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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

HMHP ST ELIZABETH BOARDMAN HEALTH CENTER

Boardman, OH · CCN 360276 · Rates published

1,179 distinct procedures filed
35 distinct payers
42,256 rate rows
2026-04-01 last MRF observed
Data quality

26,553 of 42,256 rate rows are consumer-grade (62.8%)

15,703 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 15,703
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.mercy.com/-/media/mercy/patient-resources/hospital-pricing-transparency/340505560-1790868982_mercy-health-youngstown-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 5b697fc37b94a3ac… · 14,115,006 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
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 28 $47,901.16 $139,666.74 $70,272.52 nat. median
$66,526
1.1× median
834
MS_DRG 		Acute Leukemia With Mcc 20 $38,130.47 $110,934.41 $66,950.33 nat. median
$53,173
1.3× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 28 $45,424.64 $132,384.14 $66,629.50 nat. median
$59,793
1.1× median
11
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 28 $37,884.46 $110,211.00 $55,537.70 nat. median
$52,857
1.1× median
326
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Mcc 28 $34,677.50 $100,780.39 $50,820.18 nat. median
$48,178
1.1× median
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 28 $34,342.15 $99,794.29 $50,326.87 nat. median
$48,170
1.0× median
239
MS_DRG 		Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 28 $34,226.04 $99,452.79 $50,156.06 nat. median
$47,740
1.1× median
981
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 28 $32,646.25 $94,807.20 $47,832.16 nat. median
$46,084
1.0× median
826
MS_DRG 		Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r.… 28 $32,550.05 $94,524.30 $47,690.65 nat. median
$46,259
1.0× median
856
MS_DRG 		Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 28 $31,662.92 $91,915.58 $46,385.66 nat. median
$43,966
1.1× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 35 $5,454.62 $130,025.98 $45,292.07 nat. median
$62,134
0.7× median
356
MS_DRG 		Other Digestive System O.r. Procedures With Mcc 28 $30,591.64 $88,765.31 $44,809.78 nat. median
$42,444
1.1× median
474
MS_DRG 		Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 28 $29,905.18 $86,746.63 $43,799.97 nat. median
$42,295
1.0× median
12
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 28 $29,376.76 $85,192.71 $43,022.65 nat. median
$40,916
1.1× median
673
MS_DRG 		Other Kidney And Urinary Tract Procedures With Mcc 28 $29,277.79 $84,901.73 $42,877.07 nat. median
$40,457
1.1× median
901
MS_DRG 		Wound Debridements For Injuries With Mcc 28 $29,243.45 $84,800.70 $42,826.55 nat. median
$41,872
1.0× median
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 28 $1,012.00 $108,718.50 $41,247.40 nat. median
$52,278
0.8× median
463
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 35 $2,658.98 $115,169.80 $39,570.74 nat. median
$52,753
0.8× median
907
MS_DRG 		Other O.r. Procedures For Injuries With Mcc 28 $26,788.22 $77,580.74 $39,214.85 nat. median
$38,112
1.0× median
956
MS_DRG 		Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 28 $26,263.94 $76,038.94 $38,443.61 nat. median
$37,664
1.0× median
166
MS_DRG 		Other Respiratory System O.r. Procedures With Mcc 28 $26,090.08 $75,527.70 $38,187.86 nat. median
$37,476
1.0× median
628
MS_DRG 		Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 28 $26,015.17 $75,307.45 $38,077.67 nat. median
$37,237
1.0× median
492
MS_DRG 		Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 28 $25,635.87 $74,192.02 $37,519.71 nat. median
$35,489
1.1× median
495
MS_DRG 		Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 28 $25,320.46 $73,264.52 $37,055.73 nat. median
$35,223
1.1× median
408
MS_DRG 		Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 28 $24,907.47 $72,050.08 $36,448.22 nat. median
$34,943
1.0× median
622
MS_DRG 		Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 28 $24,863.49 $71,920.75 $36,383.52 nat. median
$35,325
1.0× median
466
MS_DRG 		Revision Of Hip Or Knee Replacement With Mcc 35 $2,663.65 $105,185.52 $36,175.50 nat. median
$49,191
0.7× median
467
MS_DRG 		Revision Of Hip Or Knee Replacement With Cc 28 $24,639.48 $71,262.01 $36,054.00 nat. median
$34,721
1.0× median
94
MS_DRG 		Bacterial And Tuberculous Infections Of Nervous System With Mcc 28 $24,590.01 $71,116.52 $35,981.22 nat. median
$35,264
1.0× median
616
MS_DRG 		Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 28 $24,370.11 $70,469.89 $35,657.75 nat. median
$35,856
1.0× median
574
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Cc 28 $24,260.18 $70,146.58 $35,496.03 nat. median
$33,675
1.1× median
477
MS_DRG 		Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 28 $24,144.73 $69,807.10 $35,326.20 nat. median
$33,771
1.0× median
