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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

BON SECOURS-ST FRANCIS XAVIER HOSPITAL

Charleston, SC · CCN 420065 · Rates published

998 distinct procedures filed
32 distinct payers
37,772 rate rows
2026-04-01 last MRF observed
Data quality

23,100 of 37,772 rate rows are consumer-grade (61.2%)

14,672 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 14,672
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.rsfh.com/upload/docs/Patients and Visitors/571067254_bon-secours-st-francis-xavier-hospital-inc_standardcharges.csv
Found on page https://www.rsfh.com/billing-financial-assistance/#transparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint e34d5709809686f6… · 29,345,453 bytes · first seen 2026-05-05

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
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 27 $76,581.29 $216,864.15 $177,294.98 nat. median
$98,894
1.8× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 26 $62,958.58 $177,294.98 $169,317.41 nat. median
$82,711
outlier · 2.0×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 1 $161,307.29 $161,307.29 $161,307.29 nat. median
$66,526
outlier · 2.4×
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 27 $50,829.82 $142,040.39 $134,742.59 nat. median
$68,090
2.0× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 27 $47,193.21 $156,646.82 $125,567.31 nat. median
$63,724
2.0× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 28 $45,521.20 $142,438.06 $120,927.32 nat. median
$62,134
1.9× median
28
MS_DRG 		Spinal Procedures With Mcc 28 $42,633.57 $120,982.83 $112,913.98 nat. median
$57,822
2.0× median
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 27 $42,327.47 $160,549.49 $112,064.54 nat. median
$58,020
1.9× median
430
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 27 $41,000.16 $133,156.90 $108,381.11 nat. median
$54,592
2.0× median
463
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 31 $1,739.43 $128,358.13 $107,110.70 nat. median
$52,746
outlier · 2.0×
428
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 27 $40,017.53 $118,904.57 $105,654.25 nat. median
$54,210
1.9× median
11
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 28 $38,880.49 $150,008.48 $102,498.90 nat. median
$52,857
1.9× median
450
MS_DRG 		Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically… 28 $38,037.38 $146,009.19 $100,159.17 nat. median
$51,319
2.0× median
981
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 1 $98,981.99 $98,981.99 $98,981.99 nat. median
$46,084
outlier · 2.1×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 28 $10,249.47 $272,554.00 $95,747.60 nat. median
$133,161
0.7× median
471
MS_DRG 		Cervical Spinal Fusion With Mcc 19 $34,645.26 $111,337.93 $95,014.33 nat. median
$46,647
outlier · 2.0×
326
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Mcc 26 $35,719.96 $105,091.76 $93,728.21 nat. median
$48,178
1.9× median
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 28 $35,389.50 $101,083.00 $92,811.11 nat. median
$48,170
1.9× median
826
MS_DRG 		Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r.… 28 $33,623.33 $133,270.57 $87,909.90 nat. median
$46,259
1.9× median
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 27 $33,072.77 $90,445.33 $86,382.02 nat. median
$44,810
1.9× median
163
MS_DRG 		Major Chest Procedures With Mcc 27 $32,296.02 $88,188.38 $84,226.47 nat. median
$44,937
1.9× median
448
MS_DRG 		Multiple Level Spinal Fusion Except Cervical Without Mcc 27 $30,663.95 $94,077.13 $79,697.35 nat. median
$41,164
1.9× median
458
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 28 $30,202.09 $132,827.25 $78,415.67 nat. median
$42,730
1.8× median
402
MS_DRG 		Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 24 $29,172.05 $124,455.45 $75,557.26 nat. median
$39,414
1.9× median
956
MS_DRG 		Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 27 $27,428.25 $148,259.86 $74,044.55 nat. median
$37,662
2.0× median
907
MS_DRG 		Other O.r. Procedures For Injuries With Mcc 28 $27,944.96 $86,252.84 $72,151.96 nat. median
$38,112
1.9× median
166
MS_DRG 		Other Respiratory System O.r. Procedures With Mcc 28 $27,256.92 $81,353.66 $70,242.60 nat. median
$37,476
1.9× median
492
MS_DRG 		Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 28 $26,809.29 $97,015.50 $69,000.38 nat. median
$35,489
1.9× median
999
MS_DRG 		Ungroupable 27 $10,228.00 $161,307.29 $68,473.69 nat. median
$9,134
outlier · 7.5×
939
MS_DRG 		O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 28 $26,517.40 $97,674.79 $68,190.40 nat. median
$33,731
outlier · 2.0×
97
MS_DRG 		Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 28 $26,404.32 $79,915.74 $67,876.56 nat. median
$35,069
1.9× median
335
MS_DRG 		Peritoneal Adhesiolysis With Mcc 28 $26,127.34 $90,333.60 $67,107.92 nat. median
