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

JEFFERSON REGIONAL MEDICAL CENTER

Pine Bluff, AR · CCN 040071 · Rates published

507 distinct procedures filed
15 distinct payers
18,963 rate rows
2025-01-01 last MRF observed · ⚠ 21 mo old
Data quality

2,449 of 18,963 rate rows are consumer-grade (12.9%)

16,514 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 16,506
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 8

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 21 months old. CMS requires hospitals to refresh these files at least annually, so newer rates may exist that we haven't ingested yet. The prices below are exactly as last filed.

Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://pricing.jrmc.info/MachineReadable/430687077_jefferson-regional-medical-center_standardcharges.csv
Found on page https://pricing.jrmc.info/ServicesSearch
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-09-21
Content fingerprint decc7351b9ee196d… · 5,440,346 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
95
MS_DRG 		Bacterial And Tuberculous Infections Of Nervous System With Cc 1 $50,264.69 $50,264.69 $50,264.69 nat. median
$17,673
outlier · 2.8×
492
MS_DRG 		Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 1 $40,921.81 $40,921.81 $40,921.81 nat. median
$25,953
1.6× median
9343
OTHER 		Inj Givosiran 0.5 Mg 1 $37,984.36 $37,984.36 $37,984.36 nat. median
$118
outlier · 322.6×
9284
OTHER 		Ipilimumab Injection 3 $36,703.30 $36,703.30 $36,703.30 nat. median
$186
outlier · 197.6×
353
MS_DRG 		Hernia Procedures Except Inguinal And Femoral With Mcc 1 $35,676.58 $35,676.58 $35,676.58 nat. median
$20,717
1.7× median
791
MS_DRG 		Prematurity With Major Problems 1 $34,844.10 $34,844.10 $34,844.10 nat. median
$27,149
1.3× median
464
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 4 $30,483.12 $30,483.12 $30,483.12 nat. median
$21,906
1.4× median
673
MS_DRG 		Other Kidney And Urinary Tract Procedures With Mcc 1 $29,522.55 $29,522.55 $29,522.55 nat. median
$29,327
1.0× median
974
MS_DRG 		HIV With Major Related Condition With Mcc 1 $25,231.53 $25,231.53 $25,231.53 nat. median
$20,400
1.2× median
58
MS_DRG 		Multiple Sclerosis And Cerebellar Ataxia With Mcc 1 $24,357.08 $24,357.08 $24,357.08 nat. median
$12,201
2.0× median
515
MS_DRG 		Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 1 $24,285.28 $24,285.28 $24,285.28 nat. median
$22,579
1.1× median
551
MS_DRG 		Medical Back Problems With Mcc 3 $23,453.96 $23,453.96 $23,453.96 nat. median
$11,966
2.0× median
521
MS_DRG 		Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 1 $22,984.00 $22,984.00 $22,984.00 nat. median
$21,753
1.1× median
560
MS_DRG 		Aftercare, Musculoskeletal System And Connective Tissue With Cc 3 $22,346.88 $22,346.88 $22,346.88 nat. median
$8,402
outlier · 2.7×
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 2 $22,055.82 $22,055.82 $22,055.82 nat. median
$34,733
0.6× median
326
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Mcc 2 $21,892.02 $21,892.02 $21,892.02 nat. median
$35,986
0.6× median
97
MS_DRG 		Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 1 $21,710.00 $21,710.00 $21,710.00 nat. median
$24,748
0.9× median
270
MS_DRG 		Other Major Cardiovascular Procedures With Mcc 1 $21,658.14 $21,658.14 $21,658.14 nat. median
$37,725
0.6× median
242
MS_DRG 		Permanent Cardiac Pacemaker Implant With Mcc 1 $21,588.40 $21,588.40 $21,588.40 nat. median
$23,970
0.9× median
570
MS_DRG 		Skin Debridement With Mcc 1 $21,487.14 $21,487.14 $21,487.14 nat. median
$20,813
1.0× median
467
MS_DRG 		Revision Of Hip Or Knee Replacement With Cc 3 $21,243.87 $21,243.87 $21,243.87 nat. median
$25,622
0.8× median
42
MS_DRG 		Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/Mcc 1 $21,225.64 $21,225.64 $21,225.64 nat. median
$12,708
1.7× median
659
MS_DRG 		Kidney And Ureter Procedures For Non-neoplasm With Mcc 2 $21,198.06 $21,198.06 $21,198.06 nat. median
$18,590
1.1× median
503
MS_DRG 		Foot Procedures With Mcc 1 $21,117.04 $21,117.04 $21,117.04 nat. median
$19,167
1.1× median
246
MS_DRG 		Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 1 $21,039.64 $21,039.64 $21,039.64 nat. median
$2,024
outlier · 10.4×
616
MS_DRG 		Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 1 $20,268.65 $20,268.65 $20,268.65 nat. median
$25,616
0.8× median
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 3 $19,311.62 $19,311.62 $19,311.62 nat. median
$33,435
0.6× median
57
MS_DRG 		Degenerative Nervous System Disorders Without Mcc 6 $19,244.12 $19,244.12 $19,244.12 nat. median
$8,924
outlier · 2.2×
818
MS_DRG 		Other Antepartum Diagnoses With O.r. Procedures With Cc 1 $18,328.10 $18,328.10 $18,328.10 nat. median
$8,727
outlier · 2.1×
