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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

ROPER ST FRANCIS HOSPITAL-BERKELEY INC

Summerville, SC · CCN 420110 · Rates published

679 distinct procedures filed
32 distinct payers
30,724 rate rows
2026-04-01 last MRF observed
Data quality

16,699 of 30,724 rate rows are consumer-grade (54.4%)

14,025 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 14,025
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.rsfh.com/upload/docs/Patients%20and%20Visitors/263710229_roper-st-francis-hospital-berkeley-inc_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 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
4
MS_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure,extreme 1 $172,642.37 $172,642.37 $172,642.37 nat. median
$133,161
1.3× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 23 $39,881.09 $147,277.35 $129,893.46 nat. median
$66,526
2.0× median
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
$54,210
1.9× median
326
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Mcc 28 $28,777.30 $98,137.07 $93,728.21 nat. median
$48,178
1.9× median
574
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Cc 23 $20,029.98 $94,240.55 $81,273.65 nat. median
$33,674
outlier · 2.4×
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 28 $26,521.81 $90,445.33 $79,096.82 nat. median
$44,810
1.8× median
163
MS_DRG 		Major Chest Procedures With Mcc 28 $25,859.99 $88,188.38 $78,735.31 nat. median
$44,937
1.8× median
402
MS_DRG 		Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 25 $1,980.00 $113,630.76 $75,557.26 nat. median
$39,414
1.9× median
166
MS_DRG 		Other Respiratory System O.r. Procedures With Mcc 28 $21,566.53 $74,277.81 $70,242.60 nat. median
$37,476
1.9× median
467
MS_DRG 		Revision Of Hip Or Knee Replacement With Cc 28 $20,348.48 $69,939.66 $66,275.39 nat. median
$34,720
1.9× median
356
MS_DRG 		Other Digestive System O.r. Procedures With Mcc 28 $1,980.00 $86,437.13 $61,898.17 nat. median
$42,444
1.5× median
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
$30,262
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
$27,782
outlier · 2.0×
485
MS_DRG 		Knee Procedures With Principal Diagnosis Of Infection With Mcc 26 $18,620.37 $60,646.89 $55,960.03 nat. median
$32,024
1.7× median
472
MS_DRG 		Cervical Spinal Fusion With Cc 28 $1,980.00 $64,093.19 $55,366.06 nat. median
$29,858
1.9× median
480
MS_DRG 		Hip And Femur Procedures Except Major Joint With Mcc 27 $16,803.97 $74,433.48 $54,730.85 nat. median
$29,218
1.9× median
974
MS_DRG 		HIV With Major Related Condition With Mcc 28 $16,652.22 $62,946.39 $54,236.60 nat. median
$29,015
1.9× median
521
MS_DRG 		Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 28 $16,561.05 $78,033.04 $53,939.67 nat. median
$28,961
1.9× median
840
MS_DRG 		Lymphoma And Non-acute Leukemia With Mcc 28 $18,665.37 $63,653.13 $53,887.82 nat. median
$31,382
1.7× median
483
MS_DRG 		Major Joint Or Limb Reattachment Procedures Of Upper Extremities 28 $15,993.86 $57,089.54 $52,092.32 nat. median
$26,699
2.0× median
468
MS_DRG 		Revision Of Hip Or Knee Replacement Without Cc/mcc 28 $15,855.96 $58,417.97 $51,643.16 nat. median
$27,218
1.9× median
579
MS_DRG 		Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 28 $18,686.15 $63,723.96 $51,324.37 nat. median
$31,571
1.6× 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
$34,132
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
$25,587
1.9× median
164
MS_DRG 		Major Chest Procedures With Cc 28 $14,563.48 $70,356.52 $47,433.53 nat. median
$25,705
1.8× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 31 $2,263.83 $130,049.30 $47,280.74 nat. median
$62,134
0.8× median
208
MS_DRG 		Respiratory System Diagnosis With Ventilator Support <=96 Hours 28 $15,860.00 $54,086.17 $47,140.17 nat. median
$26,748
1.8× median
350
MS_DRG 		Inguinal And Femoral Hernia Procedures With Mcc 28 $14,378.26 $56,978.84 $46,830.28 nat. median
$24,405
1.9× median
982
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 28 $14,185.55 $54,320.25 $46,202.59 nat. median
$24,493
1.9× median
327
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Cc 28 $14,103.03 $56,645.00 $45,933.85 nat. median
$24,638
1.9× median
473
MS_DRG 		Cervical Spinal Fusion Without Cc/mcc 28 $1,980.00 $56,677.87 $45,879.35 nat. median
$24,794
1.9× median
330
