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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 SOUTHSIDE MEDICAL CENTER

Petersburg, VA · CCN 490067 · Rates published

936 distinct procedures filed
30 distinct payers
37,204 rate rows
2026-04-01 last MRF observed
Data quality

23,127 of 37,204 rate rows are consumer-grade (62.2%)

14,077 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 14,077
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.bonsecours.com/-/media/bon-secours/patients-and-visitors/corporate/pricing/843050337_bon-secours-mercy-health-petersburg-llc_standardcharges.ashx
Found on page https://www.bonsecours.com/patient-resources/estimate-your-cost
Discovered viaDiscovered by HANK
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-05-15
Content fingerprint a20c270be1aa956b… · 10,564,481 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
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 20 $24,733.65 $323,038.00 $323,038.00 nat. median
$265,286
1.2× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 22 $133,486.00 $563,868.66 $221,997.00 nat. median
$202,976
1.1× median
215
MS_DRG 		Other Heart Assist System Implant 23 $51,866.21 $212,119.00 $131,846.00 nat. median
$99,019
1.3× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 25 $18,398.81 $221,997.00 $111,393.47 nat. median
$133,161
0.8× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 23 $70,359.22 $259,889.86 $88,988.00 nat. median
$93,672
0.9× median
950
MS_DRG 		Extensive O.r. Procedure Unrelated To Principal Diagnosis,extreme 6 $87,253.79 $91,616.48 $87,253.79 nat. median
$7,552
outlier · 11.6×
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 22 $43,381.44 $159,571.34 $86,440.98 nat. median
$59,099
1.5× median
11
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 23 $39,434.27 $144,893.62 $78,489.95 nat. median
$52,857
1.5× median
653
MS_DRG 		Major Bladder Procedures With Mcc 22 $37,593.23 $138,047.56 $74,781.39 nat. median
$51,418
1.5× median
326
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Mcc 27 $13,897.33 $132,495.27 $71,773.67 nat. median
$48,178
1.5× median
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 23 $35,751.48 $131,198.85 $71,071.39 nat. median
$48,170
1.5× median
239
MS_DRG 		Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 23 $35,630.74 $130,749.88 $70,828.18 nat. median
$47,740
1.5× median
121
MS_DRG 		Other Respiratory And Chest Procedures,extreme 6 $69,924.91 $73,421.16 $69,924.91 nat. median
$12,356
outlier · 5.7×
130
MS_DRG 		Respiratory System Diagnosis With Ventilator Support > 96 Hours,extreme 6 $54,985.54 $82,701.42 $68,249.04 nat. median
$12,594
outlier · 5.4×
981
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 23 $33,988.30 $124,642.36 $67,519.69 nat. median
$46,084
1.5× median
277
MS_DRG 		Cardiac Defibrillator Implant Without Mcc 21 $31,729.05 $123,582.38 $66,945.49 nat. median
$46,109
1.5× median
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 23 $33,307.46 $122,110.62 $66,148.23 nat. median
$44,810
1.5× median
856
MS_DRG 		Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 23 $32,965.97 $120,840.76 $65,460.34 nat. median
$43,963
1.5× median
163
MS_DRG 		Major Chest Procedures With Mcc 24 $32,488.02 $119,063.50 $64,497.58 nat. median
$44,937
1.4× median
269
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 23 $30,640.53 $112,193.53 $62,503.36 nat. median
$41,524
1.5× median
474
MS_DRG 		Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 23 $31,138.48 $114,045.18 $61,779.12 nat. median
$42,295
1.5× median
589
MS_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 5 $60,064.30 $63,067.52 $60,965.26 nat. median
$76,787
0.8× median
12
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 23 $30,589.09 $112,002.26 $60,672.46 nat. median
$40,914
1.5× median
673
MS_DRG 		Other Kidney And Urinary Tract Procedures With Mcc 23 $30,486.22 $111,619.71 $60,465.23 nat. median
$40,454
1.5× median
834
MS_DRG 		Acute Leukemia With Mcc 24 $14,584.47 $81,250.52 $59,436.40 nat. median
$53,172
1.1× median
273
MS_DRG 		Percutaneous And Other Intracardiac Procedures With Mcc 22 $29,942.55 $109,598.03 $59,370.07 nat. median
$40,005
1.5× median
958
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Cc 18 $29,189.42 $109,180.95 $59,144.13 nat. median
$41,228
1.4× median
231
MS_DRG 		Major Large Bowel Procedures,extreme 6 $58,682.91 $61,617.06 $58,682.91 nat. median
$79,312
0.7× median
876
MS_DRG 		O.r. Procedures With Principal Diagnosis Of Mental Illness 24 $28,080.80 $102,674.93 $55,619.78 nat. median
$34,345
1.6× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 18 $49,848.34 $183,618.88 $55,326.56 nat. median
$66,526
0.8× median
907
MS_DRG 		Other O.r. Procedures For Injuries With Mcc 23 $27,897.90 $101,994.84 $55,251.37 nat. median
$38,112
1.4× median
628