817
MS_DRG 		Other Antepartum Diagnoses With O.r. Procedures With Mcc 1 $18,045.12 $18,045.12 $18,045.12 nat. median
$15,634
1.2× median
742
MS_DRG 		Uterine And Adnexa Procedures For Non-malignancy With Cc/Mcc 3 $17,718.90 $17,718.90 $17,718.90 nat. median
$13,597
1.3× median
9364
OTHER 		Inj Enfort Vedo-ejfv 0.25mg 2 $17,677.90 $17,677.90 $17,677.90 nat. median
$38
outlier · 468.2×
786
MS_DRG 		Cesarean Section Without Sterilization With Mcc 2 $17,673.91 $17,673.91 $17,673.91 nat. median
$11,737
1.5× median
70
MS_DRG 		Nonspecific Cerebrovascular Disorders With Mcc 4 $17,672.29 $17,672.29 $17,672.29 nat. median
$12,172
1.5× median
468
MS_DRG 		Revision Of Hip Or Knee Replacement Without Cc/Mcc 3 $17,537.56 $17,537.56 $17,537.56 nat. median
$19,904
0.9× median
862
MS_DRG 		Postoperative And Post-traumatic Infections With Mcc 1 $17,285.00 $17,285.00 $17,285.00 nat. median
$13,176
1.3× median
208
MS_DRG 		Respiratory System Diagnosis With Ventilator Support <=96 Hours 4 $17,117.72 $17,117.72 $17,117.72 nat. median
$19,623
0.9× median
474
MS_DRG 		Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 2 $16,704.66 $16,704.66 $16,704.66 nat. median
$29,481
0.6× median
65
MS_DRG 		Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours 5 $16,562.59 $16,562.59 $16,562.59 nat. median
$7,677
outlier · 2.2×
91
MS_DRG 		Other Disorders Of Nervous System With Mcc 5 $16,545.17 $16,545.17 $16,545.17 nat. median
$12,760
1.3× median
628
MS_DRG 		Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 1 $16,481.00 $16,481.00 $16,481.00 nat. median
$26,211
0.6× median
949
MS_DRG 		Aftercare With Cc/Mcc 2 $16,395.25 $16,395.25 $16,395.25 nat. median
$8,367
2.0× median
414
MS_DRG 		Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 2 $16,254.20 $16,254.20 $16,254.20 nat. median
$25,056
0.6× median
475
MS_DRG 		Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 3 $16,202.87 $16,202.87 $16,202.87 nat. median
$16,005
1.0× median
516
MS_DRG 		Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 2 $15,875.55 $15,875.55 $15,875.55 nat. median
$15,130
1.0× median
813
MS_DRG 		Coagulation Disorders 1 $15,873.00 $15,873.00 $15,873.00 nat. median
$11,108
1.4× median
100
MS_DRG 		Seizures With Mcc 4 $15,801.86 $15,801.86 $15,801.86 nat. median
$13,848
1.1× median
956
MS_DRG 		Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 1 $15,654.90 $15,654.90 $15,654.90 nat. median
$27,340
0.6× median
56
MS_DRG 		Degenerative Nervous System Disorders With Mcc 5 $15,514.08 $15,514.08 $15,514.08 nat. median
$14,194
1.1× median
398
MS_DRG 		Appendix Procedures With Cc 1 $15,388.38 $15,388.38 $15,388.38 nat. median
$11,334
1.4× median

Other procedures at this hospital

Browse this hospital's 507 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
             
100 MS_DRG Seizures With Mcc 4 4 — — $15,801.86 $15,801.86 $15,801.86 2025-01-01
101 MS_DRG Seizures Without Mcc 7 6 — — $8,771.26 $8,771.26 $8,771.26 2025-01-01
103 MS_DRG Headaches Without Mcc 5 3 — — $5,520.10 $5,520.10 $5,520.10 2025-01-01
1214 OTHER Inj Ivig Privigen 500 Mg 7 5 — — $6,024.26 $6,024.26 $6,024.26 2025-01-01
1433 OTHER Calcitonin Salmon Injection 1 1 — — $4,242.03 $4,242.03 $4,242.03 2025-01-01
1471 OTHER Injection, Pertuzumab, 1 Mg 4 3 — — $12,056.82 $12,056.82 $12,056.82 2025-01-01
1476 OTHER Obinutuzumab Inj 2 2 — — $8,220.69 $8,220.69 $8,220.69 2025-01-01
149 MS_DRG Dysequilibrium 1 1 — — $9,085.37 $9,085.37 $9,085.37 2025-01-01
1490 OTHER Inj Pembrolizumab 6 6 — — $13,725.74 $13,725.74 $13,725.74 2025-01-01
152 MS_DRG Otitis Media And Uri With Mcc 1 1 — — $4,497.36 $4,497.36 $4,497.36 2025-01-01
153 MS_DRG Otitis Media And Uri Without Mcc 2 2 — — $4,518.15 $4,518.15 $4,518.15 2025-01-01
154 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses With Mcc 1 1 — — $5,748.67 $5,748.67 $5,748.67 2025-01-01
158 MS_DRG Dental And Oral Diseases With Cc 1 1 — — $4,701.56 $4,701.56 $4,701.56 2025-01-01
164 MS_DRG Major Chest Procedures With Cc 1 1 — — $12,907.20 $12,907.20 $12,907.20 2025-01-01
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 1 1 — — $6,816.04 $6,816.04 $6,816.04 2025-01-01
177 MS_DRG Respiratory Infections And Inflammations With Mcc 6 6 — — $9,751.05 $9,751.05 $9,751.05 2025-01-01
178 MS_DRG Respiratory Infections And Inflammations With Cc 5 4 — — $4,443.41 $4,443.41 $4,443.41 2025-01-01
179 MS_DRG Respiratory Infections And Inflammations Without Cc/Mcc 2 2 — — $6,096.81 $6,096.81 $6,096.81 2025-01-01
180 MS_DRG Respiratory Neoplasms With Mcc 2 2 — — $7,503.33 $7,503.33 $7,503.33 2025-01-01
183 MS_DRG Major Chest Trauma With Mcc 1 1 — — $6,168.61 $6,168.61 $6,168.61 2025-01-01
184 MS_DRG Major Chest Trauma With Cc 2 2 — — $7,081.39 $7,081.39 $7,081.39 2025-01-01
