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Hospital

MERCY HEALTH - CLERMONT HOSPITAL

Batavia, OH · CCN 360236 · Rates published

699 distinct procedures filed
35 distinct payers
30,447 rate rows
2026-04-01 last MRF observed
Data quality

15,676 of 30,447 rate rows are consumer-grade (51.5%)

14,771 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 14,771
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.mercy.com/-/media/mercy/patient-resources/hospital-pricing-transparency/310830955_mercy-health-clermont-hospital-llc_standardcharges.ashx
Found on page https://www.mercy.com/pay-a-bill/estimate-your-cost
Discovered viaDiscovered by HANK
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-05-16
Content fingerprint b571858e3e043b5d… · 9,579,286 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… 25 $154,789.85 $415,822.89 $160,207.49 nat. median
$202,986
0.8× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 2 $101,327.23 $146,924.48 $124,125.86 nat. median
$133,176
0.9× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 27 $51,012.69 $135,409.07 $53,563.32 nat. median
$66,526
0.8× median
278
MS_DRG 		Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures… 28 $41,256.62 $109,047.42 $51,570.77 nat. median
$50,270
1.0× median
11
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 28 $40,443.86 $106,851.27 $50,554.82 nat. median
$52,857
1.0× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 32 $3,242.03 $126,062.21 $49,217.92 nat. median
$62,134
0.8× median
270
MS_DRG 		Other Major Cardiovascular Procedures With Mcc 28 $39,154.76 $103,367.99 $48,943.45 nat. median
$51,307
1.0× median
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 28 $36,706.31 $96,752.11 $45,882.89 nat. median
$48,170
1.0× median
981
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 28 $34,916.92 $91,917.05 $43,646.15 nat. median
$46,084
0.9× median
907
MS_DRG 		Other O.r. Procedures For Injuries With Mcc 22 $28,736.00 $75,215.73 $43,104.00 nat. median
$38,112
1.1× median
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 28 $34,225.96 $90,050.03 $42,782.45 nat. median
$44,810
1.0× median
163
MS_DRG 		Major Chest Procedures With Mcc 28 $33,394.36 $87,802.94 $41,742.95 nat. median
$44,938
0.9× median
166
MS_DRG 		Other Respiratory System O.r. Procedures With Mcc 28 $27,999.36 $73,225.28 $34,999.20 nat. median
$37,476
0.9× median
628
MS_DRG 		Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 28 $27,920.34 $73,011.74 $34,900.43 nat. median
$37,237
0.9× median
492
MS_DRG 		Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 28 $27,520.11 $71,930.32 $34,400.14 nat. median
$35,489
1.0× median
356
MS_DRG 		Other Digestive System O.r. Procedures With Mcc 23 $32,749.06 $86,059.34 $34,386.51 nat. median
$42,444
0.8× median
335
MS_DRG 		Peritoneal Adhesiolysis With Mcc 28 $26,790.01 $69,957.50 $33,487.51 nat. median
$35,058
1.0× median
622
MS_DRG 		Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 28 $26,705.18 $69,728.29 $33,381.47 nat. median
$35,325
0.9× median
271
MS_DRG 		Other Major Cardiovascular Procedures With Cc 28 $26,684.14 $69,671.47 $33,355.18 nat. median
$35,597
0.9× median
94
MS_DRG 		Bacterial And Tuberculous Infections Of Nervous System With Mcc 28 $26,416.61 $68,948.57 $33,020.76 nat. median
$35,264
0.9× median
673
MS_DRG 		Other Kidney And Urinary Tract Procedures With Mcc 27 $31,362.81 $82,313.55 $32,930.95 nat. median
$40,457
0.8× median
616
MS_DRG 		Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 28 $26,184.60 $68,321.65 $32,730.75 nat. median
$35,856
0.9× median
574
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Cc 28 $26,068.59 $68,008.20 $32,585.74 nat. median
$33,675
1.0× median
423
MS_DRG 		Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 24 $12,579.45 $81,361.42 $32,560.95 nat. median
$40,166
0.8× median
477
MS_DRG 		Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 28 $25,946.79 $67,679.07 $32,433.49 nat. median
$33,771
1.0× median
987
MS_DRG 		Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 28 $25,756.84 $67,165.78 $32,196.05 nat. median
$33,847
1.0× median
64582
CPT 		Open Impltj Hpglsl Nrv Nstim Ra Pg&Respir Sensor|BILATERAL Procedure 4 $30,071.45 $30,672.88 $30,071.45 nat. median
$28,316
1.1× median
515
MS_DRG 		Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 28 $24,005.88 $62,434.56 $30,007.35 nat. median
$31,607
0.9× median
876
MS_DRG 		O.r. Procedures With Principal Diagnosis Of Mental Illness 28 $1,108.40 $73,290.10 $29,500.03 nat. median
$34,333
0.9× median
464
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 28 $23,482.38 $61,020.09 $29,352.97 nat. median
$30,264
1.0× median
662
MS_DRG 		Minor Bladder Procedures With Mcc 28 $23,096.67 $59,977.85 $28,870.83 nat. median
$29,682
1.0× median
130
