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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 KINGS MILLS HOSPITAL LLC

Mason, OH · CCN 360374 · Rates published

482 distinct procedures filed
29 distinct payers
23,612 rate rows
2026-04-01 last MRF observed
Data quality

9,461 of 23,612 rate rows are consumer-grade (40.1%)

14,151 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 14,151
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.mercy.com/-/media/mercy/patient-resources/hospital-pricing-transparency/844831141_mercy-health-kings-mills-hospital-llc_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 fd6274932974215e… · 6,398,214 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
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 24 $47,788.19 $135,409.07 $74,431.19 nat. median
$66,526
1.1× median
326
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Mcc 24 $34,482.88 $97,708.15 $53,707.87 nat. median
$48,178
1.1× median
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 24 $34,145.48 $96,752.11 $53,182.36 nat. median
$48,170
1.1× median
981
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 24 $32,439.11 $91,917.05 $50,524.65 nat. median
$46,084
1.1× median
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 24 $31,780.20 $90,050.03 $49,498.38 nat. median
$44,810
1.1× median
856
MS_DRG 		Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 24 $31,449.71 $89,113.58 $48,983.64 nat. median
$43,966
1.1× median
907
MS_DRG 		Other O.r. Procedures For Injuries With Mcc 24 $26,544.92 $75,215.73 $41,344.31 nat. median
$38,112
1.1× median
166
MS_DRG 		Other Respiratory System O.r. Procedures With Mcc 24 $25,842.46 $73,225.28 $40,250.20 nat. median
$37,476
1.1× median
492
MS_DRG 		Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 24 $25,385.44 $71,930.32 $39,921.04 nat. median
$35,489
1.1× median
467
MS_DRG 		Revision Of Hip Or Knee Replacement With Cc 24 $24,382.91 $69,089.62 $37,976.94 nat. median
$34,721
1.1× median
673
MS_DRG 		Other Kidney And Urinary Tract Procedures With Mcc 23 $29,049.86 $82,313.55 $37,948.12 nat. median
$40,457
0.9× median
264
MS_DRG 		Other Circulatory System O.r. Procedures 24 $23,096.91 $65,445.69 $35,973.97 nat. median
$33,061
1.1× median
480
MS_DRG 		Hip And Femur Procedures Except Major Joint With Mcc 24 $20,135.64 $57,054.87 $31,361.72 nat. median
$29,218
1.1× median
521
MS_DRG 		Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 24 $19,844.56 $56,230.09 $30,908.36 nat. median
$28,962
1.1× median
483
MS_DRG 		Major Joint Or Limb Reattachment Procedures Of Upper Extremities 24 $19,164.92 $54,304.29 $29,849.79 nat. median
$26,699
1.1× median
61
MS_DRG 		Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 24 $19,062.59 $54,014.35 $29,690.42 nat. median
$27,312
1.1× median
321
MS_DRG 		Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 24 $18,811.61 $53,303.19 $29,299.53 nat. median
$28,170
1.0× median
94
MS_DRG 		Bacterial And Tuberculous Infections Of Nervous System With Mcc 19 $24,333.13 $68,948.57 $28,118.91 nat. median
$35,264
0.8× median
272
MS_DRG 		Other Major Cardiovascular Procedures Without Cc/mcc 24 $17,651.44 $50,015.82 $27,492.52 nat. median
$26,293
1.0× median
659
MS_DRG 		Kidney And Ureter Procedures For Non-neoplasm With Mcc 24 $17,567.78 $49,778.77 $27,362.23 nat. median
$25,587
1.1× median
493
MS_DRG 		Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 24 $17,534.60 $49,684.74 $27,310.54 nat. median
$24,757
1.1× median
498
MS_DRG 		Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 23 $20,858.16 $59,102.13 $27,247.19 nat. median
$27,782
1.0× median
545
MS_DRG 		Connective Tissue Disorders With Mcc 24 $17,158.47 $48,618.98 $26,724.71 nat. median
$24,621
1.1× median
327
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Cc 24 $16,899.20 $47,884.32 $26,320.89 nat. median
$24,638
1.1× median
330
MS_DRG 		Major Small And Large Bowel Procedures With Cc 24 $16,574.24 $46,963.55 $25,814.77 nat. median
$24,346
1.1× median
397
MS_DRG 		Appendix Procedures With Mcc 24 $16,558.34 $46,918.49 $25,790.00 nat. median
$24,166
1.1× median
417
MS_DRG 		Laparoscopic Cholecystectomy Without C.d.e. With Mcc 24 $16,499.57 $46,751.96 $25,698.44 nat. median
$23,832
1.1× median
940
MS_DRG 		O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 24 $16,157.33 $45,782.21 $25,165.41 nat. median
$22,722
1.1× median
354
MS_DRG 		Hernia Procedures Except Inguinal And Femoral With Cc 16 $11,688.57 $32,959.90 $25,121.60 nat. median
$17,599
1.4× median
357
MS_DRG 		Other Digestive System O.r. Procedures With Cc 24 $16,078.51 $45,558.87 $25,042.64 nat. median
$22,941
1.1× median
56
MS_DRG 		Degenerative Nervous System Disorders With Mcc 24 $16,061.91 $45,511.85 $25,016.78 nat. median
$22,354
1.1× median
286
MS_DRG 		Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 24 $15,299.30 $43,350.96 $23,829.00 nat. median
