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Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

BON SECOURS MARYVIEW MEDICAL CENTER

Portsmouth, VA · CCN 490017 · Rates published

Your selected procedure

You selected 482 (MS_DRG)

HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC

This hospital’s price: $26,518 across 25 payers · range $12,794-$31,950

Source: https://www.bonsecours.com/-/media/bon-secours/patients-and-visitors/corporate/pricing/540506463_maryview-hospital-llc_standardcharges.ashx · observed 2026-04-01

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

917 distinct procedures filed
31 distinct payers
37,847 rate rows
2026-04-01 last MRF observed
Data quality

22,712 of 37,847 rate rows are consumer-grade (60.0%)

15,135 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 15,081
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 50
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 4
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.bonsecours.com/-/media/bon-secours/patients-and-visitors/corporate/pricing/540506463_maryview-hospital-llc_standardcharges.ashx
Found on page https://www.bonsecours.com/patient-resources/estimate-your-cost
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-22
Content fingerprint 5a56e85c2293a3c6… · 10,763,360 bytes · first seen 2026-05-08

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
215
MS_DRG 		Other Heart Assist System Implant 24 $73,167.29 $325,289.00 $189,526.52 nat. median
$93,787
outlier · 2.0×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 24 $71,904.14 $191,635.27 $175,611.04 nat. median
$90,512
1.9× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 24 $61,901.88 $359,247.00 $155,294.83 nat. median
$77,487
outlier · 2.0×
5
MS_DRG 		Tracheostomy With Mv >96 Hours Without Extensive Procedure,extreme 3 $152,508.40 $152,508.40 $152,508.40 nat. median
$94,943
1.6× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 22 $56,644.07 $150,410.22 $111,842.12 nat. median
$72,247
1.5× median
428
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 24 $41,733.54 $210,809.00 $103,894.56 nat. median
$50,496
outlier · 2.1×
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 24 $9,771.06 $311,877.00 $103,457.93 nat. median
$63,564
1.6× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 16 $51,086.07 $124,073.72 $100,677.28 nat. median
$62,577
1.6× median
278
MS_DRG 		Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures… 20 $41,328.91 $109,036.29 $99,918.86 nat. median
$47,998
outlier · 2.1×
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 25 $45,405.52 $120,049.23 $99,638.59 nat. median
$58,220
1.7× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 22 $56,404.07 $149,761.82 $98,110.00 nat. median
$71,737
1.4× median
28
MS_DRG 		Spinal Procedures With Mcc 19 $44,534.64 $117,696.59 $97,685.95 nat. median
$54,377
1.8× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 24 $48,646.05 $128,803.55 $95,775.82 nat. median
$61,995
1.5× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 28 $8,481.60 $126,049.34 $93,727.84 nat. median
$59,324
1.6× median
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 25 $42,518.83 $112,250.85 $93,166.08 nat. median
$53,419
1.7× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 24 $45,354.02 $119,910.15 $89,162.86 nat. median
$58,234
1.5× median
234
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 23 $40,578.40 $107,008.83 $88,839.85 nat. median
$51,559
1.7× median
513
MS_DRG 		Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures With Cc/mcc 25 $36,778.09 $96,742.24 $88,652.81 nat. median
$15,172
outlier · 5.8×
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 19 $44,928.39 $118,760.27 $88,307.83 nat. median
$57,798
1.5× median
11
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 10 $40,516.04 $103,627.90 $86,387.49 nat. median
$49,944
1.7× median
