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Hospital

Mercy St Anne Hospital

Toledo, OH · CCN 360262 · Rates published

971 distinct procedures filed
35 distinct payers
34,616 rate rows
2026-04-01 last MRF observed
Data quality

19,170 of 34,616 rate rows are consumer-grade (55.4%)

15,446 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 15,446
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.mercy.com/-/media/mercy/patient-resources/hospital-pricing-transparency/344428250-1467493551_mercy-health-st-vincent-medical-center-llc_a_standardcharges.ashx
Found on page https://www.mercy.com/pay-a-bill/estimate-your-cost
Discovered viaCMS hospital list
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-05-17
Content fingerprint 335965d272ad8ab9… · 10,897,902 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
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 2 $165,808.09 $188,684.55 $177,246.32 nat. median
$133,176
1.3× median
850
MS_DRG 		Acute Leukemia With Other Procedures 28 $62,183.83 $215,621.55 $89,184.19 nat. median
$83,442
1.1× median
215
MS_DRG 		Other Heart Assist System Implant 25 $71,391.09 $150,768.89 $73,532.82 nat. median
$99,019
0.7× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 28 $45,000.00 $137,954.66 $59,945.07 nat. median
$68,090
0.9× median
213
MS_DRG 		Endovascular Abdominal Aorta With Iliac Branch Procedures 28 $41,231.73 $142,101.81 $58,775.36 nat. median
$51,061
1.2× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 25 $54,986.22 $115,763.62 $56,635.81 nat. median
$73,807
0.8× median
653
MS_DRG 		Major Bladder Procedures With Mcc 28 $37,609.15 $129,390.36 $53,517.72 nat. median
$51,418
1.0× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 24 $49,781.89 $104,658.48 $51,773.17 nat. median
$66,526
0.8× median
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 28 $35,779.76 $122,971.14 $50,862.64 nat. median
$48,170
1.1× median
239
MS_DRG 		Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 28 $35,659.85 $122,550.33 $50,688.59 nat. median
$47,740
1.1× median
981
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 28 $34,028.45 $116,825.82 $48,320.85 nat. median
$46,084
1.0× median
277
MS_DRG 		Cardiac Defibrillator Implant Without Mcc 28 $33,508.29 $115,000.65 $47,565.93 nat. median
$46,109
1.0× median
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 28 $33,352.17 $114,452.85 $47,339.35 nat. median
$44,810
1.1× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 20 $3,866.37 $97,434.23 $47,324.25 nat. median
$62,134
0.8× median
856
MS_DRG 		Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 28 $33,012.98 $113,262.63 $46,847.06 nat. median
$43,966
1.1× median
428
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 27 $40,629.28 $107,442.04 $46,462.25 nat. median
$54,211
0.9× median
163
MS_DRG 		Major Chest Procedures With Mcc 28 $32,538.24 $111,596.82 $46,158.06 nat. median
$44,938
1.0× median
130
MS_DRG 		Respiratory System Diagnosis With Ventilator Support > 96 Hours,extreme 2 $45,433.50 $46,298.90 $45,866.20 nat. median
$12,579
outlier · 3.6×
356
MS_DRG 		Other Digestive System O.r. Procedures With Mcc 28 $31,906.68 $109,380.72 $45,241.45 nat. median
$42,444
1.1× median
273
MS_DRG 		Percutaneous And Other Intracardiac Procedures With Mcc 23 $30,009.88 $102,724.95 $44,952.07 nat. median
$40,005
1.1× median
269
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 28 $30,703.19 $105,157.68 $43,494.74 nat. median
$41,527
1.0× median
673
MS_DRG 		Other Kidney And Urinary Tract Procedures With Mcc 28 $30,549.90 $104,619.84 $43,272.28 nat. median
$40,457
1.1× median
423
MS_DRG 		Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 28 $30,205.04 $103,409.70 $42,771.75 nat. median
$40,166
1.1× median
402
MS_DRG 		Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 28 $29,264.79 $76,835.78 $41,407.13 nat. median
$39,420
1.1× median
463
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 35 $3,824.37 $141,917.55 $41,179.24 nat. median
$52,753
0.8× median
182
MS_DRG 		Other Upper Vascular Procedures,extreme 7 $40,310.79 $41,673.95 $40,895.00 nat. median
$9,063
outlier · 4.5×
471
MS_DRG 		Cervical Spinal Fusion With Mcc 28 $28,966.00 $120,234.63 $40,341.98 nat. median
$46,647
0.9× median
220
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 26 $38,577.06 $89,351.06 $40,120.14 nat. median
$52,879
0.8× median
40
MS_DRG 		Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 28 $28,134.38 $96,143.88 $39,766.50 nat. median
$37,698
1.1× median
907
MS_DRG 		Other O.r. Procedures For Injuries With Mcc 28 $27,978.97 $95,598.57 $39,540.95 nat. median
$38,112
1.0× median
710
MS_DRG 		Infectious And Parasitic Diseases Including HIV With O.r. Procedure,extreme 7 $16,289.45 $39,953.71 $38,646.82 nat. median
$15,115
outlier · 2.6×
166
MS_DRG 		Other Respiratory System O.r. Procedures With Mcc 28 $27,258.00 $93,068.73 $38,494.57 nat. median