MS_DRG 		Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 23 $27,094.18 $99,006.17 $53,632.38 nat. median
$37,234
1.4× median
335
MS_DRG 		Peritoneal Adhesiolysis With Mcc 23 $25,980.40 $94,864.53 $51,388.82 nat. median
$35,058
1.5× median
622
MS_DRG 		Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 23 $25,896.81 $94,553.71 $51,220.45 nat. median
$35,324
1.4× median
616
MS_DRG 		Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 24 $25,383.88 $92,646.27 $50,187.17 nat. median
$35,856
1.4× median
271
MS_DRG 		Other Major Cardiovascular Procedures With Cc 23 $25,876.09 $94,476.67 $48,502.00 nat. median
$35,597
1.4× median
952
MS_DRG 		Non-extensive O.r. Procedure Unrelated To Principal Diagnosis,extreme 6 $37,030.30 $60,166.60 $48,091.68 nat. median
$15,953
outlier · 3.0×
264
MS_DRG 		Other Circulatory System O.r. Procedures 24 $24,335.10 $88,746.38 $48,074.57 nat. median
$33,061
1.5× median
356
MS_DRG 		Other Digestive System O.r. Procedures With Mcc 24 $15,155.73 $65,013.44 $47,558.65 nat. median
$42,444
1.1× median
37
MS_DRG 		Extracranial Procedures With Mcc 24 $23,988.61 $87,457.93 $47,376.61 nat. median
$32,921
1.4× median
274
MS_DRG 		Percutaneous And Other Intracardiac Procedures Without Mcc 23 $23,985.74 $87,447.30 $47,370.85 nat. median
$32,270
1.5× median
579
MS_DRG 		Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 18 $23,605.68 $86,033.99 $46,605.25 nat. median
$31,571
1.5× median
485
MS_DRG 		Knee Procedures With Principal Diagnosis Of Infection With Mcc 23 $23,524.24 $85,731.14 $46,441.20 nat. median
$32,024
1.5× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 27 $6,327.25 $170,944.24 $46,439.86 nat. median
$62,134
0.7× median
656
MS_DRG 		Kidney And Ureter Procedures For Neoplasm With Mcc 23 $23,214.90 $84,580.83 $45,818.07 nat. median
$31,645
1.4× median
500
MS_DRG 		Soft Tissue Procedures With Mcc 24 $23,079.14 $84,076.08 $45,544.64 nat. median
$31,070
1.5× median
324
MS_DRG 		Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 20 $22,980.56 $83,709.47 $45,346.04 nat. median
$30,812
1.5× median
464
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 23 $22,721.24 $82,745.12 $44,823.65 nat. median
$30,262
1.5× median
498
MS_DRG 		Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 23 $22,021.82 $80,144.31 $43,414.77 nat. median
$27,782
1.6× median
229
MS_DRG 		Other Cardiothoracic Procedures Without Mcc 23 $22,969.86 $83,669.62 $43,263.00 nat. median
$33,143
1.3× median

Other procedures at this hospital

Browse this hospital's 936 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
             
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 33 20 — — $24,733.65 $323,038.00 $323,038.00 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 38 22 — — $133,486.00 $563,868.66 $221,997.00 2026-04-01
215 MS_DRG Other Heart Assist System Implant 41 23 — — $51,866.21 $212,119.00 $131,846.00 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 41 25 — — $18,398.81 $221,997.00 $111,393.47 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 41 23 — — $70,359.22 $259,889.86 $88,988.00 2026-04-01
950 MS_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis,extreme 7 6 — — $87,253.79 $91,616.48 $87,253.79 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 38 22 — — $43,381.44 $159,571.34 $86,440.98 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 41 23 — — $39,434.27 $144,893.62 $78,489.95 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 38 22 — — $37,593.23 $138,047.56 $74,781.39 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 45 27 — — $13,897.33 $132,495.27 $71,773.67 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 41 23 — — $35,751.48 $131,198.85 $71,071.39 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 41 23 — — $35,630.74 $130,749.88 $70,828.18 2026-04-01
121 MS_DRG Other Respiratory And Chest Procedures,extreme 7 6 — — $69,924.91 $73,421.16 $69,924.91 2026-04-01
130 MS_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours,extreme 14 6 — — $54,985.54 $82,701.42 $68,249.04 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 41 23 — — $33,988.30 $124,642.36 $67,519.69 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 34 21 — — $31,729.05 $123,582.38 $66,945.49 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 41 23 — — $33,307.46 $122,110.62 $66,148.23 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 41 23 — — $32,965.97 $120,840.76 $65,460.34 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 42 24 — — $32,488.02 $119,063.50 $64,497.58 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 41 23 — — $30,640.53 $112,193.53 $62,503.36 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 41 23 — — $31,138.48 $114,045.18 $61,779.12 2026-04-01
