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Hospital

MERCY HEALTH - WEST HOSPITAL

Cincinnati, OH · CCN 360234 · Rates published

1,019 distinct procedures filed
35 distinct payers
38,758 rate rows
2026-04-01 last MRF observed
Data quality

23,591 of 38,758 rate rows are consumer-grade (60.9%)

15,167 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 15,167
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.mercy.com/-/media/mercy/patient-resources/hospital-pricing-transparency/311091597_mercy-health-west-hospital-llc_standardcharges.ashx
Found on page https://www.mercy.com/pay-a-bill/estimate-your-cost
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint 65fd9ec799749b3f… · 33,908,359 bytes · first seen 2026-05-13

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 4 $202,077.11 $549,016.22 $332,416.84 nat. median
$265,286
1.3× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 2 $160,924.53 $316,934.69 $238,929.61 nat. median
$202,986
1.2× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 26 $100,316.51 $271,362.78 $105,332.34 nat. median
$133,176
0.8× median
215
MS_DRG 		Other Heart Assist System Implant 27 $72,354.16 $195,067.59 $75,971.87 nat. median
$99,019
0.8× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 22 $71,103.38 $191,654.83 $72,525.45 nat. median
$93,672
0.8× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 24 $55,992.75 $150,425.58 $57,112.61 nat. median
$74,915
0.8× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 26 $52,058.75 $139,691.67 $54,661.69 nat. median
$68,887
0.8× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 22 $50,489.19 $135,409.07 $53,013.65 nat. median
$66,526
0.8× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 27 $48,073.05 $128,816.70 $50,476.70 nat. median
$64,510
0.8× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 27 $48,073.05 $128,816.70 $50,476.70 nat. median
$61,920
0.8× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 27 $4,233.98 $126,062.21 $47,063.53 nat. median
$62,134
0.8× median
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 27 $43,989.71 $117,675.30 $46,189.20 nat. median
$59,099
0.8× median
326
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Mcc 19 $35,517.95 $99,502.69 $46,173.33 nat. median
$48,178
1.0× median
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 28 $36,321.32 $96,752.11 $45,401.65 nat. median
$48,170
0.9× median
239
MS_DRG 		Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 28 $36,199.97 $96,421.02 $45,249.96 nat. median
$47,740
0.9× median
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 27 $42,005.84 $112,262.31 $44,106.13 nat. median
$55,929
0.8× median
213
MS_DRG 		Endovascular Abdominal Aorta With Iliac Branch Procedures 27 $41,837.81 $111,803.88 $43,929.70 nat. median
$51,061
0.9× median
981
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 28 $34,549.26 $91,917.05 $43,186.57 nat. median
$46,084
0.9× median
278
MS_DRG 		Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures… 27 $40,827.58 $109,047.42 $42,868.96 nat. median
$50,270
0.9× median
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 28 $33,864.99 $90,050.03 $42,331.24 nat. median
$44,810
0.9× median
234
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 33 $4,613.42 $107,019.76 $42,088.65 nat. median
$53,268
0.8× median
11
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 20 $40,022.68 $106,851.27 $42,023.81 nat. median
$52,857
0.8× median
856
MS_DRG 		Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 28 $33,521.78 $89,113.58 $41,902.23 nat. median
$43,966
1.0× median
463
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 35 $3,116.79 $111,658.90 $41,784.68 nat. median
$52,753
0.8× median
163
MS_DRG 		Major Chest Procedures With Mcc 28 $33,041.43 $87,802.94 $41,301.79 nat. median
$44,938
0.9× median
356
MS_DRG 		Other Digestive System O.r. Procedures With Mcc 28 $32,402.38 $86,059.34 $40,502.97 nat. median
$42,444
1.0× median
56
MS_DRG 		Degenerative Nervous System Disorders With Mcc 28 $1,602.00 $62,598.84 $40,386.35 nat. median
$22,354
1.8× median
270
MS_DRG 		Other Major Cardiovascular Procedures With Mcc 23 $38,746.06 $103,367.99 $40,102.17 nat. median
$51,307
0.8× median
474
MS_DRG 		Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 28 $31,685.10 $84,102.20 $39,606.38 nat. median
$42,295
0.9× median
269
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 28 $31,184.64 $82,736.71 $38,980.80 nat. median
$41,527
0.9× median
673
MS_DRG 		Other Kidney And Urinary Tract Procedures With Mcc 28 $31,029.53 $82,313.55 $38,786.92 nat. median
$40,457
1.0× median
466
MS_DRG 		Revision Of Hip Or Knee Replacement With Mcc 34 $3,122.26 $101,978.99 $38,236.98 nat. median
$49,191
0.8× median
228
MS_DRG 		Other Cardiothoracic Procedures With Mcc 29 $9,854.18 $96,924.51 $36,384.51 nat. median