$37,476
1.0× median
628
MS_DRG 		Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 28 $27,180.66 $92,797.32 $38,382.31 nat. median
$37,237
1.0× median
270
MS_DRG 		Other Major Cardiovascular Procedures With Mcc 9 $38,176.15 $79,893.73 $38,176.15 nat. median
$51,307
0.7× median
326
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Mcc 20 $36,126.07 $75,519.21 $37,932.37 nat. median
$48,178
0.8× median
228
MS_DRG 		Other Cardiothoracic Procedures With Mcc 26 $35,842.22 $82,893.69 $37,275.91 nat. median
$50,673
0.7× median
335
MS_DRG 		Peritoneal Adhesiolysis With Mcc 28 $26,074.37 $88,915.41 $36,776.70 nat. median
$35,058
1.0× median
414
MS_DRG 		Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 28 $26,015.46 $88,708.74 $36,691.22 nat. median
$34,948
1.0× median
271
MS_DRG 		Other Major Cardiovascular Procedures With Cc 28 $25,970.76 $88,551.87 $36,626.33 nat. median
$35,597
1.0× median
448
MS_DRG 		Multiple Level Spinal Fusion Except Cervical Without Mcc 28 $30,828.09 $81,045.93 $36,500.00 nat. median
$41,169
0.9× median
467
MS_DRG 		Revision Of Hip Or Knee Replacement With Cc 28 $25,760.00 $87,812.34 $36,320.45 nat. median
$34,721
1.0× median
616
MS_DRG 		Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 28 $25,481.83 $86,836.26 $35,916.73 nat. median
$35,856
1.0× median
574
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Cc 28 $25,368.29 $86,437.86 $35,751.95 nat. median
$33,675
1.1× median
477
MS_DRG 		Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 28 $25,249.07 $86,019.54 $35,578.93 nat. median
$33,771
1.1× median
464
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 21 $20,947.72 $73,420.14 $35,398.76 nat. median
$30,264
1.2× median
987
MS_DRG 		Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 28 $25,063.15 $85,367.16 $35,309.09 nat. median
$33,847
1.0× median
29
MS_DRG 		Spinal Procedures With Cc Or Spinal Neurostimulators 28 $24,943.94 $84,948.84 $35,136.07 nat. median
$33,835
1.0× median
37
MS_DRG 		Extracranial Procedures With Mcc 28 $24,095.96 $81,973.29 $33,905.34 nat. median
$32,921
1.0× median
260
MS_DRG 		Cardiac Pacemaker Revision Except Device Replacement With Mcc 28 $23,817.09 $80,994.72 $33,500.59 nat. median
$32,663
1.0× median
840
MS_DRG 		Lymphoma And Non-acute Leukemia With Mcc 28 $23,690.06 $80,549.01 $33,316.24 nat. median
$31,382
1.1× median

Other procedures at this hospital

Browse this hospital's 971 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
             
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 2 2 — — $165,808.09 $188,684.55 $177,246.32 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 43 28 — — $62,183.83 $215,621.55 $89,184.19 2026-04-01
215 MS_DRG Other Heart Assist System Implant 35 25 — — $71,391.09 $150,768.89 $73,532.82 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 43 28 — — $45,000.00 $137,954.66 $59,945.07 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 43 28 — — $41,231.73 $142,101.81 $58,775.36 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 35 25 — — $54,986.22 $115,763.62 $56,635.81 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 43 28 — — $37,609.15 $129,390.36 $53,517.72 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 32 24 — — $49,781.89 $104,658.48 $51,773.17 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 43 28 — — $35,779.76 $122,971.14 $50,862.64 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 43 28 — — $35,659.85 $122,550.33 $50,688.59 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 43 28 — — $34,028.45 $116,825.82 $48,320.85 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 43 28 — — $33,508.29 $115,000.65 $47,565.93 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 43 28 — — $33,352.17 $114,452.85 $47,339.35 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 23 20 — — $3,866.37 $97,434.23 $47,324.25 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 43 28 — — $33,012.98 $113,262.63 $46,847.06 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 41 27 — — $40,629.28 $107,442.04 $46,462.25 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 43 28 — — $32,538.24 $111,596.82 $46,158.06 2026-04-01
130 MS_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours,extreme 2 2 — — $45,433.50 $46,298.90 $45,866.20 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 43 28 — — $31,906.68 $109,380.72 $45,241.45 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 34 23 — — $30,009.88 $102,724.95 $44,952.07 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 43 28 — — $30,703.19 $105,157.68 $43,494.74 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 43 28 — — $30,549.90 $104,619.84 $43,272.28 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 43 28 — — $30,205.04 $103,409.70 $42,771.75 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 43 28 — — $29,264.79 $76,835.78 $41,407.13 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 63 35 — — $3,824.37 $141,917.55 $41,179.24 2026-04-01
