Price Transparencybeta Hospital negotiated rates

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 →

Export CSV
Hospital

ROPER ST FRANCIS HOSPITAL-BERKELEY INC

Summerville, SC · CCN 420110 · Rates published

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

16,629 of 30,724 rate rows are consumer-grade (54.1%)

14,095 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
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 70
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 Latest re-check couldn't be parsed — showing last good data · 2026-09-20
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
$97,418
1.8× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 23 $39,881.09 $147,277.35 $129,893.46 nat. median
$48,611
outlier · 2.7×
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
$10,799
outlier · 9.8×
326
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Mcc 28 $28,777.30 $98,137.07 $93,728.21 nat. median
$35,986
outlier · 2.6×
574
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Cc 23 $20,029.98 $94,240.55 $81,273.65 nat. median
$23,839
outlier · 3.4×
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 28 $26,521.81 $90,445.33 $79,096.82 nat. median
$33,435
outlier · 2.4×
163
MS_DRG 		Major Chest Procedures With Mcc 28 $25,859.99 $88,188.38 $78,735.31 nat. median
$31,995
outlier · 2.5×
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
$12,698
outlier · 6.0×
166
MS_DRG 		Other Respiratory System O.r. Procedures With Mcc 28 $21,566.53 $74,277.81 $70,242.60 nat. median
$26,952
outlier · 2.6×
467
MS_DRG 		Revision Of Hip Or Knee Replacement With Cc 28 $20,348.48 $69,939.66 $66,275.39 nat. median
$25,622
outlier · 2.6×
356
MS_DRG 		Other Digestive System O.r. Procedures With Mcc 28 $1,980.00 $86,437.13 $61,898.17 nat. median
$30,674
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
$21,906
outlier · 2.7×
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
$18,616
outlier · 3.0×
485
MS_DRG 		Knee Procedures With Principal Diagnosis Of Infection With Mcc 26 $18,620.37 $60,646.89 $55,960.03 nat. median
$23,038
outlier · 2.4×
472
MS_DRG 		Cervical Spinal Fusion With Cc 27 $21,448.70 $64,093.19 $55,366.06 nat. median
$21,867
outlier · 2.5×
480
MS_DRG 		Hip And Femur Procedures Except Major Joint With Mcc 27 $16,803.97 $74,433.48 $54,730.85 nat. median
$21,963
outlier · 2.5×
974
MS_DRG 		HIV With Major Related Condition With Mcc 28 $16,652.22 $62,946.39 $54,236.60 nat. median
$20,400
outlier · 2.7×
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
$21,753
outlier · 2.5×
840
MS_DRG 		Lymphoma And Non-acute Leukemia With Mcc 28 $18,665.37 $63,653.13 $53,887.82 nat. median
$22,339
outlier · 2.4×
483
MS_DRG 		Major Joint Or Limb Reattachment Procedures Of Upper Extremities 28 $15,993.86 $57,089.54 $52,092.32 nat. median
$19,495
outlier · 2.7×
468
MS_DRG 		Revision Of Hip Or Knee Replacement Without Cc/mcc 28 $15,855.96 $58,417.97 $51,643.16 nat. median
$19,904
outlier · 2.6×
579
MS_DRG 		Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 28 $18,686.15 $63,723.96 $51,324.37 nat. median
$23,000
outlier · 2.2×
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
$24,795
outlier · 2.1×
492
MS_DRG 		Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 19 $10,455.00 $88,577.44 $50,697.68 nat. median
$25,953
2.0× 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
$18,590
outlier · 2.6×
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
$20,743
outlier · 2.3×
164
MS_DRG 		Major Chest Procedures With Cc 28 $14,563.48 $70,356.52 $47,433.53 nat. median
$18,379
outlier · 2.6×
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 31 $2,263.83 $130,049.30 $47,280.74 nat. median
$47,121
1.0× median
208
MS_DRG 		Respiratory System Diagnosis With Ventilator Support <=96 Hours 28 $15,860.00 $54,086.17 $47,140.17 nat. median
$19,623
outlier · 2.4×
350
MS_DRG 		Inguinal And Femoral Hernia Procedures With Mcc 28 $14,378.26 $56,978.84 $46,830.28 nat. median
$17,526
outlier · 2.7×
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
$17,763
outlier · 2.6×
327
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Cc 28 $14,103.03 $56,645.00 $45,933.85 nat. median
$18,223
outlier · 2.5×
473