987
MS_DRG 		Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 28 $23,964.69 $69,277.68 $35,061.36 nat. median
$33,847
1.0× median
802
MS_DRG 		Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 27 $27,783.23 $80,506.71 $34,925.46 nat. median
$36,785
0.9× median
264
MS_DRG 		Other Circulatory System O.r. Procedures 28 $23,361.36 $67,503.50 $34,173.85 nat. median
$33,061
1.0× median
579
MS_DRG 		Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 28 $22,659.78 $65,440.37 $33,141.81 nat. median
$31,572
1.0× median
840
MS_DRG 		Lymphoma And Non-acute Leukemia With Mcc 28 $22,635.04 $65,367.62 $33,105.41 nat. median
$31,382
1.1× median
464
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 28 $21,809.07 $62,938.74 $31,890.39 nat. median
$30,264
1.1× median
510
MS_DRG 		Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 28 $21,161.78 $61,035.24 $30,938.21 nat. median
$29,046
1.1× median
498
MS_DRG 		Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 28 $21,136.36 $60,960.48 $30,900.81 nat. median
$27,782
1.1× median
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 15 $29,762.52 $91,270.98 $30,357.77 nat. median
$44,810
0.7× median
327
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Cc 17 $16,329.77 $49,064.62 $30,217.13 nat. median
$24,638
1.2× median
570
MS_DRG 		Skin Debridement With Mcc 28 $20,616.18 $59,430.81 $30,135.61 nat. median
$29,069
1.0× median
668
MS_DRG 		Transurethral Procedures With Mcc 28 $20,471.19 $59,004.44 $29,922.33 nat. median
$28,493
1.1× median
480
MS_DRG 		Hip And Femur Procedures Except Major Joint With Mcc 28 $20,418.28 $58,848.85 $29,844.50 nat. median
$29,218
1.0× median
353
MS_DRG 		Hernia Procedures Except Inguinal And Femoral With Mcc 28 $20,347.51 $58,640.71 $29,740.39 nat. median
$28,775
1.0× median
974
MS_DRG 		HIV With Major Related Condition With Mcc 28 $20,237.55 $58,317.40 $29,578.64 nat. median
$29,015
1.0× median
13
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 28 $20,208.69 $58,232.53 $29,536.19 nat. median
$27,767
1.1× median
521
MS_DRG 		Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 28 $20,128.96 $57,998.13 $29,418.91 nat. median
$28,962
1.0× median
423
MS_DRG 		Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 35 $4,668.55 $83,919.67 $29,378.01 nat. median
$40,166
0.7× median

Other procedures at this hospital

Browse this hospital's 1,179 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
             
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 43 28 — — $47,901.16 $139,666.74 $70,272.52 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 43 28 — — $45,424.64 $132,384.14 $66,629.50 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 25 20 — — $38,130.47 $110,934.41 $66,950.33 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 43 28 — — $37,884.46 $110,211.00 $55,537.70 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 43 28 — — $34,677.50 $100,780.39 $50,820.18 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 43 28 — — $34,342.15 $99,794.29 $50,326.87 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 43 28 — — $34,226.04 $99,452.79 $50,156.06 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 43 28 — — $32,646.25 $94,807.20 $47,832.16 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 43 28 — — $32,550.05 $94,524.30 $47,690.65 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 43 28 — — $31,662.92 $91,915.58 $46,385.66 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 43 28 — — $30,591.64 $88,765.31 $44,809.78 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 43 28 — — $29,905.18 $86,746.63 $43,799.97 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 17 15 — — $29,762.52 $91,270.98 $30,357.77 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 43 28 — — $29,376.76 $85,192.71 $43,022.65 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 43 28 — — $29,277.79 $84,901.73 $42,877.07 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 43 28 — — $29,243.45 $84,800.70 $42,826.55 2026-04-01
64582 CPT Open Impltj Hpglsl Nrv Nstim Ra Pg&Respir Sensor 10 4 — — $29,193.76 $29,777.64 $29,193.76 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 40 27 — — $27,783.23 $80,506.71 $34,925.46 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 43 28 — — $26,788.22 $77,580.74 $39,214.85 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 43 28 — — $26,263.94 $76,038.94 $38,443.61 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 43 28 — — $26,090.08 $75,527.70 $38,187.86 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 43 28 — — $26,015.17 $75,307.45 $38,077.67 2026-04-01
27675 CPT Rpr Disloc Peroneal Tendon Without Fibular Osteotomy 1 1 — — $25,670.88 $25,670.88 $25,670.88 2026-04-01
