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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

WELLSPAN WAYNESBORO HOSPITAL

Waynesboro, PA · CCN 390138 · Rates published

2,063 distinct procedures filed
29 distinct payers
68,325 rate rows
2026-01-01 last MRF observed
Data quality

67,797 of 68,325 rate rows are consumer-grade (99.2%)

528 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 396
per-diem day rate — not a per-procedure price 72
exceeds 10× this hospital's gross charge — excluded from medians 55
placeholder amount (≤ $0.02) — excluded from medians 5
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.wellspan.org/-/media/Project/Wellspan-Site-Tenant/wellspan-site/data/media/files/Patient-Resources/Cost/231360854_waynesboro-hospital_standardcharges.csv
Found on page https://www.wellspan.org/Patient-Resources/Billing-and-Insurance/Cost-Estimates
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint 474dbe7036db947a… · 15,215,910 bytes · first seen 2026-05-08

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 11 $48,520.93 $248,435.00 $148,477.96 nat. median
$66,526
outlier · 2.2×
834
MS_DRG 		Acute Leukemia With McC 11 $38,539.17 $223,199.00 $130,869.09 nat. median
$53,173
outlier · 2.5×
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 23 $45,171.68 $226,118.00 $79,050.44 nat. median
$62,134
1.3× median
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With McC 3 $1,198.22 $220,375.00 $73,960.47 nat. median
$48,170
1.5× median
264
MS_DRG 		Other Circulatory System O.r. Procedures 23 $23,451.06 $119,744.00 $41,039.36 nat. median
$33,061
1.2× median
335
MS_DRG 		Peritoneal Adhesiolysis With McC 23 $25,067.77 $127,249.00 $37,977.67 nat. median
$35,058
1.1× median
622
MS_DRG 		Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 23 $24,985.63 $112,904.00 $37,853.23 nat. median
$35,325
1.1× median
570
MS_DRG 		Skin Debridement With McC 23 $20,646.56 $101,376.00 $36,131.48 nat. median
$29,069
1.2× median
353
MS_DRG 		Hernia Procedures Except Inguinal And Femoral With McC 23 $20,372.08 $123,065.00 $35,651.14 nat. median
$28,775
1.2× median
026 SOI 4
APR_DRG 		Other Nervous System And Related Procedures 7 $33,372.98 $38,684.05 $34,962.16 —
61
MS_DRG 		Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 23 $19,354.88 $116,693.00 $33,871.04 nat. median
$27,312
1.2× median
130 SOI 3
APR_DRG 		Respiratory System Diagnosis With Ventilator Support > 96 Hours 7 $31,555.63 $36,577.48 $33,058.28 —
690 SOI 3
APR_DRG 		Acute Leukemia 7 $30,498.37 $35,351.96 $31,950.67 —
169 SOI 3
APR_DRG 		Major Abdominal Vascular Procedures 7 $30,396.34 $35,233.70 $31,843.78 —
952 SOI 4
APR_DRG 		Non-extensive O.r. Procedure Unrelated To Principal Diagnosis 7 $29,150.08 $33,789.11 $30,538.18 —
208
MS_DRG 		Respiratory System Diagnosis With Ventilator Support <=96 Hours 23 $19,295.91 $69,160.23 $29,233.30 nat. median
$26,748
1.1× median
540
MS_DRG 		Osteomyelitis With Cc 8 $19,413.39 $38,481.00 $28,947.19 nat. median
$13,478
outlier · 2.1×
56
MS_DRG 		Degenerative Nervous System Disorders With McC 23 $16,308.19 $74,555.00 $28,539.33 nat. median
$22,354
1.3× median
85
MS_DRG 		Traumatic Stupor And Coma <1 Hour With McC 23 $15,948.77 $83,676.00 $27,910.35 nat. median
$22,316
1.3× median
808
MS_DRG 		Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 23 $15,499.49 $94,215.00 $27,124.11 nat. median
$22,208
1.2× median
374
MS_DRG 		Digestive Malignancy With McC 23 $15,013.70 $85,420.00 $26,273.97 nat. median
$21,277
1.2× median
314
MS_DRG 		Other Circulatory System Diagnoses With McC 23 $14,638.13 $81,241.00 $25,616.73 nat. median
$20,753
1.2× median
415
MS_DRG 		Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 23 $14,508.26 $85,779.00 $25,389.46 nat. median
$20,601
1.2× median
987
MS_DRG 		Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With McC 21 $24,067.41 $139,704.00 $25,379.08 nat. median
$33,847
0.7× median
64
MS_DRG 		Intracranial Hemorrhage Or Cerebral Infarction With McC 23 $14,117.25 $73,565.00 $24,705.19 nat. median
$20,254
1.2× median
920
MS_DRG 		Complications Of Treatment With Cc 11 $7,036.16 $41,690.00 $24,363.08 nat. median
$10,965
outlier · 2.2×
432
MS_DRG 		Cirrhosis And Alcoholic Hepatitis With McC 23 $13,816.79 $70,724.00 $24,179.38 nat. median
$19,682
1.2× median
100
MS_DRG 		Seizures With McC 23 $13,596.36 $64,773.00 $23,793.63 nat. median
$19,360
1.2× median
710 SOI 3
APR_DRG 		Infectious And Parasitic Diseases Including HIV With O.r. Procedure 7 $22,555.88 $26,145.48 $23,629.97 —
205
MS_DRG 		Other Respiratory System Diagnoses With McC 23 $12,853.64 $59,248.00 $22,493.87 nat. median
$18,295
1.2× median
377
MS_DRG 		Gastrointestinal Hemorrhage With McC 23 $12,832.58 $75,230.00 $22,457.01 nat. median
$18,249
1.2× median
681 SOI 3
APR_DRG 		Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 7 $21,188.42 $24,560.40 $22,197.39 —
055 SOI 4
APR_DRG 		Head Trauma With Coma > 1 Hour Or Hemorrhage 7 $21,183.63 $24,554.85 $22,192.37 —
