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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

941 distinct procedures filed
32 distinct payers
60,107 rate rows
2026-04-01 last MRF observed
Data quality

32,023 of 60,107 rate rows are consumer-grade (53.3%)

28,084 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 28,011
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 73
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://rsfh.com/getContentAsset/62eca532-26ae-4371-b089-72ff70df5b06/7ac1fecb-c286-4874-bc71-62e245e8a59a/263710229_roper-st-francis-hospital-berkeley-inc_standardcharges.csv?language=en
Found on page https://www.rsfh.com/billing-financial-assistance/
Discovered viaCMS hospital list
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-11-03
Content fingerprint 1178d2c938977ad9… · 21,909,869 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 $73,364.81 $216,864.15 $162,524.71 nat. median
$93,094
1.7× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 23 $39,881.09 $147,277.35 $129,893.46 nat. median
$62,605
outlier · 2.1×
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 31 $2,263.83 $130,571.68 $120,927.32 nat. median
$59,289
outlier · 2.0×
428
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 27 $32,438.94 $110,624.09 $105,654.25 nat. median
$50,495
outlier · 2.1×
326
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Mcc 28 $28,777.30 $98,137.07 $93,728.21 nat. median
$46,321
outlier · 2.0×
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 28 $9,980.00 $97,176.83 $92,291.15 nat. median
$45,281
outlier · 2.0×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 7 $10,715.36 $260,309.36 $92,204.60 nat. median
$126,240
0.7× median
466
MS_DRG 		Revision Of Hip Or Knee Replacement With Mcc 26 $34,650.78 $97,825.08 $89,779.00 nat. median
$46,310
1.9× median
823
MS_DRG 		Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 28 $30,519.64 $90,215.11 $86,162.15 nat. median
$42,696
outlier · 2.0×
574
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Cc 23 $20,029.98 $94,240.55 $81,273.65 nat. median
$32,356
outlier · 2.5×
448
MS_DRG 		Multiple Level Spinal Fusion Except Cervical Without Mcc 27 $28,229.72 $86,239.66 $79,697.35 nat. median
$38,939
outlier · 2.0×
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 28 $9,190.00 $90,445.33 $79,096.82 nat. median
$42,583
1.9× median
163
MS_DRG 		Major Chest Procedures With Mcc 28 $25,859.99 $88,188.38 $78,735.31 nat. median
$42,632
1.8× median
423
MS_DRG 		Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 27 $27,645.28 $106,886.95 $78,047.33 nat. median
$38,534
outlier · 2.0×
402
MS_DRG 		Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 28 $1,980.00 $114,087.19 $75,557.26 nat. median
$36,878
outlier · 2.0×
463
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 32 $1,713.47 $117,664.74 $72,772.00 nat. median
$49,857
1.5× median
907
MS_DRG 		Other O.r. Procedures For Injuries With Mcc 28 $25,557.06 $79,067.20 $72,151.96 nat. median
$35,875
outlier · 2.0×
166
MS_DRG 		Other Respiratory System O.r. Procedures With Mcc 28 $21,566.53 $74,277.81 $70,242.60 nat. median
$35,655
2.0× median
492
MS_DRG 		Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 28 $10,455.00 $88,933.24 $69,000.38 nat. median
$33,640
outlier · 2.1×
467
MS_DRG 		Revision Of Hip Or Knee Replacement With Cc 28 $20,348.48 $70,220.60 $66,275.39 nat. median
$32,654
outlier · 2.0×
515
MS_DRG 		Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 20 $21,214.24 $86,890.91 $62,708.63 nat. median
$30,137
outlier · 2.1×
356
MS_DRG 		Other Digestive System O.r. Procedures With Mcc 28 $1,980.00 $86,437.13 $61,898.17 nat. median
$40,214
1.5× median
451
MS_DRG 		Single Level Spinal Fusion Except Cervical Without Mcc 28 $21,503.80 $86,239.66 $60,708.91 nat. median
$30,035
outlier · 2.0×
464
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 28 $17,971.82 $67,637.40 $58,534.56 nat. median
$28,658
outlier · 2.0×
469
MS_DRG 		Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 28 $20,191.10 $72,130.93 $57,002.93 nat. median
$29,426
1.9× median
498
MS_DRG 		Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 28 $1,980.00 $73,084.30 $56,694.72 nat. median
$26,319
outlier · 2.2×
485
MS_DRG 		Knee Procedures With Principal Diagnosis Of Infection With Mcc 27 $18,620.37 $63,499.65 $55,960.03 nat. median
$30,552
1.8× median
472
MS_DRG 		Cervical Spinal Fusion With Cc 27 $21,448.70 $64,093.19 $55,366.06 nat. median
$28,196
2.0× median
480
MS_DRG 		Hip And Femur Procedures Except Major Joint With Mcc 28 $8,972.00 $74,732.47 $54,730.85 nat. median
$27,774
2.0× median
974
MS_DRG 		HIV With Major Related Condition With Mcc 28 $16,652.22 $63,199.23 $54,236.60 nat. median
$27,471
2.0× median
521
MS_DRG 		Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 28 $8,990.00 $78,346.48 $53,939.67 nat. median
$27,582
2.0× median
840