589 MS_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 6 5 — — $60,064.30 $63,067.52 $60,965.26 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 41 23 — — $30,589.09 $112,002.26 $60,672.46 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 41 23 — — $30,486.22 $111,619.71 $60,465.23 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 42 24 — — $14,584.47 $81,250.52 $59,436.40 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 38 22 — — $29,942.55 $109,598.03 $59,370.07 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 30 18 — — $29,189.42 $109,180.95 $59,144.13 2026-04-01
231 MS_DRG Major Large Bowel Procedures,extreme 7 6 — — $58,682.91 $61,617.06 $58,682.91 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 42 24 — — $28,080.80 $102,674.93 $55,619.78 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 32 18 — — $49,848.34 $183,618.88 $55,326.56 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 41 23 — — $27,897.90 $101,994.84 $55,251.37 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 41 23 — — $27,094.18 $99,006.17 $53,632.38 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 41 23 — — $25,980.40 $94,864.53 $51,388.82 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 41 23 — — $25,896.81 $94,553.71 $51,220.45 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 42 24 — — $25,383.88 $92,646.27 $50,187.17 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 41 23 — — $25,876.09 $94,476.67 $48,502.00 2026-04-01
952 MS_DRG Non-extensive O.r. Procedure Unrelated To Principal Diagnosis,extreme 14 6 — — $37,030.30 $60,166.60 $48,091.68 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 42 24 — — $24,335.10 $88,746.38 $48,074.57 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 42 24 — — $15,155.73 $65,013.44 $47,558.65 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 42 24 — — $23,988.61 $87,457.93 $47,376.61 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 41 23 — — $23,985.74 $87,447.30 $47,370.85 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 29 18 — — $23,605.68 $86,033.99 $46,605.25 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 39 23 — — $23,524.24 $85,731.14 $46,441.20 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 61 27 — — $6,327.25 $170,944.24 $46,439.86 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 41 23 — — $23,214.90 $84,580.83 $45,818.07 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 42 24 — — $23,079.14 $84,076.08 $45,544.64 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 34 20 — — $22,980.56 $83,709.47 $45,346.04 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 41 23 — — $22,721.24 $82,745.12 $44,823.65 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 40 23 — — $22,021.82 $80,144.31 $43,414.77 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 41 23 — — $22,969.86 $83,669.62 $43,263.00 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 42 24 — — $18,708.37 $80,665.00 $43,143.20 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 41 23 — — $21,237.91 $80,665.00 $42,869.00 2026-04-01
570 MS_DRG Skin Debridement With Mcc 42 24 — — $21,481.02 $78,133.26 $42,325.37 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 42 24 — — $14,866.18 $57,145.76 $41,803.28 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 42 24 — — $21,087.37 $76,669.48 $41,532.43 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 62 29 — — $5,592.01 $151,412.92 $41,187.47 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 42 24 — — $12,569.08 $55,317.96 $40,466.21 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 41 23 — — $20,467.97 $74,366.20 $40,284.73 2026-04-01
503 MS_DRG Foot Procedures With Mcc 40 23 — — $20,409.38 $74,148.36 $40,166.72 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 41 23 — — $20,272.22 $73,638.30 $39,890.41 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 41 23 — — $20,106.47 $73,021.96 $39,556.54 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 42 24 — — $11,028.86 $53,454.64 $39,103.15 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 41 23 — — $19,739.97 $71,659.13 $38,818.28 2026-04-01
724 MS_DRG Other Infectious And Parasitic Diseases,extreme 7 6 — — $38,154.36 $40,062.07 $38,154.36 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 38 22 — — $19,406.34 $70,418.50 $38,146.22 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 42 24 — — $12,134.37 $51,376.72 $37,583.11 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 41 23 — — $22,349.00 $91,349.85 $37,170.00 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 41 23 — — $19,907.15 $72,554.00 $37,170.00 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 16 13 — — $13,228.62 $47,166.12 $36,719.46 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 41 23 — — $18,587.61 $67,374.03 $36,497.02 2026-04-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 42 24 — — $18,271.85 $66,199.82 $35,860.93 2026-04-01
