Price Transparencybeta Hospital negotiated rates

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

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Hospital

BON SECOURS ST FRANCIS MEDICAL CENTER

Midlothian, VA · CCN 490136 · Rates published

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You selected 482 (MS_DRG)

HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC

This hospital’s price: $30,881 across 33 payers · range $9,888-$54,549

Source: https://www.bonsecours.com/-/media/bon-secours/patients-and-visitors/corporate/pricing/311716973_bon-secours-st-francis-medical-center-llc_standardcharges.ashx · observed 2026-04-01

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

1,409 distinct procedures filed
43 distinct payers
73,170 rate rows
2026-04-01 last MRF observed
Data quality

50,209 of 73,170 rate rows are consumer-grade (68.6%)

22,961 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 22,900
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 43
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 18
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://rsfh.com/getContentAsset/6c52d325-86f9-45ee-b404-e4b51cabe5a4/7ac1fecb-c286-4874-bc71-62e245e8a59a/571067254_bon-secours-st-francis-xavier-hospital-inc_standardcharges.csv?language=en
Found on page https://www.rsfh.com/billing-financial-assistance/
Discovered viaCMS hospital list
Last fetch success · 2026-10-31
Content fingerprint e34d5709809686f6… · 29,345,453 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… 24 $5,231.00 $709,876.81 $408,582.00 nat. median
$190,359
outlier · 2.1×
215
MS_DRG 		Other Heart Assist System Implant 24 $71,380.53 $422,090.00 $231,450.47 nat. median
$93,787
outlier · 2.5×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 23 $70,145.07 $327,185.75 $209,782.36 nat. median
$90,512
outlier · 2.3×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 26 $62,958.58 $177,294.98 $169,317.41 nat. median
$77,936
outlier · 2.2×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 23 $51,333.75 $238,476.23 $152,904.30 nat. median
$66,584
outlier · 2.3×
5
MS_DRG 		Tracheostomy With Mv >96 Hours Without Extensive Procedure,extreme 4 $152,771.96 $160,410.56 $152,771.96 nat. median
$94,943
1.6× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 24 $49,783.40 $231,165.15 $148,216.64 nat. median
$62,577
outlier · 2.4×
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 37 $6,999.92 $295,273.00 $134,742.59 nat. median
$63,564
outlier · 2.1×
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 23 $43,363.54 $200,890.74 $128,805.53 nat. median
$56,633
outlier · 2.3×
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 31 $42,327.47 $246,682.00 $127,974.09 nat. median
$55,110
outlier · 2.3×
213
MS_DRG 		Endovascular Abdominal Aorta With Iliac Branch Procedures 24 $41,238.03 $190,867.27 $118,543.73 nat. median
$48,413
outlier · 2.4×
28
MS_DRG 		Spinal Procedures With Mcc 28 $42,633.57 $120,982.83 $112,913.98 nat. median
$54,377
outlier · 2.1×
834
MS_DRG 		Acute Leukemia With Mcc 25 $39,699.01 $183,609.71 $110,986.56 nat. median
$50,314
outlier · 2.2×
430
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 31 $5,231.00 $199,590.00 $110,930.17 nat. median
$51,152
outlier · 2.2×
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 36 $21,873.69 $223,466.11 $109,139.00 nat. median
$60,517
1.8× median
428
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 31 $40,017.53 $199,590.00 $108,535.52 nat. median
$50,496
outlier · 2.1×
405
MS_DRG 		Pancreas, Liver And Shunt Procedures With Mcc 27 $18,319.74 $182,960.87 $105,566.98 nat. median
$50,728
outlier · 2.1×
228
MS_DRG 		Other Cardiothoracic Procedures With Mcc 24 $35,851.50 $165,465.79 $102,767.39 nat. median
$47,347
outlier · 2.2×
11
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 28 $38,880.49 $150,008.48 $102,498.90 nat. median
$49,944
outlier · 2.1×
450
MS_DRG 		Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically… 28 $38,037.38 $146,009.19 $100,159.17 nat. median
$48,227
outlier · 2.1×
239
MS_DRG 		Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 25 $35,669.23 $164,606.26 $99,499.54 nat. median
$45,172
outlier · 2.2×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 35 $5,231.00 $422,090.00 $99,098.77 nat. median
$126,461
0.8× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 24 $49,542.96 $230,031.37 $98,276.00 nat. median
$63,829
1.5× median
981
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 25 $34,038.75 $156,917.25 $97,458.07 nat. median
$43,609
outlier · 2.2×
270
MS_DRG 		Other Major Cardiovascular Procedures With Mcc 26 $34,720.90 $176,465.85 $96,464.47 nat. median
$49,305
2.0× median
277
MS_DRG 		Cardiac Defibrillator Implant Without Mcc 24 $33,518.89 $154,465.73 $95,935.48 nat. median
$44,088
outlier · 2.2×
269
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 24 $30,715.33 $141,244.92 $95,071.00 nat. median
$40,001
