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Hospital

MOUNT PLEASANT HOSPITAL

Mount Pleasant, SC · CCN 420104 · Rates published

655 distinct procedures filed
32 distinct payers
29,383 rate rows
2026-04-01 last MRF observed
Data quality

15,397 of 29,383 rate rows are consumer-grade (52.4%)

13,986 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 13,986
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.rsfh.com/upload/docs/Patients%20and%20Visitors/570360499_roper-st-francis-mount-pleasant-hospital_standardcharges.csv
Found on page https://www.rsfh.com/billing-financial-assistance/
Discovered viaCMS hospital list
Last fetch not_modified · 2026-05-06
Content fingerprint 30a0ef309692f9e9… · 21,528,000 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
$98,894
1.6× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 26 $42,833.86 $130,571.68 $120,927.32 nat. median
$62,134
1.9× median
463
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 28 $37,939.86 $117,664.74 $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 $37,423.96 $110,624.09 $105,654.25 nat. median
$54,210
1.9× median
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 27 $32,874.77 $97,176.83 $92,661.87 nat. median
$48,170
1.9× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 6 $10,715.36 $260,309.36 $92,204.60 nat. median
$133,161
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
$49,191
1.8× 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
$45,112
1.9× median
448
MS_DRG 		Multiple Level Spinal Fusion Except Cervical Without Mcc 27 $28,229.72 $86,239.66 $79,697.35 nat. median
$41,164
1.9× 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
$40,166
1.9× median
402
MS_DRG 		Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 28 $26,763.25 $114,087.19 $75,557.26 nat. median
$39,414
1.9× median
907
MS_DRG 		Other O.r. Procedures For Injuries With Mcc 28 $25,557.06 $79,067.20 $72,151.96 nat. median
$38,112
1.9× median
492
MS_DRG 		Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 28 $24,440.73 $88,933.24 $69,000.38 nat. median
$35,489
1.9× median
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
$31,607
2.0× median
451
MS_DRG 		Single Level Spinal Fusion Except Cervical Without Mcc 28 $21,503.80 $86,239.66 $60,708.91 nat. median
$31,714
1.9× median
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
$31,075
1.8× median
485
MS_DRG 		Knee Procedures With Principal Diagnosis Of Infection With Mcc 27 $21,481.84 $63,499.65 $56,184.81 nat. median
$32,024
1.8× median
974
MS_DRG 		HIV With Major Related Condition With Mcc 28 $19,211.24 $63,199.23 $54,236.60 nat. median
$29,015
1.9× median
468
MS_DRG 		Revision Of Hip Or Knee Replacement Without Cc/mcc 23 $18,292.61 $58,652.62 $54,072.40 nat. median
$27,218
2.0× median
654
MS_DRG 		Major Bladder Procedures With Cc 28 $18,634.10 $71,931.22 $52,607.24 nat. median
$27,844
1.9× median
483
MS_DRG 		Major Joint Or Limb Reattachment Procedures Of Upper Extremities 28 $18,451.70 $57,318.86 $52,092.32 nat. median
$26,699
2.0× median
963
MS_DRG 		Other Multiple Significant Trauma With Mcc 28 $18,198.09 $75,305.57 $51,376.30 nat. median
$26,957
1.9× median
335
MS_DRG 		Peritoneal Adhesiolysis With Mcc 27 $7,803.00 $82,807.99 $51,179.71 nat. median
$35,058
1.5× median
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 28 $9,190.00 $90,445.33 $49,098.86 nat. median
$44,810
1.1× median
659
MS_DRG 		Kidney And Ureter Procedures For Non-neoplasm With Mcc 28 $16,914.00 $49,997.29 $47,751.13 nat. median
$25,587
1.9× median
208
MS_DRG 		Respiratory System Diagnosis With Ventilator Support <=96 Hours 28 $18,297.27 $54,086.17 $47,329.52 nat. median
$26,748
1.8× median
982
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 28 $16,365.50 $54,538.45 $46,202.59 nat. median
$24,493
1.9× median
327
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Cc 28 $16,270.31 $56,872.53 $45,933.85 nat. median
$24,638
1.9× median
473
MS_DRG 		Cervical Spinal Fusion Without Cc/mcc 28 $16,251.00 $56,905.53 $45,879.35 nat. median
$24,794
1.9× median
417
MS_DRG 		Laparoscopic Cholecystectomy Without C.d.e. With Mcc 28 $15,885.55 $48,309.01 $44,847.62 nat. median
$23,829
1.9× median
357
MS_DRG 		Other Digestive System O.r. Procedures With Cc 28 $15,480.16 $48,079.76 $43,703.12 nat. median
$22,940
1.9× median
467
MS_DRG 		Revision Of Hip Or Knee Replacement With Cc 27 $21,379.00 $70,220.60 $43,400.04 nat. median
$34,720
1.3× median
856