185 MS_DRG Major Chest Trauma Without Cc/Mcc 1 1 — — $4,628.67 $4,628.67 $4,628.67 2025-01-01
189 MS_DRG Pulmonary Edema And Respiratory Failure 6 5 — — $9,235.47 $9,235.47 $9,235.47 2025-01-01
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 7 5 — — $9,003.81 $9,003.81 $9,003.81 2025-01-01
191 MS_DRG Chronic Obstructive Pulmonary Disease With Cc 1 1 — — $5,438.64 $5,438.64 $5,438.64 2025-01-01
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 8 5 — — $8,473.08 $8,473.08 $8,473.08 2025-01-01
194 MS_DRG Simple Pneumonia And Pleurisy With Cc 4 3 — — $7,348.70 $7,348.70 $7,348.70 2025-01-01
195 MS_DRG Simple Pneumonia And Pleurisy Without Cc/Mcc 5 4 — — $4,767.16 $4,767.16 $4,767.16 2025-01-01
196 MS_DRG Interstitial Lung Disease With Mcc 2 2 — — $6,987.98 $6,987.98 $6,987.98 2025-01-01
199 MS_DRG Pneumothorax With Mcc 2 2 — — $6,956.21 $6,956.21 $6,956.21 2025-01-01
201 MS_DRG Pneumothorax Without Cc/Mcc 2 2 — — $6,205.64 $6,205.64 $6,205.64 2025-01-01
202 MS_DRG Bronchitis And Asthma With Cc/Mcc 3 3 — — $6,729.41 $6,729.41 $6,729.41 2025-01-01
203 MS_DRG Bronchitis And Asthma Without Cc/Mcc 4 4 — — $5,274.49 $5,274.49 $5,274.49 2025-01-01
204 MS_DRG Respiratory Signs And Symptoms 1 1 — — $11,081.55 $11,081.55 $11,081.55 2025-01-01
205 MS_DRG Other Respiratory System Diagnoses With Mcc 2 2 — — $6,918.17 $6,918.17 $6,918.17 2025-01-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 4 4 — — $17,117.72 $17,117.72 $17,117.72 2025-01-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 1 1 — — $12,252.32 $12,252.32 $12,252.32 2025-01-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 3 2 — — $11,154.18 $11,154.18 $11,154.18 2025-01-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 1 1 — — $21,588.40 $21,588.40 $21,588.40 2025-01-01
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 1 1 — — $9,080.66 $9,080.66 $9,080.66 2025-01-01
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/Mcc 1 1 — — $9,198.61 $9,198.61 $9,198.61 2025-01-01
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 1 1 — — $21,039.64 $21,039.64 $21,039.64 2025-01-01
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 1 1 — — $10,040.70 $10,040.70 $10,040.70 2025-01-01
251 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc 1 1 — — $11,439.60 $11,439.60 $11,439.60 2025-01-01
253 MS_DRG Other Vascular Procedures With Cc 2 2 — — $12,769.45 $12,769.45 $12,769.45 2025-01-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 1 1 — — $12,401.42 $12,401.42 $12,401.42 2025-01-01
256 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Cc 2 1 — — $9,486.28 $9,486.28 $9,486.28 2025-01-01
261 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Cc 2 2 — — $6,951.12 $6,951.12 $6,951.12 2025-01-01
264 MS_DRG Other Circulatory System O.r. Procedures 2 2 — — $6,989.29 $6,989.29 $6,989.29 2025-01-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 1 1 — — $21,658.14 $21,658.14 $21,658.14 2025-01-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 2 2 — — $13,195.74 $13,195.74 $13,195.74 2025-01-01
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 3 3 — — $11,681.17 $11,681.17 $11,681.17 2025-01-01
282 MS_DRG Acute Myocardial Infarction, Discharged Alive Without Cc/Mcc 7 6 — — $4,669.02 $4,669.02 $4,669.02 2025-01-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 3 3 — — $7,543.56 $7,543.56 $7,543.56 2025-01-01
287 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization Without Mcc 2 2 — — $5,166.82 $5,166.82 $5,166.82 2025-01-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 1 1 — — $9,938.22 $9,938.22 $9,938.22 2025-01-01
291 MS_DRG Heart Failure And Shock With Mcc 3 3 — — $6,478.36 $6,478.36 $6,478.36 2025-01-01
292 MS_DRG Heart Failure And Shock With Cc 2 2 — — $4,433.49 $4,433.49 $4,433.49 2025-01-01
296 MS_DRG Cardiac Arrest, Unexplained With Mcc 1 1 — — $13,080.42 $13,080.42 $13,080.42 2025-01-01
299 MS_DRG Peripheral Vascular Disorders With Mcc 1 1 — — $5,711.81 $5,711.81 $5,711.81 2025-01-01
300 MS_DRG Peripheral Vascular Disorders With Cc 2 2 — — $8,704.58 $8,704.58 $8,704.58 2025-01-01
303 MS_DRG Atherosclerosis Without Mcc 1 1 — — $4,242.83 $4,242.83 $4,242.83 2025-01-01
305 MS_DRG Hypertension Without Mcc 4 4 — — $4,907.65 $4,907.65 $4,907.65 2025-01-01
306 MS_DRG Cardiac Congenital And Valvular Disorders With Mcc 2 2 — — $10,624.76 $10,624.76 $10,624.76 2025-01-01
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 3 3 — — $7,222.94 $7,222.94 $7,222.94 2025-01-01
309 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Cc 6 4 — — $4,333.87 $4,333.87 $4,333.87 2025-01-01
311 MS_DRG Angina Pectoris 1 1 — — $8,516.86 $8,516.86 $8,516.86 2025-01-01
312 MS_DRG Syncope And Collapse 4 4 — — $8,528.24 $8,528.24 $8,528.24 2025-01-01
