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

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Hospital

Pam Health Specialty Hospital Of Surprise

Surprise, AZ · CCN 032000 · Rates published

2,431 distinct procedures filed
18 distinct payers
67,338 rate rows
2025-09-11 last MRF observed
Data quality

67,200 of 67,338 rate rows are consumer-grade (99.8%)

138 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
per-diem day rate — not a per-procedure price 126
percent-of-charges filed in the dollar field — excluded from medians 12
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sthpiprd.blob.core.windows.net/machine-readable-files/9959/812451457_curahealth-pittsburgh-llc_standardcharges.csv
Found on page https://search.hospitalpriceindex.com/hpi2/machineReadable/PAMHealthSpecialtyHospitalofPittsburgh/9959
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-16
Content fingerprint b13f4e4b8f995c08… · 33,142,226 bytes · first seen 2026-05-09

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, Mo… 11 $151,904.98 $228,821.26 $151,904.98 nat. median
$202,976
0.7× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And… 11 $124,940.63 $188,203.65 $124,940.63 nat. median
$133,161
0.9× median
163
MS_DRG 		Major Chest Procedures With Mcc 11 $103,112.55 $155,323.04 $103,112.55 nat. median
$44,937
outlier · 2.3×
165
MS_DRG 		Major Chest Procedures Without Cc/mcc 11 $103,112.55 $155,323.04 $103,112.55 nat. median
$19,858
outlier · 5.2×
164
MS_DRG 		Major Chest Procedures With Cc 11 $103,112.55 $155,323.04 $103,112.55 nat. median
$25,705
outlier · 4.0×
11
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 11 $101,794.78 $153,338.02 $101,794.78 nat. median
$52,857
1.9× median
166
MS_DRG 		Other Respiratory System O.r. Procedures With Mcc 11 $101,794.78 $153,338.02 $101,794.78 nat. median
$37,476
outlier · 2.7×
140
MS_DRG 		Major Head And Neck Procedures With Mcc 11 $101,794.78 $153,338.02 $101,794.78 nat. median
$40,208
outlier · 2.5×
981
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 11 $101,781.73 $153,318.37 $101,781.73 nat. median
$46,084
outlier · 2.2×
987
MS_DRG 		Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 11 $92,766.07 $139,737.67 $92,766.07 nat. median
$33,845
outlier · 2.7×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 11 $90,117.47 $135,747.97 $90,117.47 nat. median
$66,526
1.4× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 11 $84,572.38 $127,395.16 $84,572.38 nat. median
$62,134
1.4× median
168
MS_DRG 		Other Respiratory System O.r. Procedures Without Cc/mcc 11 $68,598.18 $103,332.50 $68,598.18 nat. median
$14,494
outlier · 4.7×
173
MS_DRG 		Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 11 $68,598.18 $103,332.50 $68,598.18 nat. median
$29,766
outlier · 2.3×
167
MS_DRG 		Other Respiratory System O.r. Procedures With Cc 11 $68,598.18 $103,332.50 $68,598.18 nat. median
$18,895
outlier · 3.6×
12
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 11 $68,598.18 $103,332.50 $68,598.18 nat. median
$40,914
1.7× median
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 11 $65,940.89 $99,329.70 $65,940.89 nat. median
$48,170
1.4× median
40
MS_DRG 		Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 11 $63,888.12 $96,237.52 $63,888.12 nat. median
$37,698
1.7× median
799
MS_DRG 		Splenic Procedures With Mcc 11 $60,704.58 $91,442.03 $60,704.58 nat. median
$45,376
1.3× median
356
MS_DRG 		Other Digestive System O.r. Procedures With Mcc 11 $60,704.58 $91,442.03 $60,704.58 nat. median
$42,444
1.4× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 11 $60,474.08 $91,094.81 $60,474.08 nat. median
$59,793
1.0× median
582
MS_DRG 		Mastectomy For Malignancy With Cc/mcc 11 $58,995.39 $88,867.39 $58,995.39 nat. median
$18,913
outlier · 3.1×
579
MS_DRG 		Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 11 $58,995.39 $88,867.39 $58,995.39 nat. median
$31,571
1.9× median
856
MS_DRG 		Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 11 $58,608.32 $88,284.34 $58,608.32 nat. median
$43,963
1.3× median
205
MS_DRG 		Other Respiratory System Diagnoses With Mcc 11 $57,033.95 $85,912.79 $57,033.95 nat. median
$18,292
outlier · 3.1×
619
MS_DRG 		O.r. Procedures For Obesity With Mcc 11 $56,868.69 $85,663.84 $56,868.69 nat. median
$27,946
outlier · 2.0×
622
MS_DRG 		Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 11 $56,868.69 $85,663.84 $56,868.69 nat. median
$35,324
1.6× median
551
MS_DRG 		Medical Back Problems With Mcc 11 $56,794.75 $85,552.47 $56,794.75 nat. median
$16,881
outlier · 3.4×
61
MS_DRG 		Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 11 $56,572.95 $85,218.36 $56,572.95 nat. median
$27,312
outlier · 2.1×
64
MS_DRG 		Intracranial Hemorrhage Or Cerebral Infarction With Mcc 11 $56,572.95 $85,218.36 $56,572.95 nat. median
$20,254
outlier · 2.8×
901
MS_DRG 		Wound Debridements For Injuries With Mcc 11 $55,803.16 $84,058.79 $55,803.16 nat. median
$41,868
1.3× median
245
