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Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

MERCY HEALTH - DEFIANCE HOSPITAL

Defiance, OH · CCN 360270 · Rates published

415 distinct procedures filed
31 distinct payers
21,452 rate rows
2026-04-01 last MRF observed
Data quality

6,658 of 21,452 rate rows are consumer-grade (31.0%)

14,794 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 14,782
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 12
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.mercy.com/-/media/mercy/patient-resources/hospital-pricing-transparency/020701635_mercy-health-defiance-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 · 2026-05-15
Content fingerprint def652dd0df64f26… · 6,358,069 bytes · first seen 2026-05-08

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
326
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Mcc 24 $35,637.69 $85,239.65 $35,637.69 nat. median
$48,178
0.7× median
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 24 $35,288.98 $84,405.61 $35,288.98 nat. median
$48,170
0.7× median
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 24 $32,844.49 $78,558.78 $32,844.49 nat. median
$44,810
0.7× median
673
MS_DRG 		Other Kidney And Urinary Tract Procedures With Mcc 15 $30,022.71 $71,809.55 $31,073.50 nat. median
$40,454
0.8× median
956
MS_DRG 		Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 24 $26,888.68 $64,313.43 $26,888.68 nat. median
$37,662
0.7× median
347
MS_DRG 		Anal And Stomal Procedures With Mcc 13 $16,403.31 $39,234.10 $25,917.23 nat. median
$22,979
1.1× median
335
MS_DRG 		Peritoneal Adhesiolysis With Mcc 24 $25,516.02 $61,030.25 $25,516.02 nat. median
$35,058
0.7× median
987
MS_DRG 		Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 24 $24,497.77 $58,594.78 $24,497.77 nat. median
$33,845
0.7× median
515
MS_DRG 		Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 24 $22,772.13 $54,467.31 $22,772.13 nat. median
$31,607
0.7× median
464
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 24 $22,256.22 $53,233.34 $22,256.22 nat. median
$30,262
0.7× median
521
MS_DRG 		Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 24 $20,509.14 $49,054.59 $20,509.14 nat. median
$28,961
0.7× median
208
MS_DRG 		Respiratory System Diagnosis With Ventilator Support <=96 Hours 24 $19,640.95 $46,978.03 $19,640.95 nat. median
$26,748
0.7× median
468
MS_DRG 		Revision Of Hip Or Knee Replacement Without Cc/mcc 24 $19,635.95 $46,966.07 $19,635.95 nat. median
$27,218
0.7× median
64590
CPT 		Implant Neurostim/Receiver 3 $19,300.62 $19,300.62 $19,300.62 nat. median
$18,334
1.1× median
659
MS_DRG 		Kidney And Ureter Procedures For Non-neoplasm With Mcc 24 $18,156.12 $43,426.52 $18,156.12 nat. median
$25,587
0.7× median
397
MS_DRG 		Appendix Procedures With Mcc 20 $17,930.51 $42,348.08 $17,930.51 nat. median
$24,164
0.7× median
350
MS_DRG 		Inguinal And Femoral Hernia Procedures With Mcc 24 $17,805.97 $42,589.06 $17,805.97 nat. median
$24,405
0.7× median
478
MS_DRG 		Biopsies Of Musculoskeletal System And Connective Tissue With Cc 24 $17,572.32 $42,030.19 $17,572.32 nat. median
$24,026
0.7× median
01638
CPT 		Anesth,Shoulder Replacement 2 $17,443.90 $17,443.90 $17,443.90 nat. median
$263
outlier · 66.4×
23472
CPT 		Arthroplasty Glenohumeral Joint Total Shoulder|LEFT Side 4 $17,443.90 $17,792.77 $17,443.90 nat. median
$16,400
1.1× median
330
MS_DRG 		Major Small And Large Bowel Procedures With Cc 24 $17,129.30 $40,970.55 $17,129.30 nat. median
$24,346
0.7× median
417
MS_DRG 		Laparoscopic Cholecystectomy Without C.d.e. With Mcc 19 $17,052.12 $40,785.96 $17,052.12 nat. median
$23,829
0.7× median
357
MS_DRG 		Other Digestive System O.r. Procedures With Cc 21 $16,616.96 $39,745.12 $16,616.96 nat. median
$22,940
0.7× median
374
MS_DRG 		Digestive Malignancy With Mcc 13 $15,282.17 $36,552.52 $15,817.05 nat. median
$21,276
0.7× median
629
MS_DRG 		Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 24 $15,568.71 $37,237.87 $15,568.71 nat. median
$22,198
0.7× median
595
MS_DRG 		Major Skin Disorders With Mcc 24 $15,153.56 $36,244.88 $15,153.56 nat. median
$21,126
0.7× median
336
MS_DRG 		Peritoneal Adhesiolysis With Cc 24 $15,067.81 $36,039.79 $15,067.81 nat. median
$21,526
0.7× median
481
MS_DRG 		Hip And Femur Procedures Except Major Joint With Cc 24 $14,966.34 $35,797.10 $14,966.34 nat. median
$21,529
0.7× median
835
MS_DRG 		Acute Leukemia With Cc 24 $14,904.18 $35,648.41 $14,904.18 nat. median
$21,480
0.7× median
314
MS_DRG 		Other Circulatory System Diagnoses With Mcc 24 $14,899.88 $35,638.15 $14,899.88 nat. median
$20,752
0.7× median
854
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Cc 24 $14,277.52 $34,149.53 $14,277.52 nat. median
$20,421
0.7× median
539