872
MS_DRG 		Septicemia Or Severe Sepsis Without Mv >96 Hours Without McC 12 $7,183.58 $44,559.00 $22,163.12 nat. median
$11,105
2.0× median
371
MS_DRG 		Major Gastrointestinal Disorders And Peritoneal Infections With McC 23 $12,447.19 $78,862.00 $21,782.58 nat. median
$17,809
1.2× median
542
MS_DRG 		Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 23 $12,400.85 $82,413.00 $21,701.49 nat. median
$18,074
1.2× median
720 SOI 4
APR_DRG 		Septicemia And Disseminated Infections 7 $20,645.41 $23,930.98 $21,628.52 —
62
MS_DRG 		Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 23 $12,335.57 $78,532.00 $21,587.25 nat. median
$18,438
1.2× median
91
MS_DRG 		Other Disorders Of Nervous System With McC 23 $12,328.55 $67,625.00 $21,574.96 nat. median
$17,987
1.2× median
974
MS_DRG 		HIV With Major Related Condition With McC 22 $15,055.67 $113,636.00 $21,368.99 nat. median
$29,015
0.7× median
660 SOI 4
APR_DRG 		Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagula… 7 $20,331.10 $23,566.65 $21,299.25 —
871
MS_DRG 		Septicemia Or Severe Sepsis Without Mv >96 Hours With McC 22 $13,636.38 $76,489.00 $20,815.81 nat. median
$19,635
1.1× median
418
MS_DRG 		Laparoscopic Cholecystectomy Without C.d.e. With Cc 23 $11,875.05 $70,257.00 $20,781.34 nat. median
$17,483
1.2× median
571
MS_DRG 		Skin Debridement With Cc 23 $11,860.31 $62,063.00 $20,755.54 nat. median
$17,262
1.2× median
551
MS_DRG 		Medical Back Problems With McC 23 $11,766.24 $65,839.00 $20,590.92 nat. median
$16,881
1.2× median
70
MS_DRG 		Other Cerebrovascular Disorders With McC 23 $11,686.92 $69,572.00 $20,452.11 nat. median
$17,286
1.2× median
698
MS_DRG 		Other Kidney And Urinary Tract Diagnoses With McC 23 $11,613.91 $66,133.00 $20,324.34 nat. median
$16,677
1.2× median
643
MS_DRG 		Endocrine Disorders With McC 23 $11,555.64 $69,666.00 $20,222.37 nat. median
$16,783
1.2× median
299
MS_DRG 		Peripheral Vascular Disorders With McC 23 $11,461.58 $59,653.00 $20,057.76 nat. median
$16,473
1.2× median
438
MS_DRG 		Disorders Of Pancreas Except Malignancy With McC 23 $11,444.03 $72,049.00 $20,027.05 nat. median
$16,973
1.2× median

Other procedures at this hospital

Browse this hospital's 2,063 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 12 11 — — $48,520.93 $248,435.00 $148,477.96 2026-01-01
834 MS_DRG Acute Leukemia With McC 12 11 — — $38,539.17 $223,199.00 $130,869.09 2026-01-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 33 23 — — $45,171.68 $226,118.00 $79,050.44 2026-01-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With McC 5 3 — — $1,198.22 $220,375.00 $73,960.47 2026-01-01
264 MS_DRG Other Circulatory System O.r. Procedures 33 23 — — $23,451.06 $119,744.00 $41,039.36 2026-01-01
335 MS_DRG Peritoneal Adhesiolysis With McC 31 23 — — $25,067.77 $127,249.00 $37,977.67 2026-01-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 31 23 — — $24,985.63 $112,904.00 $37,853.23 2026-01-01
570 MS_DRG Skin Debridement With McC 33 23 — — $20,646.56 $101,376.00 $36,131.48 2026-01-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With McC 33 23 — — $20,372.08 $123,065.00 $35,651.14 2026-01-01
026 SOI 4 APR_DRG Other Nervous System And Related Procedures 7 7 — — $33,372.98 $38,684.05 $34,962.16 2026-01-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 33 23 — — $19,354.88 $116,693.00 $33,871.04 2026-01-01
130 SOI 3 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 7 7 — — $31,555.63 $36,577.48 $33,058.28 2026-01-01
690 SOI 3 APR_DRG Acute Leukemia 7 7 — — $30,498.37 $35,351.96 $31,950.67 2026-01-01
169 SOI 3 APR_DRG Major Abdominal Vascular Procedures 7 7 — — $30,396.34 $35,233.70 $31,843.78 2026-01-01
952 SOI 4 APR_DRG Non-extensive O.r. Procedure Unrelated To Principal Diagnosis 7 7 — — $29,150.08 $33,789.11 $30,538.18 2026-01-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 31 23 — — $19,295.91 $69,160.23 $29,233.30 2026-01-01
540 MS_DRG Osteomyelitis With Cc 15 8 — — $19,413.39 $38,481.00 $28,947.19 2026-01-01
56 MS_DRG Degenerative Nervous System Disorders With McC 33 23 — — $16,308.19 $74,555.00 $28,539.33 2026-01-01
85 MS_DRG Traumatic Stupor And Coma <1 Hour With McC 33 23 — — $15,948.77 $83,676.00 $27,910.35 2026-01-01
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 33 23 — — $15,499.49 $94,215.00 $27,124.11 2026-01-01
374 MS_DRG Digestive Malignancy With McC 33 23 — — $15,013.70 $85,420.00 $26,273.97 2026-01-01
314 MS_DRG Other Circulatory System Diagnoses With McC 33 23 — — $14,638.13 $81,241.00 $25,616.73 2026-01-01
415 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 33 23 — — $14,508.26 $85,779.00 $25,389.46 2026-01-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With McC 23 21 — — $24,067.41 $139,704.00 $25,379.08 2026-01-01
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With McC 33 23 — — $14,117.25 $73,565.00 $24,705.19 2026-01-01
920 MS_DRG Complications Of Treatment With Cc 14 11 — — $7,036.16 $41,690.00 $24,363.08 2026-01-01