MS_DRG 		Respiratory System Diagnosis With Ventilator Support > 96 Hours,major 7 $28,220.63 $29,992.94 $28,629.63 nat. median
$12,579
outlier · 2.3×
498
MS_DRG 		Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 28 $22,772.58 $59,102.13 $28,465.72 nat. median
$27,782
1.0× median
279
MS_DRG 		Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures… 27 $27,047.40 $70,652.98 $28,399.77 nat. median
$33,736
0.8× median
668
MS_DRG 		Transurethral Procedures With Mcc 28 $22,070.75 $57,205.72 $27,588.44 nat. median
$28,493
1.0× median
480
MS_DRG 		Hip And Femur Procedures Except Major Joint With Mcc 28 $22,014.93 $57,054.87 $27,518.67 nat. median
$29,218
0.9× median
353
MS_DRG 		Hernia Procedures Except Inguinal And Femoral With Mcc 28 $21,940.23 $56,853.08 $27,425.29 nat. median
$28,775
1.0× median
406
MS_DRG 		Pancreas, Liver And Shunt Procedures With Cc 28 $21,927.20 $56,817.82 $27,409.00 nat. median
$28,773
1.0× median
521
MS_DRG 		Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 28 $21,709.69 $56,230.09 $27,137.11 nat. median
$28,962
0.9× median
240
MS_DRG 		Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 28 $21,566.84 $55,844.15 $26,958.55 nat. median
$28,136
1.0× median
374
MS_DRG 		Digestive Malignancy With Mcc 24 $16,406.06 $41,899.27 $26,905.93 nat. median
$21,277
1.3× median
264
MS_DRG 		Other Circulatory System O.r. Procedures 23 $25,120.26 $65,445.69 $26,376.27 nat. median
$33,061
0.8× median
483
MS_DRG 		Major Joint Or Limb Reattachment Procedures Of Upper Extremities 28 $20,996.97 $54,304.29 $26,246.22 nat. median
$26,699
1.0× median
208
MS_DRG 		Respiratory System Diagnosis With Ventilator Support <=96 Hours 28 $20,828.76 $53,849.78 $26,035.95 nat. median
$26,748
1.0× median
656
MS_DRG 		Kidney And Ureter Procedures For Neoplasm With Mcc 27 $23,983.40 $62,373.83 $25,182.57 nat. median
$31,645
0.8× median
659
MS_DRG 		Kidney And Ureter Procedures For Non-neoplasm With Mcc 28 $19,322.15 $49,778.77 $24,152.69 nat. median
$25,587
0.9× median
493
MS_DRG 		Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 28 $19,287.34 $49,684.74 $24,109.17 nat. median
$24,757
1.0× median
350
MS_DRG 		Inguinal And Femoral Hernia Procedures With Mcc 28 $18,966.88 $48,818.81 $23,708.60 nat. median
$24,405
1.0× median
478
MS_DRG 		Biopsies Of Musculoskeletal System And Connective Tissue With Cc 28 $18,729.79 $48,178.19 $23,412.24 nat. median
$24,026
1.0× median
330
MS_DRG 		Major Small And Large Bowel Procedures With Cc 28 $18,280.26 $46,963.55 $22,850.33 nat. median
$24,346
0.9× median

Other procedures at this hospital

Browse this hospital's 699 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… 34 25 — — $154,789.85 $415,822.89 $160,207.49 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 2 2 — — $101,327.23 $146,924.48 $124,125.86 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 39 27 — — $51,012.69 $135,409.07 $53,563.32 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 42 28 — — $41,256.62 $109,047.42 $51,570.77 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 42 28 — — $40,443.86 $106,851.27 $50,554.82 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 44 32 — — $3,242.03 $126,062.21 $49,217.92 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 42 28 — — $39,154.76 $103,367.99 $48,943.45 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 42 28 — — $36,706.31 $96,752.11 $45,882.89 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 42 28 — — $34,916.92 $91,917.05 $43,646.15 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 30 22 — — $28,736.00 $75,215.73 $43,104.00 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 42 28 — — $34,225.96 $90,050.03 $42,782.45 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 42 28 — — $33,394.36 $87,802.94 $41,742.95 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 42 28 — — $27,999.36 $73,225.28 $34,999.20 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 42 28 — — $27,920.34 $73,011.74 $34,900.43 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 42 28 — — $27,520.11 $71,930.32 $34,400.14 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 36 23 — — $32,749.06 $86,059.34 $34,386.51 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 42 28 — — $26,790.01 $69,957.50 $33,487.51 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 42 28 — — $26,705.18 $69,728.29 $33,381.47 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 42 28 — — $26,684.14 $69,671.47 $33,355.18 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 42 28 — — $26,416.61 $68,948.57 $33,020.76 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 39 27 — — $31,362.81 $82,313.55 $32,930.95 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 42 28 — — $26,184.60 $68,321.65 $32,730.75 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 42 28 — — $26,068.59 $68,008.20 $32,585.74 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 29 24 — — $12,579.45 $81,361.42 $32,560.95 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 42 28 — — $25,946.79 $67,679.07 $32,433.49 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 42 28 — — $25,756.84 $67,165.78 $32,196.05 2026-04-01