MS_DRG 		Osteomyelitis With Mcc 19 $14,074.58 $25,606.10 $14,074.58 nat. median
$19,718
0.7× median
871
MS_DRG 		Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 24 $13,880.22 $33,199.27 $13,880.22 nat. median
$19,634
0.7× median
470
MS_DRG 		Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without… 24 $13,783.04 $36,334.00 $13,783.04 nat. median
$20,055
0.7× median
196
MS_DRG 		Interstitial Lung Disease With Mcc 24 $13,485.07 $32,254.14 $13,485.07 nat. median
$18,723
0.7× median
919
MS_DRG 		Complications Of Treatment With Mcc 24 $13,082.06 $31,290.20 $13,082.06 nat. median
$18,326
0.7× median
377
MS_DRG 		Gastrointestinal Hemorrhage With Mcc 24 $13,062.05 $31,242.35 $13,062.05 nat. median
$18,249
0.7× median
623
MS_DRG 		Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 19 $12,818.38 $23,320.70 $12,818.38 nat. median
$18,744
0.7× median
01214
CPT 		Anesth,Total Hip Arthroplasty 3 $12,772.84 $13,028.30 $12,772.84 nat. median
$438
outlier · 29.1×
27447
CPT 		Arthrp Kne Condyle&Platu Medial&Lat Compartments|RIGHT Side 1 $12,772.84 $12,772.84 $12,772.84 nat. median
$12,649
1.0× median
27130
CPT 		Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft|RIGHT Side 2 $12,772.84 $13,028.30 $12,772.84 nat. median
$13,100
1.0× median
28645
CPT 		Open Tx Metatarsophalangeal Joint Dislocation 3 $12,772.84 $12,772.84 $12,772.84 nat. median
$3,547
outlier · 3.6×
28297
CPT 		Corrj Hallux Valgus W/Sesmdc W/1metar Medial Cnf|LEFT Side 2 $12,772.84 $12,772.84 $12,772.84 nat. median
$7,359
1.7× median
01744
CPT 		Anesth,Humerus Repair 2 $12,772.84 $12,772.84 $12,772.84 nat. median
$8,547
1.5× median
01740
CPT 		Anesth,Elbow,Nos 1 $12,772.84 $12,772.84 $12,772.84 nat. median
$600
outlier · 21.3×
28270
CPT 		Capsul Mttarphlngl Jt W/wo Tenorrhaphy Ea Jt Spx|LEFT Foot, Third Digit 2 $12,772.84 $13,028.30 $12,772.84 nat. median
$3,286
outlier · 3.9×
01630
CPT 		Anesth,Shoulder Joint,Nos 2 $12,772.84 $12,772.84 $12,772.84 nat. median
$375
outlier · 34.1×
28122
CPT 		Prtl Exc B1 Tarsal/Metar B1 Xcp Talus/Calcaneus|LEFT Side 1 $12,772.84 $12,772.84 $12,772.84 nat. median
$3,493
outlier · 3.7×
01402
CPT 		Anesth,Total Knee Arthroplasty 3 $12,772.84 $13,028.30 $12,772.84 nat. median
$205
outlier · 62.2×
24515
CPT 		Optx Humeral Shft Fx W/Plate/Screws W/Wocerclage|RIGHT Side 4 $12,772.84 $13,028.30 $12,772.84 nat. median
$11,226
1.1× median

Other procedures at this hospital

Browse this hospital's 415 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
             
884 MS_DRG Organic Disturbances And Intellectual Disability 23 18 — — $2,007.00 $18,733.83 $12,086.34 2026-04-01
897 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc 25 18 — — $2,007.00 $11,039.14 $6,308.08 2026-04-01
894 MS_DRG Alcohol, Drug Abuse Or Dependence, Left Ama 33 24 — — $2,007.00 $7,714.16 $4,408.09 2026-04-01
00300 CPT Anesth,Skin Surg Head/Neck 1 1 — — $2,889.82 $2,889.82 $2,889.82 2026-04-01
00700 CPT Anesth,Abd Wall,Uper Anter,Surg 3 3 — — $2,889.82 $2,889.82 $2,889.82 2026-04-01
01250 CPT Anesth,Upper Leg Surgery 7 4 — — $2,889.82 $2,947.62 $2,889.82 2026-04-01
01470 CPT Anesth,Lower Leg,Open Surgery 5 4 — — $2,889.82 $2,947.62 $2,889.82 2026-04-01
11450 CPT Hc Removal Sweat Gland Lesion|PBB Charge|unusual Non-overlapping Service|left Si… 7 3 — — $2,889.82 $2,889.82 $2,889.82 2026-04-01
36475 CPT Hc Endovenous Rf 1st Vein|LEFT Side 12 4 — — $3,141.29 $5,646.67 $4,370.03 2026-04-01
01844 CPT Anesth,Lower Arm,Vasc Shunt Surg 5 4 — — $3,141.29 $3,204.11 $3,141.29 2026-04-01
36561 CPT Hc Cv Cath Plac W/Port Tun >5 10 4 — — $3,141.29 $3,204.11 $3,141.29 2026-04-01
01930 CPT Anesth,Inter Rad,Venous/Lymph Sys,Nos 7 4 — — $3,141.29 $3,204.11 $3,141.29 2026-04-01
36821 CPT Arteriovenous Anastomosis Open Direct 3 2 — — $3,141.29 $3,204.11 $3,141.29 2026-04-01
37799 CPT Hc Collect Blood From Arterial Line 7 4 — — $3,141.29 $3,204.11 $3,141.29 2026-04-01
00532 CPT Anesth,Centrl Vascular Access 4 3 — — $3,141.29 $3,204.11 $3,141.29 2026-04-01
58558 CPT Hysteroscopy Bx Endometrium&/Polypc W/wo D&c 7 3 — — $3,220.52 $3,220.52 $3,220.52 2026-04-01
00906 CPT Anesth,Removal Of Vulva 7 4 — — $3,220.52 $3,284.93 $3,220.52 2026-04-01
00940 CPT Anesth,Vaginal Procedures 6 4 — — $3,220.52 $3,284.93 $3,220.52 2026-04-01
00952 CPT Anesth,Hysteroscopy/Vag Bx 8 4 — — $3,220.52 $3,284.93 $3,220.52 2026-04-01
58562 CPT Hc Hysteroscopy Removal Impacted Foreign Body|PBB Charge 8 4 — — $3,220.52 $3,284.93 $3,220.52 2026-04-01
57522 CPT Hc Conization Cervix,Loop Electrd 5 3 — — $3,220.52 $3,220.52 $3,220.52 2026-04-01
56620 CPT Vulvectomy Simple Partial 8 4 — — $3,220.52 $3,284.93 $3,220.52 2026-04-01
11420 CPT Hc Excis Benign Les To 0.5 Cm; Scalp/Neck/Hands/Feet/Genit 2 2 — — $3,220.52 $3,220.52 $3,220.52 2026-04-01