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With McC 33 23 — — $13,816.79 $70,724.00 $24,179.38 2026-01-01
100 MS_DRG Seizures With McC 33 23 — — $13,596.36 $64,773.00 $23,793.63 2026-01-01
710 SOI 3 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 7 7 — — $22,555.88 $26,145.48 $23,629.97 2026-01-01
205 MS_DRG Other Respiratory System Diagnoses With McC 33 23 — — $12,853.64 $59,248.00 $22,493.87 2026-01-01
377 MS_DRG Gastrointestinal Hemorrhage With McC 33 23 — — $12,832.58 $75,230.00 $22,457.01 2026-01-01
681 SOI 3 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 7 7 — — $21,188.42 $24,560.40 $22,197.39 2026-01-01
055 SOI 4 APR_DRG Head Trauma With Coma > 1 Hour Or Hemorrhage 7 7 — — $21,183.63 $24,554.85 $22,192.37 2026-01-01
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without McC 18 12 — — $7,183.58 $44,559.00 $22,163.12 2026-01-01
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With McC 33 23 — — $12,447.19 $78,862.00 $21,782.58 2026-01-01
542 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 33 23 — — $12,400.85 $82,413.00 $21,701.49 2026-01-01
720 SOI 4 APR_DRG Septicemia And Disseminated Infections 7 7 — — $20,645.41 $23,930.98 $21,628.52 2026-01-01
62 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 33 23 — — $12,335.57 $78,532.00 $21,587.25 2026-01-01
91 MS_DRG Other Disorders Of Nervous System With McC 33 23 — — $12,328.55 $67,625.00 $21,574.96 2026-01-01
974 MS_DRG HIV With Major Related Condition With McC 26 22 — — $15,055.67 $113,636.00 $21,368.99 2026-01-01
660 SOI 4 APR_DRG Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagula… 7 7 — — $20,331.10 $23,566.65 $21,299.25 2026-01-01
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With McC 31 22 — — $13,636.38 $76,489.00 $20,815.81 2026-01-01
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 33 23 — — $11,875.05 $70,257.00 $20,781.34 2026-01-01
571 MS_DRG Skin Debridement With Cc 33 23 — — $11,860.31 $62,063.00 $20,755.54 2026-01-01
551 MS_DRG Medical Back Problems With McC 33 23 — — $11,766.24 $65,839.00 $20,590.92 2026-01-01
70 MS_DRG Other Cerebrovascular Disorders With McC 33 23 — — $11,686.92 $69,572.00 $20,452.11 2026-01-01
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With McC 33 23 — — $11,613.91 $66,133.00 $20,324.34 2026-01-01
643 MS_DRG Endocrine Disorders With McC 33 23 — — $11,555.64 $69,666.00 $20,222.37 2026-01-01
299 MS_DRG Peripheral Vascular Disorders With McC 33 23 — — $11,461.58 $59,653.00 $20,057.76 2026-01-01
438 MS_DRG Disorders Of Pancreas Except Malignancy With McC 33 23 — — $11,444.03 $72,049.00 $20,027.05 2026-01-01
044 SOI 4 APR_DRG Intracranial Hemorrhage 7 7 — — $18,825.32 $21,821.24 $19,721.77 2026-01-01
279 SOI 4 APR_DRG Hepatic Coma And Other Major Acute Liver Disorders 7 7 — — $18,775.34 $21,763.30 $19,669.40 2026-01-01
393 MS_DRG Other Digestive System Diagnoses With McC 33 23 — — $11,227.11 $71,497.00 $19,647.44 2026-01-01
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With McC 31 23 — — $12,893.66 $52,003.00 $19,533.89 2026-01-01
948 MS_DRG Signs And Symptoms Without McC 15 12 — — $5,619.52 $33,398.97 $19,509.24 2026-01-01
385 MS_DRG Inflammatory Bowel Disease With McC 33 23 — — $11,107.77 $74,700.00 $19,438.60 2026-01-01
80 MS_DRG Nontraumatic Stupor And Coma With McC 31 23 — — $12,706.22 $73,794.50 $19,249.92 2026-01-01
154 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses With McC 33 23 — — $10,975.79 $57,995.00 $19,207.63 2026-01-01
177 MS_DRG Respiratory Infections And Inflammations With McC 33 23 — — $10,970.17 $82,500.00 $19,197.80 2026-01-01
241 SOI 4 APR_DRG Peptic Ulcer And Gastritis 7 7 — — $18,254.24 $21,159.27 $19,123.49 2026-01-01
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With McC 31 23 — — $12,598.82 $55,895.00 $19,087.21 2026-01-01
045 SOI 4 APR_DRG Cva And Precerebral Occlusion With Infarction 7 7 — — $18,015.94 $20,883.05 $18,873.84 2026-01-01
183 MS_DRG Major Chest Trauma With McC 33 23 — — $10,739.92 $63,915.00 $18,794.86 2026-01-01
54 MS_DRG Nervous System Neoplasms With McC 33 23 — — $10,718.86 $55,224.00 $18,758.01 2026-01-01
813 MS_DRG Coagulation Disorders 33 23 — — $10,707.63 $69,978.00 $18,738.35 2026-01-01
206 SOI 4 APR_DRG Malfunction, Reaction, Complication Of Cardiac Or Vascular Device Or Procedure 7 7 — — $17,857.76 $20,699.70 $18,708.13 2026-01-01
194 SOI 4 APR_DRG Heart Failure 7 7 — — $17,813.25 $20,648.11 $18,661.50 2026-01-01
469 SOI 4 APR_DRG Acute Kidney Injury 7 7 — — $17,733.82 $20,556.03 $18,578.29 2026-01-01
682 MS_DRG Renal Failure With McC 33 23 — — $10,396.64 $64,307.00 $18,194.12 2026-01-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 24 22 — — $15,055.67 $119,142.00 $18,160.47 2026-01-01
388 MS_DRG Gastrointestinal Obstruction With McC 33 23 — — $10,367.16 $68,143.00 $18,142.53 2026-01-01
604 MS_DRG Trauma To The Skin, Subcutaneous Tissue And Breast With McC 33 23 — — $10,334.16 $53,431.00 $18,084.78 2026-01-01