MS_DRG 		Aicd Generator Procedures 11 $55,259.52 $83,239.89 $55,259.52 nat. median
$45,271
1.2× median
264
MS_DRG 		Other Circulatory System O.r. Procedures 11 $55,259.52 $83,239.89 $55,259.52 nat. median
$33,061
1.7× median
263
MS_DRG 		Vein Ligation And Stripping 11 $55,259.52 $83,239.89 $55,259.52 nat. median
$28,155
2.0× median
982
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 11 $55,129.05 $83,043.35 $55,129.05 nat. median
$24,493
outlier · 2.3×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 $54,898.55 $82,696.14 $54,898.55 nat. median
$93,672
0.6× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 $54,898.55 $82,696.14 $54,898.55 nat. median
$64,508
0.9× median
254
MS_DRG 		Other Vascular Procedures Without Cc/mcc 11 $54,898.55 $82,696.14 $54,898.55 nat. median
$18,438
outlier · 3.0×
255
MS_DRG 		Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 11 $54,898.55 $82,696.14 $54,898.55 nat. median
$26,349
outlier · 2.1×
251
MS_DRG 		Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc 11 $54,898.55 $82,696.14 $54,898.55 nat. median
$16,543
outlier · 3.3×
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 $54,898.55 $82,696.14 $54,898.55 nat. median
$61,920
0.9× median
252
MS_DRG 		Other Vascular Procedures With Mcc 11 $54,898.55 $82,696.14 $54,898.55 nat. median
$34,043
1.6× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 11 $54,898.55 $82,696.14 $54,898.55 nat. median
$102,358
0.5× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 11 $54,898.55 $82,696.14 $54,898.55 nat. median
$74,915
0.7× median
22
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 11 $54,898.55 $82,696.14 $54,898.55 nat. median
$34,274
1.6× median
253
MS_DRG 		Other Vascular Procedures With Cc 11 $54,898.55 $82,696.14 $54,898.55 nat. median
$26,079
outlier · 2.1×
256
MS_DRG 		Upper Limb And Toe Amputation For Circulatory System Disorders With Cc 11 $54,898.55 $82,696.14 $54,898.55 nat. median
$17,334
outlier · 3.2×
215
MS_DRG 		Other Heart Assist System Implant 11 $54,898.55 $82,696.14 $54,898.55 nat. median
$99,019
0.6× median
21
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 11 $54,898.55 $82,696.14 $54,898.55 nat. median
$54,045
1.0× median
241
MS_DRG 		Amputation For Circulatory System Disorders Except Upper Limb And Toe Without Cc… 11 $54,898.55 $82,696.14 $54,898.55 nat. median
$15,000
outlier · 3.7×

Other procedures at this hospital

Browse this hospital's 2,431 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, Mo… 15 11 — — $151,904.98 $228,821.26 $151,904.98 2025-09-11
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And … 15 11 — — $124,940.63 $188,203.65 $124,940.63 2025-09-11
164 MS_DRG Major Chest Procedures With Cc 15 11 — — $103,112.55 $155,323.04 $103,112.55 2025-09-11
163 MS_DRG Major Chest Procedures With Mcc 15 11 — — $103,112.55 $155,323.04 $103,112.55 2025-09-11
165 MS_DRG Major Chest Procedures Without Cc/mcc 15 11 — — $103,112.55 $155,323.04 $103,112.55 2025-09-11
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 15 11 — — $101,794.78 $153,338.02 $101,794.78 2025-09-11
140 MS_DRG Major Head And Neck Procedures With Mcc 15 11 — — $101,794.78 $153,338.02 $101,794.78 2025-09-11
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 15 11 — — $101,794.78 $153,338.02 $101,794.78 2025-09-11
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 15 11 — — $101,781.73 $153,318.37 $101,781.73 2025-09-11
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 15 11 — — $92,766.07 $139,737.67 $92,766.07 2025-09-11
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 15 11 — — $90,117.47 $135,747.97 $90,117.47 2025-09-11
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 15 11 — — $84,572.38 $127,395.16 $84,572.38 2025-09-11
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 15 11 — — $68,598.18 $103,332.50 $68,598.18 2025-09-11
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 15 11 — — $68,598.18 $103,332.50 $68,598.18 2025-09-11
168 MS_DRG Other Respiratory System O.r. Procedures Without Cc/mcc 15 11 — — $68,598.18 $103,332.50 $68,598.18 2025-09-11
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 15 11 — — $68,598.18 $103,332.50 $68,598.18 2025-09-11
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 15 11 — — $65,940.89 $99,329.70 $65,940.89 2025-09-11
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 15 11 — — $63,888.12 $96,237.52 $63,888.12 2025-09-11
799 MS_DRG Splenic Procedures With Mcc 15 11 — — $60,704.58 $91,442.03 $60,704.58 2025-09-11
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 15 11 — — $60,704.58 $91,442.03 $60,704.58 2025-09-11
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 15 11 — — $60,474.08 $91,094.81 $60,474.08 2025-09-11
582 MS_DRG Mastectomy For Malignancy With Cc/mcc 15 11 — — $58,995.39 $88,867.39 $58,995.39 2025-09-11
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 15 11 — — $58,995.39 $88,867.39 $58,995.39 2025-09-11
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 15 11 — — $58,608.32 $88,284.34 $58,608.32 2025-09-11