$50,673
0.7× median
907
MS_DRG 		Other O.r. Procedures For Injuries With Mcc 28 $28,428.19 $75,215.73 $35,535.24 nat. median
$38,112
0.9× median
823
MS_DRG 		Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 23 $33,780.98 $89,820.82 $34,963.32 nat. median
$45,113
0.8× median
956
MS_DRG 		Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 28 $27,880.34 $73,720.93 $34,850.43 nat. median
$37,664
0.9× median
471
MS_DRG 		Cervical Spinal Fusion With Mcc 13 $33,995.45 $91,566.64 $34,675.36 nat. median
$46,647
0.7× median
166
MS_DRG 		Other Respiratory System O.r. Procedures With Mcc 28 $27,698.68 $73,225.28 $34,623.35 nat. median
$37,476
0.9× median
277
MS_DRG 		Cardiac Defibrillator Implant Without Mcc 27 $32,624.84 $91,135.37 $34,256.08 nat. median
$46,109
0.7× median
492
MS_DRG 		Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 28 $27,224.07 $71,930.32 $34,030.08 nat. median
$35,489
1.0× median
335
MS_DRG 		Peritoneal Adhesiolysis With Mcc 28 $26,501.03 $69,957.50 $33,126.29 nat. median
$35,058
0.9× median
271
MS_DRG 		Other Major Cardiovascular Procedures With Cc 28 $26,396.20 $69,671.47 $32,995.25 nat. median
$35,597
0.9× median
12
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 27 $31,132.95 $82,595.66 $32,689.60 nat. median
$40,916
0.8× median
273
MS_DRG 		Percutaneous And Other Intracardiac Procedures With Mcc 27 $30,483.14 $80,822.67 $32,007.30 nat. median
$40,005
0.8× median
359
MS_DRG 		Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 28 $25,551.11 $67,365.61 $31,938.89 nat. median
$32,088
1.0× median
323
MS_DRG 		Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 34 $10,713.31 $84,778.09 $31,932.81 nat. median
$41,311
0.8× median
987
MS_DRG 		Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 28 $25,477.87 $67,165.78 $31,847.33 nat. median
$33,847
0.9× median
140
MS_DRG 		Major Head And Neck Procedures With Mcc 35 $3,448.08 $83,561.49 $31,486.92 nat. median
$40,208
0.8× median
711
MS_DRG 		Post-operative, Post-trauma, Other Device Infections With O.r. Procedure,extreme 7 $30,724.94 $32,654.52 $31,170.23 nat. median
$20,446
1.5× median
264
MS_DRG 		Other Circulatory System O.r. Procedures 28 $24,847.45 $65,445.69 $31,059.31 nat. median
$33,061
0.9× median

Other procedures at this hospital

Browse this hospital's 1,019 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 6 4 — — $202,077.11 $549,016.22 $332,416.84 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 2 2 — — $160,924.53 $316,934.69 $238,929.61 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 37 26 — — $100,316.51 $271,362.78 $105,332.34 2026-04-01
215 MS_DRG Other Heart Assist System Implant 39 27 — — $72,354.16 $195,067.59 $75,971.87 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 33 22 — — $71,103.38 $191,654.83 $72,525.45 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 33 24 — — $55,992.75 $150,425.58 $57,112.61 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 38 26 — — $52,058.75 $139,691.67 $54,661.69 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 29 22 — — $50,489.19 $135,409.07 $53,013.65 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 39 27 — — $48,073.05 $128,816.70 $50,476.70 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 39 27 — — $48,073.05 $128,816.70 $50,476.70 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 43 27 — — $4,233.98 $126,062.21 $47,063.53 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 39 27 — — $43,989.71 $117,675.30 $46,189.20 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 39 27 — — $42,005.84 $112,262.31 $44,106.13 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 39 27 — — $41,837.81 $111,803.88 $43,929.70 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 62 35 — — $3,116.79 $111,658.90 $41,784.68 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 39 27 — — $40,827.58 $109,047.42 $42,868.96 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 47 33 — — $4,613.42 $107,019.76 $42,088.65 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 30 20 — — $40,022.68 $106,851.27 $42,023.81 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 36 23 — — $38,746.06 $103,367.99 $40,102.17 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 58 34 — — $3,122.26 $101,978.99 $38,236.98 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 22 19 — — $35,517.95 $99,502.69 $46,173.33 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 40 29 — — $9,854.18 $96,924.51 $36,384.51 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 42 28 — — $36,321.32 $96,752.11 $45,401.65 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 42 28 — — $36,199.97 $96,421.02 $45,249.96 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 42 28 — — $34,549.26 $91,917.05 $43,186.57 