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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 - Perrysburg Hospital

Perrysburg, OH · CCN 36T112 · Rates published

840 distinct procedures filed
35 distinct payers
32,245 rate rows
2026-04-01 last MRF observed
Data quality

18,127 of 32,245 rate rows are consumer-grade (56.2%)

14,118 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 14,097
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 21
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.mercy.com/-/media/mercy/patient-resources/hospital-pricing-transparency/344428250-1467493551_mercy-health-st-vincent-medical-center-llc_p_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 bd9c465bfd374601… · 9,981,199 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
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 28 $51,633.28 $205,447.65 $81,580.58 nat. median
$64,023
1.3× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 25 $54,986.22 $147,980.49 $56,635.81 nat. median
$73,807
0.8× median
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 28 $33,352.17 $131,657.55 $52,696.43 nat. median
$44,810
1.2× median
856
MS_DRG 		Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 28 $33,012.98 $130,288.41 $52,160.51 nat. median
$43,963
1.2× median
163
MS_DRG 		Major Chest Procedures With Mcc 28 $32,538.24 $128,372.20 $51,410.42 nat. median
$44,937
1.1× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 25 $49,781.89 $133,784.80 $51,275.35 nat. median
$66,526
0.8× median
356
MS_DRG 		Other Digestive System O.r. Procedures With Mcc 28 $31,906.68 $125,822.97 $50,412.55 nat. median
$42,444
1.2× median
673
MS_DRG 		Other Kidney And Urinary Tract Procedures With Mcc 28 $30,549.90 $120,346.43 $48,268.84 nat. median
$40,454
1.2× median
981
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 28 $34,028.45 $134,387.23 $46,688.11 nat. median
$46,084
1.0× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 23 $3,866.37 $184,309.11 $46,396.32 nat. median
$62,134
0.7× median
245
MS_DRG 		Aicd Generator Procedures 28 $33,110.18 $130,680.82 $45,426.65 nat. median
$45,271
1.0× median
40
MS_DRG 		Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 28 $28,134.38 $110,596.35 $44,452.32 nat. median
$37,698
1.2× median
270
MS_DRG 		Other Major Cardiovascular Procedures With Mcc 27 $38,176.15 $151,129.06 $44,233.49 nat. median
$51,307
0.9× median
907
MS_DRG 		Other O.r. Procedures For Injuries With Mcc 28 $27,978.97 $109,969.07 $44,206.77 nat. median
$38,112
1.2× median
230
MS_DRG 		Major Small Bowel Procedures,extreme 4 $43,449.75 $44,919.06 $43,869.55 nat. median
$29,847
1.5× median
956
MS_DRG 		Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 28 $27,437.55 $107,783.61 $43,351.33 nat. median
$37,662
1.2× median
518
MS_DRG 		Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 28 $27,255.16 $107,047.48 $43,063.15 nat. median
$36,123
1.2× median
492
MS_DRG 		Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 28 $26,788.95 $105,165.64 $42,326.54 nat. median
$35,489
1.2× median
326
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Mcc 27 $36,126.07 $142,854.10 $41,851.94 nat. median
$48,178
0.9× median
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 19 $35,779.76 $141,456.32 $41,655.86 nat. median
$48,170
0.9× median
335
MS_DRG 		Peritoneal Adhesiolysis With Mcc 28 $26,074.37 $102,281.29 $41,197.50 nat. median
$35,058
1.2× median
622
MS_DRG 		Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 28 $25,991.33 $101,946.17 $41,066.30 nat. median
$35,324
1.2× median
271
MS_DRG 		Other Major Cardiovascular Procedures With Cc 28 $25,970.76 $101,863.10 $41,033.80 nat. median
$35,597
1.2× median
467
MS_DRG 		Revision Of Hip Or Knee Replacement With Cc 28 $25,760.00 $101,012.40 $40,700.80 nat. median
$34,720
1.2× median
234
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 25 $39,498.87 $105,736.02 $40,683.84 nat. median
$53,268
0.8× median
616
MS_DRG 		Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 28 $25,481.83 $99,889.60 $40,261.29 nat. median
$35,856
1.1× median
574
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Cc 28 $25,368.29 $99,431.31 $40,081.90 nat. median
$33,674
1.2× median
228
MS_DRG 		Other Cardiothoracic Procedures With Mcc 33 $5,717.65 $141,708.38 $39,474.98 nat. median
$50,672
0.8× median
466
MS_DRG 		Revision Of Hip Or Knee Replacement With Mcc 35 $7,424.46 $149,098.27 $38,803.22 nat. median
$49,191
0.8× median
264
MS_DRG 		Other Circulatory System O.r. Procedures 28 $24,440.12 $95,684.81 $38,615.39 nat. median
$33,061
1.2× median
37
MS_DRG 		Extracranial Procedures With Mcc 28 $24,095.96 $94,295.62 $38,071.62 nat. median
$32,921
1.2× median
260
MS_DRG 		Cardiac Pacemaker Revision Except Device Replacement With Mcc 28 $23,817.09 $93,169.95 $37,631.00 nat. median
$32,660
1.2× median
579