27702 CPT Arthroplasty Ankle W/Implant|RIGHT Side 1 1 — — $25,670.88 $25,670.88 $25,670.88 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 43 28 — — $25,635.87 $74,192.02 $37,519.71 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 43 28 — — $25,320.46 $73,264.52 $37,055.73 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 6 6 — — $24,943.90 $65,318.90 $25,193.34 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 43 28 — — $24,907.47 $72,050.08 $36,448.22 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 43 28 — — $24,863.49 $71,920.75 $36,383.52 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 43 28 — — $24,639.48 $71,262.01 $36,054.00 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 43 28 — — $24,590.01 $71,116.52 $35,981.22 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 43 28 — — $24,370.11 $70,469.89 $35,657.75 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 43 28 — — $24,260.18 $70,146.58 $35,496.03 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 43 28 — — $24,144.73 $69,807.10 $35,326.20 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 43 28 — — $23,964.69 $69,277.68 $35,061.36 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 43 28 — — $23,361.36 $67,503.50 $34,173.85 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 43 28 — — $22,659.78 $65,440.37 $33,141.81 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 43 28 — — $22,635.04 $65,367.62 $33,105.41 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 42 28 — — $22,581.46 $65,210.01 $28,368.56 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 43 28 — — $21,809.07 $62,938.74 $31,890.39 2026-04-01
691 MS_DRG Lymphoma, Myeloma And Non-acute Leukemia,extreme 7 7 — — $21,235.66 $21,640.15 $21,235.66 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 43 28 — — $21,161.78 $61,035.24 $30,938.21 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 43 28 — — $21,136.36 $60,960.48 $30,900.81 2026-04-01
570 MS_DRG Skin Debridement With Mcc 43 28 — — $20,616.18 $59,430.81 $30,135.61 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 43 28 — — $20,471.19 $59,004.44 $29,922.33 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 43 28 — — $20,418.28 $58,848.85 $29,844.50 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 43 28 — — $20,347.51 $58,640.71 $29,740.39 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 43 28 — — $20,237.55 $58,317.40 $29,578.64 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 43 28 — — $20,208.69 $58,232.53 $29,536.19 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 43 28 — — $20,128.96 $57,998.13 $29,418.91 2026-04-01
800 MS_DRG Splenic Procedures With Cc 43 28 — — $19,711.17 $56,769.55 $28,804.33 2026-04-01
54405 CPT Insj Multi-component Inflatable Penile Prosth 8 4 — — $19,608.51 $20,000.68 $19,608.51 2026-04-01
00938 CPT Anesth,Insert Penis Prosthesis 4 4 — — $19,608.51 $20,000.68 $19,608.51 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 43 28 — — $19,294.07 $55,542.98 $28,190.76 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 43 28 — — $19,102.36 $54,979.21 $27,908.75 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 43 28 — — $19,002.04 $54,684.18 $27,761.17 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 43 28 — — $18,941.57 $54,506.36 $27,672.22 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 43 28 — — $18,684.57 $53,750.62 $27,294.17 2026-04-01
64590 CPT Implant Neurostim/Receiver 8 4 — — $18,354.00 $18,721.08 $18,354.00 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 43 28 — — $18,129.34 $52,117.89 $26,477.41 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 43 28 — — $18,129.34 $52,117.89 $26,477.41 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 43 28 — — $18,049.63 $51,883.49 $26,360.16 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 43 28 — — $17,866.18 $51,343.97 $26,090.29 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 43 28 — — $17,833.18 $51,246.97 $26,041.75 2026-04-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 43 28 — — $17,529.44 $50,353.82 $25,594.95 2026-04-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 43 28 — — $17,304.75 $49,693.05 $25,264.42 2026-04-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 43 28 — — $17,299.94 $49,678.91 $25,257.35 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 43 28 — — $16,878.72 $48,440.22 $24,637.72 2026-04-01
397 MS_DRG Appendix Procedures With Mcc 41 28 — — $16,862.92 $48,393.74 $24,614.47 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 43 28 — — $16,804.50 $48,221.98 $24,528.54 2026-04-01
27487 CPT Revj Tot Knee Arthrp Fem&Entire Tibial Compone|LEFT Side 3 3 — — $16,588.34 $16,588.34 $16,588.34 2026-04-01
23472 CPT Arthroplasty Glenohumeral Joint Total Shoulder 3 3 — — $16,588.34 $16,588.34 $16,588.34 2026-04-01