914 MS_DRG Traumatic Injury Without McC 14 11 — — $6,216.22 $29,664.00 $17,940.11 2026-01-01
832 MS_DRG Other Antepartum Diagnoses Without O.r. Procedures With Cc 14 11 — — $5,065.64 $30,423.00 $17,744.32 2026-01-01
637 MS_DRG Diabetes With McC 33 23 — — $10,085.65 $59,016.00 $17,649.89 2026-01-01
691 SOI 3 APR_DRG Lymphoma, Myeloma And Non-acute Leukemia 7 7 — — $16,759.41 $19,426.56 $17,557.48 2026-01-01
197 SOI 4 APR_DRG Peripheral And Other Vascular Disorders 7 7 — — $16,753.25 $19,419.41 $17,551.03 2026-01-01
642 MS_DRG Inborn And Other Disorders Of Metabolism 33 23 — — $9,983.16 $48,372.00 $17,470.53 2026-01-01
602 MS_DRG Cellulitis With McC 33 23 — — $9,977.54 $61,612.00 $17,460.69 2026-01-01
398 MS_DRG Appendix Procedures With Cc 32 23 — — $10,625.49 $64,049.00 $17,346.12 2026-01-01
811 MS_DRG Red Blood Cell Disorders With McC 33 23 — — $9,858.20 $54,299.00 $17,251.85 2026-01-01
190 SOI 4 APR_DRG Acute Myocardial Infarction 7 7 — — $16,332.81 $18,932.06 $17,110.56 2026-01-01
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With McC 31 23 — — $11,260.80 $51,305.00 $17,060.11 2026-01-01
811 SOI 4 APR_DRG Allergic Reactions 7 7 — — $16,226.67 $18,809.03 $16,999.37 2026-01-01
175 MS_DRG Pulmonary Embolism With McC Or Acute Cor Pulmonale 33 23 — — $9,642.69 $64,634.00 $16,874.71 2026-01-01
142 SOI 4 APR_DRG Interstitial And Alveolar Lung Diseases 7 7 — — $16,052.75 $18,607.43 $16,817.16 2026-01-01
419 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. Without Cc/McC 33 23 — — $9,587.93 $52,126.00 $16,778.88 2026-01-01
918 MS_DRG Poisoning And Toxic Effects Of Drugs Without McC 14 11 — — $6,016.85 $27,137.00 $16,576.92 2026-01-01
143 SOI 4 APR_DRG Other Respiratory Diagnoses Except Signs, Symptoms And Miscellaneous Diagnoses 7 7 — — $15,817.87 $18,335.18 $16,571.11 2026-01-01
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 33 23 — — $9,375.93 $46,744.00 $16,407.88 2026-01-01
342 SOI 4 APR_DRG Fractures And Dislocations Except Femur, Pelvis And Back 7 7 — — $15,585.74 $18,066.10 $16,327.92 2026-01-01
124 MS_DRG Other Disorders Of The Eye With McC Or Thrombolytic Agent 33 23 — — $9,288.18 $48,387.00 $16,254.32 2026-01-01
555 MS_DRG Signs And Symptoms Of Musculoskeletal System And Connective Tissue With McC 33 23 — — $9,279.05 $53,480.00 $16,238.34 2026-01-01
041 SOI 4 APR_DRG Nervous System Malignancy 7 7 — — $15,491.93 $17,957.36 $16,229.64 2026-01-01
193 MS_DRG Simple Pneumonia And Pleurisy With McC 33 23 — — $9,227.11 $61,332.00 $16,147.44 2026-01-01
384 SOI 4 APR_DRG Contusion, Open Wound And Other Trauma To Skin And Subcutaneous Tissue 7 7 — — $15,214.60 $17,635.90 $15,939.11 2026-01-01
710 SOI 2 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 7 7 — — $15,213.92 $17,635.11 $15,938.39 2026-01-01
57 MS_DRG Degenerative Nervous System Disorders Without McC 33 23 — — $9,095.13 $42,745.00 $15,916.48 2026-01-01
134 SOI 4 APR_DRG Pulmonary Embolism 7 7 — — $15,165.30 $17,578.75 $15,887.46 2026-01-01
137 SOI 4 APR_DRG Major Respiratory Infections And Inflammations 7 7 — — $15,122.85 $17,529.54 $15,842.98 2026-01-01
291 MS_DRG Heart Failure And Shock With McC 33 23 — — $9,012.29 $63,898.00 $15,771.51 2026-01-01
466 SOI 4 APR_DRG Malfunction, Reaction, Complication Of Genitourinary Device Or Procedure 7 7 — — $15,043.41 $17,437.47 $15,759.77 2026-01-01
535 MS_DRG Fractures Of Hip And Pelvis With McC 33 23 — — $8,999.66 $52,524.00 $15,749.41 2026-01-01
199 SOI 4 APR_DRG Hypertension 7 7 — — $14,905.09 $17,277.13 $15,614.86 2026-01-01
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With McC 33 23 — — $8,903.48 $50,687.00 $15,581.09 2026-01-01
773 SOI 4 APR_DRG Opioid Abuse And Dependence 7 7 — — $14,862.64 $17,227.92 $15,570.38 2026-01-01
809 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 33 23 — — $8,886.63 $50,948.00 $15,551.60 2026-01-01
133 SOI 4 APR_DRG Respiratory Failure 7 7 — — $14,750.34 $17,097.75 $15,452.74 2026-01-01
341 SOI 4 APR_DRG Fracture Of Pelvis Or Dislocation Of Hip 7 7 — — $14,688.71 $17,026.31 $15,388.17 2026-01-01
890 SOI 3 APR_DRG HIV With Multiple Major HIV Related Conditions 7 7 — — $14,680.49 $17,016.79 $15,379.56 2026-01-01
351 SOI 4 APR_DRG Other Musculoskeletal System And Connective Tissue Diagnoses 7 7 — — $14,648.31 $16,979.48 $15,345.85 2026-01-01
383 SOI 4 APR_DRG Cellulitis And Other Skin Infections 7 7 — — $14,612.02 $16,937.42 $15,307.83 2026-01-01
420 SOI 4 APR_DRG Diabetes 7 7 — — $14,594.90 $16,917.57 $15,289.89 2026-01-01
189 MS_DRG Pulmonary Edema And Respiratory Failure 33 23 — — $8,672.52 $51,366.00 $15,176.91 2026-01-01
562 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 31 23 — — $10,002.11 $42,062.16 $15,153.20 2026-01-01
83 MS_DRG Traumatic Stupor And Coma >1 Hour With Cc 31 23 — — $9,798.53 $38,842.93 $14,844.77 2026-01-01
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 25 21 — — $14,026.69 $101,060.00 $14,798.16 2026-01-01
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With McC 33 23 — — $8,452.10 $51,244.00 $14,791.17 2026-01-01