MS_DRG 		Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 28 $23,715.61 $92,760.36 $37,470.66 nat. median
$31,571
1.2× median
840
MS_DRG 		Lymphoma And Non-acute Leukemia With Mcc 28 $23,690.06 $92,657.24 $37,430.29 nat. median
$31,382
1.2× median
485
MS_DRG 		Knee Procedures With Principal Diagnosis Of Infection With Mcc 28 $23,634.72 $92,433.83 $37,342.86 nat. median
$32,024
1.2× median
324
MS_DRG 		Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 28 $23,094.69 $90,254.09 $36,489.61 nat. median
$30,812
1.2× median
983
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/mcc 28 $23,094.69 $90,254.09 $36,489.61 nat. median
$17,513
outlier · 2.1×
229
MS_DRG 		Other Cardiothoracic Procedures Without Mcc 28 $23,084.05 $90,211.13 $36,472.80 nat. median
$33,143
1.1× median
464
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 28 $22,837.10 $89,214.35 $36,082.62 nat. median
$30,262
1.2× median
480
MS_DRG 		Hip And Femur Procedures Except Major Joint With Mcc 28 $21,400.84 $83,417.01 $33,813.33 nat. median
$29,218
1.2× median
521
MS_DRG 		Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 28 $21,102.10 $82,211.14 $33,341.32 nat. median
$28,961
1.2× median
323
MS_DRG 		Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 35 $15,401.61 $123,949.72 $32,700.31 nat. median
$41,311
0.8× median
483
MS_DRG 		Major Joint Or Limb Reattachment Procedures Of Upper Extremities 28 $20,404.54 $79,395.53 $32,239.17 nat. median
$26,699
1.2× median
208
MS_DRG 		Respiratory System Diagnosis With Ventilator Support <=96 Hours 28 $20,239.90 $78,731.01 $31,979.04 nat. median
$26,748
1.2× median
468
MS_DRG 		Revision Of Hip Or Knee Replacement Without Cc/mcc 28 $20,234.94 $78,710.96 $31,971.21 nat. median
$27,218
1.2× median
321
MS_DRG 		Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 28 $20,041.93 $77,931.87 $31,666.25 nat. median
$28,170
1.1× median
904
MS_DRG 		Skin Grafts For Injuries With Cc/mcc 27 $26,799.59 $105,208.60 $31,017.53 nat. median
$36,505
0.8× median
96
MS_DRG 		Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 28 $19,037.11 $73,876.03 $30,078.63 nat. median
$24,796
1.2× median
982
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 23 $17,488.28 $70,126.66 $30,058.76 nat. median
$24,493
1.2× median
659
MS_DRG 		Kidney And Ureter Procedures For Non-neoplasm With Mcc 28 $18,765.33 $72,779.00 $29,649.22 nat. median
$25,587
1.2× median

Other procedures at this hospital

Browse this hospital's 840 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
             
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 50 35 — — $15,401.61 $123,949.72 $32,700.31 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 50 35 — — $5,203.59 $91,451.37 $24,326.97 2026-04-01
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 50 35 — — $6,529.90 $57,291.73 $15,525.58 2026-04-01
42 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/mcc 50 35 — — $8,481.13 $49,486.51 $13,514.53 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 49 35 — — $7,424.46 $149,098.27 $38,803.22 2026-04-01
199 MS_DRG Pneumothorax With Mcc 49 34 — — $3,459.82 $50,529.12 $13,915.69 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 48 33 — — $5,717.65 $141,708.38 $39,474.98 2026-04-01
92920 CPT Hc Perq Trluml C Angioplasty 1 Maj C Art&/Branches|ADJ 47 4 — — $11,214.66 $11,438.95 $11,214.66 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 43 28 — — $51,633.28 $205,447.65 $81,580.58 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 43 28 — — $33,352.17 $131,657.55 $52,696.43 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 43 28 — — $33,012.98 $130,288.41 $52,160.51 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 43 28 — — $32,538.24 $128,372.20 $51,410.42 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 43 28 — — $31,906.68 $125,822.97 $50,412.55 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 43 28 — — $30,549.90 $120,346.43 $48,268.84 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 43 28 — — $28,134.38 $110,596.35 $44,452.32 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 43 28 — — $27,978.97 $109,969.07 $44,206.77 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 43 28 — — $27,437.55 $107,783.61 $43,351.33 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 43 28 — — $27,255.16 $107,047.48 $43,063.15 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 43 28 — — $26,788.95 $105,165.64 $42,326.54 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 43 28 — — $26,074.37 $102,281.29 $41,197.50 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 43 28 — — $25,991.33 $101,946.17 $41,066.30 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 43 28 — — $25,970.76 $101,863.10 $41,033.80 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 43 28 — — $25,760.00 $101,012.40 $40,700.80 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 43 28 — — $25,481.83 $99,889.60 $40,261.29 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 43 28 — — $25,368.29 $99,431.31 $40,081.90 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 43 28 — — $24,440.12 $95,684.81 $38,615.39 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 43 28 — — $24,095.96 $94,295.62 $38,071.62 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 43 28 — — $23,817.09 $93,169.95 $37,631.00 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 43 28 — — $23,715.61 $92,760.36 $37,470.66 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 43 28 — — $23,690.06 $92,657.24 $37,430.29 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 43 28 — — $23,634.72 $92,433.83 $37,342.86 2026-04-01