205 MS_DRG Other Respiratory System Diagnoses With Mcc 15 11 — — $57,033.95 $85,912.79 $57,033.95 2025-09-11
619 MS_DRG O.r. Procedures For Obesity With Mcc 15 11 — — $56,868.69 $85,663.84 $56,868.69 2025-09-11
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 15 11 — — $56,868.69 $85,663.84 $56,868.69 2025-09-11
551 MS_DRG Medical Back Problems With Mcc 15 11 — — $56,794.75 $85,552.47 $56,794.75 2025-09-11
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 15 11 — — $56,572.95 $85,218.36 $56,572.95 2025-09-11
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 15 11 — — $56,572.95 $85,218.36 $56,572.95 2025-09-11
901 MS_DRG Wound Debridements For Injuries With Mcc 15 11 — — $55,803.16 $84,058.79 $55,803.16 2025-09-11
245 MS_DRG Aicd Generator Procedures 15 11 — — $55,259.52 $83,239.89 $55,259.52 2025-09-11
263 MS_DRG Vein Ligation And Stripping 15 11 — — $55,259.52 $83,239.89 $55,259.52 2025-09-11
264 MS_DRG Other Circulatory System O.r. Procedures 15 11 — — $55,259.52 $83,239.89 $55,259.52 2025-09-11
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 15 11 — — $55,129.05 $83,043.35 $55,129.05 2025-09-11
38 MS_DRG Extracranial Procedures With Cc 15 11 — — $54,898.55 $82,696.14 $54,898.55 2025-09-11
215 MS_DRG Other Heart Assist System Implant 15 11 — — $54,898.55 $82,696.14 $54,898.55 2025-09-11
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 15 11 — — $54,898.55 $82,696.14 $54,898.55 2025-09-11
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 15 11 — — $54,898.55 $82,696.14 $54,898.55 2025-09-11
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 15 11 — — $54,898.55 $82,696.14 $54,898.55 2025-09-11
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 15 11 — — $54,898.55 $82,696.14 $54,898.55 2025-09-11
39 MS_DRG Extracranial Procedures Without Cc/mcc 15 11 — — $54,898.55 $82,696.14 $54,898.55 2025-09-11
963 MS_DRG Other Multiple Significant Trauma With Mcc 15 11 — — $54,898.55 $82,696.14 $54,898.55 2025-09-11
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 15 11 — — $54,898.55 $82,696.14 $54,898.55 2025-09-11
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/mcc 15 11 — — $54,898.55 $82,696.14 $54,898.55 2025-09-11
693 MS_DRG Urinary Stones With Mcc 15 11 — — $54,898.55 $82,696.14 $54,898.55 2025-09-11
385 MS_DRG Inflammatory Bowel Disease With Mcc 15 11 — — $54,898.55 $82,696.14 $54,898.55 2025-09-11
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 15 11 — — $54,898.55 $82,696.14 $54,898.55 2025-09-11
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 15 11 — — $54,898.55 $82,696.14 $54,898.55 2025-09-11
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 15 11 — — $54,898.55 $82,696.14 $54,898.55 2025-09-11
32 MS_DRG Ventricular Shunt Procedures With Cc 15 11 — — $54,898.55 $82,696.14 $54,898.55 2025-09-11
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 15 11 — — $54,898.55 $82,696.14 $54,898.55 2025-09-11
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 15 11 — — $54,898.55 $82,696.14 $54,898.55 2025-09-11
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 15 11 — — $54,898.55 $82,696.14 $54,898.55 2025-09-11
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 15 11 — — $54,898.55 $82,696.14 $54,898.55 2025-09-11
740 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Cc 15 11 — — $54,898.55 $82,696.14 $54,898.55 2025-09-11
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 15 11 — — $54,898.55 $82,696.14 $54,898.55 2025-09-11
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 15 11 — — $54,898.55 $82,696.14 $54,898.55 2025-09-11
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 15 11 — — $54,898.55 $82,696.14 $54,898.55 2025-09-11
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc 15 11 — — $54,898.55 $82,696.14 $54,898.55 2025-09-11
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 15 11 — — $54,898.55 $82,696.14 $54,898.55 2025-09-11
31 MS_DRG Ventricular Shunt Procedures With Mcc 15 11 — — $54,898.55 $82,696.14 $54,898.55 2025-09-11
256 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Cc 15 11 — — $54,898.55 $82,696.14 $54,898.55 2025-09-11
737 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 15 11 — — $54,898.55 $82,696.14 $54,898.55 2025-09-11
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 15 11 — — $54,898.55 $82,696.14 $54,898.55 2025-09-11
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 15 11 — — $54,898.55 $82,696.14 $54,898.55 2025-09-11
643 MS_DRG Endocrine Disorders With Mcc 15 11 — — $54,898.55 $82,696.14 $54,898.55 2025-09-11
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 15 11 — — $54,898.55 $82,696.14 $54,898.55 2025-09-11
738 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy Without Cc/mcc 15 11 — — $54,898.55 $82,696.14 $54,898.55 2025-09-11
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 15 11 — — $54,898.55 $82,696.14 $54,898.55 2025-09-11