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 15 13 — — $33,995.45 $91,566.64 $34,675.36 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 35 27 — — $32,624.84 $91,135.37 $34,256.08 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 42 28 — — $33,864.99 $90,050.03 $42,331.24 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 36 23 — — $33,780.98 $89,820.82 $34,963.32 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 42 28 — — $33,521.78 $89,113.58 $41,902.23 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 42 28 — — $33,041.43 $87,802.94 $41,301.79 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 42 28 — — $32,402.38 $86,059.34 $40,502.97 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 61 34 — — $10,713.31 $84,778.09 $31,932.81 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 42 28 — — $31,685.10 $84,102.20 $39,606.38 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 68 35 — — $3,448.08 $83,561.49 $31,486.92 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 42 28 — — $31,184.64 $82,736.71 $38,980.80 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 39 27 — — $31,132.95 $82,595.66 $32,689.60 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 42 28 — — $31,029.53 $82,313.55 $38,786.92 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 38 27 — — $30,483.14 $80,822.67 $32,007.30 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 42 28 — — $28,428.19 $75,215.73 $35,535.24 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 42 28 — — $27,880.34 $73,720.93 $34,850.43 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 49 35 — — $4,684.42 $73,399.64 $28,317.84 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 42 28 — — $27,698.68 $73,225.28 $34,623.35 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 42 28 — — $27,224.07 $71,930.32 $34,030.08 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 33 24 — — $26,794.69 $70,758.77 $27,330.58 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 45 34 — — $4,349.67 $70,652.98 $27,291.04 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 42 28 — — $26,501.03 $69,957.50 $33,126.29 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 39 27 — — $26,441.44 $69,794.90 $27,763.51 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 42 28 — — $26,396.20 $69,671.47 $32,995.25 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 39 27 — — $26,182.95 $69,089.62 $27,492.10 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 56 35 — — $5,460.70 $68,339.29 $25,907.95 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 25 21 — — $25,901.49 $68,321.65 $26,160.50 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 41 28 — — $25,665.99 $67,679.07 $26,949.29 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 42 28 — — $25,551.11 $67,365.61 $31,938.89 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 42 28 — — $25,477.87 $67,165.78 $31,847.33 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 42 28 — — $24,847.45 $65,445.69 $31,059.31 2026-04-01
178 MS_DRG Respiratory Infections And Inflammations With Cc 49 35 — — $7,869.27 $65,311.22 $13,456.45 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 40 27 — — $24,499.21 $64,495.53 $25,724.17 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 38 26 — — $24,114.36 $63,445.45 $25,320.08 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 49 35 — — $14,221.66 $62,894.95 $24,390.84 2026-04-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 42 28 — — $1,602.00 $62,598.84 $40,386.35 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 56 35 — — $4,240.83 $62,550.14 $23,786.22 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 49 35 — — $6,644.31 $62,001.60 $24,056.88 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 42 28 — — $23,550.70 $61,907.56 $29,438.38 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 49 35 — — $9,095.01 $61,731.24 $23,955.80 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 42 28 — — $23,225.45 $61,020.09 $29,031.81 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 42 28 — — $22,549.09 $59,174.62 $28,186.36 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 42 28 — — $22,232.43 $58,310.65 $27,790.53 2026-04-01