983 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/mcc 43 28 — — $23,094.69 $90,254.09 $36,489.61 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 43 28 — — $23,094.69 $90,254.09 $36,489.61 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 43 28 — — $23,084.05 $90,211.13 $36,472.80 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 43 28 — — $22,837.10 $89,214.35 $36,082.62 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 43 28 — — $21,400.84 $83,417.01 $33,813.33 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 43 28 — — $21,102.10 $82,211.14 $33,341.32 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 43 28 — — $20,404.54 $79,395.53 $32,239.17 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 43 28 — — $20,239.90 $78,731.01 $31,979.04 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 43 28 — — $20,234.94 $78,710.96 $31,971.21 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 43 28 — — $20,041.93 $77,931.87 $31,666.25 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 43 28 — — $19,037.11 $73,876.03 $30,078.63 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 43 28 — — $18,765.33 $72,779.00 $29,649.22 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 43 28 — — $18,731.26 $72,641.51 $29,595.39 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 43 28 — — $21,640.68 $84,385.14 $28,966.00 2026-04-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 43 28 — — $18,079.12 $70,009.22 $28,565.01 2026-04-01
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 43 28 — — $17,866.95 $69,152.79 $28,229.78 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 43 28 — — $17,745.60 $68,663.00 $28,038.05 2026-04-01
397 MS_DRG Appendix Procedures With Mcc 43 28 — — $17,729.29 $68,597.12 $28,012.28 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 43 28 — — $17,668.98 $68,353.66 $27,916.99 2026-04-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 43 28 — — $17,329.78 $66,984.52 $27,381.05 2026-04-01
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 43 28 — — $16,811.76 $64,893.58 $26,527.91 2026-04-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 43 28 — — $16,437.08 $63,381.23 $25,909.68 2026-04-01
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 43 28 — — $16,402.31 $63,240.88 $25,852.30 2026-04-01
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 43 28 — — $16,337.02 $62,977.36 $25,744.58 2026-04-01
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 43 28 — — $15,931.13 $61,338.98 $25,074.82 2026-04-01
374 MS_DRG Digestive Malignancy With Mcc 43 28 — — $15,911.27 $61,258.78 $25,042.04 2026-04-01
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 43 28 — — $15,855.89 $61,035.37 $24,950.71 2026-04-01
595 MS_DRG Major Skin Disorders With Mcc 43 28 — — $15,783.53 $60,743.21 $24,831.28 2026-04-01
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 43 28 — — $15,762.25 $60,657.28 $24,796.15 2026-04-01
336 MS_DRG Peritoneal Adhesiolysis With Cc 43 28 — — $15,698.37 $60,399.49 $24,690.77 2026-04-01
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 43 28 — — $15,597.60 $59,992.76 $24,524.50 2026-04-01
314 MS_DRG Other Circulatory System Diagnoses With Mcc 43 28 — — $15,531.61 $59,726.38 $24,415.61 2026-04-01
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 43 28 — — $15,490.46 $59,560.25 $24,347.69 2026-04-01
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 43 28 — — $15,481.22 $59,523.02 $24,332.47 2026-04-01
941 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/… 43 28 — — $15,123.59 $58,079.41 $23,742.34 2026-04-01
499 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Without… 43 28 — — $15,032.06 $57,709.92 $23,591.29 2026-04-01
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 43 28 — — $15,005.09 $57,601.07 $23,546.80 2026-04-01
707 MS_DRG Major Male Pelvic Procedures With Cc/mcc 43 28 — — $14,929.15 $57,294.59 $23,421.51 2026-04-01
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 43 28 — — $14,913.53 $57,231.58 $23,395.75 2026-04-01
539 MS_DRG Osteomyelitis With Mcc 43 28 — — $14,712.00 $56,418.12 $23,063.22 2026-04-01
380 MS_DRG Complicated Peptic Ulcer With Mcc 43 28 — — $14,658.78 $56,203.29 $22,975.40 2026-04-01