outlier · 2.4×
326
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Mcc 36 $13,967.17 $166,803.59 $93,728.21 nat. median
$46,201
outlier · 2.0×
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 33 $35,389.50 $165,171.48 $93,507.45 nat. median
$45,362
outlier · 2.1×
823
MS_DRG 		Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 25 $33,279.88 $153,338.64 $92,688.61 nat. median
$42,755
outlier · 2.2×
856
MS_DRG 		Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 25 $33,023.85 $152,131.27 $91,958.80 nat. median
$41,655
outlier · 2.2×
273
MS_DRG 		Percutaneous And Other Intracardiac Procedures With Mcc 23 $30,022.44 $137,977.35 $88,467.22 nat. median
$38,057
outlier · 2.3×
826
MS_DRG 		Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r.… 32 $5,231.00 $156,449.02 $87,909.90 nat. median
$43,838
outlier · 2.0×
474
MS_DRG 		Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 25 $31,209.67 $143,576.04 $86,787.42 nat. median
$39,943
outlier · 2.2×
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 32 $33,072.77 $153,729.94 $86,631.74 nat. median
$42,609
outlier · 2.0×
958
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Cc 25 $30,649.37 $140,933.89 $85,190.31 nat. median
$38,930
outlier · 2.2×
163
MS_DRG 		Major Chest Procedures With Mcc 32 $32,296.02 $149,893.80 $84,858.40 nat. median
$42,636
2.0× median
423
MS_DRG 		Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 25 $30,217.47 $138,897.09 $83,959.12 nat. median
$38,534
outlier · 2.2×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 37 $5,231.00 $373,761.00 $83,455.37 nat. median
$93,226
0.9× median
448
MS_DRG 		Multiple Level Spinal Fusion Except Cervical Without Mcc 31 $30,663.95 $141,833.56 $81,870.76 nat. median
$39,065
outlier · 2.1×
802
MS_DRG 		Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 25 $29,019.61 $133,248.22 $80,544.56 nat. median
$35,083
outlier · 2.3×
458
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 28 $30,202.09 $132,827.25 $78,415.67 nat. median
$40,320
1.9× median
402
MS_DRG 		Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 30 $29,172.05 $199,590.00 $76,124.15 nat. median
$36,864
outlier · 2.1×
907
MS_DRG 		Other O.r. Procedures For Injuries With Mcc 28 $27,944.96 $86,252.84 $75,545.91 nat. median
$35,937
outlier · 2.1×
628
MS_DRG 		Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 25 $27,194.78 $124,642.83 $75,342.85 nat. median
$35,211
outlier · 2.1×
956
MS_DRG 		Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 32 $27,428.25 $148,259.86 $74,044.55 nat. median
$35,435
outlier · 2.1×
408
MS_DRG 		Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 25 $26,051.52 $119,251.49 $72,083.95 nat. median
$33,259
outlier · 2.2×
166
MS_DRG 		Other Respiratory System O.r. Procedures With Mcc 33 $27,256.92 $125,007.38 $70,769.61 nat. median
$35,655
2.0× median
252
MS_DRG 		Other Vascular Procedures With Mcc 25 $25,503.31 $116,666.19 $70,521.22 nat. median
$32,644
outlier · 2.2×
616
MS_DRG 		Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 25 $25,496.90 $116,636.09 $70,503.02 nat. median
$33,713
outlier · 2.1×

Other procedures at this hospital

Browse this hospital's 1,409 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… 43 24 — — $5,231.00 $709,876.81 $408,582.00 2026-04-01
215 MS_DRG Other Heart Assist System Implant 43 24 — — $71,380.53 $422,090.00 $231,450.47 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 40 23 — — $70,145.07 $327,185.75 $209,782.36 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 44 26 — — $62,958.58 $177,294.98 $169,317.41 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 40 23 — — $51,333.75 $238,476.23 $152,904.30 2026-04-01
5 MS_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure,extreme 5 4 — — $152,771.96 $160,410.56 $152,771.96 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 46 24 — — $49,783.40 $231,165.15 $148,216.64 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 97 37 — — $6,999.92 $295,273.00 $134,742.59 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 40 23 — — $43,363.54 $200,890.74 $128,805.53 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 90 31 — — $42,327.47 $246,682.00 $127,974.09 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 43 24 — — $41,238.03 $190,867.27 $118,543.73 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 48 28 — — $42,633.57 $120,982.83 $112,913.98 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 44 25 — — $39,699.01 $183,609.71 $110,986.56 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 90 31 — — $5,231.00 $199,590.00 $110,930.17 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 101 36 — — $21,873.69 $223,466.11 $109,139.00 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 90 31 — — $40,017.53 $199,590.00 $108,535.52 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 46 27 — — $18,319.74 $182,960.87 $105,566.98 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 