MS_DRG 		Major Small And Large Bowel Procedures With Cc 28 $13,831.84 $50,001.13 $45,050.58 nat. median
$24,346
1.9× median
397
MS_DRG 		Appendix Procedures With Mcc 28 $13,818.57 $47,124.45 $45,007.36 nat. median
$24,164
1.9× median
417
MS_DRG 		Laparoscopic Cholecystectomy Without C.d.e. With Mcc 28 $13,769.53 $48,115.73 $44,847.62 nat. median
$23,829
1.9× median
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 28 $9,980.00 $97,176.83 $44,742.74 nat. median
$48,170
0.9× median
333
MS_DRG 		Rectal Resection With Cc 27 $13,514.49 $51,561.34 $44,016.96 nat. median
$22,739
1.9× median
357
MS_DRG 		Other Digestive System O.r. Procedures With Cc 28 $1,980.00 $47,887.41 $43,703.12 nat. median
$22,940
1.9× median
478
MS_DRG 		Biopsies Of Musculoskeletal System And Connective Tissue With Cc 28 $14,189.58 $48,389.68 $41,857.59 nat. median
$24,026
1.7× median
463
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 31 $1,713.47 $117,193.99 $41,461.91 nat. median
$52,746
0.8× median
817
MS_DRG 		Other Antepartum Diagnoses With O.r. Procedures With Mcc 28 $1,980.00 $44,895.04 $40,058.68 nat. median
$22,924
1.7× median
522
MS_DRG 		Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 28 $12,219.13 $53,247.82 $39,797.94 nat. median
$21,760
1.8× median
146
MS_DRG 		Ear, Nose, Mouth And Throat Malignancy With Mcc 28 $12,217.40 $58,532.13 $39,792.30 nat. median
$21,758
1.8× median
336
MS_DRG 		Peritoneal Adhesiolysis With Cc 28 $12,167.20 $49,034.22 $39,628.80 nat. median
$21,526
1.8× median
481
MS_DRG 		Hip And Femur Procedures Except Major Joint With Cc 28 $12,085.27 $54,425.77 $39,361.94 nat. median
$21,529
1.8× median
486
MS_DRG 		Knee Procedures With Principal Diagnosis Of Infection With Cc 19 $12,065.65 $41,146.57 $39,249.17 nat. median
$21,377
1.8× median
999
MS_DRG 		Ungroupable 28 $11,990.64 $47,389.25 $39,053.73 nat. median
$9,134
outlier · 4.3×
516
MS_DRG 		Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 28 $11,990.64 $47,389.25 $39,053.73 nat. median
$21,082
1.9× median
64
MS_DRG 		Intracranial Hemorrhage Or Cerebral Infarction With Mcc 28 $11,603.47 $39,570.45 $37,792.72 nat. median
$20,254
1.9× median
519
MS_DRG 		Back And Neck Procedures Except Spinal Fusion With Cc 30 $1,980.00 $46,363.52 $37,589.76 nat. median
$20,494
1.8× median
854
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Cc 28 $11,529.04 $39,316.61 $37,550.29 nat. median
$20,421
1.8× median

Other procedures at this hospital

Browse this hospital's 679 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
             
4 MS_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure,extreme 1 1 — — $172,642.37 $172,642.37 $172,642.37 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
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 47 27 — — $32,438.94 $110,624.09 $105,654.25 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
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
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 48 28 — — $26,521.81 $90,445.33 $79,096.82 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
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 43 25 — — $1,980.00 $113,630.76 $75,557.26 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
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 48 28 — — $20,348.48 $69,939.66 $66,275.39 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 48 28 — — $1,980.00 $86,437.13 $61,898.17 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
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
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 44 26 — — $18,620.37 $60,646.89 $55,960.03 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 48 28 — — $1,980.00 $64,093.19 $55,366.06 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 47 27 — — $16,803.97 $74,433.48 $54,730.85 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 48 28 — — $16,652.22 $62,946.39 $54,236.60 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 48 28 — — $16,561.05 $78,033.04 $53,939.67 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 48 28 — — $18,665.37 $63,653.13 $53,887.82 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 48 28 — — $15,993.86 $57,089.54 $52,092.32 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 48 28 — — $15,855.96 $58,417.97 $51,643.16 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
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