MS_DRG 		Lymphoma And Non-acute Leukemia With Mcc 28 $6,965.00 $63,653.13 $53,887.82 nat. median
$29,795
1.8× median
654
MS_DRG 		Major Bladder Procedures With Cc 28 $18,634.10 $71,931.22 $52,607.24 nat. median
$26,712
2.0× median
483
MS_DRG 		Major Joint Or Limb Reattachment Procedures Of Upper Extremities 28 $15,993.86 $57,318.86 $52,092.32 nat. median
$25,369
outlier · 2.1×
468
MS_DRG 		Revision Of Hip Or Knee Replacement Without Cc/mcc 28 $15,855.96 $58,652.62 $51,643.16 nat. median
$25,684
outlier · 2.0×
963
MS_DRG 		Other Multiple Significant Trauma With Mcc 28 $18,198.09 $75,305.57 $51,376.30 nat. median
$25,647
outlier · 2.0×
579
MS_DRG 		Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 28 $18,686.15 $63,723.96 $51,324.37 nat. median
$30,192
1.7× median
143
MS_DRG 		Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 28 $21,617.88 $73,721.85 $50,917.89 nat. median
$32,984
1.5× median
659
MS_DRG 		Kidney And Ureter Procedures For Non-neoplasm With Mcc 28 $14,660.99 $49,997.29 $47,751.13 nat. median
$24,280
2.0× median
510
MS_DRG 		Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 27 $10,710.00 $82,047.73 $47,442.35 nat. median
$27,696
1.7× median
164
MS_DRG 		Major Chest Procedures With Cc 28 $14,563.48 $70,356.52 $47,433.53 nat. median
$24,187
2.0× median
335
MS_DRG 		Peritoneal Adhesiolysis With Mcc 28 $7,803.00 $82,807.99 $47,207.10 nat. median
$33,068
1.4× median
208
MS_DRG 		Respiratory System Diagnosis With Ventilator Support <=96 Hours 28 $15,860.00 $54,086.17 $47,140.17 nat. median
$25,361
1.9× median
350
MS_DRG 		Inguinal And Femoral Hernia Procedures With Mcc 28 $14,378.26 $56,978.84 $46,830.28 nat. median
$23,349
outlier · 2.0×
982
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 28 $14,185.55 $54,538.45 $46,202.59 nat. median
$23,126
2.0× median
327
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Cc 28 $14,103.03 $56,872.53 $45,933.85 nat. median
$23,547
2.0× median
473
MS_DRG 		Cervical Spinal Fusion Without Cc/mcc 28 $16,251.00 $56,905.53 $45,879.35 nat. median
$23,474
2.0× median
330
MS_DRG 		Major Small And Large Bowel Procedures With Cc 28 $9,386.00 $50,201.98 $45,050.58 nat. median
$22,930
2.0× median
397
MS_DRG 		Appendix Procedures With Mcc 28 $13,818.57 $47,124.45 $45,007.36 nat. median
$22,922
2.0× median
417
MS_DRG 		Laparoscopic Cholecystectomy Without C.d.e. With Mcc 28 $13,769.53 $48,309.01 $44,847.62 nat. median
$22,528
2.0× median

Other procedures at this hospital

Browse this hospital's 941 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
             
770 MS_DRG Abortion With D&c, Aspiration Curettage Or Hysterotomy 48 28 — — $1,980.00 $19,730.13 $16,252.49 2026-04-01
289 MS_DRG Acute And Subacute Endocarditis With Cc 48 28 — — $9,848.81 $33,586.67 $29,507.36 2026-04-01
835 MS_DRG Acute Leukemia With Cc 20 11 — — $6,965.00 $42,028.10 $14,011.64 2026-04-01
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 108 32 — — $7,353.00 $31,563.88 $14,961.50 2026-04-01
283 MS_DRG Acute Myocardial Infarction, Expired With Mcc 52 32 — — $1,980.00 $38,976.20 $15,670.15 2026-04-01
560 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Cc 60 32 — — $3,406.98 $36,767.08 $21,162.80 2026-04-01
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Mcc 96 28 — — $6,872.00 $40,443.62 $22,389.81 2026-04-01
561 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue Without Cc/mcc 74 32 — — $1,235.48 $25,537.76 $15,107.69 2026-04-01
915 MS_DRG Allergic Reactions With Mcc 96 28 — — $9,702.83 $33,088.84 $25,003.16 2026-04-01
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 48 28 — — $15,148.65 $44,778.95 $37,322.82 2026-04-01
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 73 28 — — $10,791.63 $36,801.89 $30,943.03 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 48 28 — — $7,448.00 $68,621.57 $26,802.46 2026-04-01
398 MS_DRG Appendix Procedures With Cc 96 28 — — $8,733.47 $36,140.14 $28,445.08 2026-04-01
397 MS_DRG Appendix Procedures With Mcc 48 28 — — $13,818.57 $47,124.45 $45,007.36 2026-04-01
399 MS_DRG Appendix Procedures Without Cc/mcc 62 23 — — $7,619.92 $32,140.59 $21,119.57 2026-04-01
23472 CPT Arthroplasty Glenohumeral Joint Total Shoulder|LEFT Side 14 3 — — $16,559.32 $17,461.77 $16,630.26 2026-04-01
24363 CPT Arthrp Elbow W/Distal Hum&Prox Ur Prostc Rplcm|RIGHT Side 3 1 — — $16,559.32 $16,559.32 $16,559.32 2026-04-01
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 47 29 — — $4,246.84 $46,363.52 $37,589.76 2026-04-01
520 MS_DRG Back And Neck Procedures Except Spinal Fusion Without Cc/mcc 76 28 — — $9,944.44 $36,471.85 $28,074.86 2026-04-01
726 MS_DRG Benign Prostatic Hypertrophy Without Mcc 48 28 — — $4,806.14 $19,575.77 $13,568.55 2026-04-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 48 28 — — $14,189.58 $48,389.68 $41,857.59 2026-04-01
553 MS_DRG Bone Diseases And Arthropathies With Mcc 96 28 — — $7,479.65 $37,230.77 $24,361.37 2026-04-01