43 24 — — $35,851.50 $165,465.79 $102,767.39 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 48 28 — — $38,880.49 $150,008.48 $102,498.90 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 48 28 — — $38,037.38 $146,009.19 $100,159.17 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 44 25 — — $35,669.23 $164,606.26 $99,499.54 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 83 35 — — $5,231.00 $422,090.00 $99,098.77 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 43 24 — — $49,542.96 $230,031.37 $98,276.00 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 45 25 — — $34,038.75 $156,917.25 $97,458.07 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 57 26 — — $34,720.90 $176,465.85 $96,464.47 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 43 24 — — $33,518.89 $154,465.73 $95,935.48 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 43 24 — — $30,715.33 $141,244.92 $95,071.00 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 92 36 — — $13,967.17 $166,803.59 $93,728.21 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 92 33 — — $35,389.50 $165,171.48 $93,507.45 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 44 25 — — $33,279.88 $153,338.64 $92,688.61 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 44 25 — — $33,023.85 $152,131.27 $91,958.80 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 40 23 — — $30,022.44 $137,977.35 $88,467.22 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 91 32 — — $5,231.00 $156,449.02 $87,909.90 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 44 25 — — $31,209.67 $143,576.04 $86,787.42 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 91 32 — — $33,072.77 $153,729.94 $86,631.74 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 44 25 — — $30,649.37 $140,933.89 $85,190.31 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 91 32 — — $32,296.02 $149,893.80 $84,858.40 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 44 25 — — $30,217.47 $138,897.09 $83,959.12 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 111 37 — — $5,231.00 $373,761.00 $83,455.37 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 90 31 — — $30,663.95 $141,833.56 $81,870.76 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 44 25 — — $29,019.61 $133,248.22 $80,544.56 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 48 28 — — $30,202.09 $132,827.25 $78,415.67 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 82 30 — — $29,172.05 $199,590.00 $76,124.15 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 57 28 — — $27,944.96 $86,252.84 $75,545.91 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 44 25 — — $27,194.78 $124,642.83 $75,342.85 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 91 32 — — $27,428.25 $148,259.86 $74,044.55 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 44 25 — — $26,051.52 $119,251.49 $72,083.95 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 92 33 — — $27,256.92 $125,007.38 $70,769.61 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 44 25 — — $25,503.31 $116,666.19 $70,521.22 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 44 25 — — $25,496.90 $116,636.09 $70,503.02 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 92 33 — — $26,803.29 $122,796.66 $69,518.07 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 92 33 — — $26,497.63 $121,355.18 $68,702.02 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 90 32 — — $25,985.55 $118,940.45 $68,656.15 2026-04-01
999 MS_DRG Ungroupable 46 27 — — $10,228.00 $161,307.29 $68,473.69 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 92 33 — — $26,379.16 $120,796.65 $68,385.82 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 92 33 — — $10,862.00 $146,917.20 $67,794.72 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 42 24 — — $5,231.00 $91,496.00 $67,686.65 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 92 33 — — $26,089.10 $119,428.75 $67,611.42 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 57 26 — — $25,723.87 $117,706.33 $66,636.32 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 44 25 — — $24,108.96 $110,090.91 $66,546.65 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 48 28 — — $10,280.00 $125,343.98 $65,812.44 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 44 25 — — $23,731.67 $108,311.63 $65,471.13 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 92 33 — — $25,078.47 $114,662.84 $64,913.33 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 44 25 — — $23,343.73 $106,482.19 $64,365.29 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 44 25 — — $22,853.66 $104,171.14 $62,968.34 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 74 30 — — $34,645.26 $161,495.87 $62,792.00 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 48 28 — — $32,287.20 $88,162.80 $62,406.76 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 74 29 — — $25,264.28 $115,539.10 $62,359.39 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 48 28 — — $30,398.48 $82,674.88 $62,084.69 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 47 27 — — $24,315.13 $88,615.28 $62,078.92 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 91 32 — — $13,641.00 $114,100.96 $61,889.56 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 44 25 — — $19,628.85 $89,703.00 $61,831.70 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 91 32 — — $23,674.22 $109,139.00 $61,164.39 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 44 25 — — $22,159.32 $100,896.88 $60,989.14 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 48 28 — — $23,799.09 $63,499.65 $60,646.89 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 92 33 — — $23,365.71 $106,585.87 $60,340.76 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 92 33 — — $23,208.97 $105,846.74 $59,922.32 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 63 30 — — $23,706.14 $75,195.25 $59,021.28 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 48 28 — — $23,000.66 $63,202.45 $58,431.20 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 92 33 — — $9,370.00 $111,726.37 $58,394.20 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 92 33 — — $21,657.90 $98,532.31 $55,781.46 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 92 33 — — $8,972.00 $97,401.87 $55,141.49 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 48 28 — — $21,719.40 $85,305.59 $54,875.56 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 92 33 — — $21,231.67 $96,522.27 $54,643.52 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 48 28 — — $21,597.50 $67,790.93 $54,537.29 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 44 25 — — $19,894.08 $90,214.54 $54,531.99 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 48 28 — — $21,585.31 $73,588.10 $54,503.46 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 43 24 — — $5,231.00 $86,261.34 $53,575.14 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 48 28 — — $23,344.70 $62,179.32 $52,909.62 2026-04-01
503 MS_DRG Foot Procedures With Mcc 92 33 — — $20,558.62 $93,348.34 $52,846.69 2026-04-01
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 44 25 — — $17,886.28 $91,496.00 $52,778.29 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 44 25 — — $19,150.12 $86,706.16 $52,411.28 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 92 33 — — $20,317.49 $92,211.21 $52,202.93 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 44 25 — — $18,973.52 $85,873.38 $51,907.89 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 92 33 — — $20,257.91 $91,930.27 $51,630.84 2026-04-01
849 MS_DRG Radiotherapy 48 28 — — $20,293.88 $81,867.07 $50,919.63 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 48 28 — — $13,351.00 $91,631.33 $49,750.18 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 35 22 — — $13,252.00 $89,342.77 $49,516.95 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 86 38 — — $6,359.05 $154,821.46 $49,043.01 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 26 16 — — $19,037.66 $77,058.83 $48,549.14 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 48 28 — — $19,411.47 $50,750.92 $48,470.91 2026-04-01
35 MS_DRG Carotid Artery Stent Procedures With Cc 44 25 — — $17,717.50 $79,950.27 $48,327.54 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 92 33 — — $18,784.16 $84,980.40 $48,109.40 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 92 33 — — $11,348.00 $84,819.86 $48,018.52 2026-04-01
21 MS_DRG Open Craniotomy Except Trauma,extreme 8 4 — — $30,857.78 $66,079.19 $47,666.61 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 48 28 — — $19,030.20 $56,363.30 $47,412.86 2026-04-01
612 MS_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 9 9 — — $10,963.86 $49,735.05 $47,366.71 2026-04-01
333 MS_DRG Rectal Resection With Cc 44 25 — — $17,374.94 $78,334.88 $47,351.08 2026-04-01
545 MS_DRG Connective Tissue Disorders With Mcc 92 33 — — $8,480.00 $83,000.46 $46,988.51 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 51 31 — — $11,731.90 $86,809.84 $46,720.80 2026-04-01
130 MS_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours,major 4 4 — — $45,448.49 $47,720.91 $46,584.70 2026-04-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 92 33 — — $18,098.34 $81,746.27 $46,278.48 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 91 32 — — $18,077.79 $81,649.28 $46,223.57 2026-04-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 61 30 — — $17,635.60 $59,494.91 $46,202.59 2026-04-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 92 33 — — $18,204.72 $82,247.94 $45,845.03 2026-04-01
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 44 25 — — $16,831.67 $75,772.99 $45,802.50 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 92 33 — — $17,765.00 $80,174.35 $45,388.58 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 44 25 — — $25,774.91 $117,947.14 $45,377.00 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 91 32 — — $21,119.62 $95,993.84 $45,377.00 2026-04-01