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 48 28 — — $14,660.99 $49,997.29 $47,751.13 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
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 51 31 — — $2,263.83 $130,049.30 $47,280.74 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 48 28 — — $15,860.00 $54,086.17 $47,140.17 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
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 48 28 — — $14,185.55 $54,320.25 $46,202.59 2026-04-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 48 28 — — $14,103.03 $56,645.00 $45,933.85 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 48 28 — — $1,980.00 $56,677.87 $45,879.35 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 48 28 — — $13,831.84 $50,001.13 $45,050.58 2026-04-01
397 MS_DRG Appendix Procedures With Mcc 48 28 — — $13,818.57 $47,124.45 $45,007.36 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 48 28 — — $13,769.53 $48,115.73 $44,847.62 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 48 28 — — $9,980.00 $97,176.83 $44,742.74 2026-04-01
333 MS_DRG Rectal Resection With Cc 47 27 — — $13,514.49 $51,561.34 $44,016.96 2026-04-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 48 28 — — $1,980.00 $47,887.41 $43,703.12 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
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 57 31 — — $1,713.47 $117,193.99 $41,461.91 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
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 48 28 — — $12,219.13 $53,247.82 $39,797.94 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
336 MS_DRG Peritoneal Adhesiolysis With Cc 48 28 — — $12,167.20 $49,034.22 $39,628.80 2026-04-01
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 48 28 — — $12,085.27 $54,425.77 $39,361.94 2026-04-01
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 29 19 — — $12,065.65 $41,146.57 $39,249.17 2026-04-01
999 MS_DRG Ungroupable 48 28 — — $11,990.64 $47,389.25 $39,053.73 2026-04-01
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 48 28 — — $11,990.64 $47,389.25 $39,053.73 2026-04-01
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 48 28 — — $11,603.47 $39,570.45 $37,792.72 2026-04-01
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 50 30 — — $1,980.00 $46,363.52 $37,589.76 2026-04-01
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 48 28 — — $11,529.04 $39,316.61 $37,550.29 2026-04-01
908 MS_DRG Other O.r. Procedures For Injuries With Cc 48 28 — — $11,512.30 $39,259.55 $37,495.79 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 48 28 — — $7,803.00 $82,476.70 $37,081.32 2026-04-01
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc 48 28 — — $11,577.51 $39,481.90 $36,471.23 2026-04-01
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 48 28 — — $11,356.51 $38,728.27 $36,357.07 2026-04-01
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 48 28 — — $11,208.23 $38,222.57 $35,748.21 2026-04-01
710 MS_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure,extreme 8 4 — — $26,978.70 $44,987.04 $35,586.22 2026-04-01
504 MS_DRG Foot Procedures With Cc 48 28 — — $10,785.28 $41,101.70 $35,127.88 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 48 28 — — $1,980.00 $82,047.73 $35,004.65 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
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
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
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc 48 28 — — $10,586.80 $36,103.36 $34,481.40 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
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
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
488 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection With Cc/mcc 48 28 — — $10,206.55 $59,787.91 $33,731.46 2026-04-01
91 MS_DRG Other Disorders Of Nervous System With Mcc 26 16 — — $10,133.27 $36,549.07 $33,004.27 2026-04-01
501 MS_DRG Soft Tissue Procedures With Cc 48 28 — — $10,086.54 $37,963.98 $32,852.04 2026-04-01
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 48 28 — — $1,980.00 $41,731.32 $32,474.30 2026-04-01
314 MS_DRG Other Circulatory System Diagnoses With Mcc 48 28 — — $12,031.60 $41,030.48 $31,858.06 2026-04-01
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 48 28 — — $1,980.00 $36,415.88 $31,790.24 2026-04-01
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/mcc 25 19 — — $1,980.00 $38,882.47 $31,626.74 2026-04-01