570 MS_DRG Skin Debridement With Mcc 42 28 — — $21,978.99 $57,619.09 $27,473.74 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 63 35 — — $2,860.76 $57,518.57 $22,640.26 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 42 28 — — $21,827.46 $57,205.72 $27,284.33 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 42 28 — — $21,772.19 $57,054.87 $27,215.24 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 42 28 — — $21,698.23 $56,853.08 $27,122.78 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 42 28 — — $21,583.35 $56,539.63 $26,979.19 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 42 28 — — $21,469.90 $56,230.09 $26,837.38 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 42 28 — — $22,014.88 $55,866.89 $26,362.31 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 49 35 — — $7,946.33 $55,844.15 $21,755.02 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 42 28 — — $20,657.81 $54,014.35 $25,822.26 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 42 28 — — $20,597.52 $53,849.78 $25,746.90 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 49 35 — — $6,388.96 $53,836.07 $21,004.33 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 42 28 — — $20,490.53 $53,557.88 $25,613.17 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 49 35 — — $11,679.90 $53,303.19 $20,805.13 2026-04-01
849 MS_DRG Radiotherapy 42 28 — — $20,316.05 $53,081.81 $25,395.06 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 26 21 — — $20,229.17 $52,844.76 $21,240.63 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 24 18 — — $20,764.08 $52,563.54 $21,802.28 2026-04-01
950 MS_DRG Aftercare Without Cc/mcc 49 35 — — $1,602.00 $51,081.86 $14,405.01 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 48 34 — — $4,226.45 $50,850.40 $20,180.68 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 42 28 — — $19,406.33 $50,599.63 $24,257.92 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 42 28 — — $19,192.36 $50,015.82 $23,990.45 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 42 28 — — $19,105.48 $49,778.77 $23,881.85 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 42 28 — — $19,071.01 $49,684.74 $23,838.76 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 42 28 — — $18,984.13 $49,447.68 $23,730.17 2026-04-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 42 28 — — $18,753.65 $48,818.81 $23,442.06 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 29 23 — — $17,563.70 $48,346.67 $27,750.65 2026-04-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 42 28 — — $18,518.86 $48,178.19 $23,148.57 2026-04-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 42 28 — — $18,513.85 $48,164.47 $23,142.31 2026-04-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 42 28 — — $18,411.17 $47,884.32 $23,013.97 2026-04-01
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 42 28 — — $18,253.20 $47,453.32 $22,816.50 2026-04-01
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 36 26 — — $18,196.47 $47,298.55 $22,745.58 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 42 28 — — $18,073.69 $46,963.55 $22,592.11 2026-04-01
397 MS_DRG Appendix Procedures With Mcc 42 28 — — $18,057.19 $46,918.49 $22,571.49 2026-04-01
35 MS_DRG Carotid Artery Stent Procedures With Cc 42 28 — — $18,025.58 $46,832.29 $22,531.97 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 42 28 — — $17,996.14 $46,751.96 $22,495.18 2026-04-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 42 28 — — $17,652.94 $45,815.51 $22,066.17 2026-04-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 42 28 — — $17,558.88 $45,558.87 $21,948.60 2026-04-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 42 28 — — $17,456.20 $45,278.72 $21,820.25 2026-04-01
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 36 23 — — $17,339.16 $44,959.39 $17,946.03 2026-04-01
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 49 35 — — $11,859.94 $44,777.19 $17,617.84 2026-04-01
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 42 28 — — $17,201.31 $44,583.24 $21,501.64 2026-04-01
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 42 28 — — $17,174.02 $44,508.79 $21,467.53 2026-04-01
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 42 28 — — $17,128.79 $44,385.37 $21,410.99 2026-04-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 42 28 — — $16,749.68 $43,350.96 $20,937.10 2026-04-01
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 42 28 — — $16,714.50 $43,254.97 $20,893.13 2026-04-01
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 39 27 — — $16,648.43 $43,074.73 $17,480.85 2026-04-01
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 42 28 — — $16,532.11 $42,757.36 $20,665.14 2026-04-01
141 MS_DRG Major Head And Neck Procedures With Cc 62 35 — — $3,175.66 $42,729.93 $16,522.06 2026-04-01
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 42 28 — — $16,505.55 $42,684.87 $20,631.94 2026-04-01
135 MS_DRG Sinus And Mastoid Procedures With Cc/mcc 42 28 — — $16,442.37 $42,512.47 $20,552.97 2026-04-01
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 42 28 — — $16,237.74 $41,954.13 $20,297.18 2026-04-01
374 MS_DRG Digestive Malignancy With Mcc 42 28 — — $16,217.62 $41,899.27 $20,272.03 2026-04-01
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 55 35 — — $4,976.04 $41,746.46 $16,161.62 2026-04-01
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 42 28 — — $16,066.83 $41,487.86 $20,083.53 2026-04-01