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/mcc 44 25 — — $16,630.97 $74,826.50 $45,230.38 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 92 33 — — $17,688.42 $79,813.15 $45,184.10 2026-04-01
397 MS_DRG Appendix Procedures With Mcc 64 29 — — $17,748.70 $80,097.43 $45,007.36 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 50 30 — — $5,231.00 $107,371.83 $44,392.91 2026-04-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 92 33 — — $17,349.41 $78,214.48 $44,279.05 2026-04-01
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 44 25 — — $16,280.61 $73,174.32 $44,231.68 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 48 28 — — $10,078.00 $81,454.07 $44,224.55 2026-04-01
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 44 25 — — $16,242.30 $72,993.71 $44,122.51 2026-04-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 92 33 — — $17,256.51 $77,776.35 $44,031.02 2026-04-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 92 33 — — $2.42 $77,696.08 $43,985.58 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 48 28 — — $10,710.00 $89,863.76 $43,487.64 2026-04-01
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 102 39 — — $10,782.66 $76,308.11 $42,878.11 2026-04-01
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 44 25 — — $15,780.62 $70,816.44 $42,806.41 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 52 32 — — $4,703.06 $136,379.44 $42,788.50 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 128 42 — — $1,739.43 $190,619.78 $42,569.49 2026-04-01
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 44 25 — — $13,267.14 $91,496.00 $42,418.49 2026-04-01
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 44 25 — — $15,594.09 $69,936.84 $42,274.73 2026-04-01
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/mcc 22 18 — — $14,836.78 $49,261.26 $42,218.23 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 71 28 — — $3,054.00 $198,780.36 $42,194.75 2026-04-01
835 MS_DRG Acute Leukemia With Cc 44 25 — — $15,556.50 $69,759.58 $42,167.57 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 103 43 — — $12,892.40 $95,334.97 $42,021.93 2026-04-01
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 92 33 — — $15,782.74 $70,826.48 $41,669.98 2026-04-01
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 51 31 — — $13,417.23 $64,512.06 $41,566.00 2026-04-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 44 25 — — $16,457.22 $74,007.10 $41,263.00 2026-04-01
30 MS_DRG Spinal Procedures Without Cc/mcc 51 31 — — $16,810.99 $44,714.01 $41,254.39 2026-04-01
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 92 33 — — $16,216.08 $72,869.97 $41,253.40 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 65 34 — — $3,362.84 $105,335.03 $41,019.09 2026-04-01
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 48 28 — — $16,689.78 $59,521.43 $40,918.00 2026-04-01
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 92 33 — — $16,903.30 $76,110.79 $40,714.72 2026-04-01
585 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/mcc 43 24 — — $14,445.16 $64,518.75 $40,071.27 2026-04-01
32 MS_DRG Ventricular Shunt Procedures With Cc 48 28 — — $16,376.22 $46,275.08 $40,047.88 2026-04-01
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 92 33 — — $15,618.20 $70,050.55 $39,657.26 2026-04-01
336 MS_DRG Peritoneal Adhesiolysis With Cc 44 24 — — $15,289.88 $53,705.31 $39,628.80 2026-04-01
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 92 33 — — $11,165.00 $69,545.53 $39,371.36 2026-04-01
952 MS_DRG Non-extensive O.r. Procedure Unrelated To Principal Diagnosis,extreme 4 4 — — $38,386.67 $40,306.00 $39,346.33 2026-04-01
36 MS_DRG Carotid Artery Stent Procedures Without Cc/mcc 44 25 — — $14,542.32 $64,976.95 $39,276.61 2026-04-01
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 81 33 — — $15,501.89 $51,903.64 $39,053.73 2026-04-01
582 MS_DRG Mastectomy For Malignancy With Cc/mcc 44 25 — — $14,427.43 $64,435.14 $38,949.11 2026-04-01
415 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 48 28 — — $15,940.79 $53,275.26 $38,839.49 2026-04-01
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 92 33 — — $6,965.00 $76,752.93 $38,799.38 2026-04-01
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 92 33 — — $16,422.45 $73,843.22 $38,517.10 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 110 43 — — $9,448.65 $86,381.75 $38,246.19 2026-04-01
261 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Cc 34 23 — — $13,790.99 $63,465.23 $38,243.43 2026-04-01
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 92 33 — — $15,026.01 $67,257.90 $38,076.27 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 62 31 — — $7,926.42 $174,094.60 $38,058.10 2026-04-01
707 MS_DRG Major Male Pelvic Procedures With Cc/mcc 92 33 — — $14,950.13 $66,900.03 $37,873.68 2026-04-01