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 20 $34,297.46 $90,040.84 $82,511.77 nat. median
$42,609
1.9× median
270
MS_DRG 		Other Major Cardiovascular Procedures With Mcc 25 $39,226.80 $103,357.44 $82,303.79 nat. median
$49,305
1.7× median
228
MS_DRG 		Other Cardiothoracic Procedures With Mcc 25 $36,841.90 $96,914.62 $80,437.30 nat. median
$47,347
1.7× median
239
MS_DRG 		Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 25 $36,655.53 $96,411.18 $80,019.46 nat. median
$45,172
1.8× median
834
MS_DRG 		Acute Leukemia With Mcc 23 $40,775.65 $107,541.65 $79,965.88 nat. median
$50,314
1.6× median
576
MS_DRG 		Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 25 $36,506.90 $96,009.61 $79,686.16 nat. median
$46,626
1.7× median
220
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 28 $14,289.20 $104,464.22 $77,677.56 nat. median
$50,558
1.5× median
981
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 25 $34,988.50 $91,907.67 $76,281.63 nat. median
$43,609
1.7× median
423
MS_DRG 		Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 22 $31,081.57 $81,353.12 $74,550.50 nat. median
$38,534
1.9× median
236
MS_DRG 		Coronary Bypass Without Cardiac Catheterization Without Mcc 25 $31,341.16 $98,110.00 $74,389.51 nat. median
$40,285
1.8× median
402
MS_DRG 		Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 24 $30,120.80 $210,809.00 $74,298.84 nat. median
$36,864
outlier · 2.0×
856
MS_DRG 		Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 25 $33,950.85 $89,104.48 $73,955.04 nat. median
$41,655
1.8× median
326
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Mcc 30 $13,943.07 $97,698.18 $72,646.47 nat. median
$46,201
1.6× median
890
MS_DRG 		HIV With Multiple Major HIV Related Conditions,extreme 6 $46,799.84 $100,743.30 $72,542.92 nat. median
$22,275
outlier · 3.3×
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 24 $36,778.09 $96,742.24 $71,935.65 nat. median
$45,362
1.6× median
448
MS_DRG 		Multiple Level Spinal Fusion Except Cervical Without Mcc 25 $31,718.21 $115,276.00 $70,070.74 nat. median
$39,065
1.8× median
474
MS_DRG 		Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 25 $32,096.00 $84,093.62 $69,796.12 nat. median
$39,943
1.7× median
267
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 24 $35,488.82 $93,259.31 $69,345.81 nat. median
$45,843
1.5× median
130
MS_DRG 		Respiratory System Diagnosis With Ventilator Support > 96 Hours,extreme 6 $55,166.54 $82,973.65 $68,473.70 nat. median
$2,614
outlier · 26.2×
673
MS_DRG 		Other Kidney And Urinary Tract Procedures With Mcc 25 $31,433.98 $82,305.14 $68,311.71 nat. median
$37,952
1.8× median
901
MS_DRG 		Wound Debridements For Injuries With Mcc 25 $31,397.72 $82,207.20 $68,230.43 nat. median
$39,584
1.7× median
273
MS_DRG 		Percutaneous And Other Intracardiac Procedures With Mcc 25 $30,882.17 $80,814.42 $67,074.44 nat. median
$38,057
1.8× median
163
MS_DRG 		Major Chest Procedures With Mcc 24 $33,465.75 $87,793.98 $65,281.90 nat. median
$42,636
1.5× median
802
MS_DRG 		Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 25 $29,856.84 $78,044.53 $64,775.49 nat. median
$35,083
1.8× median
359
MS_DRG 		Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 25 $25,901.35 $96,076.00 $64,439.37 nat. median
$29,910
outlier · 2.2×
356
MS_DRG 		Other Digestive System O.r. Procedures With Mcc 24 $32,820.41 $86,050.56 $63,985.52 nat. median
$40,205
1.6× median
271
MS_DRG 		Other Major Cardiovascular Procedures With Cc 24 $26,754.79 $87,753.00 $63,833.00 nat. median
$33,980
1.9× median
269
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 24 $31,590.59 $87,753.00 $63,833.00 nat. median
$40,001
1.6× median
40
MS_DRG 		Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 25 $28,965.69 $75,637.05 $62,777.32 nat. median
$35,821
1.8× median
907
MS_DRG 		Other O.r. Procedures For Injuries With Mcc 25 $28,806.89 $75,208.05 $62,421.26 nat. median
$35,937
1.7× median

