Hospital

BON SECOURS SOUTHERN VIRGINIA MEDICAL CENTER

Emporia, VA · CCN 490097 · Rates published

97 distinct procedures filed

28 distinct payers

15,331 rate rows

2026-04-01 last MRF observed

Data quality

2,553 of 15,331 rate rows are consumer-grade (16.7%)

12,778 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 — reason	Rows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	12,778

Data source & audit trail ↓ Download audit trail (JSON)

Source MRF file	https://www.bonsecours.com/-/media/bon-secours/patients-and-visitors/corporate/pricing/843065045_bon-secours-mercy-health-emporia-llc_standardcharges.ashx
Found on page	https://www.bonsecours.com/patient-resources/estimate-your-cost
Discovered via	Discovered by HANK
Last fetch	not_modified · 2026-10-22
Content fingerprint	6291d82071504006… · 4,287,628 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
94 MS_DRG	Bacterial And Tuberculous Infections Of Nervous System With Mcc	21	$24,188.84	$85,697.39	$33,724.81	nat. median $33,408 1.0× median
49 MS_DRG	Bacterial And Tuberculous Infections Of Nervous System,moderate	5	$31,511.64	$33,086.01	$31,511.64	nat. median $21,930 1.4× median
720 MS_DRG	Septicemia And Disseminated Infections,extreme	6	$30,091.05	$31,594.45	$30,091.05	nat. median $11,478 outlier · 2.6×
871 MS_DRG	Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc	22	$13,350.80	$47,299.88	$19,039.26	nat. median $18,642 1.0× median
919 MS_DRG	Complications Of Treatment With Mcc	22	$12,583.09	$44,579.98	$17,999.00	nat. median $17,507 1.0× median
698 MS_DRG	Other Kidney And Urinary Tract Diagnoses With Mcc	22	$11,370.69	$40,284.64	$16,356.20	nat. median $15,903 1.0× median
438 MS_DRG	Disorders Of Pancreas Except Malignancy With Mcc	22	$11,204.36	$39,695.37	$16,130.83	nat. median $15,974 1.0× median
280 MS_DRG	Acute Myocardial Infarction, Discharged Alive With Mcc	22	$11,024.98	$39,059.84	$15,887.77	nat. median $15,657 1.0× median
592 MS_DRG	Skin Ulcers With Mcc	21	$13,301.32	$25,158.90	$15,881.99	nat. median $18,752 0.8× median
177 MS_DRG	Respiratory Infections And Inflammations With Mcc	22	$10,740.44	$38,051.75	$15,502.21	nat. median $15,388 1.0× median
564 MS_DRG	Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc	22	$10,609.16	$37,586.66	$15,324.33	nat. median $14,999 1.0× median
64 MS_DRG	Intracranial Hemorrhage Or Cerebral Infarction With Mcc	21	$13,671.77	$48,437.02	$15,095.02	nat. median $19,252 0.8× median
377 MS_DRG	Gastrointestinal Hemorrhage With Mcc	20	$12,563.84	$22,407.62	$14,958.56	nat. median $17,298 0.9× median
865 MS_DRG	Viral Illness With Mcc	22	$10,297.82	$36,483.61	$14,902.46	nat. median $14,518 1.0× median
682 MS_DRG	Renal Failure With Mcc	22	$10,178.91	$36,062.35	$14,741.35	nat. median $14,434 1.0× median
542 MS_DRG	Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With…	21	$12,141.15	$22,964.50	$14,662.27	nat. median $17,169 0.9× median
571 MS_DRG	Skin Debridement With Cc	21	$11,611.93	$21,963.50	$14,105.88	nat. median $16,358 0.9× median
811 MS_DRG	Red Blood Cell Disorders With Mcc	22	$9,651.75	$34,194.71	$14,027.05	nat. median $13,626 1.0× median
175 MS_DRG	Pulmonary Embolism With Mcc Or Acute Cor Pulmonale	22	$9,440.75	$33,447.16	$13,741.14	nat. median $13,728 1.0× median
640 MS_DRG	Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M…	22	$9,179.58	$32,521.86	$13,387.24	nat. median $12,850 1.0× median
193 MS_DRG	Simple Pneumonia And Pleurisy With Mcc	22	$9,033.87	$32,005.64	$13,189.81	nat. median $12,868 1.0× median