25448 CPT Arthrp Intercarpal/Carp/Mtcrpl Jt Suspension|LEFT Hand, Thumb 17 4 — — $3,255.22 $3,320.32 $3,255.22 2026-04-01
01830 CPT Anesth,Distal Radius/Ulna Wrist/Hand,Nos 3 2 — — $3,255.22 $3,255.22 $3,255.22 2026-04-01
01820 CPT Anesth,Forearm Bones,Closed Proc 4 3 — — $3,255.22 $3,320.32 $3,255.22 2026-04-01
01480 CPT Anesth,Lower Leg Bone Surg 7 4 — — $3,255.22 $3,320.32 $3,255.22 2026-04-01
01400 CPT Anesth,Knee Joint; Nos 7 4 — — $3,255.22 $3,320.32 $3,255.22 2026-04-01
22511 CPT Hc Perq Lumbosacral Injection 6 4 — — $3,255.22 $3,320.32 $3,255.22 2026-04-01
29881 CPT Arthrs Kne Surg W/Meniscectomy Med/Lat W/Shvg|LEFT Side 8 4 — — $3,255.22 $3,320.32 $3,255.22 2026-04-01
29880 CPT Arthrs Knee W/Meniscectomy Med&Lat W/Shaving 12 4 — — $3,255.22 $3,320.32 $3,255.22 2026-04-01
29875 CPT Arthroscopy Knee Synovectomy Limited Spx|LEFT Side|separate Structure 14 4 — — $3,255.22 $3,320.32 $3,255.22 2026-04-01
28820 CPT Amputation Toe Metatarsophalangeal Joint|RIGHT Foot, Great Toe 3 2 — — $3,255.22 $3,255.22 $3,255.22 2026-04-01
28296 CPT Corrj Hallux Valgus W/Sesmdc W/Dist Metar Osteot|LEFT Side 12 3 — — $3,255.22 $3,255.22 $3,255.22 2026-04-01
28292 CPT Corrj Hallux Valgus W/Sesmdc W/Rescj Prox Phal|LEFT Side 10 4 — — $3,255.22 $3,320.32 $3,255.22 2026-04-01
28285 CPT Correction Hammertoe|LEFT Foot, Fifth Digit 11 4 — — $3,255.22 $13,028.30 $3,255.22 2026-04-01
28120 CPT Partial Excision Bone Talus/Calcaneus|LEFT Side 3 2 — — $3,255.22 $3,255.22 $3,255.22 2026-04-01
28090 CPT Exc Lesion Tendon Sheath/Capsule W/Synvct Foot|RIGHT Side 1 1 — — $3,255.22 $3,255.22 $3,255.22 2026-04-01
28062 CPT Fasciectomy Plantar Fascia Radical Spx|RIGHT Side 6 4 — — $3,255.22 $3,320.32 $3,255.22 2026-04-01
25606 CPT Perq Skel Fixj Distal Radial Fx/Epiphysl Sep 11 4 — — $3,255.22 $3,320.32 $3,255.22 2026-04-01
28039 CPT Excision Tumor Soft Tis Foot/Toe Subq 1.5 Cm/>|LEFT Side|unusual Non-overlapping… 1 1 — — $3,255.22 $3,255.22 $3,255.22 2026-04-01
28035 CPT Release Tarsal Tunnel|RIGHT Side 4 3 — — $3,255.22 $3,255.22 $3,255.22 2026-04-01
28020 CPT Arthrt W/Expl Drg/Rmvl Loose/FB Ntrtrsl/Tars Jt|RIGHT Side 3 2 — — $3,255.22 $3,255.22 $3,255.22 2026-04-01
27630 CPT Excision Lesion Tendon Sheath/Capsule Leg&/Ank 7 4 — — $3,255.22 $3,320.32 $3,255.22 2026-04-01
27601 CPT Dcmprn Fasct Leg Post Compartment Only 3 3 — — $3,255.22 $3,255.22 $3,255.22 2026-04-01
26990 CPT I&d Pelvis/Hip Jt Area Deep Abscess/Hematoma|LEFT Side 5 3 — — $3,255.22 $3,255.22 $3,255.22 2026-04-01
199 MS_DRG Hypertension,minor 14 7 — — $3,261.39 $4,416.98 $3,822.09 2026-04-01
139 MS_DRG Other Pneumonia,moderate 10 7 — — $3,484.80 $4,517.67 $4,412.11 2026-04-01
50590 CPT Hc Lithotripsy|LEFT Side 18 4 — — $3,506.90 $3,577.04 $3,506.90 2026-04-01
55706 CPT Hc Bx Prostate Strtctc Saturation Sampling Img Gid 8 4 — — $3,506.90 $3,577.04 $3,506.90 2026-04-01
52351 CPT Cysto W/Urtroscopy&/Pyeloscopy Dx|RIGHT Side 17 4 — — $3,506.90 $3,577.04 $3,506.90 2026-04-01
00873 CPT Anesth,Kid Stone Destruct 7 4 — — $3,506.90 $3,577.04 $3,506.90 2026-04-01
52332 CPT Cysto W/Insert Ureteral Stent|BILATERAL Procedure 33 4 — — $3,506.90 $5,334.30 $3,506.90 2026-04-01
52318 CPT Litholapaxy Comp/Lg > 2.5 Cm 7 4 — — $3,506.90 $3,577.04 $3,506.90 2026-04-01
52235 CPT Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum 5 4 — — $3,506.90 $3,577.04 $3,506.90 2026-04-01
52234 CPT Cysto W/Removal Of Tumors Small 5 3 — — $3,506.90 $3,577.04 $3,506.90 2026-04-01
52224 CPT Cysto W/Removal Of Lesions Small 7 4 — — $3,506.90 $3,577.04 $3,506.90 2026-04-01
51535 CPT Cystotomy Excise/Incise/Repair Ureterocele 4 4 — — $3,506.90 $3,577.04 $3,506.90 2026-04-01
00912 CPT Anesth,Xurethral Bladder Tumor Surg 7 3 — — $3,506.90 $3,506.90 $3,506.90 2026-04-01
13160 CPT Secondary Closure Surg Wound/Dehsn Extsv/Complic 3 3 — — $3,525.55 $3,596.06 $3,525.55 2026-04-01
55040 CPT Excision Hydrocele Unilateral|RIGHT Side 17 4 — — $3,562.04 $6,014.52 $3,562.04 2026-04-01
49591 CPT Rpr Aa Hernia 1st < 3 Cm Reducible 6 3 — — $3,562.04 $3,562.04 $3,562.04 2026-04-01
463 MS_DRG Kidney And Urinary Tract Infections,minor 14 7 — — $3,605.02 $4,759.96 $4,165.60 2026-04-01
244 MS_DRG Diverticulitis And Diverticulosis,minor 4 4 — — $3,643.82 $3,767.04 $3,679.03 2026-04-01
420 MS_DRG Diabetes,minor 7 7 — — $3,870.27 $4,001.15 $3,926.36 2026-04-01
390 MS_DRG Gastrointestinal Obstruction Without Cc/mcc 32 24 — — $3,887.17 $9,297.50 $3,887.17 2026-04-01
19301 CPT Mastectomy Partial|LEFT Side 8 3 — — $3,895.35 $3,895.35 $3,895.35 2026-04-01
253 MS_DRG Other And Unspecified Gastrointestinal Hemorrhage,minor 9 7 — — $3,985.88 $4,959.36 $4,120.67 2026-04-01
293 MS_DRG Heart Failure And Shock Without Cc/mcc 32 24 — — $4,044.38 $9,673.51 $4,044.38 2026-04-01
310 MS_DRG Cardiac Arrhythmia And Conduction Disorders Without Cc/mcc 32 24 — — $4,045.08 $9,675.22 $4,045.08 2026-04-01