314 MS_DRG Other Circulatory System Diagnoses With Mcc 3 3 — — $13,099.08 $13,099.08 $13,099.08 2025-01-01
315 MS_DRG Other Circulatory System Diagnoses With Cc 4 3 — — $7,227.27 $7,227.27 $7,227.27 2025-01-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 6 4 — — $9,658.76 $9,658.76 $9,658.76 2025-01-01
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 8 7 — — $4,990.20 $4,990.20 $4,990.20 2025-01-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 2 2 — — $21,892.02 $21,892.02 $21,892.02 2025-01-01
328 MS_DRG Stomach, Esophageal And Duodenal Procedures Without Cc/Mcc 1 1 — — $6,639.90 $6,639.90 $6,639.90 2025-01-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 3 3 — — $19,311.62 $19,311.62 $19,311.62 2025-01-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 4 2 — — $6,329.52 $6,329.52 $6,329.52 2025-01-01
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/Mcc 4 4 — — $9,801.15 $9,801.15 $9,801.15 2025-01-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 1 1 — — $13,294.21 $13,294.21 $13,294.21 2025-01-01
336 MS_DRG Peritoneal Adhesiolysis With Cc 3 3 — — $8,214.36 $8,214.36 $8,214.36 2025-01-01
337 MS_DRG Peritoneal Adhesiolysis Without Cc/Mcc 1 1 — — $7,368.37 $7,368.37 $7,368.37 2025-01-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 1 1 — — $35,676.58 $35,676.58 $35,676.58 2025-01-01
355 MS_DRG Hernia Procedures Except Inguinal And Femoral Without Cc/Mcc 1 1 — — $5,551.58 $5,551.58 $5,551.58 2025-01-01
358 MS_DRG Other Digestive System O.r. Procedures Without Cc/Mcc 1 1 — — $10,428.15 $10,428.15 $10,428.15 2025-01-01
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 2 2 — — $13,638.51 $13,638.51 $13,638.51 2025-01-01
372 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Cc 1 1 — — $7,712.21 $7,712.21 $7,712.21 2025-01-01
375 MS_DRG Digestive Malignancy With Cc 1 1 — — $6,683.90 $6,683.90 $6,683.90 2025-01-01
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 1 1 — — $14,868.59 $14,868.59 $14,868.59 2025-01-01
38 MS_DRG Extracranial Procedures With Cc 2 2 — — $9,655.07 $9,655.07 $9,655.07 2025-01-01
386 MS_DRG Inflammatory Bowel Disease With Cc 1 1 — — $7,927.22 $7,927.22 $7,927.22 2025-01-01
388 MS_DRG Gastrointestinal Obstruction With Mcc 3 3 — — $8,234.48 $8,234.48 $8,234.48 2025-01-01
39 MS_DRG Extracranial Procedures Without Cc/Mcc 3 2 — — $5,244.82 $5,244.82 $5,244.82 2025-01-01
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 4 3 — — $8,624.67 $8,624.67 $8,624.67 2025-01-01
392 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc 8 5 — — $4,763.42 $4,763.42 $4,763.42 2025-01-01
393 MS_DRG Other Digestive System Diagnoses With Mcc 2 2 — — $15,025.91 $15,025.91 $15,025.91 2025-01-01
394 MS_DRG Other Digestive System Diagnoses With Cc 4 3 — — $6,790.29 $6,790.29 $6,790.29 2025-01-01
397 MS_DRG Appendix Procedures With Mcc 1 1 — — $9,345.99 $9,345.99 $9,345.99 2025-01-01
398 MS_DRG Appendix Procedures With Cc 1 1 — — $15,388.38 $15,388.38 $15,388.38 2025-01-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 2 2 — — $16,254.20 $16,254.20 $16,254.20 2025-01-01
419 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. Without Cc/Mcc 4 2 — — $8,772.43 $8,772.43 $8,772.43 2025-01-01
42 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/Mcc 1 1 — — $21,225.64 $21,225.64 $21,225.64 2025-01-01
436 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Cc 1 1 — — $5,593.02 $5,593.02 $5,593.02 2025-01-01
439 MS_DRG Disorders Of Pancreas Except Malignancy With Cc 8 7 — — $10,459.78 $10,459.78 $10,459.78 2025-01-01
440 MS_DRG Disorders Of Pancreas Except Malignancy Without Cc/Mcc 4 2 — — $4,457.54 $4,457.54 $4,457.54 2025-01-01
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 2 2 — — $11,036.57 $11,036.57 $11,036.57 2025-01-01
443 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis Without C… 2 2 — — $5,231.40 $5,231.40 $5,231.40 2025-01-01
445 MS_DRG Disorders Of The Biliary Tract With Cc 1 1 — — $4,904.44 $4,904.44 $4,904.44 2025-01-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 4 4 — — $30,483.12 $30,483.12 $30,483.12 2025-01-01
465 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 2 2 — — $10,804.30 $10,804.30 $10,804.30 2025-01-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 3 3 — — $21,243.87 $21,243.87 $21,243.87 2025-01-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 4 3 — — $17,537.56 $17,537.56 $17,537.56 2025-01-01
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 2 1 — — $14,530.54 $14,530.54 $14,530.54 2025-01-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 2 2 — — $16,704.66 $16,704.66 $16,704.66 2025-01-01
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 3 3 — — $16,202.87 $16,202.87 $16,202.87 2025-01-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 5 5 — — $10,332.84 $10,332.84 $10,332.84 2025-01-01
