Price Transparencybeta Hospital negotiated rates

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

SELBY GENERAL HOSPITAL

Marietta, OH · CCN 361319 · Rates published

218 distinct procedures filed
79 distinct payers
68,370 rate rows
2026-01-01 last MRF observed
Data quality

28,997 of 68,370 rate rows are consumer-grade (42.4%)

39,373 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 34,155
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 4,752
placeholder amount (≤ $0.02) — excluded from medians 257
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 208
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 1
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://hospitalpricedisclosure.com/Download.aspx?pi=DXt*_*6qxjbTP0X5gWKEWi4w*-*
Found on page https://www.mhsystem.org/patient-visitors/price-list/
Discovered viaDiscovered by HANK
Last fetch success · 2026-11-02
Content fingerprint 805e6b5185aea483… · 23,344,106 bytes · first seen 2026-11-02

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
454
MS_DRG 		7 $90,693.65 $90,693.65 $90,693.65 nat. median
$49,522
1.8× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 6 $68,813.62 $68,813.62 $68,813.62 nat. median
$63,564
1.1× median
951
MS_DRG 		Other Factors Influencing Health Status 2 $58,494.54 $58,494.54 $58,494.54 nat. median
$6,223
outlier · 9.4×
485
MS_DRG 		Knee Procedures With Principal Diagnosis Of Infection With Mcc 1 $57,957.90 $57,957.90 $57,957.90 nat. median
$30,564
1.9× median
430
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 3 $55,996.39 $55,996.39 $55,996.39 nat. median
$51,152
1.1× median
428
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 3 $54,376.17 $54,376.17 $54,376.17 nat. median
$50,496
1.1× median
28
MS_DRG 		Spinal Procedures With Mcc 1 $53,447.67 $53,447.67 $53,447.67 nat. median
$54,377
1.0× median
29
MS_DRG 		Spinal Procedures With Cc Or Spinal Neurostimulators 3 $51,564.26 $51,564.26 $51,564.26 nat. median
$31,858
1.6× median
471
MS_DRG 		Cervical Spinal Fusion With Mcc 3 $50,207.56 $50,207.56 $50,207.56 nat. median
$44,798
1.1× median
981
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 1 $47,059.15 $47,059.15 $47,059.15 nat. median
$43,609
1.1× median
5116
OTHER 		Level 6 Musculoskeletal Procedures 14 $45,613.46 $45,613.46 $45,613.46 nat. median
$18,671
outlier · 2.4×
240
MS_DRG 		Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 1 $44,755.74 $44,755.74 $44,755.74 nat. median
$26,726
1.7× median
602
MS_DRG 		Cellulitis With Mcc 1 $44,499.08 $44,499.08 $44,499.08 nat. median
$14,007
outlier · 3.2×
460
MS_DRG 		4 $44,061.56 $44,061.56 $44,061.56 nat. median
$31,587
1.4× median
455
MS_DRG 		5 $42,809.68 $42,809.68 $42,809.68 nat. median
$38,810
1.1× median
856
MS_DRG 		Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 1 $41,571.46 $41,571.46 $41,571.46 nat. median
$41,655
1.0× median
479
MS_DRG 		Biopsies Of Musculoskeletal System And Connective Tissue Without Cc/Mcc 1 $41,354.74 $41,354.74 $41,354.74 nat. median
$17,759
outlier · 2.3×
303
MS_DRG 		Atherosclerosis Without Mcc 1 $40,352.60 $40,352.60 $40,352.60 nat. median
$7,384
outlier · 5.5×
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 2 $39,172.58 $39,172.58 $39,172.58 nat. median
$45,362
0.9× median
5465
OTHER 		Level 5 Neurostimulator And Related Procedures 8 $38,981.67 $38,981.67 $38,981.67 nat. median
$31,925
1.2× median
468
MS_DRG 		Revision Of Hip Or Knee Replacement Without Cc/Mcc 4 $38,934.51 $38,934.51 $38,934.51 nat. median
$25,650
1.5× median
519