554 MS_DRG Bone Diseases And Arthropathies Without Mcc 96 28 — — $4,789.68 $16,333.88 $14,427.63 2026-04-01
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 96 28 — — $6,947.08 $23,691.11 $22,149.12 2026-04-01
306 MS_DRG Cardiac Congenital And Valvular Disorders With Mcc 37 22 — — $9,092.37 $42,305.59 $29,614.01 2026-04-01
602 MS_DRG Cellulitis With Mcc 96 28 — — $5,936.00 $27,966.92 $14,890.59 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 45 27 — — $21,448.70 $64,093.19 $55,366.06 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 93 28 — — $16,251.00 $56,905.53 $45,879.35 2026-04-01
784 MS_DRG Cesarean Section With Sterilization With Cc 39 25 — — $1,980.00 $21,659.60 $19,006.00 2026-04-01
783 MS_DRG Cesarean Section With Sterilization With Mcc 48 28 — — $1,980.00 $48,309.00 $21,659.60 2026-04-01
785 MS_DRG Cesarean Section With Sterilization Without Cc/mcc 39 25 — — $5,526.51 $19,006.00 $18,390.43 2026-04-01
787 MS_DRG Cesarean Section Without Sterilization With Cc 39 25 — — $6,443.94 $21,659.60 $19,006.00 2026-04-01
786 MS_DRG Cesarean Section Without Sterilization With Mcc 45 27 — — $12,524.20 $32,457.21 $21,659.60 2026-04-01
788 MS_DRG Cesarean Section Without Sterilization Without Cc/mcc 39 25 — — $5,532.28 $19,006.00 $18,390.43 2026-04-01
263 MS_DRG Cholecystectomy,moderate 4 4 — — $26,500.39 $27,825.41 $27,162.90 2026-04-01
191 MS_DRG Chronic Obstructive Pulmonary Disease With Cc 65 28 — — $4,864.11 $16,587.71 $15,228.88 2026-04-01
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 66 28 — — $6,308.00 $21,796.21 $17,899.18 2026-04-01
192 MS_DRG Chronic Obstructive Pulmonary Disease Without Cc/mcc 30 18 — — $5,611.59 $16,587.71 $15,228.88 2026-04-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 24 18 — — $12,767.86 $43,541.27 $34,172.43 2026-04-01
433 MS_DRG Cirrhosis And Alcoholic Hepatitis With Cc 86 28 — — $6,094.27 $20,782.85 $19,589.12 2026-04-01
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 82 28 — — $11,356.51 $38,728.27 $36,357.07 2026-04-01
813 MS_DRG Coagulation Disorders 93 32 — — $6,916.38 $30,013.33 $26,520.13 2026-04-01
381 MS_DRG Complicated Peptic Ulcer With Cc 96 28 — — $6,251.80 $21,320.03 $17,273.02 2026-04-01
380 MS_DRG Complicated Peptic Ulcer With Mcc 96 28 — — $7,231.00 $38,610.21 $31,072.76 2026-04-01
920 MS_DRG Complications Of Treatment With Cc 86 28 — — $5,783.27 $19,722.26 $18,836.22 2026-04-01
919 MS_DRG Complications Of Treatment With Mcc 96 28 — — $10,563.72 $36,024.65 $26,700.02 2026-04-01
546 MS_DRG Connective Tissue Disorders With Cc 96 28 — — $6,655.12 $26,782.96 $21,675.85 2026-04-01
20985 CPT Cptr-asst Surgical Navigation Image-less 12 3 — — $16,559.32 $17,461.77 $16,921.29 2026-04-01
73 MS_DRG Cranial And Peripheral Nerve Disorders With Mcc 96 28 — — $6,965.00 $39,853.15 $30,149.61 2026-04-01
74 MS_DRG Cranial And Peripheral Nerve Disorders Without Mcc 87 28 — — $1,980.00 $20,283.05 $19,099.61 2026-04-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 96 28 — — $7,659.00 $54,385.62 $29,033.12 2026-04-01
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 96 28 — — $6,407.00 $36,562.16 $24,348.21 2026-04-01
158 MS_DRG Dental And Oral Diseases With Cc 48 28 — — $5,249.55 $17,902.13 $16,658.97 2026-04-01
157 MS_DRG Dental And Oral Diseases With Mcc 48 28 — — $9,905.94 $33,781.47 $27,020.02 2026-04-01
638 MS_DRG Diabetes With Cc 96 28 — — $5,171.07 $17,634.53 $13,874.12 2026-04-01
375 MS_DRG Digestive Malignancy With Cc 96 28 — — $6,495.00 $23,801.30 $22,318.63 2026-04-01
374 MS_DRG Digestive Malignancy With Mcc 96 28 — — $7,308.00 $42,083.20 $18,633.32 2026-04-01
442 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc 96 28 — — $1,980.00 $18,994.21 $15,927.30 2026-04-01
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 96 28 — — $10,355.42 $35,314.31 $30,685.30 2026-04-01
439 MS_DRG Disorders Of Pancreas Except Malignancy With Cc 80 28 — — $4,853.72 $17,757.47 $15,808.67 2026-04-01
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 77 28 — — $9,406.25 $32,077.45 $26,698.29 2026-04-01
445 MS_DRG Disorders Of The Biliary Tract With Cc 89 28 — — $1,980.00 $22,941.44 $20,567.06 2026-04-01
444 MS_DRG Disorders Of The Biliary Tract With Mcc 96 28 — — $9,641.09 $32,878.30 $27,730.94 2026-04-01
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 48 28 — — $12,217.40 $58,532.13 $39,792.30 2026-04-01
644 MS_DRG Endocrine Disorders With Cc 96 28 — — $5,914.25 $20,168.93 $19,262.83 2026-04-01
643 MS_DRG Endocrine Disorders With Mcc 96 28 — — $6,313.00 $32,390.31 $30,275.36 2026-04-01
645 MS_DRG Endocrine Disorders Without Cc/mcc 96 28 — — $4,433.09 $15,117.84 $14,438.66 2026-04-01
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 96 28 — — $6,965.00 $24,956.34 $21,564.47 2026-04-01