$22,019
1.1× median
857
MS_DRG 		Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 24 $14,806.33 $41,954.13 $23,061.21 nat. median
$21,522
1.1× median
522
MS_DRG 		Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 24 $14,641.78 $41,487.86 $22,804.90 nat. median
$21,762
1.0× median
336
MS_DRG 		Peritoneal Adhesiolysis With Cc 24 $14,579.55 $41,311.54 $22,707.98 nat. median
$21,529
1.1× median
398
MS_DRG 		Appendix Procedures With Cc 18 $9,452.26 $29,645.10 $22,595.10 nat. median
$15,924
1.4× median
481
MS_DRG 		Hip And Femur Procedures Except Major Joint With Cc 24 $14,481.37 $41,033.35 $22,555.07 nat. median
$21,532
1.0× median
314
MS_DRG 		Other Circulatory System Diagnoses With Mcc 24 $14,417.07 $40,851.15 $22,454.91 nat. median
$20,753
1.1× median
516
MS_DRG 		Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 24 $14,367.98 $40,712.06 $22,378.45 nat. median
$21,082
1.1× median
208
MS_DRG 		Respiratory System Diagnosis With Ventilator Support <=96 Hours 19 $19,004.51 $53,849.78 $21,961.26 nat. median
$26,748
0.8× median
468
MS_DRG 		Revision Of Hip Or Knee Replacement Without Cc/mcc 29 $4,103.90 $53,836.07 $21,955.66 nat. median
$27,218
0.8× median
64
MS_DRG 		Intracranial Hemorrhage Or Cerebral Infarction With Mcc 24 $13,904.05 $39,397.50 $21,655.89 nat. median
$20,254
1.1× median
494
MS_DRG 		Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc 16 $13,872.94 $38,049.26 $21,607.42 nat. median
$19,793
1.1× median
854
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Cc 24 $13,814.86 $39,144.78 $21,516.96 nat. median
$20,421
1.1× median
432
MS_DRG 		Cirrhosis And Alcoholic Hepatitis With Mcc 24 $13,608.13 $38,559.01 $21,194.98 nat. median
$19,682
1.1× median
380
MS_DRG 		Complicated Peptic Ulcer With Mcc 24 $13,566.65 $38,441.46 $21,130.38 nat. median
$19,315
1.1× median
871
MS_DRG 		Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 24 $13,430.45 $38,055.52 $20,918.21 nat. median
$19,635
1.1× median
470
MS_DRG 		Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without… 24 $13,336.41 $36,577.73 $20,771.77 nat. median
$20,059
1.0× median
504
MS_DRG 		Foot Procedures With Cc 24 $12,923.65 $36,619.50 $20,128.87 nat. median
$18,582
1.1× median
350
MS_DRG 		Inguinal And Femoral Hernia Procedures With Mcc 19 $17,229.00 $48,818.81 $19,909.50 nat. median
$24,405
0.8× median

Other procedures at this hospital

Browse this hospital's 482 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 37 24 — — $47,788.19 $135,409.07 $74,431.19 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 37 24 — — $34,482.88 $97,708.15 $53,707.87 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 37 24 — — $34,145.48 $96,752.11 $53,182.36 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 37 24 — — $32,439.11 $91,917.05 $50,524.65 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 37 24 — — $31,780.20 $90,050.03 $49,498.38 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 37 24 — — $31,449.71 $89,113.58 $48,983.64 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 37 24 — — $26,544.92 $75,215.73 $41,344.31 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 37 24 — — $25,842.46 $73,225.28 $40,250.20 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 36 24 — — $25,385.44 $71,930.32 $39,921.04 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 37 24 — — $24,382.91 $69,089.62 $37,976.94 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 34 23 — — $29,049.86 $82,313.55 $37,948.12 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 37 24 — — $23,096.91 $65,445.69 $35,973.97 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 37 24 — — $20,135.64 $57,054.87 $31,361.72 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 37 24 — — $19,844.56 $56,230.09 $30,908.36 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 37 24 — — $19,164.92 $54,304.29 $29,849.79 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 37 24 — — $19,062.59 $54,014.35 $29,690.42 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 37 24 — — $18,811.61 $53,303.19 $29,299.53 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 31 19 — — $24,333.13 $68,948.57 $28,118.91 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 37 24 — — $17,651.44 $50,015.82 $27,492.52 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 37 24 — — $17,567.78 $49,778.77 $27,362.23 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 37 24 — — $17,534.60 $49,684.74 $27,310.54 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 34 23 — — $20,858.16 $59,102.13 $27,247.19 2026-04-01
545 MS_DRG Connective Tissue Disorders With Mcc 37 24 — — $17,158.47 $48,618.98 $26,724.71 2026-04-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 37 24 — — $16,899.20 $47,884.32 $26,320.89 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 37 24 — — $16,574.24 $46,963.55 $25,814.77 2026-04-01
