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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 MEMORIAL REGIONAL MEDICAL CENTER

Mechanicsville, VA · CCN 490069 · Rates published

1,075 distinct procedures filed
31 distinct payers
27,135 rate rows
2026-04-01 last MRF observed
Data quality

27,078 of 27,135 rate rows are consumer-grade (99.8%)

57 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
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 57
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.bonsecours.com/-/media/bon-secours/patients-and-visitors/corporate/pricing/541744931_bon-secours-memorial-regional-medical-center-llc_standardcharges.ashx
Found on page https://www.bonsecours.com/patient-resources/estimate-your-cost
Discovered viaCMS hospital list
Last fetch not_modified · 2026-09-21
Content fingerprint e342ce7ca510cc95… · 12,196,268 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
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 16 $5,231.00 $709,876.81 $282,413.73 nat. median
$145,435
1.9× median
215
MS_DRG 		Other Heart Assist System Implant 24 $71,968.43 $360,714.00 $231,450.47 nat. median
$73,023
outlier · 3.2×
9
MS_DRG 		Extracorporeal Membrane Oxygenation (ecmo),extreme 6 $109,685.32 $237,823.83 $226,498.88 nat. median
$2,024
outlier · 111.9×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 22 $70,716.38 $327,185.75 $222,734.79 nat. median
$69,822
outlier · 3.2×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 24 $65,159.09 $396,839.00 $209,428.15 nat. median
$2,596
outlier · 80.7×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 5 $7,252.00 $952,410.00 $205,858.62 nat. median
$186,516
1.1× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 23 $60,802.12 $361,121.00 $195,337.03 nat. median
$59,651
outlier · 3.3×
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 24 $52,286.50 $313,501.00 $167,796.36 nat. median
$9,905
outlier · 16.9×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 20 $51,652.56 $171,560.28 $162,344.95 nat. median
$51,518
outlier · 3.2×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 20 $5,231.00 $166,300.67 $157,367.86 nat. median
$48,611
outlier · 3.2×
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 24 $47,662.87 $219,910.91 $146,224.81 nat. median
$45,446
outlier · 3.2×
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 22 $43,262.74 $261,916.00 $141,043.42 nat. median
$42,674
outlier · 3.3×
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 24 $43,575.39 $200,890.74 $136,758.27 nat. median
$43,533
outlier · 3.1×
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 24 $44,450.81 $204,964.34 $136,286.42 nat. median
$44,036
outlier · 3.1×
430
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 24 $41,854.01 $211,910.00 $134,056.24 nat. median
$2,596
outlier · 51.6×
428
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 24 $40,811.13 $211,910.00 $130,683.39 nat. median
$10,799
outlier · 12.1×
278
MS_DRG 		Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures… 24 $5,231.00 $186,161.56 $123,783.94 nat. median
$35,985
outlier · 3.4×
234
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 23 $39,666.17 $182,700.00 $122,331.00 nat. median
$39,159
outlier · 3.1×
220
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 23 $38,732.53 $178,355.50 $121,417.19 nat. median
$38,832
outlier · 3.1×
834
MS_DRG 		Acute Leukemia With Mcc 25 $39,861.66 $183,609.71 $119,180.24 nat. median
$37,487
outlier · 3.2×
405
MS_DRG 		Pancreas, Liver And Shunt Procedures With Mcc 25 $39,722.23 $182,960.87 $118,759.08 nat. median
$38,859
outlier · 3.1×
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 25 $42,583.53 $196,275.33 $116,462.00 nat. median
$43,023
outlier · 2.7×
450
MS_DRG 		Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically… 23 $38,709.52 $178,248.47 $115,876.00 nat. median
$2,736
outlier · 42.4×
221
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 23 $36,629.50 $168,569.49 $114,755.27 nat. median
$35,297
outlier · 3.3×
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 20 $48,426.88 $160,761.97 $113,127.00 nat. median
$2,958
outlier · 38.3×
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 21 $35,899.26 $165,171.48 $112,442.04 nat. median
$34,733
outlier · 3.2×
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 21 $5,231.00 $254,847.56 $110,847.32 nat. median
$52,327
outlier · 2.1×
239
MS_DRG 		Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 25 $35,777.79 $164,606.26 $106,845.19 nat. median
$34,615
outlier · 3.1×
576
MS_DRG 		Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 25 $35,630.45 $163,920.63 $106,400.15 nat. median
$33,583
outlier · 3.2×
267
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 24 $34,621.35 $159,224.96 $105,873.05 nat. median
$34,616
outlier · 3.1×