291 MS_DRG	Heart Failure And Shock With Mcc	22	$8,823.56	$31,260.53	$12,904.84	nat. median $12,770 1.0× median
189 MS_DRG	Pulmonary Edema And Respiratory Failure	22	$8,490.90	$30,081.99	$12,454.09	nat. median $12,282 1.0× median
637 MS_DRG	Diabetes With Mcc	21	$9,874.44	$18,677.10	$12,279.19	nat. median $13,965 0.9× median
308 MS_DRG	Cardiac Arrhythmia And Conduction Disorders With Mcc	22	$8,275.09	$29,317.40	$12,161.67	nat. median $11,986 1.0× median
304 MS_DRG	Hypertension With Mcc	22	$8,178.87	$28,976.50	$12,031.28	nat. median $11,828 1.0× median
315 MS_DRG	Other Circulatory System Diagnoses With Cc	16	$8,684.78	$11,808.13	$11,808.13	nat. median $9,952 1.2× median
689 MS_DRG	Kidney And Urinary Tract Infections With Mcc	22	$7,974.74	$28,253.31	$11,754.69	nat. median $11,514 1.0× median
60 MS_DRG	Multiple Sclerosis And Cerebellar Ataxia Without Cc/mcc	6	$8,376.61	$11,957.40	$11,274.91	nat. median $9,586 1.2× median
190 MS_DRG	Chronic Obstructive Pulmonary Disease With Mcc	22	$7,613.22	$26,972.50	$11,264.83	nat. median $11,062 1.0× median
391 MS_DRG	Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc	21	$8,717.03	$16,487.90	$11,062.35	nat. median $12,539 0.9× median
137 MS_DRG	Major Respiratory Infections And Inflammations,major	4	$11,036.47	$11,587.87	$11,036.47	nat. median $14,441 0.8× median
644 MS_DRG	Endocrine Disorders With Cc	22	$7,044.83	$24,958.75	$10,494.65	nat. median $10,447 1.0× median
872 MS_DRG	Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc	22	$7,033.14	$24,917.36	$10,478.82	nat. median $10,401 1.0× median
699 MS_DRG	Other Kidney And Urinary Tract Diagnoses With Cc	22	$6,976.10	$24,715.25	$10,401.52	nat. median $10,316 1.0× median
65 MS_DRG	Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours	22	$6,943.79	$24,600.81	$10,357.75	nat. median $10,473 1.0× median
378 MS_DRG	Gastrointestinal Hemorrhage With Cc	22	$6,740.35	$23,880.05	$10,082.08	nat. median $10,022 1.0× median
178 MS_DRG	Respiratory Infections And Inflammations With Cc	22	$6,708.05	$23,765.60	$10,038.31	nat. median $10,198 1.0× median
565 MS_DRG	Other Musculoskeletal System And Connective Tissue Diagnoses With Cc	22	$6,697.05	$23,726.64	$10,023.42	nat. median $10,094 1.0× median
202 MS_DRG	Bronchitis And Asthma With Cc/mcc	22	$6,675.06	$23,648.72	$9,993.61	nat. median $9,796 1.0× median
383 MS_DRG	Cellulitis And Other Skin Infections,moderate	6	$9,783.83	$10,272.65	$9,783.83	nat. median $13,186 0.7× median
206 MS_DRG	Other Respiratory System Diagnoses Without Mcc	22	$6,468.18	$22,915.79	$9,713.30	nat. median $9,495 1.0× median
812 MS_DRG	Red Blood Cell Disorders Without Mcc	22	$6,310.79	$22,358.17	$9,500.03	nat. median $9,307 1.0× median
155 MS_DRG	Other Ear, Nose, Mouth And Throat Diagnoses With Cc	22	$6,299.10	$22,316.78	$9,484.19	nat. median $9,517 1.0× median
307 MS_DRG	Cardiac Congenital And Valvular Disorders Without Mcc	22	$6,276.42	$22,236.42	$9,453.47	nat. median $9,542 1.0× median
199 MS_DRG	Hypertension,major	6	$7,358.67	$11,688.16	$9,429.15	nat. median $16,759 0.6× median
145 MS_DRG	Acute Bronchitis And Related Symptoms,major	3	$9,386.31	$9,386.31	$9,386.31	nat. median $12,074 0.8× median
140 MS_DRG	Chronic Obstructive Pulmonary Disease,major	6	$7,848.64	$11,028.12	$9,372.07	nat. median $38,372 outlier · 0.2×
42 MS_DRG	Degenerative Nervous System Disorders Except Multiple Sclerosis,minor	3	$9,361.66	$9,361.66	$9,361.66	nat. median $16,988 0.6× median
563 MS_DRG	Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit…	22	$6,154.77	$21,805.43	$9,288.63	nat. median $9,151 1.0× median