36 MS_DRG Carotid Artery Stent Procedures Without Cc/mcc 15 11 — — $54,898.55 $82,696.14 $54,898.55 2025-09-11
747 MS_DRG Vagina, Cervix And Vulva Procedures Without Cc/mcc 15 11 — — $54,898.55 $82,696.14 $54,898.55 2025-09-11
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 15 11 — — $54,898.55 $82,696.14 $54,898.55 2025-09-11
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 15 11 — — $54,898.55 $82,696.14 $54,898.55 2025-09-11
787 MS_DRG Cesarean Section Without Sterilization With Cc 15 11 — — $54,898.55 $82,696.14 $54,898.55 2025-09-11
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 15 11 — — $54,898.55 $82,696.14 $54,898.55 2025-09-11
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 15 11 — — $54,898.55 $82,696.14 $54,898.55 2025-09-11
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 15 11 — — $54,898.55 $82,696.14 $54,898.55 2025-09-11
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 15 11 — — $54,898.55 $82,696.14 $54,898.55 2025-09-11
499 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Without… 15 11 — — $54,898.55 $82,696.14 $54,898.55 2025-09-11
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 15 11 — — $54,898.55 $82,696.14 $54,898.55 2025-09-11
35 MS_DRG Carotid Artery Stent Procedures With Cc 15 11 — — $54,898.55 $82,696.14 $54,898.55 2025-09-11
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 15 11 — — $54,898.55 $82,696.14 $54,898.55 2025-09-11
918 MS_DRG Poisoning And Toxic Effects Of Drugs Without Mcc 15 11 — — $54,898.55 $82,696.14 $54,898.55 2025-09-11
253 MS_DRG Other Vascular Procedures With Cc 15 11 — — $54,898.55 $82,696.14 $54,898.55 2025-09-11
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 15 11 — — $54,898.55 $82,696.14 $54,898.55 2025-09-11
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 15 11 — — $54,898.55 $82,696.14 $54,898.55 2025-09-11
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 15 11 — — $54,898.55 $82,696.14 $54,898.55 2025-09-11
73 MS_DRG Cranial And Peripheral Nerve Disorders With Mcc 15 11 — — $54,898.55 $82,696.14 $54,898.55 2025-09-11
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 15 11 — — $54,898.55 $82,696.14 $54,898.55 2025-09-11
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 15 11 — — $54,898.55 $82,696.14 $54,898.55 2025-09-11
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 15 11 — — $54,898.55 $82,696.14 $54,898.55 2025-09-11
786 MS_DRG Cesarean Section Without Sterilization With Mcc 15 11 — — $54,898.55 $82,696.14 $54,898.55 2025-09-11
271 MS_DRG Other Major Cardiovascular Procedures With Cc 15 11 — — $54,898.55 $82,696.14 $54,898.55 2025-09-11
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 15 11 — — $54,898.55 $82,696.14 $54,898.55 2025-09-11
33 MS_DRG Ventricular Shunt Procedures Without Cc/mcc 15 11 — — $54,898.55 $82,696.14 $54,898.55 2025-09-11
34 MS_DRG Carotid Artery Stent Procedures With Mcc 15 11 — — $54,898.55 $82,696.14 $54,898.55 2025-09-11
744 MS_DRG D&C, Conization, Laparoscopy And Tubal Interruption With Cc/mcc 15 11 — — $54,898.55 $82,696.14 $54,898.55 2025-09-11
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 15 11 — — $54,898.55 $82,696.14 $54,898.55 2025-09-11
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 15 11 — — $54,898.55 $82,696.14 $54,898.55 2025-09-11
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 15 11 — — $54,898.55 $82,696.14 $54,898.55 2025-09-11
37 MS_DRG Extracranial Procedures With Mcc 15 11 — — $54,898.55 $82,696.14 $54,898.55 2025-09-11
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 15 11 — — $54,898.55 $82,696.14 $54,898.55 2025-09-11
783 MS_DRG Cesarean Section With Sterilization With Mcc 15 11 — — $54,898.55 $82,696.14 $54,898.55 2025-09-11
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 15 11 — — $54,898.55 $82,696.14 $54,898.55 2025-09-11
257 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders Without Cc/mcc 15 11 — — $54,898.55 $82,696.14 $54,898.55 2025-09-11
251 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc 15 11 — — $54,898.55 $82,696.14 $54,898.55 2025-09-11
232 MS_DRG Coronary Bypass With Ptca Without Mcc 15 11 — — $54,898.55 $82,696.14 $54,898.55 2025-09-11
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 15 11 — — $54,898.55 $82,696.14 $54,898.55 2025-09-11
254 MS_DRG Other Vascular Procedures Without Cc/mcc 15 11 — — $54,898.55 $82,696.14 $54,898.55 2025-09-11
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 15 11 — — $54,898.55 $82,696.14 $54,898.55 2025-09-11
42 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/mcc 15 11 — — $54,898.55 $82,696.14 $54,898.55 2025-09-11
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 15 11 — — $54,898.55 $82,696.14 $54,898.55 2025-09-11
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 15 11 — — $54,898.55 $82,696.14 $54,898.55 2025-09-11
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 15 11 — — $54,898.55 $82,696.14 $54,898.55 2025-09-11
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 15 11 — — $54,898.55 $82,696.14 $54,898.55 2025-09-11