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 23 $49,837.77 $230,031.37 $104,345.00 nat. median
$49,569
outlier · 2.1×
981
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 25 $34,125.41 $156,917.25 $101,854.29 nat. median
$33,546
outlier · 3.0×
277
MS_DRG 		Cardiac Defibrillator Implant Without Mcc 25 $33,598.57 $154,465.73 $100,263.02 nat. median
$33,459
outlier · 3.0×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 9 $5,231.00 $408,811.00 $100,032.42 nat. median
$97,418
1.0× median
270
MS_DRG 		Other Major Cardiovascular Procedures With Mcc 23 $38,326.44 $176,465.85 $99,901.46 nat. median
$37,725
outlier · 2.6×
890
MS_DRG 		HIV With Multiple Major HIV Related Conditions,extreme 6 $48,618.52 $104,658.27 $99,674.54 nat. median
$15,726
outlier · 6.3×
823
MS_DRG 		Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 25 $33,356.36 $153,338.64 $99,531.42 nat. median
$32,245
outlier · 3.1×
856
MS_DRG 		Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 25 $33,096.90 $152,131.27 $98,747.73 nat. median
$31,991
outlier · 3.1×
448
MS_DRG 		Multiple Level Spinal Fusion Except Cervical Without Mcc 24 $30,883.91 $141,833.56 $98,577.40 nat. median
$29,826
outlier · 3.3×
799
MS_DRG 		Splenic Procedures With Mcc 25 $32,954.59 $151,469.06 $98,317.89 nat. median
$32,381
outlier · 3.0×
269
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 24 $30,757.40 $141,244.92 $98,168.28 nat. median
$30,768
outlier · 3.2×
474
MS_DRG 		Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 24 $31,258.36 $143,576.04 $97,740.75 nat. median
$29,481
outlier · 3.3×
356
MS_DRG 		Other Digestive System O.r. Procedures With Mcc 24 $31,976.39 $146,917.20 $97,689.29 nat. median
$30,674
outlier · 3.2×
236
MS_DRG 		Coronary Bypass Without Cardiac Catheterization Without Mcc 24 $30,510.16 $140,094.42 $97,368.66 nat. median
$30,358
outlier · 3.2×
458
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 24 $30,393.72 $192,864.00 $96,992.09 nat. median
$30,649
outlier · 3.2×
461
MS_DRG 		Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 25 $40,099.57 $184,716.74 $95,242.00 nat. median
$38,844
outlier · 2.5×
402
MS_DRG 		Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 18 $29,300.52 $211,910.00 $93,456.52 nat. median
$12,698
outlier · 7.4×
273
MS_DRG 		Percutaneous And Other Intracardiac Procedures With Mcc 24 $30,055.20 $137,977.35 $91,744.93 nat. median
$29,055
outlier · 3.2×
673
MS_DRG 		Other Kidney And Urinary Tract Procedures With Mcc 25 $30,602.16 $140,522.51 $91,212.53 nat. median
$29,327
outlier · 3.1×
901
MS_DRG 		Wound Debridements For Injuries With Mcc 25 $30,566.23 $140,355.29 $91,103.99 nat. median
$28,755
outlier · 3.2×

Other procedures at this hospital

Browse this hospital's 1,075 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
             
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 24 16 — — $5,231.00 $709,876.81 $282,413.73 2026-04-01
215 MS_DRG Other Heart Assist System Implant 42 24 — — $71,968.43 $360,714.00 $231,450.47 2026-04-01
9 MS_DRG Extracorporeal Membrane Oxygenation (ecmo),extreme 10 6 — — $109,685.32 $237,823.83 $226,498.88 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 35 22 — — $70,716.38 $327,185.75 $222,734.79 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 42 24 — — $65,159.09 $396,839.00 $209,428.15 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 5 5 — — $7,252.00 $952,410.00 $205,858.62 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 39 23 — — $60,802.12 $361,121.00 $195,337.03 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 42 24 — — $52,286.50 $313,501.00 $167,796.36 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 35 20 — — $51,652.56 $171,560.28 $162,344.95 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 30 20 — — $5,231.00 $166,300.67 $157,367.86 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 42 24 — — $47,662.87 $219,910.91 $146,224.81 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 36 22 — — $43,262.74 $261,916.00 $141,043.42 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 41 24 — — $43,575.39 $200,890.74 $136,758.27 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 42 24 — — $44,450.81 $204,964.34 $136,286.42 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 42 24 — — $41,854.01 $211,910.00 $134,056.24 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 42 24 — — $40,811.13 $211,910.00 $130,683.39 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 42 24 — — $5,231.00 $186,161.56 $123,783.94 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 39 23 — — $39,666.17 $182,700.00 $122,331.00 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 39 23 — — $38,732.53 $178,355.50 $121,417.19 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 43 25 — — $39,861.66 $183,609.71 $119,180.24 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 43 25 — — $39,722.23 $182,960.87 $118,759.08 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 43 25 — — $42,583.53 $196,275.33 $116,462.00 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 39 23 — — $38,709.52 $178,248.47 $115,876.00 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 39 23 — — $36,629.50 $168,569.49 $114,755.27 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 36 20 — — $48,426.88 $160,761.97 $113,127.00 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 32 21 — — $35,899.26 $165,171.48 $112,442.04 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 34 21 — — $5,231.00 $254,847.56 $110,847.32 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 43 25 — — $35,777.79 $164,606.26 $106,845.19 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 43 25 — — $35,630.45 $163,920.63 $106,400.15 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 42 24 — — $34,621.35 $159,224.96 $105,873.05 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 39 23 — — $49,837.77 $230,031.37 $104,345.00 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 43 25 — — $34,125.41 $156,917.25 $101,854.29 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 43 25 — — $33,598.57 $154,465.73 $100,263.02 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 10 9 — — $5,231.00 $408,811.00 $100,032.42 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 37 23 — — $38,326.44 $176,465.85 $99,901.46 2026-04-01
890 MS_DRG HIV With Multiple Major HIV Related Conditions,extreme 12 6 — — $48,618.52 $104,658.27 $99,674.54 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 43 25 — — $33,356.36 $153,338.64 $99,531.42 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 43 25 — — $33,096.90 $152,131.27 $98,747.73 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 42 24 — — $30,883.91 $141,833.56 $98,577.40 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 43 25 — — $32,954.59 $151,469.06 $98,317.89 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 42 24 — — $30,757.40 $141,244.92 $98,168.28 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 38 24 — — $31,258.36 $143,576.04 $97,740.75 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 42 24 — — $31,976.39 $146,917.20 $97,689.29 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 42 24 — — $30,510.16 $140,094.42 $97,368.66 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 42 24 — — $30,393.72 $192,864.00 $96,992.09 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 43 25 — — $40,099.57 $184,716.74 $95,242.00 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 25 18 — — $29,300.52 $211,910.00 $93,456.52 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 42 24 — — $30,055.20 $137,977.35 $91,744.93 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 43 25 — — $30,602.16 $140,522.51 $91,212.53 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 43 25 — — $30,566.23 $140,355.29 $91,103.99 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 20 15 — — $33,440.45 $110,593.63 $87,030.13 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 30 21 — — $55,352.63 $255,693.71 $86,460.84 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 42 25 — — $27,998.16 $128,405.39 $85,380.27 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 43 25 — — $28,223.85 $129,455.56 $84,029.03 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 43 25 — — $28,155.58 $129,137.83 $83,822.79 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 42 24 — — $25,964.14 $118,940.45 $82,666.19 2026-04-01
130 MS_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours,extreme 3 3 — — $82,093.41 $86,198.08 $82,093.41 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 43 25 — — $27,449.77 $125,853.54 $81,690.97 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 43 25 — — $27,189.59 $124,642.83 $80,905.10 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 43 25 — — $26,363.04 $120,796.65 $78,408.57 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 43 25 — — $26,069.07 $119,428.75 $77,520.67 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 43 25 — — $26,030.98 $119,251.49 $77,405.61 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 43 25 — — $25,698.93 $117,706.33 $76,402.65 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 43 25 — — $25,468.94 $116,636.09 $75,707.97 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 41 23 — — $23,598.06 $107,930.36 $73,474.61 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 42 24 — — $24,062.34 $110,090.91 $73,202.48 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 43 25 — — $24,413.80 $111,726.37 $72,521.09 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 34 21 — — $23,286.83 $106,482.19 $72,488.76 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 43 25 — — $24,145.74 $110,478.87 $71,711.34 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 