Other procedures at this hospital

Browse this hospital's 97 published procedures. Use the slice to choose what to show, then sort or filter any column.

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

00812	CPT	Anesthesia Lower Intst Endoscopic Px Scr Colsc	2	2	—	—	$907.35	$925.49	$916.42	2026-04-01
137	MS_DRG	Major Respiratory Infections And Inflammations,major	5	4	—	—	$11,036.47	$11,587.87	$11,036.47	2026-04-01
140	MS_DRG	Chronic Obstructive Pulmonary Disease,major	14	6	—	—	$7,848.64	$11,028.12	$9,372.07	2026-04-01
145	MS_DRG	Acute Bronchitis And Related Symptoms,major	3	3	—	—	$9,386.31	$9,386.31	$9,386.31	2026-04-01
155	MS_DRG	Other Ear, Nose, Mouth And Throat Diagnoses With Cc	36	22	—	—	$6,299.10	$22,316.78	$9,484.19	2026-04-01
175	MS_DRG	Pulmonary Embolism With Mcc Or Acute Cor Pulmonale	36	22	—	—	$9,440.75	$33,447.16	$13,741.14	2026-04-01
177	MS_DRG	Respiratory Infections And Inflammations With Mcc	36	22	—	—	$10,740.44	$38,051.75	$15,502.21	2026-04-01
178	MS_DRG	Respiratory Infections And Inflammations With Cc	36	22	—	—	$6,708.05	$23,765.60	$10,038.31	2026-04-01
189	MS_DRG	Pulmonary Edema And Respiratory Failure	36	22	—	—	$8,490.90	$30,081.99	$12,454.09	2026-04-01
190	MS_DRG	Chronic Obstructive Pulmonary Disease With Mcc	36	22	—	—	$7,613.22	$26,972.50	$11,264.83	2026-04-01
191	MS_DRG	Chronic Obstructive Pulmonary Disease With Cc	17	10	—	—	$5,793.94	$20,527.05	$7,989.19	2026-04-01
192	MS_DRG	Chronic Obstructive Pulmonary Disease Without Cc/mcc	24	17	—	—	$4,448.21	$15,759.32	$6,617.06	2026-04-01
193	MS_DRG	Simple Pneumonia And Pleurisy With Mcc	36	22	—	—	$9,033.87	$32,005.64	$13,189.81	2026-04-01
194	MS_DRG	Simple Pneumonia And Pleurisy With Cc	64	28	—	—	$5,538.95	$23,305.15	$9,166.17	2026-04-01
195	MS_DRG	Simple Pneumonia And Pleurisy Without Cc/mcc	36	22	—	—	$4,319.68	$15,303.98	$6,802.08	2026-04-01
199	MS_DRG	Hypertension,major	14	6	—	—	$7,358.67	$11,688.16	$9,429.15	2026-04-01
202	MS_DRG	Bronchitis And Asthma With Cc/mcc	36	22	—	—	$6,675.06	$23,648.72	$9,993.61	2026-04-01
206	MS_DRG	Other Respiratory System Diagnoses Without Mcc	36	22	—	—	$6,468.18	$22,915.79	$9,713.30	2026-04-01
207	MS_DRG	Other Circulatory System Diagnoses,moderate	2	2	—	—	$9,212.21	$9,212.21	$9,212.21	2026-04-01
244	MS_DRG	Diverticulitis And Diverticulosis,minor	7	6	—	—	$6,711.55	$7,046.87	$6,711.55	2026-04-01
280	MS_DRG	Acute Myocardial Infarction, Discharged Alive With Mcc	36	22	—	—	$11,024.98	$39,059.84	$15,887.77	2026-04-01
281	MS_DRG	Acute Myocardial Infarction, Discharged Alive With Cc	33	21	—	—	$6,316.97	$11,948.30	$8,539.09	2026-04-01
