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Hospital

Bon Secours Harbour View Medical Center

Suffolk, VA · CCN 490148 · Rates published

207 distinct procedures filed
26 distinct payers
17,778 rate rows
2026-04-01 last MRF observed
Data quality

4,578 of 17,778 rate rows are consumer-grade (25.8%)

13,200 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 13,194
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 6
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.bonsecours.com/-/media/bon-secours/patients-and-visitors/corporate/pricing/991888617_harbour-view-medical-center-llc_standardcharges.ashx
Found on page https://www.bonsecours.com/patient-resources/estimate-your-cost
Discovered viaCMS hospital list
Last fetch — · 2026-05-15
Content fingerprint 461d165ea4c13dbe… · 4,740,976 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
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 13 $31,879.06 $87,333.50 $81,224.75 nat. median
$44,810
1.8× median
628
MS_DRG 		Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 24 $25,847.25 $73,004.29 $65,856.28 nat. median
$37,234
1.8× median
840
MS_DRG 		Lymphoma And Non-acute Leukemia With Mcc 24 $22,435.67 $63,368.46 $57,163.92 nat. median
$31,382
1.8× median
469
MS_DRG 		Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 24 $21,036.78 $59,417.35 $46,360.00 nat. median
$31,075
1.5× median
521
MS_DRG 		Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 24 $19,906.30 $56,224.35 $46,360.00 nat. median
$28,961
1.6× median
545
MS_DRG 		Connective Tissue Disorders With Mcc 24 $17,211.85 $48,614.02 $43,854.12 nat. median
$24,621
1.8× median
330
MS_DRG 		Major Small And Large Bowel Procedures With Cc 24 $16,625.79 $46,958.75 $42,360.92 nat. median
$24,346
1.7× median
397
MS_DRG 		Appendix Procedures With Mcc 24 $16,609.85 $46,913.70 $42,320.28 nat. median
$24,164
1.8× median
357
MS_DRG 		Other Digestive System O.r. Procedures With Cc 24 $16,128.53 $45,554.22 $41,093.91 nat. median
$22,940
1.8× median
629
MS_DRG 		Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 24 $15,111.08 $42,680.51 $38,501.57 nat. median
$22,198
1.7× median
336
MS_DRG 		Peritoneal Adhesiolysis With Cc 24 $14,624.90 $41,307.32 $37,262.84 nat. median
$21,526
1.7× median
481
MS_DRG 		Hip And Femur Procedures Except Major Joint With Cc 24 $14,526.42 $41,029.16 $37,011.91 nat. median
$21,529
1.7× median
64
MS_DRG 		Intracranial Hemorrhage Or Cerebral Infarction With Mcc 24 $13,947.30 $39,393.48 $35,536.38 nat. median
$20,254
1.8× median
854
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Cc 24 $13,857.83 $39,140.78 $35,308.43 nat. median
$20,421
1.7× median
871
MS_DRG 		Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 24 $13,472.23 $38,051.63 $34,325.92 nat. median
$19,634
1.7× median
585
MS_DRG 		Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/mcc 24 $13,379.29 $37,789.14 $34,089.13 nat. median
$19,623
1.7× median
617
MS_DRG 		Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 24 $12,971.48 $36,637.31 $33,050.07 nat. median
$19,472
1.7× median
919
MS_DRG 		Complications Of Treatment With Mcc 24 $12,697.52 $35,863.54 $32,352.07 nat. median
$18,326
1.8× median
862
MS_DRG 		Postoperative And Post-traumatic Infections With Mcc 16 $12,648.29 $35,724.46 $32,226.60 nat. median
$18,227
1.8× median
621
MS_DRG 		O.r. Procedures For Obesity Without Cc/mcc 24 $10,461.52 $41,473.00 $32,023.00 nat. median
$16,153
2.0× median
623
MS_DRG 		Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 24 $12,441.61 $35,140.71 $31,700.01 nat. median
$18,744
1.7× median
494
MS_DRG 		Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc 17 $13,916.10 $39,305.33 $31,500.04 nat. median