43 25 — — $24,065.23 $110,104.28 $71,468.20 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 43 25 — — $23,782.76 $108,789.90 $70,615.04 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 43 25 — — $23,654.11 $108,191.23 $70,226.44 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 42 24 — — $23,051.08 $105,385.20 $70,073.51 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 42 24 — — $23,040.31 $105,335.03 $70,040.16 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 14 11 — — $24,138.93 $115,789.93 $69,518.07 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 43 25 — — $23,351.52 $106,783.20 $69,312.50 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 43 25 — — $23,150.29 $105,846.74 $68,704.64 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 43 25 — — $23,115.78 $105,686.20 $68,600.44 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 42 24 — — $25,118.18 $97,143.00 $67,767.00 2026-04-01
665 MS_DRG Prostatectomy With Mcc 43 25 — — $22,836.91 $104,388.53 $67,758.13 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 43 25 — — $22,790.19 $104,171.14 $67,617.02 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 43 25 — — $22,750.67 $103,987.19 $67,497.62 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 41 25 — — $25,984.97 $119,037.44 $67,389.89 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 49 30 — — $27,267.93 $125,007.38 $67,278.60 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 43 25 — — $35,109.37 $161,495.87 $66,668.00 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 43 25 — — $22,086.53 $100,896.88 $65,491.71 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 33 21 — — $25,044.87 $82,488.68 $64,913.33 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 28 19 — — $23,679.98 $108,311.63 $64,298.80 2026-04-01
570 MS_DRG Skin Debridement With Mcc 43 25 — — $21,542.46 $98,365.09 $63,848.34 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 43 25 — — $21,578.40 $98,532.31 $63,463.00 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 43 25 — — $21,390.80 $97,659.40 $63,390.28 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 43 25 — — $21,335.48 $97,401.87 $63,223.12 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 43 25 — — $21,261.43 $97,057.39 $62,999.52 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 43 25 — — $21,248.48 $96,997.19 $62,960.44 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 35 23 — — $21,146.42 $96,522.27 $62,652.17 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 33 21 — — $21,806.22 $115,876.00 $61,164.39 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 40 23 — — $16,077.97 $202,826.77 $60,992.56 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 43 25 — — $20,523.29 $93,622.59 $60,770.00 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 43 25 — — $20,326.35 $92,706.20 $60,175.18 2026-04-01
708 MS_DRG Major Male Pelvic Procedures Without Cc/mcc 5 3 — — $9,083.00 $86,036.00 $60,068.00 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 42 25 — — $19,790.89 $90,214.54 $59,986.13 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 43 25 — — $20,219.96 $92,211.21 $59,853.88 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 43 25 — — $18,753.04 $104,345.00 $59,344.49 2026-04-01
169 MS_DRG Major Abdominal Vascular Procedures,extreme 14 6 — — $31,376.35 $88,988.00 $58,847.82 2026-04-01
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 43 25 — — $17,756.16 $97,143.00 $58,089.02 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 43 25 — — $17,950.20 $81,649.28 $56,748.02 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 31 21 — — $55,590.53 $256,800.74 $56,702.34 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 43 25 — — $19,036.95 $86,706.16 $56,280.58 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 43 25 — — $18,941.34 $86,261.34 $55,991.85 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 43 25 — — $18,666.06 $84,980.40 $55,160.40 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 43 25 — — $18,631.56 $84,819.86 $55,056.19 2026-04-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 43 25 — — $18,313.89 $83,341.60 $54,096.66 2026-04-01
545 MS_DRG Connective Tissue Disorders With Mcc 43 25 — — $18,240.58 $83,000.46 $53,875.23 2026-04-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 43 25 — — $18,078.87 $82,247.94 $53,386.77 2026-04-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 43 25 — — $18,073.83 $82,224.53 $53,371.58 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 40 25 — — $17,555.60 $79,813.15 $53,069.96 2026-04-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 43 25 — — $17,971.05 $81,746.27 $53,061.14 2026-04-01