64582 CPT Open Impltj Hpglsl Nrv Nstim Ra Pg&Respir Sensor|BILATERAL Procedure 12 4 — — $30,071.45 $30,672.88 $30,071.45 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 42 28 — — $24,005.88 $62,434.56 $30,007.35 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 41 28 — — $1,108.40 $73,290.10 $29,500.03 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 42 28 — — $23,482.38 $61,020.09 $29,352.97 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 42 28 — — $23,096.67 $59,977.85 $28,870.83 2026-04-01
130 MS_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours,major 7 7 — — $28,220.63 $29,992.94 $28,629.63 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 42 28 — — $22,772.58 $59,102.13 $28,465.72 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 39 27 — — $27,047.40 $70,652.98 $28,399.77 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 42 28 — — $22,070.75 $57,205.72 $27,588.44 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 42 28 — — $22,014.93 $57,054.87 $27,518.67 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 42 28 — — $21,940.23 $56,853.08 $27,425.29 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 42 28 — — $21,927.20 $56,817.82 $27,409.00 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 42 28 — — $21,709.69 $56,230.09 $27,137.11 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 42 28 — — $21,566.84 $55,844.15 $26,958.55 2026-04-01
374 MS_DRG Digestive Malignancy With Mcc 32 24 — — $16,406.06 $41,899.27 $26,905.93 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 36 23 — — $25,120.26 $65,445.69 $26,376.27 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 42 28 — — $20,996.97 $54,304.29 $26,246.22 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 42 28 — — $20,828.76 $53,849.78 $26,035.95 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 39 27 — — $23,983.40 $62,373.83 $25,182.57 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 42 28 — — $19,322.15 $49,778.77 $24,152.69 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 42 28 — — $19,287.34 $49,684.74 $24,109.17 2026-04-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 42 28 — — $18,966.88 $48,818.81 $23,708.60 2026-04-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 42 28 — — $18,729.79 $48,178.19 $23,412.24 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 42 28 — — $18,280.26 $46,963.55 $22,850.33 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 42 28 — — $18,201.96 $46,751.96 $22,752.45 2026-04-01
40 MS_DRG Spinal Disorders And Injuries,major 7 7 — — $22,282.56 $23,681.94 $22,605.49 2026-04-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 42 28 — — $17,855.40 $45,815.51 $22,319.25 2026-04-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 42 28 — — $17,760.42 $45,558.87 $22,200.53 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 36 23 — — $20,889.67 $54,014.35 $21,934.15 2026-04-01
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 42 28 — — $17,399.35 $44,583.24 $21,749.19 2026-04-01
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 42 28 — — $17,326.12 $44,385.37 $21,657.65 2026-04-01
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 24 16 — — $13,164.42 $33,140.14 $21,392.18 2026-04-01
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 42 28 — — $16,907.77 $43,254.97 $21,134.72 2026-04-01
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 42 28 — — $16,841.07 $43,074.73 $21,051.33 2026-04-01
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 42 28 — — $16,696.79 $42,684.87 $20,870.99 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 49 35 — — $5,440.98 $50,599.63 $20,607.24 2026-04-01
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 42 28 — — $16,319.05 $41,664.18 $20,398.81 2026-04-01
902 MS_DRG Wound Debridements For Injuries With Cc 31 24 — — $14,065.62 $37,175.88 $20,395.15 2026-04-01
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 42 28 — — $16,253.79 $41,487.86 $20,317.24 2026-04-01
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 23 20 — — $13,975.01 $35,330.41 $20,263.76 2026-04-01
336 MS_DRG Peritoneal Adhesiolysis With Cc 42 28 — — $16,188.54 $41,311.54 $20,235.68 2026-04-01
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 42 28 — — $16,085.59 $41,033.35 $20,106.99 2026-04-01
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 42 28 — — $15,976.10 $40,737.53 $19,970.13 2026-04-01
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 42 28 — — $15,966.68 $40,712.06 $19,958.35 2026-04-01