336 MS_DRG Peritoneal Adhesiolysis With Cc 42 28 — — $16,002.21 $41,311.54 $20,002.76 2026-04-01
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 42 28 — — $15,900.27 $41,033.35 $19,875.33 2026-04-01
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 42 28 — — $15,890.93 $41,007.88 $19,863.67 2026-04-01
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 42 28 — — $15,875.85 $40,966.74 $19,844.81 2026-04-01
314 MS_DRG Other Circulatory System Diagnoses With Mcc 49 35 — — $7,416.48 $40,851.15 $16,150.15 2026-04-01
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 42 28 — — $15,791.85 $40,737.53 $19,739.81 2026-04-01
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 42 28 — — $15,782.51 $40,712.06 $19,728.14 2026-04-01
415 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 42 28 — — $15,700.66 $40,488.72 $19,625.82 2026-04-01
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 27 18 — — $14,024.64 $39,930.38 $14,725.87 2026-04-01
259 MS_DRG Cardiac Pacemaker Device Replacement Without Mcc 16 15 — — $15,380.42 $39,614.96 $19,225.53 2026-04-01
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 42 28 — — $15,300.73 $39,397.50 $19,125.92 2026-04-01
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc 42 28 — — $15,268.41 $39,309.34 $19,085.51 2026-04-01
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 42 28 — — $15,223.17 $39,185.92 $19,028.97 2026-04-01
908 MS_DRG Other O.r. Procedures For Injuries With Cc 42 28 — — $15,187.26 $39,087.96 $18,984.08 2026-04-01
843 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 40 27 — — $15,184.40 $39,080.13 $15,943.62 2026-04-01
283 MS_DRG Acute Myocardial Infarction, Expired With Mcc 54 35 — — $3,702.76 $38,805.85 $15,159.31 2026-04-01
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 42 28 — — $14,993.42 $38,559.01 $18,741.78 2026-04-01
380 MS_DRG Complicated Peptic Ulcer With Mcc 49 35 — — $7,136.50 $38,441.46 $15,249.34 2026-04-01
36 MS_DRG Carotid Artery Stent Procedures Without Cc/mcc 42 28 — — $14,811.03 $38,061.39 $18,513.78 2026-04-01
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 42 28 — — $14,808.87 $38,055.52 $18,511.08 2026-04-01
100 MS_DRG Seizures With Mcc 42 28 — — $14,767.96 $37,943.85 $18,459.95 2026-04-01
592 MS_DRG Skin Ulcers With Mcc 42 28 — — $14,757.19 $37,914.46 $18,446.49 2026-04-01
902 MS_DRG Wound Debridements For Injuries With Cc 42 28 — — $14,607.84 $37,506.97 $18,259.80 2026-04-01
801 MS_DRG Splenic Procedures Without Cc/mcc 42 28 — — $14,567.64 $37,397.26 $18,209.55 2026-04-01
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 42 28 — — $1,602.00 $37,103.75 $23,746.79 2026-04-01
717 MS_DRG Other Male Reproductive System O.r. Procedures Except Malignancy With Cc/mcc 42 28 — — $14,435.51 $37,036.79 $18,044.39 2026-04-01
196 MS_DRG Interstitial Lung Disease With Mcc 42 28 — — $14,411.83 $36,972.14 $18,014.78 2026-04-01
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 42 28 — — $14,290.48 $36,641.05 $17,863.10 2026-04-01
504 MS_DRG Foot Procedures With Cc 42 28 — — $14,282.58 $36,619.50 $17,853.22 2026-04-01
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 42 28 — — $14,711.22 $36,577.73 $18,389.03 2026-04-01
479 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue Without Cc/mcc 42 28 — — $14,208.63 $36,417.71 $17,760.78 2026-04-01
754 MS_DRG Malignancy, Female Reproductive System With Mcc 42 28 — — $14,085.12 $36,080.74 $17,606.40 2026-04-01
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Mcc 42 28 — — $14,049.22 $35,982.79 $17,561.53 2026-04-01
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc 42 28 — — $14,035.59 $35,945.57 $17,544.49 2026-04-01
205 MS_DRG Other Respiratory System Diagnoses With Mcc 42 28 — — $14,008.30 $35,871.12 $17,510.38 2026-04-01
919 MS_DRG Complications Of Treatment With Mcc 33 24 — — $14,006.86 $35,867.20 $14,707.20 2026-04-01
657 MS_DRG Kidney And Ureter Procedures For Neoplasm With Cc 42 28 — — $14,001.10 $35,851.53 $17,501.38 2026-04-01
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 42 28 — — $13,986.75 $35,812.35 $17,483.44 2026-04-01
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 22 16 — — $13,202.23 $35,796.68 $21,717.67 2026-04-01
862 MS_DRG Postoperative And Post-traumatic Infections With Mcc 42 28 — — $13,955.87 $35,728.11 $17,444.83 2026-04-01
465 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 56 35 — — $3,244.11 $35,728.11 $13,955.87 2026-04-01
80 MS_DRG Nontraumatic Stupor And Coma With Mcc 42 28 — — $13,857.51 $35,459.71 $17,321.89 2026-04-01
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/mcc 61 35 — — $3,150.33 $35,410.73 $13,839.56 2026-04-01
686 MS_DRG Kidney And Urinary Tract Neoplasms With Mcc 38 26 — — $13,812.28 $35,336.29 $17,955.96 2026-04-01