01638 CPT Anesth,Shoulder Replacement 5 3 — — $16,588.34 $16,588.34 $16,588.34 2026-04-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 43 28 — — $16,476.05 $47,256.09 $24,045.38 2026-04-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 43 28 — — $16,386.03 $46,991.38 $23,912.96 2026-04-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 43 28 — — $16,369.53 $46,942.88 $23,888.69 2026-04-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 21 17 — — $16,329.77 $49,064.62 $30,217.13 2026-04-01
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 43 28 — — $16,084.35 $46,104.29 $23,469.19 2026-04-01
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 43 28 — — $16,043.82 $45,985.07 $23,409.56 2026-04-01
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 43 28 — — $16,017.72 $45,908.28 $23,371.16 2026-04-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 43 28 — — $15,611.60 $44,714.05 $22,773.75 2026-04-01
934 MS_DRG Full Thickness Burn Without Skin Graft Or Inhalation Injury 43 28 — — $15,596.49 $44,669.59 $22,751.52 2026-04-01
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 43 28 — — $15,577.92 $44,615.04 $22,724.21 2026-04-01
636 MS_DRG Neonate Birth Weight > 2499 Grams With Congenital Or Perinatal Infection,major 7 7 — — $15,402.60 $15,695.98 $15,402.60 2026-04-01
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 43 28 — — $15,377.98 $44,027.01 $22,430.08 2026-04-01
374 MS_DRG Digestive Malignancy With Mcc 43 28 — — $15,102.42 $43,216.71 $22,024.73 2026-04-01
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 43 28 — — $15,019.96 $42,974.23 $21,903.43 2026-04-01
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 43 28 — — $14,958.11 $42,792.36 $21,812.45 2026-04-01
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 30 21 — — $14,956.04 $42,786.30 $15,105.60 2026-04-01
336 MS_DRG Peritoneal Adhesiolysis With Cc 43 28 — — $14,896.27 $42,610.50 $21,721.48 2026-04-01
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 43 28 — — $14,798.70 $42,323.56 $21,577.95 2026-04-01
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 43 28 — — $14,789.76 $42,297.29 $21,564.80 2026-04-01
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 43 28 — — $14,775.33 $42,254.86 $21,543.58 2026-04-01
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 28 23 — — $14,759.02 $44,029.03 $19,890.00 2026-04-01
835 MS_DRG Acute Leukemia With Cc 43 28 — — $14,738.91 $42,147.76 $21,490.00 2026-04-01
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 43 28 — — $14,694.93 $42,018.44 $21,425.31 2026-04-01
935 MS_DRG Non-extensive Burns 43 28 — — $14,561.61 $41,626.42 $21,229.19 2026-04-01
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc 43 28 — — $14,194.00 $40,545.35 $20,688.42 2026-04-01
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 43 28 — — $14,136.28 $40,375.61 $20,603.51 2026-04-01
908 MS_DRG Other O.r. Procedures For Injuries With Cc 43 28 — — $14,116.35 $40,317.01 $20,574.20 2026-04-01
843 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 43 28 — — $14,113.61 $40,308.92 $20,570.16 2026-04-01
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 43 28 — — $13,930.82 $39,771.42 $20,301.28 2026-04-01
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 43 28 — — $13,754.22 $39,252.10 $20,041.49 2026-04-01
585 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/mcc 43 28 — — $13,662.15 $38,981.32 $19,906.05 2026-04-01
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 43 28 — — $13,660.76 $35,283.44 $19,904.01 2026-04-01
75 MS_DRG Viral Meningitis With Cc/mcc 42 28 — — $13,582.42 $38,746.92 $17,025.16 2026-04-01
902 MS_DRG Wound Debridements For Injuries With Cc 43 28 — — $13,561.82 $38,686.30 $19,758.47 2026-04-01
717 MS_DRG Other Male Reproductive System O.r. Procedures Except Malignancy With Cc/mcc 43 28 — — $13,396.90 $38,201.33 $19,515.87 2026-04-01
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 43 28 — — $13,258.09 $37,793.15 $19,311.67 2026-04-01
504 MS_DRG Foot Procedures With Cc 43 28 — — $13,250.53 $37,770.92 $19,300.55 2026-04-01
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Mcc 43 28 — — $13,220.98 $37,684.03 $19,257.09 2026-04-01
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Mcc 43 28 — — $13,027.21 $37,114.20 $18,972.04 2026-04-01
919 MS_DRG Complications Of Treatment With Mcc 43 28 — — $12,986.66 $36,994.98 $18,912.39 2026-04-01
657 MS_DRG Kidney And Ureter Procedures For Neoplasm With Cc 43 28 — — $12,981.14 $36,978.81 $18,904.29 2026-04-01
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 43 28 — — $12,967.43 $36,938.40 $18,884.10 2026-04-01
862 MS_DRG Postoperative And Post-traumatic Infections With Mcc 43 28 — — $12,937.87 $36,851.51 $18,840.62 2026-04-01
722 MS_DRG Malignancy, Male Reproductive System With Mcc 43 28 — — $12,841.68 $36,568.61 $18,699.12 2026-04-01
116 MS_DRG Intraocular Procedures With Cc/mcc 43 28 — — $12,830.66 $36,536.28 $18,682.92 2026-04-01
496 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 43 28 — — $12,801.81 $36,451.41 $18,640.48 2026-04-01