Other procedures at this hospital

Browse this hospital's 917 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
             
215 MS_DRG Other Heart Assist System Implant 40 24 — — $73,167.29 $325,289.00 $189,526.52 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 37 24 — — $71,904.14 $191,635.27 $175,611.04 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 43 24 — — $61,901.88 $359,247.00 $155,294.83 2026-04-01
5 MS_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure,extreme 3 3 — — $152,508.40 $152,508.40 $152,508.40 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 41 22 — — $56,644.07 $150,410.22 $111,842.12 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 43 24 — — $41,733.54 $210,809.00 $103,894.56 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 34 24 — — $9,771.06 $311,877.00 $103,457.93 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 27 16 — — $51,086.07 $124,073.72 $100,677.28 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 35 20 — — $41,328.91 $109,036.29 $99,918.86 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 44 25 — — $45,405.52 $120,049.23 $99,638.59 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 39 22 — — $56,404.07 $149,761.82 $98,110.00 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 30 19 — — $44,534.64 $117,696.59 $97,685.95 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 43 24 — — $48,646.05 $128,803.55 $95,775.82 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 45 28 — — $8,481.60 $126,049.34 $93,727.84 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 44 25 — — $42,518.83 $112,250.85 $93,166.08 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 41 24 — — $45,354.02 $119,910.15 $89,162.86 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 36 23 — — $40,578.40 $107,008.83 $88,839.85 2026-04-01
513 MS_DRG Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures With Cc/mcc 43 25 — — $36,778.09 $96,742.24 $88,652.81 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 34 19 — — $44,928.39 $118,760.27 $88,307.83 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 12 10 — — $40,516.04 $103,627.90 $86,387.49 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 30 20 — — $34,297.46 $90,040.84 $82,511.77 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 44 25 — — $39,226.80 $103,357.44 $82,303.79 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 44 25 — — $36,841.90 $96,914.62 $80,437.30 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 44 25 — — $36,655.53 $96,411.18 $80,019.46 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 42 23 — — $40,775.65 $107,541.65 $79,965.88 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 44 25 — — $36,506.90 $96,009.61 $79,686.16 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 47 28 — — $14,289.20 $104,464.22 $77,677.56 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 44 25 — — $34,988.50 $91,907.67 $76,281.63 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 38 22 — — $31,081.57 $81,353.12 $74,550.50 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 44 25 — — $31,341.16 $98,110.00 $74,389.51 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 43 24 — — $30,120.80 $210,809.00 $74,298.84 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 44 25 — — $33,950.85 $89,104.48 $73,955.04 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 50 30 — — $13,943.07 $97,698.18 $72,646.47 2026-04-01
890 MS_DRG HIV With Multiple Major HIV Related Conditions,extreme 14 6 — — $46,799.84 $100,743.30 $72,542.92 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 40 24 — — $36,778.09 $96,742.24 $71,935.65 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 44 25 — — $31,718.21 $115,276.00 $70,070.74 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 44 25 — — $32,096.00 $84,093.62 $69,796.12 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 43 24 — — $35,488.82 $93,259.31 $69,345.81 2026-04-01
130 MS_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours,extreme 14 6 — — $55,166.54 $82,973.65 $68,473.70 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 44 25 — — $31,433.98 $82,305.14 $68,311.71 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 44 25 — — $31,397.72 $82,207.20 $68,230.43 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 44 25 — — $30,882.17 $80,814.42 $67,074.44 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 43 24 — — $33,465.75 $87,793.98 $65,281.90 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 44 25 — — $29,856.84 $78,044.53 $64,775.49 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 44 25 — — $25,901.35 $96,076.00 $64,439.37 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 43 24 — — $32,820.41 $86,050.56 $63,985.52 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 43 24 — — $26,754.79 $87,753.00 $63,833.00 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 43 24 — — $31,590.59 $87,753.00 $63,833.00 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 44 25 — — $28,965.69 $75,637.05 $62,777.32 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 44 25 — — $28,806.89 $75,208.05 $62,421.26 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 50 30 — — $19,580.44 $84,769.44 $61,217.57 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 44 25 — — $28,067.27 $73,209.97 $60,762.89 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 44 25 — — $27,991.13 $73,004.29 $60,592.18 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 44 25 — — $27,258.04 $71,023.84 $58,948.44 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 40 25 — — $27,118.09 $70,645.77 $58,634.65 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 35 21 — — $24,367.73 $63,215.66 $57,929.67 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 44 25 — — $26,775.84 $69,721.17 $57,867.25 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 44 25 — — $26,255.20 $68,314.68 $56,699.90 2026-04-01