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 10 6 — — $8,232.22 $8,232.22 $8,232.22 2025-01-01
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/Mcc 6 4 — — $8,895.52 $8,895.52 $8,895.52 2025-01-01
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 4 3 — — $8,920.05 $8,920.05 $8,920.05 2025-01-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 1 1 — — $40,921.81 $40,921.81 $40,921.81 2025-01-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 3 3 — — $5,480.15 $5,480.15 $5,480.15 2025-01-01
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/Mcc 5 3 — — $14,789.39 $14,789.39 $14,789.39 2025-01-01
501 MS_DRG Soft Tissue Procedures With Cc 2 2 — — $9,605.55 $9,605.55 $9,605.55 2025-01-01
503 MS_DRG Foot Procedures With Mcc 1 1 — — $21,117.04 $21,117.04 $21,117.04 2025-01-01
504 MS_DRG Foot Procedures With Cc 3 3 — — $9,627.55 $9,627.55 $9,627.55 2025-01-01
505 MS_DRG Foot Procedures Without Cc/Mcc 3 2 — — $10,963.56 $10,963.56 $10,963.56 2025-01-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 1 1 — — $10,915.04 $10,915.04 $10,915.04 2025-01-01
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 1 1 — — $14,019.96 $14,019.96 $14,019.96 2025-01-01
5114 OTHER Level 4 Musculoskeletal Procedures 18 12 — — $5,634.10 $5,634.10 $5,634.10 2025-01-01
5115 OTHER Level 5 Musculoskeletal Procedures 17 11 — — $7,248.39 $7,248.39 $7,248.39 2025-01-01
5116 OTHER Level 6 Musculoskeletal Procedures 4 4 — — $5,219.18 $5,219.18 $5,219.18 2025-01-01
512 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures Without Cc/… 3 2 — — $4,591.57 $4,591.57 $4,591.57 2025-01-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 1 1 — — $24,285.28 $24,285.28 $24,285.28 2025-01-01
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 2 2 — — $15,875.55 $15,875.55 $15,875.55 2025-01-01
5192 OTHER Level 2 Endovascular Procedures 8 7 — — $4,441.56 $4,441.56 $4,441.56 2025-01-01
5193 OTHER Level 3 Endovascular Procedures 17 11 — — $7,370.38 $7,370.38 $7,370.38 2025-01-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 1 1 — — $22,984.00 $22,984.00 $22,984.00 2025-01-01
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 4 4 — — $9,015.08 $9,015.08 $9,015.08 2025-01-01
5223 OTHER Level 3 Pacemaker And Similar Procedures 9 7 — — $4,933.81 $4,933.81 $4,933.81 2025-01-01
5231 OTHER Level 1 Icd And Similar Procedures 7 7 — — $11,106.69 $11,106.69 $11,106.69 2025-01-01
535 MS_DRG Fractures Of Hip And Pelvis With Mcc 1 1 — — $5,327.03 $5,327.03 $5,327.03 2025-01-01
5361 OTHER Level 1 Laparoscopy And Related Services 20 14 — — $4,741.06 $4,741.06 $4,741.06 2025-01-01
5362 OTHER Level 2 Laparoscopy And Related Services 15 10 — — $9,763.32 $9,763.32 $9,763.32 2025-01-01
5375 OTHER Level 5 Urology And Related Services 18 12 — — $4,338.24 $4,338.24 $4,338.24 2025-01-01
5376 OTHER Level 6 Urology And Related Services 10 8 — — $6,445.27 $6,445.27 $6,445.27 2025-01-01
5378 OTHER Level 8 Urology And Related Services 3 3 — — $5,831.52 $5,831.52 $5,831.52 2025-01-01
54 MS_DRG Nervous System Neoplasms With Mcc 1 1 — — $5,796.43 $5,796.43 $5,796.43 2025-01-01
540 MS_DRG Osteomyelitis With Cc 2 2 — — $11,224.12 $11,224.12 $11,224.12 2025-01-01
5416 OTHER Level 6 Gynecologic Procedures 1 1 — — $5,551.06 $5,551.06 $5,551.06 2025-01-01
542 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 1 1 — — $8,320.28 $8,320.28 $8,320.28 2025-01-01
543 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 2 2 — — $6,210.01 $6,210.01 $6,210.01 2025-01-01
545 MS_DRG Connective Tissue Disorders With Mcc 1 1 — — $11,867.65 $11,867.65 $11,867.65 2025-01-01
551 MS_DRG Medical Back Problems With Mcc 3 3 — — $23,453.96 $23,453.96 $23,453.96 2025-01-01
552 MS_DRG Medical Back Problems Without Mcc 2 2 — — $7,936.50 $7,936.50 $7,936.50 2025-01-01
553 MS_DRG Bone Diseases And Arthropathies With Mcc 1 1 — — $8,701.91 $8,701.91 $8,701.91 2025-01-01
557 MS_DRG Tendonitis, Myositis And Bursitis With Mcc 4 4 — — $8,932.52 $8,932.52 $8,932.52 2025-01-01
558 MS_DRG Tendonitis, Myositis And Bursitis Without Mcc 4 3 — — $5,246.47 $5,246.47 $5,246.47 2025-01-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 5 5 — — $15,514.08 $15,514.08 $15,514.08 2025-01-01
560 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Cc 4 3 — — $22,346.88 $22,346.88 $22,346.88 2025-01-01
561 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue Without Cc/Mcc 3 3 — — $6,407.03 $6,407.03 $6,407.03 2025-01-01
5613 OTHER Level 3 Therapeutic Radiation Treatment Preparation 15 11 — — $4,677.18 $4,677.18 $4,677.18 2025-01-01
563 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 3 2 — — $4,815.60 $4,815.60 $4,815.60 2025-01-01