415 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 42 28 — — $15,884.03 $40,488.72 $19,855.03 2026-04-01
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc 42 28 — — $15,447.56 $39,309.34 $19,309.45 2026-04-01
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 42 28 — — $15,386.66 $39,144.78 $19,233.33 2026-04-01
908 MS_DRG Other O.r. Procedures For Injuries With Cc 42 28 — — $15,365.62 $39,087.96 $19,207.03 2026-04-01
843 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 42 28 — — $15,362.74 $39,080.13 $19,203.42 2026-04-01
539 MS_DRG Osteomyelitis With Mcc 42 28 — — $15,180.75 $38,588.39 $18,975.94 2026-04-01
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 42 28 — — $14,983.52 $38,055.52 $18,729.40 2026-04-01
242 MS_DRG Major Esophageal Disorders,extreme 7 7 — — $18,412.70 $19,569.06 $18,679.55 2026-04-01
100 MS_DRG Seizures With Mcc 42 28 — — $14,942.20 $37,943.85 $18,677.75 2026-04-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 42 28 — — $962.33 $45,511.85 $18,630.16 2026-04-01
121 MS_DRG Other Respiratory And Chest Procedures,major 7 7 — — $18,328.69 $19,479.77 $18,594.32 2026-04-01
419 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. Without Cc/mcc 25 22 — — $10,802.25 $26,757.39 $18,363.83 2026-04-01
196 MS_DRG Interstitial Lung Disease With Mcc 42 28 — — $14,582.59 $36,972.14 $18,228.24 2026-04-01
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 42 28 — — $14,460.06 $36,641.05 $18,075.08 2026-04-01
504 MS_DRG Foot Procedures With Cc 42 28 — — $14,452.09 $36,619.50 $18,065.11 2026-04-01
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Mcc 42 28 — — $14,420.91 $36,535.26 $18,026.14 2026-04-01
754 MS_DRG Malignancy, Female Reproductive System With Mcc 28 23 — — $14,252.70 $36,080.74 $17,815.88 2026-04-01
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Mcc 42 28 — — $14,216.44 $35,982.79 $17,770.55 2026-04-01
205 MS_DRG Other Respiratory System Diagnoses With Mcc 42 28 — — $14,175.13 $35,871.12 $17,718.92 2026-04-01
919 MS_DRG Complications Of Treatment With Mcc 42 28 — — $14,173.67 $35,867.20 $17,717.08 2026-04-01
657 MS_DRG Kidney And Ureter Procedures For Neoplasm With Cc 42 28 — — $14,167.87 $35,851.53 $17,709.83 2026-04-01
862 MS_DRG Postoperative And Post-traumatic Infections With Mcc 42 28 — — $14,122.19 $35,728.11 $17,652.74 2026-04-01
686 MS_DRG Kidney And Urinary Tract Neoplasms With Mcc 42 28 — — $13,977.19 $35,336.29 $17,471.49 2026-04-01
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 42 28 — — $13,911.92 $35,159.97 $17,389.90 2026-04-01
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 42 28 — — $13,906.14 $35,144.29 $17,382.68 2026-04-01
602 MS_DRG Cellulitis With Mcc 21 19 — — $11,109.14 $28,783.10 $17,219.17 2026-04-01
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 42 28 — — $13,755.32 $34,736.80 $17,194.15 2026-04-01
542 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 42 28 — — $13,707.47 $34,607.50 $17,134.33 2026-04-01
23472 CPT Arthroplasty Glenohumeral Joint Total Shoulder|LEFT Side 11 4 — — $17,087.06 $17,428.80 $17,087.06 2026-04-01
01638 CPT Anesth,Shoulder Replacement 3 2 — — $17,087.06 $17,087.06 $17,087.06 2026-04-01
655 MS_DRG Major Bladder Procedures Without Cc/mcc 27 21 — — $16,245.82 $41,466.31 $17,058.11 2026-04-01
62 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 42 28 — — $13,640.05 $34,425.31 $17,050.06 2026-04-01
91 MS_DRG Other Disorders Of Nervous System With Mcc 42 28 — — $13,632.79 $34,405.71 $17,040.99 2026-04-01
666 MS_DRG Prostatectomy With Cc 42 28 — — $13,582.76 $34,270.54 $16,978.45 2026-04-01
501 MS_DRG Soft Tissue Procedures With Cc 42 28 — — $13,574.06 $34,247.03 $16,967.58 2026-04-01
314 MS_DRG Other Circulatory System Diagnoses With Mcc 49 35 — — $7,521.71 $40,851.15 $16,819.06 2026-04-01
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 42 28 — — $13,428.34 $33,853.25 $16,785.42 2026-04-01
157 MS_DRG Dental And Oral Diseases With Mcc 42 28 — — $13,347.13 $33,633.83 $16,683.92 2026-04-01
289 MS_DRG Acute And Subacute Endocarditis With Cc 42 28 — — $13,275.36 $33,439.88 $16,594.20 2026-04-01
581 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/mcc 33 25 — — $11,362.70 $28,271.77 $16,475.92 2026-04-01
571 MS_DRG Skin Debridement With Cc 42 28 — — $13,149.20 $33,098.99 $16,436.50 2026-04-01
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/mcc 42 28 — — $13,101.35 $32,969.69 $16,376.69 2026-04-01
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 42 28 — — $13,097.72 $32,959.90 $16,372.15 2026-04-01
915 MS_DRG Allergic Reactions With Mcc 42 28 — — $13,091.92 $32,944.23 $16,364.90 2026-04-01
551 MS_DRG Medical Back Problems With Mcc 42 28 — — $13,052.05 $32,836.48 $16,315.06 2026-04-01
444 MS_DRG Disorders Of The Biliary Tract With Mcc 42 28 — — $13,014.33 $32,734.60 $16,267.91 2026-04-01