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 43 28 — — $12,798.37 $36,441.30 $18,635.42 2026-04-01
671 MS_DRG Urethral Procedures With Cc/mcc 43 28 — — $12,740.67 $36,271.57 $18,550.53 2026-04-01
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 43 28 — — $12,738.60 $36,265.50 $18,547.49 2026-04-01
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 43 28 — — $12,733.11 $36,249.34 $18,539.41 2026-04-01
505 MS_DRG Foot Procedures Without Cc/mcc 43 28 — — $12,725.55 $36,227.11 $18,528.29 2026-04-01
744 MS_DRG D&c, Conization, Laparoscopy And Tubal Interruption With Cc/mcc 33 25 — — $12,609.51 $38,037.66 $12,861.70 2026-04-01
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 43 28 — — $12,590.17 $35,829.03 $18,329.15 2026-04-01
488 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection With Cc/mcc 43 28 — — $12,561.31 $35,744.16 $18,286.69 2026-04-01
180 MS_DRG Respiratory Neoplasms With Mcc 43 28 — — $12,541.38 $35,685.56 $18,257.38 2026-04-01
62 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 43 28 — — $12,480.91 $35,507.74 $18,168.42 2026-04-01
91 MS_DRG Other Disorders Of Nervous System With Mcc 43 28 — — $12,474.04 $35,487.53 $18,158.32 2026-04-01
922 MS_DRG Other Injury, Poisoning And Toxic Effect Diagnoses With Mcc 43 28 — — $12,427.32 $35,350.13 $18,089.59 2026-04-01
501 MS_DRG Soft Tissue Procedures With Cc 43 28 — — $12,418.37 $35,323.86 $18,076.43 2026-04-01
23474 CPT Revis Shoulder Arthrplsty Humeral&Glenoid Compnt|LEFT Side 1 1 — — $12,389.31 $12,389.31 $12,389.31 2026-04-01
20900 CPT Bone Graft Any Donor Area Minor/Small 1 1 — — $12,389.31 $12,389.31 $12,389.31 2026-04-01
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc 30 21 — — $12,361.24 $36,912.13 $22,102.75 2026-04-01
144 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Cc 43 28 — — $12,313.94 $35,016.71 $17,922.80 2026-04-01
27870 CPT Hc Arthrodesis, Ankle, Open|RIGHT Side 5 3 — — $12,146.38 $16,588.34 $16,588.34 2026-04-01
28725 CPT Hc Arthodesis Of Subtalar|LEFT Side 7 4 — — $12,146.38 $16,588.34 $12,389.31 2026-04-01
27685 CPT Lngth/Shrt Tendon Leg/Ankle 1 Tendon Spx|LEFT Side 6 1 — — $12,146.38 $12,146.38 $12,146.38 2026-04-01
01214 CPT Anesth,Total Hip Arthroplasty 3 2 — — $12,146.38 $12,146.38 $12,146.38 2026-04-01
27514 CPT Open Tx Femoral Fracture Distal Med/Lat Condyle|RIGHT Side 1 1 — — $12,146.38 $12,146.38 $12,146.38 2026-04-01
27447 CPT Arthrp Kne Condyle&Platu Medial&Lat Compartments|BILATERAL Procedure 10 4 — — $12,146.38 $12,389.31 $12,146.38 2026-04-01
27446 CPT Arthrp Knee Condyle&Plateau Medial/Lat Cmprt|LEFT Side 6 4 — — $12,146.38 $12,389.31 $12,146.38 2026-04-01
27236 CPT Optx Fem Fx Prox End Nck Int Fixj/Prostc Rplcmt|RIGHT Side 3 3 — — $12,146.38 $12,389.31 $12,146.38 2026-04-01
27138 CPT Revj Tot Hip Arthrp Fem Only W/wo Algrft|RIGHT Side 2 2 — — $12,146.38 $12,146.38 $12,146.38 2026-04-01
27132 CPT Conv Prev Hip Tot Hip Arthrp W/wo Agrft/Algrft 4 3 — — $12,146.38 $12,389.31 $12,146.38 2026-04-01
27130 CPT Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft|RIGHT Side 7 3 — — $12,146.38 $12,146.38 $12,146.38 2026-04-01
26770 CPT Hc Ed Clsd Tx Ip Disloc Wo Anesth|LEFT Side 1 1 — — $12,146.38 $12,146.38 $12,146.38 2026-04-01
29889 CPT Arthrs Aided Pst Cruciate Ligm Rpr/Agmntj/Rcnstj|STAGED Or Related Procedure Or … 14 4 — — $12,146.38 $12,389.31 $12,146.38 2026-04-01
25606 CPT Perq Skel Fixj Distal Radial Fx/Epiphysl Sep 3 1 — — $12,146.38 $12,146.38 $12,146.38 2026-04-01
24545 CPT Open Tx Humeral Supracondylar Fracture Without Xtn 9 3 — — $12,146.38 $12,146.38 $12,146.38 2026-04-01
23615 CPT Optx Prox Humeral Fx W/Int Fixj Rpr Tuberosity 12 4 — — $12,146.38 $12,389.31 $12,146.38 2026-04-01
0055T CPT Bone Surgery Using Computer 2 1 — — $12,146.38 $12,146.38 $12,146.38 2026-04-01
28737 CPT Arthrd W/Tdn Lngth&Advmnt Tarsl Nvclr-cuneifor 3 3 — — $12,146.38 $12,389.31 $12,146.38 2026-04-01
28730 CPT Arthrd Midtarsl/Tarsometatarsal Mult/Transvrs|LEFT Side 13 4 — — $12,146.38 $12,389.31 $12,146.38 2026-04-01
28405 CPT Closed Tx Calcaneal Fracture W/Manipulation 7 4 — — $12,146.38 $12,389.31 $12,146.38 2026-04-01
28300 CPT Osteotomy Calcaneus W/wo Internal Fixation|RIGHT Side 10 4 — — $12,146.38 $12,389.31 $12,146.38 2026-04-01
01402 CPT Anesth,Total Knee Arthroplasty 3 3 — — $12,146.38 $12,146.38 $12,146.38 2026-04-01
28297 CPT Corrj Hallux Valgus W/Sesmdc W/1metar Medial Cnf|LEFT Side 15 4 — — $12,146.38 $12,389.31 $12,146.38 2026-04-01
28250 CPT Division Plantar Fascia & Muscle Spx 6 4 — — $12,146.38 $12,389.31 $12,146.38 2026-04-01
13131 CPT Hc Rep Cpx Face H Ft 1.1-2.5cm|separate Structure 3 1 — — $12,146.38 $12,146.38 $12,146.38 2026-04-01
29898 CPT Arthroscopy Ankle Surgical Debridement Extensive|RIGHT Side 7 4 — — $12,146.38 $12,389.31 $12,146.38 2026-04-01
27827 CPT Open Treatment Fracture Distal Tibia Only|RIGHT Side 2 1 — — $12,146.38 $12,146.38 $12,146.38 2026-04-01