MS_DRG 		Back And Neck Procedures Except Spinal Fusion With Cc 4 $38,746.46 $38,746.46 $38,746.46 nat. median
$19,458
2.0× median
640
MS_DRG 		Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 1 $38,057.60 $38,057.60 $38,057.60 nat. median
$12,833
outlier · 3.0×
683
MS_DRG 		Renal Failure With Cc 1 $38,057.60 $38,057.60 $38,057.60 nat. median
$9,102
outlier · 4.2×
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Or Infection Wi… 4 $37,688.45 $37,688.45 $37,688.45 nat. median
$55,110
0.7× median
466
MS_DRG 		Revision Of Hip Or Knee Replacement With Mcc 1 $37,008.62 $37,008.62 $37,008.62 nat. median
$46,347
0.8× median
448
MS_DRG 		Multiple Level Spinal Fusion Except Cervical Without Mcc 5 $36,829.82 $36,829.82 $36,829.82 nat. median
$39,065
0.9× median
402
MS_DRG 		Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 5 $36,546.00 $36,546.00 $36,546.00 nat. median
$36,864
1.0× median
617
MS_DRG 		Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 2 $35,925.89 $35,925.89 $35,925.89 nat. median
$18,267
2.0× median
858
MS_DRG 		Postoperative Or Post-traumatic Infections With O.r. Procedures Without Cc/Mcc 2 $35,798.00 $35,798.00 $35,798.00 nat. median
$13,547
outlier · 2.6×
559
MS_DRG 		Aftercare, Musculoskeletal System And Connective Tissue With Mcc 3 $35,319.71 $35,319.71 $35,319.71 nat. median
$18,112
2.0× median
835
MS_DRG 		Acute Leukemia With Cc 1 $34,810.90 $34,810.90 $34,810.90 nat. median
$20,369
1.7× median
876
MS_DRG 		O.r. Procedures With Principal Diagnosis Of Mental Illness 1 $34,410.91 $34,410.91 $34,410.91 nat. median
$33,032
1.0× median
177
MS_DRG 		Respiratory Infections And Inflammations With Mcc 2 $34,228.16 $34,228.16 $34,228.16 nat. median
$15,375
outlier · 2.2×
478
MS_DRG 		Biopsies Of Musculoskeletal System And Connective Tissue With Cc 3 $34,166.23 $34,166.23 $34,166.23 nat. median
$22,770
1.5× median
552
MS_DRG 		Medical Back Problems Without Mcc 4 $33,529.36 $33,529.36 $33,529.36 nat. median
$9,826
outlier · 3.4×
857
MS_DRG 		Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 5 $33,429.88 $33,429.88 $33,429.88 nat. median
$20,372
1.6× median
300
MS_DRG 		Peripheral Vascular Disorders With Cc 1 $32,878.46 $32,878.46 $32,878.46 nat. median
$10,840
outlier · 3.0×
451
MS_DRG 		Single Level Spinal Fusion Except Cervical Without Mcc 3 $32,759.33 $32,759.33 $32,759.33 nat. median
$30,000
1.1× median
473
MS_DRG 		Cervical Spinal Fusion Without Cc/Mcc 3 $32,722.49 $32,722.49 $32,722.49 nat. median
$23,468
1.4× median
483
MS_DRG 		Major Joint Or Limb Reattachment Procedures Of Upper Extremities 5 $32,283.78 $32,283.78 $32,283.78 nat. median
$25,333
1.3× median
465
MS_DRG 		Wound Debridement Or Skin Graft Except Hand For Musculoskeletal And Connective T… 1 $32,276.63 $32,276.63 $32,276.63 nat. median
$17,563
1.8× median
158
MS_DRG 		Dental And Oral Diseases With Cc 1 $31,359.48 $31,359.48 $31,359.48 nat. median
$9,553
outlier · 3.3×
5115
OTHER 		Level 5 Musculoskeletal Procedures 14 $30,890.74 $30,890.74 $30,890.74 nat. median
$13,584
outlier · 2.3×
486
MS_DRG 		Knee Procedures With Principal Diagnosis Of Infection With Cc 2 $30,794.47 $30,794.47 $30,794.47 nat. median
$20,195
1.5× median
500
MS_DRG 		Soft Tissue Procedures With Mcc 1 $30,407.95 $30,407.95 $30,407.95 nat. median
$29,659
1.0× median
472
MS_DRG 		Cervical Spinal Fusion With Cc 5 $29,982.78 $29,982.78 $29,982.78 nat. median
$28,214
1.1× median
493
MS_DRG 		Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 5 $29,891.25 $29,891.25 $29,891.25 nat. median
$23,523
1.3× median
492