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 36 23 — — $15,480.19 $39,397.50 $16,254.20 2026-04-01
70 MS_DRG Other Cerebrovascular Disorders With Mcc 42 28 — — $12,970.12 $32,615.10 $16,212.65 2026-04-01
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With Mcc 42 28 — — $12,894.70 $32,411.35 $16,118.38 2026-04-01
643 MS_DRG Endocrine Disorders With Mcc 42 28 — — $12,834.53 $32,248.75 $16,043.17 2026-04-01
988 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 42 28 — — $12,816.41 $32,199.77 $16,020.51 2026-04-01
913 MS_DRG Traumatic Injury With Mcc 42 28 — — $12,751.15 $32,023.45 $15,938.94 2026-04-01
299 MS_DRG Peripheral Vascular Disorders With Mcc 42 28 — — $12,737.38 $31,986.23 $15,921.73 2026-04-01
841 MS_DRG Lymphoma And Non-acute Leukemia With Cc 42 28 — — $12,727.95 $31,960.76 $15,909.94 2026-04-01
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/mcc 42 28 — — $12,725.04 $31,952.92 $15,906.30 2026-04-01
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 42 28 — — $12,719.25 $31,937.25 $15,899.06 2026-04-01
380 MS_DRG Complicated Peptic Ulcer With Mcc 49 35 — — $4,445.40 $38,441.46 $15,882.68 2026-04-01
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 32 23 — — $15,169.87 $38,559.01 $15,700.82 2026-04-01
73 MS_DRG Cranial And Peripheral Nerve Disorders With Mcc 42 28 — — $12,531.47 $31,429.84 $15,664.34 2026-04-01
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 45 31 — — $4,492.22 $36,577.73 $15,629.18 2026-04-01
393 MS_DRG Other Digestive System Diagnoses With Mcc 42 28 — — $12,495.21 $31,331.89 $15,619.01 2026-04-01
368 MS_DRG Major Esophageal Disorders With Mcc 42 28 — — $12,441.55 $31,186.91 $15,551.94 2026-04-01
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 42 28 — — $1,022.48 $30,726.52 $15,338.97 2026-04-01
177 MS_DRG Respiratory Infections And Inflammations With Mcc 42 28 — — $12,229.85 $30,614.86 $15,287.31 2026-04-01
669 MS_DRG Transurethral Procedures With Cc 42 28 — — $12,152.27 $30,405.23 $15,190.33 2026-04-01
658 MS_DRG Kidney And Ureter Procedures For Neoplasm Without Cc/mcc 42 28 — — $12,150.82 $30,401.31 $15,188.52 2026-04-01
564 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc 42 28 — — $12,091.37 $30,240.67 $15,114.22 2026-04-01
337 MS_DRG Peritoneal Adhesiolysis Without Cc/mcc 42 28 — — $12,029.02 $30,072.19 $15,036.28 2026-04-01
964 MS_DRG Other Multiple Significant Trauma With Cc 42 28 — — $12,011.62 $30,025.17 $15,014.52 2026-04-01
183 MS_DRG Major Chest Trauma With Mcc 42 28 — — $11,992.05 $29,972.27 $14,990.06 2026-04-01
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc 39 27 — — $14,202.66 $35,945.57 $14,912.79 2026-04-01
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 36 23 — — $14,153.37 $35,812.35 $14,861.04 2026-04-01
398 MS_DRG Appendix Procedures With Cc 42 28 — — $11,873.86 $29,652.94 $14,842.32 2026-04-01
345 MS_DRG Minor Small And Large Bowel Procedures With Cc 42 28 — — $11,809.32 $29,478.58 $14,761.65 2026-04-01
713 MS_DRG Transurethral Prostatectomy With Cc/mcc 42 28 — — $11,799.90 $29,453.11 $14,749.88 2026-04-01
543 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 24 19 — — $8,353.09 $20,139.55 $14,705.27 2026-04-01
865 MS_DRG Viral Illness With Mcc 42 28 — — $11,762.93 $29,353.20 $14,703.67 2026-04-01
557 MS_DRG Tendonitis, Myositis And Bursitis With Mcc 42 28 — — $11,680.28 $29,129.86 $14,600.35 2026-04-01
682 MS_DRG Renal Failure With Mcc 42 28 — — $11,637.51 $29,014.27 $14,546.89 2026-04-01
388 MS_DRG Gastrointestinal Obstruction With Mcc 42 28 — — $11,607.05 $28,931.99 $14,508.81 2026-04-01
124 MS_DRG Other Disorders Of The Eye With Mcc Or Thrombolytic Agent 27 21 — — $9,936.21 $25,544.70 $14,407.50 2026-04-01
180 MS_DRG Respiratory Neoplasms With Mcc 49 35 — — $8,591.58 $34,597.71 $14,389.03 2026-04-01
433 MS_DRG Cirrhosis And Alcoholic Hepatitis With Cc 26 22 — — $8,228.11 $20,958.45 $14,291.17 2026-04-01
637 MS_DRG Diabetes With Mcc 42 28 — — $11,316.31 $28,146.39 $14,145.39 2026-04-01
102 MS_DRG Headaches With Mcc 28 22 — — $9,026.65 $21,959.55 $14,126.71 2026-04-01
42 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/mcc 49 35 — — $7,010.03 $33,847.37 $14,097.47 2026-04-01
562 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 42 28 — — $11,230.02 $27,913.26 $14,037.53 2026-04-01
642 MS_DRG Inborn And Other Disorders Of Metabolism 42 28 — — $11,210.44 $27,860.36 $14,013.05 2026-04-01
358 MS_DRG Other Digestive System O.r. Procedures Without Cc/mcc 42 28 — — $11,034.99 $27,386.26 $13,793.74 2026-04-01
199 MS_DRG Pneumothorax With Mcc 64 30 — — $2,859.69 $34,560.48 $13,690.07 2026-04-01
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 42 28 — — $10,858.81 $26,910.20 $13,573.51 2026-04-01
399 MS_DRG Appendix Procedures Without Cc/mcc 32 24 — — $8,608.91 $22,016.37 $13,472.94 2026-04-01