MS_DRG 		Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 28 $9,394.00 $89,504.77 $43,003.50 nat. median
$43,963
1.0× median
674
MS_DRG 		Other Kidney And Urinary Tract Procedures With Cc 27 $15,567.34 $46,016.63 $42,647.45 nat. median
$23,466
1.8× median
424
MS_DRG 		Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 27 $14,564.19 $58,232.35 $41,117.20 nat. median
$22,316
1.8× median
629
MS_DRG 		Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 28 $14,503.62 $42,872.25 $40,936.83 nat. median
$22,198
1.8× median
521
MS_DRG 		Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 28 $8,990.00 $78,346.48 $40,928.93 nat. median
$28,961
1.4× median
480
MS_DRG 		Hip And Femur Procedures Except Major Joint With Mcc 28 $8,972.00 $74,732.47 $40,057.32 nat. median
$29,218
1.4× median
522
MS_DRG 		Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 28 $14,096.88 $53,461.71 $39,797.94 nat. median
$21,760
1.8× median
336
MS_DRG 		Peritoneal Adhesiolysis With Cc 28 $14,036.98 $49,231.18 $39,628.80 nat. median
$21,526
1.8× median
481
MS_DRG 		Hip And Femur Procedures Except Major Joint With Cc 28 $13,942.45 $54,644.38 $39,361.94 nat. median
$21,529
1.8× median
486
MS_DRG 		Knee Procedures With Principal Diagnosis Of Infection With Cc 28 $13,919.82 $41,146.57 $39,298.04 nat. median
$21,377
1.8× median
511
MS_DRG 		Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 28 $13,841.95 $56,132.71 $39,078.16 nat. median
$20,538
1.9× median
516
MS_DRG 		Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 28 $13,833.29 $47,579.60 $39,053.73 nat. median
$21,082
1.9× median
356
MS_DRG 		Other Digestive System O.r. Procedures With Mcc 28 $10,862.00 $86,437.13 $38,423.23 nat. median
$42,444
0.9× median
854
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Cc 28 $13,300.75 $39,316.61 $37,550.29 nat. median
$20,421
1.8× median
710
MS_DRG 		Infectious And Parasitic Diseases Including HIV With O.r. Procedure,major 4 $22,337.86 $54,190.57 $37,532.41 nat. median
$15,113
outlier · 2.5×
908
MS_DRG 		Other O.r. Procedures For Injuries With Cc 28 $13,281.45 $39,259.55 $37,495.79 nat. median
$20,396
1.8× median
475
MS_DRG 		Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 28 $15,148.65 $44,778.95 $37,322.82 nat. median
$22,403
1.7× median
488
MS_DRG 		Knee Procedures Without Principal Diagnosis Of Infection With Cc/mcc 15 $11,775.03 $60,028.07 $37,112.99 nat. median
$19,293
1.9× median

Other procedures at this hospital

Browse this hospital's 655 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
             
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
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 44 26 — — $42,833.86 $130,571.68 $120,927.32 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 48 28 — — $37,939.86 $117,664.74 $107,110.70 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 47 27 — — $37,423.96 $110,624.09 $105,654.25 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 47 27 — — $32,874.77 $97,176.83 $92,661.87 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 7 6 — — $10,715.36 $260,309.36 $92,204.60 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
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
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
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
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 48 28 — — $26,763.25 $114,087.19 $75,557.26 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
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 48 28 — — $24,440.73 $88,933.24 $69,000.38 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
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
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
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 47 27 — — $21,481.84 $63,499.65 $56,184.81 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 48 28 — — $19,211.24 $63,199.23 $54,236.60 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 37 23 — — $18,292.61 $58,652.62 $54,072.40 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
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 48 28 — — $18,451.70 $57,318.86 $52,092.32 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