MS_DRG 		Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc Or In… 1 $29,183.89 $29,183.89 $29,183.89 nat. median
$33,619
0.9× median
392
MS_DRG 		Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc 2 $29,011.15 $29,011.15 $29,011.15 nat. median
$8,173
outlier · 3.5×

Other procedures at this hospital

Browse this hospital's 218 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
             
0764 OTHER Ketorolac Tromethamine Inj 1 1 — — $1,609.19 $1,609.19 $1,609.19 2026-01-01
1433 OTHER — 2 2 — — $6,113.35 $6,113.35 $6,113.35 2026-01-01
158 MS_DRG Dental And Oral Diseases With Cc 1 1 — — $31,359.48 $31,359.48 $31,359.48 2026-01-01
177 MS_DRG Respiratory Infections And Inflammations With Mcc 2 2 — — $34,228.16 $34,228.16 $34,228.16 2026-01-01
178 MS_DRG Respiratory Infections And Inflammations With Cc 1 1 — — $9,161.76 $9,161.76 $9,161.76 2026-01-01
184 MS_DRG Major Chest Trauma With Cc 1 1 — — $22,109.98 $22,109.98 $22,109.98 2026-01-01
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 1 1 — — $15,402.11 $15,402.11 $15,402.11 2026-01-01
194 MS_DRG Simple Pneumonia And Pleurisy With Cc 2 2 — — $17,248.69 $17,248.69 $17,248.69 2026-01-01
195 MS_DRG Simple Pneumonia And Pleurisy Without Cc/Mcc 1 1 — — $7,786.15 $7,786.15 $7,786.15 2026-01-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 1 1 — — $44,755.74 $44,755.74 $44,755.74 2026-01-01
28 MS_DRG Spinal Procedures With Mcc 1 1 — — $53,447.67 $53,447.67 $53,447.67 2026-01-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 4 3 — — $51,564.26 $51,564.26 $51,564.26 2026-01-01
30 MS_DRG Spinal Procedures Without Cc/Mcc 1 1 — — $6,592.37 $6,592.37 $6,592.37 2026-01-01
300 MS_DRG Peripheral Vascular Disorders With Cc 1 1 — — $32,878.46 $32,878.46 $32,878.46 2026-01-01
303 MS_DRG Atherosclerosis Without Mcc 1 1 — — $40,352.60 $40,352.60 $40,352.60 2026-01-01
304 MS_DRG Hypertension With Mcc 5 5 — — $28,762.47 $28,762.47 $28,762.47 2026-01-01
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 2 2 — — $11,950.77 $11,950.77 $11,950.77 2026-01-01
312 MS_DRG Syncope And Collapse 1 1 — — $7,611.52 $7,611.52 $7,611.52 2026-01-01
314 MS_DRG Other Circulatory System Diagnoses With Mcc 1 1 — — $11,556.95 $11,556.95 $11,556.95 2026-01-01
315 MS_DRG Other Circulatory System Diagnoses With Cc 2 2 — — $10,984.17 $10,984.17 $10,984.17 2026-01-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 1 1 — — $4,231.55 $4,231.55 $4,231.55 2026-01-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 5 5 — — $24,386.56 $24,386.56 $24,386.56 2026-01-01
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 3 3 — — $15,463.92 $15,463.92 $15,463.92 2026-01-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 1 1 — — $22,983.62 $22,983.62 $22,983.62 2026-01-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 2 2 — — $20,498.85 $20,498.85 $20,498.85 2026-01-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 3 3 — — $15,176.67 $15,176.67 $15,176.67 2026-01-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 1 1 — — $8,670.11 $8,670.11 $8,670.11 2026-01-01
347 MS_DRG Anal And Stomal Procedures With Mcc 1 1 — — $2,954.96 $2,954.96 $2,954.96 2026-01-01
349 MS_DRG Anal And Stomal Procedures Without Cc/Mcc 1 1 — — $10,479.98 $10,479.98 $10,479.98 2026-01-01
372 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Cc 1 1 — — $22,279.43 $22,279.43 $22,279.43 2026-01-01
381 MS_DRG Complicated Peptic Ulcer With Cc 1 1 — — $13,206.04 $13,206.04 $13,206.04 2026-01-01
383 MS_DRG Uncomplicated Peptic Ulcer With Mcc 4 4 — — $6,320.05 $6,320.05 $6,320.05 2026-01-01