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 43 28 — — $14,518.99 $55,639.03 $22,744.73 2026-04-01
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 43 28 — — $14,006.63 $53,571.00 $21,899.34 2026-04-01
504 MS_DRG Foot Procedures With Cc 43 28 — — $13,998.84 $53,539.50 $21,886.46 2026-04-01
754 MS_DRG Malignancy, Female Reproductive System With Mcc 43 28 — — $13,803.70 $52,751.81 $21,564.47 2026-04-01
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Mcc 43 28 — — $13,768.22 $52,608.60 $21,505.92 2026-04-01
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc 43 28 — — $13,754.73 $52,554.18 $21,483.67 2026-04-01
205 MS_DRG Other Respiratory System Diagnoses With Mcc 43 28 — — $13,727.77 $52,445.33 $21,439.18 2026-04-01
919 MS_DRG Complications Of Treatment With Mcc 43 28 — — $13,726.35 $52,439.60 $21,436.84 2026-04-01
657 MS_DRG Kidney And Ureter Procedures For Neoplasm With Cc 43 28 — — $13,720.68 $52,416.69 $21,427.47 2026-04-01
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 43 28 — — $13,706.48 $52,359.40 $21,404.05 2026-04-01
862 MS_DRG Postoperative And Post-traumatic Infections With Mcc 43 28 — — $13,675.97 $52,236.24 $21,353.70 2026-04-01
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/mcc 43 28 — — $13,561.01 $51,772.22 $21,164.02 2026-04-01
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 43 28 — — $13,531.91 $51,654.79 $21,116.01 2026-04-01
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 43 28 — — $13,470.17 $51,405.59 $21,014.14 2026-04-01
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 43 28 — — $13,464.51 $51,382.68 $21,004.78 2026-04-01
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 43 28 — — $13,316.90 $50,786.90 $20,761.23 2026-04-01
542 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 43 28 — — $13,270.08 $50,597.86 $20,683.95 2026-04-01
180 MS_DRG Respiratory Neoplasms With Mcc 43 28 — — $13,266.52 $50,583.54 $20,678.09 2026-04-01
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 43 28 — — $13,245.25 $50,497.61 $20,642.97 2026-04-01
91 MS_DRG Other Disorders Of Nervous System With Mcc 43 28 — — $13,196.97 $50,302.84 $20,563.35 2026-04-01
746 MS_DRG Vagina, Cervix And Vulva Procedures With Cc/mcc 43 28 — — $13,061.43 $49,755.76 $20,339.70 2026-04-01
571 MS_DRG Skin Debridement With Cc 43 28 — — $12,723.68 $48,392.35 $19,782.36 2026-04-01
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/mcc 43 28 — — $12,676.83 $48,203.30 $19,705.08 2026-04-01
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 43 28 — — $12,673.29 $48,188.98 $19,699.22 2026-04-01
444 MS_DRG Disorders Of The Biliary Tract With Mcc 43 28 — — $12,591.67 $47,859.59 $19,564.57 2026-04-01
70 MS_DRG Other Cerebrovascular Disorders With Mcc 43 28 — — $12,548.39 $47,684.87 $19,493.14 2026-04-01
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With Mcc 43 28 — — $12,474.60 $47,386.98 $19,371.37 2026-04-01
643 MS_DRG Endocrine Disorders With Mcc 43 28 — — $12,415.70 $47,149.24 $19,274.18 2026-04-01
988 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 43 28 — — $12,397.96 $47,077.63 $19,244.91 2026-04-01
299 MS_DRG Peripheral Vascular Disorders With Mcc 43 28 — — $12,320.60 $46,765.43 $19,117.28 2026-04-01
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/mcc 43 28 — — $12,308.55 $46,716.73 $19,097.38 2026-04-01
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 43 28 — — $12,302.87 $46,693.82 $19,088.01 2026-04-01
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 43 28 — — $12,117.65 $45,946.24 $18,782.41 2026-04-01
393 MS_DRG Other Digestive System Diagnoses With Mcc 43 28 — — $12,083.59 $45,808.75 $18,726.20 2026-04-01
513 MS_DRG Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures With Cc/mcc 43 28 — — $11,906.19 $45,092.67 $18,433.48 2026-04-01
487 MS_DRG Knee Procedures With Principal Diagnosis Of Infection Without Cc/mcc 43 28 — — $11,848.71 $44,860.67 $18,338.64 2026-04-01
177 MS_DRG Respiratory Infections And Inflammations With Mcc 43 28 — — $11,823.87 $44,760.42 $18,297.65 2026-04-01
564 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc 43 28 — — $11,688.34 $44,213.33 $18,074.01 2026-04-01
517 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures Without Cc/mc… 43 28 — — $11,639.37 $44,015.70 $17,993.22 2026-04-01
337 MS_DRG Peritoneal Adhesiolysis Without Cc/mcc 43 28 — — $11,627.32 $43,967.01 $17,973.32 2026-04-01
964 MS_DRG Other Multiple Significant Trauma With Cc 43 28 — — $11,610.28 $43,898.26 $17,945.21 2026-04-01
54 MS_DRG Nervous System Neoplasms With Mcc 43 28 — — $11,569.84 $43,735.00 $17,878.47 2026-04-01
813 MS_DRG Coagulation Disorders 43 28 — — $11,558.47 $43,689.17 $17,859.74 2026-04-01
351 MS_DRG Inguinal And Femoral Hernia Procedures With Cc 43 28 — — $11,552.81 $43,666.25 $17,850.37 2026-04-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 43 28 — — $1,283.89 $66,540.55 $17,736.37 2026-04-01