335 MS_DRG Peritoneal Adhesiolysis With Mcc 47 27 — — $7,803.00 $82,807.99 $51,179.71 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 48 28 — — $9,190.00 $90,445.33 $49,098.86 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 48 28 — — $16,914.00 $49,997.29 $47,751.13 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 48 28 — — $18,297.27 $54,086.17 $47,329.52 2026-04-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 48 28 — — $16,365.50 $54,538.45 $46,202.59 2026-04-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 48 28 — — $16,270.31 $56,872.53 $45,933.85 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 48 28 — — $16,251.00 $56,905.53 $45,879.35 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 48 28 — — $15,885.55 $48,309.01 $44,847.62 2026-04-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 48 28 — — $15,480.16 $48,079.76 $43,703.12 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 47 27 — — $21,379.00 $70,220.60 $43,400.04 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
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
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
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
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 48 28 — — $8,990.00 $78,346.48 $40,928.93 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 48 28 — — $8,972.00 $74,732.47 $40,057.32 2026-04-01
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 48 28 — — $14,096.88 $53,461.71 $39,797.94 2026-04-01
336 MS_DRG Peritoneal Adhesiolysis With Cc 48 28 — — $14,036.98 $49,231.18 $39,628.80 2026-04-01
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 48 28 — — $13,942.45 $54,644.38 $39,361.94 2026-04-01
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 48 28 — — $13,919.82 $41,146.57 $39,298.04 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
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 48 28 — — $13,833.29 $47,579.60 $39,053.73 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 48 28 — — $10,862.00 $86,437.13 $38,423.23 2026-04-01
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 48 28 — — $13,300.75 $39,316.61 $37,550.29 2026-04-01
710 MS_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure,major 8 4 — — $22,337.86 $54,190.57 $37,532.41 2026-04-01
908 MS_DRG Other O.r. Procedures For Injuries With Cc 48 28 — — $13,281.45 $39,259.55 $37,495.79 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
488 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection With Cc/mcc 24 15 — — $11,775.03 $60,028.07 $37,112.99 2026-04-01
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc 48 28 — — $13,356.66 $39,481.90 $36,617.73 2026-04-01
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 34 22 — — $13,101.71 $38,728.27 $36,503.11 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
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 48 28 — — $12,840.11 $42,105.61 $36,249.82 2026-04-01
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 48 28 — — $12,930.64 $38,222.57 $35,891.80 2026-04-01
504 MS_DRG Foot Procedures With Cc 48 28 — — $12,442.71 $41,266.80 $35,127.88 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
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc 48 28 — — $12,213.72 $36,103.36 $34,481.40 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 48 28 — — $6,965.00 $63,653.13 $33,450.43 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
421 MS_DRG Hepatobiliary Diagnostic Procedures With Cc 48 28 — — $11,566.02 $41,634.97 $32,652.84 2026-04-01
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 48 28 — — $11,502.78 $41,898.95 $32,474.30 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 48 28 — — $11,348.00 $57,251.13 $32,463.90 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
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
314 MS_DRG Other Circulatory System Diagnoses With Mcc 48 28 — — $13,880.55 $41,030.48 $31,986.02 2026-04-01
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 48 28 — — $11,260.47 $36,562.16 $31,790.24 2026-04-01
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Mcc 48 28 — — $12,226.36 $36,140.75 $31,690.79 2026-04-01
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/mcc 48 28 — — $11,202.56 $39,038.65 $31,626.74 2026-04-01
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 48 28 — — $11,199.23 $41,100.08 $31,617.34 2026-04-01
380 MS_DRG Complicated Peptic Ulcer With Mcc 48 28 — — $13,061.78 $38,610.21 $31,197.58 2026-04-01
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 25 17 — — $12,450.02 $35,148.55 $31,067.33 2026-04-01
988 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 48 28 — — $10,940.95 $38,891.03 $30,888.17 2026-04-01
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 48 28 — — $11,946.77 $35,314.31 $30,808.56 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
