17,343.14 $17,343.14 2026-04-01
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 42 28 — — $13,230.99 $31,960.12 $17,398.75 2026-04-01
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 42 28 — — $13,296.21 $32,129.37 $17,484.51 2026-04-01
496 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 42 28 — — $13,299.65 $32,138.28 $17,489.04 2026-04-01
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 42 28 — — $13,465.11 $32,567.65 $17,706.62 2026-04-01
792 MS_DRG Prematurity Without Major Problems 42 28 — — $726.00 $41,636.40 $17,730.25 2026-04-01
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc 42 28 — — $13,511.82 $32,688.80 $17,768.04 2026-04-01
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Mcc 42 28 — — $13,524.86 $32,722.65 $17,785.19 2026-04-01
398 MS_DRG Appendix Procedures With Cc 37 26 — — $11,306.45 $26,966.30 $17,864.19 2026-04-01
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 42 28 — — $13,755.54 $33,321.26 $18,088.53 2026-04-01
397 MS_DRG Appendix Procedures With Mcc 37 26 — — $17,357.43 $42,667.54 $18,225.30 2026-04-01
196 MS_DRG Interstitial Lung Disease With Mcc 42 28 — — $13,871.58 $33,622.36 $18,241.13 2026-04-01
261 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Cc 42 28 — — $13,894.25 $33,681.15 $18,270.94 2026-04-01
717 MS_DRG Other Male Reproductive System O.r. Procedures Except Malignancy With Cc/mcc 42 28 — — $13,894.25 $33,681.15 $18,270.94 2026-04-01
64590 CPT Implant Neurostim/Receiver 8 4 — — $18,354.00 $18,721.08 $18,354.00 2026-04-01
64555 CPT Hc Peripheral Nerve Stim Implant 31 4 — — $6,029.34 $18,721.08 $18,354.00 2026-04-01
64581 CPT Open Implantation Nea Sacral Nerve 7 3 — — $18,354.00 $18,354.00 $18,354.00 2026-04-01
165 MS_DRG Major Chest Procedures Without Cc/mcc 42 28 — — $14,056.97 $34,103.39 $18,484.92 2026-04-01
902 MS_DRG Wound Debridements For Injuries With Cc 42 28 — — $14,059.01 $34,108.73 $18,487.60 2026-04-01
947 MS_DRG Signs And Symptoms With Mcc 42 28 — — $1,453.00 $32,670.17 $18,668.67 2026-04-01
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 42 28 — — $14,251.28 $34,607.58 $18,740.43 2026-04-01
36 MS_DRG Carotid Artery Stent Procedures Without Cc/mcc 42 28 — — $14,253.33 $34,612.92 $18,743.13 2026-04-01
71 MS_DRG Other Cerebrovascular Disorders With Cc 42 28 — — $1,453.00 $32,916.66 $18,809.52 2026-04-01
299 MS_DRG Peripheral Vascular Disorders With Mcc 47 33 — — $12,124.19 $29,088.18 $18,830.18 2026-04-01
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 42 28 — — $14,427.73 $35,065.45 $18,972.47 2026-04-01
602 MS_DRG Cellulitis With Mcc 27 22 — — $10,672.72 $25,321.88 $19,012.73 2026-04-01
908 MS_DRG Other O.r. Procedures For Injuries With Cc 42 28 — — $14,613.11 $35,546.48 $19,216.24 2026-04-01
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 42 28 — — $14,633.02 $35,598.15 $19,242.42 2026-04-01
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc 42 28 — — $14,690.70 $35,747.80 $19,318.28 2026-04-01
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 42 28 — — $14,721.60 $35,827.98 $19,358.90 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 41 28 — — $1,453.00 $33,951.96 $19,401.12 2026-04-01
220 MS_DRG Major Stomach, Esophageal And Duodenal Procedures,extreme 14 7 — — $7,251.63 $33,208.22 $19,740.99 2026-04-01
415 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 42 28 — — $15,104.03 $36,820.33 $19,861.80 2026-04-01
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 42 28 — — $15,191.22 $37,046.59 $19,976.46 2026-04-01
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 42 28 — — $15,271.56 $37,255.04 $20,082.10 2026-04-01
442 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc 42 28 — — $1,453.00 $35,162.87 $20,093.07 2026-04-01
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 42 28 — — $15,294.90 $37,315.61 $20,112.79 2026-04-01
412 MS_DRG Cholecystectomy With C.d.e. With Cc 42 28 — — $15,349.83 $37,458.14 $20,185.03 2026-04-01
336 MS_DRG Peritoneal Adhesiolysis With Cc 42 28 — — $15,392.41 $37,568.60 $20,241.02 2026-04-01
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 42 28 — — $15,454.19 $37,728.94 $20,322.26 2026-04-01