392 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc 82 28 — — $1,980.00 $15,340.19 $13,977.90 2026-04-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 96 28 — — $14,185.55 $54,538.45 $46,202.59 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 12 8 — — $27,071.69 $88,173.00 $34,661.51 2026-04-01
983 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/mcc 48 28 — — $11,409.58 $34,398.26 $32,211.20 2026-04-01
504 MS_DRG Foot Procedures With Cc 96 28 — — $10,785.28 $41,266.80 $35,127.88 2026-04-01
562 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 67 28 — — $8,221.10 $35,061.67 $26,776.27 2026-04-01
563 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 75 28 — — $5,167.04 $18,221.16 $16,829.13 2026-04-01
533 MS_DRG Fractures Of Femur With Mcc 48 28 — — $1,980.00 $45,185.58 $19,300.59 2026-04-01
535 MS_DRG Fractures Of Hip And Pelvis With Mcc 96 28 — — $7,397.14 $25,225.91 $21,794.52 2026-04-01
536 MS_DRG Fractures Of Hip And Pelvis Without Mcc 78 28 — — $4,659.85 $16,699.84 $15,177.23 2026-04-01
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 95 28 — — $10,547.56 $35,969.56 $28,829.31 2026-04-01
389 MS_DRG Gastrointestinal Obstruction With Cc 96 28 — — $4,557.15 $15,540.89 $14,842.71 2026-04-01
388 MS_DRG Gastrointestinal Obstruction With Mcc 96 28 — — $8,521.14 $29,058.99 $21,870.63 2026-04-01
513 MS_DRG Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures With Cc/mcc 81 28 — — $9,083.71 $33,797.37 $29,585.82 2026-04-01
514 MS_DRG Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures Without Cc/mcc 48 28 — — $6,805.14 $20,808.80 $19,212.08 2026-04-01
102 MS_DRG Headaches With Mcc 96 28 — — $1,980.00 $22,823.34 $21,065.07 2026-04-01
103 MS_DRG Headaches Without Mcc 48 28 — — $4,825.45 $19,066.75 $15,716.59 2026-04-01
292 MS_DRG Heart Failure And Shock With Cc 82 28 — — $4,898.73 $16,705.77 $14,197.57 2026-04-01
291 MS_DRG Heart Failure And Shock With Mcc 96 28 — — $6,349.00 $25,261.33 $19,954.10 2026-04-01
421 MS_DRG Hepatobiliary Diagnostic Procedures With Cc 48 28 — — $11,566.02 $41,634.97 $32,652.84 2026-04-01
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 96 28 — — $9,707.45 $41,100.08 $31,617.34 2026-04-01
355 MS_DRG Hernia Procedures Except Inguinal And Femoral Without Cc/mcc 65 28 — — $8,745.87 $33,577.40 $25,054.83 2026-04-01
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 96 28 — — $12,085.27 $54,644.38 $39,361.94 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 95 28 — — $8,972.00 $74,732.47 $54,730.85 2026-04-01
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/mcc 96 28 — — $9,410.87 $39,783.68 $30,651.38 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 96 28 — — $8,990.00 $78,346.48 $53,939.67 2026-04-01
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 96 28 — — $12,219.13 $53,461.71 $39,797.94 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 96 28 — — $16,652.22 $63,199.23 $54,236.60 2026-04-01
890 MS_DRG HIV With Multiple Major HIV Related Conditions,extreme 4 4 — — $28,673.65 $30,107.33 $29,390.49 2026-04-01
305 MS_DRG Hypertension Without Mcc 77 28 — — $4,356.93 $15,795.03 $14,190.59 2026-04-01
199 MS_DRG Hypertension,major 4 4 — — $17,065.05 $17,918.30 $17,491.67 2026-04-01
64590 CPT Implant Neurostim/Receiver 9 3 — — $18,321.89 $19,320.40 $18,400.38 2026-04-01
758 MS_DRG Infections, Female Reproductive System With Cc 48 28 — — $5,648.83 $19,263.78 $14,903.30 2026-04-01
757 MS_DRG Infections, Female Reproductive System With Mcc 48 28 — — $9,531.73 $41,225.12 $26,909.70 2026-04-01
710 MS_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure,major 16 4 — — $22,337.86 $54,190.57 $35,586.22 2026-04-01
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 96 28 — — $11,529.04 $39,316.61 $37,550.29 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 95 28 — — $9,980.00 $97,176.83 $92,291.15 2026-04-01
728 MS_DRG Inflammation Of The Male Reproductive System Without Mcc 48 28 — — $5,399.92 $15,961.98 $13,407.11 2026-04-01
386 MS_DRG Inflammatory Bowel Disease With Cc 65 28 — — $5,633.25 $19,210.66 $18,222.90 2026-04-01
385 MS_DRG Inflammatory Bowel Disease With Mcc 52 32 — — $4,336.79 $31,134.92 $19,715.39 2026-04-01
351 MS_DRG Inguinal And Femoral Hernia Procedures With Cc 99 32 — — $8,796.37 $37,590.27 $28,649.93 2026-04-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 48 28 — — $14,378.26 $56,978.84 $46,830.28 2026-04-01
352 MS_DRG Inguinal And Femoral Hernia Procedures Without Cc/mcc 46 21 — — $7,773.69 $24,221.33 $21,946.47 2026-04-01
197 MS_DRG Interstitial Lung Disease With Cc 48 28 — — $6,317.88 $21,437.48 $17,836.44 2026-04-01
196 MS_DRG Interstitial Lung Disease With Mcc 96 28 — — $7,389.00 $37,134.43 $24,854.40 2026-04-01
65 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours 96 28 — — $5,829.43 $23,542.33 $18,986.57 2026-04-01
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 96 28 — — $8,589.00 $39,570.45 $37,792.72 2026-04-01