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/mcc 48 28 — — $10,857.08 $39,783.68 $30,651.38 2026-04-01
643 MS_DRG Endocrine Disorders With Mcc 48 28 — — $10,957.60 $32,390.31 $30,396.97 2026-04-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 48 28 — — $7,659.00 $54,385.62 $30,337.75 2026-04-01
100 MS_DRG Seizures With Mcc 48 28 — — $12,892.69 $38,110.41 $29,631.10 2026-04-01
513 MS_DRG Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures With Cc/mcc 33 22 — — $10,479.64 $33,797.37 $29,585.82 2026-04-01
180 MS_DRG Respiratory Neoplasms With Mcc 48 28 — — $11,755.73 $34,749.58 $29,488.69 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 48 28 — — $9,386.00 $50,201.98 $29,476.50 2026-04-01
154 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses With Mcc 48 28 — — $10,407.75 $36,305.13 $29,382.86 2026-04-01
571 MS_DRG Skin Debridement With Cc 48 28 — — $11,246.49 $33,244.29 $29,309.81 2026-04-01
721 MS_DRG Post-operative Post-traumatic Other Device Infections,extreme 8 4 — — $14,881.02 $44,953.08 $29,218.76 2026-04-01
564 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc 48 28 — — $10,275.29 $30,373.42 $29,008.87 2026-04-01
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 48 28 — — $12,168.45 $35,969.56 $28,945.11 2026-04-01
517 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures Without Cc/mc… 48 28 — — $10,229.35 $39,604.80 $28,879.20 2026-04-01
337 MS_DRG Peritoneal Adhesiolysis Without Cc/mcc 48 28 — — $10,218.03 $35,683.40 $28,847.26 2026-04-01
351 MS_DRG Inguinal And Femoral Hernia Procedures With Cc 48 28 — — $10,148.14 $37,590.27 $28,649.93 2026-04-01
398 MS_DRG Appendix Procedures With Cc 48 28 — — $10,075.58 $36,140.14 $28,445.08 2026-04-01
520 MS_DRG Back And Neck Procedures Except Spinal Fusion Without Cc/mcc 31 16 — — $9,944.44 $36,471.85 $28,074.86 2026-04-01
562 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 19 16 — — $9,484.46 $35,061.67 $28,035.79 2026-04-01
444 MS_DRG Disorders Of The Biliary Tract With Mcc 48 28 — — $11,122.68 $32,878.30 $27,842.33 2026-04-01
177 MS_DRG Respiratory Infections And Inflammations With Mcc 45 27 — — $10,402.42 $29,367.82 $27,425.52 2026-04-01
333 MS_DRG Rectal Resection With Cc 6 5 — — $13,942.09 $41,819.53 $27,185.41 2026-04-01
263 MS_DRG Cholecystectomy,moderate 4 4 — — $26,500.39 $27,825.41 $27,162.90 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
919 MS_DRG Complications Of Treatment With Mcc 48 28 — — $12,187.08 $36,024.65 $26,807.27 2026-04-01
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 48 28 — — $10,851.76 $32,077.45 $26,805.53 2026-04-01
813 MS_DRG Coagulation Disorders 41 26 — — $10,153.46 $30,013.33 $26,626.66 2026-04-01
862 MS_DRG Postoperative And Post-traumatic Infections With Mcc 48 28 — — $12,139.83 $35,884.94 $26,314.05 2026-04-01
811 MS_DRG Red Blood Cell Disorders With Mcc 48 28 — — $9,348.01 $27,632.41 $26,029.24 2026-04-01
205 MS_DRG Other Respiratory System Diagnoses With Mcc 48 28 — — $12,188.41 $36,028.59 $25,883.36 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
419 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. Without Cc/mcc 48 28 — — $9,091.71 $33,087.07 $25,667.48 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
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
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 48 28 — — $10,440.37 $30,861.41 $25,291.15 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
542 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 48 28 — — $6,640.00 $48,395.84 $25,244.76 2026-04-01
915 MS_DRG Allergic Reactions With Mcc 48 28 — — $11,193.91 $33,088.84 $25,103.59 2026-04-01
196 MS_DRG Interstitial Lung Disease With Mcc 48 28 — — $12,562.52 $37,134.43 $24,954.24 2026-04-01
660 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Cc 48 28 — — $8,798.17 $32,260.42 $24,838.71 2026-04-01
553 MS_DRG Bone Diseases And Arthropathies With Mcc 48 28 — — $8,629.08 $37,230.77 $24,361.37 2026-04-01
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 48 28 — — $8,589.00 $39,570.45 $23,565.28 2026-04-01
393 MS_DRG Other Digestive System Diagnoses With Mcc 48 28 — — $10,646.06 $31,469.43 $23,476.33 2026-04-01
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Mcc 48 28 — — $6,872.00 $40,443.62 $23,360.46 2026-04-01
743 MS_DRG Uterine And Adnexa Procedures For Non-malignancy Without Cc/mcc 48 28 — — $8,258.97 $26,419.99 $23,316.48 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