201 MS_DRG Cardiac Arrhythmia And Conduction Disorders,moderate 6 6 — — $4,063.47 $4,122.36 $4,122.36 2026-04-01
54 MS_DRG Nervous System Neoplasms With Mcc 38 30 — — $4,171.94 $26,096.25 $10,910.54 2026-04-01
241 MS_DRG Peptic Ulcer And Gastritis,minor 14 7 — — $4,253.50 $5,382.07 $4,801.68 2026-04-01
113 MS_DRG Infections Of Upper Respiratory Tract,moderate 7 7 — — $4,282.80 $4,427.63 $4,344.87 2026-04-01
145 MS_DRG Acute Bronchitis And Related Symptoms,moderate 4 4 — — $4,287.58 $4,411.26 $4,328.80 2026-04-01
684 MS_DRG Renal Failure Without Cc/mcc 32 24 — — $4,289.46 $10,259.73 $4,289.46 2026-04-01
639 MS_DRG Diabetes Without Cc/mcc 32 24 — — $4,438.82 $10,616.93 $4,438.82 2026-04-01
440 MS_DRG Disorders Of Pancreas Except Malignancy Without Cc/mcc 18 14 — — $4,451.14 $10,512.67 $4,451.14 2026-04-01
469 MS_DRG Acute Kidney Injury,moderate 7 7 — — $4,485.49 $4,637.18 $4,550.50 2026-04-01
195 MS_DRG Simple Pneumonia And Pleurisy Without Cc/mcc 32 24 — — $4,490.98 $10,741.69 $4,490.98 2026-04-01
379 MS_DRG Gastrointestinal Hemorrhage Without Cc/mcc 32 24 — — $4,504.55 $10,774.17 $4,504.55 2026-04-01
140 MS_DRG Chronic Obstructive Pulmonary Disease,moderate 7 7 — — $4,506.08 $4,658.46 $4,571.39 2026-04-01
816 MS_DRG Reticuloendothelial And Immunity Disorders Without Cc/mcc 32 24 — — $4,515.99 $10,801.51 $4,515.99 2026-04-01
192 MS_DRG Chronic Obstructive Pulmonary Disease Without Cc/mcc 32 24 — — $4,587.45 $10,972.42 $4,587.45 2026-04-01
254 MS_DRG Other Digestive System Diagnoses,minor 7 7 — — $4,629.60 $4,786.15 $4,696.69 2026-04-01
395 MS_DRG Other Digestive System Diagnoses Without Cc/mcc 24 19 — — $4,637.46 $11,092.06 $4,637.46 2026-04-01
282 MS_DRG Acute Myocardial Infarction, Discharged Alive Without Cc/mcc 33 26 — — $4,692.15 $9,400.30 $5,166.94 2026-04-01
383 MS_DRG Cellulitis And Other Skin Infections,moderate 7 7 — — $4,706.40 $4,865.56 $4,774.61 2026-04-01
303 MS_DRG Atherosclerosis Without Mcc 26 19 — — $4,810.38 $8,751.60 $4,810.38 2026-04-01
249 MS_DRG Other Gastroenteritis, Nausea And Vomiting,moderate 6 6 — — $4,843.39 $5,007.17 $4,913.58 2026-04-01
194 MS_DRG Simple Pneumonia And Pleurisy With Cc 37 29 — — $4,943.94 $13,773.64 $5,758.58 2026-04-01
00942 CPT Anesth,Colpot,Vaginect,Colporr,Ureth Pro 5 4 — — $4,976.79 $5,076.33 $4,976.79 2026-04-01
57240 CPT Anterior Colporraphy Rpr Cystocele W/Cysto 7 4 — — $4,976.79 $5,076.33 $4,976.79 2026-04-01
58563 CPT Hysteroscopy Endometrial Ablation 7 4 — — $4,976.79 $5,076.33 $4,976.79 2026-04-01
00860 CPT Anesth,Surg Low Abd,Extraperintoneal 6 3 — — $4,976.79 $4,976.79 $4,976.79 2026-04-01
720 MS_DRG Septicemia And Disseminated Infections,moderate 7 7 — — $5,006.49 $5,175.79 $5,079.05 2026-04-01
301 MS_DRG Peripheral Vascular Disorders Without Cc/mcc 25 20 — — $5,142.65 $12,300.39 $5,142.65 2026-04-01
313 MS_DRG Chest Pain 26 19 — — $5,144.80 $9,360.00 $5,144.80 2026-04-01
373 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections Without Cc/mcc 20 17 — — $5,197.67 $12,431.99 $5,197.67 2026-04-01
309 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Cc 32 24 — — $5,256.97 $12,573.85 $5,256.97 2026-04-01
153 MS_DRG Otitis Media And Uri Without Mcc 18 15 — — $5,274.84 $12,616.58 $5,459.46 2026-04-01
52356 CPT Cysto/Uretero W/Lithotripsy &Indwell Stent Insrt|RIGHT Side 19 4 — — $5,334.30 $5,440.98 $5,334.30 2026-04-01
52240 CPT Cystourethroscopy W/Dest &/Rmvl Tumor Large 7 4 — — $5,334.30 $5,440.98 $5,334.30 2026-04-01
52353 CPT Cysto W/Ureteroscopy W/Lithotripsy 6 3 — — $5,334.30 $5,334.30 $5,334.30 2026-04-01
52601 CPT Trurl Electrosurg Rescj Prostate Bleed Complete 7 4 — — $5,334.30 $5,440.98 $5,334.30 2026-04-01
52648 CPT Laser Vaporization Of Prostate For Urine Flow 6 4 — — $5,334.30 $5,440.98 $5,334.30 2026-04-01
00918 CPT Anesth,Stone Rmvoval 6 4 — — $5,334.30 $5,440.98 $5,334.30 2026-04-01
00914 CPT Anesth,Xurethral Removal Of Prostate 5 4 — — $5,334.30 $5,440.98 $5,334.30 2026-04-01
149 MS_DRG Dysequilibrium 32 24 — — $5,370.59 $12,845.60 $5,370.59 2026-04-01
544 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 32 24 — — $5,392.02 $12,896.87 $5,392.02 2026-04-01
305 MS_DRG Hypertension Without Mcc 18 16 — — $5,432.41 $12,830.21 $5,432.41 2026-04-01
37765 CPT Hc Stab Phlebectomy 10-20|right Side 2 2 — — $5,535.95 $5,535.95 $5,535.95 2026-04-01
392 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc 32 24 — — $5,570.66 $13,324.14 $5,570.66 2026-04-01
389 MS_DRG Gastrointestinal Obstruction With Cc 32 24 — — $5,643.55 $13,498.47 $5,643.55 2026-04-01
641 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou… 22 18 — — $5,654.57 $13,354.91 $5,739.39 2026-04-01
93 MS_DRG Other Disorders Of Nervous System Without Cc/mcc 26 19 — — $5,689.99 $10,351.90 $5,689.99 2026-04-01