29882 CPT Arthroscopy Knee W/Meniscus Rpr Medial/Lateral|LEFT Side 15 4 — — $12,146.38 $12,389.31 $12,146.38 2026-04-01
27695 CPT Rpr Primary Disrupted Ligament Ankle Collateral|RIGHT Side 5 4 — — $12,146.38 $12,389.31 $12,146.38 2026-04-01
01215 CPT Anesth,Revise Total Hip Arthroplasty 4 4 — — $12,146.38 $12,389.31 $12,146.38 2026-04-01
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 43 28 — — $12,030.12 $34,182.16 $17,505.31 2026-04-01
479 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue Without Cc/mcc 26 21 — — $12,025.36 $35,883.59 $20,972.76 2026-04-01
769 MS_DRG Postpartum And Post Abortion Diagnoses With O.r. Procedures 43 28 — — $12,017.76 $34,145.79 $17,487.12 2026-04-01
571 MS_DRG Skin Debridement With Cc 43 28 — — $12,015.72 $34,139.73 $17,484.11 2026-04-01
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/mcc 43 28 — — $11,970.35 $34,006.36 $17,417.38 2026-04-01
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 43 28 — — $11,966.93 $33,996.26 $17,412.34 2026-04-01
551 MS_DRG Medical Back Problems With Mcc 43 28 — — $11,923.62 $33,868.95 $17,348.64 2026-04-01
597 MS_DRG Malignant Breast Disorders With Mcc 43 28 — — $11,861.78 $33,687.09 $17,257.67 2026-04-01
70 MS_DRG Other Cerebrovascular Disorders With Mcc 43 28 — — $11,845.98 $33,640.61 $17,234.42 2026-04-01
512 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures Without Cc/… 43 28 — — $11,781.39 $33,450.67 $17,139.41 2026-04-01
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With Mcc 43 28 — — $11,774.52 $33,430.46 $17,129.30 2026-04-01
643 MS_DRG Endocrine Disorders With Mcc 43 28 — — $11,717.48 $33,262.74 $17,045.40 2026-04-01
988 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 43 28 — — $11,700.31 $33,212.23 $17,020.14 2026-04-01
334 MS_DRG Rectal Resection Without Cc/mcc 34 22 — — $11,661.13 $33,097.05 $11,894.35 2026-04-01
299 MS_DRG Peripheral Vascular Disorders With Mcc 43 28 — — $11,625.39 $32,991.97 $16,909.94 2026-04-01
841 MS_DRG Lymphoma And Non-acute Leukemia With Cc 43 28 — — $11,616.47 $32,965.70 $16,896.81 2026-04-01
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/mcc 43 28 — — $11,613.72 $32,957.62 $16,892.76 2026-04-01
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 43 28 — — $11,608.22 $32,941.45 $16,884.67 2026-04-01
73 MS_DRG Cranial And Peripheral Nerve Disorders With Mcc 43 28 — — $11,430.25 $32,418.09 $16,622.87 2026-04-01
328 MS_DRG Stomach, Esophageal And Duodenal Procedures Without Cc/mcc 43 28 — — $11,416.50 $32,377.68 $16,602.65 2026-04-01
393 MS_DRG Other Digestive System Diagnoses With Mcc 43 28 — — $11,395.88 $32,317.06 $16,572.32 2026-04-01
368 MS_DRG Major Esophageal Disorders With Mcc 43 28 — — $11,345.03 $32,167.52 $16,497.52 2026-04-01
385 MS_DRG Inflammatory Bowel Disease With Mcc 43 28 — — $11,279.09 $31,973.54 $16,400.51 2026-04-01
306 MS_DRG Cardiac Congenital And Valvular Disorders With Mcc 43 28 — — $11,234.41 $31,842.19 $16,334.79 2026-04-01
533 MS_DRG Fractures Of Femur With Mcc 43 28 — — $11,178.73 $31,678.51 $16,252.89 2026-04-01
177 MS_DRG Respiratory Infections And Inflammations With Mcc 43 28 — — $11,144.38 $31,577.48 $16,202.36 2026-04-01
186 MS_DRG Pleural Effusion With Mcc 43 28 — — $11,115.52 $31,492.61 $16,159.90 2026-04-01
669 MS_DRG Transurethral Procedures With Cc 43 28 — — $11,070.85 $31,361.26 $16,094.20 2026-04-01
658 MS_DRG Kidney And Ureter Procedures For Neoplasm Without Cc/mcc 43 28 — — $11,069.50 $31,357.22 $16,092.20 2026-04-01
517 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures Without Cc/mc… 43 28 — — $10,965.73 $31,052.10 $15,939.55 2026-04-01
337 MS_DRG Peritoneal Adhesiolysis Without Cc/mcc 43 28 — — $10,954.05 $31,017.75 $15,922.37 2026-04-01
183 MS_DRG Major Chest Trauma With Mcc 43 28 — — $10,919.00 $30,914.69 $15,870.81 2026-04-01
398 MS_DRG Appendix Procedures With Cc 43 28 — — $10,806.99 $30,585.32 $15,706.05 2026-04-01
606 MS_DRG Minor Skin Disorders With Mcc 43 28 — — $10,804.24 $30,577.23 $15,702.00 2026-04-01
345 MS_DRG Minor Small And Large Bowel Procedures With Cc 43 28 — — $10,745.83 $30,405.47 $15,616.08 2026-04-01
713 MS_DRG Transurethral Prostatectomy With Cc/mcc 32 22 — — $10,736.90 $30,379.20 $16,968.58 2026-04-01
865 MS_DRG Viral Illness With Mcc 43 28 — — $10,701.87 $30,276.15 $15,551.40 2026-04-01
557 MS_DRG Tendonitis, Myositis And Bursitis With Mcc 43 28 — — $10,623.53 $30,045.79 $15,436.17 2026-04-01
727 MS_DRG Inflammation Of The Male Reproductive System With Mcc 43 28 — — $10,596.04 $29,964.96 $15,395.73 2026-04-01
388 MS_DRG Gastrointestinal Obstruction With Mcc 43 28 — — $10,554.12 $29,841.70 $15,334.07 2026-04-01
581 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/mcc 42 28 — — $10,322.55 $29,160.72 $12,916.05 2026-04-01
637 MS_DRG Diabetes With Mcc 43 28 — — $10,278.57 $29,031.40 $14,928.72 2026-04-01