375 MS_DRG Digestive Malignancy With Cc 48 28 — — $8,051.94 $23,801.30 $22,408.28 2026-04-01
346 MS_DRG Minor Small And Large Bowel Procedures Without Cc/mcc 48 28 — — $7,896.18 $24,704.16 $22,292.26 2026-04-01
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 48 28 — — $8,014.67 $23,691.11 $22,238.08 2026-04-01
388 MS_DRG Gastrointestinal Obstruction With Mcc 48 28 — — $9,830.61 $29,058.99 $21,958.48 2026-04-01
535 MS_DRG Fractures Of Hip And Pelvis With Mcc 48 28 — — $8,533.89 $25,225.91 $21,882.07 2026-04-01
546 MS_DRG Connective Tissue Disorders With Cc 48 28 — — $7,677.84 $26,782.96 $21,675.85 2026-04-01
560 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Cc 48 28 — — $7,496.11 $36,767.08 $21,660.53 2026-04-01
73 MS_DRG Cranial And Peripheral Nerve Disorders With Mcc 48 28 — — $6,965.00 $39,853.15 $21,660.09 2026-04-01
91 MS_DRG Other Disorders Of Nervous System With Mcc 48 28 — — $7,501.00 $36,695.88 $21,569.18 2026-04-01
809 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 48 28 — — $8,426.71 $24,909.11 $21,560.78 2026-04-01
572 MS_DRG Skin Debridement Without Cc/mcc 48 28 — — $7,630.58 $23,403.39 $21,542.42 2026-04-01
399 MS_DRG Appendix Procedures Without Cc/mcc 40 21 — — $7,619.92 $32,140.59 $21,512.35 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 48 28 — — $7,530.73 $33,302.42 $21,260.52 2026-04-01
189 MS_DRG Pulmonary Edema And Respiratory Failure 48 28 — — $8,223.69 $24,308.97 $21,156.14 2026-04-01
133 MS_DRG Respiratory Failure,major 4 4 — — $20,595.62 $21,625.40 $21,110.51 2026-04-01
102 MS_DRG Headaches With Mcc 48 28 — — $7,461.50 $22,823.34 $21,065.07 2026-04-01
445 MS_DRG Disorders Of The Biliary Tract With Cc 48 28 — — $7,285.09 $22,941.44 $20,567.06 2026-04-01
689 MS_DRG Kidney And Urinary Tract Infections With Mcc 24 18 — — $7,723.77 $22,831.22 $20,550.04 2026-04-01
374 MS_DRG Digestive Malignancy With Mcc 48 28 — — $7,308.00 $42,083.20 $20,105.46 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
687 MS_DRG Kidney And Urinary Tract Neoplasms With Cc 48 28 — — $6,974.89 $24,719.79 $19,691.31 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
433 MS_DRG Cirrhosis And Alcoholic Hepatitis With Cc 48 28 — — $7,030.79 $20,782.85 $19,667.81 2026-04-01
661 MS_DRG Kidney And Ureter Procedures For Non-neoplasm Without Cc/mcc 48 28 — — $6,892.35 $26,569.34 $19,458.27 2026-04-01
543 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 48 28 — — $6,843.08 $26,065.71 $19,319.20 2026-04-01
644 MS_DRG Endocrine Disorders With Cc 48 28 — — $6,823.12 $20,168.93 $19,262.83 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
64581 CPT Open Implantation Nea Sacral Nerve 4 3 — — $18,400.38 $19,320.40 $19,182.40 2026-04-01
74 MS_DRG Cranial And Peripheral Nerve Disorders Without Mcc 48 28 — — $6,861.73 $20,283.05 $19,176.33 2026-04-01
64590 CPT Implant Neurostim/Receiver 5 3 — — $18,400.38 $19,320.40 $19,044.40 2026-04-01
65 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours 48 28 — — $6,725.26 $23,542.33 $18,986.57 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
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 48 28 — — $6,407.00 $36,562.16 $18,845.03 2026-04-01
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 48 28 — — $6,811.80 $20,135.47 $18,841.15 2026-04-01
920 MS_DRG Complications Of Treatment With Cc 48 28 — — $6,672.01 $19,722.26 $18,836.22 2026-04-01
539 MS_DRG Osteomyelitis With Mcc 48 28 — — $5,970.00 $38,757.79 $18,828.53 2026-04-01
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 56 32 — — $7,353.00 $31,563.88 $18,804.36 2026-04-01
362 MS_DRG Mastectomy Procedures,moderate 4 4 — — $17,828.40 $18,719.82 $18,274.11 2026-04-01
386 MS_DRG Inflammatory Bowel Disease With Cc 48 28 — — $6,498.94 $19,210.66 $18,222.90 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
197 MS_DRG Interstitial Lung Disease With Cc 48 28 — — $6,317.88 $21,437.48 $17,836.44 2026-04-01
187 MS_DRG Pleural Effusion With Cc 48 28 — — $6,584.13 $19,462.52 $17,757.47 2026-04-01
557 MS_DRG Tendonitis, Myositis And Bursitis With Mcc 48 28 — — $6,965.00 $29,393.17 $17,743.89 2026-04-01
858 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures Without Cc/mcc 48 28 — — $7,699.00 $30,978.76 $17,686.36 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
563 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 27 18 — — $5,961.07 $18,221.16 $17,620.75 2026-04-01
394 MS_DRG Other Digestive System Diagnoses With Cc 48 28 — — $6,228.67 $19,167.65 $17,584.61 2026-04-01