$35,058
1.9× median
271
MS_DRG 		Other Major Cardiovascular Procedures With Cc 28 $26,028.48 $80,635.65 $66,833.55 nat. median
$35,597
1.9× median
94
MS_DRG 		Bacterial And Tuberculous Infections Of Nervous System With Mcc 9 $25,778.58 $67,889.44 $66,140.08 nat. median
$35,264
1.9× median
653
MS_DRG 		Major Bladder Procedures With Mcc 28 $10,280.00 $125,343.98 $65,812.44 nat. median
$51,418
1.3× median
987
MS_DRG 		Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 28 $25,162.32 $75,579.22 $64,429.92 nat. median
$33,845
1.9× median
31
MS_DRG 		Ventricular Shunt Procedures With Mcc 28 $32,287.20 $88,162.80 $62,406.76 nat. median
$42,896
1.5× median
477
MS_DRG 		Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 19 $25,339.74 $67,976.16 $62,359.39 nat. median
$33,771
1.8× median
673
MS_DRG 		Other Kidney And Urinary Tract Procedures With Mcc 28 $30,398.48 $82,674.88 $62,084.69 nat. median
$40,454
1.5× median
411
MS_DRG 		Cholecystectomy With C.d.e. With Mcc 27 $24,315.13 $88,615.28 $62,078.92 nat. median
$30,448
outlier · 2.0×
451
MS_DRG 		Single Level Spinal Fusion Except Cervical Without Mcc 28 $23,821.44 $94,077.13 $60,708.91 nat. median
$31,714
1.9× median
485
MS_DRG 		Knee Procedures With Principal Diagnosis Of Infection With Mcc 28 $23,799.09 $63,499.65 $60,646.89 nat. median
$32,024
1.9× median
515
MS_DRG 		Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 28 $23,526.87 $94,787.57 $59,891.41 nat. median
$31,607
1.9× median
500
MS_DRG 		Soft Tissue Procedures With Mcc 28 $23,377.19 $96,365.69 $59,476.09 nat. median
$31,070
1.9× median
840
MS_DRG 		Lymphoma And Non-acute Leukemia With Mcc 28 $23,851.92 $63,653.13 $59,021.28 nat. median
$31,382
1.9× median
26
MS_DRG 		Craniotomy And Endovascular Intracranial Procedures With Cc 28 $23,000.66 $63,202.45 $58,431.20 nat. median
$31,106
1.9× median
472
MS_DRG 		Cervical Spinal Fusion With Cc 28 $21,896.13 $70,198.84 $55,366.06 nat. median
$29,858
1.9× median
668
MS_DRG 		Transurethral Procedures With Mcc 28 $21,719.40 $85,305.59 $54,875.56 nat. median
$28,493
1.9× median
353
MS_DRG 		Hernia Procedures Except Inguinal And Femoral With Mcc 28 $21,597.50 $67,790.93 $54,537.29 nat. median
$28,775
1.9× median
406
MS_DRG 		Pancreas, Liver And Shunt Procedures With Cc 28 $21,585.31 $73,588.10 $54,503.46 nat. median
$28,771
1.9× median

Other procedures at this hospital

Browse this hospital's 998 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
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
             
100 MS_DRG Seizures With Mcc 48 28 — — $15,061.09 $38,110.41 $32,323.98 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 48 28 — — $38,880.49 $150,008.48 $102,498.90 2026-04-01
130 MS_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours,major 4 4 — — $45,448.49 $47,720.91 $46,584.70 2026-04-01
139 MS_DRG Salivary Gland Procedures 52 32 — — $10,158.02 $30,690.92 $23,222.51 2026-04-01
157 MS_DRG Dental And Oral Diseases With Mcc 48 28 — — $13,571.25 $33,781.47 $29,594.00 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 47 27 — — $32,296.02 $88,188.38 $84,226.47 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 26 16 — — $19,037.66 $77,058.83 $48,549.14 2026-04-01
165 MS_DRG Major Chest Procedures Without Cc/mcc 47 27 — — $14,908.05 $49,717.39 $35,973.56 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 48 28 — — $27,256.92 $81,353.66 $70,242.60 2026-04-01
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 48 28 — — $14,157.71 $43,522.37 $33,891.30 2026-04-01
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 48 28 — — $11,247.07 $27,028.33 $25,814.06 2026-04-01
177 MS_DRG Respiratory Infections And Inflammations With Mcc 45 27 — — $12,527.66 $29,917.96 $29,367.82 2026-04-01
178 MS_DRG Respiratory Infections And Inflammations With Cc 48 28 — — $8,554.50 $19,204.75 $17,194.49 2026-04-01
180 MS_DRG Respiratory Neoplasms With Mcc 48 28 — — $13,904.43 $34,749.58 $32,168.63 2026-04-01
181 MS_DRG Respiratory Neoplasms With Cc 30 18 — — $9,197.84 $21,074.07 $17,609.39 2026-04-01
183 MS_DRG Major Chest Trauma With Mcc 48 28 — — $12,305.53 $30,103.84 $27,553.62 2026-04-01
184 MS_DRG Major Chest Trauma With Cc 48 28 — — $9,151.11 $30,245.71 $19,997.63 2026-04-01
187 MS_DRG Pleural Effusion With Cc 48 28 — — $8,643.20 $19,462.52 $18,588.16 2026-04-01
189 MS_DRG Pulmonary Edema And Respiratory Failure 48 28 — — $10,311.17 $24,308.97 $23,078.81 2026-04-01
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 48 28 — — $9,446.38 $21,796.21 $19,604.30 2026-04-01
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 48 28 — — $10,846.16 $25,863.45 $24,701.52 2026-04-01
199 MS_DRG Pneumothorax With Mcc 52 32 — — $6,738.39 $34,712.20 $30,063.84 2026-04-01
200 MS_DRG Pneumothorax With Cc 48 28 — — $9,389.48 $22,358.90 $20,659.14 2026-04-01