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 41 23 — — $17,717.46 $64,138.29 $35,731.64 2026-04-01
545 MS_DRG Connective Tissue Disorders With Mcc 42 24 — — $18,198.98 $65,928.84 $35,714.14 2026-04-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 41 23 — — $18,033.23 $65,312.51 $35,380.27 2026-04-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 42 24 — — $17,931.07 $64,932.62 $35,174.48 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 42 24 — — $12,826.62 $47,876.52 $35,022.64 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 41 23 — — $23,279.19 $84,819.92 $34,883.00 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 41 23 — — $17,595.29 $63,684.02 $34,498.11 2026-04-01
397 MS_DRG Appendix Procedures With Mcc 42 24 — — $17,578.86 $63,622.91 $34,465.01 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 27 18 — — $16,981.45 $63,134.10 $34,200.21 2026-04-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 42 24 — — $17,176.65 $62,127.25 $33,654.79 2026-04-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 42 24 — — $17,164.51 $62,082.09 $33,630.33 2026-04-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 42 24 — — $17,083.06 $61,779.23 $33,466.27 2026-04-01
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 38 22 — — $16,864.44 $60,966.31 $33,025.91 2026-04-01
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 42 24 — — $16,700.14 $60,355.30 $32,694.91 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 41 23 — — $16,661.31 $55,692.40 $32,561.24 2026-04-01
50389 CPT Hc Rem Neph Tube|LEFT Side 10 3 — — $680.34 $65,560.29 $32,484.37 2026-04-01
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 41 23 — — $16,242.90 $58,655.07 $31,773.89 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 41 23 — — $15,732.21 $54,339.68 $31,770.35 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 42 24 — — $10,925.74 $43,216.00 $31,613.38 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 42 24 — — $13,066.87 $42,949.60 $31,418.50 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 52 28 — — $16,539.92 $114,961.71 $31,384.96 2026-04-01
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 42 24 — — $16,035.00 $57,882.00 $31,355.11 2026-04-01
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 42 24 — — $16,024.30 $57,842.15 $31,333.52 2026-04-01
265 MS_DRG Aicd Lead Procedures 41 23 — — $22,805.00 $96,121.10 $31,308.28 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 42 24 — — $13,502.17 $46,811.04 $31,191.74 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 42 24 — — $10,818.05 $42,187.40 $30,860.94 2026-04-01
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 42 24 — — $15,768.54 $56,891.09 $30,818.33 2026-04-01
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/mcc 26 18 — — $15,762.82 $56,869.84 $30,806.81 2026-04-01
374 MS_DRG Digestive Malignancy With Mcc 42 24 — — $15,748.54 $56,816.70 $30,778.03 2026-04-01
64582 CPT Open Impltj Hpglsl Nrv Nstim Ra Pg&Respir Sensor 3 2 — — $30,107.39 $30,709.54 $30,709.54 2026-04-01
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 42 24 — — $15,596.35 $56,250.85 $30,471.50 2026-04-01
655 MS_DRG Major Bladder Procedures Without Cc/mcc 30 19 — — $15,590.66 $56,229.60 $30,459.99 2026-04-01
336 MS_DRG Peritoneal Adhesiolysis With Cc 42 24 — — $15,534.20 $56,019.72 $30,346.30 2026-04-01
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 42 24 — — $15,423.48 $55,607.95 $30,123.24 2026-04-01
13101 CPT Repair Complex Trunk 2.6-7.5 Cm|UNUSUAL Non-overlapping Service 4 2 — — $30,107.39 $30,107.39 $30,107.39 2026-04-01
169 MS_DRG Major Abdominal Vascular Procedures,moderate 7 6 — — $30,103.56 $31,608.74 $30,103.56 2026-04-01
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 42 24 — — $15,408.47 $55,552.16 $30,093.02 2026-04-01
835 MS_DRG Acute Leukemia With Cc 42 24 — — $15,370.60 $55,411.36 $30,016.75 2026-04-01
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 31 20 — — $15,324.88 $55,241.34 $29,924.65 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 41 23 — — $11,330.24 $51,128.08 $29,892.65 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 41 23 — — $11,828.43 $50,740.32 $29,665.95 2026-04-01
744 MS_DRG D&c, Conization, Laparoscopy And Tubal Interruption With Cc/mcc 42 24 — — $15,108.41 $54,436.39 $29,488.60 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 42 24 — — $10,125.76 $40,051.76 $29,298.67 2026-04-01
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 42 24 — — $14,836.23 $53,424.23 $28,940.30 2026-04-01
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc 30 21 — — $14,804.08 $53,304.68 $28,875.54 2026-04-01
707 MS_DRG Major Male Pelvic Procedures With Cc/mcc 41 23 — — $14,759.79 $53,139.97 $28,786.32 2026-04-01
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 42 24 — — $14,744.05 $53,081.52 $28,754.66 2026-04-01