392 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc 2 2 — — $29,011.15 $29,011.15 $29,011.15 2026-01-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 9 5 — — $36,546.00 $36,546.00 $36,546.00 2026-01-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 1 — — $22,412.32 $22,412.32 $22,412.32 2026-01-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 9 6 — — $68,813.62 $68,813.62 $68,813.62 2026-01-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 5 3 — — $54,376.17 $54,376.17 $54,376.17 2026-01-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 4 3 — — $55,996.39 $55,996.39 $55,996.39 2026-01-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 7 5 — — $36,829.82 $36,829.82 $36,829.82 2026-01-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 4 3 — — $32,759.33 $32,759.33 $32,759.33 2026-01-01
454 MS_DRG — 11 7 — — $90,693.65 $90,693.65 $90,693.65 2026-01-01
455 MS_DRG — 7 5 — — $42,809.68 $42,809.68 $42,809.68 2026-01-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Or Infection Wi… 1 1 — — $14,934.59 $14,934.59 $14,934.59 2026-01-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Or Infection Wi… 4 4 — — $37,688.45 $37,688.45 $37,688.45 2026-01-01
460 MS_DRG — 8 4 — — $44,061.56 $44,061.56 $44,061.56 2026-01-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 2 2 — — $14,736.41 $14,736.41 $14,736.41 2026-01-01
464 MS_DRG Wound Debridement Or Skin Graft Except Hand For Musculoskeletal And Connective T… 1 1 — — $21,922.64 $21,922.64 $21,922.64 2026-01-01
465 MS_DRG Wound Debridement Or Skin Graft Except Hand For Musculoskeletal And Connective T… 1 1 — — $32,276.63 $32,276.63 $32,276.63 2026-01-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 1 1 — — $37,008.62 $37,008.62 $37,008.62 2026-01-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 6 5 — — $24,110.02 $24,110.02 $24,110.02 2026-01-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 6 4 — — $38,934.51 $38,934.51 $38,934.51 2026-01-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 1 1 — — $14,063.28 $14,063.28 $14,063.28 2026-01-01
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 12 8 — — $25,721.52 $25,721.52 $25,721.52 2026-01-01
471 MS_DRG Cervical Spinal Fusion With Mcc 5 3 — — $50,207.56 $50,207.56 $50,207.56 2026-01-01
472 MS_DRG Cervical Spinal Fusion With Cc 6 5 — — $29,982.78 $29,982.78 $29,982.78 2026-01-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 6 3 — — $32,722.49 $32,722.49 $32,722.49 2026-01-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc Or Insertion O… 1 1 — — $21,106.16 $21,106.16 $21,106.16 2026-01-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 5 3 — — $34,166.23 $34,166.23 $34,166.23 2026-01-01
479 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue Without Cc/Mcc 1 1 — — $41,354.74 $41,354.74 $41,354.74 2026-01-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc Or Insertion Of Antibiotic-… 4 4 — — $20,522.65 $20,522.65 $20,522.65 2026-01-01
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 8 5 — — $27,054.48 $27,054.48 $27,054.48 2026-01-01
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/Mcc 2 2 — — $25,475.51 $25,475.51 $25,475.51 2026-01-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 10 5 — — $32,283.78 $32,283.78 $32,283.78 2026-01-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 1 1 — — $57,957.90 $57,957.90 $57,957.90 2026-01-01
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 2 2 — — $30,794.47 $30,794.47 $30,794.47 2026-01-01
487 MS_DRG Knee Procedures With Principal Diagnosis Of Infection Without Cc/Mcc 1 1 — — $22,769.61 $22,769.61 $22,769.61 2026-01-01