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 8 6 — — $19,244.12 $19,244.12 $19,244.12 2025-01-01
570 MS_DRG Skin Debridement With Mcc 1 1 — — $21,487.14 $21,487.14 $21,487.14 2025-01-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 1 1 — — $13,073.52 $13,073.52 $13,073.52 2025-01-01
58 MS_DRG Multiple Sclerosis And Cerebellar Ataxia With Mcc 1 1 — — $24,357.08 $24,357.08 $24,357.08 2025-01-01
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 3 3 — — $12,553.32 $12,553.32 $12,553.32 2025-01-01
581 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/Mcc 2 2 — — $7,061.96 $7,061.96 $7,061.96 2025-01-01
59 MS_DRG Multiple Sclerosis And Cerebellar Ataxia With Cc 1 1 — — $8,240.81 $8,240.81 $8,240.81 2025-01-01
592 MS_DRG Skin Ulcers With Mcc 1 1 — — $15,254.33 $15,254.33 $15,254.33 2025-01-01
596 MS_DRG Major Skin Disorders Without Mcc 1 1 — — $5,727.02 $5,727.02 $5,727.02 2025-01-01
602 MS_DRG Cellulitis With Mcc 2 2 — — $6,136.99 $6,136.99 $6,136.99 2025-01-01
603 MS_DRG Cellulitis Without Mcc 9 7 — — $5,872.03 $5,872.03 $5,872.03 2025-01-01
606 MS_DRG Minor Skin Disorders With Mcc 1 1 — — $11,492.95 $11,492.95 $11,492.95 2025-01-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 1 1 — — $20,268.65 $20,268.65 $20,268.65 2025-01-01
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 2 2 — — $12,131.64 $12,131.64 $12,131.64 2025-01-01
62 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 1 1 — — $7,201.78 $7,201.78 $7,201.78 2025-01-01
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 3 2 — — $13,527.74 $13,527.74 $13,527.74 2025-01-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 1 1 — — $16,481.00 $16,481.00 $16,481.00 2025-01-01
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 1 1 — — $8,343.08 $8,343.08 $8,343.08 2025-01-01
63 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 2 2 — — $12,246.62 $12,246.62 $12,246.62 2025-01-01
630 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures Without Cc/Mcc 1 1 — — $13,241.34 $13,241.34 $13,241.34 2025-01-01
637 MS_DRG Diabetes With Mcc 1 1 — — $11,280.40 $11,280.40 $11,280.40 2025-01-01
638 MS_DRG Diabetes With Cc 10 6 — — $8,123.49 $8,123.49 $8,123.49 2025-01-01
639 MS_DRG Diabetes Without Cc/Mcc 11 7 — — $4,686.12 $4,686.12 $4,686.12 2025-01-01
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 1 1 — — $15,283.76 $15,283.76 $15,283.76 2025-01-01
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 5 5 — — $11,394.10 $11,394.10 $11,394.10 2025-01-01
641 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou… 6 5 — — $6,072.54 $6,072.54 $6,072.54 2025-01-01
642 MS_DRG Inborn And Other Disorders Of Metabolism 1 1 — — $9,477.14 $9,477.14 $9,477.14 2025-01-01
644 MS_DRG Endocrine Disorders With Cc 2 2 — — $7,604.02 $7,604.02 $7,604.02 2025-01-01
65 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours 5 5 — — $16,562.59 $16,562.59 $16,562.59 2025-01-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 2 2 — — $21,198.06 $21,198.06 $21,198.06 2025-01-01
661 MS_DRG Kidney And Ureter Procedures For Non-neoplasm Without Cc/Mcc 2 2 — — $5,946.31 $5,946.31 $5,946.31 2025-01-01
665 MS_DRG Prostatectomy With Mcc 1 1 — — $12,446.69 $12,446.69 $12,446.69 2025-01-01
669 MS_DRG Transurethral Procedures With Cc 2 2 — — $5,604.45 $5,604.45 $5,604.45 2025-01-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 1 1 — — $29,522.55 $29,522.55 $29,522.55 2025-01-01
68 MS_DRG Nonspecific Cva And Precerebral Occlusion Without Infarction Without Mcc 2 2 — — $8,917.48 $8,917.48 $8,917.48 2025-01-01
682 MS_DRG Renal Failure With Mcc 4 4 — — $9,220.76 $9,220.76 $9,220.76 2025-01-01
684 MS_DRG Renal Failure Without Cc/Mcc 3 3 — — $4,370.35 $4,370.35 $4,370.35 2025-01-01
689 MS_DRG Kidney And Urinary Tract Infections With Mcc 2 2 — — $6,089.50 $6,089.50 $6,089.50 2025-01-01
690 MS_DRG Kidney And Urinary Tract Infections Without Mcc 5 4 — — $6,798.56 $6,798.56 $6,798.56 2025-01-01
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With Mcc 1 1 — — $11,988.96 $11,988.96 $11,988.96 2025-01-01
699 MS_DRG Other Kidney And Urinary Tract Diagnoses With Cc 2 2 — — $9,668.92 $9,668.92 $9,668.92 2025-01-01
70 MS_DRG Nonspecific Cerebrovascular Disorders With Mcc 4 4 — — $17,672.29 $17,672.29 $17,672.29 2025-01-01
71 MS_DRG Nonspecific Cerebrovascular Disorders With Cc 3 3 — — $10,843.17 $10,843.17 $10,843.17 2025-01-01
72 MS_DRG Nonspecific Cerebrovascular Disorders Without Cc/Mcc 1 1 — — $5,290.90 $5,290.90 $5,290.90 2025-01-01
73 MS_DRG Cranial And Peripheral Nerve Disorders With Mcc 1 1 — — $5,522.64 $5,522.64 $5,522.64 2025-01-01
738 OTHER Rasburicase 2 2 — — $14,923.20 $14,923.20 $14,923.20 2025-01-01