$19,793
1.6× median
180
MS_DRG 		Respiratory Neoplasms With Mcc 24 $12,248.11 $34,594.17 $31,206.99 nat. median
$17,981
1.7× median
91
MS_DRG 		Other Disorders Of Nervous System With Mcc 24 $12,180.14 $34,402.20 $31,033.81 nat. median
$17,985
1.7× median
501
MS_DRG 		Soft Tissue Procedures With Cc 24 $12,123.96 $34,243.53 $30,890.68 nat. median
$17,876
1.7× median
58
MS_DRG 		Multiple Sclerosis And Cerebellar Ataxia With Mcc 24 $11,856.25 $33,487.40 $30,208.57 nat. median
$17,928
1.7× median
418
MS_DRG 		Laparoscopic Cholecystectomy Without C.d.e. With Cc 24 $11,732.11 $33,136.75 $29,892.26 nat. median
$17,482
1.7× median
331
MS_DRG 		Major Small And Large Bowel Procedures Without Cc/mcc 24 $11,671.76 $32,966.33 $29,738.53 nat. median
$17,703
1.7× median
354
MS_DRG 		Hernia Procedures Except Inguinal And Femoral With Cc 24 $11,668.29 $32,956.53 $29,729.69 nat. median
$17,599
1.7× median
571
MS_DRG 		Skin Debridement With Cc 13 $11,386.13 $32,797.86 $29,586.56 nat. median
$17,260
1.7× median
698
MS_DRG 		Other Kidney And Urinary Tract Diagnoses With Mcc 24 $11,474.10 $32,408.04 $29,234.90 nat. median
$16,676
1.8× median
280
MS_DRG 		Acute Myocardial Infarction, Discharged Alive With Mcc 24 $11,125.25 $31,422.71 $28,346.05 nat. median
$16,529
1.7× median
393
MS_DRG 		Other Digestive System Diagnoses With Mcc 24 $11,091.95 $31,328.69 $28,261.23 nat. median
$16,482
1.7× median
720
MS_DRG 		Septicemia And Disseminated Infections,extreme 2 $28,256.68 $28,256.68 $28,256.68 nat. median
$11,771
outlier · 2.4×
917
MS_DRG 		Poisoning And Toxic Effects Of Drugs With Mcc 24 $10,877.65 $30,723.39 $27,715.20 nat. median
$15,271
1.8× median
177
MS_DRG 		Respiratory Infections And Inflammations With Mcc 24 $10,838.12 $30,611.73 $27,614.47 nat. median
$16,234
1.7× median
54
MS_DRG 		Nervous System Neoplasms With Mcc 24 $10,589.83 $29,910.44 $26,981.85 nat. median
$15,454
1.7× median
351
MS_DRG 		Inguinal And Femoral Hernia Procedures With Cc 24 $10,573.19 $29,863.43 $26,939.44 nat. median
$15,589
1.7× median
350
MS_DRG 		Inguinal And Femoral Hernia Procedures With Mcc 14 $17,282.59 $48,813.83 $26,763.01 nat. median
$24,405
1.1× median
398
MS_DRG 		Appendix Procedures With Cc 15 $3,954.00 $29,649.91 $26,746.83 nat. median
$15,921
1.7× median
557
MS_DRG 		Tendonitis, Myositis And Bursitis With Mcc 17 $10,312.40 $29,126.88 $26,275.01 nat. median
$15,338
1.7× median
983
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/mcc 18 $11,344.64 $32,452.88 $26,189.07 nat. median
$17,513
1.5× median
388
MS_DRG 		Gastrointestinal Obstruction With Mcc 24 $10,242.35 $28,929.04 $26,096.53 nat. median
$15,091
1.7× median
637
MS_DRG 		Diabetes With Mcc 24 $9,964.25 $28,143.52 $25,387.93 nat. median
$14,787
1.7× median
562
MS_DRG 		Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 24 $9,881.71 $27,910.41 $25,177.64 nat. median
$14,855
1.7× median
811
MS_DRG 		Red Blood Cell Disorders With Mcc 23 $9,739.53 $27,508.83 $24,815.39 nat. median
$14,380
1.7× median
858
MS_DRG 		Postoperative Or Post-traumatic Infections With O.r. Procedures Without Cc/mcc 24 $9,660.46 $27,285.52 $24,613.94 nat. median
$14,322
1.7× median
175
MS_DRG 		Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 24 $9,526.61 $26,907.45 $24,272.89 nat. median
$14,623
1.7× median
419
MS_DRG 		Laparoscopic Cholecystectomy Without C.d.e. Without Cc/mcc 21 $9,472.52 $26,754.66 $24,135.05 nat. median
$14,421
1.7× median
640
MS_DRG 		Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 24 $9,263.06 $26,163.07 $23,601.39 nat. median
$13,400
1.8× median

Other procedures at this hospital

Browse this hospital's 207 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
             