425 SOI 4 APR_DRG Other Non-hypovolemic Electrolyte Disorders 7 7 — — $14,104.61 $16,349.26 $14,776.26 2026-01-01
364 SOI 3 APR_DRG Other Skin, Subcutaneous Tissue And Related Procedures 7 7 — — $14,024.50 $16,256.40 $14,692.33 2026-01-01
304 MS_DRG Hypertension With McC 33 23 — — $8,353.82 $42,392.00 $14,619.18 2026-01-01
593 MS_DRG Skin Ulcers With Cc 33 23 — — $8,327.84 $43,154.00 $14,573.72 2026-01-01
64628 CPT Heat Destruction Of Intraosseous Basivertebral Nerve In Bones Of Spine In Lower … 29 20 — — $970.00 $52,651.03 $14,404.27 2026-01-01
228 SOI 3 APR_DRG Inguinal, Femoral And Umbilical Hernia Procedures 7 7 — — $13,740.32 $15,927.00 $14,394.62 2026-01-01
897 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without McC 32 23 — — $6,197.27 $29,224.00 $14,280.94 2026-01-01
689 MS_DRG Kidney And Urinary Tract Infections With McC 33 23 — — $8,145.32 $47,285.00 $14,254.31 2026-01-01
249 SOI 4 APR_DRG Other Gastroenteritis, Nausea And Vomiting 7 7 — — $13,539.00 $15,693.64 $14,183.72 2026-01-01
546 MS_DRG Connective Tissue Disorders With Cc 33 23 — — $8,096.88 $49,567.00 $14,169.54 2026-01-01
930 SOI 3 APR_DRG Multiple Significant Trauma Without O.r. Procedure 7 7 — — $13,447.93 $15,588.07 $14,088.31 2026-01-01
201 SOI 4 APR_DRG Cardiac Arrhythmia And Conduction Disorders 7 7 — — $13,338.37 $15,461.08 $13,973.53 2026-01-01
190 MS_DRG Chronic Obstructive Pulmonary Disease With McC 33 23 — — $7,776.07 $49,700.00 $13,608.12 2026-01-01
113 SOI 4 APR_DRG Infections Of Upper Respiratory Tract 7 7 — — $12,774.82 $14,807.84 $13,383.14 2026-01-01
058 SOI 3 APR_DRG Other Disorders Of Nervous System 7 7 — — $12,624.85 $14,634.01 $13,226.04 2026-01-01
J0896 HCPCS Luspatercept-aamt 25 Mg Subcutaneous Solution 67 23 $15,738.00 $12,590.40 20% off $49.51 $48,338.07 $13,224.33 2026-01-01
J3101 HCPCS Tenecteplase 50 Mg Intravenous Solution 35 23 $33,314.00 $26,651.20 20% off $20.94 $33,049.21 $13,174.91 2026-01-01
399 MS_DRG Appendix Procedures Without Cc/McC 32 23 — — $8,035.81 $47,111.00 $13,118.46 2026-01-01
300 MS_DRG Peripheral Vascular Disorders With Cc 33 23 — — $7,493.86 $41,351.00 $13,114.25 2026-01-01
139 SOI 4 APR_DRG Other Pneumonia 7 7 — — $12,496.81 $14,485.58 $13,091.89 2026-01-01
896 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With McC 26 22 — — $12,250.63 $64,518.00 $13,077.55 2026-01-01
184 MS_DRG Major Chest Trauma With Cc 33 23 — — $7,470.00 $41,853.00 $13,072.50 2026-01-01
661 SOI 3 APR_DRG Coagulation And Platelet Disorders 7 7 — — $12,465.99 $14,449.86 $13,059.61 2026-01-01
433 MS_DRG Cirrhosis And Alcoholic Hepatitis With Cc 33 23 — — $7,414.54 $38,825.00 $12,975.44 2026-01-01
810 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 33 23 — — $7,347.15 $35,591.00 $12,857.51 2026-01-01
055 SOI 3 APR_DRG Head Trauma With Coma > 1 Hour Or Hemorrhage 7 7 — — $12,235.91 $14,183.17 $12,818.58 2026-01-01
044 SOI 3 APR_DRG Intracranial Hemorrhage 7 7 — — $12,208.52 $14,151.42 $12,789.88 2026-01-01
302 MS_DRG Atherosclerosis With McC 31 23 — — $8,400.15 $40,611.74 $12,726.23 2026-01-01
140 SOI 4 APR_DRG Chronic Obstructive Pulmonary Disease 7 7 — — $12,132.51 $14,063.32 $12,710.25 2026-01-01
74 MS_DRG Cranial And Peripheral Nerve Disorders Without McC 33 23 — — $7,236.23 $37,442.00 $12,663.40 2026-01-01
043 SOI 2 APR_DRG Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies 7 7 — — $12,057.19 $13,976.01 $12,631.34 2026-01-01
71 MS_DRG Other Cerebrovascular Disorders With Cc 33 23 — — $7,202.53 $41,258.00 $12,604.43 2026-01-01
92 MS_DRG Other Disorders Of Nervous System With Cc 33 23 — — $7,181.47 $38,045.00 $12,567.57 2026-01-01
372 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Cc 33 23 — — $7,167.43 $48,009.00 $12,543.00 2026-01-01
699 MS_DRG Other Kidney And Urinary Tract Diagnoses With Cc 33 23 — — $7,125.31 $43,045.00 $12,469.29 2026-01-01
915 MS_DRG Allergic Reactions With McC 25 21 — — $11,804.85 $65,101.00 $12,454.12 2026-01-01
65 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours 33 23 — — $7,092.32 $45,047.00 $12,411.56 2026-01-01
760 MS_DRG Menstrual And Other Female Reproductive System Disorders With Cc/McC 33 23 — — $7,072.66 $35,547.00 $12,377.16 2026-01-01
37187 CPT Remove/Dissolve Bloodclot Vein With Fluoroscopic Guide, Initial Treatment 34 23 $13,160.00 $10,528.00 20% off $257.50 $46,405.60 $12,332.91 2026-01-01
37244 CPT Occlusion Of Artery Or Vein Bleeding With Review By Radiologist 40 28 $15,513.00 $12,410.40 20% off $422.01 $46,405.60 $12,251.48 2026-01-01
340 SOI 4 APR_DRG Fracture Of Femur 7 7 — — $11,684.68 $13,544.22 $12,241.10 2026-01-01
056 SOI 3 APR_DRG Brain Contusion Or Laceration And Complicated Skull Fracture, Coma < 1 Hour Or N… 7 7 — — $11,553.21 $13,391.82 $12,103.36 2026-01-01
463 SOI 4 APR_DRG Kidney And Urinary Tract Infections 7 7 — — $11,552.53 $13,391.03 $12,102.65 2026-01-01
378 MS_DRG Gastrointestinal Hemorrhage With Cc 33 23 — — $6,884.53 $42,413.00 $12,047.93 2026-01-01