205 MS_DRG Other Respiratory System Diagnoses With Mcc 48 28 — — $14,344.60 $36,028.59 $28,235.64 2026-04-01
206 MS_DRG Other Respiratory System Diagnoses Without Mcc 48 28 — — $8,318.14 $19,763.43 $17,686.09 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 48 28 — — $45,521.20 $142,438.06 $120,927.32 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 48 28 — — $20,559.34 $54,086.17 $51,630.84 2026-04-01
21 MS_DRG Open Craniotomy Except Trauma,extreme 8 4 — — $30,857.78 $66,079.19 $47,666.61 2026-04-01
22558 CPT Arthrd Ant Interbody Min Dsc Lumbar 1 1 — — $26,668.00 $26,668.00 $26,668.00 2026-04-01
22633 CPT Arthrodesis Combined Tq 1ntrspc Lumbar 3 3 — — $25,398.09 $26,668.00 $26,287.03 2026-04-01
22634 CPT Arthrodesis Cmbn Tq 1ntrspc Each Additional 3 2 — — $25,398.09 $26,668.00 $26,668.00 2026-04-01
22840 CPT Posterior Non-segmental Instrumentation 3 2 — — $25,398.09 $26,287.03 $26,287.03 2026-04-01
229 MS_DRG Other Digestive System And Abdominal Procedures,extreme 8 4 — — $3,362.84 $43,070.04 $22,275.03 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 52 32 — — $4,703.06 $136,379.44 $42,788.50 2026-04-01
231 MS_DRG Major Large Bowel Procedures,extreme 4 4 — — $43,310.54 $45,476.07 $44,393.31 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 52 32 — — $12,892.40 $56,089.29 $42,021.93 2026-04-01
242 MS_DRG Major Esophageal Disorders,extreme 4 4 — — $23,025.20 $24,176.46 $23,600.83 2026-04-01
243 MS_DRG Other Esophageal Disorders,extreme 4 4 — — $20,146.09 $21,153.39 $20,649.74 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 48 28 — — $13,351.00 $91,631.33 $49,750.18 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 48 28 — — $23,000.66 $63,202.45 $58,431.20 2026-04-01
261 MS_DRG Major Biliary Tract Procedures,moderate 4 4 — — $22,379.43 $23,498.40 $22,938.92 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 48 28 — — $9,370.00 $65,732.99 $31,704.46 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 48 28 — — $19,030.20 $56,363.30 $47,412.86 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 13 8 — — $34,720.90 $101,002.04 $36,456.95 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 48 28 — — $26,028.48 $80,635.65 $66,833.55 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 48 28 — — $42,633.57 $120,982.83 $112,913.98 2026-04-01
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 55 32 — — $1,969.25 $33,398.16 $18,510.45 2026-04-01
281 MS_DRG Acute Myocardial Infarction, Discharged Alive With Cc 24 17 — — $8,169.15 $23,859.35 $17,272.65 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 48 28 — — $13,641.00 $67,130.05 $33,602.23 2026-04-01
291 MS_DRG Heart Failure And Shock With Mcc 48 28 — — $10,638.94 $25,261.33 $21,854.96 2026-04-01
296 MS_DRG Cardiac Arrest, Unexplained With Mcc 48 28 — — $12,522.25 $36,459.67 $29,352.79 2026-04-01
30 MS_DRG Spinal Procedures Without Cc/mcc 48 28 — — $16,810.99 $44,714.01 $41,254.39 2026-04-01
300 MS_DRG Peripheral Vascular Disorders With Cc 52 32 — — $9,174.14 $32,618.25 $20,196.65 2026-04-01
302 MS_DRG Atherosclerosis With Mcc 48 28 — — $10,048.39 $23,545.50 $20,170.75 2026-04-01
304 MS_DRG Hypertension With Mcc 54 32 — — $7,627.61 $23,415.63 $20,981.60 2026-04-01
306 MS_DRG Cardiac Congenital And Valvular Disorders With Mcc 16 10 — — $12,616.37 $31,007.02 $29,614.01 2026-04-01
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 48 28 — — $10,098.51 $24,259.09 $22,626.77 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 48 28 — — $32,287.20 $88,162.80 $62,406.76 2026-04-01
32 MS_DRG Ventricular Shunt Procedures With Cc 48 28 — — $16,376.22 $46,275.08 $40,047.88 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 44 26 — — $35,719.96 $105,091.76 $93,728.21 2026-04-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 48 28 — — $18,497.24 $62,041.12 $45,933.85 2026-04-01
328 MS_DRG Stomach, Esophageal And Duodenal Procedures Without Cc/mcc 48 28 — — $12,795.84 $41,944.25 $30,112.02 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 47 27 — — $33,072.77 $90,445.33 $86,382.02 2026-04-01
33 MS_DRG Ventricular Shunt Procedures Without Cc/mcc 48 28 — — $13,206.23 $42,156.44 $31,250.88 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 48 28 — — $18,178.96 $54,764.34 $45,050.58 2026-04-01
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/mcc 48 28 — — $13,341.67 $42,586.49 $31,626.74 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 48 28 — — $26,127.34 $90,333.60 $67,107.92 2026-04-01
336 MS_DRG Peritoneal Adhesiolysis With Cc 25 18 — — $16,225.22 $53,705.31 $39,628.80 2026-04-01
337 MS_DRG Peritoneal Adhesiolysis Without Cc/mcc 28 19 — — $12,340.08 $38,926.31 $28,847.26 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 52 32 — — $9,448.65 $50,821.76 $38,246.19 2026-04-01
345 MS_DRG Minor Small And Large Bowel Procedures With Cc 48 28 — — $12,134.89 $33,616.03 $28,277.83 2026-04-01