169 MS_DRG Major Abdominal Vascular Procedures,extreme 14 6 — — $30,202.64 $85,659.21 $56,646.49 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 51 31 — — $23,805.04 $70,110.40 $56,536.67 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 44 25 — — $26,017.35 $67,672.16 $56,166.61 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 44 25 — — $25,827.40 $67,158.93 $55,740.64 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 45 26 — — $28,070.18 $73,217.81 $54,443.34 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 44 25 — — $25,190.73 $65,439.01 $54,313.15 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 43 25 — — $22,842.81 $59,096.10 $54,154.58 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 44 25 — — $24,836.15 $64,481.11 $53,518.10 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 44 25 — — $24,391.66 $115,276.00 $53,375.90 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 44 25 — — $24,450.40 $63,438.98 $52,653.15 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 31 19 — — $27,157.23 $70,751.55 $52,609.48 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 44 25 — — $24,424.29 $63,368.46 $52,594.62 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 43 25 — — $26,860.67 $69,950.36 $52,013.73 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 44 25 — — $24,076.24 $62,428.18 $51,814.21 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 43 25 — — $21,894.36 $56,533.85 $51,806.59 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 44 25 — — $23,915.97 $61,995.27 $51,454.90 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 44 25 — — $20,696.46 $96,076.00 $51,124.60 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 51 31 — — $16,063.82 $68,332.31 $50,810.58 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 44 25 — — $23,552.71 $61,013.86 $50,640.35 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 42 24 — — $26,139.18 $68,001.25 $50,564.41 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 44 25 — — $22,330.16 $62,793.00 $50,060.96 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 39 23 — — $21,066.99 $54,298.75 $49,758.38 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 38 22 — — $20,898.77 $53,844.28 $49,341.91 2026-04-01
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 44 25 — — $18,473.97 $96,076.00 $48,923.86 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 44 25 — — $22,549.86 $58,304.70 $48,391.80 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 44 25 — — $19,479.72 $87,753.00 $47,843.22 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 44 25 — — $22,085.06 $57,049.04 $47,349.63 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 28 21 — — $21,997.32 $55,852.63 $47,152.90 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 24 19 — — $20,893.70 $53,830.57 $47,096.00 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 44 25 — — $26,539.45 $69,082.57 $47,096.00 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 44 25 — — $21,636.95 $55,838.44 $46,344.85 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 44 25 — — $20,959.68 $54,008.83 $44,826.31 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 44 30 — — $17,924.97 $61,724.94 $44,575.62 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 44 25 — — $21,779.80 $56,224.35 $44,451.67 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 44 25 — — $20,790.73 $53,552.41 $44,447.49 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 21 16 — — $43,521.66 $108,451.73 $44,392.09 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 44 25 — — $20,590.60 $53,011.75 $43,998.76 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 50 30 — — $8,443.29 $59,971.72 $43,309.51 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 55 31 — — $7,233.26 $111,647.51 $43,141.41 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 25 13 — — $42,349.14 $111,792.46 $42,349.14 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 44 25 — — $19,669.71 $50,523.95 $41,933.93 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 44 25 — — $19,391.98 $49,773.69 $41,311.22 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 44 25 — — $19,357.18 $49,679.66 $41,233.18 2026-04-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 44 25 — — $19,036.66 $48,813.83 $40,514.56 2026-04-01
545 MS_DRG Connective Tissue Disorders With Mcc 44 25 — — $18,962.72 $48,614.02 $40,348.72 2026-04-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 44 25 — — $18,799.56 $48,173.27 $39,982.90 2026-04-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 44 25 — — $18,794.48 $48,159.56 $39,971.52 2026-04-01