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 92 33 — — $14,934.52 $66,826.45 $37,832.03 2026-04-01
908 MS_DRG Other O.r. Procedures For Injuries With Cc 92 33 — — $14,913.95 $66,729.46 $37,777.12 2026-04-01
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 92 33 — — $7,453.00 $71,622.47 $37,768.77 2026-04-01
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc 52 28 — — $15,533.10 $42,516.00 $37,708.15 2026-04-01
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Mcc 44 25 — — $13,989.83 $62,371.58 $37,701.75 2026-04-01
803 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Cc 44 25 — — $13,947.30 $62,170.91 $37,580.45 2026-04-01
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 92 33 — — $14,722.46 $65,826.45 $37,265.90 2026-04-01
505 MS_DRG Foot Procedures Without Cc/mcc 43 24 — — $13,478.50 $59,960.20 $37,240.04 2026-04-01
754 MS_DRG Malignancy, Female Reproductive System With Mcc 44 25 — — $13,825.30 $61,595.66 $37,232.73 2026-04-01
717 MS_DRG Other Male Reproductive System O.r. Procedures Except Malignancy With Cc/mcc 77 30 — — $14,171.41 $63,227.77 $37,169.12 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 26 17 — — $20,422.45 $66,693.02 $37,022.12 2026-04-01
744 MS_DRG D&c, Conization, Laparoscopy And Tubal Interruption With Cc/mcc 48 28 — — $15,821.59 $40,320.14 $36,855.62 2026-04-01
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 110 43 — — $4,637.07 $66,896.69 $36,796.68 2026-04-01
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 92 33 — — $7,605.00 $64,966.91 $36,779.30 2026-04-01
592 MS_DRG Skin Ulcers With Mcc 55 28 — — $14,489.14 $64,726.11 $36,642.97 2026-04-01
496 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 44 25 — — $13,557.21 $60,331.44 $36,468.54 2026-04-01
165 MS_DRG Major Chest Procedures Without Cc/mcc 47 27 — — $14,908.05 $49,717.39 $35,973.56 2026-04-01
583 MS_DRG Mastectomy For Malignancy Without Cc/mcc 43 24 — — $12,993.39 $57,672.56 $35,819.24 2026-04-01
488 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection With Cc/mcc 44 25 — — $13,308.99 $59,160.86 $35,760.96 2026-04-01
374 MS_DRG Digestive Malignancy With Mcc 91 32 — — $15,931.68 $71,528.82 $35,474.53 2026-04-01
570 MS_DRG Skin Debridement With Mcc 92 33 — — $7,086.00 $98,365.09 $35,419.59 2026-04-01
504 MS_DRG Foot Procedures With Cc 92 33 — — $14,020.33 $62,515.39 $35,391.43 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 66 35 — — $5,302.83 $91,496.00 $35,027.85 2026-04-01
245 MS_DRG Aicd Generator Procedures 34 21 — — $6,575.04 $106,052.99 $34,995.17 2026-04-01
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc 92 33 — — $13,776.37 $61,364.89 $34,740.10 2026-04-01
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Mcc 92 33 — — $6,965.00 $61,428.43 $34,570.85 2026-04-01
289 MS_DRG Acute And Subacute Endocarditis With Cc 44 25 — — $12,869.28 $57,087.27 $34,507.54 2026-04-01
657 MS_DRG Kidney And Ureter Procedures For Neoplasm With Cc 48 28 — — $14,337.84 $52,803.53 $34,391.19 2026-04-01
256 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Cc 44 25 — — $12,805.44 $56,786.27 $34,325.60 2026-04-01
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 92 33 — — $13,553.67 $60,314.71 $34,145.58 2026-04-01
675 MS_DRG Other Kidney And Urinary Tract Procedures Without Cc/mcc 43 24 — — $12,404.74 $54,896.62 $34,095.16 2026-04-01
722 MS_DRG Malignancy, Male Reproductive System With Mcc 103 43 — — $2,047.71 $60,525.42 $34,009.69 2026-04-01
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 92 33 — — $6,277.00 $62,552.18 $33,890.73 2026-04-01
597 MS_DRG Malignant Breast Disorders With Mcc 44 25 — — $12,586.99 $55,756.16 $33,702.93 2026-04-01
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 96 37 — — $7,332.00 $60,023.74 $33,608.45 2026-04-01
512 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures Without Cc/… 44 25 — — $12,504.02 $55,364.85 $33,466.40 2026-04-01
578 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis Without Cc/mcc 43 24 — — $12,156.52 $53,726.05 $33,368.14 2026-04-01
62 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 92 33 — — $13,226.01 $58,769.55 $33,270.82 2026-04-01
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 71 31 — — $12,760.76 $56,575.56 $33,258.55 2026-04-01
91 MS_DRG Other Disorders Of Nervous System With Mcc 92 33 — — $13,218.91 $58,736.11 $33,251.89 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 55 30 — — $5,231.00 $144,729.89 $33,231.98 2026-04-01
501 MS_DRG Soft Tissue Procedures With Cc 99 39 — — $9,168.39 $58,465.20 $32,852.04 2026-04-01
38 MS_DRG Extracranial Procedures With Cc 44 25 — — $12,271.39 $54,267.86 $32,803.29 2026-04-01
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 92 33 — — $7,921.00 $57,792.96 $32,717.95 2026-04-01
988 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 73 32 — — $12,420.35 $54,970.20 $32,341.12 2026-04-01