282	MS_DRG	Disorders Of Pancreas Except Malignancy,minor	7	6	—	—	$6,437.29	$6,758.91	$6,437.29	2026-04-01
291	MS_DRG	Heart Failure And Shock With Mcc	36	22	—	—	$8,823.56	$31,260.53	$12,904.84	2026-04-01
292	MS_DRG	Heart Failure And Shock With Cc	36	22	—	—	$5,835.18	$20,673.15	$8,855.58	2026-04-01
304	MS_DRG	Hypertension With Mcc	36	22	—	—	$8,178.87	$28,976.50	$12,031.28	2026-04-01
305	MS_DRG	Hypertension Without Mcc	36	22	—	—	$5,189.80	$18,386.69	$7,981.09	2026-04-01
307	MS_DRG	Cardiac Congenital And Valvular Disorders Without Mcc	36	22	—	—	$6,276.42	$22,236.42	$9,453.47	2026-04-01
308	MS_DRG	Cardiac Arrhythmia And Conduction Disorders With Mcc	36	22	—	—	$8,275.09	$29,317.40	$12,161.67	2026-04-01
309	MS_DRG	Cardiac Arrhythmia And Conduction Disorders With Cc	36	22	—	—	$5,056.47	$17,914.30	$7,800.43	2026-04-01
312	MS_DRG	Syncope And Collapse	17	12	—	—	$5,990.51	$21,223.46	$8,195.86	2026-04-01
315	MS_DRG	Other Circulatory System Diagnoses With Cc	19	16	—	—	$8,684.78	$11,808.13	$11,808.13	2026-04-01
377	MS_DRG	Gastrointestinal Hemorrhage With Mcc	32	20	—	—	$12,563.84	$22,407.62	$14,958.56	2026-04-01
378	MS_DRG	Gastrointestinal Hemorrhage With Cc	36	22	—	—	$6,740.35	$23,880.05	$10,082.08	2026-04-01
383	MS_DRG	Cellulitis And Other Skin Infections,moderate	7	6	—	—	$9,783.83	$10,272.65	$9,783.83	2026-04-01
391	MS_DRG	Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc	33	21	—	—	$8,717.03	$16,487.90	$11,062.35	2026-04-01
392	MS_DRG	Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc	24	16	—	—	$5,399.43	$19,129.36	$6,461.39	2026-04-01
394	MS_DRG	Other Digestive System Diagnoses With Cc	33	21	—	—	$6,431.07	$12,164.10	$8,659.04	2026-04-01
395	MS_DRG	Other Digestive System Diagnoses Without Cc/mcc	28	22	—	—	$4,460.58	$15,803.15	$7,271.41	2026-04-01
42	MS_DRG	Degenerative Nervous System Disorders Except Multiple Sclerosis,minor	4	3	—	—	$9,361.66	$9,361.66	$9,361.66	2026-04-01
420	MS_DRG	Diabetes,moderate	5	4	—	—	$7,133.72	$7,490.13	$7,133.72	2026-04-01
43239	CPT	Egd Transoral Biopsy Single/Multiple\|SEPARATE Structure	18	3	—	—	$884.93	$1,909.69	$1,872.25	2026-04-01
43249	CPT	Egd Balloon Dilation Esophagus <30 Mm Diam	7	3	—	—	$1,872.25	$1,909.69	$1,872.25	2026-04-01
43251	CPT	Egd Removal Tumor Polyp/Other Lesion Snare Tech	7	3	—	—	$1,872.25	$1,909.69	$1,872.25	2026-04-01
43450	CPT	Dilation Esoph Unguided Sound/Bougie 1/Mult Pass	7	3	—	—	$884.93	$902.63	$884.93	2026-04-01
438	MS_DRG	Disorders Of Pancreas Except Malignancy With Mcc	36	22	—	—	$11,204.36	$39,695.37	$16,130.83	2026-04-01
440	MS_DRG	Disorders Of Pancreas Except Malignancy Without Cc/mcc	36	22	—	—	$4,270.88	$15,131.09	$6,735.95	2026-04-01