182 MS_DRG Other Upper Vascular Procedures,extreme 7 7 — — $40,310.79 $41,673.95 $40,895.00 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 43 28 — — $28,966.00 $120,234.63 $40,341.98 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 36 26 — — $38,577.06 $89,351.06 $40,120.14 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 43 28 — — $28,134.38 $96,143.88 $39,766.50 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 43 28 — — $27,978.97 $95,598.57 $39,540.95 2026-04-01
710 MS_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure,extreme 9 7 — — $16,289.45 $39,953.71 $38,646.82 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 43 28 — — $27,258.00 $93,068.73 $38,494.57 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 43 28 — — $27,180.66 $92,797.32 $38,382.31 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 9 9 — — $38,176.15 $79,893.73 $38,176.15 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 27 20 — — $36,126.07 $75,519.21 $37,932.37 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 36 26 — — $35,842.22 $82,893.69 $37,275.91 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 43 28 — — $26,074.37 $88,915.41 $36,776.70 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 43 28 — — $26,015.46 $88,708.74 $36,691.22 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 43 28 — — $25,970.76 $88,551.87 $36,626.33 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 43 28 — — $30,828.09 $81,045.93 $36,500.00 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 43 28 — — $25,760.00 $87,812.34 $36,320.45 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 43 28 — — $25,481.83 $86,836.26 $35,916.73 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 43 28 — — $25,368.29 $86,437.86 $35,751.95 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 43 28 — — $25,249.07 $86,019.54 $35,578.93 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 28 21 — — $20,947.72 $73,420.14 $35,398.76 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 43 28 — — $25,063.15 $85,367.16 $35,309.09 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 43 28 — — $24,943.94 $84,948.84 $35,136.07 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 43 28 — — $24,095.96 $81,973.29 $33,905.34 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 43 28 — — $23,817.09 $80,994.72 $33,500.59 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 43 28 — — $23,690.06 $80,549.01 $33,316.24 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 43 28 — — $23,658.13 $61,736.17 $33,269.89 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 36 26 — — $31,442.61 $72,505.59 $32,700.31 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 43 28 — — $23,084.05 $78,422.55 $32,436.70 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 43 28 — — $21,855.71 $74,112.36 $30,653.94 2026-04-01
33249 CPT Hc Ins/Repos Leads/Gen Cd Sin/Dual 5 3 — — $30,492.87 $30,492.87 $30,492.87 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 43 28 — — $21,400.84 $72,516.27 $29,993.78 2026-04-01
63685 CPT Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj 7 4 — — $29,976.87 $30,576.41 $29,976.87 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 43 28 — — $21,214.21 $71,861.40 $29,722.91 2026-04-01
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 17 15 — — $15,597.60 $40,027.99 $29,653.93 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 43 28 — — $21,102.10 $71,467.98 $29,560.19 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 43 28 — — $21,640.68 $73,357.89 $28,966.00 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 43 28 — — $20,598.99 $69,702.57 $28,829.99 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 43 28 — — $20,239.90 $68,442.63 $28,308.86 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 43 28 — — $20,234.94 $68,425.20 $28,301.65 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 36 26 — — $26,788.95 $61,517.66 $27,860.51 2026-04-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 24 18 — — $18,180.60 $46,984.39 $27,812.90 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 43 28 — — $19,875.87 $67,165.26 $27,780.52 2026-04-01
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/mcc 29 22 — — $16,610.94 $55,708.77 $27,674.86 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 50 35 — — $17,992.07 $89,799.36 $27,379.34 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 46 31 — — $7,593.67 $79,500.72 $26,776.97 2026-04-01
01486 CPT Anesth,Ankle Replacement 2 2 — — $26,359.48 $26,886.67 $26,623.07 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 36 26 — — $25,488.23 $58,446.47 $26,507.76 2026-04-01