346 MS_DRG Minor Small And Large Bowel Procedures Without Cc/mcc 48 28 — — $9,977.99 $26,949.28 $22,292.26 2026-04-01
351 MS_DRG Inguinal And Femoral Hernia Procedures With Cc 48 28 — — $12,268.97 $41,006.47 $28,649.93 2026-04-01
352 MS_DRG Inguinal And Femoral Hernia Procedures Without Cc/mcc 33 20 — — $9,853.37 $26,528.70 $21,946.47 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 48 28 — — $21,597.50 $67,790.93 $54,537.29 2026-04-01
355 MS_DRG Hernia Procedures Except Inguinal And Femoral Without Cc/mcc 48 28 — — $11,053.39 $36,776.05 $25,276.59 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 48 28 — — $10,862.00 $86,437.13 $36,808.36 2026-04-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 48 28 — — $17,693.40 $52,449.26 $43,703.12 2026-04-01
368 MS_DRG Major Esophageal Disorders With Mcc 48 28 — — $12,725.42 $34,245.00 $29,916.58 2026-04-01
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 48 28 — — $13,917.42 $34,889.29 $26,178.21 2026-04-01
372 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Cc 48 28 — — $8,859.23 $20,090.22 $18,585.05 2026-04-01
374 MS_DRG Digestive Malignancy With Mcc 47 27 — — $16,428.39 $42,083.20 $35,474.53 2026-04-01
375 MS_DRG Digestive Malignancy With Cc 48 28 — — $10,136.44 $24,444.75 $22,732.01 2026-04-01
378 MS_DRG Gastrointestinal Hemorrhage With Cc 20 13 — — $8,586.33 $20,845.19 $18,430.30 2026-04-01
380 MS_DRG Complicated Peptic Ulcer With Mcc 50 30 — — $10,791.73 $38,610.21 $34,032.82 2026-04-01
381 MS_DRG Complicated Peptic Ulcer With Cc 48 28 — — $9,282.47 $21,320.03 $18,918.49 2026-04-01
385 MS_DRG Inflammatory Bowel Disease With Mcc 52 32 — — $4,735.29 $31,134.92 $21,593.52 2026-04-01
386 MS_DRG Inflammatory Bowel Disease With Cc 48 28 — — $8,556.53 $19,879.00 $18,347.61 2026-04-01
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 48 28 — — $10,533.95 $24,956.34 $23,618.74 2026-04-01
393 MS_DRG Other Digestive System Diagnoses With Mcc 48 28 — — $12,775.53 $31,469.43 $25,609.86 2026-04-01
394 MS_DRG Other Digestive System Diagnoses With Cc 33 22 — — $8,281.56 $20,909.61 $18,411.77 2026-04-01
397 MS_DRG Appendix Procedures With Mcc 20 11 — — $18,163.37 $51,558.84 $45,007.36 2026-04-01
398 MS_DRG Appendix Procedures With Cc 48 28 — — $12,195.15 $39,424.57 $28,445.08 2026-04-01
399 MS_DRG Appendix Procedures Without Cc/mcc 48 28 — — $9,696.93 $35,061.53 $21,512.35 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 48 28 — — $10,249.47 $272,554.00 $95,747.60 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 48 28 — — $10,078.00 $81,454.07 $44,224.55 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 39 24 — — $29,172.05 $124,455.45 $75,557.26 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 48 28 — — $21,585.31 $73,588.10 $54,503.46 2026-04-01
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 48 28 — — $16,689.78 $59,521.43 $40,918.00 2026-04-01
410 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 48 28 — — $12,696.97 $47,123.82 $29,837.65 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 47 27 — — $24,315.13 $88,615.28 $62,078.92 2026-04-01
415 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 48 28 — — $15,940.79 $53,275.26 $38,839.49 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 48 28 — — $18,105.81 $52,699.33 $44,847.62 2026-04-01
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 27 19 — — $13,400.58 $39,884.93 $31,790.24 2026-04-01
419 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. Without Cc/mcc 48 28 — — $11,194.25 $36,094.03 $25,667.48 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 47 27 — — $76,581.29 $216,864.15 $177,294.98 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 47 27 — — $50,829.82 $142,040.39 $134,742.59 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 47 27 — — $40,017.53 $118,904.57 $105,654.25 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 44 26 — — $62,958.58 $177,294.98 $169,317.41 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 47 27 — — $41,000.16 $133,156.90 $108,381.11 2026-04-01
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 48 28 — — $15,273.74 $39,820.52 $36,988.38 2026-04-01
433 MS_DRG Cirrhosis And Alcoholic Hepatitis With Cc 34 20 — — $9,097.60 $21,455.22 $19,849.17 2026-04-01
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Mcc 48 28 — — $6,965.00 $36,140.75 $18,769.85 2026-04-01
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 32 21 — — $12,984.79 $32,077.45 $29,241.62 2026-04-01
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 52 32 — — $7,332.00 $37,049.24 $29,140.66 2026-04-01
444 MS_DRG Disorders Of The Biliary Tract With Mcc 48 28 — — $13,260.40 $32,878.30 $30,372.64 2026-04-01