251 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc 43 28 — — $11,339.92 $42,806.96 $17,499.10 2026-04-01
520 MS_DRG Back And Neck Procedures Except Spinal Fusion Without Cc/mcc 43 28 — — $11,335.66 $42,789.78 $17,492.08 2026-04-01
727 MS_DRG Inflammation Of The Male Reproductive System With Mcc 43 28 — — $11,257.59 $42,474.70 $17,363.28 2026-04-01
682 MS_DRG Renal Failure With Mcc 43 28 — — $11,244.11 $42,420.28 $17,341.03 2026-04-01
388 MS_DRG Gastrointestinal Obstruction With Mcc 43 28 — — $11,214.31 $42,299.98 $17,291.85 2026-04-01
604 MS_DRG Trauma To The Skin, Subcutaneous Tissue And Breast With Mcc 43 28 — — $11,180.96 $42,165.36 $17,236.82 2026-04-01
637 MS_DRG Diabetes With Mcc 43 28 — — $10,929.76 $41,151.40 $16,822.32 2026-04-01
602 MS_DRG Cellulitis With Mcc 43 28 — — $10,820.48 $40,710.30 $16,642.00 2026-04-01
811 MS_DRG Red Blood Cell Disorders With Mcc 43 28 — — $10,699.86 $40,223.36 $16,442.95 2026-04-01
83 MS_DRG Traumatic Stupor And Coma >1 Hour With Cc 43 28 — — $10,639.53 $39,979.90 $16,343.42 2026-04-01
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 43 28 — — $10,481.99 $39,344.02 $16,083.48 2026-04-01
693 MS_DRG Urinary Stones With Mcc 43 28 — — $10,275.49 $38,510.51 $15,742.75 2026-04-01
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 43 28 — — $10,212.34 $38,255.59 $15,638.54 2026-04-01
124 MS_DRG Other Disorders Of The Eye With Mcc Or Thrombolytic Agent 43 28 — — $10,123.65 $37,897.55 $15,492.18 2026-04-01
660 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Cc 43 28 — — $10,113.69 $37,857.45 $15,475.79 2026-04-01
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 43 28 — — $10,061.90 $37,648.36 $15,390.31 2026-04-01
348 MS_DRG Anal And Stomal Procedures With Cc 43 28 — — $10,022.16 $37,487.96 $15,324.74 2026-04-01
291 MS_DRG Heart Failure And Shock With Mcc 43 28 — — $9,844.77 $36,771.88 $15,032.01 2026-04-01
535 MS_DRG Fractures Of Hip And Pelvis With Mcc 43 28 — — $9,832.00 $36,720.33 $15,010.94 2026-04-01
809 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 43 28 — — $9,717.74 $36,259.17 $14,822.42 2026-04-01
743 MS_DRG Uterine And Adnexa Procedures For Non-malignancy Without Cc/mcc 43 28 — — $9,538.92 $35,537.37 $14,527.36 2026-04-01
189 MS_DRG Pulmonary Edema And Respiratory Failure 43 28 — — $9,501.31 $35,385.56 $14,465.30 2026-04-01
375 MS_DRG Digestive Malignancy With Cc 43 28 — — $9,318.22 $34,646.57 $14,163.21 2026-04-01
304 MS_DRG Hypertension With Mcc 43 28 — — $9,179.13 $34,085.17 $13,933.71 2026-04-01
346 MS_DRG Minor Small And Large Bowel Procedures Without Cc/mcc 43 28 — — $9,152.17 $33,976.33 $13,889.22 2026-04-01
903 MS_DRG Wound Debridements For Injuries Without Cc/mcc 43 28 — — $9,034.38 $33,500.85 $13,694.85 2026-04-01
689 MS_DRG Kidney And Urinary Tract Infections With Mcc 43 28 — — $8,968.38 $33,234.47 $13,585.95 2026-04-01
546 MS_DRG Connective Tissue Disorders With Cc 43 28 — — $8,919.42 $33,036.84 $13,505.16 2026-04-01
695 MS_DRG Kidney And Urinary Tract Signs And Symptoms With Mcc 43 28 — — $8,851.29 $32,761.86 $13,392.75 2026-04-01
436 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Cc 43 28 — — $8,761.18 $32,398.10 $13,244.05 2026-04-01
200 MS_DRG Pneumothorax With Cc 43 28 — — $8,535.50 $31,487.25 $12,871.70 2026-04-01
445 MS_DRG Disorders Of The Biliary Tract With Cc 43 28 — — $8,500.75 $31,346.90 $12,814.33 2026-04-01
381 MS_DRG Complicated Peptic Ulcer With Cc 43 28 — — $8,423.40 $31,034.69 $12,686.70 2026-04-01
596 MS_DRG Major Skin Disorders Without Mcc 43 28 — — $8,416.30 $31,006.05 $12,674.99 2026-04-01
287 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization Without Mcc 43 28 — — $8,328.30 $30,650.87 $12,529.80 2026-04-01
300 MS_DRG Peripheral Vascular Disorders With Cc 43 28 — — $8,309.87 $30,576.40 $12,499.36 2026-04-01
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 43 28 — — $3,318.00 $44,923.68 $12,457.53 2026-04-01
664 MS_DRG Minor Bladder Procedures Without Cc/mcc 43 28 — — $8,163.67 $29,986.36 $12,258.15 2026-04-01
810 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 43 28 — — $8,161.55 $29,977.76 $12,254.64 2026-04-01
884 MS_DRG Organic Disturbances And Intellectual Disability 43 28 — — $1,259.43 $46,083.72 $12,151.72 2026-04-01
661 MS_DRG Kidney And Ureter Procedures For Non-neoplasm Without Cc/mcc 43 28 — — $8,082.07 $29,656.96 $12,123.50 2026-04-01
74 MS_DRG Cranial And Peripheral Nerve Disorders Without Mcc 43 28 — — $8,049.45 $29,525.20 $12,069.64 2026-04-01
71 MS_DRG Other Cerebrovascular Disorders With Cc 43 28 — — $8,015.38 $29,387.72 $12,013.43 2026-04-01
644 MS_DRG Endocrine Disorders With Cc 43 28 — — $8,008.27 $29,359.08 $12,001.73 2026-04-01
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 43 28 — — $7,996.21 $29,310.38 $11,981.82 2026-04-01
92 MS_DRG Other Disorders Of Nervous System With Cc 43 28 — — $7,994.08 $29,301.79 $11,978.31 2026-04-01