908 MS_DRG Other O.r. Procedures For Injuries With Cc 42 24 — — $14,723.34 $53,004.48 $28,712.92 2026-04-01
843 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 42 24 — — $14,720.49 $52,993.86 $28,707.17 2026-04-01
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 42 24 — — $14,530.46 $52,287.20 $28,324.37 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 62 29 — — $8,520.22 $92,670.18 $28,041.18 2026-04-01
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 41 23 — — $16,061.45 $57,980.30 $28,034.00 2026-04-01
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 42 24 — — $14,346.86 $51,604.46 $27,954.52 2026-04-01
100 MS_DRG Seizures With Mcc 42 24 — — $14,306.13 $51,453.03 $27,872.49 2026-04-01
317 MS_DRG Tendon, Muscle And Other Soft Tissue Procedures,major 7 6 — — $27,709.81 $29,095.30 $27,709.81 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 42 24 — — $11,440.94 $37,605.32 $27,509.06 2026-04-01
717 MS_DRG Other Male Reproductive System O.r. Procedures Except Malignancy With Cc/mcc 42 24 — — $13,975.35 $50,223.02 $27,206.19 2026-04-01
196 MS_DRG Interstitial Lung Disease With Mcc 42 24 — — $13,951.77 $50,135.36 $27,158.70 2026-04-01
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 42 24 — — $13,831.04 $49,686.39 $26,915.49 2026-04-01
504 MS_DRG Foot Procedures With Cc 42 24 — — $13,823.18 $49,657.17 $26,899.66 2026-04-01
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Mcc 42 24 — — $13,792.46 $49,542.93 $26,837.78 2026-04-01
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Mcc 42 24 — — $13,590.99 $48,793.77 $26,431.95 2026-04-01
444 MS_DRG Disorders Of The Biliary Tract With Mcc 42 24 — — $13,590.99 $48,793.77 $26,431.95 2026-04-01
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc 42 24 — — $13,577.42 $48,743.30 $26,404.61 2026-04-01
205 MS_DRG Other Respiratory System Diagnoses With Mcc 42 24 — — $13,550.26 $48,642.35 $26,349.92 2026-04-01
919 MS_DRG Complications Of Treatment With Mcc 42 24 — — $13,548.84 $48,637.03 $26,347.04 2026-04-01
657 MS_DRG Kidney And Ureter Procedures For Neoplasm With Cc 41 23 — — $13,543.12 $48,615.78 $26,335.53 2026-04-01
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 42 24 — — $13,528.84 $48,562.65 $26,306.75 2026-04-01
862 MS_DRG Postoperative And Post-traumatic Infections With Mcc 42 24 — — $13,498.12 $48,448.41 $26,244.87 2026-04-01
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 28 17 — — $13,736.91 $50,815.44 $26,196.75 2026-04-01
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 41 23 — — $13,064.47 $72,554.00 $26,092.40 2026-04-01
227 MS_DRG Hernia Procedures Except Inguinal, Femoral And Umbilical,extreme 14 6 — — $23,470.91 $28,868.15 $26,068.97 2026-04-01
80 MS_DRG Nontraumatic Stupor And Coma With Mcc 41 23 — — $13,400.25 $48,084.46 $26,047.71 2026-04-01
686 MS_DRG Kidney And Urinary Tract Neoplasms With Mcc 32 19 — — $13,355.24 $47,917.09 $25,957.05 2026-04-01
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 42 24 — — $13,353.10 $47,909.12 $25,952.73 2026-04-01
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 42 24 — — $13,290.94 $47,678.00 $25,827.53 2026-04-01
505 MS_DRG Foot Procedures Without Cc/mcc 41 23 — — $13,277.36 $47,627.52 $25,800.18 2026-04-01
614 MS_DRG Adrenal And Pituitary Procedures With Cc/mcc 56 30 — — $16,127.88 $58,227.36 $25,772.75 2026-04-01
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 42 24 — — $13,136.63 $47,104.17 $25,516.68 2026-04-01
180 MS_DRG Respiratory Neoplasms With Mcc 42 24 — — $13,085.91 $46,915.56 $25,414.51 2026-04-01
182 MS_DRG Other Peripheral Vascular And Related Procedures,major 7 6 — — $25,413.61 $26,684.29 $25,413.61 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 48 29 — — $19,012.70 $68,954.71 $25,413.47 2026-04-01
62 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 42 24 — — $13,023.03 $46,681.78 $25,287.87 2026-04-01
922 MS_DRG Other Injury, Poisoning And Toxic Effect Diagnoses With Mcc 42 24 — — $12,967.32 $46,474.56 $25,175.62 2026-04-01
666 MS_DRG Prostatectomy With Cc 42 24 — — $12,966.59 $46,471.90 $25,174.18 2026-04-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 42 24 — — $11,221.00 $34,381.88 $25,151.04 2026-04-01
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 42 24 — — $12,814.41 $45,906.05 $24,867.65 2026-04-01
551 MS_DRG Medical Back Problems With Mcc 24 19 — — $12,325.90 $45,332.22 $24,556.80 2026-04-01
224 MS_DRG Peritoneal Adhesiolysis,extreme 27 6 — — $13,029.18 $60,579.32 $24,514.37 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 62 29 — — $7,886.79 $77,039.92 $24,482.00 2026-04-01
256 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Cc 42 24 — — $12,599.38 $45,106.41 $24,434.48 2026-04-01
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 42 24 — — $12,554.38 $44,939.05 $24,343.82 2026-04-01
769 MS_DRG Postpartum And Post Abortion Diagnoses With O.r. Procedures 42 24 — — $12,541.52 $44,891.23 $24,317.91 2026-04-01