445 MS_DRG Disorders Of The Biliary Tract With Cc 48 28 — — $9,356.31 $25,026.36 $20,567.06 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 47 27 — — $47,193.21 $156,646.82 $125,567.31 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 47 27 — — $30,663.95 $94,077.13 $79,697.35 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 48 28 — — $38,037.38 $146,009.19 $100,159.17 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 48 28 — — $23,821.44 $94,077.13 $60,708.91 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 47 27 — — $42,327.47 $160,549.49 $112,064.54 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 48 28 — — $30,202.09 $132,827.25 $78,415.67 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 57 31 — — $1,739.43 $128,358.13 $107,110.70 2026-04-01
465 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 33 23 — — $14,295.18 $42,768.36 $34,272.79 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 31 19 — — $34,645.26 $111,337.93 $95,014.33 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 48 28 — — $21,896.13 $70,198.84 $55,366.06 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 48 28 — — $18,477.61 $62,077.11 $45,879.35 2026-04-01
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 48 28 — — $17,356.15 $44,778.95 $40,714.72 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 30 19 — — $25,339.74 $67,976.16 $62,359.39 2026-04-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 48 28 — — $18,598.83 $48,389.68 $45,845.03 2026-04-01
479 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue Without Cc/mcc 48 28 — — $10,586.00 $50,518.76 $26,145.78 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 48 28 — — $8,972.00 $81,524.17 $40,629.65 2026-04-01
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 48 28 — — $16,129.04 $59,610.47 $39,361.94 2026-04-01
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/mcc 48 28 — — $9,888.00 $43,399.23 $22,902.83 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 48 28 — — $23,799.09 $63,499.65 $60,646.89 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 48 28 — — $26,809.29 $97,015.50 $69,000.38 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 48 28 — — $11,348.00 $62,454.12 $33,331.24 2026-04-01
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc 48 28 — — $15,533.10 $39,945.55 $37,708.15 2026-04-01
497 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 48 28 — — $10,127.65 $37,761.19 $22,707.58 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 48 28 — — $23,377.19 $96,365.69 $59,476.09 2026-04-01
501 MS_DRG Soft Tissue Procedures With Cc 48 28 — — $13,783.20 $41,580.51 $32,852.04 2026-04-01
502 MS_DRG Soft Tissue Procedures Without Cc/mcc 48 28 — — $11,059.47 $28,423.20 $25,293.50 2026-04-01
503 MS_DRG Foot Procedures With Mcc 48 28 — — $20,846.48 $81,306.30 $52,453.14 2026-04-01
504 MS_DRG Foot Procedures With Cc 48 28 — — $14,603.31 $45,017.13 $35,127.88 2026-04-01
506 MS_DRG Major Thumb Or Joint Procedures 26 16 — — $11,081.83 $26,548.21 $19,761.54 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 48 28 — — $10,710.00 $89,863.76 $43,487.64 2026-04-01
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 48 28 — — $11,165.00 $61,234.06 $30,300.73 2026-04-01
513 MS_DRG Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures With Cc/mcc 52 32 — — $5,430.47 $36,868.88 $29,585.82 2026-04-01
514 MS_DRG Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures Without Cc/mcc 48 28 — — $8,868.04 $22,699.91 $19,212.08 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 48 28 — — $23,526.87 $94,787.57 $59,891.41 2026-04-01
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 48 28 — — $16,017.99 $51,903.64 $39,053.73 2026-04-01
517 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures Without Cc/mc… 12 8 — — $10,207.96 $29,371.86 $23,780.76 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 35 22 — — $13,252.00 $89,342.77 $49,516.95 2026-04-01
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 52 32 — — $4,637.07 $50,780.20 $37,589.76 2026-04-01
520 MS_DRG Back And Neck Procedures Except Spinal Fusion Without Cc/mcc 48 28 — — $12,061.74 $39,786.42 $28,074.86 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 47 27 — — $21,382.16 $85,466.62 $53,939.67 2026-04-01
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 48 28 — — $16,286.16 $58,320.32 $39,797.94 2026-04-01
533 MS_DRG Fractures Of Femur With Mcc 48 28 — — $6,852.00 $49,490.05 $24,146.82 2026-04-01
53445 CPT Insj Inflatable Urethral/Bladder Neck Sphincter 4 3 — — $19,400.15 $20,370.16 $19,739.65 2026-04-01
535 MS_DRG Fractures Of Hip And Pelvis With Mcc 48 28 — — $10,626.74 $25,225.91 $23,870.71 2026-04-01
539 MS_DRG Osteomyelitis With Mcc 52 32 — — $7,813.94 $38,757.79 $33,221.97 2026-04-01
540 MS_DRG Osteomyelitis With Cc 60 32 — — $6,211.03 $25,507.30 $18,450.55 2026-04-01
542 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 60 32 — — $4,303.32 $52,794.06 $31,229.09 2026-04-01