488 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection With Cc/Mcc 5 3 — — $19,442.74 $19,442.74 $19,442.74 2026-01-01
489 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection Without Cc/Mcc 3 3 — — $11,171.00 $11,171.00 $11,171.00 2026-01-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc Or In… 1 1 — — $29,183.89 $29,183.89 $29,183.89 2026-01-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 5 5 — — $29,891.25 $29,891.25 $29,891.25 2026-01-01
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/Mcc 4 3 — — $19,387.73 $19,387.73 $19,387.73 2026-01-01
496 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 2 2 — — $18,514.63 $18,514.63 $18,514.63 2026-01-01
500 MS_DRG Soft Tissue Procedures With Mcc 1 1 — — $30,407.95 $30,407.95 $30,407.95 2026-01-01
501 MS_DRG Soft Tissue Procedures With Cc 5 4 — — $13,858.51 $13,858.51 $13,858.51 2026-01-01
502 MS_DRG Soft Tissue Procedures Without Cc/Mcc 1 1 — — $7,716.59 $7,716.59 $7,716.59 2026-01-01
5021 OTHER Level 1 Type A Ed Visits 10 8 — — $163.75 $163.75 $163.75 2026-01-01
5022 OTHER Level 2 Type A Ed Visits 21 13 — — $698.91 $698.91 $698.91 2026-01-01
5023 OTHER Level 3 Type A Ed Visits 27 15 — — $932.04 $932.04 $932.04 2026-01-01
5024 OTHER Level 4 Type A Ed Visits 26 14 — — $1,385.62 $1,385.62 $1,385.62 2026-01-01
5025 OTHER Level 5 Type A Ed Visits 28 15 — — $2,847.89 $2,847.89 $2,847.89 2026-01-01
5041 OTHER Critical Care 6 3 — — $3,611.13 $3,611.13 $3,611.13 2026-01-01
5045 OTHER — 1 1 — — $7,262.90 $7,262.90 $7,262.90 2026-01-01
5051 OTHER Level 1 Skin Procedures 13 9 — — $1,908.83 $1,908.83 $1,908.83 2026-01-01
5052 OTHER Level 2 Skin Procedures 12 9 — — $2,247.97 $2,247.97 $2,247.97 2026-01-01
5053 OTHER Level 3 Skin Procedures 3 3 — — $6,372.18 $6,372.18 $6,372.18 2026-01-01
5054 OTHER Level 4 Skin Procedures 6 3 — — $4,971.94 $4,971.94 $4,971.94 2026-01-01
5055 OTHER Level 5 Skin Procedures 1 1 — — $16,840.11 $16,840.11 $16,840.11 2026-01-01
5071 OTHER Level 1 Excision/ Biopsy/ Incision And Drainage 0 0 — — — — — 2026-01-01
5072 OTHER Level 2 Excision/ Biopsy/ Incision And Drainage 11 8 — — $4,510.02 $4,510.02 $4,510.02 2026-01-01
5073 OTHER Level 3 Excision/ Biopsy/ Incision And Drainage 15 9 — — $6,593.81 $6,593.81 $6,593.81 2026-01-01
5101 OTHER Level 1 Strapping And Cast Application 3 3 — — $694.97 $694.97 $694.97 2026-01-01
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 2 2 — — $25,485.95 $25,485.95 $25,485.95 2026-01-01
5111 OTHER Level 1 Musculoskeletal Procedures 8 6 — — $4,298.59 $4,298.59 $4,298.59 2026-01-01
5112 OTHER Level 2 Musculoskeletal Procedures 0 0 — — — — — 2026-01-01
5113 OTHER Level 3 Musculoskeletal Procedures 26 14 — — $9,827.63 $9,827.63 $9,827.63 2026-01-01
5114 OTHER Level 4 Musculoskeletal Procedures 26 14 — — $16,033.41 $16,033.41 $16,033.41 2026-01-01
5115 OTHER Level 5 Musculoskeletal Procedures 26 14 — — $30,890.74 $30,890.74 $30,890.74 2026-01-01
5116 OTHER Level 6 Musculoskeletal Procedures 21 14 — — $45,613.46 $45,613.46 $45,613.46 2026-01-01
513 MS_DRG Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures With Cc/Mcc 2 2 — — $19,615.49 $19,615.49 $19,615.49 2026-01-01
514 MS_DRG Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures Without Cc/Mcc 1 1 — — $15,361.35 $15,361.35 $15,361.35 2026-01-01
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 4 3 — — $23,877.65 $23,877.65 $23,877.65 2026-01-01
517 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures Without Cc/Mc… 2 2 — — $15,677.25 $15,677.25 $15,677.25 2026-01-01