69 MS_DRG Transient Ischemia Without Thrombolytic 32 24 — — $5,707.86 $13,652.29 $5,707.86 2026-04-01
176 MS_DRG Pulmonary Embolism Without Mcc 32 24 — — $5,752.16 $13,758.26 $5,752.16 2026-04-01
204 MS_DRG Respiratory Signs And Symptoms 26 19 — — $5,769.32 $10,496.20 $5,769.32 2026-04-01
536 MS_DRG Fractures Of Hip And Pelvis Without Mcc 32 24 — — $5,770.74 $13,802.69 $5,770.74 2026-04-01
690 MS_DRG Kidney And Urinary Tract Infections Without Mcc 32 24 — — $5,784.32 $13,835.16 $5,784.32 2026-04-01
728 MS_DRG Inflammation Of The Male Reproductive System Without Mcc 32 24 — — $5,796.47 $13,864.22 $5,796.47 2026-04-01
446 MS_DRG Disorders Of The Biliary Tract Without Cc/mcc 23 19 — — $5,911.51 $14,139.38 $5,911.51 2026-04-01
556 MS_DRG Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without Mcc 24 19 — — $5,935.09 $14,195.78 $5,935.09 2026-04-01
103 MS_DRG Headaches Without Mcc 21 17 — — $5,975.81 $14,293.20 $6,095.33 2026-04-01
439 MS_DRG Disorders Of Pancreas Except Malignancy With Cc 32 24 — — $6,010.83 $14,376.95 $6,010.83 2026-04-01
49614 CPT Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated 3 3 — — $6,014.52 $6,134.81 $6,014.52 2026-04-01
58661 CPT Laparoscopy W/Rmvl Adnexal Structures|BILATERAL Procedure 5 4 — — $6,014.52 $6,134.81 $6,014.52 2026-04-01
00832 CPT Anesth,Repair Lo Hernia Ventr/Incis 6 4 — — $6,014.52 $6,134.81 $6,014.52 2026-04-01
00840 CPT Anesth,Surg Lower Abdomen 7 4 — — $6,014.52 $6,134.81 $6,014.52 2026-04-01
00790 CPT Anesth,Surg Upper Abdomen 3 3 — — $6,014.52 $6,134.81 $6,014.52 2026-04-01
44180 CPT Laparoscopy Enterolysis Separate Procedure 2 1 — — $6,014.52 $6,014.52 $6,014.52 2026-04-01
44970 CPT Laparoscopic Appendectomy 3 2 — — $6,014.52 $6,014.52 $6,014.52 2026-04-01
C9776 CPT Fluo Bile Duct Imaging W/icg 6 3 — — $6,014.52 $6,014.52 $6,014.52 2026-04-01
47562 CPT Laparoscopy Surg Cholecystectomy 1 1 — — $6,014.52 $6,014.52 $6,014.52 2026-04-01
47563 CPT Laps Surg Cholecystectomy W/Cholangiography 4 3 — — $6,014.52 $6,134.81 $6,014.52 2026-04-01
49320 CPT Laps Abd Prtm&Omentum Dx W/wo Spec Br/Wa Spx 3 3 — — $6,014.52 $6,134.81 $6,014.52 2026-04-01
49592 CPT Rpr Aa Hernia 1st < 3 Cm Ncrc8/Strangulated 3 2 — — $6,014.52 $6,014.52 $6,014.52 2026-04-01
49594 CPT Rpr Aa Hernia 1st 3-10 Cm Ncrc8/Strangulated 7 4 — — $6,014.52 $6,134.81 $6,014.52 2026-04-01
49650 CPT Laparoscopy Surg Rpr Initial Inguinal Hernia|BILATERAL Procedure 24 4 — — $6,014.52 $6,134.81 $6,014.52 2026-04-01
49651 CPT Laps Surg Rpr Recurrent Inguinal Hernia|BILATERAL Procedure 17 4 — — $6,014.52 $10,786.83 $6,014.52 2026-04-01
191 MS_DRG Chronic Obstructive Pulmonary Disease With Cc 32 24 — — $6,023.69 $14,407.71 $6,023.69 2026-04-01
292 MS_DRG Heart Failure And Shock With Cc 26 19 — — $6,066.57 $11,037.00 $6,066.57 2026-04-01
384 MS_DRG Uncomplicated Peptic Ulcer Without Mcc 16 14 — — $6,108.01 $14,609.39 $6,108.01 2026-04-01
638 MS_DRG Diabetes With Cc 20 16 — — $6,108.87 $15,371.65 $6,108.87 2026-04-01
603 MS_DRG Cellulitis Without Mcc 32 24 — — $6,223.05 $14,884.55 $6,223.05 2026-04-01
312 MS_DRG Syncope And Collapse 32 24 — — $6,228.06 $14,896.52 $6,228.06 2026-04-01
64561 CPT Hc Prq Impltj Neurostim Eltrd Sacral Nrve W/Imaging 6 4 — — $6,340.31 $6,467.12 $6,340.31 2026-04-01
864 MS_DRG Fever And Inflammatory Conditions 32 24 — — $6,343.09 $15,171.68 $6,343.09 2026-04-01
683 MS_DRG Renal Failure With Cc 22 17 — — $6,432.49 $15,192.19 $6,432.49 2026-04-01
49593 CPT Rpr Aa Hernia 1st 3-10 Cm Reducible 4 3 — — $6,440.62 $6,569.43 $6,440.62 2026-04-01
00830 CPT Anesth,Repair Lo Abd Hernia Nos 5 3 — — $6,440.62 $6,440.62 $6,440.62 2026-04-01
563 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 19 14 — — $6,467.95 $11,619.40 $6,467.95 2026-04-01
158 MS_DRG Dental And Oral Diseases With Cc 32 24 — — $6,501.02 $15,549.39 $6,501.02 2026-04-01
263 MS_DRG Cholecystectomy,minor 7 7 — — $6,534.65 $6,755.63 $6,629.35 2026-04-01
812 MS_DRG Red Blood Cell Disorders Without Mcc 32 24 — — $6,561.04 $15,692.96 $6,561.04 2026-04-01
19303 CPT Mastectomy Simple Complete 4 3 — — $6,606.11 $6,606.11 $6,606.11 2026-04-01
38525 CPT Bx/Exc Lymph Node Open Deep Axillary Node|RIGHT Side 3 2 — — $6,606.11 $6,606.11 $6,606.11 2026-04-01
01610 CPT Anesth,Surgery Of Shoulder 1 1 — — $6,606.11 $6,606.11 $6,606.11 2026-04-01
364 MS_DRG Other Skin, Subcutaneous Tissue And Related Procedures,moderate 7 7 — — $6,639.16 $6,863.68 $6,735.38 2026-04-01
281 MS_DRG Acute Myocardial Infarction, Discharged Alive With Cc 16 11 — — $6,670.58 $11,983.40 $6,670.58 2026-04-01
206 MS_DRG Other Respiratory System Diagnoses Without Mcc 32 24 — — $6,724.67 $16,084.34 $6,724.67 2026-04-01
552 MS_DRG Medical Back Problems Without Mcc 32 24 — — $6,869.01 $16,429.58 $6,869.01 2026-04-01
315 MS_DRG Other Circulatory System Diagnoses With Cc 32 24 — — $6,883.31 $16,463.76 $6,883.31 2026-04-01