689 MS_DRG Kidney And Urinary Tract Infections With Mcc 22 17 — — $8,936.83 $22,927.35 $13,405.24 2026-04-01
355 MS_DRG Hernia Procedures Except Inguinal And Femoral Without Cc/mcc 42 28 — — $10,651.45 $26,349.90 $13,314.31 2026-04-01
693 MS_DRG Urinary Stones With Mcc 42 28 — — $10,647.82 $26,340.10 $13,309.77 2026-04-01
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 42 28 — — $10,583.30 $26,165.74 $13,229.13 2026-04-01
555 MS_DRG Signs And Symptoms Of Musculoskeletal System And Connective Tissue With Mcc 42 28 — — $10,483.24 $25,895.38 $13,104.05 2026-04-01
660 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Cc 42 28 — — $10,482.51 $25,893.42 $13,103.14 2026-04-01
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 42 28 — — $10,429.60 $25,750.41 $13,037.00 2026-04-01
181 MS_DRG Respiratory Neoplasms With Cc 24 19 — — $8,664.85 $20,981.96 $12,997.28 2026-04-01
320 MS_DRG Other Musculoskeletal System And Connective Tissue Procedures,major 7 7 — — $12,800.92 $13,604.84 $12,986.44 2026-04-01
306 MS_DRG Cardiac Congenital And Valvular Disorders With Mcc 28 23 — — $12,324.82 $30,871.50 $12,941.06 2026-04-01
553 MS_DRG Bone Diseases And Arthropathies With Mcc 42 28 — — $10,298.36 $25,395.81 $12,872.95 2026-04-01
186 MS_DRG Pleural Effusion With Mcc 29 22 — — $12,199.39 $30,532.57 $12,809.36 2026-04-01
291 MS_DRG Heart Failure And Shock With Mcc 42 28 — — $10,207.74 $25,150.93 $12,759.67 2026-04-01
535 MS_DRG Fractures Of Hip And Pelvis With Mcc 42 28 — — $10,194.68 $25,115.66 $12,743.35 2026-04-01
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 57 30 — — $4,151.03 $31,425.92 $12,655.31 2026-04-01
947 MS_DRG Signs And Symptoms With Mcc 42 28 — — $962.33 $24,868.82 $12,629.17 2026-04-01
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 42 28 — — $10,095.35 $24,847.27 $12,619.19 2026-04-01
809 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 42 28 — — $10,077.95 $24,800.25 $12,597.44 2026-04-01
813 MS_DRG Coagulation Disorders 47 33 — — $5,007.79 $29,882.15 $12,556.61 2026-04-01
27447 CPT Arthrp Kne Condyle&Platu Medial&Lat Compartments|LEFT Side 7 4 — — $12,511.55 $12,761.78 $12,511.55 2026-04-01
27130 CPT Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft 10 4 — — $12,511.55 $12,761.78 $12,511.55 2026-04-01
20985 CPT Cptr-asst Surgical Navigation Image-less 3 2 — — $12,511.55 $12,761.78 $12,511.55 2026-04-01
01402 CPT Anesth,Total Knee Arthroplasty 1 1 — — $12,511.55 $12,511.55 $12,511.55 2026-04-01
01214 CPT Anesth,Total Hip Arthroplasty 3 2 — — $12,511.55 $12,511.55 $12,511.55 2026-04-01
884 MS_DRG Organic Disturbances And Intellectual Disability 27 22 — — $896.75 $32,720.89 $12,462.04 2026-04-01
59 MS_DRG Multiple Sclerosis And Cerebellar Ataxia With Cc 42 28 — — $9,896.68 $24,310.47 $12,370.85 2026-04-01
189 MS_DRG Pulmonary Edema And Respiratory Failure 42 28 — — $9,856.81 $24,202.72 $12,321.01 2026-04-01
202 MS_DRG Bronchitis And Asthma With Cc/mcc 29 22 — — $7,941.28 $19,026.78 $12,308.98 2026-04-01
375 MS_DRG Digestive Malignancy With Cc 42 28 — — $9,669.77 $23,697.27 $12,087.22 2026-04-01
663 MS_DRG Minor Bladder Procedures With Cc 56 35 — — $3,576.88 $29,782.24 $11,981.32 2026-04-01
54 MS_DRG Nervous System Neoplasms With Mcc 50 30 — — $3,658.10 $29,913.50 $11,970.29 2026-04-01
304 MS_DRG Hypertension With Mcc 42 28 — — $9,527.63 $23,313.29 $11,909.53 2026-04-01
757 MS_DRG Organic Mental Health Conditions And Disturbances,minor 7 7 — — $11,734.53 $12,471.48 $11,904.60 2026-04-01
593 MS_DRG Skin Ulcers With Cc 42 28 — — $9,500.82 $23,240.80 $11,876.03 2026-04-01
346 MS_DRG Minor Small And Large Bowel Procedures Without Cc/mcc 38 25 — — $9,500.10 $23,238.84 $11,875.13 2026-04-01
352 MS_DRG Inguinal And Femoral Hernia Procedures Without Cc/mcc 42 28 — — $9,366.68 $22,878.37 $11,708.35 2026-04-01
315 MS_DRG Other Circulatory System Diagnoses With Cc 23 17 — — $7,470.04 $18,852.42 $11,578.56 2026-04-01
546 MS_DRG Connective Tissue Disorders With Cc 42 28 — — $9,262.29 $22,596.26 $11,577.86 2026-04-01
572 MS_DRG Skin Debridement Without Cc/mcc 42 28 — — $9,210.80 $22,457.16 $11,513.50 2026-04-01
317 MS_DRG Tendon, Muscle And Other Soft Tissue Procedures,major 7 7 — — $11,317.27 $12,028.02 $11,481.29 2026-04-01
436 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Cc 34 24 — — $9,100.61 $22,159.38 $11,375.76 2026-04-01
421 MS_DRG Malnutrition, Failure To Thrive And Other Nutritional Disorders,major 7 7 — — $11,159.67 $11,860.52 $11,321.40 2026-04-01
885 MS_DRG Psychoses 41 28 — — $859.22 $26,487.52 $11,247.55 2026-04-01
811 MS_DRG Red Blood Cell Disorders With Mcc 62 35 — — $2,657.66 $27,511.64 $11,081.38 2026-04-01
89 MS_DRG Concussion With Cc 42 28 — — $8,864.95 $21,522.67 $11,081.19 2026-04-01
760 MS_DRG Menstrual And Other Female Reproductive System Disorders With Cc/mcc 33 25 — — $7,634.34 $19,308.89 $11,069.79 2026-04-01