63053 CPT Lam Facetec/Foramot DRG Arthrd Lmbr Ea Addl Sgm 6 4 — — $26,359.48 $26,886.67 $26,359.48 2026-04-01
22632 CPT Arthrodesis Posterior Interbody 1 Ntrspc Ea Addl 5 4 — — $26,359.48 $26,886.67 $26,359.48 2026-04-01
22633 CPT Arthrodesis Combined Tq 1ntrspc Lumbar 3 3 — — $26,359.48 $26,886.67 $26,359.48 2026-04-01
20936 CPT Autograft Spine Surgery Local From Same Incision 4 2 — — $26,359.48 $26,886.67 $26,359.48 2026-04-01
63052 CPT Lam Facetec/Foramot DRG Arthrd Lumbar 1 Vrt Sgm|UNUSUAL Non-overlapping Service 13 4 — — $26,359.48 $26,886.67 $26,359.48 2026-04-01
22634 CPT Arthrodesis Cmbn Tq 1ntrspc Each Additional 4 3 — — $26,359.48 $26,886.67 $26,359.48 2026-04-01
00670 CPT Anesth,Extensive Spine,Cord Proced 2 2 — — $26,359.48 $26,359.48 $26,359.48 2026-04-01
22630 CPT Arthrodesis Posterior Interbody 1 Ntrspc Lumbar 4 3 — — $26,359.48 $26,886.67 $26,359.48 2026-04-01
22853 CPT Insj Biomchn Dev Intervertebral Dsc Spc W/Arthrd 5 3 — — $26,359.48 $26,886.67 $26,359.48 2026-04-01
22614 CPT Arthrodesis Pst/Pstlat Tq 1ntrspc Ea Addl Ntrspc 5 4 — — $26,359.48 $26,886.67 $26,359.48 2026-04-01
61783 CPT Stereotactic Comp Assist Proc,Spinal|UNUSUAL Non-overlapping Service 11 4 — — $26,359.48 $26,886.67 $26,359.48 2026-04-01
63267 CPT Excis Intrasp Lesn,Xdural,Lumbar|UNUSUAL Non-overlapping Service 10 4 — — $7,049.09 $26,886.67 $26,359.48 2026-04-01
22859 CPT Insj Biomchn Dev Ntrvrt Disc Space Without Arthrd 4 3 — — $26,359.48 $26,886.67 $26,359.48 2026-04-01
22842 CPT Posterior Segmental Instrumentation 3-6 Vrt Seg 7 4 — — $26,359.48 $26,886.67 $26,359.48 2026-04-01
22840 CPT Posterior Non-segmental Instrumentation 4 3 — — $26,359.48 $26,886.67 $26,359.48 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 43 28 — — $18,851.19 $63,569.70 $26,293.35 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 43 28 — — $18,765.33 $63,268.41 $26,168.73 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 43 28 — — $18,731.26 $63,148.89 $26,119.29 2026-04-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 43 28 — — $18,417.62 $62,048.31 $25,664.08 2026-04-01
545 MS_DRG Connective Tissue Disorders With Mcc 43 28 — — $18,345.26 $61,794.33 $25,559.03 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 36 26 — — $24,440.12 $55,971.75 $25,417.72 2026-04-01
00537 CPT Anesth,Card Electrophys Proc 3 3 — — $25,391.76 $25,391.76 $25,391.76 2026-04-01
01920 CPT Anesth,Cardiac Cath W/Coron Art & Vent 4 3 — — $25,391.76 $25,899.59 $25,391.76 2026-04-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 43 28 — — $18,185.58 $61,234.08 $25,327.30 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 30 21 — — $23,094.69 $52,795.01 $25,269.26 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 43 28 — — $18,058.56 $60,788.37 $25,142.95 2026-04-01
505 MS_DRG Foot Procedures Without Cc/mcc 28 20 — — $13,456.71 $44,640.72 $24,902.05 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 5 5 — — $23,634.72 $48,864.75 $24,816.46 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 43 28 — — $17,745.60 $59,690.28 $24,688.76 2026-04-01
397 MS_DRG Appendix Procedures With Mcc 43 28 — — $17,729.29 $59,633.01 $24,665.08 2026-04-01
35 MS_DRG Carotid Artery Stent Procedures With Cc 43 28 — — $17,698.08 $59,523.45 $24,619.76 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 43 28 — — $17,668.98 $59,421.36 $24,577.53 2026-04-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 43 28 — — $17,329.78 $58,231.14 $24,085.24 2026-04-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 43 28 — — $17,317.72 $58,188.81 $24,067.73 2026-04-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 43 28 — — $17,236.82 $57,904.95 $23,950.32 2026-04-01
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 43 28 — — $17,019.67 $57,143.01 $23,635.18 2026-04-01
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 43 28 — — $16,883.43 $56,664.93 $23,437.43 2026-04-01
503 MS_DRG Foot Procedures With Mcc 23 18 — — $20,540.79 $69,498.39 $23,350.91 2026-04-01
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 43 28 — — $16,811.76 $56,413.44 $23,333.41 2026-04-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 43 28 — — $16,437.08 $55,098.72 $22,789.63 2026-04-01
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 43 28 — — $16,337.02 $54,747.63 $22,644.41 2026-04-01
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 43 28 — — $16,222.07 $54,344.25 $22,477.57 2026-04-01
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 43 28 — — $16,195.83 $54,252.12 $22,439.46 2026-04-01
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 43 28 — — $16,185.17 $54,214.77 $22,424.01 2026-04-01
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 43 28 — — $15,931.13 $53,323.35 $22,055.31 2026-04-01
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/mcc 43 28 — — $15,925.46 $53,303.43 $22,047.07 2026-04-01