103 MS_DRG Headaches Without Mcc 37 24 — — $5,800.16 $16,382.28 $14,778.26 2026-04-01
11450 CPT Hc Removal Sweat Gland Lesion|LEFT Side 1 1 — — $2,834.09 $2,834.09 $2,834.09 2026-04-01
11606 CPT Excision Malignant Lesion Trunk/Arm/Leg > 4.0 Cm 2 1 — — $1,611.44 $1,611.44 $1,611.44 2026-04-01
11772 CPT Excision Pilonidal Cyst/Sinus Complicated 1 1 — — $2,834.09 $2,834.09 $2,834.09 2026-04-01
125 MS_DRG Other Disorders Of The Eye Without Mcc 37 24 — — $5,325.09 $15,040.43 $13,567.79 2026-04-01
139 MS_DRG Other Pneumonia,extreme 6 2 — — $5,905.98 $15,287.25 $10,596.61 2026-04-01
140 MS_DRG Chronic Obstructive Pulmonary Disease,moderate 3 2 — — $7,370.17 $7,370.17 $7,370.17 2026-04-01
149 MS_DRG Dysequilibrium 25 16 — — $3,954.00 $14,723.09 $13,281.52 2026-04-01
153 MS_DRG Otitis Media And Uri Without Mcc 37 24 — — $5,119.79 $14,460.60 $13,044.73 2026-04-01
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 37 24 — — $9,526.61 $26,907.45 $24,272.89 2026-04-01
176 MS_DRG Pulmonary Embolism Without Mcc 37 24 — — $5,583.08 $15,769.15 $14,225.16 2026-04-01
177 MS_DRG Respiratory Infections And Inflammations With Mcc 37 24 — — $10,838.12 $30,611.73 $27,614.47 2026-04-01
178 MS_DRG Respiratory Infections And Inflammations With Cc 37 24 — — $6,769.06 $19,118.86 $17,246.90 2026-04-01
179 MS_DRG Respiratory Infections And Inflammations Without Cc/mcc 37 24 — — $5,236.31 $14,789.70 $13,341.61 2026-04-01
180 MS_DRG Respiratory Neoplasms With Mcc 37 24 — — $12,248.11 $34,594.17 $31,206.99 2026-04-01
189 MS_DRG Pulmonary Edema And Respiratory Failure 27 20 — — $8,568.12 $24,200.25 $21,830.75 2026-04-01
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 37 24 — — $7,682.46 $21,698.74 $19,574.17 2026-04-01
191 MS_DRG Chronic Obstructive Pulmonary Disease With Cc 37 24 — — $5,846.63 $16,513.53 $14,896.65 2026-04-01
19120 CPT Exc Cyst/Aberrant Breast Tissue Open 1/> Lesion|LEFT Side 2 1 — — $3,820.23 $3,820.23 $3,820.23 2026-04-01
19125 CPT Exc Breast Les Preop Plmt Rad Marker Open 1 Les|RIGHT Side 4 1 — — $3,820.23 $6,478.71 $6,478.71 2026-04-01
192 MS_DRG Chronic Obstructive Pulmonary Disease Without Cc/mcc 37 24 — — $4,452.60 $12,576.14 $11,344.78 2026-04-01
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 37 24 — — $9,116.03 $25,747.78 $23,226.76 2026-04-01
19301 CPT Mastectomy Partial|LEFT Side 4 2 — — $3,820.23 $3,820.23 $3,820.23 2026-04-01
19303 CPT Mastectomy Simple Complete|LEFT Side 4 2 — — $6,478.71 $6,478.71 $6,478.71 2026-04-01
194 MS_DRG Simple Pneumonia And Pleurisy With Cc 37 24 — — $5,589.33 $15,786.78 $14,241.06 2026-04-01
195 MS_DRG Simple Pneumonia And Pleurisy Without Cc/mcc 37 24 — — $4,358.97 $12,311.69 $11,106.22 2026-04-01
202 MS_DRG Bronchitis And Asthma With Cc/mcc 37 24 — — $6,735.76 $19,024.84 $17,162.08 2026-04-01
203 MS_DRG Bronchitis And Asthma Without Cc/mcc 27 18 — — $4,646.79 $13,124.63 $11,839.57 2026-04-01
206 MS_DRG Other Respiratory System Diagnoses Without Mcc 37 24 — — $6,527.01 $18,435.21 $16,630.18 2026-04-01
20985 CPT Cptr-asst Surgical Navigation Image-less 2 2 — — $12,526.51 $12,526.51 $12,526.51 2026-04-01
21012 CPT Hc Cbc 2 1 — — $1,611.44 $1,611.44 $1,611.44 2026-04-01
231 MS_DRG Major Large Bowel Procedures,minor 3 2 — — $15,784.96 $15,784.96 $15,784.96 2026-04-01
233 MS_DRG Appendectomy With Complex Principal Diagnosis,minor 3 2 — — $10,104.69 $10,104.69 $10,104.69 2026-04-01
234 MS_DRG Appendectomy Without Complex Principal Diagnosis,minor 3 2 — — $7,485.92 $7,485.92 $7,485.92 2026-04-01
23430 CPT Tenodesis Long Tendon Biceps|UNUSUAL Non-overlapping Service|left Side 9 2 — — $17,107.48 $17,107.48 $17,107.48 2026-04-01