74 MS_DRG Cranial And Peripheral Nerve Disorders Without Mcc 4 3 — — $6,182.98 $6,182.98 $6,182.98 2025-01-01
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/Mcc 5 3 — — $17,718.90 $17,718.90 $17,718.90 2025-01-01
743 MS_DRG Uterine And Adnexa Procedures For Non-malignancy Without Cc/Mcc 13 8 — — $11,410.64 $11,410.64 $11,410.64 2025-01-01
745 MS_DRG D&c, Conization, Laparoscopy And Tubal Interruption Without Cc/Mcc 1 1 — — $6,526.48 $6,526.48 $6,526.48 2025-01-01
758 MS_DRG Infections, Female Reproductive System With Cc 2 1 — — $7,497.16 $7,497.16 $7,497.16 2025-01-01
760 MS_DRG Menstrual And Other Female Reproductive System Disorders With Cc/Mcc 1 1 — — $6,976.37 $6,976.37 $6,976.37 2025-01-01
77 MS_DRG Hypertensive Encephalopathy With Mcc 1 1 — — $14,278.01 $14,278.01 $14,278.01 2025-01-01
784 MS_DRG Cesarean Section With Sterilization With Cc 1 1 — — $7,815.16 $7,815.16 $7,815.16 2025-01-01
785 MS_DRG Cesarean Section With Sterilization Without Cc/Mcc 7 4 — — $6,545.15 $6,545.15 $6,545.15 2025-01-01
786 MS_DRG Cesarean Section Without Sterilization With Mcc 3 2 — — $17,673.91 $17,673.91 $17,673.91 2025-01-01
787 MS_DRG Cesarean Section Without Sterilization With Cc 2 2 — — $11,378.18 $11,378.18 $11,378.18 2025-01-01
788 MS_DRG Cesarean Section Without Sterilization Without Cc/Mcc 8 4 — — $7,549.89 $7,549.89 $7,549.89 2025-01-01
789 MS_DRG Neonates, Died Or Transferred To Another Acute Care Facility 2 1 — — $9,065.08 $9,065.08 $9,065.08 2025-01-01
79 MS_DRG Hypertensive Encephalopathy Without Cc/Mcc 1 1 — — $4,315.38 $4,315.38 $4,315.38 2025-01-01
791 MS_DRG Prematurity With Major Problems 1 1 — — $34,844.10 $34,844.10 $34,844.10 2025-01-01
792 MS_DRG Prematurity Without Major Problems 4 1 — — $4,644.23 $4,644.23 $4,644.23 2025-01-01
793 MS_DRG Full Term Neonate With Major Problems 3 2 — — $5,706.73 $5,706.73 $5,706.73 2025-01-01
794 MS_DRG Neonate With Other Significant Problems 5 2 — — $7,974.51 $7,974.51 $7,974.51 2025-01-01
798 MS_DRG Vaginal Delivery With Sterilization And/Or D&c Without Cc/Mcc 2 1 — — $7,391.80 $7,391.80 $7,391.80 2025-01-01
80 MS_DRG Nontraumatic Stupor And Coma With Mcc 1 1 — — $10,515.48 $10,515.48 $10,515.48 2025-01-01
806 MS_DRG Vaginal Delivery Without Sterilization Or D&c With Cc 4 2 — — $7,038.85 $7,038.85 $7,038.85 2025-01-01
807 MS_DRG Vaginal Delivery Without Sterilization Or D&c Without Cc/Mcc 11 7 — — $5,900.44 $5,900.44 $5,900.44 2025-01-01
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 3 3 — — $5,704.47 $5,704.47 $5,704.47 2025-01-01
810 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 1 1 — — $7,055.52 $7,055.52 $7,055.52 2025-01-01
811 MS_DRG Red Blood Cell Disorders With Mcc 3 2 — — $5,293.32 $5,293.32 $5,293.32 2025-01-01
812 MS_DRG Red Blood Cell Disorders Without Mcc 6 6 — — $5,348.70 $5,348.70 $5,348.70 2025-01-01
813 MS_DRG Coagulation Disorders 1 1 — — $15,873.00 $15,873.00 $15,873.00 2025-01-01
815 MS_DRG Reticuloendothelial And Immunity Disorders With Cc 1 1 — — $5,226.98 $5,226.98 $5,226.98 2025-01-01
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 1 1 — — $18,045.12 $18,045.12 $18,045.12 2025-01-01
818 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Cc 1 1 — — $18,328.10 $18,328.10 $18,328.10 2025-01-01
832 MS_DRG Other Antepartum Diagnoses Without O.r. Procedures With Cc 2 2 — — $5,967.98 $5,967.98 $5,967.98 2025-01-01
835 MS_DRG Acute Leukemia With Cc 1 1 — — $7,549.60 $7,549.60 $7,549.60 2025-01-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 2 2 — — $22,055.82 $22,055.82 $22,055.82 2025-01-01
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 4 4 — — $10,138.32 $10,138.32 $10,138.32 2025-01-01
858 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures Without Cc/Mcc 1 1 — — $8,260.24 $8,260.24 $8,260.24 2025-01-01
862 MS_DRG Postoperative And Post-traumatic Infections With Mcc 1 1 — — $17,285.00 $17,285.00 $17,285.00 2025-01-01
864 MS_DRG Fever And Inflammatory Conditions 1 1 — — $5,680.54 $5,680.54 $5,680.54 2025-01-01
865 MS_DRG Viral Illness With Mcc 1 1 — — $7,547.08 $7,547.08 $7,547.08 2025-01-01
866 MS_DRG Viral Illness Without Mcc 2 2 — — $7,004.95 $7,004.95 $7,004.95 2025-01-01
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 1 1 — — $8,057.80 $8,057.80 $8,057.80 2025-01-01
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 2 2 — — $9,082.08 $9,082.08 $9,082.08 2025-01-01
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 9 6 — — $8,297.68 $8,297.68 $8,297.68 2025-01-01
88 MS_DRG Concussion With Mcc 1 1 — — $5,534.96 $5,534.96 $5,534.96 2025-01-01
880 MS_DRG Acute Adjustment Reaction And Psychosocial Dysfunction 3 3 — — $5,611.93 $5,611.93 $5,611.93 2025-01-01
881 MS_DRG Depressive Neuroses 7 4 — — $5,810.31 $5,810.31 $5,810.31 2025-01-01