374 MS_DRG Digestive Malignancy With Mcc 43 28 — — $15,911.27 $53,253.63 $22,026.47 2026-04-01
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 25 16 — — $16,402.31 $54,976.71 $21,933.75 2026-04-01
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 43 28 — — $14,422.49 $48,029.61 $21,894.00 2026-04-01
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 43 28 — — $15,762.25 $52,730.73 $21,810.19 2026-04-01
336 MS_DRG Peritoneal Adhesiolysis With Cc 43 28 — — $15,698.37 $52,506.63 $21,717.50 2026-04-01
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 23 20 — — $12,860.93 $44,147.70 $21,590.91 2026-04-01
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 43 28 — — $15,588.39 $52,120.68 $21,557.87 2026-04-01
835 MS_DRG Acute Leukemia With Cc 43 28 — — $15,535.88 $51,936.42 $21,481.65 2026-04-01
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 43 28 — — $15,490.46 $51,777.06 $21,415.74 2026-04-01
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 43 28 — — $15,481.22 $51,744.69 $21,402.35 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 39 29 — — $7,048.44 $47,760.13 $21,381.55 2026-04-01
941 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/… 43 28 — — $15,123.59 $50,489.73 $20,883.28 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 36 26 — — $20,041.93 $45,587.00 $20,843.61 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 27 21 — — $20,404.54 $46,443.18 $20,812.63 2026-04-01
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 43 28 — — $15,005.09 $50,073.90 $20,711.29 2026-04-01
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc 43 28 — — $14,973.14 $49,961.85 $20,664.94 2026-04-01
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 43 28 — — $14,928.44 $49,804.98 $20,600.06 2026-04-01
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 43 28 — — $14,913.53 $49,752.69 $20,578.43 2026-04-01
908 MS_DRG Other O.r. Procedures For Injuries With Cc 43 28 — — $14,892.95 $49,680.48 $20,548.56 2026-04-01
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 37 26 — — $17,866.95 $60,116.07 $20,537.94 2026-04-01
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 43 28 — — $14,701.37 $49,008.18 $20,270.49 2026-04-01
00938 CPT Anesth,Insert Penis Prosthesis 3 2 — — $20,134.50 $20,537.19 $20,134.50 2026-04-01
53447 CPT Rmvl & Rplcmt Nfltl Urethral/Bladder Neck Sphinc 5 3 — — $20,134.50 $20,134.50 $20,134.50 2026-04-01
54405 CPT Insj Multi-component Inflatable Penile Prosth 4 3 — — $20,134.50 $20,134.50 $20,134.50 2026-04-01
00860 CPT Anesth,Surg Low Abd,Extraperintoneal 6 4 — — $20,134.50 $20,537.19 $20,134.50 2026-04-01
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 43 28 — — $14,518.99 $48,368.25 $20,005.81 2026-04-01
328 MS_DRG Stomach, Esophageal And Duodenal Procedures Without Cc/mcc 26 17 — — $11,577.54 $39,678.15 $19,999.61 2026-04-01
100 MS_DRG Seizures With Mcc 43 28 — — $14,478.55 $48,226.32 $19,947.10 2026-04-01
585 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/mcc 43 28 — — $14,423.90 $48,034.59 $19,867.80 2026-04-01
902 MS_DRG Wound Debridements For Injuries With Cc 33 21 — — $14,320.30 $47,671.05 $19,717.44 2026-04-01
717 MS_DRG Other Male Reproductive System O.r. Procedures Except Malignancy With Cc/mcc 43 28 — — $14,149.99 $47,073.45 $19,470.26 2026-04-01
196 MS_DRG Interstitial Lung Disease With Mcc 43 28 — — $14,126.58 $46,991.28 $19,436.27 2026-04-01
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 43 28 — — $14,006.63 $46,570.47 $19,262.22 2026-04-01
754 MS_DRG Malignancy, Female Reproductive System With Mcc 43 28 — — $13,803.70 $45,858.33 $18,967.67 2026-04-01
205 MS_DRG Other Respiratory System Diagnoses With Mcc 43 28 — — $13,727.77 $45,591.90 $18,857.47 2026-04-01
919 MS_DRG Complications Of Treatment With Mcc 43 28 — — $13,726.35 $45,586.92 $18,855.41 2026-04-01
64590 CPT Implant Neurostim/Receiver 8 4 — — $18,846.34 $19,223.27 $18,846.34 2026-04-01
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 43 28 — — $13,706.48 $45,517.20 $18,826.57 2026-04-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 26 19 — — $7,516.00 $62,352.09 $18,589.08 2026-04-01
671 MS_DRG Urethral Procedures With Cc/mcc 43 28 — — $13,472.32 $44,695.50 $18,486.71 2026-04-01
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 43 28 — — $13,470.17 $44,688.03 $18,483.62 2026-04-01
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 43 28 — — $13,464.51 $44,668.11 $18,475.38 2026-04-01
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 43 28 — — $13,316.90 $44,150.19 $18,261.16 2026-04-01
542 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 43 28 — — $13,270.08 $43,985.85 $18,193.18 2026-04-01
180 MS_DRG Respiratory Neoplasms With Mcc 43 28 — — $13,266.52 $43,973.40 $18,188.03 2026-04-01
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 43 28 — — $13,245.25 $43,898.70 $18,157.14 2026-04-01