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 42 28 — — $15,544.81 $37,964.11 $20,441.42 2026-04-01
92 MS_DRG Other Disorders Of Nervous System With Cc 42 28 — — $1,453.00 $35,797.62 $20,455.78 2026-04-01
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 42 28 — — $15,617.59 $38,152.96 $20,537.13 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 49 35 — — $6,504.17 $50,784.51 $20,690.45 2026-04-01
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 42 28 — — $15,873.71 $38,817.50 $20,873.93 2026-04-01
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 42 28 — — $15,899.10 $38,883.42 $20,907.32 2026-04-01
948 MS_DRG Signs And Symptoms Without Mcc 42 28 — — $1,453.00 $36,718.89 $20,982.22 2026-04-01
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 42 28 — — $1,453.00 $36,718.89 $20,982.22 2026-04-01
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 42 28 — — $16,010.33 $39,172.04 $21,053.58 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 39 26 — — $20,738.92 $51,441.92 $21,153.70 2026-04-01
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 42 28 — — $16,284.27 $39,882.90 $21,413.82 2026-04-01
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 42 28 — — $16,512.93 $40,476.17 $21,714.51 2026-04-01
949 MS_DRG Aftercare With Cc/mcc 42 28 — — $1,453.00 $38,013.01 $21,721.72 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 70 35 — — $2,341.56 $51,834.35 $21,739.98 2026-04-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 42 28 — — $16,782.77 $41,176.34 $22,069.35 2026-04-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 42 28 — — $16,880.95 $41,431.11 $22,198.45 2026-04-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 42 28 — — $16,959.21 $41,634.21 $22,301.36 2026-04-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 42 28 — — $16,970.88 $41,664.50 $22,316.71 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 42 28 — — $17,299.07 $42,516.10 $22,748.28 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 49 35 — — $8,243.95 $56,138.22 $22,774.29 2026-04-01
35 MS_DRG Carotid Artery Stent Procedures With Cc 42 28 — — $17,327.22 $42,589.15 $22,785.29 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 42 28 — — $17,373.23 $42,708.52 $22,845.79 2026-04-01
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 42 28 — — $17,490.63 $43,013.17 $23,000.18 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 42 28 — — $17,676.02 $53,733.00 $23,243.97 2026-04-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 42 28 — — $17,695.93 $43,545.87 $23,270.15 2026-04-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 42 28 — — $17,794.11 $43,800.64 $23,399.25 2026-04-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 42 28 — — $17,798.92 $43,813.11 $23,405.58 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 42 28 — — $18,243.84 $44,967.58 $23,990.65 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 42 28 — — $18,326.91 $45,183.16 $24,099.89 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 42 28 — — $18,359.87 $45,268.67 $24,143.22 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 42 28 — — $18,442.95 $45,484.25 $24,252.48 2026-04-01
73 MS_DRG Cranial And Peripheral Nerve Disorders With Mcc 42 28 — — $1,453.00 $42,573.21 $24,327.55 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 42 28 — — $18,622.83 $45,951.03 $24,489.02 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 42 28 — — $18,622.83 $45,951.03 $24,489.02 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 42 28 — — $18,735.44 $46,243.21 $24,637.10 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 35 25 — — $24,453.42 $61,080.37 $24,697.95 2026-04-01
644 MS_DRG Endocrine Disorders With Cc 42 28 — — $1,453.00 $43,469.84 $24,839.91 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 56 35 — — $3,767.57 $62,147.55 $24,864.70 2026-04-01
70 MS_DRG Other Cerebrovascular Disorders With Mcc 42 28 — — $1,453.00 $44,597.58 $25,484.33 2026-04-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 29 22 — — $16,107.15 $39,423.24 $25,543.61 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 42 28 — — $21,141.97 $53,733.00 $25,582.53 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 42 28 — — $19,494.82 $48,213.66 $25,635.69 2026-04-01