660 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Cc 96 28 — — $7,626.21 $32,260.42 $24,838.71 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 96 28 — — $14,660.99 $49,997.29 $47,751.13 2026-04-01
661 MS_DRG Kidney And Ureter Procedures For Non-neoplasm Without Cc/mcc 88 28 — — $1,980.00 $26,569.34 $19,458.27 2026-04-01
689 MS_DRG Kidney And Urinary Tract Infections With Mcc 72 28 — — $5,738.00 $22,831.22 $20,467.82 2026-04-01
687 MS_DRG Kidney And Urinary Tract Neoplasms With Cc 48 28 — — $6,974.89 $24,719.79 $19,691.31 2026-04-01
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 77 28 — — $12,065.65 $41,146.57 $39,249.17 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 91 27 — — $18,620.37 $63,499.65 $55,960.03 2026-04-01
487 MS_DRG Knee Procedures With Principal Diagnosis Of Infection Without Cc/mcc 48 28 — — $9,036.97 $31,358.17 $29,433.60 2026-04-01
488 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection With Cc/mcc 72 28 — — $10,206.55 $60,028.07 $34,688.87 2026-04-01
489 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection Without Cc/mcc 48 28 — — $7,434.21 $33,021.08 $18,949.39 2026-04-01
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 93 28 — — $11,260.47 $36,562.16 $31,790.24 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 96 28 — — $13,769.53 $48,309.01 $44,847.62 2026-04-01
419 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. Without Cc/mcc 68 28 — — $9,091.71 $33,087.07 $25,667.48 2026-04-01
496 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 48 28 — — $10,408.50 $39,882.25 $33,900.69 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 48 28 — — $1,980.00 $73,084.30 $56,694.72 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 96 28 — — $11,348.00 $57,251.13 $31,089.97 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 77 28 — — $10,455.00 $88,933.24 $69,000.38 2026-04-01
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc 96 28 — — $11,577.51 $39,481.90 $36,471.23 2026-04-01
841 MS_DRG Lymphoma And Non-acute Leukemia With Cc 48 28 — — $10,859.74 $37,343.66 $30,658.90 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 96 28 — — $6,965.00 $63,653.13 $53,887.82 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 48 28 — — $30,519.64 $90,215.11 $86,162.15 2026-04-01
825 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures Without Cc/mcc 48 28 — — $8,982.55 $36,016.84 $25,359.27 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 48 28 — — $18,634.10 $71,931.22 $52,607.24 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 48 28 — — $14,563.48 $70,356.52 $47,433.53 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 48 28 — — $25,859.99 $88,188.38 $78,735.31 2026-04-01
184 MS_DRG Major Chest Trauma With Cc 48 28 — — $7,083.39 $27,725.97 $19,997.63 2026-04-01
183 MS_DRG Major Chest Trauma With Mcc 48 28 — — $10,184.08 $30,103.84 $25,258.16 2026-04-01
369 MS_DRG Major Esophageal Disorders With Cc 86 28 — — $5,771.15 $19,680.94 $16,152.16 2026-04-01
368 MS_DRG Major Esophageal Disorders With Mcc 48 28 — — $9,185.26 $31,323.82 $29,916.58 2026-04-01
372 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Cc 75 28 — — $5,330.00 $20,090.22 $16,968.59 2026-04-01
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 96 28 — — $6,408.00 $34,889.29 $23,901.33 2026-04-01
809 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 96 28 — — $7,304.24 $24,909.11 $21,474.52 2026-04-01
810 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 48 28 — — $6,038.88 $20,593.95 $15,840.81 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 48 28 — — $20,191.10 $72,130.93 $57,002.93 2026-04-01
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 82 28 — — $12,840.11 $42,105.61 $36,249.82 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 96 28 — — $15,993.86 $57,318.86 $52,092.32 2026-04-01
231 MS_DRG Major Large Bowel Procedures,moderate 4 4 — — $35,401.73 $37,171.82 $36,286.78 2026-04-01
137 MS_DRG Major Respiratory Infections And Inflammations,extreme 8 4 — — $9,282.09 $18,122.81 $13,503.01 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 96 28 — — $9,386.00 $50,201.98 $45,050.58 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 96 28 — — $9,190.00 $90,445.33 $79,096.82 2026-04-01
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/mcc 71 28 — — $11,202.56 $39,038.65 $31,626.74 2026-04-01
506 MS_DRG Major Thumb Or Joint Procedures 48 28 — — $8,981.22 $26,548.21 $18,115.23 2026-04-01
436 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Cc 48 28 — — $6,526.45 $22,256.65 $19,487.07 2026-04-01
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Mcc 87 28 — — $6,965.00 $36,140.75 $31,564.00 2026-04-01
723 MS_DRG Malignancy, Male Reproductive System With Cc 48 28 — — $7,606.62 $30,768.62 $21,474.76 2026-04-01
598 MS_DRG Malignant Breast Disorders With Cc 79 28 — — $6,527.60 $33,302.42 $21,260.52 2026-04-01
597 MS_DRG Malignant Breast Disorders With Mcc 48 28 — — $9,619.17 $48,041.35 $31,329.81 2026-04-01