30 MS_DRG Spinal Procedures Without Cc/mcc 27 18 — — $16,783.50 $43,593.36 $39,948.16 2026-04-01
906 MS_DRG Hand Procedures For Injuries 35 20 — — $16,465.58 $42,752.99 $39,178.06 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 44 25 — — $18,349.99 $46,958.75 $38,974.88 2026-04-01
35 MS_DRG Carotid Artery Stent Procedures With Cc 44 25 — — $18,301.42 $46,827.50 $38,865.94 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 72 31 — — $5,826.05 $101,968.58 $38,712.69 2026-04-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 44 25 — — $17,925.08 $45,810.84 $38,022.13 2026-04-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 44 25 — — $17,912.74 $45,777.53 $37,994.49 2026-04-01
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 44 25 — — $17,540.76 $44,772.62 $37,160.43 2026-04-01
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 44 25 — — $17,441.42 $44,504.25 $36,937.69 2026-04-01
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 44 25 — — $16,323.29 $47,096.00 $36,697.55 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 28 18 — — $17,548.46 $47,823.00 $36,662.62 2026-04-01
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/mcc 44 25 — — $17,190.54 $43,826.47 $36,375.14 2026-04-01
259 MS_DRG Cardiac Pacemaker Device Replacement Without Mcc 37 23 — — $15,630.09 $39,610.92 $36,298.72 2026-04-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 44 25 — — $1,800.00 $45,507.21 $36,207.32 2026-04-01
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 24 20 — — $16,977.34 $43,250.55 $35,897.14 2026-04-01
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 44 25 — — $16,832.33 $42,858.77 $35,571.97 2026-04-01
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 44 25 — — $16,793.16 $42,752.99 $35,484.18 2026-04-01
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 44 25 — — $16,766.33 $42,680.51 $35,424.02 2026-04-01
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 44 25 — — $14,954.27 $51,794.00 $35,060.54 2026-04-01
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 30 18 — — $15,052.89 $38,051.63 $34,869.82 2026-04-01
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 44 25 — — $16,495.87 $41,949.84 $34,817.58 2026-04-01
374 MS_DRG Digestive Malignancy With Mcc 44 25 — — $16,475.57 $41,894.99 $34,772.05 2026-04-01
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 44 25 — — $16,321.11 $41,477.75 $34,425.75 2026-04-01
336 MS_DRG Peritoneal Adhesiolysis With Cc 44 25 — — $16,258.03 $41,307.32 $34,284.29 2026-04-01
333 MS_DRG Rectal Resection With Cc 43 24 — — $17,951.17 $45,881.36 $34,116.49 2026-04-01
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 44 25 — — $16,155.07 $41,029.16 $34,053.43 2026-04-01
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 44 25 — — $16,145.64 $41,003.69 $34,032.29 2026-04-01
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 44 25 — — $16,130.42 $40,962.56 $33,998.15 2026-04-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 44 25 — — $17,012.89 $42,614.54 $33,873.82 2026-04-01
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 51 31 — — $13,751.31 $96,076.00 $33,497.00 2026-04-01
935 MS_DRG Non-extensive Burns 20 17 — — $15,904.89 $40,353.34 $33,492.51 2026-04-01
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 41 24 — — $17,468.96 $44,578.69 $33,147.85 2026-04-01
657 MS_DRG Kidney And Ureter Procedures For Neoplasm With Cc 40 24 — — $14,237.14 $35,847.87 $32,850.33 2026-04-01
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 44 25 — — $15,549.60 $39,393.48 $32,695.85 2026-04-01
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc 44 25 — — $15,516.96 $39,305.33 $32,622.68 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 44 25 — — $21,904.50 $56,561.28 $32,531.00 2026-04-01
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 44 25 — — $15,471.28 $39,181.92 $32,520.25 2026-04-01
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 44 25 — — $15,456.06 $39,140.78 $32,486.10 2026-04-01
908 MS_DRG Other O.r. Procedures For Injuries With Cc 44 25 — — $15,435.02 $39,083.97 $32,438.96 2026-04-01
843 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 44 25 — — $15,432.12 $39,076.14 $32,432.46 2026-04-01
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 32 22 — — $14,044.26 $82,502.20 $32,372.83 2026-04-01
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 46 27 — — $16,910.64 $43,070.33 $32,026.26 2026-04-01
539 MS_DRG Osteomyelitis With Mcc 44 25 — — $15,250.12 $38,584.45 $32,024.37 2026-04-01
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 44 25 — — $15,239.25 $38,555.07 $31,999.98 2026-04-01
36 MS_DRG Carotid Artery Stent Procedures Without Cc/mcc 44 25 — — $15,055.07 $38,057.51 $31,587.01 2026-04-01
100 MS_DRG Seizures With Mcc 44 25 — — $15,011.57 $37,939.98 $31,489.47 2026-04-01
548 MS_DRG Septic Arthritis With Mcc 32 22 — — $14,968.79 $37,824.40 $31,393.54 2026-04-01
75 MS_DRG Viral Meningitis With Cc/mcc 44 25 — — $14,871.61 $37,561.91 $31,175.68 2026-04-01
902 MS_DRG Wound Debridements For Injuries With Cc 44 25 — — $14,849.86 $37,503.14 $31,126.90 2026-04-01
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 51 31 — — $12,381.23 $41,742.20 $31,038.69 2026-04-01