571 MS_DRG Skin Debridement With Cc 42 24 — — $12,539.37 $44,883.26 $24,313.59 2026-04-01
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/mcc 42 24 — — $12,492.22 $44,707.92 $24,218.61 2026-04-01
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 42 24 — — $12,488.64 $44,694.64 $24,211.42 2026-04-01
915 MS_DRG Allergic Reactions With Mcc 42 24 — — $12,482.93 $44,673.39 $24,199.91 2026-04-01
621 MS_DRG O.r. Procedures For Obesity Without Cc/mcc 36 22 — — $10,609.66 $38,834.18 $24,139.00 2026-04-01
70 MS_DRG Other Cerebrovascular Disorders With Mcc 42 24 — — $12,362.91 $44,227.08 $23,958.14 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 41 23 — — $15,584.07 $40,805.08 $23,857.19 2026-04-01
393 MS_DRG Other Digestive System Diagnoses With Mcc 30 21 — — $11,940.06 $43,993.30 $23,831.50 2026-04-01
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With Mcc 42 24 — — $12,288.61 $43,950.79 $23,808.47 2026-04-01
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 42 24 — — $14,977.09 $32,540.76 $23,804.22 2026-04-01
643 MS_DRG Endocrine Disorders With Mcc 42 24 — — $12,229.33 $43,730.29 $23,689.03 2026-04-01
620 MS_DRG O.r. Procedures For Obesity With Cc 42 24 — — $11,902.10 $42,513.57 $23,684.44 2026-04-01
988 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 33 20 — — $12,211.48 $43,663.88 $23,653.05 2026-04-01
299 MS_DRG Peripheral Vascular Disorders With Mcc 42 24 — — $12,133.59 $43,374.31 $23,496.19 2026-04-01
841 MS_DRG Lymphoma And Non-acute Leukemia With Cc 42 24 — — $12,124.28 $43,339.77 $23,477.48 2026-04-01
73 MS_DRG Cranial And Peripheral Nerve Disorders With Mcc 42 24 — — $11,930.70 $42,619.83 $23,087.48 2026-04-01
328 MS_DRG Stomach, Esophageal And Duodenal Procedures Without Cc/mcc 42 24 — — $11,916.40 $42,566.70 $23,058.70 2026-04-01
368 MS_DRG Major Esophageal Disorders With Mcc 41 23 — — $11,842.11 $42,290.42 $22,909.03 2026-04-01
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 42 24 — — $11,674.22 $41,666.11 $22,570.84 2026-04-01
533 MS_DRG Fractures Of Femur With Mcc 42 24 — — $11,669.21 $41,647.52 $22,560.77 2026-04-01
154 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses With Mcc 42 24 — — $11,639.20 $41,535.94 $22,500.33 2026-04-01
177 MS_DRG Respiratory Infections And Inflammations With Mcc 42 24 — — $11,633.49 $41,514.69 $22,488.82 2026-04-01
296 MS_DRG Cardiac Arrest, Unexplained With Mcc 42 24 — — $11,627.78 $41,493.44 $22,477.30 2026-04-01
186 MS_DRG Pleural Effusion With Mcc 42 24 — — $11,603.49 $41,403.11 $22,428.37 2026-04-01
669 MS_DRG Transurethral Procedures With Cc 32 18 — — $11,557.05 $41,230.43 $22,334.83 2026-04-01
658 MS_DRG Kidney And Ureter Procedures For Neoplasm Without Cc/mcc 42 24 — — $11,555.63 $41,225.12 $22,331.95 2026-04-01
710 MS_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure,extreme 28 6 — — $8,592.33 $66,378.19 $22,142.18 2026-04-01
517 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures Without Cc/mc… 42 24 — — $11,447.75 $40,823.97 $22,114.65 2026-04-01
337 MS_DRG Peritoneal Adhesiolysis Without Cc/mcc 42 24 — — $11,435.60 $40,778.81 $22,090.19 2026-04-01
708 MS_DRG Major Male Pelvic Procedures Without Cc/mcc 42 24 — — $11,429.89 $40,757.56 $22,078.67 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 49 28 — — $14,566.09 $80,231.98 $22,045.40 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 49 30 — — $3,111.00 $110,769.59 $22,032.96 2026-04-01
183 MS_DRG Major Chest Trauma With Mcc 42 24 — — $11,399.17 $40,643.32 $22,016.79 2026-04-01
398 MS_DRG Appendix Procedures With Cc 34 22 — — $10,940.87 $40,199.67 $21,776.46 2026-04-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 42 24 — — $14,884.00 $58,785.24 $21,716.74 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 43 27 — — $10,652.40 $77,368.16 $21,700.76 2026-04-01
345 MS_DRG Minor Small And Large Bowel Procedures With Cc 38 23 — — $11,219.14 $39,973.86 $21,654.14 2026-04-01
713 MS_DRG Transurethral Prostatectomy With Cc/mcc 42 24 — — $11,209.84 $39,939.32 $21,635.43 2026-04-01
557 MS_DRG Tendonitis, Myositis And Bursitis With Mcc 42 24 — — $11,091.96 $39,500.99 $21,397.98 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 41 23 — — $12,298.34 $42,478.96 $21,393.98 2026-04-01
682 MS_DRG Renal Failure With Mcc 42 24 — — $11,049.81 $39,344.25 $21,313.07 2026-04-01
388 MS_DRG Gastrointestinal Obstruction With Mcc 42 24 — — $11,019.79 $39,232.67 $21,252.63 2026-04-01
604 MS_DRG Trauma To The Skin, Subcutaneous Tissue And Breast With Mcc 42 24 — — $10,986.23 $39,107.81 $21,184.99 2026-04-01
592 MS_DRG Skin Ulcers With Mcc 42 24 — — $9,520.96 $28,642.44 $20,952.53 2026-04-01
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 51 30 — — $11,929.26 $42,614.52 $20,853.30 2026-04-01
38 MS_DRG Extracranial Procedures With Cc 42 24 — — $12,061.42 $24,014.48 $20,810.23 2026-04-01