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 15 11 — — $54,898.55 $82,696.14 $54,898.55 2025-09-11
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 15 11 — — $54,898.55 $82,696.14 $54,898.55 2025-09-11
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 15 11 — — $54,898.55 $82,696.14 $54,898.55 2025-09-11
228 MS_DRG Other Cardiothoracic Procedures With Mcc 15 11 — — $54,898.55 $82,696.14 $54,898.55 2025-09-11
743 MS_DRG Uterine And Adnexa Procedures For Non-malignancy Without Cc/mcc 15 11 — — $54,898.55 $82,696.14 $54,898.55 2025-09-11
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 15 11 — — $54,898.55 $82,696.14 $54,898.55 2025-09-11
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 15 11 — — $54,898.55 $82,696.14 $54,898.55 2025-09-11
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 15 11 — — $54,898.55 $82,696.14 $54,898.55 2025-09-11
741 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy Without… 15 11 — — $54,898.55 $82,696.14 $54,898.55 2025-09-11
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 15 11 — — $54,898.55 $82,696.14 $54,898.55 2025-09-11
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 15 11 — — $54,898.55 $82,696.14 $54,898.55 2025-09-11
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 15 11 — — $54,898.55 $82,696.14 $54,898.55 2025-09-11
755 MS_DRG Malignancy, Female Reproductive System With Cc 15 11 — — $54,898.55 $82,696.14 $54,898.55 2025-09-11
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 15 11 — — $54,898.55 $82,696.14 $54,898.55 2025-09-11
750 MS_DRG Other Female Reproductive System O.r. Procedures Without Cc/mcc 15 11 — — $54,898.55 $82,696.14 $54,898.55 2025-09-11
241 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe Without Cc… 15 11 — — $54,898.55 $82,696.14 $54,898.55 2025-09-11
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 15 11 — — $54,898.55 $82,696.14 $54,898.55 2025-09-11
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 15 11 — — $54,898.55 $82,696.14 $54,898.55 2025-09-11
754 MS_DRG Malignancy, Female Reproductive System With Mcc 15 11 — — $54,898.55 $82,696.14 $54,898.55 2025-09-11
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 15 11 — — $54,898.55 $82,696.14 $54,898.55 2025-09-11
735 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy Without Cc/mcc 15 11 — — $54,898.55 $82,696.14 $54,898.55 2025-09-11
54 MS_DRG Nervous System Neoplasms With Mcc 15 11 — — $54,898.55 $82,696.14 $54,898.55 2025-09-11
843 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 15 11 — — $54,898.55 $82,696.14 $54,898.55 2025-09-11
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 15 11 — — $54,898.55 $82,696.14 $54,898.55 2025-09-11
850 MS_DRG Acute Leukemia With Other Procedures 15 11 — — $54,898.55 $82,696.14 $54,898.55 2025-09-11
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 15 11 — — $54,898.55 $82,696.14 $54,898.55 2025-09-11
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 15 11 — — $54,898.55 $82,696.14 $54,898.55 2025-09-11
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 15 11 — — $54,898.55 $82,696.14 $54,898.55 2025-09-11
746 MS_DRG Vagina, Cervix And Vulva Procedures With Cc/mcc 15 11 — — $54,898.55 $82,696.14 $54,898.55 2025-09-11
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 15 11 — — $54,898.55 $82,696.14 $54,898.55 2025-09-11
784 MS_DRG Cesarean Section With Sterilization With Cc 15 11 — — $54,898.55 $82,696.14 $54,898.55 2025-09-11
745 MS_DRG D&C, Conization, Laparoscopy And Tubal Interruption Without Cc/mcc 15 11 — — $54,898.55 $82,696.14 $54,898.55 2025-09-11
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 15 11 — — $54,898.55 $82,696.14 $54,898.55 2025-09-11
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 15 11 — — $54,898.55 $82,696.14 $54,898.55 2025-09-11
562 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 15 11 — — $54,898.55 $82,696.14 $54,898.55 2025-09-11
252 MS_DRG Other Vascular Procedures With Mcc 15 11 — — $54,898.55 $82,696.14 $54,898.55 2025-09-11
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 15 11 — — $54,898.55 $82,696.14 $54,898.55 2025-09-11
202 MS_DRG Bronchitis And Asthma With Cc/mcc 15 11 — — $54,898.55 $82,696.14 $54,898.55 2025-09-11
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 15 11 — — $54,898.55 $82,696.14 $54,898.55 2025-09-11
748 MS_DRG Female Reproductive System Reconstructive Procedures 15 11 — — $54,898.55 $82,696.14 $54,898.55 2025-09-11
231 MS_DRG Coronary Bypass With Ptca With Mcc 15 11 — — $54,898.55 $82,696.14 $54,898.55 2025-09-11
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 15 11 — — $54,898.55 $82,696.14 $54,898.55 2025-09-11
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 15 11 — — $54,846.36 $82,617.52 $54,846.36 2025-09-11
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 15 11 — — $54,685.45 $82,375.13 $54,685.45 2025-09-11
828 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 15 11 — — $54,685.45 $82,375.13 $54,685.45 2025-09-11