442 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc 26 19 — — $6,897.60 $12,548.90 $6,897.60 2026-04-01
202 MS_DRG Bronchitis And Asthma With Cc/mcc 32 24 — — $6,939.75 $16,598.78 $6,939.75 2026-04-01
178 MS_DRG Respiratory Infections And Inflammations With Cc 32 24 — — $6,974.04 $16,680.82 $6,974.04 2026-04-01
378 MS_DRG Gastrointestinal Hemorrhage With Cc 16 15 — — $7,007.63 $16,761.14 $7,007.63 2026-04-01
920 MS_DRG Complications Of Treatment With Cc 32 24 — — $7,161.97 $17,130.31 $7,161.97 2026-04-01
27524 CPT Optx Patllr Fx W/Int Fixj/Patllc&Soft Tiss Rpr|LEFT Side 5 4 — — $7,219.00 $7,363.38 $7,219.00 2026-04-01
01392 CPT Anesth,Upper Leg,Open Procedure 8 4 — — $7,219.00 $7,363.38 $7,219.00 2026-04-01
27650 CPT Repair Primary Open/Prq Ruptured Achilles Tendon|LEFT Side 4 3 — — $7,219.00 $7,219.00 $7,219.00 2026-04-01
27829 CPT Open Tx Distal Tibiofibular Joint Disruption|LEFT Side 3 2 — — $7,219.00 $7,219.00 $7,219.00 2026-04-01
01320 CPT Anesth,Knee Area Surgery 6 4 — — $7,219.00 $7,363.38 $7,219.00 2026-04-01
25607 CPT Optx Dstl Radl X-artic Fx/Epiphysl Sep|LEFT Side 11 4 — — $7,219.00 $7,363.38 $7,219.00 2026-04-01
27385 CPT Suture Quadriceps/Hamstring Rupture Primary 1 1 — — $7,219.00 $7,219.00 $7,219.00 2026-04-01
28130 CPT Talectomy Astragalectomy|LEFT Side 5 4 — — $7,219.00 $7,363.38 $7,219.00 2026-04-01
63047 CPT Laminec/Facetect/Foramin,Lumbar 4 3 — — $7,219.00 $7,219.00 $7,219.00 2026-04-01
63048 CPT Lam Facetectomy&Foramot 1 Vrt Sgm Ea Addl Sgm 4 2 — — $7,219.00 $7,219.00 $7,219.00 2026-04-01
63030 CPT Lamnotmy Incl W/Dcmprsn Nrv Root 1 Intrspc Lumbr|RIGHT Side 3 3 — — $7,219.00 $7,363.38 $7,219.00 2026-04-01
28308 CPT Osteot W/wo Lngth Shrt/Corrj Metar Xcp 1st Ea|LEFT Side 6 3 — — $7,219.00 $7,219.00 $7,219.00 2026-04-01
28485 CPT Open Treatment Metatarsal Fracture Each|LEFT Side|unusual Non-overlapping Servic… 4 3 — — $7,219.00 $7,363.38 $7,219.00 2026-04-01
28585 CPT Open Treatment Talotarsal Joint Dislocation|LEFT Side 5 3 — — $7,219.00 $7,219.00 $7,219.00 2026-04-01
23515 CPT Open Tx Clavicular Fracture Internal Fixation|LEFT Side 4 2 — — $7,219.00 $7,219.00 $7,219.00 2026-04-01
28750 CPT Arthrodesis Great Toe Metatarsophalangeal Joint|RIGHT Foot, Great Toe 3 1 — — $7,219.00 $7,219.00 $7,219.00 2026-04-01
29828 CPT Surgical Arthroscopy Shoulder Biceps Tenodesis 4 4 — — $7,219.00 $7,363.38 $7,219.00 2026-04-01
01942 CPT Anes Perq Img Neuromd/Ntrvrt Px Spi/Sp Lmbr/Sac 5 3 — — $7,219.00 $7,219.00 $7,219.00 2026-04-01
29888 CPT Arthrs Aided Ant Cruciate Ligm Rpr/Agmntj/Rcnstj|LEFT Side 2 1 — — $7,219.00 $7,219.00 $7,219.00 2026-04-01
01472 CPT Anesth,Achilles Tendon Surg 6 3 — — $7,219.00 $7,363.38 $7,219.00 2026-04-01
23410 CPT Open Repair Of Rotator Cuff Acute|RIGHT Side 2 2 — — $7,219.00 $7,219.00 $7,219.00 2026-04-01
22514 CPT Hc Perq Vert Agmntj Cavity Crtj Uni/Bi Cannulj Lmbr 3 2 — — $7,219.00 $7,219.00 $7,219.00 2026-04-01
00670 CPT Anesth,Extensive Spine,Cord Proced 1 1 — — $7,219.00 $7,219.00 $7,219.00 2026-04-01
00630 CPT Anesth,Lumbar Spine,Cord Surgery 6 4 — — $7,219.00 $7,363.38 $7,219.00 2026-04-01
00450 CPT Anesth,Surg Clavicle/Scapula 2 2 — — $7,219.00 $7,219.00 $7,219.00 2026-04-01
65 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours 32 24 — — $7,219.14 $17,267.04 $7,219.14 2026-04-01
699 MS_DRG Other Kidney And Urinary Tract Diagnoses With Cc 32 24 — — $7,252.73 $17,347.37 $7,252.73 2026-04-01
372 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Cc 32 24 — — $7,295.60 $17,449.91 $7,295.60 2026-04-01
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 32 24 — — $7,312.04 $17,489.22 $7,312.04 2026-04-01
644 MS_DRG Endocrine Disorders With Cc 32 24 — — $7,324.18 $17,518.28 $7,324.18 2026-04-01
543 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 26 19 — — $7,345.63 $13,364.00 $7,345.63 2026-04-01
74 MS_DRG Cranial And Peripheral Nerve Disorders Without Mcc 26 19 — — $7,365.62 $13,400.40 $7,365.62 2026-04-01
514 MS_DRG Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures Without Cc/mcc 18 13 — — $7,378.30 $17,425.98 $7,378.30 2026-04-01
565 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Cc 20 16 — — $7,379.02 $17,427.69 $7,379.02 2026-04-01
923 MS_DRG Other Injury, Poisoning And Toxic Effect Diagnoses Without Mcc 23 20 — — $7,380.47 $17,431.11 $7,454.27 2026-04-01
661 MS_DRG Kidney And Ureter Procedures For Non-neoplasm Without Cc/mcc 32 24 — — $7,398.49 $17,696.02 $7,398.49 2026-04-01
300 MS_DRG Peripheral Vascular Disorders With Cc 32 24 — — $7,627.87 $18,244.64 $7,627.87 2026-04-01
181 MS_DRG Respiratory Neoplasms With Cc 32 24 — — $7,652.88 $18,304.46 $7,652.88 2026-04-01
381 MS_DRG Complicated Peptic Ulcer With Cc 32 24 — — $7,742.20 $18,518.10 $7,742.20 2026-04-01