682 MS_DRG Renal Failure With Mcc 24 19 — — $10,268.72 $30,348.89 $17,943.46 2026-04-01
562 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 43 28 — — $10,196.80 $28,790.93 $14,808.44 2026-04-01
642 MS_DRG Inborn And Other Disorders Of Metabolism 43 28 — — $10,178.24 $28,736.37 $14,781.14 2026-04-01
602 MS_DRG Cellulitis With Mcc 43 28 — — $10,172.75 $28,720.21 $14,773.06 2026-04-01
858 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures Without Cc/mcc 43 28 — — $9,977.58 $28,146.33 $14,485.97 2026-04-01
748 MS_DRG Female Reproductive System Reconstructive Procedures 29 21 — — $9,939.10 $28,033.17 $16,918.39 2026-04-01
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 43 28 — — $9,844.97 $27,756.34 $14,290.89 2026-04-01
419 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. Without Cc/mcc 43 28 — — $9,791.37 $27,598.72 $14,212.04 2026-04-01
88 MS_DRG Concussion With Mcc 43 28 — — $9,695.17 $27,315.82 $14,070.53 2026-04-01
355 MS_DRG Hernia Procedures Except Inguinal And Femoral Without Cc/mcc 32 24 — — $9,648.44 $27,178.42 $14,857.04 2026-04-01
150 MS_DRG Epistaxis With Mcc 43 28 — — $9,555.70 $26,905.62 $13,865.35 2026-04-01
555 MS_DRG Signs And Symptoms Of Musculoskeletal System And Connective Tissue With Mcc 43 28 — — $9,489.02 $26,709.61 $13,767.28 2026-04-01
660 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Cc 24 17 — — $9,488.33 $26,707.59 $14,888.84 2026-04-01
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 43 28 — — $9,438.18 $26,560.08 $13,692.49 2026-04-01
909 MS_DRG Other O.r. Procedures For Injuries Without Cc/mcc 28 21 — — $9,426.48 $26,525.73 $14,505.12 2026-04-01
348 MS_DRG Anal And Stomal Procedures With Cc 43 28 — — $9,399.69 $26,446.92 $13,635.87 2026-04-01
86 MS_DRG Traumatic Stupor And Coma <1 Hour With Cc 43 28 — — $9,357.77 $26,323.66 $13,574.21 2026-04-01
553 MS_DRG Bone Diseases And Arthropathies With Mcc 43 28 — — $9,313.80 $26,194.33 $13,509.52 2026-04-01
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 43 28 — — $9,308.99 $26,180.19 $13,502.45 2026-04-01
291 MS_DRG Heart Failure And Shock With Mcc 43 28 — — $9,227.90 $25,941.75 $13,383.16 2026-04-01
147 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Cc 43 28 — — $9,143.38 $25,693.20 $13,258.83 2026-04-01
947 MS_DRG Signs And Symptoms With Mcc 43 28 — — $9,128.96 $25,650.77 $13,237.62 2026-04-01
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 43 28 — — $9,121.41 $25,628.54 $13,226.51 2026-04-01
535 MS_DRG Fractures Of Hip And Pelvis With Mcc 18 13 — — $9,082.95 $26,873.29 $13,194.84 2026-04-01
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 50 35 — — $8,966.25 $35,624.94 $12,708.58 2026-04-01
59 MS_DRG Multiple Sclerosis And Cerebellar Ataxia With Cc 43 28 — — $8,933.12 $25,074.87 $12,949.53 2026-04-01
743 MS_DRG Uterine And Adnexa Procedures For Non-malignancy Without Cc/mcc 43 28 — — $8,931.74 $25,070.82 $12,947.50 2026-04-01
189 MS_DRG Pulmonary Edema And Respiratory Failure 43 28 — — $8,895.32 $24,963.73 $12,893.93 2026-04-01
844 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 43 28 — — $8,771.64 $24,600.00 $12,711.99 2026-04-01
375 MS_DRG Digestive Malignancy With Cc 43 28 — — $8,718.04 $24,442.39 $12,633.14 2026-04-01
549 MS_DRG Septic Arthritis With Cc 43 28 — — $8,701.54 $24,393.89 $12,608.87 2026-04-01
302 MS_DRG Atherosclerosis With Mcc 43 28 — — $8,628.71 $24,179.70 $12,501.74 2026-04-01
304 MS_DRG Hypertension With Mcc 43 28 — — $8,583.35 $24,046.33 $12,435.01 2026-04-01
346 MS_DRG Minor Small And Large Bowel Procedures Without Cc/mcc 43 28 — — $8,557.24 $23,969.54 $12,396.60 2026-04-01
152 MS_DRG Otitis Media And Uri With Mcc 43 28 — — $8,529.75 $23,888.72 $12,356.17 2026-04-01
725 MS_DRG Benign Prostatic Hypertrophy With Mcc 43 28 — — $8,447.29 $23,646.23 $12,234.87 2026-04-01
352 MS_DRG Inguinal And Femoral Hernia Procedures Without Cc/mcc 24 21 — — $8,430.80 $23,597.73 $17,589.99 2026-04-01
689 MS_DRG Kidney And Urinary Tract Infections With Mcc 43 28 — — $8,379.26 $23,446.18 $12,134.79 2026-04-01
818 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Cc 43 28 — — $8,371.70 $23,423.95 $12,123.67 2026-04-01
546 MS_DRG Connective Tissue Disorders With Cc 43 28 — — $8,331.85 $23,306.75 $12,065.05 2026-04-01
572 MS_DRG Skin Debridement Without Cc/mcc 43 28 — — $8,283.07 $23,163.28 $11,993.29 2026-04-01
695 MS_DRG Kidney And Urinary Tract Signs And Symptoms With Mcc 43 28 — — $8,265.87 $23,112.77 $11,968.00 2026-04-01
598 MS_DRG Malignant Breast Disorders With Cc 43 28 — — $8,180.00 $22,860.18 $11,841.67 2026-04-01
436 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Cc 43 28 — — $8,178.61 $22,856.14 $11,839.63 2026-04-01
783 MS_DRG Cesarean Section With Sterilization With Mcc 43 28 — — $7,960.00 $49,610.21 $17,276.59 2026-04-01
786 MS_DRG Cesarean Section Without Sterilization With Mcc 43 28 — — $7,960.00 $33,331.45 $11,740.84 2026-04-01