503 MS_DRG Foot Procedures With Mcc 32 21 — — $20,464.35 $93,348.34 $52,846.69 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 13 9 — — $20,159.60 $62,582.40 $52,043.89 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 43 25 — — $17,633.24 $80,174.35 $52,040.81 2026-04-01
397 MS_DRG Appendix Procedures With Mcc 43 25 — — $17,616.71 $80,097.43 $51,990.88 2026-04-01
35 MS_DRG Carotid Artery Stent Procedures With Cc 43 25 — — $17,585.07 $79,950.27 $51,895.36 2026-04-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 43 25 — — $17,212.06 $78,214.48 $50,768.67 2026-04-01
709 MS_DRG Penis Procedures With Cc/mcc 39 24 — — $17,129.41 $77,829.86 $50,519.01 2026-04-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 43 25 — — $17,117.90 $77,776.35 $50,484.28 2026-04-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 43 25 — — $17,100.65 $77,696.08 $50,432.18 2026-04-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 43 25 — — $17,015.13 $77,298.08 $50,173.84 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 50 31 — — $8,880.46 $116,666.19 $50,126.87 2026-04-01
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 43 25 — — $16,897.97 $76,752.93 $49,819.98 2026-04-01
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 43 25 — — $16,759.97 $76,110.79 $49,403.17 2026-04-01
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 43 25 — — $16,732.67 $75,983.70 $49,320.68 2026-04-01
443 MS_DRG Kidney And Urinary Tract Procedures For Non-malignancy,extreme 12 6 — — $16,047.02 $51,724.11 $49,261.05 2026-04-01
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 43 25 — — $16,687.38 $75,772.99 $49,183.91 2026-04-01
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 42 24 — — $5,231.00 $72,993.71 $48,535.53 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 54 30 — — $5,231.00 $223,629.99 $48,497.53 2026-04-01
50 MS_DRG Non-bacterial Infections Of Nervous System Except Viral Meningitis,extreme 7 6 — — $48,397.48 $50,817.35 $48,397.48 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 42 24 — — $25,750.68 $117,947.14 $48,176.00 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 43 25 — — $21,032.87 $95,993.84 $48,176.00 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 43 25 — — $20,154.58 $91,906.86 $48,176.00 2026-04-01
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 43 25 — — $15,624.37 $70,826.48 $48,176.00 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 48 29 — — $12,166.79 $86,809.84 $47,932.94 2026-04-01
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 43 25 — — $16,272.66 $73,843.22 $47,931.30 2026-04-01
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/mcc 42 24 — — $15,789.66 $71,595.71 $47,605.96 2026-04-01
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 43 25 — — $16,063.52 $72,869.97 $47,299.57 2026-04-01
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 43 25 — — $15,795.41 $71,622.47 $46,489.82 2026-04-01
374 MS_DRG Digestive Malignancy With Mcc 43 25 — — $15,775.31 $71,528.82 $46,429.04 2026-04-01
595 MS_DRG Major Skin Disorders With Mcc 43 25 — — $15,645.92 $70,926.81 $46,038.28 2026-04-01
336 MS_DRG Peritoneal Adhesiolysis With Cc 43 25 — — $15,559.68 $70,525.47 $45,777.77 2026-04-01
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 43 25 — — $15,457.63 $70,050.55 $45,469.50 2026-04-01
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 43 25 — — $15,448.28 $70,007.07 $45,441.28 2026-04-01
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 43 25 — — $15,433.18 $69,936.84 $45,395.69 2026-04-01
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 43 25 — — $15,339.74 $69,502.05 $45,113.47 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 27 16 — — $43,977.88 $145,868.58 $44,857.44 2026-04-01
64568 CPT Open Implantation Cranial Nerve Nea & Pulse Gen 5 3 — — $44,190.49 $45,074.30 $44,190.49 2026-04-01
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 43 25 — — $14,857.47 $67,257.90 $43,656.80 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 50 31 — — $19,959.07 $97,143.00 $43,598.06 2026-04-01
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc 43 25 — — $14,825.14 $67,107.39 $43,559.11 2026-04-01
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 43 25 — — $14,764.75 $66,826.45 $43,376.75 2026-04-01
908 MS_DRG Other O.r. Procedures For Injuries With Cc 43 25 — — $14,743.90 $66,729.46 $43,313.80 2026-04-01
843 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 43 25 — — $14,741.03 $66,716.09 $43,305.11 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 57 31 — — $32,616.06 $149,893.80 $42,785.09 2026-04-01
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 43 25 — — $14,549.85 $65,826.45 $42,727.65 2026-04-01
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 43 25 — — $13,074.99 $97,143.00 $42,418.49 2026-04-01
36 MS_DRG Carotid Artery Stent Procedures Without Cc/mcc 43 25 — — $14,367.30 $64,976.95 $42,176.25 2026-04-01
999 MS_DRG Ungroupable 41 24 — — $14,365.15 $64,966.91 $42,169.73 2026-04-01