23472 CPT Arthroplasty Glenohumeral Joint Total Shoulder|LEFT Side 7 2 — — $17,107.48 $17,107.48 $17,107.48 2026-04-01
23474 CPT Revis Shoulder Arthrplsty Humeral&Glenoid Compnt 2 2 — — $12,526.51 $12,526.51 $12,526.51 2026-04-01
23515 CPT Open Tx Clavicular Fracture Internal Fixation|RIGHT Side 3 1 — — $7,079.78 $7,079.78 $7,079.78 2026-04-01
24685 CPT Open Treatment Ulnar Fracture Proximal End|LEFT Side 4 2 — — $7,079.78 $7,079.78 $7,079.78 2026-04-01
247 MS_DRG Intestinal Obstruction,major 6 2 — — $7,132.89 $12,481.84 $9,807.36 2026-04-01
25609 CPT Optx Dstl Radl I-artic Fx/Epiphysl Sep 3 Frag|LEFT Side 8 2 — — $7,079.78 $7,079.78 $7,079.78 2026-04-01
263 MS_DRG Cholecystectomy,minor 6 2 — — $10,137.96 $12,691.63 $11,414.79 2026-04-01
26989 CPT Hc Unlisted Procedure Hands/Fingers 4 2 — — $240.67 $240.67 $240.67 2026-04-01
27130 CPT Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft|LEFT Side 2 1 — — $12,526.51 $12,526.51 $12,526.51 2026-04-01
27385 CPT Suture Quadriceps/Hamstring Rupture Primary|LEFT Side 3 2 — — $7,079.78 $7,079.78 $7,079.78 2026-04-01
27447 CPT Arthrp Kne Condyle&Platu Medial&Lat Compartments|RIGHT Side 1 1 — — $12,526.51 $12,526.51 $12,526.51 2026-04-01
27792 CPT Open Tx Distal Fibular Fracture Lat Malleolus|RIGHT Side 2 2 — — $7,079.78 $7,079.78 $7,079.78 2026-04-01
27823 CPT Open Tx Trimalleolar Ankle Fx W/Fixj Pst Lip|RIGHT Side 2 1 — — $7,079.78 $7,079.78 $7,079.78 2026-04-01
27829 CPT Open Tx Distal Tibiofibular Joint Disruption|RIGHT Side 2 2 — — $7,079.78 $7,079.78 $7,079.78 2026-04-01
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 37 24 — — $11,125.25 $31,422.71 $28,346.05 2026-04-01
281 MS_DRG Acute Myocardial Infarction, Discharged Alive With Cc 37 24 — — $6,374.43 $18,004.25 $16,241.42 2026-04-01
282 MS_DRG Disorders Of Pancreas Except Malignancy,minor 6 2 — — $6,044.87 $8,368.49 $7,206.68 2026-04-01
291 MS_DRG Heart Failure And Shock With Mcc 28 16 — — $8,903.80 $25,148.36 $22,686.03 2026-04-01
292 MS_DRG Heart Failure And Shock With Cc 37 24 — — $5,888.24 $16,631.06 $15,002.68 2026-04-01
29824 CPT Surgical Arthroscopy Shoulder Dstl Claviculc|RIGHT Side 2 2 — — $7,079.78 $7,079.78 $7,079.78 2026-04-01
29826 CPT Surgical Arthroscopy Sho W/Coracoacrm Ligm Rls|LEFT Side 3 2 — — $7,079.78 $7,079.78 $7,079.78 2026-04-01
29827 CPT Surgical Arthroscopy Shoulder W/Rotator Cuff Rpr|LEFT Side 6 2 — — $7,079.78 $7,079.78 $7,079.78 2026-04-01
29828 CPT Surgical Arthroscopy Shoulder Biceps Tenodesis 4 1 — — $7,079.78 $7,079.78 $7,079.78 2026-04-01
29876 CPT Arthroscopy Knee Synovectomy 2/>Compartments|RIGHT Side 5 2 — — $3,192.44 $3,192.44 $3,192.44 2026-04-01
29881 CPT Arthrs Kne Surg W/Meniscectomy Med/Lat W/Shvg|LEFT Side 8 2 — — $3,192.44 $3,192.44 $3,192.44 2026-04-01
29882 CPT Arthroscopy Knee W/Meniscus Rpr Medial/Lateral|RIGHT Side 3 1 — — $12,526.51 $12,526.51 $12,526.51 2026-04-01
300 MS_DRG Peripheral Vascular Disorders With Cc 37 24 — — $7,403.65 $20,911.26 $18,863.79 2026-04-01
304 MS_DRG Hypertension With Mcc 37 24 — — $8,253.25 $23,310.91 $21,028.49 2026-04-01
305 MS_DRG Hypertension Without Mcc 37 24 — — $5,237.00 $14,791.65 $13,343.37 2026-04-01
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 37 24 — — $8,350.35 $23,585.16 $21,275.88 2026-04-01
312 MS_DRG Syncope And Collapse 40 26 — — $6,044.99 $17,073.77 $15,402.04 2026-04-01
313 MS_DRG Chest Pain 37 24 — — $4,993.56 $14,104.08 $12,723.12 2026-04-01
314 MS_DRG Foot And Toe Procedures,major 3 2 — — $18,188.15 $18,188.15 $18,188.15 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 19 13 — — $31,879.06 $87,333.50 $81,224.75 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 37 24 — — $16,625.79 $46,958.75 $42,360.92 2026-04-01