949 MS_DRG Aftercare With Cc/mcc 42 28 — — $1,602.00 $35,292.94 $22,769.64 2026-04-01
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 42 28 — — $13,747.64 $35,159.97 $17,184.55 2026-04-01
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 42 28 — — $13,741.92 $35,144.29 $17,177.40 2026-04-01
254 MS_DRG Other Vascular Procedures Without Cc/mcc 54 35 — — $4,002.60 $34,905.28 $13,722.58 2026-04-01
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 42 28 — — $13,592.56 $34,736.80 $16,990.70 2026-04-01
488 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection With Cc/mcc 42 28 — — $13,562.41 $34,654.52 $16,953.01 2026-04-01
542 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 42 28 — — $13,545.18 $34,607.50 $16,931.47 2026-04-01
180 MS_DRG Respiratory Neoplasms With Mcc 42 28 — — $13,541.60 $34,597.71 $16,927.00 2026-04-01
199 MS_DRG Pneumothorax With Mcc 57 30 — — $2,819.69 $34,560.48 $13,527.94 2026-04-01
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 42 28 — — $13,520.05 $34,538.93 $16,900.06 2026-04-01
62 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 42 28 — — $13,478.40 $34,425.31 $16,848.00 2026-04-01
91 MS_DRG Other Disorders Of Nervous System With Mcc 42 28 — — $13,471.21 $34,405.71 $16,839.01 2026-04-01
505 MS_DRG Foot Procedures Without Cc/mcc 29 21 — — $12,690.72 $34,382.21 $12,944.53 2026-04-01
922 MS_DRG Other Injury, Poisoning And Toxic Effect Diagnoses With Mcc 42 28 — — $13,422.39 $34,272.50 $16,777.99 2026-04-01
666 MS_DRG Prostatectomy With Cc 42 28 — — $13,421.68 $34,270.54 $16,777.10 2026-04-01
501 MS_DRG Soft Tissue Procedures With Cc 49 35 — — $4,249.72 $34,247.03 $13,681.33 2026-04-01
144 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Cc 49 35 — — $5,021.22 $33,949.24 $13,570.00 2026-04-01
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 42 28 — — $13,268.73 $33,853.25 $16,585.92 2026-04-01
42 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/mcc 48 34 — — $6,911.97 $33,847.37 $13,730.93 2026-04-01
551 MS_DRG Medical Back Problems With Mcc 42 28 — — $1,602.00 $33,645.14 $21,706.54 2026-04-01
157 MS_DRG Dental And Oral Diseases With Mcc 42 28 — — $13,188.32 $33,633.83 $16,485.40 2026-04-01
983 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/mcc 42 28 — — $13,168.21 $33,578.97 $16,460.26 2026-04-01
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 42 28 — — $13,007.38 $33,140.14 $16,259.23 2026-04-01
571 MS_DRG Skin Debridement With Cc 42 28 — — $12,992.30 $33,098.99 $16,240.38 2026-04-01
896 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 41 28 — — $2,528.00 $33,092.33 $13,659.35 2026-04-01
70 MS_DRG Other Cerebrovascular Disorders With Mcc 42 28 — — $1,602.00 $33,048.57 $21,321.66 2026-04-01
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/mcc 42 28 — — $12,944.92 $32,969.69 $16,181.15 2026-04-01
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 42 28 — — $12,941.33 $32,959.90 $16,176.67 2026-04-01
915 MS_DRG Allergic Reactions With Mcc 42 28 — — $12,935.59 $32,944.23 $16,169.49 2026-04-01
444 MS_DRG Disorders Of The Biliary Tract With Mcc 42 28 — — $12,858.74 $32,734.60 $16,073.42 2026-04-01
711 MS_DRG Post-operative, Post-trauma, Other Device Infections With O.r. Procedure,extreme 7 7 — — $30,724.94 $32,654.52 $31,170.23 2026-04-01
512 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures Without Cc/… 27 21 — — $12,747.46 $32,430.94 $13,002.41 2026-04-01
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With Mcc 33 25 — — $12,740.28 $32,411.35 $18,473.41 2026-04-01
643 MS_DRG Endocrine Disorders With Mcc 42 28 — — $12,680.69 $32,248.75 $15,850.86 2026-04-01
988 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 42 28 — — $12,662.74 $32,199.77 $15,828.42 2026-04-01
299 MS_DRG Peripheral Vascular Disorders With Mcc 42 28 — — $12,584.48 $31,986.23 $15,730.60 2026-04-01
841 MS_DRG Lymphoma And Non-acute Leukemia With Cc 42 28 — — $12,575.13 $31,960.76 $15,718.91 2026-04-01
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/mcc 42 28 — — $12,572.26 $31,952.92 $15,715.33 2026-04-01
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 42 28 — — $12,566.52 $31,937.25 $15,708.15 2026-04-01
539 MS_DRG Osteomyelitis With Mcc 42 28 — — $1,602.00 $31,867.02 $20,559.37 2026-04-01
38 MS_DRG Extracranial Procedures With Cc 42 28 — — $12,511.95 $31,788.36 $15,639.94 2026-04-01
73 MS_DRG Cranial And Peripheral Nerve Disorders With Mcc 42 28 — — $12,380.56 $31,429.84 $15,475.70 2026-04-01
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 65 35 — — $3,085.29 $31,425.92 $12,626.70 2026-04-01
328 MS_DRG Stomach, Esophageal And Duodenal Procedures Without Cc/mcc 42 28 — — $12,366.19 $31,390.66 $15,457.74 2026-04-01
393 MS_DRG Other Digestive System Diagnoses With Mcc 42 28 — — $12,344.65 $31,331.89 $15,430.81 2026-04-01