758 MS_DRG Infections, Female Reproductive System With Cc 33 23 — — $6,872.59 $44,516.00 $12,027.03 2026-01-01
386 MS_DRG Inflammatory Bowel Disease With Cc 33 23 — — $6,853.64 $42,494.00 $11,993.87 2026-01-01
178 MS_DRG Respiratory Infections And Inflammations With Cc 33 23 — — $6,851.53 $58,869.00 $11,990.18 2026-01-01
565 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Cc 33 23 — — $6,840.30 $39,776.00 $11,970.52 2026-01-01
263 SOI 2 APR_DRG Cholecystectomy 7 7 — — $11,404.62 $13,219.58 $11,947.70 2026-01-01
202 MS_DRG Bronchitis And Asthma With Cc/McC 33 23 — — $6,817.84 $37,139.00 $11,931.22 2026-01-01
884 MS_DRG Organic Disturbances And Intellectual Disability 22 20 — — $11,294.50 $24,094.89 $11,884.64 2026-01-01
442 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc 33 23 — — $6,776.42 $39,218.00 $11,858.74 2026-01-01
315 MS_DRG Other Circulatory System Diagnoses With Cc 33 23 — — $6,762.38 $40,687.00 $11,834.17 2026-01-01
552 MS_DRG Medical Back Problems Without McC 33 23 — — $6,748.34 $36,813.00 $11,809.59 2026-01-01
344 SOI 3 APR_DRG Osteomyelitis, Septic Arthritis And Other Musculoskeletal Infections 7 7 — — $11,221.79 $13,007.66 $11,756.16 2026-01-01
917 MS_DRG Poisoning And Toxic Effects Of Drugs With McC 26 22 — — $11,010.19 $133,976.89 $11,753.38 2026-01-01
720 SOI 3 APR_DRG Septicemia And Disseminated Infections 7 7 — — $11,195.77 $12,977.49 $11,728.90 2026-01-01
445 MS_DRG Disorders Of The Biliary Tract With Cc 31 23 — — $7,682.70 $31,617.00 $11,639.29 2026-01-01
240 SOI 3 APR_DRG Digestive Malignancy 7 7 — — $11,060.19 $12,820.34 $11,586.86 2026-01-01
206 MS_DRG Other Respiratory System Diagnoses Without McC 33 23 — — $6,606.53 $33,615.00 $11,561.43 2026-01-01
58571 CPT Remove Uterus/Tubes/Ovaries Through Abdomen With Endoscope, 250.0g Or Less 32 22 — — $814.80 $42,602.68 $11,544.24 2026-01-01
58552 CPT Removal Of Uterus, Tubes, And/or Ovaries Through Vagina Using An Endoscope, 250.… 32 22 — — $814.80 $42,602.68 $11,544.24 2026-01-01
381 MS_DRG Complicated Peptic Ulcer With Cc 31 23 — — $7,606.18 $32,271.00 $11,523.36 2026-01-01
394 MS_DRG Other Digestive System Diagnoses With Cc 33 23 — — $6,568.63 $39,988.00 $11,495.10 2026-01-01
045 SOI 3 APR_DRG Cva And Precerebral Occlusion With Infarction 7 7 — — $10,867.08 $12,596.50 $11,384.57 2026-01-01
042 SOI 3 APR_DRG Degenerative Nervous System Disorders Except Multiple Sclerosis 7 7 — — $10,799.29 $12,517.92 $11,313.55 2026-01-01
281 SOI 3 APR_DRG Malignancy Of Hepatobiliary System And Pancreas 7 7 — — $10,793.13 $12,510.78 $11,307.09 2026-01-01
60 MS_DRG Multiple Sclerosis And Cerebellar Ataxia Without Cc/McC 33 23 — — $6,457.01 $33,296.00 $11,299.77 2026-01-01
812 MS_DRG Red Blood Cell Disorders Without McC 33 23 — — $6,445.78 $34,548.00 $11,280.11 2026-01-01
041 SOI 3 APR_DRG Nervous System Malignancy 7 7 — — $10,753.42 $12,464.74 $11,265.48 2026-01-01
155 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses With Cc 33 23 — — $6,433.84 $37,451.00 $11,259.22 2026-01-01
660 SOI 3 APR_DRG Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagula… 7 7 — — $10,735.61 $12,444.11 $11,246.83 2026-01-01
422 SOI 4 APR_DRG Hypovolemia And Related Electrolyte Disorders 7 7 — — $10,712.33 $12,417.12 $11,222.44 2026-01-01
158 MS_DRG Dental And Oral Diseases With Cc 33 23 — — $6,386.81 $36,056.00 $11,176.92 2026-01-01
101 MS_DRG Seizures Without McC 33 23 — — $6,336.26 $32,028.00 $11,088.45 2026-01-01
J2323 HCPCS Natalizumab 300 Mg/15 Ml Intravenous Solution 35 23 $24,628.25 $19,702.60 20% off $28.30 $27,628.99 $11,014.16 2026-01-01
233 SOI 2 APR_DRG Appendectomy With Complex Principal Diagnosis 7 7 — — $10,513.07 $12,186.15 $11,013.69 2026-01-01
638 MS_DRG Diabetes With Cc 33 23 — — $6,291.34 $34,965.00 $11,009.84 2026-01-01
892 SOI 3 APR_DRG HIV With Major HIV Related Condition 7 7 — — $10,504.85 $12,176.62 $11,005.08 2026-01-01
563 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 33 23 — — $6,286.42 $32,827.00 $11,001.24 2026-01-01
558 MS_DRG Tendonitis, Myositis And Bursitis Without McC 33 23 — — $6,270.28 $36,072.00 $10,972.99 2026-01-01
644 MS_DRG Endocrine Disorders With Cc 31 23 — — $7,195.51 $30,266.00 $10,901.20 2026-01-01
136 SOI 3 APR_DRG Respiratory Malignancy 7 7 — — $10,321.33 $11,963.90 $10,812.83 2026-01-01
710 SOI 1 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 7 7 — — $10,315.17 $11,956.76 $10,806.37 2026-01-01
683 MS_DRG Renal Failure With Cc 33 23 — — $6,148.13 $40,260.00 $10,759.23 2026-01-01
206 SOI 3 APR_DRG Malfunction, Reaction, Complication Of Cardiac Or Vascular Device Or Procedure 7 7 — — $10,251.49 $11,882.94 $10,739.65 2026-01-01
312 MS_DRG Syncope And Collapse 33 23 — — $6,118.64 $31,417.00 $10,707.62 2026-01-01
603 MS_DRG Cellulitis Without McC 33 23 — — $6,113.73 $35,753.00 $10,699.03 2026-01-01
280 SOI 3 APR_DRG Alcoholic Liver Disease 7 7 — — $10,076.88 $11,680.54 $10,556.73 2026-01-01
424 SOI 3 APR_DRG Other Endocrine Disorders 7 7 — — $9,982.38 $11,571.00 $10,457.73 2026-01-01