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 43 25 — — $14,365.15 $64,966.91 $42,169.73 2026-04-01
100 MS_DRG Seizures With Mcc 43 25 — — $14,324.17 $64,776.28 $42,045.99 2026-04-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 25 16 — — $16,307.88 $74,007.10 $41,897.16 2026-04-01
165 MS_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis,moderate 7 6 — — $41,855.77 $43,948.55 $41,855.77 2026-04-01
75 MS_DRG Viral Meningitis With Cc/mcc 43 25 — — $14,185.45 $64,130.79 $41,627.01 2026-04-01
902 MS_DRG Wound Debridements For Injuries With Cc 43 25 — — $14,163.87 $64,030.45 $41,561.88 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 26 13 — — $41,421.32 $190,867.27 $41,481.83 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 58 29 — — $5,828.45 $190,619.78 $41,368.13 2026-04-01
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 49 30 — — $8,457.51 $76,441.89 $41,140.80 2026-04-01
717 MS_DRG Other Male Reproductive System O.r. Procedures Except Malignancy With Cc/mcc 43 25 — — $13,991.38 $63,227.77 $41,040.86 2026-04-01
707 MS_DRG Major Male Pelvic Procedures With Cc/mcc 42 25 — — $14,780.57 $66,900.03 $40,649.10 2026-04-01
504 MS_DRG Foot Procedures With Cc 43 25 — — $13,838.30 $62,515.39 $40,578.46 2026-04-01
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Mcc 43 25 — — $13,807.38 $62,371.58 $40,485.11 2026-04-01
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Mcc 43 25 — — $13,604.70 $61,428.43 $39,872.92 2026-04-01
919 MS_DRG Complications Of Treatment With Mcc 43 25 — — $13,562.30 $61,231.11 $39,744.84 2026-04-01
657 MS_DRG Kidney And Ureter Procedures For Neoplasm With Cc 43 25 — — $13,556.56 $61,204.35 $39,727.47 2026-04-01
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 43 25 — — $13,542.18 $61,137.46 $39,684.05 2026-04-01
862 MS_DRG Postoperative And Post-traumatic Infections With Mcc 43 25 — — $13,511.28 $60,993.65 $39,590.70 2026-04-01
30 MS_DRG Spinal Procedures Without Cc/mcc 34 26 — — $16,181.38 $73,418.46 $39,584.95 2026-04-01
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 48 30 — — $5,523.39 $71,267.95 $39,351.33 2026-04-01
686 MS_DRG Kidney And Urinary Tract Neoplasms With Mcc 43 25 — — $13,367.51 $60,324.75 $39,156.52 2026-04-01
935 MS_DRG Non-extensive Burns 39 23 — — $15,209.66 $68,896.70 $39,004.04 2026-04-01
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 43 25 — — $13,302.83 $60,023.74 $38,961.14 2026-04-01
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 43 25 — — $13,297.09 $59,996.99 $38,943.78 2026-04-01
505 MS_DRG Foot Procedures Without Cc/mcc 43 25 — — $13,289.19 $59,960.20 $38,919.90 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 55 29 — — $12,843.21 $174,094.60 $38,573.21 2026-04-01
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 43 25 — — $13,147.59 $59,301.33 $38,492.23 2026-04-01
488 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection With Cc/mcc 43 25 — — $13,117.41 $59,160.86 $38,401.05 2026-04-01
180 MS_DRG Respiratory Neoplasms With Mcc 43 25 — — $13,096.55 $59,063.87 $38,338.09 2026-04-01
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 23 18 — — $15,689.06 $71,127.48 $38,280.60 2026-04-01
62 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 43 25 — — $13,033.30 $58,769.55 $38,147.05 2026-04-01
922 MS_DRG Other Injury, Poisoning And Toxic Effect Diagnoses With Mcc 43 25 — — $12,977.25 $58,508.68 $37,977.72 2026-04-01
666 MS_DRG Prostatectomy With Cc 43 25 — — $12,976.54 $58,505.34 $37,975.55 2026-04-01
896 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 43 25 — — $2,062.00 $58,364.87 $37,884.38 2026-04-01
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 43 25 — — $12,823.45 $57,792.96 $37,513.15 2026-04-01
612 MS_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 7 6 — — $37,282.90 $39,147.05 $37,282.90 2026-04-01
157 MS_DRG Dental And Oral Diseases With Mcc 43 25 — — $12,742.94 $57,418.38 $37,270.01 2026-04-01
289 MS_DRG Acute And Subacute Endocarditis With Cc 43 25 — — $12,671.80 $57,087.27 $37,055.09 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 56 31 — — $14,484.90 $166,803.59 $36,975.00 2026-04-01
256 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Cc 43 25 — — $12,607.09 $56,786.27 $36,859.71 2026-04-01
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 43 25 — — $12,561.81 $56,575.56 $36,722.94 2026-04-01
507 MS_DRG Major Shoulder Or Elbow Joint Procedures With Cc/mcc 42 25 — — $13,386.93 $60,415.05 $36,708.76 2026-04-01
769 MS_DRG Postpartum And Post Abortion Diagnoses With O.r. Procedures 43 25 — — $12,548.87 $56,515.36 $36,683.87 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 49 30 — — $5,231.00 $165,465.79 $36,681.76 2026-04-01
571 MS_DRG Skin Debridement With Cc 43 25 — — $12,546.73 $56,505.33 $36,677.36 2026-04-01