5182 OTHER — 2 2 — — $14,691.23 $14,691.23 $14,691.23 2026-01-01
5183 OTHER Level 3 Vascular Procedures 5 4 — — $23,151.16 $23,151.16 $23,151.16 2026-01-01
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 4 4 — — $38,746.46 $38,746.46 $38,746.46 2026-01-01
520 MS_DRG Back And Neck Procedures Except Spinal Fusion Without Cc/Mcc 1 1 — — $25,155.57 $25,155.57 $25,155.57 2026-01-01
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 5 4 — — $27,996.59 $27,996.59 $27,996.59 2026-01-01
5241 OTHER Level 1 Blood Product Exchange And Related Services 4 4 — — $2,572.28 $2,572.28 $2,572.28 2026-01-01
5311 OTHER Level 1 Lower Gi Procedures 2 2 — — $4,185.19 $4,185.19 $4,185.19 2026-01-01
534 MS_DRG Fractures Of Femur Without Mcc 3 2 — — $14,450.56 $14,450.56 $14,450.56 2026-01-01
535 MS_DRG Fractures Of Hip And Pelvis With Mcc 1 1 — — $12,415.34 $12,415.34 $12,415.34 2026-01-01
536 MS_DRG Fractures Of Hip And Pelvis Without Mcc 6 5 — — $18,652.95 $18,652.95 $18,652.95 2026-01-01
5362 OTHER — 1 1 — — $643.44 $643.44 $643.44 2026-01-01
5371 OTHER — 1 1 — — $6,260.23 $6,260.23 $6,260.23 2026-01-01
541 MS_DRG Osteomyelitis Without Cc/Mcc 1 1 — — $14,073.38 $14,073.38 $14,073.38 2026-01-01
543 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 3 3 — — $21,669.96 $21,669.96 $21,669.96 2026-01-01
5431 OTHER Level 1 Nerve Procedures 19 12 — — $6,756.96 $6,756.96 $6,756.96 2026-01-01
5432 OTHER Level 2 Nerve Procedures 6 5 — — $9,367.58 $9,367.58 $9,367.58 2026-01-01
5441 OTHER Level 1 Nerve Injections 0 0 — — — — — 2026-01-01
5442 OTHER Level 2 Nerve Injections 11 7 — — $3,436.64 $3,436.64 $3,436.64 2026-01-01
5443 OTHER Level 3 Nerve Injections 6 4 — — $4,567.64 $4,567.64 $4,567.64 2026-01-01
5461 OTHER Level 1 Neurostimulator And Related Procedures 7 4 — — $5,629.62 $5,629.62 $5,629.62 2026-01-01
5463 OTHER Level 3 Neurostimulator And Related Procedures 0 0 — — — — — 2026-01-01
5464 OTHER Level 4 Neurostimulator And Related Procedures 8 5 — — $18,780.07 $18,780.07 $18,780.07 2026-01-01
5465 OTHER Level 5 Neurostimulator And Related Procedures 14 8 — — $38,981.67 $38,981.67 $38,981.67 2026-01-01
5471 OTHER Implantation Of Drug Infusion Device 0 0 — — — — — 2026-01-01
550 MS_DRG Septic Arthritis Without Cc/Mcc 1 1 — — $14,065.56 $14,065.56 $14,065.56 2026-01-01
551 MS_DRG Medical Back Problems With Mcc 1 1 — — $23,519.61 $23,519.61 $23,519.61 2026-01-01
552 MS_DRG Medical Back Problems Without Mcc 6 4 — — $33,529.36 $33,529.36 $33,529.36 2026-01-01
5521 OTHER Level 1 Imaging Without Contrast 0 0 — — — — — 2026-01-01
5522 OTHER Level 2 Imaging Without Contrast 30 17 — — $622.00 $622.00 $622.00 2026-01-01
5523 OTHER Level 3 Imaging Without Contrast 0 0 — — — — — 2026-01-01
5524 OTHER Level 4 Imaging Without Contrast 30 17 — — $1,429.62 $1,429.62 $1,429.62 2026-01-01
554 MS_DRG Bone Diseases And Arthropathies Without Mcc 2 2 — — $13,999.06 $13,999.06 $13,999.06 2026-01-01
5571 OTHER Level 1 Imaging With Contrast 26 14 — — $1,317.37 $1,317.37 $1,317.37 2026-01-01
5572 OTHER Level 2 Imaging With Contrast 30 17 — — $2,004.03 $2,004.03 $2,004.03 2026-01-01
5573 OTHER — 1 1 — — $1,315.91 $1,315.91 $1,315.91 2026-01-01
558 MS_DRG Tendonitis, Myositis And Bursitis Without Mcc 2 2 — — $5,842.20 $5,842.20 $5,842.20 2026-01-01
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Mcc 4 3 — — $35,319.71 $35,319.71 $35,319.71 2026-01-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 1 1 — — $9,335.68 $9,335.68 $9,335.68 2026-01-01
560 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Cc 8 6 — — $22,189.57 $22,189.57 $22,189.57 2026-01-01