292 MS_DRG Heart Failure And Shock With Cc 33 23 — — $5,959.99 $41,578.00 $10,429.98 2026-01-01
347 SOI 3 APR_DRG Other Back And Neck Disorders, Fractures And Injuries 7 7 — — $9,952.94 $11,536.87 $10,426.88 2026-01-01
191 MS_DRG Chronic Obstructive Pulmonary Disease With Cc 33 23 — — $5,917.87 $39,660.00 $10,356.27 2026-01-01
279 SOI 3 APR_DRG Hepatic Coma And Other Major Acute Liver Disorders 7 7 — — $9,879.67 $11,451.94 $10,350.13 2026-01-01
439 MS_DRG Disorders Of Pancreas Except Malignancy With Cc 33 23 — — $5,905.24 $38,393.00 $10,334.17 2026-01-01
228 SOI 2 APR_DRG Inguinal, Femoral And Umbilical Hernia Procedures 7 7 — — $9,853.65 $11,421.78 $10,322.87 2026-01-01
885 MS_DRG Psychoses 22 20 — — $9,805.55 $20,918.48 $10,317.89 2026-01-01
252 SOI 3 APR_DRG Malfunction, Reaction And Complication Of Gastrointestinal Device Or Procedure 7 7 — — $9,823.52 $11,386.86 $10,291.30 2026-01-01
349 SOI 3 APR_DRG Malfunction, Reaction, Complication Of Orthopedic Device Or Procedure 7 7 — — $9,809.82 $11,370.98 $10,276.96 2026-01-01
103 MS_DRG Headaches Without McC 33 23 — — $5,870.84 $29,267.00 $10,273.97 2026-01-01
190 SOI 3 APR_DRG Acute Myocardial Infarction 7 7 — — $9,771.47 $11,326.53 $10,236.78 2026-01-01
556 MS_DRG Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without McC 33 23 — — $5,830.82 $30,401.00 $10,203.93 2026-01-01
554 MS_DRG Bone Diseases And Arthropathies Without McC 33 23 — — $5,827.31 $30,786.00 $10,197.79 2026-01-01
135 SOI 3 APR_DRG Major Chest And Respiratory Trauma 7 7 — — $9,713.27 $11,259.07 $10,175.81 2026-01-01
76 MS_DRG Viral Meningitis Without Cc/McC 33 23 — — $5,792.91 $36,522.00 $10,137.59 2026-01-01
241 SOI 3 APR_DRG Peptic Ulcer And Gastritis 7 7 — — $9,594.81 $11,121.75 $10,051.70 2026-01-01
143 SOI 3 APR_DRG Other Respiratory Diagnoses Except Signs, Symptoms And Miscellaneous Diagnoses 7 7 — — $9,583.85 $11,109.05 $10,040.23 2026-01-01
245 SOI 3 APR_DRG Inflammatory Bowel Disease 7 7 — — $9,537.97 $11,055.87 $9,992.16 2026-01-01
283 SOI 3 APR_DRG Other Disorders Of The Liver 7 7 — — $9,528.39 $11,044.76 $9,982.12 2026-01-01
724 SOI 3 APR_DRG Other Infectious And Parasitic Diseases 7 7 — — $9,516.06 $11,030.47 $9,969.21 2026-01-01
728 MS_DRG Inflammation Of The Male Reproductive System Without McC 33 23 — — $5,694.63 $33,888.00 $9,965.60 2026-01-01
690 MS_DRG Kidney And Urinary Tract Infections Without McC 33 23 — — $5,682.70 $32,989.00 $9,944.73 2026-01-01
053 SOI 3 APR_DRG Seizure 7 7 — — $9,480.45 $10,989.20 $9,931.90 2026-01-01
536 MS_DRG Fractures Of Hip And Pelvis Without McC 33 23 — — $5,669.36 $30,479.00 $9,921.38 2026-01-01
282 SOI 3 APR_DRG Disorders Of Pancreas Except Malignancy 7 7 — — $9,463.33 $10,969.36 $9,913.97 2026-01-01
534 MS_DRG Fractures Of Femur Without McC 33 23 — — $5,658.83 $32,141.00 $9,902.95 2026-01-01
194 MS_DRG Simple Pneumonia And Pleurisy With Cc 33 23 — — $5,657.43 $41,003.00 $9,900.50 2026-01-01
384 SOI 3 APR_DRG Contusion, Open Wound And Other Trauma To Skin And Subcutaneous Tissue 7 7 — — $9,446.90 $10,950.31 $9,896.75 2026-01-01
176 MS_DRG Pulmonary Embolism Without McC 33 23 — — $5,651.11 $40,929.00 $9,889.44 2026-01-01
197 SOI 3 APR_DRG Peripheral And Other Vascular Disorders 7 7 — — $9,425.67 $10,925.70 $9,874.51 2026-01-01
69 MS_DRG Transient Ischemia Without Thrombolytic 33 23 — — $5,607.59 $29,562.00 $9,813.28 2026-01-01
123 MS_DRG Neurological Eye Disorders 33 23 — — $5,606.18 $28,494.00 $9,810.82 2026-01-01
93 MS_DRG Other Disorders Of Nervous System Without Cc/McC 33 23 — — $5,590.04 $28,710.00 $9,782.57 2026-01-01
J3380 HCPCS Vedolizumab 300 Mg Intravenous Solution 35 23 $27,973.25 $22,378.60 20% off $25.13 $26,574.59 $9,781.75 2026-01-01
281 MS_DRG Acute Myocardial Infarction, Discharged Alive With Cc 31 23 — — $6,452.09 $30,409.00 $9,774.92 2026-01-01
605 MS_DRG Trauma To The Skin, Subcutaneous Tissue And Breast Without McC 31 23 — — $6,430.33 $22,745.00 $9,741.95 2026-01-01
134 SOI 3 APR_DRG Pulmonary Embolism 7 7 — — $9,290.09 $10,768.54 $9,732.48 2026-01-01
813 SOI 3 APR_DRG Other Complications Of Treatment 7 7 — — $9,271.60 $10,747.11 $9,713.11 2026-01-01
389 MS_DRG Gastrointestinal Obstruction With Cc 33 23 — — $5,544.41 $36,894.00 $9,702.72 2026-01-01
194 SOI 3 APR_DRG Heart Failure 7 7 — — $9,248.32 $10,720.12 $9,688.72 2026-01-01
263 SOI 1 APR_DRG Cholecystectomy 7 7 — — $9,216.82 $10,683.61 $9,655.72 2026-01-01
469 SOI 3 APR_DRG Acute Kidney Injury 7 7 — — $9,216.82 $10,683.61 $9,655.72 2026-01-01
052 SOI 3 APR_DRG Alteration In Consciousness 7 7 — — $9,143.55 $10,598.68 $9,578.96 2026-01-01
392 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without McC 33 23 — — $5,472.80 $31,269.00 $9,577.40 2026-01-01
246 SOI 3 APR_DRG Gastrointestinal Vascular Insufficiency 7 7 — — $9,138.76 $10,593.13 $9,573.94 2026-01-01
641 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou… 33 23 — — $5,462.97 $29,843.00 $9,560.20 2026-01-01