746 MS_DRG Vagina, Cervix And Vulva Procedures With Cc/mcc 43 28 — — $13,061.43 $43,253.79 $17,890.39 2026-04-01
325 MS_DRG Non-elective Or Complex Knee Joint Replacement,minor 7 7 — — $17,450.29 $18,040.39 $17,703.19 2026-04-01
828 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 43 28 — — $12,825.13 $42,424.62 $17,547.44 2026-04-01
571 MS_DRG Skin Debridement With Cc 43 28 — — $12,723.68 $42,068.55 $17,400.16 2026-04-01
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/mcc 43 28 — — $12,676.83 $41,904.21 $17,332.19 2026-04-01
444 MS_DRG Disorders Of The Biliary Tract With Mcc 43 28 — — $12,591.67 $41,605.41 $17,208.60 2026-04-01
70 MS_DRG Other Cerebrovascular Disorders With Mcc 43 28 — — $12,548.39 $41,453.52 $17,145.78 2026-04-01
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc 20 15 — — $13,190.07 $34,910.06 $17,047.03 2026-04-01
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With Mcc 43 28 — — $12,474.60 $41,194.56 $17,038.67 2026-04-01
27279 CPT Arthrodesis Si Joint Percutaneous/Min Invasive|LEFT Side 11 4 — — $17,033.32 $17,373.98 $17,033.32 2026-04-01
23472 CPT Arthroplasty Glenohumeral Joint Total Shoulder 11 4 — — $17,033.32 $17,373.98 $17,033.32 2026-04-01
22612 CPT Arthrodesis Posterior/Pstlat Tq 1ntrspc Lumbar 5 3 — — $17,033.32 $17,373.98 $17,033.32 2026-04-01
22600 CPT Arthrd Pst/Pstlat Tq 1ntrspc Crv Belw C2 Segment 4 4 — — $17,033.32 $17,373.98 $17,033.32 2026-04-01
01160 CPT Anesth,Pubis,Sacroiliac Open Proc 6 3 — — $17,033.32 $17,033.32 $17,033.32 2026-04-01
01638 CPT Anesth,Shoulder Replacement 1 1 — — $17,033.32 $17,033.32 $17,033.32 2026-04-01
643 MS_DRG Endocrine Disorders With Mcc 43 28 — — $12,415.70 $40,987.89 $16,953.18 2026-04-01
988 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 43 28 — — $12,397.96 $40,925.64 $16,927.44 2026-04-01
299 MS_DRG Peripheral Vascular Disorders With Mcc 43 28 — — $12,320.60 $40,654.23 $16,815.18 2026-04-01
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/mcc 43 28 — — $12,308.55 $40,611.90 $16,797.67 2026-04-01
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 43 28 — — $12,302.87 $40,591.98 $16,789.43 2026-04-01
38 MS_DRG Extracranial Procedures With Cc 43 28 — — $12,248.93 $40,402.74 $16,711.16 2026-04-01
73 MS_DRG Cranial And Peripheral Nerve Disorders With Mcc 43 28 — — $12,119.07 $39,947.07 $16,522.69 2026-04-01
410 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 43 28 — — $12,001.28 $39,533.73 $16,351.72 2026-04-01
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 43 28 — — $11,864.31 $39,053.16 $16,152.95 2026-04-01
177 MS_DRG Respiratory Infections And Inflammations With Mcc 43 28 — — $11,823.87 $38,911.23 $16,094.25 2026-04-01
669 MS_DRG Transurethral Procedures With Cc 43 28 — — $11,747.94 $38,644.80 $15,984.05 2026-04-01
479 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue Without Cc/mcc 21 17 — — $13,925.75 $35,525.44 $15,982.29 2026-04-01
952 MS_DRG Non-extensive O.r. Procedure Unrelated To Principal Diagnosis,major 7 7 — — $15,667.04 $16,196.85 $15,894.10 2026-04-01
551 MS_DRG Medical Back Problems With Mcc 38 25 — — $12,628.58 $41,734.89 $15,872.51 2026-04-01
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 57 35 — — $5,191.83 $53,059.41 $15,855.89 2026-04-01
517 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures Without Cc/mc… 43 28 — — $11,639.37 $38,263.83 $15,826.47 2026-04-01
813 MS_DRG Coagulation Disorders 43 28 — — $11,558.47 $37,979.97 $15,709.06 2026-04-01
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Mcc 43 28 — — $7,516.00 $45,733.83 $15,559.22 2026-04-01
314 MS_DRG Other Circulatory System Diagnoses With Mcc 64 35 — — $9,080.02 $51,921.48 $15,531.61 2026-04-01
58 MS_DRG Other Disorders Of Nervous System,major 7 7 — — $15,198.33 $15,712.29 $15,418.60 2026-04-01
520 MS_DRG Back And Neck Procedures Except Spinal Fusion Without Cc/mcc 43 28 — — $11,335.66 $37,198.11 $15,385.68 2026-04-01
283 MS_DRG Acute Myocardial Infarction, Expired With Mcc 50 35 — — $7,383.30 $49,321.92 $15,382.41 2026-04-01
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 43 28 — — $11,244.11 $36,876.90 $15,252.82 2026-04-01
682 MS_DRG Renal Failure With Mcc 43 28 — — $11,244.11 $36,876.90 $15,252.82 2026-04-01
388 MS_DRG Gastrointestinal Obstruction With Mcc 43 28 — — $11,214.31 $36,772.32 $15,209.56 2026-04-01
604 MS_DRG Trauma To The Skin, Subcutaneous Tissue And Breast With Mcc 43 28 — — $11,180.96 $36,655.29 $15,161.16 2026-04-01
581 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/mcc 43 28 — — $10,975.18 $35,933.19 $14,862.49 2026-04-01
42 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/mcc 22 17 — — $12,754.07 $33,589.49 $14,839.63 2026-04-01
637 MS_DRG Diabetes With Mcc 43 28 — — $10,929.76 $35,773.83 $14,796.57 2026-04-01
562 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 43 28 — — $10,845.31 $35,477.52 $14,674.02 2026-04-01