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 48 28 — — $9,707.45 $40,935.65 $31,617.34 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
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 48 28 — — $10,791.63 $36,801.89 $30,943.03 2026-04-01
988 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 48 28 — — $9,483.57 $38,735.44 $30,888.17 2026-04-01
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 48 28 — — $10,355.42 $35,314.31 $30,685.30 2026-04-01
791 MS_DRG Prematurity With Major Problems 28 14 — — $2,359.56 $79,868.94 $30,419.72 2026-04-01
73 MS_DRG Cranial And Peripheral Nerve Disorders With Mcc 48 28 — — $9,256.81 $39,693.71 $30,149.61 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
306 MS_DRG Cardiac Congenital And Valvular Disorders With Mcc 37 22 — — $9,092.37 $42,305.59 $29,614.01 2026-04-01
513 MS_DRG Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures With Cc/mcc 48 28 — — $9,083.71 $33,662.16 $29,585.82 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
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
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
154 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses With Mcc 48 28 — — $9,021.40 $36,159.88 $29,382.86 2026-04-01
180 MS_DRG Respiratory Neoplasms With Mcc 48 28 — — $10,189.82 $34,749.58 $29,370.71 2026-04-01
571 MS_DRG Skin Debridement With Cc 28 21 — — $9,748.42 $33,244.29 $29,192.55 2026-04-01
517 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures Without Cc/mc… 48 28 — — $8,866.76 $39,446.36 $28,879.20 2026-04-01
337 MS_DRG Peritoneal Adhesiolysis Without Cc/mcc 48 28 — — $8,856.95 $35,540.64 $28,847.26 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
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 47 27 — — $10,547.56 $35,969.56 $28,829.31 2026-04-01
351 MS_DRG Inguinal And Femoral Hernia Procedures With Cc 51 31 — — $8,796.37 $37,439.88 $28,649.93 2026-04-01
663 MS_DRG Minor Bladder Procedures With Cc 48 28 — — $1,980.00 $32,463.46 $28,569.12 2026-04-01
398 MS_DRG Appendix Procedures With Cc 48 28 — — $8,733.47 $35,995.56 $28,445.08 2026-04-01
520 MS_DRG Back And Neck Procedures Except Spinal Fusion Without Cc/mcc 48 28 — — $1,980.00 $36,325.93 $28,074.86 2026-04-01
542 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 39 23 — — $4,582.80 $48,202.22 $27,871.90 2026-04-01
444 MS_DRG Disorders Of The Biliary Tract With Mcc 48 28 — — $9,641.09 $32,878.30 $27,730.94 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 32 20 — — $1,980.00 $88,577.44 $27,670.22 2026-04-01
177 MS_DRG Respiratory Infections And Inflammations With Mcc 45 27 — — $9,016.78 $29,367.82 $27,315.80 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
157 MS_DRG Dental And Oral Diseases With Mcc 48 28 — — $9,905.94 $33,781.47 $27,020.02 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
562 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 48 28 — — $8,221.10 $34,921.40 $26,776.27 2026-04-01
919 MS_DRG Complications Of Treatment With Mcc 48 28 — — $10,563.72 $36,024.65 $26,700.02 2026-04-01
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 29 19 — — $9,406.25 $32,077.45 $26,698.29 2026-04-01
813 MS_DRG Coagulation Disorders 52 32 — — $6,916.38 $30,013.33 $26,520.13 2026-04-01
862 MS_DRG Postoperative And Post-traumatic Infections With Mcc 24 15 — — $10,522.75 $35,884.94 $26,208.78 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 48 28 — — $11,348.00 $57,022.08 $26,123.79 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
811 MS_DRG Red Blood Cell Disorders With Mcc 33 21 — — $2,255.74 $27,632.41 $25,925.10 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
205 MS_DRG Other Respiratory System Diagnoses With Mcc 48 28 — — $10,564.87 $36,028.59 $25,779.81 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
502 MS_DRG Soft Tissue Procedures Without Cc/mcc 48 28 — — $7,765.84 $26,483.27 $25,293.50 2026-04-01
355 MS_DRG Hernia Procedures Except Inguinal And Femoral Without Cc/mcc 48 28 — — $1,980.00 $33,577.40 $25,276.59 2026-04-01
581 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/mcc 60 32 — — $1,015.17 $40,070.79 $25,145.13 2026-04-01
915 MS_DRG Allergic Reactions With Mcc 48 28 — — $9,702.83 $33,088.84 $25,003.16 2026-04-01
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Mcc 42 26 — — $1,980.00 $36,140.75 $24,907.60 2026-04-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 48 28 — — $7,659.00 $54,168.04 $24,551.74 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