822 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures Without Cc/mcc 15 11 — — $54,685.45 $82,375.13 $54,685.45 2025-09-11
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 15 11 — — $54,685.45 $82,375.13 $54,685.45 2025-09-11
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 15 11 — — $54,685.45 $82,375.13 $54,685.45 2025-09-11
908 MS_DRG Other O.r. Procedures For Injuries With Cc 15 11 — — $54,685.45 $82,375.13 $54,685.45 2025-09-11
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 15 11 — — $54,685.45 $82,375.13 $54,685.45 2025-09-11
955 MS_DRG Craniotomy For Multiple Significant Trauma 15 11 — — $54,685.45 $82,375.13 $54,685.45 2025-09-11
500 MS_DRG Soft Tissue Procedures With Mcc 15 11 — — $53,567.73 $80,691.46 $53,567.73 2025-09-11
28 MS_DRG Spinal Procedures With Mcc 15 11 — — $52,145.58 $78,549.21 $52,145.58 2025-09-11
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 15 11 — — $52,145.58 $78,549.21 $52,145.58 2025-09-11
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 15 11 — — $52,145.58 $78,549.21 $52,145.58 2025-09-11
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 15 11 — — $52,062.94 $78,424.74 $52,062.94 2025-09-11
665 MS_DRG Prostatectomy With Mcc 15 11 — — $52,062.94 $78,424.74 $52,062.94 2025-09-11
653 MS_DRG Major Bladder Procedures With Mcc 15 11 — — $52,062.94 $78,424.74 $52,062.94 2025-09-11
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 15 11 — — $51,554.10 $77,658.24 $51,554.10 2025-09-11
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 15 11 — — $51,354.04 $77,356.89 $51,354.04 2025-09-11
570 MS_DRG Skin Debridement With Mcc 15 11 — — $51,201.82 $77,127.60 $51,201.82 2025-09-11
974 MS_DRG HIV With Major Related Condition With Mcc 15 11 — — $49,562.22 $74,657.78 $49,562.22 2025-09-11
581 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/mcc 15 11 — — $48,483.64 $73,033.08 $48,483.64 2025-09-11
583 MS_DRG Mastectomy For Malignancy Without Cc/mcc 15 11 — — $48,483.64 $73,033.08 $48,483.64 2025-09-11
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 15 11 — — $48,483.64 $73,033.08 $48,483.64 2025-09-11
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 15 11 — — $46,661.38 $70,288.11 $46,661.38 2025-09-11
919 MS_DRG Complications Of Treatment With Mcc 15 11 — — $46,639.63 $70,255.36 $46,639.63 2025-09-11
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 15 11 — — $46,587.44 $70,176.74 $46,587.44 2025-09-11
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 11 — — $46,235.17 $69,646.09 $46,235.17 2025-09-11
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 15 11 — — $46,235.17 $69,646.09 $46,235.17 2025-09-11
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 15 11 — — $46,235.17 $69,646.09 $46,235.17 2025-09-11
53 MS_DRG Spinal Disorders And Injuries Without Cc/mcc 15 11 — — $46,235.17 $69,646.09 $46,235.17 2025-09-11
52 MS_DRG Spinal Disorders And Injuries With Cc/mcc 15 11 — — $46,235.17 $69,646.09 $46,235.17 2025-09-11
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 15 11 — — $46,235.17 $69,646.09 $46,235.17 2025-09-11
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 11 — — $46,235.17 $69,646.09 $46,235.17 2025-09-11
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 15 11 — — $45,565.41 $68,637.21 $45,565.41 2025-09-11
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 15 11 — — $45,513.22 $68,558.59 $45,513.22 2025-09-11
675 MS_DRG Other Kidney And Urinary Tract Procedures Without Cc/mcc 15 11 — — $45,513.22 $68,558.59 $45,513.22 2025-09-11
666 MS_DRG Prostatectomy With Cc 15 11 — — $45,513.22 $68,558.59 $45,513.22 2025-09-11
654 MS_DRG Major Bladder Procedures With Cc 15 11 — — $45,513.22 $68,558.59 $45,513.22 2025-09-11
288 MS_DRG Acute And Subacute Endocarditis With Mcc 15 11 — — $44,317.22 $66,757.00 $44,317.22 2025-09-11
393 MS_DRG Other Digestive System Diagnoses With Mcc 15 11 — — $44,186.74 $66,560.47 $44,186.74 2025-09-11
388 MS_DRG Gastrointestinal Obstruction With Mcc 15 11 — — $42,973.35 $64,732.67 $42,973.35 2025-09-11
189 MS_DRG Pulmonary Edema And Respiratory Failure 15 11 — — $42,564.53 $64,116.86 $42,564.53 2025-09-11
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 15 11 — — $42,551.49 $64,097.20 $42,551.49 2025-09-11
539 MS_DRG Osteomyelitis With Mcc 15 11 — — $42,155.72 $63,501.04 $42,155.72 2025-09-11
380 MS_DRG Complicated Peptic Ulcer With Mcc 15 11 — — $41,651.23 $62,741.10 $41,651.23 2025-09-11
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 15 11 — — $41,651.23 $62,741.10 $41,651.23 2025-09-11
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 15 11 — — $41,651.23 $62,741.10 $41,651.23 2025-09-11
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 15 11 — — $41,651.23 $62,741.10 $41,651.23 2025-09-11
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 15 11 — — $41,477.26 $62,479.05 $41,477.26 2025-09-11