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/mcc 37 24 — — $11,671.76 $32,966.33 $29,738.53 2026-04-01
336 MS_DRG Peritoneal Adhesiolysis With Cc 37 24 — — $14,624.90 $41,307.32 $37,262.84 2026-04-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 23 14 — — $17,282.59 $48,813.83 $26,763.01 2026-04-01
351 MS_DRG Inguinal And Femoral Hernia Procedures With Cc 37 24 — — $10,573.19 $29,863.43 $26,939.44 2026-04-01
352 MS_DRG Inguinal And Femoral Hernia Procedures Without Cc/mcc 37 24 — — $8,099.28 $22,876.03 $20,636.19 2026-04-01
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 37 24 — — $11,668.29 $32,956.53 $29,729.69 2026-04-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 37 24 — — $16,128.53 $45,554.22 $41,093.91 2026-04-01
364 MS_DRG Other Skin, Subcutaneous Tissue And Related Procedures,moderate 3 2 — — $12,690.18 $12,690.18 $12,690.18 2026-04-01
36561 CPT Hc Cv Cath Plac W/Port Tun >5 1 1 — — $3,080.71 $3,080.71 $3,080.71 2026-04-01
37607 CPT Hc Ligation Of A-v Fistula 2 2 — — $3,080.71 $3,080.71 $3,080.71 2026-04-01
381 MS_DRG Complicated Peptic Ulcer With Cc 20 16 — — $7,514.62 $21,224.68 $15,391.66 2026-04-01
383 MS_DRG Cellulitis And Other Skin Infections,minor 3 2 — — $5,842.32 $5,842.32 $5,842.32 2026-04-01
38525 CPT Bx/Exc Lymph Node Open Deep Axillary Node|LEFT Side 6 1 — — $3,820.23 $6,478.71 $5,149.47 2026-04-01
388 MS_DRG Gastrointestinal Obstruction With Mcc 37 24 — — $10,242.35 $28,929.04 $26,096.53 2026-04-01
389 MS_DRG Gastrointestinal Obstruction With Cc 37 24 — — $5,477.67 $15,471.39 $13,956.56 2026-04-01
38900 CPT Intraop Sentinel Lymph Node Id With Contrast Injection 3 1 — — $6,478.71 $6,478.71 $6,478.71 2026-04-01
390 MS_DRG Gastrointestinal Obstruction Without Cc/mcc 37 24 — — $3,772.92 $10,656.42 $9,613.02 2026-04-01
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 37 24 — — $8,796.30 $24,844.73 $22,412.13 2026-04-01
392 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc 23 17 — — $5,306.45 $26,637.00 $13,788.68 2026-04-01
393 MS_DRG Other Digestive System Diagnoses With Mcc 37 24 — — $11,091.95 $31,328.69 $28,261.23 2026-04-01
394 MS_DRG Other Digestive System Diagnoses With Cc 26 19 — — $6,401.34 $18,439.13 $16,633.71 2026-04-01
395 MS_DRG Other Digestive System Diagnoses Without Cc/mcc 26 20 — — $4,501.14 $12,713.26 $10,188.65 2026-04-01
397 MS_DRG Appendix Procedures With Mcc 37 24 — — $16,609.85 $46,913.70 $42,320.28 2026-04-01
398 MS_DRG Appendix Procedures With Cc 21 15 — — $3,954.00 $29,649.91 $26,746.83 2026-04-01
399 MS_DRG Appendix Procedures Without Cc/mcc 37 24 — — $7,939.07 $22,423.53 $20,227.99 2026-04-01
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 37 24 — — $11,732.11 $33,136.75 $29,892.26 2026-04-01
419 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. Without Cc/mcc 25 21 — — $9,472.52 $26,754.66 $24,135.05 2026-04-01
420 MS_DRG Diabetes,moderate 3 2 — — $6,698.84 $6,698.84 $6,698.84 2026-04-01
425 MS_DRG Other Non-hypovolemic Electrolyte Disorders,major 3 2 — — $10,956.88 $10,956.88 $10,956.88 2026-04-01
43644 CPT Laps Gstr Rstcv Px W/Byp Roux-en-y Limb <150 Cm 2 1 — — $207.53 $207.53 $207.53 2026-04-01
43775 CPT Laps Gstrc Rstrictiv Px Longitudinal Gastrectomy 1 1 — — $2,528.11 $2,528.11 $2,528.11 2026-04-01
439 MS_DRG Disorders Of Pancreas Except Malignancy With Cc 37 24 — — $5,834.15 $16,478.27 $14,864.85 2026-04-01
440 MS_DRG Disorders Of Pancreas Except Malignancy Without Cc/mcc 37 24 — — $4,309.72 $12,172.60 $10,980.76 2026-04-01
442 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc 37 24 — — $6,694.84 $18,909.26 $17,057.82 2026-04-01