882 MS_DRG Neuroses Except Depressive 1 1 — — $5,528.72 $5,528.72 $5,528.72 2025-01-01
884 MS_DRG Organic Disturbances And Intellectual Disability 2 2 — — $13,180.59 $13,180.59 $13,180.59 2025-01-01
885 MS_DRG Psychoses 14 9 — — $12,219.30 $12,219.30 $12,219.30 2025-01-01
894 MS_DRG Alcohol, Drug Abuse Or Dependence, Left Ama 1 1 — — $7,165.36 $7,165.36 $7,165.36 2025-01-01
896 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 5 5 — — $9,050.34 $9,050.34 $9,050.34 2025-01-01
897 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc 4 2 — — $6,214.52 $6,214.52 $6,214.52 2025-01-01
9002 OTHER Tenecteplase Injection 6 4 — — $9,817.14 $9,817.14 $9,817.14 2025-01-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 1 1 — — $13,529.42 $13,529.42 $13,529.42 2025-01-01
906 MS_DRG Hand Procedures For Injuries 1 1 — — $13,842.67 $13,842.67 $13,842.67 2025-01-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 1 1 — — $14,808.11 $14,808.11 $14,808.11 2025-01-01
91 MS_DRG Other Disorders Of Nervous System With Mcc 5 5 — — $16,545.17 $16,545.17 $16,545.17 2025-01-01
9126 OTHER Natalizumab Injection 2 2 — — $7,294.18 $7,294.18 $7,294.18 2025-01-01
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 5 4 — — $8,510.39 $8,510.39 $8,510.39 2025-01-01
918 MS_DRG Poisoning And Toxic Effects Of Drugs Without Mcc 5 3 — — $4,810.60 $4,810.60 $4,810.60 2025-01-01
9186 OTHER Inj., Rituximab, 10 Mg 1 1 — — $5,071.87 $5,071.87 $5,071.87 2025-01-01
919 MS_DRG Complications Of Treatment With Mcc 3 3 — — $13,963.78 $13,963.78 $13,963.78 2025-01-01
92 MS_DRG Other Disorders Of Nervous System With Cc 6 5 — — $10,287.13 $10,287.13 $10,287.13 2025-01-01
9214 OTHER Bevacizumab Injection 1 1 — — $5,961.17 $5,961.17 $5,961.17 2025-01-01
9215 OTHER Cetuximab Injection 1 1 — — $5,744.52 $5,744.52 $5,744.52 2025-01-01
922 MS_DRG Other Injury, Poisoning And Toxic Effect Diagnoses With Mcc 1 1 — — $10,717.22 $10,717.22 $10,717.22 2025-01-01
923 MS_DRG Other Injury, Poisoning And Toxic Effect Diagnoses Without Mcc 3 3 — — $4,626.86 $4,626.86 $4,626.86 2025-01-01
9237 OTHER Inj, Lanreotide Acetate 1 1 — — $8,977.99 $8,977.99 $8,977.99 2025-01-01
9255 OTHER Inj, Invega Sustenna, 1 Mg 1 1 — — $5,941.89 $5,941.89 $5,941.89 2025-01-01
9284 OTHER Ipilimumab Injection 3 3 — — $36,703.30 $36,703.30 $36,703.30 2025-01-01
9295 OTHER Injection, Carfilzomib, 1 Mg 1 1 — — $4,594.07 $4,594.07 $4,594.07 2025-01-01
9343 OTHER Inj Givosiran 0.5 Mg 1 1 — — $37,984.36 $37,984.36 $37,984.36 2025-01-01
9347 OTHER Inj Luspatercept-aamt 0.25mg 3 3 — — $8,048.10 $8,048.10 $8,048.10 2025-01-01
9353 OTHER Inj Fam-trastu Deru-nxki 1mg 1 1 — — $10,556.76 $10,556.76 $10,556.76 2025-01-01
9359 OTHER Inj Crizanlizumab-tmca 5mg 2 2 — — $6,115.96 $6,115.96 $6,115.96 2025-01-01
9364 OTHER Inj Enfort Vedo-ejfv 0.25mg 2 2 — — $17,677.90 $17,677.90 $17,677.90 2025-01-01
9378 OTHER Daratumumab, Hyaluronidase 8 8 — — $13,231.00 $13,231.00 $13,231.00 2025-01-01
9453 OTHER Injection, Nivolumab 2 2 — — $10,733.92 $10,733.92 $10,733.92 2025-01-01
947 MS_DRG Signs And Symptoms With Mcc 1 1 — — $4,476.40 $4,476.40 $4,476.40 2025-01-01
9476 OTHER Injection, Daratumumab 10 Mg 2 1 — — $10,268.50 $10,268.50 $10,268.50 2025-01-01
9483 OTHER Inj, Atezolizumab,10 Mg 4 2 — — $6,495.98 $6,495.98 $6,495.98 2025-01-01
949 MS_DRG Aftercare With Cc/Mcc 2 2 — — $16,395.25 $16,395.25 $16,395.25 2025-01-01
9492 OTHER Inj., Durvalumab, 10 Mg 5 5 — — $9,306.77 $9,306.77 $9,306.77 2025-01-01
9494 OTHER Injection, Ocrelizumab 1 1 — — $14,721.12 $14,721.12 $14,721.12 2025-01-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 1 1 — — $50,264.69 $50,264.69 $50,264.69 2025-01-01
950 MS_DRG Aftercare Without Cc/Mcc 2 2 — — $8,449.75 $8,449.75 $8,449.75 2025-01-01
951 MS_DRG Other Factors Influencing Health Status 2 2 — — $5,088.93 $5,088.93 $5,088.93 2025-01-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 1 1 — — $15,654.90 $15,654.90 $15,654.90 2025-01-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 1 1 — — $21,710.00 $21,710.00 $21,710.00 2025-01-01
974 MS_DRG HIV With Major Related Condition With Mcc 1 1 — — $25,231.53 $25,231.53 $25,231.53 2025-01-01
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 2 2 — — $11,996.62 $11,996.62 $11,996.62 2025-01-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 1 1 — — $10,971.36 $10,971.36 $10,971.36 2025-01-01
983 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/Mcc 2 2 — — $13,728.50 $13,728.50 $13,728.50 2025-01-01
988 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 2 2 — — $11,312.27 $11,312.27 $11,312.27 2025-01-01
999 MS_DRG Ungroupable 1 1 — — $7,561.38 $7,561.38 $7,561.38 2025-01-01
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