397 MS_DRG Appendix Procedures With Mcc 37 24 — — $16,558.34 $46,918.49 $25,790.00 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 37 24 — — $16,499.57 $46,751.96 $25,698.44 2026-04-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 37 24 — — $16,157.33 $45,782.21 $25,165.41 2026-04-01
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 19 16 — — $11,688.57 $32,959.90 $25,121.60 2026-04-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 37 24 — — $16,078.51 $45,558.87 $25,042.64 2026-04-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 37 24 — — $16,061.91 $45,511.85 $25,016.78 2026-04-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 37 24 — — $15,299.30 $43,350.96 $23,829.00 2026-04-01
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 37 24 — — $14,806.33 $41,954.13 $23,061.21 2026-04-01
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 37 24 — — $14,641.78 $41,487.86 $22,804.90 2026-04-01
336 MS_DRG Peritoneal Adhesiolysis With Cc 37 24 — — $14,579.55 $41,311.54 $22,707.98 2026-04-01
398 MS_DRG Appendix Procedures With Cc 26 18 — — $9,452.26 $29,645.10 $22,595.10 2026-04-01
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 37 24 — — $14,481.37 $41,033.35 $22,555.07 2026-04-01
314 MS_DRG Other Circulatory System Diagnoses With Mcc 37 24 — — $14,417.07 $40,851.15 $22,454.91 2026-04-01
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 37 24 — — $14,367.98 $40,712.06 $22,378.45 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 31 19 — — $19,004.51 $53,849.78 $21,961.26 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 42 29 — — $4,103.90 $53,836.07 $21,955.66 2026-04-01
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 37 24 — — $13,904.05 $39,397.50 $21,655.89 2026-04-01
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc 23 16 — — $13,872.94 $38,049.26 $21,607.42 2026-04-01
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 37 24 — — $13,814.86 $39,144.78 $21,516.96 2026-04-01
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 37 24 — — $13,608.13 $38,559.01 $21,194.98 2026-04-01
380 MS_DRG Complicated Peptic Ulcer With Mcc 37 24 — — $13,566.65 $38,441.46 $21,130.38 2026-04-01
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 37 24 — — $13,430.45 $38,055.52 $20,918.21 2026-04-01
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 37 24 — — $13,336.41 $36,577.73 $20,771.77 2026-04-01
504 MS_DRG Foot Procedures With Cc 37 24 — — $12,923.65 $36,619.50 $20,128.87 2026-04-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 31 19 — — $17,229.00 $48,818.81 $19,909.50 2026-04-01
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Mcc 37 24 — — $12,698.94 $35,982.79 $19,778.88 2026-04-01
919 MS_DRG Complications Of Treatment With Mcc 37 24 — — $12,658.15 $35,867.20 $19,715.36 2026-04-01
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 37 24 — — $12,638.79 $35,812.35 $19,685.20 2026-04-01
393 MS_DRG Other Digestive System Diagnoses With Mcc 20 16 — — $9,736.25 $31,729.58 $19,673.44 2026-04-01
686 MS_DRG Kidney And Urinary Tract Neoplasms With Mcc 37 24 — — $12,470.78 $35,336.29 $19,423.53 2026-04-01
488 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection With Cc/mcc 37 24 — — $12,230.17 $34,654.52 $19,048.77 2026-04-01
542 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 37 24 — — $12,213.58 $34,607.50 $19,022.93 2026-04-01
91 MS_DRG Other Disorders Of Nervous System With Mcc 37 24 — — $12,142.37 $34,405.71 $18,912.02 2026-04-01
501 MS_DRG Soft Tissue Procedures With Cc 37 24 — — $12,086.36 $34,247.03 $18,824.78 2026-04-01
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 31 19 — — $15,802.64 $44,777.19 $18,261.23 2026-04-01
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 37 24 — — $11,695.72 $33,140.14 $18,216.34 2026-04-01
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/mcc 37 24 — — $11,635.57 $32,969.69 $18,122.68 2026-04-01
915 MS_DRG Allergic Reactions With Mcc 37 24 — — $11,626.58 $32,944.23 $18,108.67 2026-04-01
512 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures Without Cc/… 28 19 — — $11,445.44 $32,430.94 $17,999.03 2026-04-01
444 MS_DRG Disorders Of The Biliary Tract With Mcc 37 24 — — $11,552.60 $32,734.60 $17,993.44 2026-04-01
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With Mcc 37 24 — — $11,438.52 $32,411.35 $17,815.75 2026-04-01
643 MS_DRG Endocrine Disorders With Mcc 37 24 — — $11,381.14 $32,248.75 $17,726.39 2026-04-01
205 MS_DRG Other Respiratory System Diagnoses With Mcc 28 22 — — $11,792.21 $36,983.89 $17,688.32 2026-04-01
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/mcc 37 24 — — $11,276.73 $31,952.92 $17,563.76 2026-04-01
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 37 24 — — $11,090.75 $31,425.92 $17,274.08 2026-04-01
368 MS_DRG Major Esophageal Disorders With Mcc 37 24 — — $11,006.40 $31,186.91 $17,142.72 2026-04-01