553 MS_DRG Bone Diseases And Arthropathies With Mcc 48 28 — — $7,479.65 $37,081.82 $24,361.37 2026-04-01
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 48 28 — — $7,475.61 $36,415.88 $24,348.21 2026-04-01
592 MS_DRG Skin Ulcers With Mcc 48 28 — — $6,381.00 $57,480.46 $24,123.22 2026-04-01
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 48 28 — — $10,230.79 $34,889.29 $23,901.33 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
393 MS_DRG Other Digestive System Diagnoses With Mcc 23 12 — — $9,227.96 $31,469.43 $23,382.41 2026-04-01
743 MS_DRG Uterine And Adnexa Procedures For Non-malignancy Without Cc/mcc 48 28 — — $7,158.84 $26,314.29 $23,316.48 2026-04-01
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 48 28 — — $7,584.09 $25,863.45 $22,837.55 2026-04-01
549 MS_DRG Septic Arthritis With Cc 48 28 — — $6,965.54 $23,925.54 $22,686.91 2026-04-01
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 48 28 — — $6,947.08 $23,691.11 $22,149.12 2026-04-01
352 MS_DRG Inguinal And Femoral Hernia Procedures Without Cc/mcc 34 21 — — $1,980.00 $24,221.33 $21,946.47 2026-04-01
388 MS_DRG Gastrointestinal Obstruction With Mcc 48 28 — — $8,521.14 $29,058.99 $21,870.63 2026-04-01
535 MS_DRG Fractures Of Hip And Pelvis With Mcc 48 28 — — $7,397.14 $25,225.91 $21,794.52 2026-04-01
546 MS_DRG Connective Tissue Disorders With Cc 48 28 — — $6,655.12 $26,675.80 $21,675.85 2026-04-01
786 MS_DRG Cesarean Section Without Sterilization With Mcc 48 28 — — $1,980.00 $32,457.21 $21,659.60 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
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 48 28 — — $7,318.09 $24,956.34 $21,564.47 2026-04-01
572 MS_DRG Skin Debridement Without Cc/mcc 48 28 — — $6,614.15 $23,309.76 $21,542.42 2026-04-01
809 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 48 28 — — $7,304.24 $24,909.11 $21,474.52 2026-04-01
598 MS_DRG Malignant Breast Disorders With Cc 31 20 — — $6,527.60 $33,169.19 $21,260.52 2026-04-01
189 MS_DRG Pulmonary Edema And Respiratory Failure 48 28 — — $7,128.26 $24,308.97 $21,071.50 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
557 MS_DRG Tendonitis, Myositis And Bursitis With Mcc 16 11 — — $8,579.41 $29,275.58 $20,054.06 2026-04-01
291 MS_DRG Heart Failure And Shock With Mcc 48 28 — — $7,407.53 $25,261.33 $19,954.10 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
385 MS_DRG Inflammatory Bowel Disease With Mcc 52 32 — — $4,336.79 $31,134.92 $19,715.39 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
433 MS_DRG Cirrhosis And Alcoholic Hepatitis With Cc 38 24 — — $6,094.27 $20,782.85 $19,589.12 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
661 MS_DRG Kidney And Ureter Procedures For Non-neoplasm Without Cc/mcc 40 22 — — $1,980.00 $26,463.05 $19,458.27 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
644 MS_DRG Endocrine Disorders With Cc 48 28 — — $5,914.25 $20,168.93 $19,262.83 2026-04-01
92 MS_DRG Other Disorders Of Nervous System With Cc 48 28 — — $5,902.71 $24,437.54 $19,225.24 2026-04-01
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 37 22 — — $1,980.00 $41,937.16 $19,079.00 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
787 MS_DRG Cesarean Section Without Sterilization With Cc 39 25 — — $6,443.94 $21,659.60 $19,006.00 2026-04-01
65 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours 48 28 — — $5,829.43 $23,448.14 $18,986.57 2026-04-01
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Mcc 48 28 — — $6,872.00 $40,281.81 $18,951.28 2026-04-01
920 MS_DRG Complications Of Treatment With Cc 38 22 — — $5,783.27 $19,722.26 $18,836.22 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
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 37 20 — — $5,904.44 $20,135.47 $18,765.78 2026-04-01
642 MS_DRG Inborn And Other Disorders Of Metabolism 48 28 — — $1,980.00 $44,702.99 $18,645.58 2026-04-01
64561 CPT Prq Impltj Neurostim Eltrd Sacral Nrve W/Imaging 6 3 — — $18,321.89 $19,237.99 $18,642.53 2026-04-01
64581 CPT Open Implantation Nea Sacral Nerve|BILATERAL Procedure 6 3 — — $18,321.89 $19,237.99 $18,642.53 2026-04-01
378 MS_DRG Gastrointestinal Hemorrhage With Cc 48 28 — — $5,658.64 $19,297.23 $18,430.30 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