181 MS_DRG Respiratory Neoplasms With Cc 50 35 — — $7,765.63 $21,641.70 $16,056.43 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 57 35 — — $7,458.94 $61,027.16 $21,159.02 2026-04-01
444 MS_DRG Disorders Of The Biliary Tract With Mcc 49 34 — — $7,299.51 $33,763.88 $12,125.66 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 43 28 — — $7,150.00 $55,712.72 $19,738.85 2026-04-01
754 MS_DRG Malignancy, Female Reproductive System With Mcc 32 23 — — $7,150.00 $37,215.23 $16,368.60 2026-04-01
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 43 28 — — $7,150.00 $40,636.28 $14,509.43 2026-04-01
592 MS_DRG Skin Ulcers With Mcc 30 20 — — $7,150.00 $41,551.65 $14,084.48 2026-04-01
100 MS_DRG Seizures With Mcc 43 28 — — $7,150.00 $39,136.92 $13,989.36 2026-04-01
80 MS_DRG Nontraumatic Stupor And Coma With Mcc 43 28 — — $7,150.00 $36,574.67 $13,100.60 2026-04-01
157 MS_DRG Dental And Oral Diseases With Mcc 43 28 — — $7,150.00 $34,691.38 $12,447.38 2026-04-01
205 MS_DRG Other Respiratory System Diagnoses With Mcc 50 35 — — $7,117.29 $36,999.02 $13,182.85 2026-04-01
27691 CPT Tr/Trnspl 1 Tdn W/Musc Redirion/Rerouting Dp|LEFT Side 5 2 — — $6,864.94 $12,146.38 $12,146.38 2026-04-01
28740 CPT Arthrodesis Midtarsometatarsal Single Joint|RIGHT Side 12 4 — — $6,864.94 $12,389.31 $12,146.38 2026-04-01
64708 CPT Neuroplasty Other Arm/Leg Nerve,Open|STAGED Or Related Procedure Or Service By T… 13 4 — — $6,864.94 $12,389.31 $12,146.38 2026-04-01
29888 CPT Arthrs Aided Ant Cruciate Ligm Rpr/Agmntj/Rcnstj|LEFT Side 27 4 — — $6,864.94 $12,389.31 $12,146.38 2026-04-01
314 MS_DRG Other Circulatory System Diagnoses With Mcc 56 35 — — $6,313.11 $42,135.64 $14,734.78 2026-04-01
64561 CPT Hc Prq Impltj Neurostim Eltrd Sacral Nrve W/Imaging|BILATERAL Procedure 27 4 — — $6,029.34 $18,721.08 $18,354.00 2026-04-01
93 MS_DRG Other Disorders Of Nervous System Without Cc/mcc 21 14 — — $5,878.01 $16,090.83 $11,938.13 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 50 35 — — $5,454.62 $130,025.98 $45,292.07 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 50 35 — — $4,877.04 $57,600.05 $20,293.51 2026-04-01
196 MS_DRG Interstitial Lung Disease With Mcc 50 35 — — $4,712.94 $38,134.65 $13,374.21 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 50 35 — — $4,668.55 $83,919.67 $29,378.01 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 57 35 — — $4,658.62 $70,488.08 $24,376.31 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 50 35 — — $4,291.86 $56,011.78 $19,745.32 2026-04-01
539 MS_DRG Osteomyelitis With Mcc 64 35 — — $4,208.36 $39,801.73 $13,941.12 2026-04-01
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 57 35 — — $4,056.51 $46,185.12 $16,111.85 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 50 35 — — $3,971.25 $55,528.84 $19,578.61 2026-04-01
380 MS_DRG Complicated Peptic Ulcer With Mcc 50 35 — — $3,739.40 $39,650.18 $14,097.92 2026-04-01
542 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 64 35 — — $3,440.97 $35,695.67 $12,544.81 2026-04-01
141 MS_DRG Major Head And Neck Procedures With Cc 63 35 — — $3,340.52 $44,073.49 $15,393.78 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 57 35 — — $2,939.90 $52,449.29 $18,242.04 2026-04-01
465 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 57 35 — — $2,767.61 $36,851.51 $12,937.87 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 71 35 — — $2,663.65 $105,185.52 $36,175.50 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 64 35 — — $2,658.98 $115,169.80 $39,570.74 2026-04-01
J3370 CPT Vancomycin Hcl Injection|CMS 340b Informational Modifier|state/fed Funded Progra… 23 4 — — $2,446.45 $12,389.31 $12,146.38 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 64 35 — — $2,440.57 $55,483.29 $21,249.05 2026-04-01
548 MS_DRG Septic Arthritis With Mcc 57 35 — — $2,414.29 $39,017.70 $13,674.49 2026-04-01
199 MS_DRG Pneumothorax With Mcc 64 35 — — $2,405.53 $35,647.17 $12,528.33 2026-04-01
283 MS_DRG Acute Myocardial Infarction, Expired With Mcc 61 34 — — $2,395.60 $40,026.03 $14,017.39 2026-04-01
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 50 35 — — $2,263.02 $34,917.70 $12,464.47 2026-04-01
896 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 28 22 — — $1,851.00 $35,984.63 $12,058.37 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 43 28 — — $1,012.00 $108,718.50 $41,247.40 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 43 28 — — $1,012.00 $76,270.32 $29,057.91 2026-04-01
791 MS_DRG Prematurity With Major Problems 43 28 — — $1,012.00 $72,512.37 $28,297.91 2026-04-01
792 MS_DRG Prematurity Without Major Problems 43 28 — — $1,012.00 $44,800.77 $17,236.04 2026-04-01
789 MS_DRG Neonates, Died Or Transferred To Another Acute Care Facility 43 28 — — $1,012.00 $32,590.79 $12,790.14 2026-04-01
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