399 MS_DRG Appendix Procedures Without Cc/mcc 25 19 — — $7,914.46 $22,425.82 $17,092.66 2026-04-01
23472 CPT Arthroplasty Glenohumeral Joint Total Shoulder|RIGHT Side 4 2 — — $17,087.06 $17,428.80 $17,087.06 2026-04-01
01638 CPT Anesth,Shoulder Replacement 4 2 — — $17,087.06 $17,428.80 $17,087.06 2026-04-01
513 MS_DRG Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures With Cc/mcc 37 24 — — $10,884.71 $30,842.11 $16,953.19 2026-04-01
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 37 24 — — $10,843.92 $30,726.52 $16,889.65 2026-04-01
177 MS_DRG Respiratory Infections And Inflammations With Mcc 37 24 — — $10,804.51 $30,614.86 $16,828.26 2026-04-01
121 MS_DRG Other Respiratory And Chest Procedures,major 5 5 — — $15,932.80 $17,810.00 $16,729.44 2026-04-01
669 MS_DRG Transurethral Procedures With Cc 37 24 — — $10,730.53 $30,405.23 $16,713.03 2026-04-01
517 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures Without Cc/mc… 37 24 — — $10,624.74 $30,105.49 $16,548.28 2026-04-01
351 MS_DRG Inguinal And Femoral Hernia Procedures With Cc 37 24 — — $10,540.39 $29,866.48 $16,416.90 2026-04-01
713 MS_DRG Transurethral Prostatectomy With Cc/mcc 37 24 — — $10,394.51 $29,453.11 $16,189.69 2026-04-01
865 MS_DRG Viral Illness With Mcc 37 24 — — $10,359.25 $29,353.20 $16,134.77 2026-04-01
557 MS_DRG Tendonitis, Myositis And Bursitis With Mcc 37 24 — — $10,280.43 $29,129.86 $16,012.01 2026-04-01
727 MS_DRG Inflammation Of The Male Reproductive System With Mcc 37 24 — — $10,252.77 $29,051.49 $15,968.91 2026-04-01
682 MS_DRG Renal Failure With Mcc 37 24 — — $10,239.63 $29,014.27 $15,948.46 2026-04-01
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 14 12 — — $8,023.67 $24,357.97 $15,928.78 2026-04-01
388 MS_DRG Gastrointestinal Obstruction With Mcc 37 24 — — $10,210.60 $28,931.99 $15,903.25 2026-04-01
604 MS_DRG Trauma To The Skin, Subcutaneous Tissue And Breast With Mcc 37 24 — — $10,178.10 $28,839.91 $15,852.61 2026-04-01
562 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 27 19 — — $9,851.07 $27,913.26 $15,343.25 2026-04-01
642 MS_DRG Inborn And Other Disorders Of Metabolism 37 24 — — $9,832.40 $27,860.36 $15,314.19 2026-04-01
811 MS_DRG Red Blood Cell Disorders With Mcc 37 24 — — $9,709.33 $27,511.64 $15,122.50 2026-04-01
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 31 19 — — $12,931.25 $36,641.05 $14,943.12 2026-04-01
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 37 24 — — $9,497.07 $26,910.20 $14,791.90 2026-04-01
419 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. Without Cc/mcc 37 24 — — $9,443.14 $26,757.39 $14,707.90 2026-04-01
187 MS_DRG Pleural Effusion With Cc 30 19 — — $6,838.64 $19,377.46 $14,634.72 2026-04-01
862 MS_DRG Postoperative And Post-traumatic Infections With Mcc 31 19 — — $12,609.06 $35,728.11 $14,570.79 2026-04-01
885 MS_DRG Psychoses 36 24 — — $9,657.48 $27,364.71 $14,556.51 2026-04-01
502 MS_DRG Soft Tissue Procedures Without Cc/mcc 37 24 — — $9,305.55 $26,367.53 $14,493.60 2026-04-01
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 37 24 — — $9,234.34 $26,165.74 $14,382.70 2026-04-01
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 19 17 — — $12,408.56 $35,159.97 $14,339.09 2026-04-01
660 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Cc 37 24 — — $9,138.23 $25,893.42 $14,233.00 2026-04-01
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 37 24 — — $9,087.76 $25,750.41 $14,154.40 2026-04-01
199 MS_DRG Pneumothorax With Mcc 41 28 — — $2,485.88 $34,560.48 $14,094.62 2026-04-01
348 MS_DRG Anal And Stomal Procedures With Cc 37 24 — — $9,049.04 $25,640.70 $14,094.09 2026-04-01
45 MS_DRG Cva And Precerebral Occlusion With Infarction,extreme 5 5 — — $13,372.69 $14,948.25 $14,041.32 2026-04-01
86 MS_DRG Traumatic Stupor And Coma <1 Hour With Cc 37 24 — — $9,006.87 $25,521.20 $14,028.41 2026-04-01
553 MS_DRG Bone Diseases And Arthropathies With Mcc 37 24 — — $8,962.62 $25,395.81 $13,959.47 2026-04-01
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 37 24 — — $8,957.78 $25,382.10 $13,951.94 2026-04-01
896 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 37 24 — — $2,500.00 $33,092.33 $13,942.81 2026-04-01
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 24 19 — — $3,949.40 $22,000.69 $13,849.69 2026-04-01
909 MS_DRG Other O.r. Procedures For Injuries Without Cc/mcc 32 21 — — $9,076.01 $25,717.11 $13,816.89 2026-04-01
19357 CPT Tissue Expander Placement Breast Reconstruction|BILATERAL Procedure 8 3 — — $13,429.81 $13,698.41 $13,429.81 2026-04-01
15777 CPT Implnt Bio Implnt For Soft Tissue Reinforcement 5 3 — — $13,429.81 $13,698.41 $13,429.81 2026-04-01
551 MS_DRG Medical Back Problems With Mcc 31 19 — — $11,588.56 $32,836.48 $13,391.52 2026-04-01
189 MS_DRG Pulmonary Edema And Respiratory Failure 37 24 — — $8,541.56 $24,202.72 $13,303.67 2026-04-01