362 MS_DRG Mastectomy Procedures,moderate 4 4 — — $17,828.40 $18,719.82 $18,274.11 2026-04-01
551 MS_DRG Medical Back Problems With Mcc 48 28 — — $7,000.00 $32,980.62 $15,594.73 2026-04-01
552 MS_DRG Medical Back Problems Without Mcc 96 28 — — $5,546.70 $20,866.11 $18,065.71 2026-04-01
663 MS_DRG Minor Bladder Procedures With Cc 45 27 — — $11,810.60 $32,463.46 $28,569.12 2026-04-01
664 MS_DRG Minor Bladder Procedures Without Cc/mcc 48 28 — — $6,040.61 $29,104.34 $19,674.39 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 48 28 — — $17,192.92 $50,821.76 $35,059.93 2026-04-01
346 MS_DRG Minor Small And Large Bowel Procedures Without Cc/mcc 63 28 — — $1,980.00 $24,704.16 $22,292.26 2026-04-01
641 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou… 80 28 — — $4,490.21 $15,312.64 $13,630.23 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 47 27 — — $73,364.81 $216,864.15 $162,524.71 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 94 27 — — $32,438.94 $110,624.09 $105,654.25 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 47 27 — — $28,229.72 $86,239.66 $79,697.35 2026-04-01
59 MS_DRG Multiple Sclerosis And Cerebellar Ataxia With Cc 48 28 — — $7,159.99 $24,417.19 $18,314.32 2026-04-01
828 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 48 28 — — $11,341.68 $43,666.88 $32,019.51 2026-04-01
99 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis Without Cc/mcc 48 28 — — $7,861.05 $26,807.94 $20,163.39 2026-04-01
988 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 96 28 — — $9,483.57 $38,891.03 $30,888.17 2026-04-01
600 MS_DRG Non-malignant Breast Disorders With Cc/mcc 48 28 — — $6,010.03 $20,495.56 $13,737.47 2026-04-01
64581 CPT Open Implantation Nea Sacral Nerve|BILATERAL Procedure 10 3 — — $18,321.89 $19,320.40 $19,003.78 2026-04-01
539 MS_DRG Osteomyelitis With Mcc 56 32 — — $5,816.87 $38,757.79 $13,767.29 2026-04-01
253 MS_DRG Other And Unspecified Gastrointestinal Hemorrhage,moderate 4 4 — — $14,275.94 $14,989.74 $14,632.84 2026-04-01
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 48 28 — — $1,980.00 $44,895.04 $40,058.68 2026-04-01
314 MS_DRG Other Circulatory System Diagnoses With Mcc 96 28 — — $12,031.60 $41,030.48 $31,858.06 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 56 32 — — $9,370.00 $83,800.96 $33,095.11 2026-04-01
394 MS_DRG Other Digestive System Diagnoses With Cc 96 28 — — $1,980.00 $19,167.65 $17,584.61 2026-04-01
393 MS_DRG Other Digestive System Diagnoses With Mcc 71 28 — — $9,227.96 $31,469.43 $23,476.33 2026-04-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 96 28 — — $1,980.00 $48,079.76 $43,703.12 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 96 28 — — $1,980.00 $86,437.13 $61,898.17 2026-04-01
358 MS_DRG Other Digestive System O.r. Procedures Without Cc/mcc 48 28 — — $8,065.88 $36,889.82 $16,323.63 2026-04-01
92 MS_DRG Other Disorders Of Nervous System With Cc 96 28 — — $5,902.71 $24,535.70 $19,225.24 2026-04-01
91 MS_DRG Other Disorders Of Nervous System With Mcc 74 28 — — $7,501.00 $36,695.88 $27,849.76 2026-04-01
155 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses With Cc 96 28 — — $5,288.21 $18,033.97 $15,430.87 2026-04-01
154 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses With Mcc 96 28 — — $9,021.40 $36,305.13 $29,382.86 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 48 28 — — $21,617.88 $73,721.85 $50,917.89 2026-04-01
145 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures Without Cc/mcc 48 28 — — $8,003.35 $23,657.66 $19,683.44 2026-04-01
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 48 28 — — $14,503.62 $42,872.25 $40,936.83 2026-04-01
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 47 27 — — $14,564.19 $58,232.35 $41,117.20 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 47 27 — — $27,645.28 $106,886.95 $78,047.33 2026-04-01
868 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Cc 48 28 — — $6,863.72 $20,288.95 $13,242.12 2026-04-01
922 MS_DRG Other Injury, Poisoning And Toxic Effect Diagnoses With Mcc 48 28 — — $10,094.04 $34,422.94 $24,397.76 2026-04-01
699 MS_DRG Other Kidney And Urinary Tract Diagnoses With Cc 96 28 — — $5,856.55 $19,972.16 $17,868.05 2026-04-01
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With Mcc 96 28 — — $6,477.00 $32,553.63 $15,104.65 2026-04-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 47 27 — — $15,567.34 $46,016.63 $42,647.45 2026-04-01
729 MS_DRG Other Male Reproductive System Diagnoses With Cc/mcc 48 28 — — $6,108.70 $27,708.45 $19,896.15 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 48 28 — — $18,198.09 $75,305.57 $51,376.30 2026-04-01
565 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Cc 48 28 — — $5,622.29 $21,218.52 $18,311.90 2026-04-01
564 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc 52 32 — — $2,529.23 $30,373.42 $29,008.87 2026-04-01