142 MS_DRG Major Head And Neck Procedures Without Cc/mcc 44 33 — — $4,964.40 $31,275.07 $12,940.03 2026-04-01
64582 CPT Open Impltj Hpglsl Nrv Nstim Ra Pg&Respir Sensor 7 4 — — $30,593.52 $31,205.39 $30,593.52 2026-04-01
368 MS_DRG Major Esophageal Disorders With Mcc 22 18 — — $12,291.51 $31,186.91 $20,035.16 2026-04-01
306 MS_DRG Cardiac Congenital And Valvular Disorders With Mcc 42 28 — — $12,175.93 $30,871.50 $15,219.91 2026-04-01
513 MS_DRG Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures With Cc/mcc 42 28 — — $12,165.15 $30,842.11 $15,206.44 2026-04-01
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 42 28 — — $12,122.79 $30,726.52 $15,153.49 2026-04-01
533 MS_DRG Fractures Of Femur With Mcc 42 28 — — $12,117.76 $30,712.81 $15,147.20 2026-04-01
154 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses With Mcc 42 28 — — $12,087.61 $30,630.53 $15,109.51 2026-04-01
177 MS_DRG Respiratory Infections And Inflammations With Mcc 42 28 — — $12,081.86 $30,614.86 $15,102.33 2026-04-01
296 MS_DRG Cardiac Arrest, Unexplained With Mcc 36 23 — — $12,076.11 $30,599.18 $12,498.77 2026-04-01
186 MS_DRG Pleural Effusion With Mcc 42 28 — — $12,051.71 $30,532.57 $15,064.64 2026-04-01
669 MS_DRG Transurethral Procedures With Cc 42 28 — — $12,005.02 $30,405.23 $15,006.27 2026-04-01
564 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc 42 28 — — $11,944.73 $30,240.67 $14,930.92 2026-04-01
517 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures Without Cc/mc… 42 28 — — $11,895.18 $30,105.49 $14,868.97 2026-04-01
964 MS_DRG Other Multiple Significant Trauma With Cc 42 28 — — $11,865.74 $30,025.17 $14,832.17 2026-04-01
183 MS_DRG Major Chest Trauma With Mcc 42 28 — — $11,846.35 $29,972.27 $14,807.94 2026-04-01
54 MS_DRG Nervous System Neoplasms With Mcc 47 33 — — $4,687.85 $29,913.50 $12,416.06 2026-04-01
548 MS_DRG Septic Arthritis With Mcc 42 28 — — $1,602.00 $29,741.40 $19,188.00 2026-04-01
398 MS_DRG Appendix Procedures With Cc 42 28 — — $11,729.31 $29,652.94 $14,661.64 2026-04-01
606 MS_DRG Minor Skin Disorders With Mcc 42 28 — — $11,726.43 $29,645.10 $14,658.03 2026-04-01
130 MS_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours,major 7 7 — — $27,825.84 $29,573.36 $28,229.11 2026-04-01
345 MS_DRG Minor Small And Large Bowel Procedures With Cc 42 28 — — $11,665.41 $29,478.58 $14,581.76 2026-04-01
865 MS_DRG Viral Illness With Mcc 42 28 — — $11,619.47 $29,353.20 $14,524.33 2026-04-01
682 MS_DRG Renal Failure With Mcc 42 28 — — $11,495.24 $29,014.27 $14,369.05 2026-04-01
388 MS_DRG Gastrointestinal Obstruction With Mcc 42 28 — — $11,465.08 $28,931.99 $14,331.35 2026-04-01
604 MS_DRG Trauma To The Skin, Subcutaneous Tissue And Breast With Mcc 42 28 — — $11,431.34 $28,839.91 $14,289.17 2026-04-01
67 MS_DRG Precerebral Occlusion Without Infarction With Mcc 42 28 — — $11,406.93 $28,773.30 $14,258.67 2026-04-01
171 MS_DRG Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock,extreme 7 7 — — $27,019.43 $28,716.30 $27,411.02 2026-04-01
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Mcc 42 28 — — $1,602.00 $28,406.37 $18,326.69 2026-04-01
581 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/mcc 28 20 — — $10,521.99 $28,195.37 $15,940.82 2026-04-01
637 MS_DRG Diabetes With Mcc 42 28 — — $11,177.17 $28,146.39 $13,971.47 2026-04-01
602 MS_DRG Cellulitis With Mcc 42 28 — — $11,066.59 $27,844.69 $13,833.24 2026-04-01
358 MS_DRG Other Digestive System O.r. Procedures Without Cc/mcc 42 28 — — $10,898.58 $27,386.26 $13,623.23 2026-04-01
83 MS_DRG Traumatic Stupor And Coma >1 Hour With Cc 42 28 — — $10,883.50 $27,345.12 $13,604.38 2026-04-01
168 MS_DRG Other Respiratory System O.r. Procedures Without Cc/mcc 29 22 — — $10,672.40 $26,769.14 $16,862.39 2026-04-01
416 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. Without Cc/mcc 42 28 — — $10,650.14 $26,708.41 $13,312.67 2026-04-01
88 MS_DRG Concussion With Mcc 42 28 — — $10,567.58 $26,483.11 $13,209.47 2026-04-01
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 42 28 — — $10,451.25 $26,165.74 $13,064.06 2026-04-01
627 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures Without Cc/mcc 30 22 — — $10,398.84 $26,022.73 $17,106.10 2026-04-01
124 MS_DRG Other Disorders Of The Eye With Mcc Or Thrombolytic Agent 42 28 — — $10,361.49 $25,920.85 $12,951.86 2026-04-01
00537 CPT Anesth,Card Electrophys Proc 3 1 — — $25,914.09 $25,914.09 $25,914.09 2026-04-01
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 42 28 — — $10,299.03 $25,750.41 $12,873.78 2026-04-01
909 MS_DRG Other O.r. Procedures For Injuries Without Cc/mcc 42 28 — — $10,286.82 $25,717.11 $12,858.52 2026-04-01
947 MS_DRG Signs And Symptoms With Mcc 42 28 — — $1,602.00 $25,669.71 $16,561.10 2026-04-01
348 MS_DRG Anal And Stomal Procedures With Cc 42 28 — — $10,258.82 $25,640.70 $12,823.53 2026-04-01