446 MS_DRG Disorders Of The Biliary Tract Without Cc/mcc 37 24 — — $5,737.74 $16,205.98 $14,619.22 2026-04-01
44970 CPT Laparoscopic Appendectomy 3 2 — — $5,898.53 $5,898.53 $5,898.53 2026-04-01
45 MS_DRG Cva And Precerebral Occlusion With Infarction,minor 3 2 — — $7,079.36 $7,079.36 $7,079.36 2026-04-01
46020 CPT Placement Seton 2 1 — — $2,708.17 $2,708.17 $2,708.17 2026-04-01
46040 CPT Hc I&d Ischio Perirectal Abs 1 1 — — $1,167.54 $1,167.54 $1,167.54 2026-04-01
46200 CPT Fissurectomy Incl Sphincterotomy When Performed 2 1 — — $2,708.17 $2,708.17 $2,708.17 2026-04-01
46260 CPT Hemorrhoidectomy Int & Xtrnl 2/> Column/Gro 3 2 — — $2,708.17 $2,708.17 $2,708.17 2026-04-01
46275 CPT Surg Tx Anal Fistula Intersphincteric 4 2 — — $2,708.17 $2,708.17 $2,708.17 2026-04-01
463 MS_DRG Kidney And Urinary Tract Infections,major 3 2 — — $10,554.66 $10,554.66 $10,554.66 2026-04-01
46505 CPT Chemodenervation Internal Anal Sphincter 1 1 — — $2,708.17 $2,708.17 $2,708.17 2026-04-01
46606 CPT Anoscopy W/Bx Single/Multiple 4 2 — — $1,167.54 $1,167.54 $1,167.54 2026-04-01
468 MS_DRG Other Kidney And Urinary Tract Diagnoses, Signs And Symptoms,minor 3 2 — — $6,460.11 $6,460.11 $6,460.11 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 36 24 — — $21,036.78 $59,417.35 $46,360.00 2026-04-01
46922 CPT Dstrj Lesion Anus Simple Surg Excision 3 1 — — $2,708.17 $2,708.17 $2,708.17 2026-04-01
46945 CPT Int Hrhc By Ligation Single Hroid Without Img Gdn 2 1 — — $2,708.17 $2,708.17 $2,708.17 2026-04-01
46999 CPT Unlisted Procedure Anus 1 1 — — $907.35 $907.35 $907.35 2026-04-01
47001 CPT Hc Biopsy Of Liver; Perc Needle 3 2 — — $5,898.53 $5,898.53 $5,898.53 2026-04-01
47379 CPT Unlisted Laparoscopic Procedure Liver 3 2 — — $5,898.53 $5,898.53 $5,898.53 2026-04-01
47562 CPT Laparoscopy Surg Cholecystectomy|DISCONTINUED Out-patient Hospital/ambulatory Su… 1 1 — — $5,898.53 $5,898.53 $5,898.53 2026-04-01
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 37 24 — — $14,526.42 $41,029.16 $37,011.91 2026-04-01
49321 CPT Laparoscopy Surg W/Bx Single/Multiple 4 2 — — $5,898.53 $5,898.53 $5,898.53 2026-04-01
49324 CPT Laps Insertion Tunneled Intraperitoneal Catheter 4 2 — — $5,898.53 $5,898.53 $5,898.53 2026-04-01
49329 CPT Unlisted Laparoscopy Px Abd Pertoneum & Omentum 3 2 — — $5,898.53 $5,898.53 $5,898.53 2026-04-01
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc 24 17 — — $13,916.10 $39,305.33 $31,500.04 2026-04-01
49422 CPT Hc Rmvl Perm Intraperitneal Cath 2 2 — — $3,080.71 $3,080.71 $3,080.71 2026-04-01
49505 CPT Rpr 1st Ingun Hrna Age 5 Yrs/> Reducible|RIGHT Side 9 2 — — $3,493.34 $5,923.28 $3,493.34 2026-04-01
49507 CPT Rpr 1st Ingun Hrna Age 5 Yrs/> Incarcerated|LEFT Side 5 1 — — $3,493.34 $3,493.34 $3,493.34 2026-04-01
49591 CPT Rpr Aa Hernia 1st < 3 Cm Reducible 2 2 — — $3,493.34 $3,493.34 $3,493.34 2026-04-01
49592 CPT Rpr Aa Hernia 1st < 3 Cm Ncrc8/Strangulated 1 1 — — $5,898.53 $5,898.53 $5,898.53 2026-04-01
49594 CPT Rpr Aa Hernia 1st 3-10 Cm Ncrc8/Strangulated 1 1 — — $5,898.53 $5,898.53 $5,898.53 2026-04-01
49613 CPT Rpr Aa Hernia Recr < 3 Cm Reducible 2 2 — — $5,923.28 $5,923.28 $5,923.28 2026-04-01
49623 CPT Rmvl Noninfct Mesh/Prosth Aa/Parastomal Hrna Rpr 1 1 — — $5,923.28 $5,923.28 $5,923.28 2026-04-01
49650 CPT Laparoscopy Surg Rpr Initial Inguinal Hernia|RIGHT Side 10 2 — — $5,898.53 $5,898.53 $5,898.53 2026-04-01
49651 CPT Laps Surg Rpr Recurrent Inguinal Hernia|RIGHT Side 2 2 — — $5,898.53 $5,898.53 $5,898.53 2026-04-01
501 MS_DRG Soft Tissue Procedures With Cc 37 24 — — $12,123.96 $34,243.53 $30,890.68 2026-04-01