45378	CPT	Colonoscopy Flx Dx W/Collj Spec When Pfrmd	14	3	—	—	$907.35	$925.49	$907.35	2026-04-01
45380	CPT	Colonoscopy W/Biopsy Single/Multiple\|COLORECTAL Cancer Screen	42	3	—	—	$1,167.54	$1,190.90	$1,167.54	2026-04-01
45381	CPT	Colsc Flx With Directed Submucosal Njx Any Sbst	5	3	—	—	$1,167.54	$1,190.90	$1,167.54	2026-04-01
45385	CPT	Colsc Flx W/Rmvl Of Tumor Polyp Lesion Snare Tq\|PREVENTIVE Services	18	3	—	—	$1,167.54	$1,190.90	$1,167.54	2026-04-01
463	MS_DRG	Kidney And Urinary Tract Infections,minor	7	6	—	—	$6,093.70	$6,398.15	$6,093.70	2026-04-01
49	MS_DRG	Bacterial And Tuberculous Infections Of Nervous System,moderate	6	5	—	—	$31,511.64	$33,086.01	$31,511.64	2026-04-01
52000	CPT	Hc Cystourethroscopy	7	3	—	—	$680.34	$693.95	$680.34	2026-04-01
542	MS_DRG	Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With…	33	21	—	—	$12,141.15	$22,964.50	$14,662.27	2026-04-01
558	MS_DRG	Tendonitis, Myositis And Bursitis Without Mcc	33	21	—	—	$6,138.96	$11,611.60	$8,351.94	2026-04-01
563	MS_DRG	Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit…	36	22	—	—	$6,154.77	$21,805.43	$9,288.63	2026-04-01
564	MS_DRG	Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc	36	22	—	—	$10,609.16	$37,586.66	$15,324.33	2026-04-01
565	MS_DRG	Other Musculoskeletal System And Connective Tissue Diagnoses With Cc	36	22	—	—	$6,697.05	$23,726.64	$10,023.42	2026-04-01
571	MS_DRG	Skin Debridement With Cc	33	21	—	—	$11,611.93	$21,963.50	$14,105.88	2026-04-01
592	MS_DRG	Skin Ulcers With Mcc	33	21	—	—	$13,301.32	$25,158.90	$15,881.99	2026-04-01
60	MS_DRG	Multiple Sclerosis And Cerebellar Ataxia Without Cc/mcc	7	6	—	—	$8,376.61	$11,957.40	$11,274.91	2026-04-01
603	MS_DRG	Cellulitis Without Mcc	28	19	—	—	$5,985.70	$21,206.42	$8,110.51	2026-04-01
637	MS_DRG	Diabetes With Mcc	33	21	—	—	$9,874.44	$18,677.10	$12,279.19	2026-04-01
638	MS_DRG	Diabetes With Cc	23	15	—	—	$8,209.43	$21,822.47	$8,373.62	2026-04-01
639	MS_DRG	Diabetes Without Cc/mcc	23	16	—	—	$6,261.28	$15,126.22	$6,386.51	2026-04-01
64	MS_DRG	Intracranial Hemorrhage Or Cerebral Infarction With Mcc	30	21	—	—	$13,671.77	$48,437.02	$15,095.02	2026-04-01
640	MS_DRG	Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M…	36	22	—	—	$9,179.58	$32,521.86	$13,387.24	2026-04-01
641	MS_DRG	Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou…	36	22	—	—	$5,348.57	$18,949.17	$8,196.23	2026-04-01
644	MS_DRG	Endocrine Disorders With Cc	36	22	—	—	$7,044.83	$24,958.75	$10,494.65	2026-04-01
65	MS_DRG	Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours	36	22	—	—	$6,943.79	$24,600.81	$10,357.75	2026-04-01
66	MS_DRG	Intracranial Hemorrhage Or Cerebral Infarction Without Cc/mcc	36	22	—	—	$4,703.88	$16,665.14	$7,322.67	2026-04-01