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 96 28 — — $11,990.64 $47,579.60 $39,053.73 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 35 20 — — $21,214.24 $86,890.91 $62,708.63 2026-04-01
517 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures Without Cc/mc… 96 28 — — $8,866.76 $39,604.80 $28,879.20 2026-04-01
843 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 48 28 — — $11,510.00 $39,251.68 $28,831.04 2026-04-01
908 MS_DRG Other O.r. Procedures For Injuries With Cc 96 28 — — $11,512.30 $39,259.55 $37,495.79 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 48 28 — — $25,557.06 $79,067.20 $72,151.96 2026-04-01
909 MS_DRG Other O.r. Procedures For Injuries Without Cc/mcc 48 28 — — $8,738.25 $25,830.00 $22,620.15 2026-04-01
803 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Cc 48 28 — — $1,980.00 $51,770.64 $34,934.31 2026-04-01
804 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs Without Cc/mcc 33 21 — — $9,026.48 $33,767.85 $25,483.31 2026-04-01
139 MS_DRG Other Pneumonia,moderate 8 4 — — $12,385.80 $18,686.76 $15,401.00 2026-04-01
205 MS_DRG Other Respiratory System Diagnoses With Mcc 96 28 — — $10,564.87 $36,028.59 $25,779.81 2026-04-01
206 MS_DRG Other Respiratory System Diagnoses Without Mcc 48 28 — — $6,264.61 $18,518.02 $17,686.09 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 48 28 — — $21,566.53 $74,277.81 $70,242.60 2026-04-01
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 93 28 — — $11,502.78 $41,898.95 $32,474.30 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 48 28 — — $18,686.15 $63,723.96 $51,324.37 2026-04-01
581 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/mcc 50 30 — — $2,651.63 $40,070.79 $27,120.18 2026-04-01
542 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 87 32 — — $4,582.80 $48,395.84 $27,871.90 2026-04-01
543 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 96 28 — — $5,520.00 $26,065.71 $19,319.20 2026-04-01
299 MS_DRG Peripheral Vascular Disorders With Mcc 48 28 — — $9,420.68 $32,126.64 $25,869.75 2026-04-01
336 MS_DRG Peritoneal Adhesiolysis With Cc 96 28 — — $12,167.20 $49,231.18 $39,628.80 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 95 28 — — $7,803.00 $82,807.99 $47,207.10 2026-04-01
337 MS_DRG Peritoneal Adhesiolysis Without Cc/mcc 96 28 — — $8,856.95 $35,683.40 $28,847.26 2026-04-01
187 MS_DRG Pleural Effusion With Cc 48 28 — — $6,584.13 $19,462.52 $17,757.47 2026-04-01
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 84 28 — — $1,980.00 $30,861.41 $25,189.97 2026-04-01
721 MS_DRG Post-operative Post-traumatic Other Device Infections,extreme 12 4 — — $12,792.49 $44,953.08 $15,253.05 2026-04-01
862 MS_DRG Postoperative And Post-traumatic Infections With Mcc 72 28 — — $10,522.75 $35,884.94 $26,261.42 2026-04-01
863 MS_DRG Postoperative And Post-traumatic Infections Without Mcc 96 28 — — $5,757.88 $19,635.68 $15,854.65 2026-04-01
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 48 28 — — $12,356.46 $42,138.30 $34,483.78 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 48 28 — — $9,394.00 $89,504.77 $43,003.50 2026-04-01
858 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures Without Cc/mcc 96 28 — — $1,980.00 $30,978.76 $16,943.43 2026-04-01
769 MS_DRG Postpartum And Post Abortion Diagnoses With O.r. Procedures 42 26 — — $9,750.15 $33,250.19 $27,199.91 2026-04-01
791 MS_DRG Prematurity With Major Problems 28 14 — — $2,359.56 $79,868.94 $30,419.72 2026-04-01
24164 CPT Prosthesis Removal Radial Head 5 2 — — $16,559.32 $17,387.29 $16,559.32 2026-04-01
189 MS_DRG Pulmonary Edema And Respiratory Failure 96 28 — — $7,128.26 $24,308.97 $21,071.50 2026-04-01
333 MS_DRG Rectal Resection With Cc 53 27 — — $13,514.49 $51,561.34 $44,016.96 2026-04-01
811 MS_DRG Red Blood Cell Disorders With Mcc 81 32 — — $2,255.74 $27,632.41 $25,925.10 2026-04-01
812 MS_DRG Red Blood Cell Disorders Without Mcc 97 32 — — $2,090.40 $18,067.42 $14,659.41 2026-04-01
683 MS_DRG Renal Failure With Cc 61 28 — — $5,053.37 $17,490.89 $14,866.98 2026-04-01
682 MS_DRG Renal Failure With Mcc 96 28 — — $6,473.00 $29,141.64 $13,264.67 2026-04-01
133 MS_DRG Respiratory Failure,extreme 8 4 — — $16,974.65 $21,625.40 $19,209.50 2026-04-01
178 MS_DRG Respiratory Infections And Inflammations With Cc 96 28 — — $5,631.52 $19,204.75 $15,698.98 2026-04-01
177 MS_DRG Respiratory Infections And Inflammations With Mcc 90 27 — — $9,016.78 $29,367.82 $27,315.80 2026-04-01
181 MS_DRG Respiratory Neoplasms With Cc 96 28 — — $1,980.00 $21,074.07 $16,077.78 2026-04-01
180 MS_DRG Respiratory Neoplasms With Mcc 96 28 — — $10,189.82 $34,749.58 $29,370.71 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 96 28 — — $15,860.00 $54,086.17 $47,140.17 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 95 31 — — $2,263.83 $130,571.68 $120,927.32 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 95 28 — — $20,348.48 $70,220.60 $66,275.39 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 44 26 — — $34,650.78 $97,825.08 $89,779.00 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 85 28 — — $15,855.96 $58,652.62 $51,643.16 2026-04-01