63052 CPT Lam Facetec/Foramot DRG Arthrd Lumbar 1 Vrt Sgm 1 1 — — $25,670.88 $25,670.88 $25,670.88 2026-04-01
22840 CPT Posterior Non-segmental Instrumentation 2 2 — — $25,670.88 $25,670.88 $25,670.88 2026-04-01
63035 CPT Lamnotmy W/Dcmprsn Nrv Each Addl Crvcl/Lmbr|UNUSUAL Non-overlapping Service 4 4 — — $25,670.88 $26,184.29 $25,670.88 2026-04-01
22632 CPT Arthrodesis Posterior Interbody 1 Ntrspc Ea Addl 1 1 — — $25,670.88 $25,670.88 $25,670.88 2026-04-01
63053 CPT Lam Facetec/Foramot DRG Arthrd Lmbr Ea Addl Sgm 1 1 — — $25,670.88 $25,670.88 $25,670.88 2026-04-01
60 MS_DRG Multiple Sclerosis And Cerebellar Ataxia Without Cc/mcc 42 28 — — $1,453.00 $45,201.49 $25,829.42 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 42 28 — — $19,684.31 $48,705.38 $25,884.87 2026-04-01
22634 CPT Arthrodesis Cmbn Tq 1ntrspc Each Additional 2 2 — — $25,670.88 $26,184.29 $25,927.58 2026-04-01
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Mcc 42 28 — — $1,453.00 $45,491.13 $25,994.93 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 42 28 — — $19,781.81 $48,958.37 $26,013.08 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 42 28 — — $19,786.62 $48,970.84 $26,019.40 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 42 28 — — $19,844.30 $49,120.49 $26,095.26 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 42 28 — — $19,945.91 $49,384.17 $26,228.88 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 47 33 — — $3,700.90 $66,583.74 $26,840.07 2026-04-01
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 42 28 — — $1,453.00 $47,444.62 $27,111.21 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 42 28 — — $20,620.82 $51,135.48 $27,116.38 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 42 28 — — $20,729.31 $51,416.98 $27,259.04 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 42 28 — — $20,909.91 $51,885.54 $27,496.54 2026-04-01
570 MS_DRG Skin Debridement With Mcc 42 28 — — $21,107.63 $52,398.64 $27,756.53 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 41 28 — — $26,502.22 $66,396.67 $27,827.33 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 49 35 — — $19,595.07 $48,473.77 $28,274.38 2026-04-01
64582 CPT Open Impltj Hpglsl Nrv Nstim Ra Pg&Respir Sensor 7 3 — — $29,193.76 $29,193.76 $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
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 42 28 — — $22,261.81 $55,393.51 $29,274.28 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 42 28 — — $22,299.56 $55,491.50 $29,323.92 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 42 28 — — $726.00 $70,883.20 $29,542.48 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 42 28 — — $22,795.29 $56,777.81 $29,975.81 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 42 28 — — $22,835.80 $56,882.92 $30,029.07 2026-04-01
20 MS_DRG Open Craniotomy For Trauma,extreme 7 7 — — $28,903.99 $30,048.70 $30,048.70 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 42 28 — — $23,093.96 $57,552.81 $30,368.56 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 42 28 — — $23,124.85 $57,632.98 $30,409.18 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 42 28 — — $23,149.57 $57,697.12 $30,441.68 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 42 28 — — $1,453.00 $53,286.61 $30,449.49 2026-04-01
91 MS_DRG Other Disorders Of Nervous System With Mcc 42 28 — — $1,453.00 $53,844.32 $30,768.18 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 42 28 — — $23,517.58 $58,652.05 $30,925.62 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 42 28 — — $23,594.50 $58,851.59 $31,026.77 2026-04-01
130 MS_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours,extreme 7 7 — — $29,874.46 $31,057.60 $31,057.60 2026-04-01
69930 CPT Implant Cochlear Device|LEFT Side 8 4 — — $31,194.17 $31,818.05 $31,194.17 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 42 28 — — $23,850.58 $59,516.13 $31,363.51 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 41 28 — — $29,910.49 $75,240.53 $31,406.01 2026-04-01