134 MS_DRG Pulmonary Embolism,extreme 10 6 — — $7,923.55 $21,759.86 $20,723.68 2026-04-01
637 MS_DRG Diabetes With Mcc 42 24 — — $10,733.34 $38,167.37 $20,675.55 2026-04-01
562 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 42 24 — — $10,648.30 $37,851.24 $20,504.30 2026-04-01
602 MS_DRG Cellulitis With Mcc 42 24 — — $10,623.31 $37,758.26 $20,453.93 2026-04-01
54405 CPT Insj Multi-component Inflatable Penile Prosth 5 3 — — $20,222.16 $20,626.61 $20,222.16 2026-04-01
54416 CPT Rmvl & Rplcmt Non-nfltbl/nfltbl Penile Prosthesi 5 2 — — $20,222.16 $20,626.61 $20,222.16 2026-04-01
63 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 37 21 — — $10,498.29 $37,293.35 $20,202.09 2026-04-01
484 MS_DRG Other Male Reproductive System And Related Procedures,major 7 6 — — $20,145.39 $21,152.66 $20,145.39 2026-04-01
885 MS_DRG Psychoses 42 24 — — $10,448.27 $37,107.39 $20,101.35 2026-04-01
748 MS_DRG Female Reproductive System Reconstructive Procedures 42 24 — — $10,380.41 $36,855.01 $19,964.63 2026-04-01
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 49 30 — — $10,282.53 $36,491.06 $19,767.48 2026-04-01
419 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. Without Cc/mcc 42 24 — — $10,226.81 $36,283.84 $19,655.23 2026-04-01
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 24 18 — — $14,249.69 $51,243.16 $19,601.00 2026-04-01
804 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs Without Cc/mcc 42 24 — — $10,156.79 $36,023.50 $19,514.20 2026-04-01
502 MS_DRG Soft Tissue Procedures Without Cc/mcc 42 24 — — $10,084.64 $35,755.18 $19,368.85 2026-04-01
693 MS_DRG Urinary Stones With Mcc 42 24 — — $10,074.63 $35,717.99 $19,348.70 2026-04-01
174 MS_DRG Percutaneous Cardiac Intervention With Ami,extreme 28 6 — — $14,356.85 $39,897.29 $19,299.38 2026-04-01
355 MS_DRG Hernia Procedures Except Inguinal And Femoral Without Cc/mcc 32 20 — — $9,707.34 $35,417.79 $19,186.08 2026-04-01
150 MS_DRG Epistaxis With Mcc 42 24 — — $9,981.75 $35,372.63 $19,161.62 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 52 29 — — $10,766.92 $68,614.66 $19,110.47 2026-04-01
555 MS_DRG Signs And Symptoms Of Musculoskeletal System And Connective Tissue With Mcc 42 24 — — $9,912.46 $35,114.94 $19,022.02 2026-04-01
91 MS_DRG Other Disorders Of Nervous System With Mcc 42 24 — — $11,108.38 $25,991.76 $19,013.50 2026-04-01
64590 CPT Implant Neurostim/Receiver 5 3 — — $18,928.40 $19,306.96 $18,928.40 2026-04-01
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 42 24 — — $9,859.60 $34,918.35 $18,915.53 2026-04-01
348 MS_DRG Anal And Stomal Procedures With Cc 42 24 — — $9,819.60 $34,769.58 $18,834.94 2026-04-01
977 MS_DRG HIV With Or Without Other Related Condition 42 24 — — $9,740.28 $34,474.70 $18,675.20 2026-04-01
553 MS_DRG Bone Diseases And Arthropathies With Mcc 42 24 — — $9,730.27 $34,437.51 $18,655.05 2026-04-01
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 42 24 — — $9,725.30 $34,418.91 $18,644.98 2026-04-01
975 MS_DRG HIV With Major Related Condition With Cc 42 24 — — $9,721.00 $34,402.97 $18,636.35 2026-04-01
58 MS_DRG Other Disorders Of Nervous System,extreme 27 6 — — $8,182.30 $24,285.18 $18,604.23 2026-04-01
858 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures Without Cc/mcc 33 22 — — $8,787.76 $34,227.63 $18,541.36 2026-04-01
223 MS_DRG Other Small And Large Bowel Procedures,moderate 7 6 — — $18,529.29 $19,455.75 $18,529.29 2026-04-01
291 MS_DRG Heart Failure And Shock With Mcc 42 24 — — $9,640.98 $34,105.43 $18,475.17 2026-04-01
535 MS_DRG Fractures Of Hip And Pelvis With Mcc 42 24 — — $9,628.12 $34,057.61 $18,449.26 2026-04-01
147 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Cc 42 24 — — $9,553.11 $33,778.67 $18,298.16 2026-04-01
947 MS_DRG Signs And Symptoms With Mcc 42 24 — — $9,538.12 $33,722.88 $18,267.94 2026-04-01
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 42 24 — — $9,530.25 $33,693.66 $18,252.11 2026-04-01
809 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 42 24 — — $9,513.11 $33,629.90 $18,217.57 2026-04-01
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 41 23 — — $12,940.11 $30,998.60 $18,123.71 2026-04-01
597 MS_DRG Malignant Breast Disorders With Mcc 42 24 — — $9,627.86 $24,673.08 $18,048.86 2026-04-01
380 MS_DRG Complicated Peptic Ulcer With Mcc 63 30 — — $9,296.46 $29,040.56 $18,035.84 2026-04-01
624 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 42 24 — — $9,413.09 $33,257.98 $18,016.09 2026-04-01
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 41 23 — — $14,920.76 $30,755.88 $17,981.80 2026-04-01
248 MS_DRG Major Gastrointestinal And Peritoneal Infections,extreme 14 6 — — $9,309.18 $27,242.50 $17,859.94 2026-04-01
59 MS_DRG Multiple Sclerosis And Cerebellar Ataxia With Cc 42 24 — — $9,334.51 $32,965.75 $17,857.79 2026-04-01