561 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue Without Cc/Mcc 5 4 — — $15,021.60 $15,021.60 $15,021.60 2026-01-01
563 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 1 1 — — $10,410.00 $10,410.00 $10,410.00 2026-01-01
565 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Cc 2 2 — — $17,111.74 $17,111.74 $17,111.74 2026-01-01
5671 OTHER Level 1 Pathology 1 1 — — $425.36 $425.36 $425.36 2026-01-01
5672 OTHER Level 2 Pathology 1 1 — — $455.86 $455.86 $455.86 2026-01-01
5673 OTHER Level 3 Pathology 2 2 — — $394.44 $394.44 $394.44 2026-01-01
5692 OTHER Level 2 Drug Administration 20 13 — — $1,079.82 $1,079.82 $1,079.82 2026-01-01
5693 OTHER Level 3 Drug Administration 24 13 — — $2,759.36 $2,759.36 $2,759.36 2026-01-01
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 3 3 — — $15,156.53 $15,156.53 $15,156.53 2026-01-01
571 MS_DRG Skin Debridement With Cc 2 2 — — $24,411.72 $24,411.72 $24,411.72 2026-01-01
5721 OTHER Level 1 Diagnostic Tests And Related Services 2 2 — — $1,735.83 $1,735.83 $1,735.83 2026-01-01
5722 OTHER Level 2 Diagnostic Tests And Related Services 25 14 — — $879.90 $879.90 $879.90 2026-01-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 1 1 — — $21,653.53 $21,653.53 $21,653.53 2026-01-01
5731 OTHER — 1 1 — — $287.56 $287.56 $287.56 2026-01-01
5733 OTHER Level 3 Minor Procedures 24 13 — — $273.85 $273.85 $273.85 2026-01-01
5734 OTHER Level 4 Minor Procedures 25 14 — — $136.26 $136.26 $136.26 2026-01-01
5735 OTHER Level 5 Minor Procedures 2 2 — — $766.65 $766.65 $766.65 2026-01-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 1 1 — — $22,487.29 $22,487.29 $22,487.29 2026-01-01
5743 OTHER — 2 2 — — $1,805.46 $1,805.46 $1,805.46 2026-01-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 1 1 — — $14,131.18 $14,131.18 $14,131.18 2026-01-01
5791 OTHER Pulmonary Treatment 0 0 — — — — — 2026-01-01
602 MS_DRG Cellulitis With Mcc 1 1 — — $44,499.08 $44,499.08 $44,499.08 2026-01-01
603 MS_DRG Cellulitis Without Mcc 7 5 — — $24,076.24 $24,076.24 $24,076.24 2026-01-01
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 3 2 — — $35,925.89 $35,925.89 $35,925.89 2026-01-01
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 1 1 — — $17,784.29 $17,784.29 $17,784.29 2026-01-01
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 1 1 — — $19,959.04 $19,959.04 $19,959.04 2026-01-01
638 MS_DRG Diabetes With Cc 2 2 — — $24,212.81 $24,212.81 $24,212.81 2026-01-01
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 1 1 — — $38,057.60 $38,057.60 $38,057.60 2026-01-01
65 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours 1 1 — — $11,772.67 $11,772.67 $11,772.67 2026-01-01
683 MS_DRG Renal Failure With Cc 1 1 — — $38,057.60 $38,057.60 $38,057.60 2026-01-01
689 MS_DRG Kidney And Urinary Tract Infections With Mcc 3 3 — — $26,568.25 $26,568.25 $26,568.25 2026-01-01
690 MS_DRG Kidney And Urinary Tract Infections Without Mcc 1 1 — — $14,577.21 $14,577.21 $14,577.21 2026-01-01
699 MS_DRG Other Kidney And Urinary Tract Diagnoses With Cc 1 1 — — $11,030.22 $11,030.22 $11,030.22 2026-01-01
711 MS_DRG Testes Procedures With Cc/Mcc 2 2 — — $13,198.03 $13,198.03 $13,198.03 2026-01-01
74 MS_DRG Cranial And Peripheral Nerve Disorders Without Mcc 1 1 — — $19,656.51 $19,656.51 $19,656.51 2026-01-01
793 MS_DRG Full Term Neonate With Major Problems 1 1 — — $10,089.76 $10,089.76 $10,089.76 2026-01-01
8004 OTHER — 5 4 — — $951.48 $951.48 $951.48 2026-01-01
8005 OTHER — 0 0 — — — — — 2026-01-01
8006 OTHER — 25 14 — — $3,878.27 $3,878.27 $3,878.27 2026-01-01