MS_DRG 		Cervical Spinal Fusion Without Cc/mcc 27 $18,036.61 $56,677.87 $45,879.35 nat. median
$17,580
outlier · 2.6×
330
MS_DRG 		Major Small And Large Bowel Procedures With Cc 28 $13,831.84 $50,001.13 $45,050.58 nat. median
$17,741
outlier · 2.5×
397
MS_DRG 		Appendix Procedures With Mcc 28 $13,818.57 $47,124.45 $45,007.36 nat. median
$17,303
outlier · 2.6×
417
MS_DRG 		Laparoscopic Cholecystectomy Without C.d.e. With Mcc 28 $13,769.53 $48,115.73 $44,847.62 nat. median
$17,369
outlier · 2.6×
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
$34,733
1.3× median
333
MS_DRG 		Rectal Resection With Cc 27 $13,514.49 $51,561.34 $44,016.96 nat. median
$16,049
outlier · 2.7×
357
MS_DRG 		Other Digestive System O.r. Procedures With Cc 28 $1,980.00 $47,887.41 $43,703.12 nat. median
$16,355
outlier · 2.7×
478
MS_DRG 		Biopsies Of Musculoskeletal System And Connective Tissue With Cc 28 $14,189.58 $48,389.68 $41,857.59 nat. median
$17,402
outlier · 2.4×
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
$38,795
1.1× 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
$15,634
outlier · 2.6×
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
$15,839
outlier · 2.5×
146
MS_DRG 		Ear, Nose, Mouth And Throat Malignancy With Mcc 28 $12,217.40 $58,532.13 $39,792.30 nat. median
$14,541
outlier · 2.7×
336
MS_DRG 		Peritoneal Adhesiolysis With Cc 28 $12,167.20 $49,034.22 $39,628.80 nat. median
$15,633
outlier · 2.5×
481
MS_DRG 		Hip And Femur Procedures Except Major Joint With Cc 28 $12,085.27 $54,425.77 $39,361.94 nat. median
$15,706
outlier · 2.5×
486
MS_DRG 		Knee Procedures With Principal Diagnosis Of Infection With Cc 19 $12,065.65 $41,146.57 $39,249.17 nat. median
$15,126
outlier · 2.6×
999
MS_DRG 		Ungroupable 28 $11,990.64 $47,389.25 $39,053.73 nat. median
$2,024
outlier · 19.3×
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
$15,130
outlier · 2.6×
64
MS_DRG 		Intracranial Hemorrhage Or Cerebral Infarction With Mcc 28 $11,603.47 $39,570.45 $37,792.72 nat. median
$14,700
outlier · 2.6×

Other procedures at this hospital

Browse this hospital's 678 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
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 45 27 — — $21,448.70 $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
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 29 19 — — $10,455.00 $88,577.44 $50,697.68 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
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
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 45 27 — — $18,036.61 $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 47 29 — — $4,246.84 $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
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
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/mcc 23 18 — — $12,910.35 $38,882.47 $33,114.42 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 45 27 — — $13,215.18 $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 45 27 — — $12,969.13 $36,415.88 $31,790.24 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
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Mcc 39 25 — — $6,965.00 $36,140.75 $31,564.00 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 45 27 — — $11,810.60 $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 45 27 — — $11,632.83 $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
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
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
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 45 27 — — $10,626.37 $33,577.40 $25,276.59 2026-04-01
915 MS_DRG Allergic Reactions With Mcc 48 28 — — $9,702.83 $33,088.84 $25,003.16 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
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 34 21 — — $14,573.14 $41,937.16 $24,125.96 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 32 20 — — $9,428.61 $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 45 27 — — $12,524.20 $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
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 20 13 — — $10,766.96 $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
See an error in this hospital's data? Submit a correction