380 MS_DRG Complicated Peptic Ulcer With Mcc 42 32 — — $5,378.31 $29,711.63 $14,658.78 2026-04-01
602 MS_DRG Cellulitis With Mcc 43 28 — — $10,820.48 $35,390.37 $14,637.97 2026-04-01
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 19 17 — — $12,738.57 $42,120.84 $14,610.02 2026-04-01
811 MS_DRG Red Blood Cell Disorders With Mcc 43 28 — — $10,699.86 $34,967.07 $14,462.89 2026-04-01
398 MS_DRG Appendix Procedures With Cc 34 25 — — $11,069.56 $37,678.68 $14,251.32 2026-04-01
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 43 28 — — $10,481.99 $34,202.64 $14,146.71 2026-04-01
419 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. Without Cc/mcc 43 28 — — $10,426.63 $34,008.42 $14,066.37 2026-04-01
337 MS_DRG Peritoneal Adhesiolysis Without Cc/mcc 28 22 — — $9,219.66 $28,597.70 $14,059.19 2026-04-01
231 MS_DRG Major Large Bowel Procedures,major 21 7 — — $11,242.94 $18,973.03 $14,021.09 2026-04-01
504 MS_DRG Foot Procedures With Cc 24 19 — — $12,694.29 $33,539.81 $14,016.02 2026-04-01
862 MS_DRG Postoperative And Post-traumatic Infections With Mcc 50 35 — — $7,516.00 $45,410.13 $13,949.49 2026-04-01
230 MS_DRG Major Small Bowel Procedures,moderate 7 7 — — $13,715.80 $14,179.62 $13,914.58 2026-04-01
718 MS_DRG Other Male Reproductive System O.r. Procedures Except Malignancy Without Cc/mcc 43 28 — — $10,265.55 $33,443.19 $13,832.59 2026-04-01
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 60 35 — — $5,046.41 $39,942.09 $13,776.30 2026-04-01
445 MS_DRG Disorders Of The Biliary Tract With Cc 50 35 — — $7,516.00 $27,250.56 $13,756.44 2026-04-01
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 43 28 — — $10,212.34 $33,256.44 $13,755.34 2026-04-01
915 MS_DRG Allergic Reactions With Mcc 26 19 — — $7,516.00 $41,871.84 $13,670.30 2026-04-01
393 MS_DRG Other Digestive System Diagnoses With Mcc 43 28 — — $7,516.00 $39,822.57 $13,621.10 2026-04-01
555 MS_DRG Signs And Symptoms Of Musculoskeletal System And Connective Tissue With Mcc 43 28 — — $10,114.42 $32,912.82 $13,613.22 2026-04-01
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/mcc 59 35 — — $3,884.19 $45,006.75 $13,561.01 2026-04-01
368 MS_DRG Major Esophageal Disorders With Mcc 43 28 — — $7,516.00 $39,638.31 $13,560.68 2026-04-01
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 43 28 — — $10,061.90 $32,728.56 $13,537.01 2026-04-01
721 MS_DRG Post-operative, Post-traumatic, Other Device Infections,extreme 14 7 — — $6,462.70 $21,055.37 $13,523.94 2026-04-01
91 MS_DRG Other Disorders Of Nervous System With Mcc 31 23 — — $7,516.00 $43,729.38 $13,460.91 2026-04-01
501 MS_DRG Soft Tissue Procedures With Cc 42 31 — — $3,654.83 $43,527.69 $13,402.28 2026-04-01
19357 CPT Tissue Expander Placement Breast Reconstruction|LEFT Side 7 3 — — $13,387.58 $13,655.33 $13,387.58 2026-04-01
19340 CPT Insertion Breast Implant Same Day Of Mastectomy|BILATERAL Procedure 4 3 — — $13,387.58 $13,387.58 $13,387.58 2026-04-01
15777 CPT Implnt Bio Implnt For Soft Tissue Reinforcement|LEFT Side 12 4 — — $13,387.58 $13,655.33 $13,387.58 2026-04-01
977 MS_DRG HIV With Or Without Other Related Condition 43 28 — — $9,943.40 $32,312.73 $13,365.01 2026-04-01
553 MS_DRG Bone Diseases And Arthropathies With Mcc 43 28 — — $9,933.46 $32,277.87 $13,350.59 2026-04-01
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 43 28 — — $9,928.49 $32,260.44 $13,343.38 2026-04-01
885 MS_DRG Psychoses 42 28 — — $10,646.62 $26,694.24 $13,288.78 2026-04-01
199 MS_DRG Pneumothorax With Mcc 71 35 — — $3,459.82 $43,926.09 $13,253.04 2026-04-01
291 MS_DRG Heart Failure And Shock With Mcc 43 28 — — $9,844.77 $31,966.62 $13,221.86 2026-04-01
896 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 43 28 — — $1,563.00 $33,350.61 $13,118.22 2026-04-01
947 MS_DRG Signs And Symptoms With Mcc 43 28 — — $9,742.58 $31,608.06 $13,073.55 2026-04-01
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 43 28 — — $9,734.77 $31,580.67 $13,062.22 2026-04-01
809 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 43 28 — — $9,717.74 $31,520.91 $13,037.50 2026-04-01
394 MS_DRG Other Digestive System Diagnoses With Cc 28 19 — — $7,067.76 $23,438.37 $12,975.97 2026-04-01
59 MS_DRG Multiple Sclerosis And Cerebellar Ataxia With Cc 43 28 — — $9,540.33 $30,898.41 $12,780.03 2026-04-01
189 MS_DRG Pulmonary Edema And Respiratory Failure 43 28 — — $9,501.31 $30,761.46 $12,723.38 2026-04-01
245 MS_DRG Inflammatory Bowel Disease,extreme 14 7 — — $9,258.94 $15,978.01 $12,513.71 2026-04-01
27130 CPT Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft|RIGHT Side 19 4 — — $12,472.20 $12,721.65 $12,472.20 2026-04-01
28725 CPT Hc Arthodesis Of Subtalar|RIGHT Side 19 4 — — $12,472.20 $12,721.65 $12,472.20 2026-04-01
24516 CPT Tx Humral Shaft Fx W/Insj Imed Implt W/w Cerclge|RIGHT Side 4 3 — — $12,472.20 $12,721.65 $12,472.20 2026-04-01