785 MS_DRG Cesarean Section With Sterilization Without Cc/mcc 39 25 — — $5,526.51 $19,006.00 $18,390.43 2026-04-01
64590 CPT Implant Neurostim/Receiver 4 2 — — $18,321.89 $19,237.99 $18,321.89 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
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
52 MS_DRG Alteration In Consciousness,extreme 4 4 — — $17,720.71 $18,606.75 $18,163.73 2026-04-01
552 MS_DRG Medical Back Problems Without Mcc 48 28 — — $5,546.70 $20,782.63 $18,065.71 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
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/mcc 48 28 — — $9,410.87 $39,624.52 $17,933.63 2026-04-01
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 48 28 — — $6,391.43 $21,796.21 $17,899.18 2026-04-01
699 MS_DRG Other Kidney And Urinary Tract Diagnoses With Cc 48 28 — — $5,856.55 $19,972.16 $17,868.05 2026-04-01
374 MS_DRG Digestive Malignancy With Mcc 48 28 — — $7,308.00 $42,083.20 $17,664.58 2026-04-01
133 MS_DRG Respiratory Failure,extreme 4 4 — — $16,974.65 $17,823.38 $17,399.01 2026-04-01
381 MS_DRG Complicated Peptic Ulcer With Cc 48 28 — — $6,251.80 $21,320.03 $17,273.02 2026-04-01
23472 CPT Arthroplasty Glenohumeral Joint Total Shoulder 6 2 — — $16,559.32 $17,387.29 $16,973.31 2026-04-01
372 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Cc 48 28 — — $5,891.17 $20,090.22 $16,968.59 2026-04-01
563 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 48 28 — — $5,167.04 $18,148.26 $16,829.13 2026-04-01
380 MS_DRG Complicated Peptic Ulcer With Mcc 48 28 — — $7,231.00 $38,610.21 $16,661.40 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
24164 CPT Prosthesis Removal Radial Head 5 2 — — $16,559.32 $17,387.29 $16,559.32 2026-04-01
20985 CPT Cptr-asst Surgical Navigation Image-less 4 2 — — $16,559.32 $17,387.29 $16,559.32 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
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
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
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
439 MS_DRG Disorders Of Pancreas Except Malignancy With Cc 32 22 — — $4,853.72 $17,686.43 $16,180.48 2026-04-01
369 MS_DRG Major Esophageal Disorders With Cc 48 28 — — $5,771.15 $19,680.94 $16,152.16 2026-04-01
384 MS_DRG Uncomplicated Peptic Ulcer Without Mcc 48 28 — — $4,932.20 $16,819.90 $16,064.26 2026-04-01
863 MS_DRG Postoperative And Post-traumatic Infections Without Mcc 48 28 — — $5,757.88 $19,635.68 $15,854.65 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
103 MS_DRG Headaches Without Mcc 48 28 — — $4,825.45 $19,066.75 $15,716.59 2026-04-01
178 MS_DRG Respiratory Infections And Inflammations With Cc 48 28 — — $5,631.52 $19,204.75 $15,698.98 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
605 MS_DRG Trauma To The Skin, Subcutaneous Tissue And Breast Without Mcc 48 28 — — $5,285.32 $18,024.13 $15,641.89 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
155 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses With Cc 48 28 — — $5,288.21 $18,033.97 $15,430.87 2026-04-01
643 MS_DRG Endocrine Disorders With Mcc 48 28 — — $6,313.00 $32,390.31 $15,311.78 2026-04-01
536 MS_DRG Fractures Of Hip And Pelvis Without Mcc 48 28 — — $4,659.85 $16,633.03 $15,177.23 2026-04-01
948 MS_DRG Signs And Symptoms Without Mcc 48 28 — — $4,618.89 $19,352.15 $15,043.80 2026-04-01
194 MS_DRG Simple Pneumonia And Pleurisy With Cc 56 32 — — $4,650.04 $15,857.69 $15,008.82 2026-04-01
196 MS_DRG Interstitial Lung Disease With Mcc 48 28 — — $7,389.00 $37,134.43 $15,005.83 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
683 MS_DRG Renal Failure With Cc 48 28 — — $5,053.37 $17,233.12 $14,866.98 2026-04-01
389 MS_DRG Gastrointestinal Obstruction With Cc 48 28 — — $4,557.15 $15,540.89 $14,842.71 2026-04-01
101 MS_DRG Seizures Without Mcc 48 28 — — $5,208.00 $17,760.46 $14,823.73 2026-04-01
660 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Cc 48 28 — — $7,626.21 $32,131.35 $14,691.66 2026-04-01
812 MS_DRG Red Blood Cell Disorders Without Mcc 45 30 — — $2,090.40 $18,067.42 $14,659.41 2026-04-01
858 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures Without Cc/mcc 48 28 — — $1,980.00 $30,854.82 $14,579.15 2026-04-01
645 MS_DRG Endocrine Disorders Without Cc/mcc 48 28 — — $4,433.09 $15,117.84 $14,438.66 2026-04-01
554 MS_DRG Bone Diseases And Arthropathies Without Mcc 48 28 — — $4,789.68 $16,333.88 $14,427.63 2026-04-01