758 MS_DRG Disorders Of Impulse Control & Development,minor 7 7 — — $10,806.29 $11,484.95 $10,962.90 2026-04-01
710 MS_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure,extreme 28 7 — — $5,059.83 $33,949.40 $10,910.53 2026-04-01
300 MS_DRG Peripheral Vascular Disorders With Cc 42 28 — — $8,639.47 $20,913.39 $10,799.33 2026-04-01
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 49 35 — — $9,629.15 $23,587.56 $10,703.01 2026-04-01
558 MS_DRG Tendonitis, Myositis And Bursitis Without Mcc 27 22 — — $7,375.75 $17,498.68 $10,694.84 2026-04-01
687 MS_DRG Kidney And Urinary Tract Neoplasms With Cc 42 28 — — $8,496.65 $20,527.45 $10,620.81 2026-04-01
74 MS_DRG Cranial And Peripheral Nerve Disorders Without Mcc 42 28 — — $8,373.39 $20,194.40 $10,466.74 2026-04-01
93 MS_DRG Other Disorders Of Nervous System Without Cc/mcc 28 20 — — $6,673.18 $15,600.31 $10,443.53 2026-04-01
71 MS_DRG Other Cerebrovascular Disorders With Cc 42 28 — — $8,338.60 $20,100.37 $10,423.25 2026-04-01
644 MS_DRG Endocrine Disorders With Cc 42 28 — — $8,331.34 $20,080.78 $10,414.17 2026-04-01
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 42 28 — — $8,319.00 $20,047.47 $10,398.75 2026-04-01
92 MS_DRG Other Disorders Of Nervous System With Cc 42 28 — — $8,316.84 $20,041.59 $10,396.05 2026-04-01
372 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Cc 42 28 — — $8,302.33 $20,002.41 $10,377.92 2026-04-01
324 MS_DRG Elective Hip Joint Replacement,moderate 7 7 — — $10,214.78 $10,856.29 $10,362.82 2026-04-01
58571 CPT Laps Total Hysterect 250 Gm/< W/Rmvl Tube/Ovary 7 4 — — $10,358.99 $10,566.17 $10,358.99 2026-04-01
699 MS_DRG Other Kidney And Urinary Tract Diagnoses With Cc 42 28 — — $8,258.84 $19,884.87 $10,323.55 2026-04-01
313 MS_DRG Chest Pain 30 23 — — $5,746.17 $13,976.22 $10,281.82 2026-04-01
65 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours 42 28 — — $8,224.76 $19,792.79 $10,280.95 2026-04-01
920 MS_DRG Complications Of Treatment With Cc 42 28 — — $8,166.75 $19,636.06 $10,208.44 2026-04-01
369 MS_DRG Major Esophageal Disorders With Cc 42 28 — — $8,151.53 $19,594.92 $10,189.42 2026-04-01
145 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures Without Cc/mcc 48 35 — — $3,741.41 $23,554.26 $10,097.66 2026-04-01
187 MS_DRG Pleural Effusion With Cc 42 28 — — $8,071.05 $19,377.46 $10,088.81 2026-04-01
556 MS_DRG Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without Mcc 36 25 — — $6,441.88 $15,996.05 $10,081.54 2026-04-01
292 MS_DRG Heart Failure And Shock With Cc 24 20 — — $6,194.35 $15,308.41 $10,065.82 2026-04-01
302 MS_DRG Atherosclerosis With Mcc 36 23 — — $9,575.50 $23,442.59 $10,054.28 2026-04-01
378 MS_DRG Gastrointestinal Hemorrhage With Cc 42 28 — — $8,010.15 $19,212.89 $10,012.69 2026-04-01
670 MS_DRG Transurethral Procedures Without Cc/mcc 42 28 — — $7,985.49 $19,146.28 $9,981.86 2026-04-01
386 MS_DRG Inflammatory Bowel Disease With Cc 42 28 — — $7,978.25 $19,126.69 $9,972.81 2026-04-01
178 MS_DRG Respiratory Infections And Inflammations With Cc 42 28 — — $7,976.06 $19,120.82 $9,970.08 2026-04-01
565 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Cc 42 28 — — $7,964.47 $19,089.47 $9,955.58 2026-04-01
442 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc 42 28 — — $7,898.50 $18,911.19 $9,873.13 2026-04-01
552 MS_DRG Medical Back Problems Without Mcc 42 28 — — $7,869.49 $18,832.83 $9,836.86 2026-04-01
537 MS_DRG Sprains, Strains, And Dislocations Of Hip, Pelvis And Thigh With Cc/mcc 42 28 — — $7,818.74 $18,695.69 $9,773.42 2026-04-01
206 MS_DRG Other Respiratory System Diagnoses Without Mcc 42 28 — — $7,723.04 $18,437.09 $9,653.80 2026-04-01
695 MS_DRG Kidney And Urinary Tract Signs And Symptoms With Mcc 23 18 — — $9,192.69 $22,408.19 $9,652.32 2026-04-01
394 MS_DRG Other Digestive System Diagnoses With Cc 42 28 — — $7,683.89 $18,331.30 $9,604.86 2026-04-01
224 MS_DRG Peritoneal Adhesiolysis,moderate 7 7 — — $9,412.89 $10,004.04 $9,549.31 2026-04-01
149 MS_DRG Dysequilibrium 26 21 — — $6,349.08 $14,724.60 $9,523.62 2026-04-01
761 MS_DRG Schizoaffective Disorders,moderate 11 7 — — $9,039.38 $15,990.38 $9,519.73 2026-04-01
231 MS_DRG Major Large Bowel Procedures,minor 7 7 — — $9,292.79 $9,876.39 $9,427.47 2026-04-01
605 MS_DRG Trauma To The Skin, Subcutaneous Tissue And Breast Without Mcc 42 28 — — $7,541.04 $17,945.36 $9,426.30 2026-04-01
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 49 35 — — $4,543.30 $21,700.95 $9,377.49 2026-04-01
817 MS_DRG Intentional Self-harm And Attempted Suicide,extreme 7 7 — — $9,231.00 $9,810.72 $9,364.78 2026-04-01
607 MS_DRG Minor Skin Disorders Without Mcc 42 28 — — $7,471.45 $17,757.28 $9,339.31 2026-04-01
445 MS_DRG Disorders Of The Biliary Tract With Cc 46 32 — — $5,976.27 $21,440.39 $9,276.24 2026-04-01
638 MS_DRG Diabetes With Cc 42 28 — — $7,397.50 $17,557.45 $9,246.88 2026-04-01