502 MS_DRG Soft Tissue Procedures Without Cc/mcc 25 18 — — $9,501.70 $27,369.75 $19,179.36 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 37 24 — — $19,906.30 $56,224.35 $46,360.00 2026-04-01
536 MS_DRG Fractures Of Hip And Pelvis Without Mcc 37 24 — — $5,601.11 $15,820.08 $14,271.10 2026-04-01
537 MS_DRG Sprains, Strains, And Dislocations Of Hip, Pelvis And Thigh With Cc/mcc 37 24 — — $6,618.56 $18,693.78 $16,863.44 2026-04-01
54 MS_DRG Nervous System Neoplasms With Mcc 37 24 — — $10,589.83 $29,910.44 $26,981.85 2026-04-01
544 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 37 24 — — $5,233.54 $14,781.86 $13,334.54 2026-04-01
545 MS_DRG Connective Tissue Disorders With Mcc 37 24 — — $17,211.85 $48,614.02 $43,854.12 2026-04-01
546 MS_DRG Connective Tissue Disorders With Cc 37 24 — — $7,999.42 $22,593.95 $20,381.73 2026-04-01
55040 CPT Excision Hydrocele Unilateral|LEFT Side 5 2 — — $3,493.34 $3,493.34 $3,493.34 2026-04-01
552 MS_DRG Medical Back Problems Without Mcc 37 24 — — $6,667.10 $18,830.91 $16,987.13 2026-04-01
555 MS_DRG Signs And Symptoms Of Musculoskeletal System And Connective Tissue With Mcc 37 24 — — $9,167.35 $25,892.74 $23,357.53 2026-04-01
556 MS_DRG Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without Mcc 37 24 — — $5,760.63 $16,270.62 $14,677.53 2026-04-01
557 MS_DRG Tendonitis, Myositis And Bursitis With Mcc 28 17 — — $10,312.40 $29,126.88 $26,275.01 2026-04-01
558 MS_DRG Tendonitis, Myositis And Bursitis Without Mcc 37 24 — — $6,194.80 $17,496.89 $15,783.74 2026-04-01
562 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 37 24 — — $9,881.71 $27,910.41 $25,177.64 2026-04-01
563 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 37 24 — — $6,210.75 $17,541.95 $15,824.38 2026-04-01
566 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses Without Cc/mcc 37 24 — — $5,196.77 $14,678.04 $13,240.88 2026-04-01
571 MS_DRG Skin Debridement With Cc 20 13 — — $11,386.13 $32,797.86 $29,586.56 2026-04-01
58 MS_DRG Multiple Sclerosis And Cerebellar Ataxia With Mcc 37 24 — — $11,856.25 $33,487.40 $30,208.57 2026-04-01
585 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/mcc 37 24 — — $13,379.29 $37,789.14 $34,089.13 2026-04-01
600 MS_DRG Non-malignant Breast Disorders With Cc/mcc 24 17 — — $6,505.39 $19,721.65 $16,904.08 2026-04-01
601 MS_DRG Non-malignant Breast Disorders Without Cc/mcc 37 24 — — $4,195.98 $11,851.35 $10,690.96 2026-04-01
603 MS_DRG Cellulitis Without Mcc 37 24 — — $6,040.14 $17,060.06 $15,389.67 2026-04-01
607 MS_DRG Minor Skin Disorders Without Mcc 37 24 — — $6,286.34 $17,755.47 $16,016.99 2026-04-01
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 37 24 — — $12,971.48 $36,637.31 $33,050.07 2026-04-01
621 MS_DRG O.r. Procedures For Obesity Without Cc/mcc 37 24 — — $10,461.52 $41,473.00 $32,023.00 2026-04-01
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 37 24 — — $12,441.61 $35,140.71 $31,700.01 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 37 24 — — $25,847.25 $73,004.29 $65,856.28 2026-04-01
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 37 24 — — $15,111.08 $42,680.51 $38,501.57 2026-04-01
637 MS_DRG Diabetes With Mcc 37 24 — — $9,964.25 $28,143.52 $25,387.93 2026-04-01
638 MS_DRG Diabetes With Cc 37 24 — — $6,215.61 $17,555.66 $15,836.75 2026-04-01
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 37 24 — — $13,947.30 $39,393.48 $35,536.38 2026-04-01
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 37 24 — — $9,263.06 $26,163.07 $23,601.39 2026-04-01
641 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou… 37 24 — — $5,397.21 $15,244.16 $13,751.57 2026-04-01
65 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours 37 24 — — $7,006.94 $19,790.77 $17,853.01 2026-04-01