199 MS_DRG Hypertension,major 4 4 — — $17,065.05 $17,918.30 $17,491.67 2026-04-01
381 MS_DRG Complicated Peptic Ulcer With Cc 48 28 — — $7,212.52 $21,320.03 $17,342.41 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
20985 CPT Cptr-asst Surgical Navigation Image-less|right Side 8 3 — — $16,630.26 $17,461.77 $17,212.32 2026-04-01
683 MS_DRG Renal Failure With Cc 13 8 — — $5,831.23 $17,490.89 $16,705.10 2026-04-01
23472 CPT Arthroplasty Glenohumeral Joint Total Shoulder|RIGHT Side 8 3 — — $16,630.26 $17,461.77 $16,630.26 2026-04-01
501 MS_DRG Soft Tissue Procedures With Cc 12 7 — — $11,707.73 $35,117.54 $16,390.83 2026-04-01
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With Mcc 48 28 — — $6,477.00 $32,553.63 $16,298.00 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
312 MS_DRG Syncope And Collapse 48 28 — — $5,801.99 $17,150.47 $16,276.09 2026-04-01
720 MS_DRG Septicemia And Disseminated Infections,major 12 4 — — $11,517.57 $25,112.65 $16,168.58 2026-04-01
181 MS_DRG Respiratory Neoplasms With Cc 48 28 — — $7,129.33 $21,074.07 $16,142.37 2026-04-01
602 MS_DRG Cellulitis With Mcc 48 28 — — $5,936.00 $27,966.92 $16,067.04 2026-04-01
442 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc 48 28 — — $6,425.72 $18,994.21 $15,991.28 2026-04-01
863 MS_DRG Postoperative And Post-traumatic Infections Without Mcc 48 28 — — $6,642.71 $19,635.68 $15,918.34 2026-04-01
439 MS_DRG Disorders Of Pancreas Except Malignancy With Cc 48 28 — — $5,599.61 $17,757.47 $15,808.67 2026-04-01
178 MS_DRG Respiratory Infections And Inflammations With Cc 48 28 — — $6,496.95 $19,204.75 $15,762.04 2026-04-01
948 MS_DRG Signs And Symptoms Without Mcc 39 22 — — $5,328.69 $19,429.89 $15,751.44 2026-04-01
556 MS_DRG Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without Mcc 48 28 — — $5,529.06 $20,068.98 $15,609.47 2026-04-01
561 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue Without Cc/mcc 48 28 — — $5,351.32 $25,537.76 $15,445.69 2026-04-01
139 MS_DRG Other Pneumonia,major 8 4 — — $12,385.80 $18,686.76 $15,401.00 2026-04-01
191 MS_DRG Chronic Obstructive Pulmonary Disease With Cc 48 28 — — $5,611.59 $16,587.71 $15,228.88 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
536 MS_DRG Fractures Of Hip And Pelvis Without Mcc 30 18 — — $5,375.95 $16,699.84 $15,177.23 2026-04-01
194 MS_DRG Simple Pneumonia And Pleurisy With Cc 52 32 — — $5,364.63 $15,857.69 $15,069.10 2026-04-01
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 48 28 — — $6,793.00 $27,028.33 $14,906.72 2026-04-01
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 48 28 — — $6,408.00 $34,889.29 $14,836.19 2026-04-01
775 MS_DRG Alcohol Abuse And Dependence,major 8 4 — — $10,541.76 $19,370.48 $14,758.47 2026-04-01
812 MS_DRG Red Blood Cell Disorders Without Mcc 52 32 — — $6,112.18 $18,067.42 $14,718.30 2026-04-01
140 MS_DRG Chronic Obstructive Pulmonary Disease,major 8 4 — — $12,280.15 $17,274.90 $14,673.23 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
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 18 13 — — $6,308.00 $21,796.21 $14,542.92 2026-04-01
54 MS_DRG Nervous System Neoplasms With Mcc 48 28 — — $6,965.00 $30,044.81 $14,502.53 2026-04-01
554 MS_DRG Bone Diseases And Arthropathies Without Mcc 48 28 — — $5,525.73 $16,333.88 $14,485.58 2026-04-01
645 MS_DRG Endocrine Disorders Without Cc/mcc 48 28 — — $5,114.34 $15,117.84 $14,438.66 2026-04-01
682 MS_DRG Renal Failure With Mcc 48 28 — — $6,473.00 $29,141.64 $14,312.66 2026-04-01
292 MS_DRG Heart Failure And Shock With Cc 48 28 — — $5,651.53 $16,705.77 $14,254.60 2026-04-01
305 MS_DRG Hypertension Without Mcc 29 19 — — $5,026.48 $15,795.03 $14,190.59 2026-04-01
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 48 28 — — $6,334.00 $25,863.45 $14,176.65 2026-04-01
392 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc 48 28 — — $5,189.56 $15,340.19 $14,034.05 2026-04-01
835 MS_DRG Acute Leukemia With Cc 20 11 — — $6,965.00 $42,028.10 $14,011.64 2026-04-01
369 MS_DRG Major Esophageal Disorders With Cc 38 23 — — $6,658.03 $19,680.94 $13,934.30 2026-04-01
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 48 28 — — $6,972.00 $26,280.60 $13,901.84 2026-04-01
641 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou… 48 28 — — $5,180.25 $15,312.64 $13,684.98 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
92 MS_DRG Other Disorders Of Nervous System With Cc 48 28 — — $6,408.00 $24,535.70 $13,540.76 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