445 MS_DRG Disorders Of The Biliary Tract With Cc 26 19 — — $7,820.08 $14,227.20 $7,820.08 2026-04-01
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 32 24 — — $7,915.12 $18,931.70 $7,915.12 2026-04-01
200 MS_DRG Pneumothorax With Cc 25 19 — — $8,014.38 $18,928.28 $8,094.52 2026-04-01
399 MS_DRG Appendix Procedures Without Cc/mcc 32 24 — — $8,179.49 $19,564.07 $8,179.49 2026-04-01
689 MS_DRG Kidney And Urinary Tract Infections With Mcc 32 24 — — $8,290.98 $19,830.69 $8,290.98 2026-04-01
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 32 24 — — $8,603.23 $20,577.56 $8,603.23 2026-04-01
189 MS_DRG Pulmonary Edema And Respiratory Failure 32 24 — — $8,827.61 $21,114.22 $8,827.61 2026-04-01
743 MS_DRG Uterine And Adnexa Procedures For Non-malignancy Without Cc/mcc 32 24 — — $8,865.48 $21,204.80 $8,865.48 2026-04-01
809 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 32 24 — — $9,045.55 $21,635.50 $9,045.55 2026-04-01
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 32 24 — — $9,062.69 $21,676.52 $9,062.69 2026-04-01
535 MS_DRG Fractures Of Hip And Pelvis With Mcc 32 24 — — $9,160.59 $21,910.66 $9,160.59 2026-04-01
291 MS_DRG Heart Failure And Shock With Mcc 32 24 — — $9,173.44 $21,941.43 $9,173.44 2026-04-01
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 32 24 — — $9,257.76 $22,143.10 $9,257.76 2026-04-01
540 MS_DRG Osteomyelitis With Cc 26 19 — — $9,262.77 $16,851.90 $9,262.77 2026-04-01
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 32 24 — — $9,392.10 $22,464.41 $9,392.10 2026-04-01
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 32 24 — — $9,543.59 $22,826.74 $9,543.59 2026-04-01
355 MS_DRG Hernia Procedures Except Inguinal And Femoral Without Cc/mcc 32 24 — — $9,610.76 $22,987.40 $9,610.76 2026-04-01
502 MS_DRG Soft Tissue Procedures Without Cc/mcc 32 24 — — $9,617.19 $23,002.78 $9,617.19 2026-04-01
419 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. Without Cc/mcc 32 24 — — $9,759.37 $23,342.89 $9,759.37 2026-04-01
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 26 19 — — $9,815.12 $17,856.80 $9,815.12 2026-04-01
602 MS_DRG Cellulitis With Mcc 32 24 — — $10,155.96 $24,291.44 $10,155.96 2026-04-01
637 MS_DRG Diabetes With Mcc 32 24 — — $10,266.00 $24,554.64 $10,266.00 2026-04-01
581 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/mcc 32 24 — — $10,311.74 $24,664.02 $10,311.74 2026-04-01
682 MS_DRG Renal Failure With Mcc 32 24 — — $10,582.55 $25,311.77 $10,582.55 2026-04-01
224 MS_DRG Peritoneal Adhesiolysis,moderate 7 7 — — $10,735.09 $11,098.11 $10,890.67 2026-04-01
564 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc 26 19 — — $11,029.87 $20,066.80 $11,029.87 2026-04-01
669 MS_DRG Transurethral Procedures With Cc 32 24 — — $11,089.88 $26,525.23 $11,089.88 2026-04-01
177 MS_DRG Respiratory Infections And Inflammations With Mcc 32 24 — — $11,166.34 $26,708.11 $11,166.34 2026-04-01
393 MS_DRG Other Digestive System Diagnoses With Mcc 32 24 — — $11,427.86 $27,333.64 $11,427.86 2026-04-01
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 32 24 — — $11,462.16 $27,415.67 $11,462.16 2026-04-01
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 26 19 — — $11,648.66 $21,192.60 $11,648.66 2026-04-01
299 MS_DRG Peripheral Vascular Disorders With Mcc 32 24 — — $11,666.53 $27,904.48 $11,666.53 2026-04-01
988 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 32 24 — — $11,744.41 $28,090.77 $11,744.41 2026-04-01
643 MS_DRG Endocrine Disorders With Mcc 32 24 — — $11,762.28 $28,133.50 $11,762.28 2026-04-01
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With Mcc 32 24 — — $11,821.59 $28,275.35 $11,821.59 2026-04-01
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 32 24 — — $12,021.67 $28,753.90 $12,021.67 2026-04-01
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/mcc 32 24 — — $12,025.24 $28,762.44 $12,025.24 2026-04-01
571 MS_DRG Skin Debridement With Cc 32 24 — — $12,072.40 $28,875.24 $12,072.40 2026-04-01
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 32 24 — — $12,087.40 $28,911.14 $12,087.40 2026-04-01
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 19 15 — — $12,347.50 $29,533.25 $12,347.50 2026-04-01
501 MS_DRG Soft Tissue Procedures With Cc 32 24 — — $12,491.11 $29,876.78 $12,491.11 2026-04-01
488 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection With Cc/mcc 32 24 — — $12,639.75 $30,232.27 $12,639.75 2026-04-01
01744 CPT Anesth,Humerus Repair 4 2 — — $12,772.84 $12,772.84 $12,772.84 2026-04-01
28122 CPT Prtl Exc B1 Tarsal/Metar B1 Xcp Talus/Calcaneus|LEFT Side 2 1 — — $12,772.84 $12,772.84 $12,772.84 2026-04-01
27447 CPT Arthrp Kne Condyle&Platu Medial&Lat Compartments|RIGHT Side 2 1 — — $12,772.84 $12,772.84 $12,772.84 2026-04-01