543 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 48 28 — — $8,906.63 $28,434.57 $19,319.20 2026-04-01
54401 CPT Insj Penile Prosthesos Inflatable Self-contained 4 3 — — $19,400.15 $20,370.16 $19,739.65 2026-04-01
54405 CPT Insj Multi-component Inflatable Penile Prosth 4 3 — — $19,400.15 $20,370.16 $20,079.15 2026-04-01
54410 CPT Rmvl & Rplcmt Inflatable Penile Prosth Same Sess 5 3 — — $19,400.15 $20,370.16 $19,400.15 2026-04-01
545 MS_DRG Connective Tissue Disorders With Mcc 48 28 — — $8,480.00 $59,081.91 $32,077.84 2026-04-01
546 MS_DRG Connective Tissue Disorders With Cc 48 28 — — $9,755.86 $29,216.99 $21,675.85 2026-04-01
549 MS_DRG Septic Arthritis With Cc 48 28 — — $10,120.20 $26,204.74 $22,686.91 2026-04-01
551 MS_DRG Medical Back Problems With Mcc 48 28 — — $7,000.00 $33,835.79 $18,370.75 2026-04-01
555 MS_DRG Signs And Symptoms Of Musculoskeletal System And Connective Tissue With Mcc 48 28 — — $10,896.27 $42,290.95 $24,840.59 2026-04-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 48 28 — — $7,659.00 $59,328.19 $31,238.16 2026-04-01
562 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 48 28 — — $11,593.79 $38,248.08 $26,776.27 2026-04-01
565 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Cc 48 28 — — $8,543.64 $23,239.84 $18,311.90 2026-04-01
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 48 28 — — $10,718.84 $39,884.93 $24,348.21 2026-04-01
570 MS_DRG Skin Debridement With Mcc 48 28 — — $7,086.00 $57,872.02 $22,955.40 2026-04-01
571 MS_DRG Skin Debridement With Cc 48 28 — — $13,386.36 $33,244.29 $31,750.77 2026-04-01
58 MS_DRG Multiple Sclerosis And Cerebellar Ataxia With Mcc 54 32 — — $1,185.06 $40,853.02 $32,126.63 2026-04-01
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 48 28 — — $7,921.00 $45,706.73 $24,091.00 2026-04-01
581 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/mcc 45 25 — — $1,604.01 $43,888.01 $27,120.18 2026-04-01
602 MS_DRG Cellulitis With Mcc 28 17 — — $11,570.10 $28,349.31 $26,710.49 2026-04-01
604 MS_DRG Trauma To The Skin, Subcutaneous Tissue And Breast With Mcc 48 28 — — $11,914.12 $40,426.76 $27,665.18 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 48 28 — — $20,616.23 $62,315.82 $51,814.18 2026-04-01
614 MS_DRG Adrenal And Pituitary Procedures With Cc/mcc 52 32 — — $10,963.86 $62,990.26 $41,190.50 2026-04-01
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 48 28 — — $6,277.00 $36,801.89 $18,400.58 2026-04-01
62 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 48 28 — — $13,844.84 $44,304.80 $33,023.06 2026-04-01
620 MS_DRG O.r. Procedures For Obesity With Cc 34 22 — — $12,782.30 $43,753.50 $30,074.44 2026-04-01
621 MS_DRG O.r. Procedures For Obesity Without Cc/mcc 48 28 — — $12,159.94 $36,669.96 $28,347.36 2026-04-01
622 MS_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 8 4 — — $13,766.22 $22,037.53 $17,721.33 2026-04-01
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 26 18 — — $14,093.37 $33,712.76 $32,096.64 2026-04-01
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 48 28 — — $16,699.94 $44,657.18 $40,946.19 2026-04-01
630 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures Without Cc/mcc 48 28 — — $11,828.78 $42,541.02 $27,428.38 2026-04-01
63052 CPT Lam Facetec/Foramot DRG Arthrd Lumbar 1 Vrt Sgm 1 1 — — $25,398.09 $25,398.09 $25,398.09 2026-04-01
63655 CPT Surg Implnt Neuroelect,Epidural 5 3 — — $28,883.55 $30,327.72 $29,894.47 2026-04-01
63685 CPT Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj 4 3 — — $28,883.55 $30,327.72 $29,894.47 2026-04-01
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 48 28 — — $15,563.58 $41,838.16 $37,792.72 2026-04-01
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 60 32 — — $1,130.37 $26,280.60 $21,880.06 2026-04-01
642 MS_DRG Inborn And Other Disorders Of Metabolism 48 28 — — $11,575.50 $48,961.48 $26,725.53 2026-04-01
643 MS_DRG Endocrine Disorders With Mcc 48 28 — — $13,092.47 $33,159.45 $30,935.16 2026-04-01
64581 CPT Open Implantation Nea Sacral Nerve 6 3 — — $18,158.97 $19,066.92 $18,476.76 2026-04-01
64585 CPT Revj/Rmvl Perph Neurostimulator Electrode Array 5 3 — — $18,158.97 $19,066.92 $18,794.54 2026-04-01
64590 CPT Implant Neurostim/Receiver 4 3 — — $18,158.97 $19,066.92 $18,476.76 2026-04-01
65 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours 48 28 — — $8,786.76 $25,681.86 $18,986.57 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 48 28 — — $10,280.00 $125,343.98 $65,812.44 2026-04-01
657 MS_DRG Kidney And Ureter Procedures For Neoplasm With Cc 48 28 — — $14,337.84 $52,803.53 $34,391.19 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 48 28 — — $19,152.11 $53,152.12 $47,751.13 2026-04-01
660 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Cc 48 28 — — $10,895.60 $35,192.25 $24,838.71 2026-04-01
661 MS_DRG Kidney And Ureter Procedures For Non-neoplasm Without Cc/mcc 41 25 — — $8,956.76 $28,983.97 $19,458.27 2026-04-01