563 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 42 28 — — $7,392.43 $17,543.74 $9,240.53 2026-04-01
52214 CPT Cysto W/Destruction Of Lesions 4 3 — — $9,225.26 $9,225.26 $9,225.26 2026-04-01
50436 CPT Hc Perq Dilation Xst Trc Endourologic Px W/Img|UNUSUAL Non-overlapping Service 8 4 — — $9,225.26 $9,409.76 $9,225.26 2026-04-01
50081 CPT Perq Nl/Pl Lithotrp Complex >2 Cm Mlt Locations|RIGHT Side 10 3 — — $9,225.26 $9,225.26 $9,225.26 2026-04-01
50080 CPT Perq Nl/Pl Lithotrp Simple Up To 2 Cm 1 Location|LEFT Side 11 4 — — $9,225.26 $9,409.76 $9,225.26 2026-04-01
00862 CPT Anesth,Kidney,Prox Ureter Surg 3 2 — — $9,225.26 $9,409.76 $9,225.26 2026-04-01
C9740 CPT Cysto Impl 4 Or More 7 4 — — $9,225.26 $9,409.76 $9,225.26 2026-04-01
C9761 CPT Cysto, Litho, Vacuum Kidney 5 3 — — $9,225.26 $9,225.26 $9,225.26 2026-04-01
864 MS_DRG Fever And Inflammatory Conditions 42 28 — — $7,335.88 $17,390.93 $9,169.85 2026-04-01
914 MS_DRG Traumatic Injury Without Mcc 42 28 — — $7,319.92 $17,347.83 $9,149.90 2026-04-01
683 MS_DRG Renal Failure With Cc 42 28 — — $7,249.59 $17,157.80 $9,061.99 2026-04-01
184 MS_DRG Major Chest Trauma With Cc 31 21 — — $8,614.82 $20,846.78 $9,045.56 2026-04-01
890 MS_DRG HIV With Multiple Major HIV Related Conditions,major 7 7 — — $8,914.41 $9,474.26 $9,043.61 2026-04-01
776 MS_DRG Other Drug Abuse And Dependence,major 7 7 — — $8,909.55 $9,469.09 $9,038.67 2026-04-01
312 MS_DRG Syncope And Collapse 42 28 — — $7,219.14 $17,075.52 $9,023.92 2026-04-01
603 MS_DRG Cellulitis Without Mcc 42 28 — — $7,214.06 $17,061.80 $9,017.58 2026-04-01
866 MS_DRG Viral Illness Without Mcc 42 28 — — $7,204.63 $17,036.33 $9,005.78 2026-04-01
68 MS_DRG Precerebral Occlusion Without Infarction Without Mcc 42 28 — — $7,166.94 $16,934.46 $8,958.67 2026-04-01
721 MS_DRG Post-operative, Post-traumatic, Other Device Infections,major 7 7 — — $8,802.63 $9,355.46 $8,930.21 2026-04-01
918 MS_DRG Poisoning And Toxic Effects Of Drugs Without Mcc 42 28 — — $962.33 $16,791.45 $8,892.50 2026-04-01
750 MS_DRG Schizophrenia And Other Severe Psychotic Disorders,minor 7 7 — — $8,760.28 $9,310.44 $8,887.24 2026-04-01
381 MS_DRG Complicated Peptic Ulcer With Cc 19 16 — — $8,364.21 $20,652.60 $8,782.42 2026-04-01
191 MS_DRG Chronic Obstructive Pulmonary Disease With Cc 42 28 — — $7,011.78 $16,515.21 $8,764.73 2026-04-01
949 MS_DRG Aftercare With Cc/mcc 29 21 — — $8,340.36 $21,138.69 $8,757.38 2026-04-01
439 MS_DRG Disorders Of Pancreas Except Malignancy With Cc 42 28 — — $6,998.73 $16,479.95 $8,748.42 2026-04-01
55 MS_DRG Nervous System Neoplasms Without Mcc 36 23 — — $8,292.19 $19,974.98 $8,706.80 2026-04-01
103 MS_DRG Headaches Without Mcc 36 24 — — $6,963.20 $16,383.95 $8,704.00 2026-04-01
45 MS_DRG Cva And Precerebral Occlusion With Infarction,extreme 21 7 — — $5,545.13 $16,349.73 $8,689.33 2026-04-01
887 MS_DRG Other Mental Disorder Diagnoses 42 28 — — $859.22 $20,980.00 $8,664.12 2026-04-01
554 MS_DRG Bone Diseases And Arthropathies Without Mcc 42 28 — — $6,918.25 $16,262.49 $8,647.81 2026-04-01
64912 CPT Nerve Repair W/Nerve Allograft First Strand|LEFT Hand, Fourth Digit 8 4 — — $8,552.24 $8,723.29 $8,552.24 2026-04-01
868 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Cc 37 26 — — $8,089.19 $20,572.51 $8,493.65 2026-04-01
58 MS_DRG Other Disorders Of Nervous System,moderate 13 7 — — $5,835.38 $9,021.94 $8,488.82 2026-04-01
728 MS_DRG Inflammation Of The Male Reproductive System Without Mcc 42 28 — — $6,781.22 $15,892.22 $8,476.52 2026-04-01
690 MS_DRG Kidney And Urinary Tract Infections Without Mcc 42 28 — — $6,768.89 $15,858.91 $8,461.11 2026-04-01
305 MS_DRG Hypertension Without Mcc 56 35 — — $6,374.47 $14,793.16 $8,444.14 2026-04-01
536 MS_DRG Fractures Of Hip And Pelvis Without Mcc 42 28 — — $6,755.11 $15,821.69 $8,443.89 2026-04-01
176 MS_DRG Pulmonary Embolism Without Mcc 42 28 — — $6,736.26 $15,770.76 $8,420.33 2026-04-01
948 MS_DRG Signs And Symptoms Without Mcc 42 28 — — $936.55 $15,682.60 $8,379.55 2026-04-01
661 MS_DRG Kidney And Ureter Procedures For Non-neoplasm Without Cc/mcc 33 24 — — $7,968.18 $20,112.12 $8,366.59 2026-04-01
69 MS_DRG Transient Ischemia Without Thrombolytic 42 28 — — $6,691.30 $15,649.29 $8,364.13 2026-04-01
389 MS_DRG Gastrointestinal Obstruction With Cc 42 28 — — $6,626.05 $15,472.97 $8,282.56 2026-04-01
185 MS_DRG Major Chest Trauma Without Cc/mcc 42 28 — — $6,602.13 $15,408.32 $8,252.67 2026-04-01
951 MS_DRG Other Factors Influencing Health Status 49 35 — — $4,930.92 $15,836.91 $8,226.58 2026-04-01
392 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc 42 28 — — $6,552.11 $15,273.14 $8,190.14 2026-04-01
641 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou… 42 28 — — $6,541.95 $15,245.72 $8,177.44 2026-04-01
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