372 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Cc 43 28 — — $7,979.89 $29,244.50 $11,954.89 2026-04-01
923 MS_DRG Other Injury, Poisoning And Toxic Effect Diagnoses Without Mcc 43 28 — — $7,956.47 $29,149.98 $11,916.25 2026-04-01
699 MS_DRG Other Kidney And Urinary Tract Diagnoses With Cc 43 28 — — $7,937.30 $29,072.65 $11,884.64 2026-04-01
65 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours 43 28 — — $7,903.97 $28,938.02 $11,829.60 2026-04-01
369 MS_DRG Major Esophageal Disorders With Cc 43 28 — — $7,832.28 $28,648.73 $11,711.34 2026-04-01
863 MS_DRG Postoperative And Post-traumatic Infections Without Mcc 43 28 — — $7,815.97 $28,582.85 $11,684.41 2026-04-01
378 MS_DRG Gastrointestinal Hemorrhage With Cc 43 28 — — $7,693.91 $28,090.19 $11,483.02 2026-04-01
758 MS_DRG Infections, Female Reproductive System With Cc 43 28 — — $7,681.86 $28,041.50 $11,463.11 2026-04-01
386 MS_DRG Inflammatory Bowel Disease With Cc 43 28 — — $7,662.71 $27,964.16 $11,431.50 2026-04-01
178 MS_DRG Respiratory Infections And Inflammations With Cc 43 28 — — $7,660.55 $27,955.57 $11,427.98 2026-04-01
565 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Cc 43 28 — — $7,649.22 $27,909.74 $11,409.25 2026-04-01
202 MS_DRG Bronchitis And Asthma With Cc/mcc 43 28 — — $7,626.50 $27,818.08 $11,371.78 2026-04-01
552 MS_DRG Medical Back Problems Without Mcc 43 28 — — $7,556.25 $27,534.52 $11,255.86 2026-04-01
197 MS_DRG Interstitial Lung Disease With Cc 43 28 — — $7,469.68 $27,185.07 $11,113.01 2026-04-01
206 MS_DRG Other Respiratory System Diagnoses Without Mcc 43 28 — — $7,412.91 $26,955.93 $11,019.34 2026-04-01
394 MS_DRG Other Digestive System Diagnoses With Cc 43 28 — — $7,374.59 $26,801.26 $10,956.11 2026-04-01
281 MS_DRG Acute Myocardial Infarction, Discharged Alive With Cc 43 28 — — $7,256.79 $26,325.78 $10,761.74 2026-04-01
155 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses With Cc 43 28 — — $7,238.32 $26,251.31 $10,731.30 2026-04-01
307 MS_DRG Cardiac Congenital And Valvular Disorders Without Mcc 43 28 — — $7,214.92 $26,156.79 $10,692.66 2026-04-01
607 MS_DRG Minor Skin Disorders Without Mcc 43 28 — — $7,166.67 $25,962.02 $10,613.04 2026-04-01
638 MS_DRG Diabetes With Cc 43 28 — — $7,094.30 $25,669.86 $10,493.61 2026-04-01
558 MS_DRG Tendonitis, Myositis And Bursitis Without Mcc 43 28 — — $7,073.00 $25,583.93 $10,458.48 2026-04-01
864 MS_DRG Fever And Inflammatory Conditions 43 28 — — $7,033.97 $25,426.39 $10,394.08 2026-04-01
642 MS_DRG Inborn And Other Disorders Of Metabolism 43 28 — — $7,033.97 $25,426.39 $10,394.08 2026-04-01
914 MS_DRG Traumatic Injury Without Mcc 43 28 — — $7,018.36 $25,363.38 $10,368.32 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 42 28 — — $34,028.45 $134,387.23 $46,688.11 2026-04-01
245 MS_DRG Aicd Generator Procedures 42 28 — — $33,110.18 $130,680.82 $45,426.65 2026-04-01
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Mcc 42 27 — — $13,968.34 $53,416.33 $19,013.97 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 40 27 — — $38,176.15 $151,129.06 $44,233.49 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 40 27 — — $36,126.07 $142,854.10 $41,851.94 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 40 27 — — $26,799.59 $105,208.60 $31,017.53 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 40 27 — — $21,327.75 $83,121.99 $24,660.98 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 40 27 — — $18,645.42 $72,294.93 $21,544.96 2026-04-01
398 MS_DRG Appendix Procedures With Cc 39 27 — — $11,475.46 $43,354.04 $17,722.74 2026-04-01
399 MS_DRG Appendix Procedures Without Cc/mcc 39 27 — — $8,857.68 $32,787.64 $13,995.13 2026-04-01
158 MS_DRG Dental And Oral Diseases With Cc 39 26 — — $7,190.81 $26,059.40 $11,361.48 2026-04-01
694 MS_DRG Urinary Stones Without Mcc 38 25 — — $5,980.67 $22,381.64 $10,312.58 2026-04-01
376 MS_DRG Digestive Malignancy Without Cc/mcc 37 25 — — $7,293.68 $26,474.72 $10,822.63 2026-04-01
563 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 36 27 — — $7,089.33 $25,649.81 $10,843.27 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 35 25 — — $54,986.22 $147,980.49 $56,635.81 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 35 25 — — $49,781.89 $133,784.80 $51,275.35 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 35 25 — — $39,498.87 $105,736.02 $40,683.84 2026-04-01
581 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/mcc 35 24 — — $10,555.57 $41,223.01 $12,324.89 2026-04-01
812 MS_DRG Red Blood Cell Disorders Without Mcc 34 24 — — $7,250.41 $26,300.00 $12,246.89 2026-04-01
442 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc 32 24 — — $7,239.93 $27,674.87 $12,518.75 2026-04-01
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 32 24 — — $9,734.77 $36,327.92 $11,193.60 2026-04-01