664 MS_DRG Minor Bladder Procedures Without Cc/mcc 48 28 — — $9,034.63 $31,876.87 $19,674.39 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 48 28 — — $21,719.40 $85,305.59 $54,875.56 2026-04-01
669 MS_DRG Transurethral Procedures With Cc 48 28 — — $12,455.21 $37,149.27 $29,166.74 2026-04-01
670 MS_DRG Transurethral Procedures Without Cc/mcc 48 28 — — $8,563.30 $31,533.97 $18,366.40 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 48 28 — — $30,398.48 $82,674.88 $62,084.69 2026-04-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 48 28 — — $17,782.11 $46,523.26 $43,949.31 2026-04-01
682 MS_DRG Renal Failure With Mcc 48 28 — — $11,974.38 $29,141.64 $25,253.70 2026-04-01
687 MS_DRG Kidney And Urinary Tract Neoplasms With Cc 48 28 — — $9,040.72 $26,966.33 $19,691.31 2026-04-01
689 MS_DRG Kidney And Urinary Tract Infections With Mcc 23 18 — — $9,802.58 $22,831.22 $22,417.63 2026-04-01
691 MS_DRG Lymphoma Myeloma And Non-acute Leukemia,major 4 4 — — $19,072.73 $20,026.37 $19,549.55 2026-04-01
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With Mcc 48 28 — — $13,148.66 $32,553.63 $28,756.63 2026-04-01
70 MS_DRG Other Cerebrovascular Disorders With Mcc 48 28 — — $13,219.09 $37,774.46 $31,286.59 2026-04-01
707 MS_DRG Major Male Pelvic Procedures With Cc/mcc 48 28 — — $15,491.11 $54,180.83 $37,591.64 2026-04-01
708 MS_DRG Major Male Pelvic Procedures Without Cc/mcc 16 9 — — $10,138.21 $29,171.15 $19,747.96 2026-04-01
710 MS_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure,extreme 16 4 — — $12,749.87 $49,120.77 $25,083.94 2026-04-01
713 MS_DRG Transurethral Prostatectomy With Cc/mcc 48 28 — — $12,126.09 $29,582.40 $28,038.61 2026-04-01
717 MS_DRG Other Male Reproductive System O.r. Procedures Except Malignancy With Cc/mcc 48 28 — — $14,747.55 $37,899.49 $35,528.17 2026-04-01
722 MS_DRG Malignancy, Male Reproductive System With Mcc 52 32 — — $2,047.71 $56,869.13 $34,009.69 2026-04-01
73 MS_DRG Cranial And Peripheral Nerve Disorders With Mcc 47 27 — — $12,809.38 $43,475.01 $30,149.61 2026-04-01
74 MS_DRG Cranial And Peripheral Nerve Disorders Without Mcc 48 28 — — $8,925.60 $20,919.08 $19,371.82 2026-04-01
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc 48 28 — — $14,370.36 $38,378.80 $34,481.40 2026-04-01
743 MS_DRG Uterine And Adnexa Procedures For Non-malignancy Without Cc/mcc 48 28 — — $10,347.06 $28,821.04 $23,316.48 2026-04-01
744 MS_DRG D&c, Conization, Laparoscopy And Tubal Interruption With Cc/mcc 48 28 — — $15,821.59 $40,320.14 $36,855.62 2026-04-01
745 MS_DRG D&c, Conization, Laparoscopy And Tubal Interruption Without Cc/mcc 37 23 — — $9,648.19 $31,477.13 $22,382.59 2026-04-01
748 MS_DRG Female Reproductive System Reconstructive Procedures 14 9 — — $9,316.20 $26,805.98 $24,780.83 2026-04-01
769 MS_DRG Postpartum And Post Abortion Diagnoses With O.r. Procedures 48 28 — — $13,388.39 $33,250.19 $29,791.03 2026-04-01
770 MS_DRG Abortion With D&c, Aspiration Curettage Or Hysterotomy 52 32 — — $2,732.19 $19,730.13 $17,800.73 2026-04-01
775 MS_DRG Alcohol Abuse And Dependence,extreme 4 4 — — $24,471.34 $25,694.91 $25,083.12 2026-04-01
783 MS_DRG Cesarean Section With Sterilization With Mcc 39 25 — — $12,612.10 $23,722.94 $19,499.60 2026-04-01
784 MS_DRG Cesarean Section With Sterilization With Cc 48 28 — — $9,124.01 $23,722.94 $19,922.46 2026-04-01
785 MS_DRG Cesarean Section With Sterilization Without Cc/mcc 39 25 — — $8,431.24 $20,142.33 $19,006.00 2026-04-01
786 MS_DRG Cesarean Section Without Sterilization With Mcc 39 25 — — $12,612.10 $23,722.94 $19,006.00 2026-04-01
787 MS_DRG Cesarean Section Without Sterilization With Cc 48 28 — — $9,508.01 $23,722.94 $20,988.02 2026-04-01
788 MS_DRG Cesarean Section Without Sterilization Without Cc/mcc 39 25 — — $8,438.02 $20,142.33 $19,006.00 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 27 13 — — $3,054.00 $44,304.49 $42,194.75 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 32 18 — — $4,302.90 $82,045.22 $31,464.50 2026-04-01
80 MS_DRG Nontraumatic Stupor And Coma With Mcc 48 28 — — $14,202.39 $35,615.37 $30,179.40 2026-04-01
805 MS_DRG Vaginal Delivery Without Sterilization Or D&c With Mcc 48 28 — — $9,253.36 $21,235.42 $20,281.41 2026-04-01
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 48 28 — — $16,897.01 $43,444.85 $38,517.10 2026-04-01
809 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 48 28 — — $10,517.71 $24,909.11 $23,520.23 2026-04-01
811 MS_DRG Red Blood Cell Disorders With Mcc 48 28 — — $11,454.97 $28,394.78 $26,391.01 2026-04-01
813 MS_DRG Coagulation Disorders 52 32 — — $7,551.91 $30,013.33 $28,664.96 2026-04-01
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 48 28 — — $17,396.11 $44,895.04 $42,878.11 2026-04-01
818 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Cc 48 28 — — $9,795.13 $23,899.13 $21,784.85 2026-04-01