70 MS_DRG Other Cerebrovascular Disorders With Mcc 31 19 — — $11,510.43 $32,615.10 $13,301.25 2026-04-01
299 MS_DRG Peripheral Vascular Disorders With Mcc 31 19 — — $11,288.49 $31,986.23 $13,044.77 2026-04-01
68 MS_DRG Precerebral Occlusion Without Infarction Without Mcc 25 18 — — $5,506.32 $17,269.47 $13,042.67 2026-04-01
375 MS_DRG Digestive Malignancy With Cc 37 24 — — $8,363.17 $23,697.27 $13,025.84 2026-04-01
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 37 24 — — $8,324.46 $23,587.56 $12,965.52 2026-04-01
920 MS_DRG Complications Of Treatment With Cc 22 18 — — $6,929.90 $19,636.06 $12,916.20 2026-04-01
884 MS_DRG Organic Disturbances And Intellectual Disability 37 24 — — $2,500.00 $31,519.96 $12,854.62 2026-04-01
191 MS_DRG Chronic Obstructive Pulmonary Disease With Cc 18 13 — — $5,634.72 $16,830.63 $12,828.08 2026-04-01
304 MS_DRG Hypertension With Mcc 37 24 — — $8,227.66 $23,313.29 $12,814.75 2026-04-01
346 MS_DRG Minor Small And Large Bowel Procedures Without Cc/mcc 37 24 — — $8,201.39 $23,238.84 $12,773.86 2026-04-01
01214 CPT Anesth,Total Hip Arthroplasty 2 2 — — $12,511.55 $12,761.78 $12,636.67 2026-04-01
369 MS_DRG Major Esophageal Disorders With Cc 26 18 — — $6,356.47 $19,935.80 $12,549.81 2026-04-01
27447 CPT Arthrp Kne Condyle&Platu Medial&Lat Compartments|LEFT Side 2 2 — — $12,511.55 $12,511.55 $12,511.55 2026-04-01
27130 CPT Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft|LEFT Side 10 3 — — $12,511.55 $12,761.78 $12,511.55 2026-04-01
29888 CPT Arthrs Aided Ant Cruciate Ligm Rpr/Agmntj/Rcnstj|LEFT Side 14 3 — — $7,071.33 $12,761.78 $12,511.55 2026-04-01
01402 CPT Anesth,Total Knee Arthroplasty 4 2 — — $12,511.55 $12,511.55 $12,511.55 2026-04-01
27438 CPT Arthroplasty Patella W/Prosthesis|RIGHT Side 3 2 — — $12,511.55 $12,511.55 $12,511.55 2026-04-01
20985 CPT Cptr-asst Surgical Navigation Image-less 2 1 — — $12,511.55 $12,511.55 $12,511.55 2026-04-01
28297 CPT Corrj Hallux Valgus W/Sesmdc W/1metar Medial Cnf|LEFT Foot, Great Toe|m/caid Car… 12 3 — — $12,511.55 $12,761.78 $12,511.55 2026-04-01
689 MS_DRG Kidney And Urinary Tract Infections With Mcc 37 24 — — $8,022.31 $22,731.44 $12,494.94 2026-04-01
723 MS_DRG Malignancy, Male Reproductive System With Cc 37 24 — — $7,900.63 $22,386.64 $12,305.40 2026-04-01
554 MS_DRG Bone Diseases And Arthropathies Without Mcc 22 18 — — $5,767.17 $16,262.49 $12,282.16 2026-04-01
183 MS_DRG Major Chest Trauma With Mcc 31 19 — — $10,577.73 $29,972.27 $12,223.44 2026-04-01
813 MS_DRG Coagulation Disorders 46 29 — — $3,677.31 $29,882.15 $12,186.67 2026-04-01
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 23 19 — — $10,392.36 $32,593.55 $11,951.21 2026-04-01
445 MS_DRG Disorders Of The Biliary Tract With Cc 37 24 — — $7,566.68 $21,440.39 $11,785.29 2026-04-01
381 MS_DRG Complicated Peptic Ulcer With Cc 37 24 — — $7,491.32 $21,226.85 $11,667.90 2026-04-01
300 MS_DRG Peripheral Vascular Disorders With Cc 37 24 — — $7,380.70 $20,913.39 $11,495.61 2026-04-01
714 MS_DRG Transurethral Prostatectomy Without Cc/mcc 37 24 — — $7,310.86 $20,715.52 $11,386.84 2026-04-01
602 MS_DRG Cellulitis With Mcc 19 10 — — $9,826.87 $27,844.69 $11,355.76 2026-04-01
661 MS_DRG Kidney And Ureter Procedures For Non-neoplasm Without Cc/mcc 37 24 — — $7,158.76 $20,284.52 $11,149.93 2026-04-01
543 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 37 24 — — $7,107.59 $20,139.55 $11,070.24 2026-04-01
71 MS_DRG Other Cerebrovascular Disorders With Cc 37 24 — — $7,093.76 $20,100.37 $11,048.69 2026-04-01
644 MS_DRG Endocrine Disorders With Cc 37 24 — — $7,086.85 $20,080.78 $11,037.94 2026-04-01
383 MS_DRG Uncomplicated Peptic Ulcer With Mcc 47 29 — — $2,755.05 $27,049.29 $11,031.36 2026-04-01
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 37 24 — — $7,075.10 $20,047.47 $11,019.62 2026-04-01
92 MS_DRG Other Disorders Of Nervous System With Cc 37 24 — — $7,073.02 $20,041.59 $11,016.39 2026-04-01
372 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Cc 37 24 — — $7,059.19 $20,002.41 $10,994.85 2026-04-01
699 MS_DRG Other Kidney And Urinary Tract Diagnoses With Cc 37 24 — — $7,017.71 $19,884.87 $10,930.24 2026-04-01
65 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours 37 24 — — $6,985.21 $19,792.79 $10,879.62 2026-04-01
863 MS_DRG Postoperative And Post-traumatic Infections Without Mcc 37 24 — — $6,899.48 $19,549.86 $10,746.09 2026-04-01
74 MS_DRG Cranial And Peripheral Nerve Disorders Without Mcc 28 22 — — $7,126.95 $20,194.40 $10,742.31 2026-04-01
378 MS_DRG Gastrointestinal Hemorrhage With Cc 37 24 — — $6,780.56 $19,212.89 $10,560.89 2026-04-01
555 MS_DRG Signs And Symptoms Of Musculoskeletal System And Connective Tissue With Mcc 31 19 — — $9,138.93 $25,895.38 $10,560.76 2026-04-01
178 MS_DRG Respiratory Infections And Inflammations With Cc 37 24 — — $6,748.06 $19,120.82 $10,510.26 2026-04-01
202 MS_DRG Bronchitis And Asthma With Cc/mcc 37 24 — — $6,714.88 $19,026.78 $10,458.58 2026-04-01