325 MS_DRG Non-elective Or Complex Knee Joint Replacement,moderate 7 6 — — $30,758.73 $32,296.67 $30,758.73 2026-04-01
230 MS_DRG Major Small Bowel Procedures,extreme 28 6 — — $13,497.63 $81,156.47 $30,634.24 2026-04-01
364 MS_DRG Other Skin, Subcutaneous Tissue And Related Procedures,extreme 14 6 — — $12,442.23 $50,399.95 $30,532.15 2026-04-01
570 MS_DRG Skin Debridement With Mcc 4 4 — — $20,894.16 $52,456.41 $30,503.60 2026-04-01
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 26 21 — — $14,529.36 $36,637.31 $30,408.28 2026-04-01
504 MS_DRG Foot Procedures With Cc 44 25 — — $14,521.37 $36,615.76 $30,390.39 2026-04-01
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 25 19 — — $16,036.15 $39,483.90 $30,269.60 2026-04-01
479 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue Without Cc/mcc 44 25 — — $14,446.70 $36,413.99 $30,222.93 2026-04-01
180 MS_DRG Respiratory Neoplasms With Mcc 56 31 — — $13,773.07 $58,960.06 $30,135.41 2026-04-01
61885 CPT Imp Stim,Cranial,Subq,1 Array 5 3 — — $30,107.39 $30,709.54 $30,107.39 2026-04-01
63655 CPT Surg Implnt Neuroelect,Epidural 5 3 — — $30,107.39 $30,709.54 $30,107.39 2026-04-01
64582 CPT Open Impltj Hpglsl Nrv Nstim Ra Pg&Respir Sensor 6 3 — — $30,107.39 $30,709.54 $30,107.39 2026-04-01
63685 CPT Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj 5 3 — — $30,107.39 $30,709.54 $30,107.39 2026-04-01
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Mcc 44 25 — — $14,285.73 $35,979.12 $29,861.99 2026-04-01
205 MS_DRG Other Respiratory System Diagnoses With Mcc 44 25 — — $14,244.38 $35,867.46 $29,769.31 2026-04-01
919 MS_DRG Complications Of Treatment With Mcc 44 25 — — $14,242.93 $35,863.54 $29,766.06 2026-04-01
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 44 25 — — $14,222.63 $35,808.69 $29,720.54 2026-04-01
43 MS_DRG Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies,ma… 7 6 — — $29,630.96 $31,112.51 $29,630.96 2026-04-01
80 MS_DRG Nontraumatic Stupor And Coma With Mcc 44 25 — — $14,092.11 $35,456.09 $29,427.89 2026-04-01
722 MS_DRG Malignancy, Male Reproductive System With Mcc 44 25 — — $14,089.93 $35,450.21 $29,423.00 2026-04-01
496 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 44 25 — — $14,047.88 $35,336.60 $29,328.71 2026-04-01
686 MS_DRG Kidney And Urinary Tract Neoplasms With Mcc 44 25 — — $14,046.44 $35,332.68 $29,325.46 2026-04-01
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 44 25 — — $13,981.18 $35,156.38 $29,179.13 2026-04-01
505 MS_DRG Foot Procedures Without Cc/mcc 44 25 — — $13,967.38 $35,119.16 $29,148.24 2026-04-01
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 44 25 — — $13,824.53 $34,733.26 $28,827.94 2026-04-01
488 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection With Cc/mcc 34 20 — — $13,794.09 $34,650.98 $28,759.66 2026-04-01
542 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 44 25 — — $13,776.69 $34,603.97 $28,720.64 2026-04-01
380 MS_DRG Complicated Peptic Ulcer With Mcc 51 31 — — $9,327.06 $38,437.54 $28,581.41 2026-04-01
62 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 44 25 — — $13,709.25 $34,421.79 $28,569.44 2026-04-01
922 MS_DRG Other Injury, Poisoning And Toxic Effect Diagnoses With Mcc 44 25 — — $13,652.69 $34,269.00 $28,442.62 2026-04-01
501 MS_DRG Soft Tissue Procedures With Cc 44 25 — — $13,643.26 $34,243.53 $28,421.48 2026-04-01
896 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 44 25 — — $13,621.51 $34,184.76 $28,372.71 2026-04-01
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 44 25 — — $13,497.52 $33,849.79 $28,094.69 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 41 15 — — $15,476.53 $165,133.31 $28,005.43 2026-04-01
983 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/mcc 44 25 — — $13,396.00 $33,575.55 $27,867.06 2026-04-01
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 44 25 — — $13,233.57 $33,136.75 $27,502.88 2026-04-01
571 MS_DRG Skin Debridement With Cc 44 25 — — $13,218.35 $33,095.62 $27,468.74 2026-04-01
793 MS_DRG Moderately Extensive O.r. Procedures For Other Complications Of Treatment,major 11 6 — — $10,497.37 $28,821.67 $27,449.21 2026-04-01
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/mcc 44 25 — — $13,170.48 $32,966.33 $27,361.43 2026-04-01
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 44 25 — — $13,166.86 $32,956.53 $27,353.30 2026-04-01
915 MS_DRG Allergic Reactions With Mcc 44 25 — — $13,161.07 $32,940.86 $27,340.29 2026-04-01
551 MS_DRG Medical Back Problems With Mcc 44 25 — — $13,121.17 $32,833.12 $27,250.87 2026-04-01
444 MS_DRG Disorders Of The Biliary Tract With Mcc 44 25 — — $13,083.49 $32,731.26 $27,166.33 2026-04-01
398 MS_DRG Appendix Procedures With Cc 37 23 — — $10,550.00 $29,642.07 $27,163.45 2026-04-01
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 23 16 — — $12,258.16 $34,398.67 $27,113.15 2026-04-01
597 MS_DRG Malignant Breast Disorders With Mcc 44 25 — — $13,055.92 $32,656.82 $27,104.54 2026-04-01
581 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/mcc 44 25 — — $11,431.66 $39,953.00 $27,043.69 2026-04-01
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With Mcc 44 25 — — $12,963.83 $32,408.04 $26,898.06 2026-04-01