66 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction Without Cc/mcc 37 24 — — $4,746.66 $13,406.71 $12,094.03 2026-04-01
662 MS_DRG Sickle Cell Anemia Crisis,minor 3 2 — — $8,611.55 $8,611.55 $8,611.55 2026-04-01
68 MS_DRG Precerebral Occlusion Without Infarction Without Mcc 37 24 — — $5,995.06 $16,932.73 $15,274.81 2026-04-01
683 MS_DRG Renal Failure With Cc 37 24 — — $6,074.12 $17,156.05 $15,476.26 2026-04-01
684 MS_DRG Renal Failure Without Cc/mcc 37 24 — — $4,163.39 $11,759.28 $10,607.90 2026-04-01
689 MS_DRG Kidney And Urinary Tract Infections With Mcc 37 24 — — $8,047.27 $22,729.12 $20,503.66 2026-04-01
69 MS_DRG Transient Ischemia Without Thrombolytic 37 24 — — $5,540.08 $15,647.69 $14,115.59 2026-04-01
690 MS_DRG Kidney And Urinary Tract Infections Without Mcc 37 24 — — $5,614.30 $15,857.30 $14,304.67 2026-04-01
696 MS_DRG Kidney And Urinary Tract Signs And Symptoms Without Mcc 37 24 — — $4,778.56 $13,496.82 $12,175.32 2026-04-01
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With Mcc 37 24 — — $11,474.10 $32,408.04 $29,234.90 2026-04-01
71 MS_DRG Other Cerebrovascular Disorders With Cc 37 24 — — $7,115.83 $20,098.31 $18,130.45 2026-04-01
710 MS_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure,major 6 2 — — $14,801.11 $29,774.40 $22,287.76 2026-04-01
720 MS_DRG Septicemia And Disseminated Infections,extreme 3 2 — — $28,256.68 $28,256.68 $28,256.68 2026-04-01
728 MS_DRG Inflammation Of The Male Reproductive System Without Mcc 37 24 — — $5,626.08 $15,890.60 $14,334.72 2026-04-01
773 MS_DRG Opioid Abuse And Dependence,major 3 2 — — $1,246.75 $1,246.75 $1,246.75 2026-04-01
811 MS_DRG Red Blood Cell Disorders With Mcc 34 23 — — $9,739.53 $27,508.83 $24,815.39 2026-04-01
812 MS_DRG Red Blood Cell Disorders Without Mcc 37 24 — — $6,368.18 $17,986.62 $16,225.51 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 37 24 — — $22,435.67 $63,368.46 $57,163.92 2026-04-01
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 37 24 — — $13,857.83 $39,140.78 $35,308.43 2026-04-01
858 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures Without Cc/mcc 37 24 — — $9,660.46 $27,285.52 $24,613.94 2026-04-01
862 MS_DRG Postoperative And Post-traumatic Infections With Mcc 22 16 — — $12,648.29 $35,724.46 $32,226.60 2026-04-01
863 MS_DRG Postoperative And Post-traumatic Infections Without Mcc 37 24 — — $6,920.94 $19,547.86 $17,633.89 2026-04-01
868 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Cc 37 24 — — $7,151.20 $20,198.22 $18,220.57 2026-04-01
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 37 24 — — $13,472.23 $38,051.63 $34,325.92 2026-04-01
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 37 24 — — $7,097.10 $20,045.42 $18,082.73 2026-04-01
897 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc 37 24 — — $2,062.00 $17,293.17 $15,599.96 2026-04-01
91 MS_DRG Other Disorders Of Nervous System With Mcc 37 24 — — $12,180.14 $34,402.20 $31,033.81 2026-04-01
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 37 24 — — $10,877.65 $30,723.39 $27,715.20 2026-04-01
919 MS_DRG Complications Of Treatment With Mcc 37 24 — — $12,697.52 $35,863.54 $32,352.07 2026-04-01
92 MS_DRG Other Disorders Of Nervous System With Cc 37 24 — — $7,095.02 $20,039.55 $18,077.43 2026-04-01
921 MS_DRG Complications Of Treatment Without Cc/mcc 37 24 — — $4,774.40 $13,485.07 $12,164.72 2026-04-01
951 MS_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis,minor 2 1 — — $12,410.95 $12,410.95 $12,410.95 2026-04-01
983 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/mcc 26 18 — — $11,344.64 $32,452.88 $26,189.07 2026-04-01
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