315 MS_DRG Other Circulatory System Diagnoses With Cc 37 24 — — $6,660.26 $18,872.01 $10,373.50 2026-04-01
552 MS_DRG Medical Back Problems Without Mcc 37 24 — — $6,646.43 $18,832.83 $10,351.95 2026-04-01
394 MS_DRG Other Digestive System Diagnoses With Cc 25 15 — — $6,469.43 $18,331.30 $10,271.31 2026-04-01
291 MS_DRG Heart Failure And Shock With Mcc 31 19 — — $8,876.19 $25,150.93 $10,257.16 2026-04-01
809 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 31 19 — — $8,752.43 $24,800.25 $10,114.15 2026-04-01
316 MS_DRG Other Circulatory System Diagnoses Without Cc/mcc 29 20 — — $4,716.04 $13,363.02 $10,092.35 2026-04-01
637 MS_DRG Diabetes With Mcc 31 21 — — $8,712.49 $28,393.24 $10,020.46 2026-04-01
536 MS_DRG Fractures Of Hip And Pelvis Without Mcc 30 22 — — $5,065.32 $15,886.34 $10,000.65 2026-04-01
60 MS_DRG Multiple Sclerosis And Cerebellar Ataxia Without Cc/mcc 37 24 — — $6,359.50 $18,019.80 $9,905.07 2026-04-01
605 MS_DRG Trauma To The Skin, Subcutaneous Tissue And Breast Without Mcc 37 24 — — $6,333.22 $17,945.36 $9,864.14 2026-04-01
101 MS_DRG Seizures Without Mcc 37 24 — — $6,240.58 $17,682.84 $9,719.83 2026-04-01
638 MS_DRG Diabetes With Cc 37 24 — — $6,196.33 $17,557.45 $9,650.94 2026-04-01
558 MS_DRG Tendonitis, Myositis And Bursitis Without Mcc 37 24 — — $6,175.58 $17,498.68 $9,618.62 2026-04-01
197 MS_DRG Interstitial Lung Disease With Cc 27 19 — — $6,562.08 $18,593.82 $9,561.20 2026-04-01
864 MS_DRG Fever And Inflammatory Conditions 37 24 — — $6,137.56 $17,390.93 $9,559.39 2026-04-01
433 MS_DRG Cirrhosis And Alcoholic Hepatitis With Cc 26 20 — — $7,302.57 $20,692.01 $9,539.41 2026-04-01
153 MS_DRG Otitis Media And Uri Without Mcc 22 18 — — $5,103.91 $14,462.08 $9,435.93 2026-04-01
312 MS_DRG Syncope And Collapse 37 24 — — $6,026.24 $17,075.52 $9,386.01 2026-04-01
324 MS_DRG Elective Hip Joint Replacement,moderate 5 5 — — $8,879.52 $9,925.71 $9,323.50 2026-04-01
195 MS_DRG Simple Pneumonia And Pleurisy Without Cc/mcc 20 17 — — $3,889.72 $12,199.32 $9,255.81 2026-04-01
384 MS_DRG Uncomplicated Peptic Ulcer Without Mcc 37 24 — — $5,910.09 $16,746.39 $9,205.09 2026-04-01
292 MS_DRG Heart Failure And Shock With Cc 37 24 — — $5,869.99 $16,632.76 $9,142.63 2026-04-01
439 MS_DRG Disorders Of Pancreas Except Malignancy With Cc 37 24 — — $5,816.06 $16,479.95 $9,058.63 2026-04-01
563 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 21 17 — — $6,191.49 $17,543.74 $9,021.23 2026-04-01
547 MS_DRG Connective Tissue Disorders Without Cc/mcc 37 24 — — $5,781.49 $16,381.99 $9,004.80 2026-04-01
287 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization Without Mcc 22 18 — — $6,806.85 $21,348.31 $8,848.91 2026-04-01
728 MS_DRG Inflammation Of The Male Reproductive System Without Mcc 37 24 — — $5,608.64 $15,892.22 $8,735.58 2026-04-01
69 MS_DRG Transient Ischemia Without Thrombolytic 32 22 — — $5,522.90 $15,649.29 $8,685.28 2026-04-01
176 MS_DRG Pulmonary Embolism Without Mcc 37 24 — — $5,565.77 $15,770.76 $8,668.81 2026-04-01
556 MS_DRG Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without Mcc 26 19 — — $5,742.77 $15,750.67 $8,655.96 2026-04-01
948 MS_DRG Signs And Symptoms Without Mcc 37 24 — — $5,534.66 $15,682.60 $8,620.36 2026-04-01
123 MS_DRG Neurological Eye Disorders 35 24 — — $5,521.52 $15,645.37 $8,599.90 2026-04-01
389 MS_DRG Gastrointestinal Obstruction With Cc 37 24 — — $5,460.68 $15,472.97 $8,505.13 2026-04-01
694 MS_DRG Urinary Stones Without Mcc 37 24 — — $5,404.67 $15,314.28 $8,417.91 2026-04-01
392 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc 37 24 — — $5,390.15 $15,273.14 $8,395.30 2026-04-01
125 MS_DRG Other Disorders Of The Eye Without Mcc 32 24 — — $5,308.57 $15,041.97 $8,348.22 2026-04-01
390 MS_DRG Gastrointestinal Obstruction Without Cc/mcc 28 19 — — $3,418.10 $10,720.20 $8,170.79 2026-04-01
179 MS_DRG Respiratory Infections And Inflammations Without Cc/mcc 37 24 — — $5,220.07 $14,791.21 $8,130.39 2026-04-01
149 MS_DRG Dysequilibrium 31 22 — — $5,196.56 $14,724.60 $8,093.76 2026-04-01
750 MS_DRG Schizophrenia And Other Severe Psychotic Disorders,minor 5 5 — — $7,615.15 $8,512.37 $7,995.91 2026-04-01
19316 CPT Mastopexy 4 3 — — $7,965.13 $8,124.43 $7,965.13 2026-04-01
17999 CPT Hc Unlisted Proc Skin Mucous 4 2 — — $7,965.13 $7,965.13 $7,965.13 2026-04-01
19342 CPT Insj/Rplcmt Breast Implant Sep Day Mastectomy|LEFT Side 6 3 — — $7,965.13 $8,124.43 $7,965.13 2026-04-01
19325 CPT Breast Augmentation With Implant|BILATERAL Procedure 2 1 — — $7,965.13 $7,965.13 $7,965.13 2026-04-01
00402 CPT Anesth,Surg Breast Reconstructive 1 1 — — $7,965.13 $7,965.13 $7,965.13 2026-04-01
776 MS_DRG Postpartum And Post Abortion Diagnoses Without O.r. Procedures 42 29 — — $4,526.60 $12,826.23 $7,938.53 2026-04-01
812 MS_DRG Red Blood Cell Disorders Without Mcc 36 26 — — $5,764.93 $18,080.53 $7,937.56 2026-04-01