27487 CPT Revj Tot Knee Arthrp Fem&Entire Tibial Compone|LEFT Side 3 2 — — $16,630.26 $17,212.32 $17,212.32 2026-04-01
100 MS_DRG Seizures With Mcc 48 28 — — $12,892.69 $38,110.41 $29,631.10 2026-04-01
101 MS_DRG Seizures Without Mcc 48 28 — — $5,208.00 $17,760.46 $14,823.73 2026-04-01
549 MS_DRG Septic Arthritis With Cc 48 28 — — $6,965.54 $23,925.54 $22,686.91 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 42 23 — — $39,881.09 $147,277.35 $129,893.46 2026-04-01
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 96 28 — — $11,208.23 $38,222.57 $35,748.21 2026-04-01
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 85 28 — — $5,904.44 $20,135.47 $18,765.78 2026-04-01
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 48 28 — — $13,841.95 $56,132.71 $39,078.16 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 45 27 — — $10,710.00 $82,047.73 $47,442.35 2026-04-01
556 MS_DRG Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without Mcc 88 28 — — $1,980.00 $20,068.98 $15,609.47 2026-04-01
947 MS_DRG Signs And Symptoms With Mcc 26 14 — — $7,324.44 $27,768.99 $23,855.83 2026-04-01
948 MS_DRG Signs And Symptoms Without Mcc 87 28 — — $4,618.89 $19,429.89 $15,043.80 2026-04-01
194 MS_DRG Simple Pneumonia And Pleurisy With Cc 108 32 — — $4,650.04 $15,857.69 $15,008.82 2026-04-01
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 96 28 — — $6,334.00 $25,863.45 $22,837.55 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 91 28 — — $1,980.00 $114,087.19 $75,557.26 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 48 28 — — $21,503.80 $86,239.66 $60,708.91 2026-04-01
571 MS_DRG Skin Debridement With Cc 76 28 — — $9,748.42 $33,244.29 $29,192.55 2026-04-01
572 MS_DRG Skin Debridement Without Cc/mcc 96 28 — — $6,614.15 $23,403.39 $21,542.42 2026-04-01
361 MS_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses,major 2 2 — — $24,946.36 $26,193.68 $25,570.02 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 32 23 — — $20,029.98 $94,240.55 $81,273.65 2026-04-01
592 MS_DRG Skin Ulcers With Mcc 48 28 — — $6,381.00 $57,480.46 $24,123.22 2026-04-01
501 MS_DRG Soft Tissue Procedures With Cc 60 28 — — $10,086.54 $37,963.98 $32,852.04 2026-04-01
502 MS_DRG Soft Tissue Procedures Without Cc/mcc 70 28 — — $7,765.84 $26,483.27 $25,293.50 2026-04-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 96 28 — — $14,103.03 $56,872.53 $45,933.85 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 48 28 — — $28,777.30 $98,137.07 $93,728.21 2026-04-01
557 MS_DRG Tendonitis, Myositis And Bursitis With Mcc 64 28 — — $6,965.00 $29,393.17 $17,743.89 2026-04-01
19357 CPT Tissue Expander Placement Breast Reconstruction|RIGHT Side 5 3 — — $13,070.79 $13,724.33 $13,528.27 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 8 7 — — $10,715.36 $260,309.36 $92,204.60 2026-04-01
713 MS_DRG Transurethral Prostatectomy With Cc/mcc 48 28 — — $10,007.69 $29,582.40 $25,702.75 2026-04-01
605 MS_DRG Trauma To The Skin, Subcutaneous Tissue And Breast Without Mcc 90 28 — — $5,285.32 $18,024.13 $15,641.89 2026-04-01
86 MS_DRG Traumatic Stupor And Coma <1 Hour With Cc 48 28 — — $8,442.00 $28,168.82 $16,292.63 2026-04-01
383 MS_DRG Uncomplicated Peptic Ulcer With Mcc 56 32 — — $1,466.80 $38,856.52 $25,947.50 2026-04-01
384 MS_DRG Uncomplicated Peptic Ulcer Without Mcc 52 32 — — $4,932.20 $16,819.90 $16,064.26 2026-04-01
999 MS_DRG Ungroupable 48 28 — — $11,990.64 $47,389.25 $39,053.73 2026-04-01
38999 CPT Unlisted Procedure Hemic Or Lymphatic System 2 1 — — $13,528.27 $13,528.27 $13,528.27 2026-04-01
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc 96 28 — — $10,586.80 $36,103.36 $34,481.40 2026-04-01
743 MS_DRG Uterine And Adnexa Procedures For Non-malignancy Without Cc/mcc 96 28 — — $7,158.84 $26,419.99 $23,316.48 2026-04-01
747 MS_DRG Vagina, Cervix And Vulva Procedures Without Cc/mcc 48 28 — — $4,960.47 $30,086.82 $16,536.33 2026-04-01
797 MS_DRG Vaginal Delivery With Sterilization And/or D&c With Cc 48 28 — — $1,980.00 $19,684.87 $18,800.52 2026-04-01
798 MS_DRG Vaginal Delivery With Sterilization And/or D&c Without Cc/mcc 48 28 — — $5,522.47 $19,108.26 $17,986.78 2026-04-01
805 MS_DRG Vaginal Delivery Without Sterilization Or D&c With Mcc 39 25 — — $6,226.98 $19,084.04 $13,416.00 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 105 32 — — $1,713.47 $117,664.74 $72,772.00 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 48 28 — — $17,971.82 $67,637.40 $58,534.56 2026-04-01
465 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 48 28 — — $10,522.75 $39,048.52 $34,272.79 2026-04-01
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