708 MS_DRG Major Male Pelvic Procedures Without Cc/mcc 31 22 — — $11,621.63 $43,944.09 $20,898.96 2026-04-01
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc 31 22 — — $13,654.86 $54,003.51 $15,812.86 2026-04-01
896 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 31 23 — — $1,076.01 $49,984.90 $13,118.22 2026-04-01
152 MS_DRG Otitis Media And Uri With Mcc 31 24 — — $9,123.80 $33,861.75 $10,536.01 2026-04-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 30 23 — — $17,488.28 $70,126.66 $30,058.76 2026-04-01
920 MS_DRG Complications Of Treatment With Cc 30 22 — — $7,847.19 $28,708.88 $10,345.99 2026-04-01
585 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/mcc 29 22 — — $14,423.90 $55,255.21 $16,723.68 2026-04-01
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 29 21 — — $12,996.88 $49,495.10 $14,908.60 2026-04-01
543 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 29 20 — — $7,927.89 $30,387.36 $13,256.16 2026-04-01
560 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Cc 29 22 — — $8,725.70 $32,254.88 $13,185.50 2026-04-01
302 MS_DRG Atherosclerosis With Mcc 28 21 — — $9,225.98 $34,274.21 $15,438.60 2026-04-01
433 MS_DRG Cirrhosis And Alcoholic Hepatitis With Cc 28 21 — — $7,981.75 $30,642.28 $10,912.29 2026-04-01
479 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue Without Cc/mcc 27 20 — — $12,893.58 $50,864.24 $21,642.90 2026-04-01
154 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses With Mcc 27 21 — — $11,855.14 $46,582.11 $21,260.70 2026-04-01
345 MS_DRG Minor Small And Large Bowel Procedures With Cc 27 21 — — $11,412.28 $43,099.12 $18,031.40 2026-04-01
368 MS_DRG Major Esophageal Disorders With Mcc 25 20 — — $12,031.08 $45,596.79 $19,009.11 2026-04-01
196 MS_DRG Interstitial Lung Disease With Mcc 25 23 — — $4,986.88 $53,966.28 $13,918.75 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 24 23 — — $3,866.37 $184,309.11 $46,396.32 2026-04-01
352 MS_DRG Inguinal And Femoral Hernia Procedures Without Cc/mcc 24 19 — — $8,183.11 $31,581.77 $11,224.96 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 23 19 — — $35,779.76 $141,456.32 $41,655.86 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 23 19 — — $18,058.56 $60,788.37 $20,759.42 2026-04-01
419 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. Without Cc/mcc 23 19 — — $9,669.77 $37,740.02 $15,427.78 2026-04-01
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 22 18 — — $15,588.39 $59,955.53 $21,206.71 2026-04-01
100 MS_DRG Seizures With Mcc 22 17 — — $14,478.55 $55,475.76 $16,704.38 2026-04-01
27447 CPT Arthrp Kne Condyle&Platu Medial&Lat Compartments|RIGHT Side|unusual Non-overlapp… 22 4 — — $12,472.20 $12,721.65 $12,472.20 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 21 16 — — $23,349.45 $91,282.38 $26,875.18 2026-04-01
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 21 16 — — $14,105.59 $56,114.50 $23,704.53 2026-04-01
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 18 14 — — $12,065.78 $47,501.55 $24,990.43 2026-04-01
800 MS_DRG Splenic Procedures With Cc 18 17 — — $20,670.65 $54,378.75 $21,187.42 2026-04-01
23472 CPT Arthroplasty Glenohumeral Joint Total Shoulder 18 4 — — $17,033.32 $17,373.98 $17,033.32 2026-04-01
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 16 12 — — $13,641.50 $54,006.38 $17,802.16 2026-04-01
23615 CPT Optx Prox Humeral Fx W/Int Fixj Rpr Tuberosity|RIGHT Side 15 4 — — $12,472.20 $12,721.65 $12,472.20 2026-04-01
27130 CPT Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft 15 4 — — $12,472.20 $12,721.65 $12,472.20 2026-04-01
45 MS_DRG Cva And Precerebral Occlusion With Infarction,extreme 14 7 — — $10,362.66 $19,241.35 $14,662.52 2026-04-01
174 MS_DRG Percutaneous Cardiac Intervention With Ami,major 14 7 — — $11,276.54 $14,289.04 $12,739.76 2026-04-01
469 MS_DRG Acute Kidney Injury,extreme 14 7 — — $4,758.40 $16,629.29 $10,502.33 2026-04-01
44970 CPT Laparoscopic Appendectomy|SEPARATE Structure 14 4 — — $5,872.96 $10,532.93 $10,326.41 2026-04-01
63052 CPT Lam Facetec/Foramot DRG Arthrd Lumbar 1 Vrt Sgm|UNUSUAL Non-overlapping Service 13 4 — — $26,359.48 $26,886.67 $26,359.48 2026-04-01
23395 CPT Muscle Transfer Shoulder/Upper Arm Single|LEFT Side 12 4 — — $17,033.32 $17,373.98 $17,033.32 2026-04-01
27446 CPT Arthrp Knee Condyle&Plateau Medial/Lat Cmprt|RIGHT Side 11 4 — — $12,472.20 $12,721.65 $12,472.20 2026-04-01
775 MS_DRG Alcohol Abuse And Dependence,major 11 7 — — $7,001.18 $11,191.56 $10,877.78 2026-04-01
53447 CPT Rmvl & Rplcmt Nfltl Urethral/Bladder Neck Sphinc|REDUCED Services 8 4 — — $20,134.50 $20,537.19 $20,134.50 2026-04-01
G0378 CPT Hc Observation Per Hour 8 4 — — $11,214.66 $12,721.65 $12,472.20 2026-04-01
64628 CPT Thermal Dstrj Intraosseous Bvn 1st 2 Lmbr/Sac 8 4 — — $12,472.20 $12,721.65 $12,472.20 2026-04-01
58674 CPT Laps Abltj Uterine Fibroids W/Intraop US Gdn 8 4 — — $10,326.41 $10,532.93 $10,326.41 2026-04-01