309 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Cc 37 24 — — $5,086.63 $14,413.10 $7,922.55 2026-04-01
229 MS_DRG Other Digestive System And Abdominal Procedures,moderate 5 5 — — $7,510.14 $8,394.99 $7,885.65 2026-04-01
305 MS_DRG Hypertension Without Mcc 28 20 — — $5,220.76 $14,793.16 $7,869.16 2026-04-01
373 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections Without Cc/mcc 37 24 — — $5,029.24 $14,250.49 $7,833.17 2026-04-01
726 MS_DRG Benign Prostatic Hypertrophy Without Mcc 37 24 — — $4,991.91 $14,144.70 $7,775.02 2026-04-01
313 MS_DRG Chest Pain 37 24 — — $4,978.08 $14,105.52 $7,753.46 2026-04-01
301 MS_DRG Peripheral Vascular Disorders Without Cc/mcc 37 24 — — $4,976.01 $14,099.64 $7,750.25 2026-04-01
469 MS_DRG Acute Kidney Injury,extreme 10 5 — — $3,418.91 $12,918.99 $7,689.52 2026-04-01
880 MS_DRG Acute Adjustment Reaction And Psychosocial Dysfunction 37 24 — — $2,500.00 $18,811.28 $7,671.70 2026-04-01
641 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou… 31 20 — — $4,881.04 $15,308.41 $7,565.61 2026-04-01
311 MS_DRG Angina Pectoris 37 24 — — $4,852.94 $13,750.92 $7,558.56 2026-04-01
206 MS_DRG Other Respiratory System Diagnoses Without Mcc 42 29 — — $4,401.43 $18,437.09 $7,519.10 2026-04-01
156 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses Without Cc/mcc 37 24 — — $4,778.27 $13,539.34 $7,442.26 2026-04-01
700 MS_DRG Other Kidney And Urinary Tract Diagnoses Without Cc/mcc 37 24 — — $4,769.97 $13,515.83 $7,429.34 2026-04-01
921 MS_DRG Complications Of Treatment Without Cc/mcc 37 24 — — $4,759.60 $13,486.44 $7,413.19 2026-04-01
66 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction Without Cc/mcc 37 24 — — $4,731.94 $13,408.08 $7,370.11 2026-04-01
761 MS_DRG Menstrual And Other Female Reproductive System Disorders Without Cc/mcc 34 22 — — $3,944.44 $11,176.67 $7,351.79 2026-04-01
281 MS_DRG Acute Myocardial Infarction, Discharged Alive With Cc 31 19 — — $6,354.66 $18,006.09 $7,343.33 2026-04-01
203 MS_DRG Bronchitis And Asthma Without Cc/mcc 37 24 — — $4,632.38 $13,125.97 $7,215.03 2026-04-01
254 MS_DRG Other Digestive System Diagnoses,major 5 5 — — $6,834.81 $7,640.08 $7,176.55 2026-04-01
916 MS_DRG Allergic Reactions Without Mcc 37 24 — — $4,606.80 $13,053.48 $7,175.20 2026-04-01
29823 CPT Surgical Arthroscopy Shoulder Xtnsv Dbrdmt 3+|left Side 2 2 — — $7,071.33 $7,212.75 $7,142.04 2026-04-01
188 MS_DRG Pleural Effusion Without Cc/mcc 23 16 — — $4,586.21 $14,383.71 $7,108.63 2026-04-01
29827 CPT Surgical Arthroscopy Shoulder W/Rotator Cuff Rpr|RIGHT Side 5 2 — — $7,071.33 $7,071.33 $7,071.33 2026-04-01
29824 CPT Surgical Arthroscopy Shoulder Dstl Claviculc|RIGHT Side 4 3 — — $7,071.33 $7,212.75 $7,071.33 2026-04-01
01714 CPT Anesth,Upperarm Tendon Revisn Surg 3 2 — — $7,071.33 $7,212.75 $7,071.33 2026-04-01
28750 CPT Arthrodesis Great Toe Metatarsophalangeal Joint|LEFT Foot, Great Toe 15 3 — — $7,071.33 $7,212.75 $7,071.33 2026-04-01
28308 CPT Osteot W/wo Lngth Shrt/Corrj Metar Xcp 1st Ea|RIGHT Side|separate Structure 15 3 — — $3,188.63 $12,511.55 $7,071.33 2026-04-01
01480 CPT Anesth,Lower Leg Bone Surg 5 2 — — $7,071.33 $7,071.33 $7,071.33 2026-04-01
28298 CPT Corrj Hallux Valgus W/Sesmdc W/Prox Phlnx Osteot|LEFT Foot, Great Toe 10 3 — — $7,071.33 $7,212.75 $7,071.33 2026-04-01
01472 CPT Anesth,Achilles Tendon Surg 4 3 — — $7,071.33 $7,212.75 $7,071.33 2026-04-01
28285 CPT Correction Hammertoe|RIGHT Foot, Fourth Digit 39 3 — — $3,188.63 $12,511.55 $7,071.33 2026-04-01
23430 CPT Tenodesis Long Tendon Biceps|LEFT Side 6 3 — — $7,071.33 $7,212.75 $7,071.33 2026-04-01
23515 CPT Open Tx Clavicular Fracture Internal Fixation|LEFT Side 5 3 — — $7,071.33 $7,212.75 $7,071.33 2026-04-01
24342 CPT Rinsj Rptd Biceps/Triceps Tdn Dstl W/wo Tdn Grf|RIGHT Side 2 2 — — $7,071.33 $7,071.33 $7,071.33 2026-04-01
01202 CPT Anesth,Arthroscopy Of Hip 4 3 — — $7,071.33 $7,212.75 $7,071.33 2026-04-01
25447 CPT Arthrp Interpos Intercarpal/Metacarpal Joints|RIGHT Side 9 3 — — $3,188.63 $7,212.75 $7,071.33 2026-04-01
29826 CPT Surgical Arthroscopy Sho W/Coracoacrm Ligm Rls|LEFT Side 6 2 — — $7,071.33 $7,071.33 $7,071.33 2026-04-01
27792 CPT Open Tx Distal Fibular Fracture Lat Malleolus|LEFT Side 10 3 — — $7,071.33 $7,212.75 $7,071.33 2026-04-01
25607 CPT Optx Dstl Radl X-artic Fx/Epiphysl Sep|LEFT Side 8 3 — — $7,071.33 $7,212.75 $7,071.33 2026-04-01
27650 CPT Repair Primary Open/Prq Ruptured Achilles Tendon|LEFT Side 4 3 — — $7,071.33 $7,212.75 $7,071.33 2026-04-01
00450 CPT Anesth,Surg Clavicle/Scapula 1 1 — — $7,071.33 $7,071.33 $7,071.33 2026-04-01
29999 CPT Unlisted Procedure Arthroscopy 3 1 — — $7,071.33 $7,071.33 $7,071.33 2026-04-01
29916 CPT Arthroscopy Hip W/Labral Repair|LEFT Side 5 2 — — $7,071.33 $7,071.33 $7,071.33 2026-04-01
25608 CPT Optx Dstl Radl I-artic Fx/Epiphysl Sep 2 Frag|RIGHT Side 4 3 — — $7,071.33 $7,212.75 $7,071.33 2026-04-01