754 MS_DRG Malignancy, Female Reproductive System With Mcc 51 31 — — $1,246.75 $36,077.06 $26,826.20 2026-04-01
988 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 44 25 — — $12,885.52 $32,196.48 $26,722.47 2026-04-01
675 MS_DRG Other Kidney And Urinary Tract Procedures Without Cc/mcc 44 25 — — $12,869.56 $32,153.38 $26,686.70 2026-04-01
91 MS_DRG Other Disorders Of Nervous System With Mcc 23 18 — — $13,903.64 $35,708.79 $26,552.36 2026-04-01
299 MS_DRG Peripheral Vascular Disorders With Mcc 44 25 — — $12,806.48 $31,982.96 $26,545.25 2026-04-01
841 MS_DRG Lymphoma And Non-acute Leukemia With Cc 44 25 — — $12,797.04 $31,957.49 $26,524.11 2026-04-01
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/mcc 44 25 — — $12,794.16 $31,949.66 $26,517.62 2026-04-01
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 44 25 — — $12,788.36 $31,933.99 $26,504.61 2026-04-01
22633 CPT Arthrodesis Combined Tq 1ntrspc Lumbar 1 1 — — $26,474.25 $26,474.25 $26,474.25 2026-04-01
22630 CPT Arthrodesis Posterior Interbody 1 Ntrspc Lumbar|DISCONTINUED Out-patient Hospita… 5 3 — — $26,474.25 $27,003.74 $26,474.25 2026-04-01
717 MS_DRG Other Male Reproductive System O.r. Procedures Except Malignancy With Cc/mcc 31 20 — — $11,944.02 $35,528.57 $26,418.35 2026-04-01
38 MS_DRG Extracranial Procedures With Cc 44 25 — — $12,733.24 $31,785.11 $26,381.04 2026-04-01
328 MS_DRG Stomach, Esophageal And Duodenal Procedures Without Cc/mcc 44 25 — — $12,586.04 $31,387.45 $26,050.99 2026-04-01
393 MS_DRG Other Digestive System Diagnoses With Mcc 44 25 — — $12,564.27 $31,328.69 $26,002.22 2026-04-01
368 MS_DRG Major Esophageal Disorders With Mcc 44 25 — — $12,510.65 $31,183.73 $25,881.91 2026-04-01
410 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 44 25 — — $12,480.19 $31,101.46 $25,813.62 2026-04-01
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 44 25 — — $12,340.23 $30,723.39 $25,499.83 2026-04-01
533 MS_DRG Fractures Of Femur With Mcc 44 25 — — $12,335.14 $30,709.68 $25,488.45 2026-04-01
154 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses With Mcc 44 25 — — $12,304.71 $30,627.40 $25,420.17 2026-04-01
177 MS_DRG Respiratory Infections And Inflammations With Mcc 44 25 — — $12,298.90 $30,611.73 $25,407.16 2026-04-01
296 MS_DRG Cardiac Arrest, Unexplained With Mcc 44 25 — — $12,293.10 $30,596.06 $25,394.15 2026-04-01
186 MS_DRG Pleural Effusion With Mcc 44 25 — — $12,268.45 $30,529.46 $25,338.87 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 25 22 — — $13,238.04 $66,445.89 $25,130.45 2026-04-01
564 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc 44 25 — — $12,160.41 $30,237.58 $25,096.62 2026-04-01
517 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures Without Cc/mc… 44 25 — — $12,110.38 $30,102.42 $24,984.43 2026-04-01
337 MS_DRG Peritoneal Adhesiolysis Without Cc/mcc 44 25 — — $12,098.04 $30,069.12 $24,956.80 2026-04-01
256 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Cc 31 21 — — $13,279.26 $33,260.16 $24,731.61 2026-04-01
606 MS_DRG Minor Skin Disorders With Mcc 44 25 — — $11,939.97 $29,642.07 $24,602.36 2026-04-01
283 MS_DRG Acute Myocardial Infarction, Expired With Mcc 64 31 — — $5,304.01 $38,801.89 $24,586.55 2026-04-01
626 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Cc 44 25 — — $11,839.90 $29,371.75 $24,377.99 2026-04-01
865 MS_DRG Viral Illness With Mcc 44 25 — — $11,831.93 $29,350.20 $24,360.11 2026-04-01
251 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc 44 25 — — $11,804.37 $29,275.76 $24,298.33 2026-04-01
557 MS_DRG Tendonitis, Myositis And Bursitis With Mcc 44 25 — — $11,749.27 $29,126.88 $24,174.76 2026-04-01
682 MS_DRG Renal Failure With Mcc 44 25 — — $11,706.49 $29,011.31 $24,078.84 2026-04-01
136 MS_DRG Respiratory Malignancy,extreme 7 6 — — $24,021.97 $25,223.07 $24,021.97 2026-04-01
388 MS_DRG Gastrointestinal Obstruction With Mcc 44 25 — — $11,676.00 $28,929.04 $24,010.56 2026-04-01
643 MS_DRG Endocrine Disorders With Mcc 24 16 — — $12,903.65 $32,245.45 $23,977.09 2026-04-01
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Mcc 35 22 — — $1,800.00 $36,531.53 $23,838.96 2026-04-01
385 MS_DRG Inflammatory Bowel Disease With Mcc 31 23 — — $12,486.25 $31,828.21 $23,666.84 2026-04-01
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 51 31 — — $10,498.45 $37,596.27 $23,594.79 2026-04-01
620 MS_DRG O.r. Procedures For Obesity With Cc 44 25 — — $12,571.55 $32,531.00 $23,486.49 2026-04-01
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 65 31 — — $8,770.98 $34,335.78 $23,365.32 2026-04-01
637 MS_DRG Diabetes With Mcc 44 25 — — $11,385.26 $28,143.52 $23,358.58 2026-04-01
346 MS_DRG Connective Tissue Disorders,major 7 6 — — $23,349.57 $24,517.05 $23,349.57 2026-04-01
562 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 44 25 — — $11,298.97 $27,910.41 $23,165.11 2026-04-01
642 MS_DRG Inborn And Other Disorders Of Metabolism 38 24 — — $11,279.38 $27,857.52 $23,121.22 2026-04-01
602 MS_DRG Cellulitis With Mcc 44 25 — — $11,273.59 $27,841.85 $23,108.21 2026-04-01
621 MS_DRG O.r. Procedures For Obesity Without Cc/mcc 32 22 — — $11,158.52 $32,531.00 $22,831.50 2026-04-01
83 MS_DRG Traumatic Stupor And Coma >1 Hour With Cc 44 25 — — $11,088.68 $27,342.33 $22,693.61 2026-04-01