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 15 11 — — $41,259.81 $62,151.49 $41,259.81 2025-09-11
620 MS_DRG O.r. Procedures For Obesity With Cc 15 11 — — $41,259.81 $62,151.49 $41,259.81 2025-09-11
196 MS_DRG Interstitial Lung Disease With Mcc 15 11 — — $41,077.15 $61,876.34 $41,077.15 2025-09-11
114 MS_DRG Orbital Procedures Without Cc/mcc 15 11 — — $41,077.15 $61,876.34 $41,077.15 2025-09-11
113 MS_DRG Orbital Procedures With Cc/mcc 15 11 — — $41,077.15 $61,876.34 $41,077.15 2025-09-11
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 15 11 — — $41,077.15 $61,876.34 $41,077.15 2025-09-11
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 15 11 — — $41,077.15 $61,876.34 $41,077.15 2025-09-11
198 MS_DRG Interstitial Lung Disease Without Cc/mcc 15 11 — — $41,077.15 $61,876.34 $41,077.15 2025-09-11
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 15 11 — — $41,077.15 $61,876.34 $41,077.15 2025-09-11
903 MS_DRG Wound Debridements For Injuries Without Cc/mcc 15 11 — — $41,077.15 $61,876.34 $41,077.15 2025-09-11
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 15 11 — — $41,077.15 $61,876.34 $41,077.15 2025-09-11
672 MS_DRG Urethral Procedures Without Cc/mcc 15 11 — — $41,077.15 $61,876.34 $41,077.15 2025-09-11
387 MS_DRG Inflammatory Bowel Disease Without Cc/mcc 15 11 — — $41,077.15 $61,876.34 $41,077.15 2025-09-11
707 MS_DRG Major Male Pelvic Procedures With Cc/mcc 15 11 — — $41,077.15 $61,876.34 $41,077.15 2025-09-11
578 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis Without Cc/mcc 15 11 — — $41,077.15 $61,876.34 $41,077.15 2025-09-11
152 MS_DRG Otitis Media And Uri With Mcc 15 11 — — $41,077.15 $61,876.34 $41,077.15 2025-09-11
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 15 11 — — $41,077.15 $61,876.34 $41,077.15 2025-09-11
818 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Cc 15 11 — — $41,077.15 $61,876.34 $41,077.15 2025-09-11
386 MS_DRG Inflammatory Bowel Disease With Cc 15 11 — — $41,077.15 $61,876.34 $41,077.15 2025-09-11
922 MS_DRG Other Injury, Poisoning And Toxic Effect Diagnoses With Mcc 15 11 — — $41,077.15 $61,876.34 $41,077.15 2025-09-11
142 MS_DRG Major Head And Neck Procedures Without Cc/mcc 15 11 — — $41,077.15 $61,876.34 $41,077.15 2025-09-11
139 MS_DRG Salivary Gland Procedures 15 11 — — $41,077.15 $61,876.34 $41,077.15 2025-09-11
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 15 11 — — $41,077.15 $61,876.34 $41,077.15 2025-09-11
141 MS_DRG Major Head And Neck Procedures With Cc 15 11 — — $41,077.15 $61,876.34 $41,077.15 2025-09-11
575 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis Without Cc/mcc 15 11 — — $41,077.15 $61,876.34 $41,077.15 2025-09-11
667 MS_DRG Prostatectomy Without Cc/mcc 15 11 — — $41,077.15 $61,876.34 $41,077.15 2025-09-11
668 MS_DRG Transurethral Procedures With Mcc 15 11 — — $41,077.15 $61,876.34 $41,077.15 2025-09-11
669 MS_DRG Transurethral Procedures With Cc 15 11 — — $41,077.15 $61,876.34 $41,077.15 2025-09-11
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/mcc 15 11 — — $41,077.15 $61,876.34 $41,077.15 2025-09-11
902 MS_DRG Wound Debridements For Injuries With Cc 15 11 — — $41,077.15 $61,876.34 $41,077.15 2025-09-11
154 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses With Mcc 15 11 — — $41,077.15 $61,876.34 $41,077.15 2025-09-11
312 MS_DRG Syncope And Collapse 15 11 — — $41,077.15 $61,876.34 $41,077.15 2025-09-11
670 MS_DRG Transurethral Procedures Without Cc/mcc 15 11 — — $41,077.15 $61,876.34 $41,077.15 2025-09-11
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 15 11 — — $41,077.15 $61,876.34 $41,077.15 2025-09-11
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 15 11 — — $41,077.15 $61,876.34 $41,077.15 2025-09-11
671 MS_DRG Urethral Procedures With Cc/mcc 15 11 — — $41,077.15 $61,876.34 $41,077.15 2025-09-11
905 MS_DRG Skin Grafts For Injuries Without Cc/mcc 15 11 — — $41,077.15 $61,876.34 $41,077.15 2025-09-11
115 MS_DRG Extraocular Procedures Except Orbit 15 11 — — $41,077.15 $61,876.34 $41,077.15 2025-09-11
116 MS_DRG Intraocular Procedures With Cc/mcc 15 11 — — $41,077.15 $61,876.34 $41,077.15 2025-09-11
663 MS_DRG Minor Bladder Procedures With Cc 15 11 — — $41,077.15 $61,876.34 $41,077.15 2025-09-11
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 15 11 — — $41,077.15 $61,876.34 $41,077.15 2025-09-11
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 15 11 — — $41,077.15 $61,876.34 $41,077.15 2025-09-11
934 MS_DRG Full Thickness Burn Without Skin Graft Or Inhalation Injury 15 11 — — $41,077.15 $61,876.34 $41,077.15 2025-09-11
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 15 11 — — $41,077.15 $61,876.34 $41,077.15 2025-09-11
664 MS_DRG Minor Bladder Procedures Without Cc/mcc 15 11 — — $41,077.15 $61,876.34 $41,077.15 2025-09-11
138 MS_DRG Mouth Procedures Without Cc/mcc 15 11 — — $41,077.15 $61,876.34 $41,077.15 2025-09-11
197 MS_DRG Interstitial Lung Disease With Cc 15 11 — — $41,077.15 $61,876.34 $41,077.15 2025-09-11