100 MS_DRG Seizures With Mcc 92 33 — — $14,499.76 $64,776.28 $32,323.98 2026-04-01
180 MS_DRG Respiratory Neoplasms With Mcc 99 39 — — $13,288.43 $59,063.87 $32,168.63 2026-04-01
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 56 25 — — $13,897.12 $63,973.60 $32,096.64 2026-04-01
890 MS_DRG HIV With Multiple Major HIV Related Conditions,extreme 4 4 — — $31,308.40 $32,873.82 $32,091.11 2026-04-01
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/mcc 92 33 — — $12,699.06 $56,284.59 $31,864.03 2026-04-01
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 59 28 — — $11,633.13 $56,267.87 $31,854.56 2026-04-01
571 MS_DRG Skin Debridement With Cc 48 28 — — $13,386.36 $33,244.29 $31,750.77 2026-04-01
551 MS_DRG Medical Back Problems With Mcc 92 33 — — $7,000.00 $56,057.16 $31,735.28 2026-04-01
487 MS_DRG Knee Procedures With Principal Diagnosis Of Infection Without Cc/mcc 44 25 — — $11,871.41 $52,381.56 $31,663.08 2026-04-01
154 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses With Mcc 44 25 — — $11,852.25 $52,291.26 $31,608.50 2026-04-01
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 52 29 — — $9,242.53 $73,535.52 $31,595.32 2026-04-01
843 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 92 33 — — $14,911.12 $66,716.09 $31,577.54 2026-04-01
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 92 33 — — $7,634.00 $61,137.46 $31,575.65 2026-04-01
70 MS_DRG Other Cerebrovascular Disorders With Mcc 92 33 — — $12,570.69 $55,679.24 $31,521.32 2026-04-01
658 MS_DRG Kidney And Ureter Procedures For Neoplasm Without Cc/mcc 44 25 — — $11,769.27 $51,899.95 $31,371.97 2026-04-01
33 MS_DRG Ventricular Shunt Procedures Without Cc/mcc 48 28 — — $13,206.23 $42,156.44 $31,250.88 2026-04-01
564 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc 44 25 — — $11,711.13 $51,625.70 $31,206.19 2026-04-01
643 MS_DRG Endocrine Disorders With Mcc 92 33 — — $12,438.08 $55,053.81 $31,167.26 2026-04-01
169 MS_DRG Major Abdominal Vascular Procedures,moderate 9 6 — — $30,254.85 $43,823.48 $31,162.49 2026-04-01
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 92 33 — — $15,608.99 $70,007.07 $31,007.30 2026-04-01
841 MS_DRG Lymphoma And Non-acute Leukemia With Cc 92 33 — — $7,665.00 $54,562.17 $30,888.93 2026-04-01
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/mcc 92 33 — — $9,888.00 $54,548.80 $30,881.35 2026-04-01
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 62 34 — — $7,667.80 $56,223.11 $30,825.74 2026-04-01
913 MS_DRG Traumatic Injury With Mcc 48 28 — — $13,014.58 $42,838.46 $30,719.04 2026-04-01
33249 CPT Hc Ins/Repos Leads/Gen Cd Sin/Dual 5 3 — — $30,625.64 $31,238.15 $30,625.64 2026-04-01
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 48 28 — — $9,282.00 $57,443.16 $30,433.69 2026-04-01
73 MS_DRG Cranial And Peripheral Nerve Disorders With Mcc 91 32 — — $12,141.62 $53,655.81 $30,375.82 2026-04-01
444 MS_DRG Disorders Of The Biliary Tract With Mcc 99 39 — — $12,613.95 $55,883.25 $30,372.64 2026-04-01
328 MS_DRG Stomach, Esophageal And Duodenal Procedures Without Cc/mcc 74 30 — — $12,127.43 $41,944.25 $30,337.95 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 76 33 — — $3,195.00 $82,045.22 $30,335.20 2026-04-01
855 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures Without Cc/mcc 44 25 — — $11,382.03 $50,073.85 $30,268.15 2026-04-01
251 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc 44 25 — — $11,362.89 $49,983.55 $30,213.56 2026-04-01
80 MS_DRG Nontraumatic Stupor And Coma With Mcc 48 28 — — $14,202.39 $35,615.37 $30,179.40 2026-04-01
368 MS_DRG Major Esophageal Disorders With Mcc 92 33 — — $12,053.67 $53,241.10 $30,141.03 2026-04-01
31237 CPT Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx|RIGHT Side 6 3 — — $30,107.39 $30,709.54 $30,107.39 2026-04-01
64582 CPT Open Impltj Hpglsl Nrv Nstim Ra Pg&Respir Sensor|RIGHT Side 17 3 — — $30,107.39 $30,709.54 $30,107.39 2026-04-01
620 MS_DRG O.r. Procedures For Obesity With Cc 34 22 — — $12,782.30 $43,753.50 $30,074.44 2026-04-01
557 MS_DRG Tendonitis, Myositis And Bursitis With Mcc 44 25 — — $11,308.99 $49,729.37 $30,059.92 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 66 35 — — $13,766.22 $119,037.44 $30,027.48 2026-04-01
63655 CPT Surg Implnt Neuroelect,Epidural 5 3 — — $28,883.55 $30,327.72 $29,894.47 2026-04-01
63685 CPT Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj 4 3 — — $28,883.55 $30,327.72 $29,894.47 2026-04-01
410 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 48 28 — — $12,696.97 $47,123.82 $29,837.65 2026-04-01
769 MS_DRG Postpartum And Post Abortion Diagnoses With O.r. Procedures 92 33 — — $12,747.99 $56,515.36 $29,791.03 2026-04-01
337 MS_DRG Peritoneal Adhesiolysis Without Cc/mcc 72 31 — — $11,650.13 $51,338.08 $29,621.67 2026-04-01
306 MS_DRG Cardiac Congenital And Valvular Disorders With Mcc 60 27 — — $11,939.49 $52,702.63 $29,614.01 2026-04-01
186 MS_DRG Pleural Effusion With Mcc 58 28 — — $10,804.96 $52,124.03 $29,600.79 2026-04-01