260 MS_DRG Major Pancreas, Liver And Shunt Procedures,moderate 5 4 — — $22,477.15 $23,601.01 $22,477.15 2026-04-01
361 MS_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses,moderate 7 6 — — $22,437.43 $23,559.30 $22,437.43 2026-04-01
358 MS_DRG Other Digestive System O.r. Procedures Without Cc/mcc 22 15 — — $9,447.72 $26,545.05 $22,031.90 2026-04-01
502 MS_DRG Soft Tissue Procedures Without Cc/mcc 44 25 — — $10,726.85 $26,364.84 $21,882.32 2026-04-01
693 MS_DRG Urinary Stones With Mcc 44 25 — — $10,716.70 $26,337.41 $21,859.56 2026-04-01
223 MS_DRG Other Small And Large Bowel Procedures,major 14 6 — — $18,590.28 $25,226.04 $21,772.30 2026-04-01
520 MS_DRG Back And Neck Procedures Except Spinal Fusion Without Cc/mcc 4 2 — — $21,760.15 $21,760.15 $21,760.15 2026-04-01
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 44 25 — — $10,652.16 $26,163.07 $21,714.85 2026-04-01
124 MS_DRG Other Disorders Of The Eye With Mcc Or Thrombolytic Agent 44 25 — — $10,561.52 $25,918.21 $21,511.62 2026-04-01
750 MS_DRG Other Female Reproductive System O.r. Procedures Without Cc/mcc 51 31 — — $1,246.75 $28,909.45 $21,496.50 2026-04-01
604 MS_DRG Trauma To The Skin, Subcutaneous Tissue And Breast With Mcc 29 19 — — $11,641.95 $28,836.97 $21,442.61 2026-04-01
304 MS_DRG Hypertension With Mcc 44 27 — — $9,596.39 $52,275.22 $21,361.69 2026-04-01
909 MS_DRG Other O.r. Procedures For Injuries Without Cc/mcc 44 25 — — $10,486.11 $25,714.48 $21,342.53 2026-04-01
143 MS_DRG Other Respiratory Diagnoses Except Signs, Symptoms And Miscellaneous Diagnoses,e… 7 6 — — $21,336.62 $22,403.45 $21,336.62 2026-04-01
691 MS_DRG Lymphoma, Myeloma And Non-acute Leukemia,major 7 6 — — $21,322.44 $22,388.56 $21,322.44 2026-04-01
121 MS_DRG Other Respiratory And Chest Procedures,moderate 7 6 — — $21,295.49 $22,360.26 $21,295.49 2026-04-01
152 MS_DRG Otitis Media And Uri With Mcc 34 21 — — $9,539.84 $23,158.12 $21,221.67 2026-04-01
70 MS_DRG Other Cerebrovascular Disorders With Mcc 44 25 — — $1,800.00 $32,611.77 $21,208.43 2026-04-01
182 MS_DRG Other Peripheral Vascular And Related Procedures,moderate 7 6 — — $21,166.40 $22,224.72 $21,166.40 2026-04-01
553 MS_DRG Bone Diseases And Arthropathies With Mcc 44 25 — — $10,367.18 $25,393.22 $21,075.90 2026-04-01
975 MS_DRG HIV With Major Related Condition With Cc 44 25 — — $10,357.76 $25,367.76 $21,054.76 2026-04-01
291 MS_DRG Heart Failure And Shock With Mcc 44 25 — — $10,276.55 $25,148.36 $20,872.66 2026-04-01
535 MS_DRG Fractures Of Hip And Pelvis With Mcc 44 25 — — $10,263.50 $25,113.10 $20,843.40 2026-04-01
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 44 25 — — $1,800.00 $25,379.51 $20,777.12 2026-04-01
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 44 25 — — $10,164.16 $24,844.73 $20,620.65 2026-04-01
809 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 44 25 — — $10,146.76 $24,797.72 $20,581.63 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 56 31 — — $10,802.36 $50,594.47 $20,089.72 2026-04-01
189 MS_DRG Pulmonary Edema And Respiratory Failure 44 25 — — $9,925.60 $24,200.25 $20,085.75 2026-04-01
287 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization Without Mcc 44 25 — — $8,726.99 $37,678.00 $20,053.68 2026-04-01
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 63 31 — — $10,927.71 $26,907.45 $20,007.86 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 58 31 — — $6,362.26 $50,845.21 $19,986.53 2026-04-01
196 MS_DRG Interstitial Lung Disease With Mcc 56 31 — — $13,879.23 $36,968.36 $19,937.29 2026-04-01
419 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. Without Cc/mcc 27 17 — — $10,871.16 $26,754.66 $19,894.24 2026-04-01
445 MS_DRG Disorders Of The Biliary Tract With Cc 51 31 — — $8,903.18 $26,795.96 $19,645.57 2026-04-01
497 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 44 25 — — $9,729.10 $23,669.39 $19,645.14 2026-04-01
549 MS_DRG Septic Arthritis With Cc 44 25 — — $9,721.11 $23,647.84 $19,627.26 2026-04-01
593 MS_DRG Skin Ulcers With Cc 44 25 — — $9,569.58 $23,238.43 $19,287.46 2026-04-01
660 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Cc 51 31 — — $10,551.39 $25,890.78 $19,251.88 2026-04-01
181 MS_DRG Respiratory Neoplasms With Cc 36 25 — — $8,733.51 $24,016.57 $19,225.52 2026-04-01
39 MS_DRG Extracranial Procedures Without Cc/mcc 44 25 — — $9,491.26 $23,026.87 $19,111.87 2026-04-01
725 MS_DRG Benign Prostatic Hypertrophy With Mcc 44 25 — — $9,452.84 $22,923.05 $19,025.69 2026-04-01
903 MS_DRG Wound Debridements For Injuries Without Cc/mcc 44 25 — — $9,448.48 $22,911.29 $19,015.94 2026-04-01
352 MS_DRG Inguinal And Femoral Hernia Procedures Without Cc/mcc 44 25 — — $9,435.42 $22,876.03 $18,986.67 2026-04-01
546 MS_DRG Connective Tissue Disorders With Cc 44 25 — — $9,331.01 $22,593.95 $18,752.55 2026-04-01
314 MS_DRG Other Circulatory System Diagnoses With Mcc 61 31 — — $14,509.07 $40,846.98 $18,724.41 2026-04-01
949 MS_DRG Aftercare With Cc/mcc 44 25 — — $1,800.00 $23,305.03 $18,709.32 2026-04-01
600 MS_DRG Non-malignant Breast Disorders With Cc/mcc 30 20 — — $8,520.34 $20,403.90 $18,697.76 2026-04-01
58 MS_DRG Multiple Sclerosis And Cerebellar Ataxia With Mcc 63 31 — — $1,635.80 $33,487.40 $18,665.47 2026-04-01
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