592 MS_DRG Skin Ulcers With Mcc 30 21 — — $14,631.59 $68,772.95 $36,642.97 2026-04-01
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/mcc 43 25 — — $12,499.30 $56,284.59 $36,534.08 2026-04-01
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 43 25 — — $12,495.69 $56,267.87 $36,523.22 2026-04-01
915 MS_DRG Allergic Reactions With Mcc 43 25 — — $12,489.94 $56,241.11 $36,505.85 2026-04-01
551 MS_DRG Medical Back Problems With Mcc 43 25 — — $12,450.42 $56,057.16 $36,386.45 2026-04-01
597 MS_DRG Malignant Breast Disorders With Mcc 43 25 — — $12,385.73 $55,756.16 $36,191.07 2026-04-01
70 MS_DRG Other Cerebrovascular Disorders With Mcc 27 19 — — $12,369.20 $55,679.24 $36,141.14 2026-04-01
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With Mcc 43 25 — — $12,294.45 $55,331.41 $35,915.37 2026-04-01
513 MS_DRG Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures With Cc/mcc 35 24 — — $11,718.73 $52,652.46 $35,843.66 2026-04-01
643 MS_DRG Endocrine Disorders With Mcc 43 25 — — $12,234.79 $55,053.81 $35,735.18 2026-04-01
334 MS_DRG Rectal Resection Without Cc/mcc 43 25 — — $12,175.86 $54,779.57 $35,557.17 2026-04-01
299 MS_DRG Peripheral Vascular Disorders With Mcc 43 25 — — $12,138.47 $54,605.65 $35,444.28 2026-04-01
841 MS_DRG Lymphoma And Non-acute Leukemia With Cc 43 25 — — $12,129.14 $54,562.17 $35,416.06 2026-04-01
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 24 15 — — $13,846.20 $43,475.12 $35,412.26 2026-04-01
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/mcc 43 25 — — $12,126.27 $54,548.80 $35,407.38 2026-04-01
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 43 25 — — $12,120.51 $54,522.04 $35,390.01 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 43 21 — — $5,231.00 $215,208.54 $35,241.47 2026-04-01
38 MS_DRG Extracranial Procedures With Cc 43 25 — — $12,065.89 $54,267.86 $35,225.02 2026-04-01
393 MS_DRG Other Digestive System Diagnoses With Mcc 43 25 — — $11,898.42 $53,488.59 $34,719.20 2026-04-01
368 MS_DRG Major Esophageal Disorders With Mcc 43 25 — — $11,845.24 $53,241.10 $34,558.56 2026-04-01
177 MS_DRG Respiratory Infections And Inflammations With Mcc 43 25 — — $11,635.37 $52,264.50 $33,924.65 2026-04-01
296 MS_DRG Cardiac Arrest, Unexplained With Mcc 43 25 — — $11,629.62 $52,237.75 $33,907.29 2026-04-01
245 MS_DRG Aicd Generator Procedures 54 30 — — $6,818.76 $152,589.47 $33,859.29 2026-04-01
186 MS_DRG Pleural Effusion With Mcc 43 25 — — $11,605.18 $52,124.03 $33,833.48 2026-04-01
205 MS_DRG Other Respiratory System Diagnoses With Mcc 48 29 — — $9,558.35 $61,237.80 $33,813.07 2026-04-01
669 MS_DRG Transurethral Procedures With Cc 43 25 — — $11,558.47 $51,906.64 $33,692.37 2026-04-01
658 MS_DRG Kidney And Ureter Procedures For Neoplasm Without Cc/mcc 43 25 — — $11,557.02 $51,899.95 $33,688.03 2026-04-01
581 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/mcc 43 25 — — $10,775.76 $48,264.48 $33,544.86 2026-04-01
564 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc 43 25 — — $11,498.08 $51,625.70 $33,510.01 2026-04-01
337 MS_DRG Peritoneal Adhesiolysis Without Cc/mcc 43 25 — — $11,436.28 $51,338.08 $33,323.32 2026-04-01
91 MS_DRG Other Disorders Of Nervous System With Mcc 23 15 — — $13,026.13 $58,736.11 $33,251.89 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 45 27 — — $8,771.41 $102,391.87 $32,880.51 2026-04-01
398 MS_DRG Appendix Procedures With Cc 43 25 — — $11,282.45 $50,622.35 $32,858.74 2026-04-01
604 MS_DRG Trauma To The Skin, Subcutaneous Tissue And Breast With Mcc 42 24 — — $10,984.19 $49,234.38 $32,737.29 2026-04-01
830 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 43 25 — — $11,220.67 $50,334.73 $32,672.05 2026-04-01
345 MS_DRG Minor Small And Large Bowel Procedures With Cc 43 25 — — $11,218.49 $50,324.69 $32,665.53 2026-04-01
865 MS_DRG Viral Illness With Mcc 43 25 — — $11,172.50 $50,110.64 $32,526.59 2026-04-01
520 MS_DRG Back And Neck Procedures Except Spinal Fusion Without Cc/mcc 43 25 — — $11,140.87 $49,963.49 $32,431.08 2026-04-01
727 MS_DRG Inflammation Of The Male Reproductive System With Mcc 43 25 — — $11,061.82 $49,595.59 $32,192.28 2026-04-01
682 MS_DRG Renal Failure With Mcc 43 25 — — $11,048.15 $49,532.05 $32,151.03 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 55 30 — — $20,341.35 $144,729.89 $32,136.46 2026-04-01
388 MS_DRG Gastrointestinal Obstruction With Mcc 43 25 — — $11,017.96 $49,391.58 $32,059.85 2026-04-01
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 50 31 — — $14,455.43 $73,535.52 $31,595.32 2026-04-01
33249 CPT Hc Ins/Repos Leads/Gen Cd Sin/Dual 7 3 — — $31,491.49 $32,121.32 $31,491.49 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 24 16 — — $25,233.18 $115,539.10 $31,420.12 2026-04-01
988 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 32 19 — — $12,216.83 $54,970.20 $31,119.92 2026-04-01