8007 OTHER — 0 0 — — — — — 2026-01-01
8008 OTHER — 22 13 — — $3,322.86 $3,322.86 $3,322.86 2026-01-01
8011 OTHER — 14 8 — — $6,045.12 $6,045.12 $6,045.12 2026-01-01
835 MS_DRG Acute Leukemia With Cc 1 1 — — $34,810.90 $34,810.90 $34,810.90 2026-01-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 3 2 — — $39,172.58 $39,172.58 $39,172.58 2026-01-01
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 5 4 — — $25,266.30 $25,266.30 $25,266.30 2026-01-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 2 1 — — $41,571.46 $41,571.46 $41,571.46 2026-01-01
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 6 5 — — $33,429.88 $33,429.88 $33,429.88 2026-01-01
858 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures Without Cc/Mcc 2 2 — — $35,798.00 $35,798.00 $35,798.00 2026-01-01
863 MS_DRG Postoperative And Post-traumatic Infections Without Mcc 2 2 — — $26,240.16 $26,240.16 $26,240.16 2026-01-01
868 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Cc 1 1 — — $14,574.00 $14,574.00 $14,574.00 2026-01-01
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 3 3 — — $8,603.76 $8,603.76 $8,603.76 2026-01-01
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 7 5 — — $15,111.32 $15,111.32 $15,111.32 2026-01-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 1 1 — — $34,410.91 $34,410.91 $34,410.91 2026-01-01
902 MS_DRG Wound Debridements For Injuries With Cc 2 2 — — $26,588.70 $26,588.70 $26,588.70 2026-01-01
908 MS_DRG Other O.r. Procedures For Injuries With Cc 1 1 — — $13,793.91 $13,793.91 $13,793.91 2026-01-01
909 MS_DRG Other O.r. Procedures For Injuries Without Cc/Mcc 1 1 — — $8,105.20 $8,105.20 $8,105.20 2026-01-01
91 MS_DRG Other Disorders Of Nervous System With Mcc 2 2 — — $19,509.17 $19,509.17 $19,509.17 2026-01-01
9139 OTHER — 2 2 — — $8,008.44 $8,008.44 $8,008.44 2026-01-01
9161 OTHER — 2 2 — — $4,457.21 $4,457.21 $4,457.21 2026-01-01
919 MS_DRG Complications Of Treatment With Mcc 1 1 — — $7,466.96 $7,466.96 $7,466.96 2026-01-01
92 MS_DRG Other Disorders Of Nervous System With Cc 2 2 — — $27,374.60 $27,374.60 $27,374.60 2026-01-01
920 MS_DRG Complications Of Treatment With Cc 2 2 — — $15,520.03 $15,520.03 $15,520.03 2026-01-01
93 MS_DRG Other Disorders Of Nervous System Without Cc/Mcc 1 1 — — $15,679.74 $15,679.74 $15,679.74 2026-01-01
945 MS_DRG Rehabilitation With Cc/Mcc 5 5 — — $22,947.85 $22,947.85 $22,947.85 2026-01-01
946 MS_DRG Rehabilitation Without Cc/Mcc 4 4 — — $24,463.14 $24,463.14 $24,463.14 2026-01-01
948 MS_DRG Signs And Symptoms Without Mcc 3 3 — — $9,126.26 $9,126.26 $9,126.26 2026-01-01
949 MS_DRG Aftercare With Cc/Mcc 2 2 — — $26,318.91 $26,318.91 $26,318.91 2026-01-01
950 MS_DRG Aftercare Without Cc/Mcc 2 2 — — $10,733.74 $10,733.74 $10,733.74 2026-01-01
951 MS_DRG Other Factors Influencing Health Status 2 2 — — $58,494.54 $58,494.54 $58,494.54 2026-01-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 1 1 — — $4,076.52 $4,076.52 $4,076.52 2026-01-01
964 MS_DRG Other Multiple Significant Trauma With Cc 1 1 — — $7,032.78 $7,032.78 $7,032.78 2026-01-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 1 1 — — $47,059.15 $47,059.15 $47,059.15 2026-01-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 2 2 — — $24,274.67 $24,274.67 $24,274.67 2026-01-01
N800 OTHER Clinical Diagnostic Lab Services 0 0 — — — — — 2026-01-01
N806 OTHER — 1 1 — — $30.62 $30.62 $30.62 2026-01-01
N811 OTHER — 6 4 — — $2,821.12 $2,821.12 $2,821.12 2026-01-01
N902 OTHER Packaged Services 0 0 — — — — — 2026-01-01
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