157 MS_DRG Dental And Oral Diseases With Mcc 48 28 — — $13,571.25 $33,781.47 $29,594.00 2026-04-01
513 MS_DRG Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures With Cc/mcc 103 43 — — $5,430.47 $52,652.46 $29,585.82 2026-04-01
296 MS_DRG Cardiac Arrest, Unexplained With Mcc 92 33 — — $11,840.90 $52,237.75 $29,573.01 2026-04-01
669 MS_DRG Transurethral Procedures With Cc 92 33 — — $11,770.69 $51,906.64 $29,385.57 2026-04-01
177 MS_DRG Respiratory Infections And Inflammations With Mcc 89 33 — — $11,846.57 $52,264.50 $29,367.82 2026-04-01
919 MS_DRG Complications Of Treatment With Mcc 92 33 — — $13,747.99 $61,231.11 $29,243.52 2026-04-01
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 76 31 — — $12,325.31 $54,522.04 $29,241.62 2026-04-01
825 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures Without Cc/mcc 28 17 — — $3,954.00 $45,130.68 $28,936.53 2026-04-01
964 MS_DRG Other Multiple Significant Trauma With Cc 48 28 — — $12,323.82 $34,154.06 $28,802.15 2026-04-01
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With Mcc 92 33 — — $12,496.93 $55,331.41 $28,756.63 2026-04-01
398 MS_DRG Appendix Procedures With Cc 92 33 — — $11,498.35 $50,622.35 $28,658.50 2026-04-01
345 MS_DRG Minor Small And Large Bowel Procedures With Cc 92 33 — — $11,435.24 $50,324.69 $28,489.99 2026-04-01
621 MS_DRG O.r. Procedures For Obesity Without Cc/mcc 48 28 — — $12,159.94 $36,669.96 $28,347.36 2026-04-01
299 MS_DRG Peripheral Vascular Disorders With Mcc 92 33 — — $7,868.00 $54,605.65 $28,334.16 2026-04-01
520 MS_DRG Back And Neck Procedures Except Spinal Fusion Without Cc/mcc 92 33 — — $11,358.64 $49,963.49 $28,285.50 2026-04-01
205 MS_DRG Other Respiratory System Diagnoses With Mcc 92 33 — — $13,749.41 $61,237.80 $28,235.64 2026-04-01
813 MS_DRG Coagulation Disorders 110 43 — — $7,551.91 $51,013.66 $28,060.18 2026-04-01
517 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures Without Cc/mc… 56 27 — — $10,207.96 $51,394.93 $28,052.31 2026-04-01
713 MS_DRG Transurethral Prostatectomy With Cc/mcc 92 33 — — $11,426.02 $50,281.21 $28,038.61 2026-04-01
604 MS_DRG Trauma To The Skin, Subcutaneous Tissue And Breast With Mcc 92 33 — — $11,204.03 $49,234.38 $27,872.74 2026-04-01
708 MS_DRG Major Male Pelvic Procedures Without Cc/mcc 60 27 — — $10,138.21 $51,311.32 $27,860.62 2026-04-01
317 MS_DRG Tendon, Muscle And Other Soft Tissue Procedures,major 7 6 — — $27,849.07 $29,241.52 $27,849.07 2026-04-01
811 MS_DRG Red Blood Cell Disorders With Mcc 99 39 — — $10,723.18 $46,966.81 $27,632.41 2026-04-01
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 92 33 — — $1.63 $52,455.14 $27,589.62 2026-04-01
183 MS_DRG Major Chest Trauma With Mcc 92 33 — — $11,613.96 $51,167.51 $27,553.62 2026-04-01
351 MS_DRG Inguinal And Femoral Hernia Procedures With Cc 111 39 — — $6,383.20 $50,986.90 $27,441.00 2026-04-01
630 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures Without Cc/mcc 48 28 — — $11,828.78 $42,541.02 $27,428.38 2026-04-01
602 MS_DRG Cellulitis With Mcc 72 29 — — $10,843.75 $47,535.38 $27,427.53 2026-04-01
804 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs Without Cc/mcc 44 25 — — $10,380.63 $45,351.42 $27,413.58 2026-04-01
915 MS_DRG Allergic Reactions With Mcc 92 33 — — $12,689.84 $56,241.11 $27,385.01 2026-04-01
637 MS_DRG Diabetes With Mcc 63 27 — — $9,959.03 $48,050.43 $27,202.48 2026-04-01
614 MS_DRG Adrenal And Pituitary Procedures With Cc/mcc 75 40 — — $10,963.86 $73,304.75 $27,197.39 2026-04-01
693 MS_DRG Urinary Stones With Mcc 44 25 — — $10,299.07 $44,966.80 $27,181.08 2026-04-01
718 MS_DRG Other Male Reproductive System O.r. Procedures Except Malignancy Without Cc/mcc 44 25 — — $10,289.13 $44,919.98 $27,152.78 2026-04-01
562 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 92 33 — — $10,868.57 $47,652.44 $26,977.16 2026-04-01
124 MS_DRG Other Disorders Of The Eye With Mcc Or Thrombolytic Agent 44 25 — — $10,147.29 $44,251.08 $26,748.45 2026-04-01
922 MS_DRG Other Injury, Poisoning And Toxic Effect Diagnoses With Mcc 92 33 — — $6,965.00 $58,508.68 $26,721.94 2026-04-01
231 MS_DRG Major Large Bowel Procedures,extreme 32 10 — — $15,503.28 $61,926.72 $26,717.94 2026-04-01
22634 CPT Arthrodesis Cmbn Tq 1ntrspc Each Additional 3 2 — — $25,398.09 $26,668.00 $26,668.00 2026-04-01
22558 CPT Arthrd Ant Interbody Min Dsc Lumbar 1 1 — — $26,668.00 $26,668.00 $26,668.00 2026-04-01
63 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 76 28 — — $6,965.00 $46,950.09 $26,579.55 2026-04-01
27745 CPT Proph Tx N/P/Pltwr W/wo Methylmethacrylate Tibia|RIGHT Side|unusual Non-overlapp… 11 3 — — $26,474.25 $27,003.74 $26,474.25 2026-04-01
27702 CPT Arthroplasty Ankle W/Implant|LEFT Side 7 3 — — $26,474.25 $27,003.74 $26,474.25 2026-04-01
27619 CPT Exc Tumor Soft Tissue Leg/Ankle Subfascial <5cm|LEFT Side 3 3 — — $26,474.25 $26,474.25 $26,474.25 2026-04-01
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