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With Mcc 48 28 — — $6,477.00 $32,553.63 $14,190.60 2026-04-01
305 MS_DRG Hypertension Without Mcc 48 28 — — $4,356.93 $15,731.84 $14,190.59 2026-04-01
346 MS_DRG Minor Small And Large Bowel Procedures Without Cc/mcc 15 9 — — $1,980.00 $23,340.86 $14,083.16 2026-04-01
638 MS_DRG Diabetes With Cc 48 28 — — $5,171.07 $17,634.53 $13,874.12 2026-04-01
896 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 31 15 — — $1,188.00 $34,338.33 $13,797.35 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
641 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou… 32 19 — — $4,490.21 $15,312.64 $13,630.23 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
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
602 MS_DRG Cellulitis With Mcc 48 28 — — $5,936.00 $27,966.92 $13,256.89 2026-04-01
603 MS_DRG Cellulitis Without Mcc 48 28 — — $5,025.09 $17,136.70 $13,197.79 2026-04-01
625 MS_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition,moderate 4 4 — — $12,856.75 $13,499.59 $13,178.17 2026-04-01
721 MS_DRG Post-operative Post-traumatic Other Device Infections,major 4 4 — — $12,792.49 $13,432.11 $13,112.30 2026-04-01
445 MS_DRG Disorders Of The Biliary Tract With Cc 41 24 — — $1,980.00 $22,849.65 $13,078.28 2026-04-01
202 MS_DRG Bronchitis And Asthma With Cc/mcc 48 28 — — $5,603.82 $19,110.30 $13,062.88 2026-04-01
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 52 32 — — $7,353.00 $31,563.88 $12,996.60 2026-04-01
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 36 20 — — $1,980.00 $30,861.41 $12,743.22 2026-04-01
27134 CPT Revj Tot Hip Arthrp Bth W/wo Agrft/Algrft 3 2 — — $12,549.51 $12,731.39 $12,731.39 2026-04-01
682 MS_DRG Renal Failure With Mcc 48 28 — — $6,473.00 $29,141.64 $12,659.96 2026-04-01
303 MS_DRG Atherosclerosis Without Mcc 48 28 — — $3,884.36 $13,246.56 $12,651.45 2026-04-01
23615 CPT Optx Prox Humeral Fx W/Int Fixj Rpr Tuberosity|LEFT Side 6 3 — — $12,125.13 $12,731.39 $12,640.45 2026-04-01
27486 CPT Revj Total Knee Arthrp W/wo Algrft 1 Component 2 1 — — $12,549.51 $12,549.51 $12,549.51 2026-04-01
27415 CPT Osteochondral Allograft Knee Open 6 3 — — $12,125.13 $12,731.39 $12,549.51 2026-04-01
94640 CPT Hc Aerosol, Hhn, Mdi, Ippb 5 3 — — $12,125.13 $12,731.39 $12,549.51 2026-04-01
29879 CPT Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx|LEFT Side 5 3 — — $12,125.13 $12,731.39 $12,549.51 2026-04-01
28730 CPT Arthrd Midtarsl/Tarsometatarsal Mult/Transvrs|RIGHT Side 7 3 — — $12,125.13 $12,731.39 $12,549.51 2026-04-01
24579 CPT Open Treatment Humeral Condylar Fracture 9 3 — — $12,125.13 $12,731.39 $12,549.51 2026-04-01
24546 CPT Open Tx Humeral Supracondylar Fracture W/Xtn 3 2 — — $12,549.51 $12,731.39 $12,549.51 2026-04-01
884 MS_DRG Organic Disturbances And Intellectual Disability 31 15 — — $1,188.00 $31,658.33 $12,410.15 2026-04-01
28300 CPT Osteotomy Calcaneus W/wo Internal Fixation|RIGHT Side 4 3 — — $7,195.57 $12,731.39 $12,337.32 2026-04-01
28270 CPT Capsul Mttarphlngl Jt W/wo Tenorrhaphy Ea Jt Spx 6 3 — — $12,125.13 $12,731.39 $12,337.32 2026-04-01
151 MS_DRG Epistaxis Without Mcc 48 28 — — $4,235.18 $14,442.92 $12,313.91 2026-04-01
395 MS_DRG Other Digestive System Diagnoses Without Cc/mcc 48 28 — — $3,744.73 $13,765.14 $12,196.66 2026-04-01
159 MS_DRG Dental And Oral Diseases Without Cc/mcc 26 16 — — $4,088.05 $13,941.15 $12,146.12 2026-04-01
27447 CPT Arthrp Kne Condyle&Platu Medial&Lat Compartments|LEFT Side 5 3 — — $12,125.13 $12,731.39 $12,125.13 2026-04-01
27130 CPT Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft|LEFT Side 7 3 — — $12,125.13 $12,731.39 $12,125.13 2026-04-01
29882 CPT Arthroscopy Knee W/Meniscus Rpr Medial/Lateral|LEFT Side 9 3 — — $3,198.30 $12,731.39 $12,125.13 2026-04-01
28750 CPT Arthrodesis Great Toe Metatarsophalangeal Joint|RIGHT Foot, Great Toe 12 3 — — $6,852.93 $12,731.39 $12,125.13 2026-04-01
28320 CPT Repair Nonunion/Malunion Tarsal Bones 3 2 — — $12,125.13 $12,731.39 $12,125.13 2026-04-01
24666 CPT Open Tx Radial Head/Neck Fracture Prosthetic|LEFT Side 1 1 — — $12,125.13 $12,125.13 $12,125.13 2026-04-01
28297 CPT Corrj Hallux Valgus W/Sesmdc W/1metar Medial Cnf|LEFT Foot, Great Toe 9 3 — — $12,125.13 $12,731.39 $12,125.13 2026-04-01
28285 CPT Correction Hammertoe|RIGHT Foot, Second Digit 7 2 — — $3,090.15 $12,731.39 $12,125.13 2026-04-01
24545 CPT Open Tx Humeral Supracondylar Fracture Without Xtn|LEFT Side 3 2 — — $12,125.13 $12,549.51 $12,125.13 2026-04-01