28715 CPT Whmc Arthrodesis Triple|LEFT Side 6 3 — — $12,472.20 $12,721.65 $12,472.20 2026-04-01
23615 CPT Optx Prox Humeral Fx W/Int Fixj Rpr Tuberosity|LEFT Side 4 2 — — $12,472.20 $12,472.20 $12,472.20 2026-04-01
23473 CPT Revis Shoulder Arthrplsty Humeral/Glenoid Compnt|LEFT Side 4 3 — — $12,472.20 $12,721.65 $12,472.20 2026-04-01
01402 CPT Anesth,Total Knee Arthroplasty 3 3 — — $12,472.20 $12,721.65 $12,472.20 2026-04-01
22845 CPT Anterior Instrumentation 2-3 Vertebral Segments 8 4 — — $12,472.20 $12,721.65 $12,472.20 2026-04-01
28730 CPT Arthrd Midtarsl/Tarsometatarsal Mult/Transvrs|RIGHT Side 11 4 — — $12,472.20 $12,721.65 $12,472.20 2026-04-01
22552 CPT Arthrd Ant Interdy Cervcl Belw C2 Ea Addl Ntrspc 4 3 — — $12,472.20 $12,721.65 $12,472.20 2026-04-01
22551 CPT Arthrd Ant Interbody Decompress Cervical Belw C2 4 3 — — $12,472.20 $12,721.65 $12,472.20 2026-04-01
22515 CPT Hc Vertebroplasty Addl Inject 5 3 — — $12,472.20 $12,721.65 $12,472.20 2026-04-01
28297 CPT Corrj Hallux Valgus W/Sesmdc W/1metar Medial Cnf|LEFT Side 7 4 — — $12,472.20 $12,721.65 $12,472.20 2026-04-01
20931 CPT Allograft For Spine Surgery Only Structural 3 2 — — $12,472.20 $12,472.20 $12,472.20 2026-04-01
01214 CPT Anesth,Total Hip Arthroplasty 4 3 — — $12,472.20 $12,472.20 $12,472.20 2026-04-01
28740 CPT Arthrodesis Midtarsometatarsal Single Joint|RIGHT Side 6 3 — — $12,472.20 $12,721.65 $12,472.20 2026-04-01
01740 CPT Anesth,Elbow,Nos 4 2 — — $12,472.20 $12,472.20 $12,472.20 2026-04-01
27870 CPT Hc Arthrodesis, Ankle, Open|LEFT Side 1 1 — — $12,472.20 $12,472.20 $12,472.20 2026-04-01
27447 CPT Arthrp Kne Condyle&Platu Medial&Lat Compartments|RIGHT Side 8 3 — — $12,472.20 $12,472.20 $12,472.20 2026-04-01
27446 CPT Arthrp Knee Condyle&Plateau Medial/Lat Cmprt|LEFT Side 7 4 — — $12,472.20 $12,721.65 $12,472.20 2026-04-01
385 MS_DRG Inflammatory Bowel Disease With Mcc 50 35 — — $4,311.54 $39,399.27 $12,441.47 2026-04-01
304 MS_DRG Hypertension With Mcc 43 28 — — $9,179.13 $29,631.00 $12,255.81 2026-04-01
593 MS_DRG Skin Ulcers With Cc 43 28 — — $9,152.88 $29,538.87 $12,217.70 2026-04-01
884 MS_DRG Organic Disturbances And Intellectual Disability 43 28 — — $1,563.00 $30,747.69 $12,151.72 2026-04-01
39 MS_DRG Extracranial Procedures Without Cc/mcc 43 28 — — $9,076.24 $29,269.95 $12,106.47 2026-04-01
725 MS_DRG Benign Prostatic Hypertrophy With Mcc 43 28 — — $9,038.63 $29,137.98 $12,051.89 2026-04-01
54 MS_DRG Nervous System Neoplasms With Mcc 50 35 — — $5,752.08 $38,019.81 $12,032.64 2026-04-01
660 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Cc 57 35 — — $7,920.88 $32,910.33 $12,018.22 2026-04-01
689 MS_DRG Kidney And Urinary Tract Infections With Mcc 43 28 — — $8,968.38 $28,891.47 $11,949.93 2026-04-01
713 MS_DRG Transurethral Prostatectomy With Cc/mcc 36 26 — — $11,403.08 $25,189.47 $11,859.20 2026-04-01
399 MS_DRG Appendix Procedures Without Cc/mcc 37 26 — — $8,857.68 $28,503.03 $11,789.27 2026-04-01
663 MS_DRG Minor Bladder Procedures With Cc 57 35 — — $4,348.41 $37,852.98 $11,522.30 2026-04-01
181 MS_DRG Respiratory Neoplasms With Cc 30 23 — — $7,516.00 $26,667.90 $11,344.21 2026-04-01
200 MS_DRG Pneumothorax With Cc 43 28 — — $8,535.50 $27,372.57 $11,321.69 2026-04-01
381 MS_DRG Complicated Peptic Ulcer With Cc 43 28 — — $8,423.40 $26,979.15 $11,158.97 2026-04-01
697 MS_DRG Urethral Stricture 43 28 — — $8,382.95 $26,837.22 $11,100.26 2026-04-01
227 MS_DRG Hernia Procedures Except Inguinal, Femoral And Umbilical,moderate 7 7 — — $10,858.24 $11,225.42 $11,015.60 2026-04-01
661 MS_DRG Kidney And Ureter Procedures For Non-neoplasm Without Cc/mcc 32 27 — — $8,082.07 $25,781.46 $10,998.61 2026-04-01
300 MS_DRG Peripheral Vascular Disorders With Cc 43 28 — — $8,309.87 $26,580.75 $10,994.18 2026-04-01
433 MS_DRG Cirrhosis And Alcoholic Hepatitis With Cc 43 28 — — $8,229.67 $26,299.38 $10,877.80 2026-04-01
664 MS_DRG Minor Bladder Procedures Without Cc/mcc 43 28 — — $8,163.67 $26,067.81 $10,782.02 2026-04-01
305 MS_DRG Hypertension Without Mcc 57 35 — — $6,093.03 $18,801.99 $10,739.04 2026-04-01
554 MS_DRG Bone Diseases And Arthropathies Without Mcc 32 23 — — $6,625.24 $20,669.49 $10,703.05 2026-04-01
422 MS_DRG Hepatobiliary Diagnostic Procedures Without Cc/mcc 57 35 — — $4,844.92 $34,847.55 $10,665.79 2026-04-01
543 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 43 28 — — $8,029.57 $25,597.20 $10,587.37 2026-04-01
71 MS_DRG Other Cerebrovascular Disorders With Cc 43 28 — — $8,015.38 $25,547.40 $10,566.77 2026-04-01
644 MS_DRG Endocrine Disorders With Cc 43 28 — — $8,008.27 $25,522.50 $10,556.48 2026-04-01
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 43 28 — — $7,996.21 $25,480.17 $10,538.97 2026-04-01
92 MS_DRG Other Disorders Of Nervous System With Cc 43 28 — — $7,994.08 $25,472.70 $10,535.88 2026-04-01
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