058 SOI 2 APR_DRG Other Disorders Of Nervous System 7 7 — — $9,099.04 $10,547.09 $9,532.33 2026-01-01
253 SOI 3 APR_DRG Other And Unspecified Gastrointestinal Hemorrhage 7 7 — — $9,095.62 $10,543.12 $9,528.74 2026-01-01
229 SOI 1 APR_DRG Other Digestive System And Abdominal Procedures 7 7 — — $9,089.46 $10,535.98 $9,522.29 2026-01-01
115 SOI 3 APR_DRG Other Ear, Nose, Mouth, Throat And Cranial Or Facial Diagnoses 7 7 — — $9,080.56 $10,525.66 $9,512.96 2026-01-01
951 SOI 1 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 7 7 — — $9,073.71 $10,517.72 $9,505.79 2026-01-01
421 SOI 3 APR_DRG Malnutrition, Failure To Thrive And Other Nutritional Disorders 7 7 — — $9,073.71 $10,517.72 $9,505.79 2026-01-01
645 MS_DRG Endocrine Disorders Without Cc/McC 33 23 — — $5,393.48 $30,388.00 $9,438.59 2026-01-01
125 MS_DRG Other Disorders Of The Eye Without McC 33 23 — — $5,389.97 $29,002.00 $9,432.45 2026-01-01
254 SOI 3 APR_DRG Other Digestive System Diagnoses 7 7 — — $8,997.70 $10,429.62 $9,426.16 2026-01-01
133 SOI 3 APR_DRG Respiratory Failure 7 7 — — $8,994.96 $10,426.44 $9,423.29 2026-01-01
947 MS_DRG Signs And Symptoms With McC 23 21 — — $8,911.20 $48,116.00 $9,396.86 2026-01-01
470 SOI 3 APR_DRG Chronic Kidney Disease 7 7 — — $8,936.76 $10,358.98 $9,362.32 2026-01-01
466 SOI 3 APR_DRG Malfunction, Reaction, Complication Of Genitourinary Device Or Procedure 7 7 — — $8,917.58 $10,336.75 $9,342.23 2026-01-01
248 SOI 3 APR_DRG Major Gastrointestinal And Peritoneal Infections 7 7 — — $8,892.93 $10,308.18 $9,316.40 2026-01-01
144 SOI 3 APR_DRG Respiratory Signs, Symptoms And Miscellaneous Diagnoses 7 7 — — $8,886.77 $10,301.04 $9,309.95 2026-01-01
305 MS_DRG Hypertension Without McC 33 23 — — $5,300.81 $26,547.00 $9,276.42 2026-01-01
179 MS_DRG Respiratory Infections And Inflammations Without Cc/McC 33 23 — — $5,300.11 $41,026.00 $9,275.19 2026-01-01
149 MS_DRG Dysequilibrium 33 23 — — $5,276.24 $26,842.00 $9,233.42 2026-01-01
380 SOI 3 APR_DRG Skin Ulcers 7 7 — — $8,766.94 $10,162.13 $9,184.41 2026-01-01
844 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 26 22 — — $8,546.16 $51,035.00 $9,123.03 2026-01-01
244 SOI 3 APR_DRG Diverticulitis And Diverticulosis 7 7 — — $8,707.36 $10,093.08 $9,122.00 2026-01-01
153 MS_DRG Otitis Media And Uri Without McC 33 23 — — $5,182.17 $29,136.00 $9,068.80 2026-01-01
817 SOI 3 APR_DRG Intentional Self-harm And Attempted Suicide 7 7 — — $8,644.37 $10,020.05 $9,056.00 2026-01-01
309 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Cc 33 23 — — $5,164.62 $33,289.00 $9,038.08 2026-01-01
862 SOI 4 APR_DRG Other Aftercare And Convalescence 7 7 — — $8,625.19 $9,997.83 $9,035.92 2026-01-01
862 SOI 3 APR_DRG Other Aftercare And Convalescence 7 7 — — $8,625.19 $9,997.83 $9,035.92 2026-01-01
044 SOI 2 APR_DRG Intracranial Hemorrhage 7 7 — — $8,614.24 $9,985.13 $9,024.44 2026-01-01
661 SOI 2 APR_DRG Coagulation And Platelet Disorders 7 7 — — $8,600.54 $9,969.26 $9,010.09 2026-01-01
342 SOI 3 APR_DRG Fractures And Dislocations Except Femur, Pelvis And Back 7 7 — — $8,595.06 $9,962.91 $9,004.35 2026-01-01
373 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections Without Cc/McC 33 23 — — $5,106.36 $33,913.00 $8,936.13 2026-01-01
775 SOI 3 APR_DRG Alcohol Abuse And Dependence 7 7 — — $8,508.78 $9,862.90 $8,913.96 2026-01-01
346 SOI 2 APR_DRG Connective Tissue Disorders 7 7 — — $8,496.46 $9,848.61 $8,901.05 2026-01-01
364 SOI 2 APR_DRG Other Skin, Subcutaneous Tissue And Related Procedures 7 7 — — $8,495.09 $9,847.02 $8,899.62 2026-01-01
726 MS_DRG Benign Prostatic Hypertrophy Without McC 33 23 — — $5,068.45 $29,750.00 $8,869.79 2026-01-01
313 MS_DRG Chest Pain 33 23 — — $5,054.41 $25,977.00 $8,845.22 2026-01-01
446 MS_DRG Disorders Of The Biliary Tract Without Cc/McC 31 23 — — $5,807.66 $24,904.76 $8,798.60 2026-01-01
663 SOI 3 APR_DRG Other Anemia And Disorders Of Blood And Blood-forming Organs 7 7 — — $8,383.47 $9,717.64 $8,782.69 2026-01-01
811 SOI 3 APR_DRG Allergic Reactions 7 7 — — $8,338.28 $9,665.26 $8,735.34 2026-01-01
207 SOI 3 APR_DRG Other Circulatory System Diagnoses 7 7 — — $8,317.74 $9,641.44 $8,713.82 2026-01-01
351 SOI 3 APR_DRG Other Musculoskeletal System And Connective Tissue Diagnoses 7 7 — — $8,299.25 $9,620.01 $8,694.45 2026-01-01
043 SOI 1 APR_DRG Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies 7 7 — — $8,210.91 $9,517.62 $8,601.91 2026-01-01
443 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis Without C… 33 23 — — $4,911.90 $27,561.00 $8,595.83 2026-01-01
691 SOI 1 APR_DRG Lymphoma, Myeloma And Non-acute Leukemia 7 7 — — $8,204.07 $9,509.69 $8,594.74 2026-01-01
233 SOI 1 APR_DRG Appendectomy With Complex Principal Diagnosis 7 7 — — $8,145.86 $9,442.22 $8,533.76 2026-01-01
047 SOI 3 APR_DRG Transient Ischemia 7 7 — — $8,135.59 $9,430.31 $8,523.00 2026-01-01
137 SOI 3 APR_DRG Major Respiratory Infections And Inflammations 7 7 — — $8,036.30 $9,315.22 $8,418.98 2026-01-01
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