374 MS_DRG Digestive Malignancy With Mcc 14 11 — — $15,598.37 $38,103.08 $31,662.38 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 39 26 — — $31,074.97 $78,262.12 $31,696.47 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 42 28 — — $24,338.07 $60,781.07 $32,004.56 2026-04-01
100 MS_DRG Seizures With Mcc 42 28 — — $1,453.00 $57,165.87 $32,666.21 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 42 28 — — $25,127.65 $62,829.91 $33,042.86 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 42 28 — — $25,331.57 $63,359.04 $33,311.01 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 42 28 — — $25,351.48 $63,410.71 $33,337.19 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 42 28 — — $25,431.83 $63,619.15 $33,442.85 2026-04-01
332 MS_DRG Rectal Resection With Mcc 42 28 — — $25,773.74 $64,506.39 $33,892.47 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 42 28 — — $30,031.34 $75,554.09 $34,016.46 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 32 22 — — $1,453.00 $61,041.58 $34,067.83 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 42 28 — — $26,123.23 $65,413.23 $34,352.04 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 42 28 — — $26,577.06 $66,590.86 $34,948.83 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 42 28 — — $26,750.78 $67,041.61 $35,177.28 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 42 28 — — $27,490.24 $68,960.39 $36,149.67 2026-04-01
551 MS_DRG Medical Back Problems With Mcc 42 28 — — $1,453.00 $63,423.82 $36,242.18 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 56 35 — — $3,424.10 $92,739.41 $36,654.26 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 42 28 — — $28,518.76 $71,643.00 $37,472.35 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 42 28 — — $29,563.08 $74,339.04 $38,875.45 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 42 28 — — $29,762.19 $74,855.71 $39,137.28 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 42 28 — — $30,625.94 $77,096.96 $40,273.11 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 39 26 — — $40,097.54 $101,674.13 $40,899.49 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 42 28 — — $31,686.03 $79,847.75 $41,667.13 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 42 28 — — $32,131.64 $81,004.01 $42,253.10 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 42 28 — — $32,145.36 $81,039.64 $42,271.15 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 42 28 — — $32,473.57 $81,891.24 $42,702.74 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 42 28 — — $39,514.62 $100,161.55 $43,245.18 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 42 28 — — $33,127.89 $83,589.11 $43,563.18 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 47 34 — — $3,465.56 $114,640.62 $45,094.59 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 42 28 — — $34,706.38 $87,685.01 $45,638.89 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 42 28 — — $34,822.40 $87,986.10 $45,791.46 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 42 28 — — $35,157.47 $88,855.52 $46,232.07 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 42 28 — — $37,141.05 $94,002.56 $48,840.48 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 23 19 — — $27,274.64 $68,400.97 $48,861.94 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 40 27 — — $48,370.35 $123,140.63 $50,063.32 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 39 26 — — $49,871.25 $127,035.21 $50,868.68 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 39 26 — — $50,476.84 $128,606.58 $51,486.38 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 42 28 — — $40,258.20 $102,091.02 $52,939.54 2026-04-01
215 MS_DRG Other Heart Assist System Implant 39 26 — — $69,278.61 $177,393.91 $70,664.18 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 26 21 — — $67,816.45 $246,776.54 $96,017.45 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 16 15 — — $146,645.77 $378,148.16 $190,476.40 2026-04-01
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