743 MS_DRG Uterine And Adnexa Procedures For Non-malignancy Without Cc/mcc 42 24 — — $9,333.07 $32,960.44 $17,854.91 2026-04-01
314 MS_DRG Other Circulatory System Diagnoses With Mcc 70 30 — — $11,540.71 $30,860.96 $17,774.26 2026-04-01
189 MS_DRG Pulmonary Edema And Respiratory Failure 19 15 — — $7,995.23 $32,729.31 $17,729.71 2026-04-01
662 MS_DRG Sickle Cell Anemia Crisis,extreme 14 6 — — $11,165.65 $24,876.05 $17,707.71 2026-04-01
593 MS_DRG Skin Ulcers With Cc 24 17 — — $8,339.63 $32,482.25 $17,595.88 2026-04-01
721 MS_DRG Post-operative, Post-traumatic, Other Device Infections,major 19 6 — — $7,765.20 $32,603.41 $17,536.72 2026-04-01
844 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 35 21 — — $9,166.61 $32,341.45 $17,519.60 2026-04-01
375 MS_DRG Digestive Malignancy With Cc 42 24 — — $9,110.89 $32,134.23 $17,407.35 2026-04-01
42 MS_DRG Degenerative Nervous System Disorders Except Multiple Sclerosis,moderate 12 6 — — $8,590.92 $56,686.68 $17,387.90 2026-04-01
831 MS_DRG Other Antepartum Diagnoses Without O.r. Procedures With Mcc 42 24 — — $9,060.17 $31,945.62 $17,305.18 2026-04-01
989 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/mcc 38 21 — — $9,036.59 $31,857.95 $17,257.69 2026-04-01
302 MS_DRG Atherosclerosis With Mcc 42 24 — — $9,018.01 $31,788.88 $17,220.27 2026-04-01
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 56 30 — — $9,070.89 $31,985.46 $17,126.69 2026-04-01
304 MS_DRG Hypertension With Mcc 42 24 — — $8,970.86 $31,613.54 $17,125.29 2026-04-01
949 MS_DRG Aftercare With Cc/mcc 42 24 — — $8,968.73 $31,605.57 $17,120.97 2026-04-01
23472 CPT Arthroplasty Glenohumeral Joint Total Shoulder|LEFT Side 4 3 — — $17,107.48 $17,449.63 $17,107.48 2026-04-01
364 MS_DRG Other Skin, Subcutaneous Tissue And Related Procedures,extreme 28 6 — — $8,159.68 $50,234.59 $17,098.81 2026-04-01
136 MS_DRG Respiratory Malignancy,major 11 6 — — $16,254.31 $25,140.31 $17,067.02 2026-04-01
306 MS_DRG Cardiac Congenital And Valvular Disorders With Mcc 42 24 — — $11,314.24 $23,321.84 $17,060.40 2026-04-01
711 MS_DRG Post-operative, Post-trauma, Other Device Infections With O.r. Procedure,moderat… 7 6 — — $16,958.44 $17,806.36 $16,958.44 2026-04-01
39 MS_DRG Extracranial Procedures Without Cc/mcc 42 24 — — $8,867.28 $31,228.33 $16,916.62 2026-04-01
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 70 30 — — $5,471.83 $60,612.99 $16,769.43 2026-04-01
689 MS_DRG Kidney And Urinary Tract Infections With Mcc 42 24 — — $8,758.68 $30,824.53 $16,697.88 2026-04-01
102 MS_DRG Headaches With Mcc 29 17 — — $8,488.57 $30,803.28 $16,686.36 2026-04-01
818 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Cc 42 24 — — $8,750.82 $30,795.31 $16,682.05 2026-04-01
361 MS_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses,minor 7 6 — — $16,620.51 $17,451.53 $16,620.51 2026-04-01
546 MS_DRG Connective Tissue Disorders With Cc 42 24 — — $8,709.40 $30,641.22 $16,598.58 2026-04-01
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/mcc 32 22 — — $10,820.30 $23,478.72 $16,568.20 2026-04-01
399 MS_DRG Appendix Procedures Without Cc/mcc 28 19 — — $8,647.23 $30,410.10 $16,473.38 2026-04-01
246 MS_DRG Gastrointestinal Vascular Insufficiency,major 7 6 — — $16,292.48 $17,107.11 $16,292.48 2026-04-01
436 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Cc 41 23 — — $8,550.08 $30,048.80 $16,277.66 2026-04-01
712 MS_DRG Testes Procedures Without Cc/mcc 42 24 — — $8,325.74 $29,214.63 $15,825.78 2026-04-01
200 MS_DRG Pneumothorax With Cc 42 24 — — $8,322.90 $29,204.00 $15,820.03 2026-04-01
89 MS_DRG Concussion With Cc 42 24 — — $8,317.89 $29,185.41 $15,809.95 2026-04-01
909 MS_DRG Other O.r. Procedures For Injuries Without Cc/mcc 42 24 — — $9,847.46 $19,427.96 $15,797.80 2026-04-01
445 MS_DRG Disorders Of The Biliary Tract With Cc 42 24 — — $8,287.88 $29,073.83 $15,749.51 2026-04-01
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 68 29 — — $5,299.34 $56,609.49 $15,692.80 2026-04-01
261 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Cc 29 19 — — $13,975.35 $50,223.02 $15,677.00 2026-04-01
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 29 20 — — $13,721.66 $24,482.00 $15,598.50 2026-04-01
287 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization Without Mcc 42 24 — — $8,114.27 $28,428.28 $15,507.50 2026-04-01
757 MS_DRG Infections, Female Reproductive System With Mcc 42 24 — — $8,093.59 $21,192.12 $15,502.47 2026-04-01
181 MS_DRG Respiratory Neoplasms With Cc 42 24 — — $8,120.71 $28,452.19 $15,412.76 2026-04-01
300 MS_DRG Peripheral Vascular Disorders With Cc 42 24 — — $8,095.70 $28,359.21 $15,362.39 2026-04-01
634 MS_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 19 6 — — $7,595.52 $23,093.04 $15,357.89 2026-04-01
184 MS_DRG Major Chest Trauma With Cc 42 24 — — $8,071.42 $28,268.88 $15,313.46 2026-04-01
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