38999 CPT Unlisted Procedure Hemic Or Lymphatic System 2 1 — — $13,528.27 $13,528.27 $13,528.27 2026-04-01
690 MS_DRG Kidney And Urinary Tract Infections Without Mcc 31 18 — — $5,388.59 $15,928.53 $13,407.11 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
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 48 28 — — $6,965.00 $24,956.34 $13,386.06 2026-04-01
603 MS_DRG Cellulitis Without Mcc 48 28 — — $5,797.32 $17,136.70 $13,250.81 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
637 MS_DRG Diabetes With Mcc 48 28 — — $6,923.00 $28,269.95 $13,160.66 2026-04-01
202 MS_DRG Bronchitis And Asthma With Cc/mcc 48 28 — — $6,464.98 $19,110.30 $13,115.35 2026-04-01
19303 CPT Mastectomy Simple Complete 3 2 — — $6,297.98 $13,528.27 $13,070.79 2026-04-01
376 MS_DRG Digestive Malignancy Without Cc/mcc 48 28 — — $6,152.79 $24,641.64 $12,998.60 2026-04-01
387 MS_DRG Inflammatory Bowel Disease Without Cc/mcc 48 28 — — $4,535.20 $13,632.88 $12,803.67 2026-04-01
22552 CPT Arthrd Ant Interdy Cervcl Belw C2 Ea Addl Ntrspc 3 2 — — $12,177.08 $12,785.93 $12,785.93 2026-04-01
284 MS_DRG Acute Myocardial Infarction, Expired With Cc 25 17 — — $4,607.77 $20,544.83 $12,706.35 2026-04-01
22845 CPT Anterior Instrumentation 2-3 Vertebral Segments|UNUSUAL Non-overlapping Service 10 3 — — $12,177.08 $12,785.93 $12,694.60 2026-04-01
20902 CPT Bone Graft Any Donor Area Major/Large 6 3 — — $12,177.08 $12,785.93 $12,694.60 2026-04-01
303 MS_DRG Atherosclerosis Without Mcc 48 28 — — $4,481.29 $13,285.54 $12,651.45 2026-04-01
373 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections Without Cc/mcc 48 28 — — $4,842.07 $14,313.05 $12,632.55 2026-04-01
27130 CPT Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft 9 3 — — $12,177.08 $12,785.93 $12,603.27 2026-04-01
29889 CPT Arthrs Aided Pst Cruciate Ligm Rpr/Agmntj/Rcnstj 5 3 — — $12,177.08 $12,785.93 $12,603.27 2026-04-01
28297 CPT Corrj Hallux Valgus W/Sesmdc W/1metar Medial Cnf|RIGHT Foot, Great Toe 17 3 — — $12,177.08 $12,785.93 $12,603.27 2026-04-01
20931 CPT Allograft For Spine Surgery Only Structural 5 3 — — $12,177.08 $12,785.93 $12,603.27 2026-04-01
152 MS_DRG Otitis Media And Uri With Mcc 48 28 — — $7,719.57 $23,262.15 $12,490.15 2026-04-01
24515 CPT Optx Humeral Shft Fx W/Plate/Screws W/Wocerclage|RIGHT Side 4 3 — — $12,177.08 $12,785.93 $12,390.17 2026-04-01
22551 CPT Arthrd Ant Interbody Decompress Cervical Belw C2 6 3 — — $12,177.08 $12,785.93 $12,390.17 2026-04-01
291 MS_DRG Heart Failure And Shock With Mcc 48 28 — — $6,349.00 $25,261.33 $12,386.16 2026-04-01
151 MS_DRG Epistaxis Without Mcc 48 28 — — $4,886.02 $14,442.92 $12,363.37 2026-04-01
440 MS_DRG Disorders Of Pancreas Except Malignancy Without Cc/mcc 35 23 — — $4,136.48 $12,785.38 $12,227.29 2026-04-01
395 MS_DRG Other Digestive System Diagnoses Without Cc/mcc 48 28 — — $4,320.20 $13,820.44 $12,196.66 2026-04-01
27447 CPT Arthrp Kne Condyle&Platu Medial&Lat Compartments|LEFT Side 13 3 — — $12,177.08 $12,785.93 $12,177.08 2026-04-01
94640 CPT Hc Aerosol, Hhn, Mdi, Ippb 5 2 — — $12,177.08 $12,603.27 $12,177.08 2026-04-01
22853 CPT Insj Biomchn Dev Intervertebral Dsc Spc W/Arthrd 2 1 — — $12,177.08 $12,177.08 $12,177.08 2026-04-01
20936 CPT Autograft Spine Surgery Local From Same Incision 1 1 — — $12,177.08 $12,177.08 $12,177.08 2026-04-01
20930 CPT Allograft For Spine Surgery Only Morselized 1 1 — — $12,177.08 $12,177.08 $12,177.08 2026-04-01
0055T CPT Bone Surgery Using Computer 3 1 — — $12,177.08 $12,177.08 $12,177.08 2026-04-01
552 MS_DRG Medical Back Problems Without Mcc 48 28 — — $6,230.00 $20,866.11 $12,047.38 2026-04-01
149 MS_DRG Dysequilibrium 21 13 — — $5,003.18 $19,332.63 $11,956.55 2026-04-01
372 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Cc 27 17 — — $5,330.00 $17,036.75 $11,893.88 2026-04-01
304 MS_DRG Hypertension With Mcc 48 28 — — $6,965.00 $23,415.63 $11,891.51 2026-04-01
896 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 27 13 — — $6,832.00 $34,338.33 $11,848.92 2026-04-01
300 MS_DRG Peripheral Vascular Disorders With Cc 48 28 — — $6,471.00 $21,005.20 $11,523.42 2026-04-01
755 MS_DRG Malignancy, Female Reproductive System With Cc 48 28 — — $6,965.00 $21,404.64 $11,503.99 2026-04-01
558 MS_DRG Tendonitis, Myositis And Bursitis Without Mcc 48 28 — — $5,945.76 $17,575.50 $11,482.88 2026-04-01
313 MS_DRG Chest Pain 52 32 — — $4,792.82 $26,556.77 $11,407.36 2026-04-01
179 MS_DRG Respiratory Infections And Inflammations Without Cc/mcc 48 28 — — $5,025.80 $14,856.14 $11,321.36 2026-04-01