55866 CPT Laps Surg Prst8ect Rpbic Rad W/Nrv Sparing Robot 8 4 — — $10,326.41 $10,532.93 $10,326.41 2026-04-01
64590 CPT Implant Neurostim/Receiver 7 4 — — $18,846.34 $19,223.27 $18,846.34 2026-04-01
64581 CPT Open Implantation Nea Sacral Nerve 7 4 — — $18,846.34 $19,223.27 $18,846.34 2026-04-01
64629 CPT Thermal Dstrj Intraosseous Bvn Ea Addl Lmbr/Sac 7 4 — — $12,472.20 $12,721.65 $12,472.20 2026-04-01
22515 CPT Hc Vertebroplasty Addl Inject 7 4 — — $12,472.20 $12,721.65 $12,472.20 2026-04-01
231 MS_DRG Major Large Bowel Procedures,minor 7 7 — — $11,242.94 $11,623.13 $11,405.88 2026-04-01
58570 CPT Laparoscopy W Total Hysterectomy Uterus 250 Gm/< 7 4 — — $10,326.41 $10,532.93 $10,326.41 2026-04-01
44204 CPT Laparoscopy Colectomy Partial W/Anastomosis 7 4 — — $10,326.41 $10,532.93 $10,326.41 2026-04-01
22840 CPT Posterior Non-segmental Instrumentation 6 4 — — $26,359.48 $26,886.67 $26,359.48 2026-04-01
54405 CPT Insj Multi-component Inflatable Penile Prosth 6 3 — — $20,134.50 $20,134.50 $20,134.50 2026-04-01
37238 CPT Hc Stent Place Initial Venous Ang|BILATERAL Procedure 6 3 — — $17,808.36 $17,808.36 $17,808.36 2026-04-01
22551 CPT Arthrd Ant Interbody Decompress Cervical Belw C2 6 4 — — $12,472.20 $12,721.65 $12,472.20 2026-04-01
20900 CPT Bone Graft Any Donor Area Minor/Small 6 4 — — $12,472.20 $12,721.65 $12,472.20 2026-04-01
57425 CPT Laparoscopy Colpopexy Suspension Vaginal Apex 6 4 — — $10,326.41 $10,532.93 $10,326.41 2026-04-01
58571 CPT Laps Total Hysterect 250 Gm/< W/Rmvl Tube/Ovary 6 4 — — $10,326.41 $10,532.93 $10,326.41 2026-04-01
57283 CPT Colpopexy Vaginal Intraperitoneal Approach|UNUSUAL Non-overlapping Service 6 4 — — $10,326.41 $10,532.93 $10,326.41 2026-04-01
51728 CPT Hc Complex Cystometrogram Voiding Pressure Studies 6 4 — — $10,326.41 $10,532.93 $10,326.41 2026-04-01
57268 CPT Repair Enterocele Vaginal Approach Spx 6 4 — — $10,326.41 $10,532.93 $10,326.41 2026-04-01
55867 CPT Laps Surg Prst8ect Smpl Stot Robotic Assistance 6 4 — — $10,326.41 $10,532.93 $10,326.41 2026-04-01
57265 CPT Cmbnd Anterpost Colporraphy W/Cysto W/Ntrcl Rpr 5 2 — — $10,326.41 $10,326.41 $10,326.41 2026-04-01
230 MS_DRG Major Small Bowel Procedures,extreme 4 4 — — $43,449.75 $44,919.06 $43,869.55 2026-04-01
22633 CPT Arthrodesis Combined Tq 1ntrspc Lumbar 4 4 — — $26,359.48 $26,886.67 $26,359.48 2026-04-01
01638 CPT Anesth,Shoulder Replacement 4 2 — — $17,033.32 $17,033.32 $17,033.32 2026-04-01
00865 CPT Anesth,Removal Of Prostate 4 3 — — $10,326.41 $10,532.93 $10,326.41 2026-04-01
00860 CPT Anesth,Surg Low Abd,Extraperintoneal 4 3 — — $10,326.41 $10,532.93 $10,326.41 2026-04-01
58554 CPT Laps Vaginal Hysterect > 250 Gm Rmvl Tube&/Ovar 4 2 — — $10,326.41 $10,326.41 $10,326.41 2026-04-01
00944 CPT Anesth,Vaginal Hysterectomy 4 3 — — $10,326.41 $10,532.93 $10,326.41 2026-04-01
38571 CPT Laps Surg Bilateral Total Pelvic Lmphadectomy 4 3 — — $10,326.41 $10,532.93 $10,326.41 2026-04-01
57250 CPT Post Colporrhaphy Rectocele W/wo Perineorrhaphy 4 3 — — $10,326.41 $10,326.41 $10,326.41 2026-04-01
22859 CPT Insj Biomchn Dev Ntrvrt Disc Space Without Arthrd 3 3 — — $26,359.48 $26,886.67 $26,359.48 2026-04-01
22630 CPT Arthrodesis Posterior Interbody 1 Ntrspc Lumbar 3 3 — — $26,359.48 $26,886.67 $26,359.48 2026-04-01
136 MS_DRG Respiratory Malignancy,extreme 3 3 — — $14,675.88 $15,099.22 $14,816.99 2026-04-01
01402 CPT Anesth,Total Knee Arthroplasty 3 3 — — $12,472.20 $12,472.20 $12,472.20 2026-04-01
22552 CPT Arthrd Ant Interdy Cervcl Belw C2 Ea Addl Ntrspc 3 3 — — $12,472.20 $12,721.65 $12,472.20 2026-04-01
01215 CPT Anesth,Revise Total Hip Arthroplasty 3 3 — — $12,472.20 $12,472.20 $12,472.20 2026-04-01
01214 CPT Anesth,Total Hip Arthroplasty 3 2 — — $12,472.20 $12,721.65 $12,472.20 2026-04-01
00840 CPT Anesth,Surg Lower Abdomen 3 3 — — $10,326.41 $10,532.93 $10,326.41 2026-04-01
57288 CPT Sling Operation Stress Incontinence 3 2 — — $10,326.41 $10,532.93 $10,326.41 2026-04-01
58552 CPT Laps W/Vag Hysterect 250 Gm/&Rmvl Tube&/Ovaries 3 2 — — $10,326.41 $10,326.41 $10,326.41 2026-04-01
20936 CPT Autograft Spine Surgery Local From Same Incision 2 2 — — $26,359.48 $26,886.67 $26,623.07 2026-04-01
00938 CPT Anesth,Insert Penis Prosthesis 2 2 — — $20,134.50 $20,134.50 $20,134.50 2026-04-01
19340 CPT Insertion Breast Implant Same Day Of Mastectomy|BILATERAL Procedure 2 2 — — $13,387.58 $13,387.58 $13,387.58 2026-04-01
22853 CPT Insj Biomchn Dev Intervertebral Dsc Spc W/Arthrd 2 2 — — $12,472.20 $12,721.65 $12,596.92 2026-04-01
27758 CPT Optx Tibial Shft Fx W/Plate/Screws W/wo Cerclage|RIGHT Side 2 2 — — $12,472.20 $12,472.20 $12,472.20 2026-04-01
01940 CPT Anes Perq Img Dstrj Px Nulyt Agt Spi/Sp Lmbr/Sac 2 2 — — $12,472.20 $12,472.20 $12,472.20 2026-04-01
20930 CPT Allograft For Spine Surgery Only Morselized 1 1 — — $12,721.65 $12,721.65 $12,721.65 2026-04-01
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