29915 CPT Arthroscopy Hip W/Acetabuloplasty|LEFT Side 3 3 — — $7,071.33 $7,212.75 $7,071.33 2026-04-01
27427 CPT Ligamentous Reconstruction Knee Extra-articular|right Side 5 3 — — $7,071.33 $12,761.78 $7,071.33 2026-04-01
29914 CPT Arthroscopy Hip W/Femoroplasty|BILATERAL Procedure 6 3 — — $7,071.33 $7,212.75 $7,071.33 2026-04-01
25609 CPT Optx Dstl Radl I-artic Fx/Epiphysl Sep 3 Frag|LEFT Side 6 3 — — $7,071.33 $7,212.75 $7,071.33 2026-04-01
29828 CPT Surgical Arthroscopy Shoulder Biceps Tenodesis 4 3 — — $7,071.33 $7,212.75 $7,071.33 2026-04-01
11970 CPT Replacement Tissue Expander W/Permanent Implant|LEFT Side 8 3 — — $7,071.33 $7,212.75 $7,071.33 2026-04-01
897 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc 36 24 — — $2,528.00 $16,740.54 $7,053.31 2026-04-01
683 MS_DRG Renal Failure With Cc 31 19 — — $6,055.28 $17,157.80 $6,997.37 2026-04-01
603 MS_DRG Cellulitis Without Mcc 31 19 — — $6,021.40 $17,061.80 $6,958.21 2026-04-01
192 MS_DRG Chronic Obstructive Pulmonary Disease Without Cc/mcc 25 22 — — $4,438.79 $12,577.42 $6,913.51 2026-04-01
31276 CPT Nasal/Sinus Ndsc W/Rmvl Tiss From Frontal Sinus|BILATERAL Procedure 4 2 — — $6,877.64 $7,015.19 $6,877.64 2026-04-01
31256 CPT Nasal/Sinus Endoscopy W/Maxillary Antrostomy|BILATERAL Procedure 4 3 — — $6,877.64 $7,015.19 $6,877.64 2026-04-01
31254 CPT Nasal/Sinus Ndsc W/Partial Ethmoidectomy 5 2 — — $6,877.64 $6,877.64 $6,877.64 2026-04-01
31259 CPT Nasal/Sinus Ndsc Tot W/Sphendt W/Sphen Tiss Rmvl|BILATERAL Procedure 2 2 — — $6,877.64 $6,877.64 $6,877.64 2026-04-01
00160 CPT Anesth,Nose,Sinus Surgery 3 3 — — $6,877.64 $7,015.19 $6,877.64 2026-04-01
31267 CPT Nsl/Sinus Ndsc Max Antrost W/Rmvl Tiss Max Sinus|BILATERAL Procedure 9 3 — — $6,877.64 $7,015.19 $6,877.64 2026-04-01
918 MS_DRG Poisoning And Toxic Effects Of Drugs Without Mcc 28 19 — — $5,925.99 $16,791.45 $6,847.96 2026-04-01
379 MS_DRG Gastrointestinal Hemorrhage Without Cc/mcc 37 24 — — $4,358.59 $12,350.17 $6,788.60 2026-04-01
263 MS_DRG Cholecystectomy,moderate 5 5 — — $6,444.94 $7,204.29 $6,767.19 2026-04-01
639 MS_DRG Diabetes Without Cc/mcc 37 24 — — $4,294.98 $12,169.93 $6,689.54 2026-04-01
103 MS_DRG Headaches Without Mcc 31 19 — — $5,782.18 $16,383.95 $6,681.78 2026-04-01
387 MS_DRG Inflammatory Bowel Disease Without Cc/mcc 25 19 — — $4,187.05 $13,131.85 $6,489.93 2026-04-01
440 MS_DRG Disorders Of Pancreas Except Malignancy Without Cc/mcc 30 22 — — $4,296.36 $12,173.85 $6,475.82 2026-04-01
15830 CPT Excision Skin Abd Infraumbilical Panniculectomy 3 2 — — $6,470.98 $6,470.98 $6,470.98 2026-04-01
19318 CPT Breast Reduction|BILATERAL Procedure 3 3 — — $6,470.98 $6,600.40 $6,470.98 2026-04-01
684 MS_DRG Renal Failure Without Cc/mcc 37 24 — — $4,150.47 $11,760.48 $6,464.46 2026-04-01
204 MS_DRG Respiratory Signs And Symptoms 32 25 — — $3,458.14 $15,817.77 $6,450.87 2026-04-01
561 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue Without Cc/mcc 42 29 — — $2,402.59 $15,749.20 $6,422.92 2026-04-01
49593 CPT Rpr Aa Hernia 1st 3-10 Cm Reducible 6 3 — — $6,308.87 $6,435.05 $6,308.87 2026-04-01
49521 CPT Rpr Recrt Ingun Hernia Any Age Incarcerated 5 2 — — $6,308.87 $6,308.87 $6,308.87 2026-04-01
253 MS_DRG Other And Unspecified Gastrointestinal Hemorrhage,major 5 5 — — $5,706.84 $6,379.22 $5,992.18 2026-04-01
395 MS_DRG Other Digestive System Diagnoses Without Cc/mcc 28 21 — — $3,975.29 $12,467.71 $5,962.93 2026-04-01
43266 CPT Egd Endoscopic Stent Placement W/Wire& Dilation 4 3 — — $5,916.21 $6,034.54 $5,916.21 2026-04-01
43274 CPT Ercp Stent Placement Biliary/Pancreatic Duct 4 2 — — $5,916.21 $5,916.21 $5,916.21 2026-04-01
43265 CPT Ercp Destruction/Lithotripsy Calculi Any Method 3 2 — — $5,916.21 $5,916.21 $5,916.21 2026-04-01
43276 CPT Ercp Biliary/Panc Duct Stent Exchange W/Dil&Wire 5 3 — — $5,916.21 $6,034.54 $5,916.21 2026-04-01
00840 CPT Anesth,Surg Lower Abdomen 5 3 — — $5,891.49 $6,009.32 $5,891.49 2026-04-01
00790 CPT Anesth,Surg Upper Abdomen 5 2 — — $5,891.49 $5,891.49 $5,891.49 2026-04-01
44970 CPT Laparoscopic Appendectomy 2 1 — — $5,891.49 $5,891.49 $5,891.49 2026-04-01
49592 CPT Rpr Aa Hernia 1st < 3 Cm Ncrc8/Strangulated 5 2 — — $5,891.49 $5,891.49 $5,891.49 2026-04-01
47563 CPT Laps Surg Cholecystectomy W/Cholangiography 4 3 — — $5,891.49 $6,009.32 $5,891.49 2026-04-01
00832 CPT Anesth,Repair Lo Hernia Ventr/Incis 4 2 — — $5,891.49 $5,891.49 $5,891.49 2026-04-01
194 MS_DRG Simple Pneumonia And Pleurisy With Cc 33 23 — — $2,885.41 $15,788.39 $5,878.99 2026-04-01
282 MS_DRG Acute Myocardial Infarction, Discharged Alive Without Cc/mcc 52 29 — — $2,775.57 $14,166.25 $5,777.35 2026-04-01
69706 CPT Surg Nasopharyngoscopy Dilat Eustachian Tube Bi 4 3 — — $5,768.99 $5,884.37 $5,768.99 2026-04-01
42440 CPT Excision Submandibular Submaxillary Gland 10 2 — — $5,768.99 $5,768.99 $5,768.99 2026-04-01
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