658 MS_DRG Kidney And Ureter Procedures For Neoplasm Without Cc/mcc 15 11 — — $41,077.15 $61,876.34 $41,077.15 2025-09-11
137 MS_DRG Mouth Procedures With Cc/mcc 15 11 — — $41,077.15 $61,876.34 $41,077.15 2025-09-11
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 15 11 — — $41,077.15 $61,876.34 $41,077.15 2025-09-11
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 15 11 — — $41,077.15 $61,876.34 $41,077.15 2025-09-11
655 MS_DRG Major Bladder Procedures Without Cc/mcc 15 11 — — $41,077.15 $61,876.34 $41,077.15 2025-09-11
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 15 11 — — $41,077.15 $61,876.34 $41,077.15 2025-09-11
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 15 11 — — $41,077.15 $61,876.34 $41,077.15 2025-09-11
657 MS_DRG Kidney And Ureter Procedures For Neoplasm With Cc 15 11 — — $41,077.15 $61,876.34 $41,077.15 2025-09-11
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 15 11 — — $41,077.15 $61,876.34 $41,077.15 2025-09-11
135 MS_DRG Sinus And Mastoid Procedures With Cc/mcc 15 11 — — $41,077.15 $61,876.34 $41,077.15 2025-09-11
660 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Cc 15 11 — — $41,077.15 $61,876.34 $41,077.15 2025-09-11
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 15 11 — — $41,077.15 $61,876.34 $41,077.15 2025-09-11
711 MS_DRG Testes Procedures With Cc/mcc 15 11 — — $41,077.15 $61,876.34 $41,077.15 2025-09-11
117 MS_DRG Intraocular Procedures Without Cc/mcc 15 11 — — $41,077.15 $61,876.34 $41,077.15 2025-09-11
661 MS_DRG Kidney And Ureter Procedures For Non-neoplasm Without Cc/mcc 15 11 — — $41,077.15 $61,876.34 $41,077.15 2025-09-11
488 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection With Cc/mcc 15 11 — — $41,077.15 $61,876.34 $41,077.15 2025-09-11
662 MS_DRG Minor Bladder Procedures With Mcc 15 11 — — $41,077.15 $61,876.34 $41,077.15 2025-09-11
136 MS_DRG Sinus And Mastoid Procedures Without Cc/mcc 15 11 — — $41,077.15 $61,876.34 $41,077.15 2025-09-11
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 15 11 — — $41,077.15 $61,876.34 $41,077.15 2025-09-11
157 MS_DRG Dental And Oral Diseases With Mcc 15 11 — — $41,077.15 $61,876.34 $41,077.15 2025-09-11
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 15 11 — — $41,077.15 $61,876.34 $41,077.15 2025-09-11
144 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Cc 15 11 — — $41,077.15 $61,876.34 $41,077.15 2025-09-11
145 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures Without Cc/mcc 15 11 — — $41,077.15 $61,876.34 $41,077.15 2025-09-11
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 15 11 — — $41,077.15 $61,876.34 $41,077.15 2025-09-11
304 MS_DRG Hypertension With Mcc 15 11 — — $41,077.15 $61,876.34 $41,077.15 2025-09-11
306 MS_DRG Cardiac Congenital And Valvular Disorders With Mcc 15 11 — — $41,077.15 $61,876.34 $41,077.15 2025-09-11
545 MS_DRG Connective Tissue Disorders With Mcc 15 11 — — $41,077.15 $61,876.34 $41,077.15 2025-09-11
155 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses With Cc 15 11 — — $41,077.15 $61,876.34 $41,077.15 2025-09-11
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 15 11 — — $41,077.15 $61,876.34 $41,077.15 2025-09-11
78 MS_DRG DRG 15 11 — — $41,077.15 $61,876.34 $41,077.15 2025-09-11
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 15 11 — — $41,077.15 $61,876.34 $41,077.15 2025-09-11
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 15 11 — — $41,077.15 $61,876.34 $41,077.15 2025-09-11
709 MS_DRG Penis Procedures With Cc/mcc 15 11 — — $41,077.15 $61,876.34 $41,077.15 2025-09-11
283 MS_DRG Acute Myocardial Infarction, Expired With Mcc 15 11 — — $41,077.15 $61,876.34 $41,077.15 2025-09-11
77 MS_DRG DRG 15 11 — — $41,077.15 $61,876.34 $41,077.15 2025-09-11
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 15 11 — — $41,077.15 $61,876.34 $41,077.15 2025-09-11
374 MS_DRG Digestive Malignancy With Mcc 15 11 — — $41,077.15 $61,876.34 $41,077.15 2025-09-11
713 MS_DRG Transurethral Prostatectomy With Cc/mcc 15 11 — — $41,077.15 $61,876.34 $41,077.15 2025-09-11
614 MS_DRG Adrenal And Pituitary Procedures With Cc/mcc 15 11 — — $41,077.15 $61,876.34 $41,077.15 2025-09-11
606 MS_DRG Minor Skin Disorders With Mcc 15 11 — — $41,077.15 $61,876.34 $41,077.15 2025-09-11
615 MS_DRG Adrenal And Pituitary Procedures Without Cc/mcc 15 11 — — $41,077.15 $61,876.34 $41,077.15 2025-09-11
941 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/… 15 11 — — $41,077.15 $61,876.34 $41,077.15 2025-09-11
501 MS_DRG Soft Tissue Procedures With Cc 15 11 — — $41,077.15 $61,876.34 $41,077.15 2025-09-11
604 MS_DRG Trauma To The Skin, Subcutaneous Tissue And Breast With Mcc 15 11 — — $41,077.15 $61,876.34 $41,077.15 2025-09-11
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Mcc 15 11 — — $41,077.15 $61,876.34 $41,077.15 2025-09-11
717 MS_DRG Other Male Reproductive System O.r. Procedures Except Malignancy With Cc/mcc 15 11 — — $41,077.15 $61,876.34 $41,077.15 2025-09-11
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