699 MS_DRG Other Kidney And Urinary Tract Diagnoses With Cc 48 28 — — $5,961.00 $19,972.16 $11,091.48 2026-04-01
70 MS_DRG Other Cerebrovascular Disorders With Mcc 15 9 — — $6,965.00 $21,416.45 $11,082.07 2026-04-01
315 MS_DRG Other Circulatory System Diagnoses With Cc 48 28 — — $6,412.39 $18,954.85 $10,714.51 2026-04-01
884 MS_DRG Organic Disturbances And Intellectual Disability 47 28 — — $1,188.00 $31,658.33 $10,709.96 2026-04-01
540 MS_DRG Osteomyelitis With Cc 48 28 — — $5,665.00 $25,507.30 $10,456.90 2026-04-01
44640 CPT Closure Intestinal Cutaneous Fistula 5 3 — — $10,082.05 $10,586.16 $10,434.93 2026-04-01
58571 CPT Laps Total Hysterect 250 Gm/< W/Rmvl Tube/Ovary 5 3 — — $10,082.05 $10,586.16 $10,434.93 2026-04-01
57425 CPT Laparoscopy Colpopexy Suspension Vaginal Apex 5 3 — — $10,082.05 $10,586.16 $10,434.93 2026-04-01
69 MS_DRG Transient Ischemia Without Thrombolytic 48 28 — — $5,317.37 $18,639.70 $10,412.86 2026-04-01
58552 CPT Laps W/Vag Hysterect 250 Gm/&Rmvl Tube&/Ovaries 6 3 — — $10,082.05 $10,586.16 $10,258.49 2026-04-01
662 MS_DRG Sickle Cell Anemia Crisis,minor 4 4 — — $10,007.76 $10,508.15 $10,257.95 2026-04-01
19307 CPT Mast Modf Rad W/Ax Lymph Nod W/wo Pect/Alis Min|LEFT Side 6 3 — — $6,297.98 $13,528.27 $9,841.84 2026-04-01
923 MS_DRG Other Injury, Poisoning And Toxic Effect Diagnoses Without Mcc 47 28 — — $6,774.52 $20,025.28 $9,801.45 2026-04-01
76 MS_DRG Viral Meningitis Without Cc/mcc 48 28 — — $5,493.11 $16,237.46 $9,744.47 2026-04-01
605 MS_DRG Trauma To The Skin, Subcutaneous Tissue And Breast Without Mcc 42 26 — — $6,097.54 $18,024.13 $9,709.62 2026-04-01
71 MS_DRG Other Cerebrovascular Disorders With Cc 18 10 — — $6,913.64 $20,737.59 $9,679.10 2026-04-01
66 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction Without Cc/mcc 48 28 — — $4,555.85 $18,410.46 $9,675.69 2026-04-01
155 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses With Cc 48 28 — — $6,100.86 $18,033.97 $9,578.60 2026-04-01
125 MS_DRG Other Disorders Of The Eye Without Mcc 44 25 — — $5,111.02 $16,456.70 $9,557.70 2026-04-01
534 MS_DRG Fractures Of Femur Without Mcc 48 28 — — $5,365.97 $15,861.63 $9,449.23 2026-04-01
502 MS_DRG Soft Tissue Procedures Without Cc/mcc 22 13 — — $8,959.25 $26,483.27 $9,407.21 2026-04-01
885 MS_DRG Psychoses 43 25 — — $1,188.00 $27,484.83 $9,298.07 2026-04-01
389 MS_DRG Gastrointestinal Obstruction With Cc 48 28 — — $5,257.47 $15,540.89 $9,252.74 2026-04-01
355 MS_DRG Hernia Procedures Except Inguinal And Femoral Without Cc/mcc 20 13 — — $8,745.87 $26,233.38 $9,183.16 2026-04-01
176 MS_DRG Pulmonary Embolism Without Mcc 48 28 — — $5,358.64 $15,839.99 $9,087.81 2026-04-01
153 MS_DRG Otitis Media And Uri Without Mcc 48 28 — — $4,913.98 $14,525.56 $8,738.93 2026-04-01
348 MS_DRG Anal And Stomal Procedures With Cc 20 11 — — $8,258.45 $24,771.38 $8,671.37 2026-04-01
638 MS_DRG Diabetes With Cc 48 28 — — $5,965.73 $17,634.53 $8,612.59 2026-04-01
831 MS_DRG Other Antepartum Diagnoses Without O.r. Procedures With Mcc 48 28 — — $5,265.88 $23,661.59 $8,404.91 2026-04-01
918 MS_DRG Poisoning And Toxic Effects Of Drugs Without Mcc 48 28 — — $5,705.45 $16,865.16 $8,317.23 2026-04-01
916 MS_DRG Allergic Reactions Without Mcc 44 27 — — $4,435.37 $13,110.79 $8,312.07 2026-04-01
642 MS_DRG Inborn And Other Disorders Of Metabolism 48 28 — — $4,897.33 $14,476.37 $8,287.25 2026-04-01
832 MS_DRG Other Antepartum Diagnoses Without O.r. Procedures With Cc 48 28 — — $4,803.48 $14,198.92 $8,282.19 2026-04-01
443 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis Without C… 48 28 — — $4,657.69 $13,768.00 $8,239.56 2026-04-01
352 MS_DRG Inguinal And Femoral Hernia Procedures Without Cc/mcc 14 10 — — $7,773.69 $22,978.80 $8,162.37 2026-04-01
15777 CPT Implnt Bio Implnt For Soft Tissue Reinforcement|LEFT Side 4 2 — — $8,023.52 $8,139.81 $8,139.81 2026-04-01
864 MS_DRG Fever And Inflammatory Conditions 48 28 — — $5,909.15 $17,467.27 $8,109.58 2026-04-01
19325 CPT Breast Augmentation With Implant|BILATERAL Procedure 10 3 — — $7,752.20 $8,139.81 $8,023.52 2026-04-01
379 MS_DRG Gastrointestinal Hemorrhage Without Cc/mcc 48 28 — — $4,196.37 $14,042.73 $8,011.40 2026-04-01
203 MS_DRG Bronchitis And Asthma Without Cc/mcc 48 28 — — $4,459.99 $13,183.59 $7,992.16 2026-04-01
19340 CPT Insertion Breast Implant Same Day Of Mastectomy|LEFT Side 2 2 — — $7,752.20 $8,023.52 $7,887.86 2026-04-01
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