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 48 28 — — $17,423.21 $56,223.11 $42,953.28 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 48 28 — — $33,623.33 $133,270.57 $87,909.90 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 48 28 — — $23,344.70 $62,179.32 $52,909.62 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 48 28 — — $23,851.92 $63,653.13 $59,021.28 2026-04-01
841 MS_DRG Lymphoma And Non-acute Leukemia With Cc 48 28 — — $7,665.00 $40,737.46 $22,117.93 2026-04-01
843 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 48 28 — — $15,453.88 $39,251.68 $31,577.54 2026-04-01
849 MS_DRG Radiotherapy 48 28 — — $20,293.88 $81,867.07 $50,919.63 2026-04-01
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 48 28 — — $9,282.00 $57,443.16 $30,433.69 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 48 28 — — $35,389.50 $101,083.00 $92,811.11 2026-04-01
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 48 28 — — $15,476.23 $42,787.31 $37,550.29 2026-04-01
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 48 28 — — $7,453.00 $42,138.30 $20,506.12 2026-04-01
858 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures Without Cc/mcc 48 28 — — $11,377.76 $33,794.11 $26,176.77 2026-04-01
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 48 28 — — $16,120.25 $41,187.90 $31,007.30 2026-04-01
87 MS_DRG Traumatic Stupor And Coma <1 Hour Without Cc/mcc 48 28 — — $8,139.36 $22,679.07 $17,189.96 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 3 1 — — $161,307.29 $161,307.29 $161,307.29 2026-04-01
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 48 28 — — $7,605.00 $39,153.65 $21,258.03 2026-04-01
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 48 28 — — $8,874.81 $20,553.44 $19,230.88 2026-04-01
890 MS_DRG HIV With Multiple Major HIV Related Conditions,extreme 4 4 — — $31,308.40 $32,873.82 $32,091.11 2026-04-01
903 MS_DRG Wound Debridements For Injuries Without Cc/mcc 48 28 — — $9,865.56 $37,914.65 $21,980.29 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 48 28 — — $27,944.96 $86,252.84 $72,151.96 2026-04-01
908 MS_DRG Other O.r. Procedures For Injuries With Cc 48 28 — — $15,456.59 $41,402.42 $37,495.79 2026-04-01
909 MS_DRG Other O.r. Procedures For Injuries Without Cc/mcc 48 28 — — $10,834.64 $25,830.00 $24,669.57 2026-04-01
91 MS_DRG Other Disorders Of Nervous System With Mcc 48 28 — — $13,838.06 $40,030.81 $33,004.27 2026-04-01
913 MS_DRG Traumatic Injury With Mcc 48 28 — — $13,014.58 $42,838.46 $30,719.04 2026-04-01
915 MS_DRG Allergic Reactions With Mcc 48 28 — — $13,332.86 $33,088.84 $27,385.01 2026-04-01
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 48 28 — — $12,566.28 $30,861.41 $27,589.62 2026-04-01
919 MS_DRG Complications Of Treatment With Mcc 48 28 — — $14,343.25 $36,024.65 $29,243.52 2026-04-01
92 MS_DRG Other Disorders Of Nervous System With Cc 37 22 — — $8,872.78 $26,765.51 $20,129.57 2026-04-01
920 MS_DRG Complications Of Treatment With Cc 48 28 — — $8,732.59 $20,731.52 $18,836.22 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 48 28 — — $26,517.40 $97,674.79 $68,190.40 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 13 9 — — $25,778.58 $67,889.44 $66,140.08 2026-04-01
947 MS_DRG Signs And Symptoms With Mcc 33 20 — — $10,541.41 $30,414.32 $24,977.98 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 48 28 — — $19,411.47 $50,750.92 $48,470.91 2026-04-01
952 MS_DRG Non-extensive O.r. Procedure Unrelated To Principal Diagnosis,extreme 4 4 — — $38,386.67 $40,306.00 $39,346.33 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 47 27 — — $27,428.25 $148,259.86 $74,044.55 2026-04-01
964 MS_DRG Other Multiple Significant Trauma With Cc 48 28 — — $12,323.82 $34,154.06 $28,802.15 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 48 28 — — $26,404.32 $79,915.74 $67,876.56 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 48 28 — — $21,489.15 $68,942.79 $54,236.60 2026-04-01
977 MS_DRG HIV With Or Without Other Related Condition 48 28 — — $10,733.06 $45,157.33 $24,387.68 2026-04-01
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 48 28 — — $6,965.00 $45,156.75 $21,065.67 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 1 1 — — $98,981.99 $98,981.99 $98,981.99 2026-04-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 34 21 — — $18,594.09 $59,494.91 $46,202.59 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 48 28 — — $25,162.32 $75,579.22 $64,429.92 2026-04-01
988 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 29 20 — — $13,075.52 $42,425.46 $32,341.12 2026-04-01
99 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis Without Cc/mcc 48 28 — — $11,171.21 $26,807.94 $22,084.20 2026-04-01
999 MS_DRG Ungroupable 46 27 — — $10,228.00 $161,307.29 $68,473.69 2026-04-01
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