682	MS_DRG	Renal Failure With Mcc	36	22	—	—	$10,178.91	$36,062.35	$14,741.35	2026-04-01
683	MS_DRG	Renal Failure With Cc	36	22	—	—	$6,019.37	$21,325.73	$9,105.17	2026-04-01
684	MS_DRG	Renal Failure Without Cc/mcc	33	21	—	—	$4,125.86	$7,803.90	$6,235.49	2026-04-01
689	MS_DRG	Kidney And Urinary Tract Infections With Mcc	36	22	—	—	$7,974.74	$28,253.31	$11,754.69	2026-04-01
690	MS_DRG	Kidney And Urinary Tract Infections Without Mcc	36	22	—	—	$5,563.69	$19,711.33	$8,487.72	2026-04-01
698	MS_DRG	Other Kidney And Urinary Tract Diagnoses With Mcc	36	22	—	—	$11,370.69	$40,284.64	$16,356.20	2026-04-01
699	MS_DRG	Other Kidney And Urinary Tract Diagnoses With Cc	36	22	—	—	$6,976.10	$24,715.25	$10,401.52	2026-04-01
720	MS_DRG	Septicemia And Disseminated Infections,extreme	7	6	—	—	$30,091.05	$31,594.45	$30,091.05	2026-04-01
750	MS_DRG	Schizophrenia,minor	7	6	—	—	$1,354.16	$1,421.87	$1,354.16	2026-04-01
751	MS_DRG	Major Depressive Disorders And Other Or Unspecified Psychoses,minor	7	6	—	—	$1,354.16	$1,421.87	$1,354.16	2026-04-01
753	MS_DRG	Bipolar Disorders,moderate	7	6	—	—	$1,354.16	$1,421.87	$1,354.16	2026-04-01
811	MS_DRG	Red Blood Cell Disorders With Mcc	36	22	—	—	$9,651.75	$34,194.71	$14,027.05	2026-04-01
812	MS_DRG	Red Blood Cell Disorders Without Mcc	36	22	—	—	$6,310.79	$22,358.17	$9,500.03	2026-04-01
865	MS_DRG	Viral Illness With Mcc	36	22	—	—	$10,297.82	$36,483.61	$14,902.46	2026-04-01
871	MS_DRG	Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc	36	22	—	—	$13,350.80	$47,299.88	$19,039.26	2026-04-01
872	MS_DRG	Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc	36	22	—	—	$7,033.14	$24,917.36	$10,478.82	2026-04-01
884	MS_DRG	Organic Disturbances And Intellectual Disability	36	22	—	—	$897.00	$39,176.72	$1,600.00	2026-04-01
885	MS_DRG	Psychoses	28	17	—	—	$915.34	$34,012.08	$924.50	2026-04-01
896	MS_DRG	Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc	32	20	—	—	$915.34	$14,507.63	$1,409.00	2026-04-01
897	MS_DRG	Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc	33	19	—	—	$788.46	$20,833.86	$1,060.00	2026-04-01
919	MS_DRG	Complications Of Treatment With Mcc	36	22	—	—	$12,583.09	$44,579.98	$17,999.00	2026-04-01
94	MS_DRG	Bacterial And Tuberculous Infections Of Nervous System With Mcc	30	21	—	—	$24,188.84	$85,697.39	$33,724.81	2026-04-01
951	MS_DRG	Other Factors Influencing Health Status	36	22	—	—	$3,821.39	$13,538.60	$6,126.89	2026-04-01
G0105	HCPCS	Colorectal Scrn; Hi Risk Ind	7	3	—	—	$907.35	$925.49	$907.35	2026-04-01
G0121	HCPCS	Colon Ca Scrn Not Hi Rsk Ind	6	3	—	—	$907.35	$925.49	$907.35	2026-04-01

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