01214 CPT Anesth,Total Hip Arthroplasty 4 3 — — $12,772.84 $13,028.30 $12,772.84 2026-04-01
27130 CPT Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft|RIGHT Side 5 2 — — $12,772.84 $13,028.30 $12,772.84 2026-04-01
28645 CPT Open Tx Metatarsophalangeal Joint Dislocation 5 3 — — $12,772.84 $12,772.84 $12,772.84 2026-04-01
01402 CPT Anesth,Total Knee Arthroplasty 4 3 — — $12,772.84 $13,028.30 $12,772.84 2026-04-01
28297 CPT Corrj Hallux Valgus W/Sesmdc W/1metar Medial Cnf|LEFT Side 3 2 — — $12,772.84 $12,772.84 $12,772.84 2026-04-01
24515 CPT Optx Humeral Shft Fx W/Plate/Screws W/Wocerclage|RIGHT Side 11 4 — — $12,772.84 $13,028.30 $12,772.84 2026-04-01
01630 CPT Anesth,Shoulder Joint,Nos 3 2 — — $12,772.84 $12,772.84 $12,772.84 2026-04-01
28270 CPT Capsul Mttarphlngl Jt W/wo Tenorrhaphy Ea Jt Spx|LEFT Foot, Third Digit 3 2 — — $12,772.84 $13,028.30 $12,772.84 2026-04-01
01740 CPT Anesth,Elbow,Nos 1 1 — — $12,772.84 $12,772.84 $12,772.84 2026-04-01
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 26 19 — — $12,818.38 $23,320.70 $12,818.38 2026-04-01
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 32 24 — — $13,062.05 $31,242.35 $13,062.05 2026-04-01
919 MS_DRG Complications Of Treatment With Mcc 32 24 — — $13,082.06 $31,290.20 $13,082.06 2026-04-01
196 MS_DRG Interstitial Lung Disease With Mcc 32 24 — — $13,485.07 $32,254.14 $13,485.07 2026-04-01
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 33 24 — — $13,783.04 $36,334.00 $13,783.04 2026-04-01
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 32 24 — — $13,880.22 $33,199.27 $13,880.22 2026-04-01
539 MS_DRG Osteomyelitis With Mcc 26 19 — — $14,074.58 $25,606.10 $14,074.58 2026-04-01
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 32 24 — — $14,277.52 $34,149.53 $14,277.52 2026-04-01
314 MS_DRG Other Circulatory System Diagnoses With Mcc 32 24 — — $14,899.88 $35,638.15 $14,899.88 2026-04-01
835 MS_DRG Acute Leukemia With Cc 32 24 — — $14,904.18 $35,648.41 $14,904.18 2026-04-01
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 32 24 — — $14,966.34 $35,797.10 $14,966.34 2026-04-01
336 MS_DRG Peritoneal Adhesiolysis With Cc 32 24 — — $15,067.81 $36,039.79 $15,067.81 2026-04-01
595 MS_DRG Major Skin Disorders With Mcc 32 24 — — $15,153.56 $36,244.88 $15,153.56 2026-04-01
374 MS_DRG Digestive Malignancy With Mcc 14 13 — — $15,282.17 $36,552.52 $15,817.05 2026-04-01
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 32 24 — — $15,568.71 $37,237.87 $15,568.71 2026-04-01
347 MS_DRG Anal And Stomal Procedures With Mcc 13 13 — — $16,403.31 $39,234.10 $25,917.23 2026-04-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 27 21 — — $16,616.96 $39,745.12 $16,616.96 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 25 19 — — $17,052.12 $40,785.96 $17,052.12 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 32 24 — — $17,129.30 $40,970.55 $17,129.30 2026-04-01
01638 CPT Anesth,Shoulder Replacement 3 2 — — $17,443.90 $17,443.90 $17,443.90 2026-04-01
23472 CPT Arthroplasty Glenohumeral Joint Total Shoulder|LEFT Side 6 4 — — $17,443.90 $17,792.77 $17,443.90 2026-04-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 32 24 — — $17,572.32 $42,030.19 $17,572.32 2026-04-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 32 24 — — $17,805.97 $42,589.06 $17,805.97 2026-04-01
397 MS_DRG Appendix Procedures With Mcc 27 20 — — $17,930.51 $42,348.08 $17,930.51 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 32 24 — — $18,156.12 $43,426.52 $18,156.12 2026-04-01
64590 CPT Implant Neurostim/Receiver 5 3 — — $19,300.62 $19,300.62 $19,300.62 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 32 24 — — $19,635.95 $46,966.07 $19,635.95 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 32 24 — — $19,640.95 $46,978.03 $19,640.95 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 32 24 — — $20,509.14 $49,054.59 $20,509.14 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 32 24 — — $22,256.22 $53,233.34 $22,256.22 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 32 24 — — $22,772.13 $54,467.31 $22,772.13 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 32 24 — — $24,497.77 $58,594.78 $24,497.77 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 32 24 — — $25,516.02 $61,030.25 $25,516.02 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 32 24 — — $26,888.68 $64,313.43 $26,888.68 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 16 15 — — $30,022.71 $71,809.55 $31,073.50 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 32 24 — — $32,844.49 $78,558.78 $32,844.49 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 32 24 — — $35,288.98 $84,405.61 $35,288.98 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 32 24 — — $35,637.69 $85,239.65 $35,637.69 2026-04-01
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