24515 CPT Optx Humeral Shft Fx W/Plate/Screws W/Wocerclage|LEFT Side 7 3 — — $12,125.13 $12,731.39 $12,125.13 2026-04-01
637 MS_DRG Diabetes With Mcc 48 28 — — $6,923.00 $28,269.95 $11,971.69 2026-04-01
543 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 48 28 — — $5,520.00 $25,961.43 $11,883.45 2026-04-01
188 MS_DRG Pleural Effusion Without Cc/mcc 29 19 — — $1,980.00 $20,595.82 $11,788.26 2026-04-01
700 MS_DRG Other Kidney And Urinary Tract Diagnoses Without Cc/mcc 48 28 — — $3,980.72 $13,575.16 $11,746.56 2026-04-01
440 MS_DRG Disorders Of Pancreas Except Malignancy Without Cc/mcc 48 28 — — $3,585.48 $12,734.23 $11,677.97 2026-04-01
375 MS_DRG Digestive Malignancy With Cc 48 28 — — $6,495.00 $23,801.30 $11,485.38 2026-04-01
558 MS_DRG Tendonitis, Myositis And Bursitis Without Mcc 48 28 — — $5,153.76 $17,575.50 $11,436.94 2026-04-01
885 MS_DRG Psychoses 31 15 — — $1,188.00 $27,484.83 $11,360.67 2026-04-01
419 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. Without Cc/mcc 23 14 — — $1,980.00 $26,874.85 $11,305.31 2026-04-01
102 MS_DRG Headaches With Mcc 48 28 — — $1,980.00 $22,732.03 $11,288.81 2026-04-01
601 MS_DRG Non-malignant Breast Disorders Without Cc/mcc 48 28 — — $3,490.85 $11,904.59 $11,284.72 2026-04-01
684 MS_DRG Renal Failure Without Cc/mcc 48 28 — — $3,463.73 $11,812.10 $11,180.94 2026-04-01
74 MS_DRG Cranial And Peripheral Nerve Disorders Without Mcc 39 23 — — $1,980.00 $20,283.05 $11,043.94 2026-04-01
768 MS_DRG Vaginal Delivery With O.r. Procedures Except Sterilization And/or D&c 39 25 — — $6,183.13 $13,416.00 $11,037.37 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 31 15 — — $1,956.00 $31,204.68 $11,000.00 2026-04-01
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 60 32 — — $1,035.25 $26,280.60 $10,904.12 2026-04-01
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 16 11 — — $8,130.51 $27,726.86 $10,815.68 2026-04-01
689 MS_DRG Kidney And Urinary Tract Infections With Mcc 48 28 — — $5,738.00 $22,831.22 $10,780.44 2026-04-01
201 MS_DRG Pneumothorax Without Cc/mcc 48 28 — — $4,126.13 $14,071.02 $10,585.91 2026-04-01
720 MS_DRG Septicemia And Disseminated Infections,extreme 16 4 — — $6,020.70 $23,902.62 $10,580.21 2026-04-01
443 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis Without C… 40 25 — — $1,980.00 $13,768.00 $10,551.38 2026-04-01
200 MS_DRG Pneumothorax With Cc 48 28 — — $1,980.00 $21,630.93 $10,549.13 2026-04-01
596 MS_DRG Major Skin Disorders Without Mcc 48 28 — — $6,017.62 $21,300.35 $10,514.99 2026-04-01
792 MS_DRG Prematurity Without Major Problems 43 26 — — $1,956.00 $18,994.49 $10,511.53 2026-04-01
541 MS_DRG Osteomyelitis Without Cc/mcc 56 32 — — $2,530.46 $15,493.67 $10,435.42 2026-04-01
58571 CPT Laps Total Hysterect 250 Gm/< W/Rmvl Tube/Ovary 7 3 — — $10,039.05 $10,541.00 $10,390.42 2026-04-01
58552 CPT Laps W/Vag Hysterect 250 Gm/&Rmvl Tube&/Ovaries 6 3 — — $10,039.05 $10,541.00 $10,390.42 2026-04-01
57425 CPT Laparoscopy Colpopexy Suspension Vaginal Apex 6 3 — — $10,039.05 $10,541.00 $10,390.42 2026-04-01
249 MS_DRG Other Gastroenteritis Nausea And Vomiting,extreme 8 4 — — $5,728.50 $15,379.46 $10,331.01 2026-04-01
281 MS_DRG Acute Myocardial Infarction, Discharged Alive With Cc 48 28 — — $1,980.00 $21,784.14 $10,301.33 2026-04-01
621 MS_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly,major 4 4 — — $10,041.20 $10,543.26 $10,292.23 2026-04-01
844 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 35 18 — — $1,980.00 $30,367.03 $10,252.06 2026-04-01
390 MS_DRG Gastrointestinal Obstruction Without Cc/mcc 48 28 — — $3,138.88 $11,205.15 $10,223.39 2026-04-01
58573 CPT Laparoscopy Tot Hysterectomy >250 G W/Tube/Ovar 6 3 — — $10,039.05 $10,541.00 $10,214.74 2026-04-01
58570 CPT Laparoscopy W Total Hysterectomy Uterus 250 Gm/< 6 3 — — $10,039.05 $10,541.00 $10,214.74 2026-04-01
58542 CPT Laps Supracrv Hysterect 250 Gm/< Rmvl Tube/Ovar 6 3 — — $10,039.05 $10,541.00 $10,214.74 2026-04-01
195 MS_DRG Simple Pneumonia And Pleurisy Without Cc/mcc 30 20 — — $1,980.00 $12,366.99 $10,196.72 2026-04-01
921 MS_DRG Complications Of Treatment Without Cc/mcc 48 28 — — $3,972.07 $13,545.65 $10,165.59 2026-04-01
866 MS_DRG Viral Illness Without Mcc 48 28 — — $5,017.59 $17,111.12 $10,103.32 2026-04-01
304 MS_DRG Hypertension With Mcc 35 19 — — $1,980.00 $23,415.63 $10,057.60 2026-04-01
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