977 MS_DRG HIV With Or Without Other Related Condition 42 28 — — $10,179.13 $25,423.24 $12,723.92 2026-04-01
553 MS_DRG Bone Diseases And Arthropathies With Mcc 42 28 — — $10,169.08 $25,395.81 $12,711.35 2026-04-01
540 MS_DRG Osteomyelitis With Cc 42 28 — — $10,169.08 $25,395.81 $12,711.35 2026-04-01
975 MS_DRG HIV With Major Related Condition With Cc 42 28 — — $10,159.75 $25,370.35 $12,699.69 2026-04-01
291 MS_DRG Heart Failure And Shock With Mcc 42 28 — — $10,079.31 $25,150.93 $12,599.14 2026-04-01
535 MS_DRG Fractures Of Hip And Pelvis With Mcc 42 28 — — $10,066.40 $25,115.66 $12,583.00 2026-04-01
147 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Cc 42 28 — — $9,991.01 $24,909.96 $12,488.76 2026-04-01
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 42 28 — — $9,968.03 $24,847.27 $12,460.03 2026-04-01
809 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 42 28 — — $9,950.81 $24,800.25 $12,438.51 2026-04-01
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 63 35 — — $8,205.78 $23,616.20 $14,228.46 2026-04-01
64561 CPT Hc Prq Impltj Neurostim Eltrd Sacral Nrve W/Imaging|LEFT Side 14 4 — — $19,234.03 $19,618.71 $19,234.03 2026-04-01
64581 CPT Open Implantation Nea Sacral Nerve 7 4 — — $19,234.03 $19,618.71 $19,234.03 2026-04-01
64590 CPT Implant Neurostim/Receiver 7 4 — — $19,234.03 $19,618.71 $19,234.03 2026-04-01
00530 CPT Anesth,Pacemaker Insertion 5 3 — — $19,096.79 $19,478.72 $19,096.79 2026-04-01
315 MS_DRG Other Circulatory System Diagnoses With Cc 35 31 — — $7,778.08 $18,872.01 $13,114.51 2026-04-01
01638 CPT Anesth,Shoulder Replacement 3 2 — — $17,383.71 $17,731.38 $17,383.71 2026-04-01
23472 CPT Arthroplasty Glenohumeral Joint Total Shoulder|RIGHT Side 7 4 — — $17,383.71 $17,731.38 $17,383.71 2026-04-01
169 MS_DRG Major Abdominal Vascular Procedures,moderate 6 6 — — $14,737.13 $15,520.26 $14,950.71 2026-04-01
952 MS_DRG Non-extensive O.r. Procedure Unrelated To Principal Diagnosis,major 7 7 — — $12,768.34 $13,570.22 $12,953.39 2026-04-01
182 MS_DRG Other Upper Vascular Procedures,moderate 7 7 — — $12,473.30 $13,256.65 $12,654.08 2026-04-01
423 MS_DRG Inborn Errors Of Metabolism,major 5 5 — — $12,583.23 $13,182.43 $12,583.23 2026-04-01
00214 CPT Anesth,Skull Surg Burr Hole 1 1 — — $12,983.34 $12,983.34 $12,983.34 2026-04-01
00670 CPT Anesth,Extensive Spine,Cord Proced 1 1 — — $12,983.34 $12,983.34 $12,983.34 2026-04-01
20930 CPT Allograft For Spine Surgery Only Morselized 2 2 — — $12,728.77 $12,983.34 $12,856.06 2026-04-01
28297 CPT Corrj Hallux Valgus W/Sesmdc W/1metar Medial Cnf|LEFT Foot, Great Toe 5 4 — — $12,728.77 $12,983.34 $12,728.77 2026-04-01
0054T CPT Bone Surgery Using Computer 3 3 — — $12,728.77 $12,983.34 $12,728.77 2026-04-01
27870 CPT Hc Arthrodesis, Ankle, Open|LEFT Side 5 4 — — $12,728.77 $12,983.34 $12,728.77 2026-04-01
27827 CPT Open Treatment Fracture Distal Tibia Only|LEFT Side 14 4 — — $12,728.77 $12,983.34 $12,728.77 2026-04-01
27758 CPT Optx Tibial Shft Fx W/Plate/Screws W/wo Cerclage|LEFT Side 8 4 — — $12,728.77 $12,983.34 $12,728.77 2026-04-01
27447 CPT Arthrp Kne Condyle&Platu Medial&Lat Compartments 12 3 — — $12,728.77 $12,983.34 $12,728.77 2026-04-01
01402 CPT Anesth,Total Knee Arthroplasty 4 2 — — $12,728.77 $12,983.34 $12,728.77 2026-04-01
27130 CPT Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft 14 4 — — $12,728.77 $12,983.34 $12,728.77 2026-04-01
64999 CPT Hc Unlisted Procedure, Nervous System|UNUSUAL Non-overlapping Service 18 4 — — $12,728.77 $12,983.34 $12,728.77 2026-04-01
24586 CPT Optx Periarticular Fracture &/Dislocation Elbo|LEFT Side 10 4 — — $12,728.77 $12,983.34 $12,728.77 2026-04-01
01214 CPT Anesth,Total Hip Arthroplasty 6 4 — — $12,728.77 $12,983.34 $12,728.77 2026-04-01
20985 CPT Cptr-asst Surgical Navigation Image-less 4 3 — — $12,728.77 $12,983.34 $12,728.77 2026-04-01
20900 CPT Bone Graft Any Donor Area Minor/Small 8 4 — — $7,194.09 $12,983.34 $12,728.77 2026-04-01
20692 CPT Application Multiplane External Fixation System|RIGHT Side 5 4 — — $12,728.77 $12,983.34 $12,728.77 2026-04-01
01740 CPT Anesth,Elbow,Nos 5 4 — — $12,728.77 $12,983.34 $12,728.77 2026-04-01
24515 CPT Optx Humeral Shft Fx W/Plate/Screws W/Wocerclage|RIGHT Side 6 3 — — $12,728.77 $12,728.77 $12,728.77 2026-04-01
23615 CPT Optx Prox Humeral Fx W/Int Fixj Rpr Tuberosity|LEFT Side 4 3 — — $12,728.77 $12,728.77 $12,728.77 2026-04-01
22853 CPT Insj Biomchn Dev Intervertebral Dsc Spc W/Arthrd 1 1 — — $12,728.77 $12,728.77 $12,728.77 2026-04-01
20240 CPT Hc Biopsy Bone Open Superficial|UNUSUAL Non-overlapping Service 4 2 — — $12,728.77 $12,728.77 $12,728.77 2026-04-01
0055T CPT Bone Surgery Using Computer 4 2 — — $12,728.77 $12,728.77 $12,728.77 2026-04-01
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