675 MS_DRG Other Kidney And Urinary Tract Procedures Without Cc/mcc 27 17 — — $11,210.46 $37,661.74 $31,078.27 2026-04-01
63685 CPT Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj 6 3 — — $30,958.59 $31,577.76 $30,958.59 2026-04-01
61885 CPT Imp Stim,Cranial,Subq,1 Array 7 3 — — $30,958.59 $31,577.76 $30,958.59 2026-04-01
63655 CPT Surg Implnt Neuroelect,Epidural 6 3 — — $30,958.59 $31,577.76 $30,958.59 2026-04-01
562 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 43 25 — — $10,644.23 $47,652.44 $30,930.98 2026-04-01
602 MS_DRG Cellulitis With Mcc 43 25 — — $10,619.08 $47,535.38 $30,855.00 2026-04-01
63 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 43 25 — — $10,493.29 $46,950.09 $30,475.09 2026-04-01
358 MS_DRG Other Digestive System O.r. Procedures Without Cc/mcc 43 25 — — $10,450.89 $46,752.77 $30,347.01 2026-04-01
711 MS_DRG Post-operative, Post-trauma, Other Device Infections With O.r. Procedure,major 7 6 — — $30,316.76 $31,832.60 $30,316.76 2026-04-01
858 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures Without Cc/mcc 43 25 — — $10,414.93 $46,585.54 $30,238.47 2026-04-01
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 29 20 — — $11,676.32 $52,455.14 $29,696.09 2026-04-01
419 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. Without Cc/mcc 43 25 — — $10,220.17 $45,679.18 $29,650.15 2026-04-01
825 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures Without Cc/mcc 43 25 — — $10,102.29 $45,130.68 $29,294.12 2026-04-01
355 MS_DRG Hernia Procedures Except Inguinal And Femoral Without Cc/mcc 43 25 — — $10,070.68 $44,983.53 $29,198.61 2026-04-01
718 MS_DRG Other Male Reproductive System O.r. Procedures Except Malignancy Without Cc/mcc 43 25 — — $10,057.02 $44,919.98 $29,157.36 2026-04-01
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 28 21 — — $13,035.29 $61,110.70 $29,065.60 2026-04-01
325 MS_DRG Non-elective Or Complex Knee Joint Replacement,minor 13 6 — — $27,655.28 $33,551.73 $29,038.04 2026-04-01
183 MS_DRG Major Chest Trauma With Mcc 27 18 — — $11,399.62 $36,810.01 $28,967.13 2026-04-01
150 MS_DRG Epistaxis With Mcc 43 25 — — $9,973.66 $44,532.02 $28,905.53 2026-04-01
73 MS_DRG Cranial And Peripheral Nerve Disorders With Mcc 17 15 — — $11,934.36 $38,600.10 $28,877.40 2026-04-01
555 MS_DRG Signs And Symptoms Of Musculoskeletal System And Connective Tissue With Mcc 43 25 — — $9,903.92 $44,207.60 $28,694.96 2026-04-01
660 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Cc 43 25 — — $9,903.20 $44,204.26 $28,692.79 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 41 22 — — $13,009.74 $94,546.71 $28,667.89 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 54 31 — — $3,195.00 $139,452.27 $28,515.92 2026-04-01
909 MS_DRG Other O.r. Procedures For Injuries Without Cc/mcc 43 25 — — $9,838.52 $43,903.25 $28,497.40 2026-04-01
283 MS_DRG Acute Myocardial Infarction, Expired With Mcc 50 31 — — $7,484.88 $66,247.86 $28,464.10 2026-04-01
348 MS_DRG Anal And Stomal Procedures With Cc 43 25 — — $9,810.49 $43,772.82 $28,412.74 2026-04-01
847 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Cc 43 25 — — $9,806.17 $43,752.75 $28,399.71 2026-04-01
539 MS_DRG Osteomyelitis With Mcc 50 31 — — $7,070.77 $65,876.62 $28,304.59 2026-04-01
251 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc 29 17 — — $11,145.19 $49,983.55 $28,296.86 2026-04-01
86 MS_DRG Traumatic Stupor And Coma <1 Hour With Cc 43 25 — — $9,766.64 $43,568.80 $28,280.31 2026-04-01
977 MS_DRG HIV With Or Without Other Related Condition 43 25 — — $9,730.70 $43,401.58 $28,171.77 2026-04-01
813 MS_DRG Coagulation Disorders 48 29 — — $9,247.41 $51,013.66 $28,167.72 2026-04-01
557 MS_DRG Tendonitis, Myositis And Bursitis With Mcc 25 16 — — $11,101.75 $51,829.72 $28,152.96 2026-04-01
553 MS_DRG Bone Diseases And Arthropathies With Mcc 43 25 — — $9,720.65 $43,354.75 $28,141.38 2026-04-01
291 MS_DRG Heart Failure And Shock With Mcc 43 25 — — $9,630.81 $42,936.69 $27,870.01 2026-04-01
535 MS_DRG Fractures Of Hip And Pelvis With Mcc 43 25 — — $9,617.87 $42,876.49 $27,830.94 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 49 31 — — $17,806.60 $86,381.75 $27,739.27 2026-04-01
174 MS_DRG Percutaneous Cardiac Intervention With Ami,extreme 12 6 — — $14,963.86 $41,584.16 $27,658.00 2026-04-01
380 MS_DRG Complicated Peptic Ulcer With Mcc 56 31 — — $14,506.72 $65,625.78 $27,642.32 2026-04-01
947 MS_DRG Signs And Symptoms With Mcc 43 25 — — $9,527.31 $42,455.08 $27,557.40 2026-04-01
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 43 25 — — $9,519.40 $42,418.29 $27,533.52 2026-04-01
22630 CPT Arthrodesis Posterior Interbody 1 Ntrspc Lumbar 4 3 — — $27,222.74 $27,767.19 $27,494.97 2026-04-01
809 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 43 25 — — $9,502.14 $42,338.03 $27,481.42 2026-04-01
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