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Hospital

PALOMAR HEALTH DOWNTOWN CAMPUS

Escondido, CA · CCN 050115 · Rates published

811 distinct procedures filed
100 distinct payers
14,336 rate rows
2025-11-01 last MRF observed
Data quality

5,557 of 14,336 rate rows are consumer-grade (38.8%)

8,779 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 8,096
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 640
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 43
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://hospitalpricedisclosure.com/Download.aspx?pxi=6zygLFNJwULWEO0nVbhl5Q*-*&f=iFd*_*cEPwhQHJy3lVvHy9uQ*-*
Found on page https://HospitalPriceDisclosure.com/Default.aspx?ci=tWKNrFY5HZER1VRkXeC4JQ*-*
Discovered viaCMS hospital list
Last fetch success · 2026-08-18
Content fingerprint 2e720a63715796e7… · 15,669,735 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
791
MS_DRG 		Prematurity With Major Problems 2 $48,810.89 $373,915.45 $211,363.17 nat. median
$34,510
outlier · 6.1×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 11 $16,051.77 $1,582,729.61 $171,188.21 nat. median
$199,832
0.9× median
799
MS_DRG 		Splenic Procedures With Mcc 2 $7,789.85 $332,045.45 $169,917.65 nat. median
$44,811
outlier · 3.8×
959
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 4 $11,427.28 $516,549.25 $145,484.86 nat. median
$27,330
outlier · 5.3×
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 1 $135,430.00 $135,430.00 $135,430.00 nat. median
$59,257
outlier · 2.3×
901
MS_DRG 		Wound Debridements For Injuries With Mcc 2 $16,943.25 $244,467.13 $130,705.19 nat. median
$41,186
outlier · 3.2×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 7 $1,050.00 $322,051.87 $127,364.71 nat. median
$261,939
outlier · 0.5×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 9 $68,299.83 $156,377.73 $121,037.95 nat. median
$132,706
0.9× median
5165
OTHER 		Level 5 ENT Procedures 1 $110,347.86 $110,347.86 $110,347.86 nat. median
$6,222
outlier · 17.7×
519
MS_DRG 		Back And Neck Procedures Except Spinal Fusion With Cc 2 $11,484.34 $109,133.06 $109,133.06 nat. median
$20,309
outlier · 5.4×
264
MS_DRG 		Other Circulatory System O.r. Procedures 5 $1,250.10 $275,720.53 $101,747.29 nat. median
$32,666
outlier · 3.1×
458
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 $92,701.29 $92,701.29 $92,701.29 nat. median
$42,100
outlier · 2.2×
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 2 $54,428.30 $116,009.08 $85,218.69 nat. median
$64,357
1.3× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 4 $12,584.00 $101,557.07 $84,067.01 nat. median
$83,623
1.0× median
827
MS_DRG 		Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r.… 1 $83,900.00 $83,900.00 $83,900.00 nat. median
$23,304
outlier · 3.6×
620
MS_DRG 		O.r. Procedures For Obesity With Cc 1 $83,467.67 $83,467.67 $83,467.67 nat. median
$17,117
outlier · 4.9×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 8 $3,453.42 $246,907.68 $80,798.20 nat. median
$74,472
1.1× median
220
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 5 $24,795.40 $122,067.00 $80,308.14 nat. median
$52,372
1.5× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 2 $38,970.06 $391,319.99 $79,146.56 nat. median
$79,040
1.0× median
800
MS_DRG 		Splenic Procedures With Cc 3 $55,149.24 $144,740.00 $74,910.29 nat. median
$27,862
outlier · 2.7×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 2 $66,684.25 $80,862.24 $73,773.24 nat. median
$68,581
1.1× median
21
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 1 $72,871.44 $72,871.44 $72,871.44 nat. median
$54,267
1.3× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 9 $1,632.00 $219,378.72 $71,622.16 nat. median
$62,218
1.2× median
577
MS_DRG 		Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 2 $25,413.91 $117,150.00 $71,281.96 nat. median
$26,033
outlier · 2.7×
11
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 1 $70,240.95 $70,240.95 $70,240.95 nat. median
$52,447
1.3× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 11 $10,928.65 $661,808.97 $69,073.27 nat. median
$71,485
1.0× median
424
MS_DRG 		Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 2 $9,746.78 $127,842.00 $68,794.39 nat. median
$22,169
outlier · 3.1×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 8 $1,925.70 $130,117.24 $68,776.29 nat. median
$92,900
0.7× median
958
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Cc 15 $27,696.89 $543,230.25 $68,181.95 nat. median
$40,773
1.7× median
215
MS_DRG 		Other Heart Assist System Implant 4 $13,563.00 $67,532.72 $66,636.20 nat. median
$98,002
0.7× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 3 $62,144.26 $117,528.05 $65,744.84 nat. median
$108,240
0.6× median
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 1 $64,650.18 $64,650.18 $64,650.18 nat. median
$57,082
1.1× median
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 3 $47,504.00 $80,387.90 $62,170.35 nat. median
$57,394
1.1× median
904
MS_DRG 		Skin Grafts For Injuries With Cc/Mcc 4 $11,492.35 $198,553.68 $59,581.19 nat. median
$36,046
1.7× median
656
MS_DRG 		Kidney And Ureter Procedures For Neoplasm With Mcc 1 $58,987.44 $58,987.44 $58,987.44 nat. median
$31,438
1.9× median
1712
OTHER 		Paclitaxel Protein Bound 1 $58,388.28 $58,388.28 $58,388.28 nat. median
$13
outlier · 4376.9×
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 4 $1,575.00 $67,495.06 $57,743.15 nat. median
$60,162
1.0× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 8 $2,450.00 $150,258.00 $57,436.00 nat. median
$65,958
0.9× median
5378
OTHER 		Level 8 Urology And Related Services 1 $55,684.89 $55,684.89 $55,684.89 nat. median
$21,354
outlier · 2.6×
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 9 $35,288.74 $203,926.32 $55,303.76 nat. median
$55,685
1.0× median
834
MS_DRG 		Acute Leukemia With Mcc 1 $54,882.91 $54,882.91 $54,882.91 nat. median
$52,155
1.1× median
653
MS_DRG 		Major Bladder Procedures With Mcc 1 $54,057.98 $54,057.98 $54,057.98 nat. median
$51,176
1.1× median
576
MS_DRG 		Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 3 $15,908.32 $54,445.97 $52,343.69 nat. median
$48,311
1.1× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 6 $42,867.04 $81,378.00 $52,036.30 nat. median
$73,475
0.7× median
270
MS_DRG 		Other Major Cardiovascular Procedures With Mcc 10 $4,139.66 $281,778.27 $49,597.39 nat. median
$50,808
1.0× median
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 1 $48,810.89 $48,810.89 $48,810.89 nat. median
$51,433
0.9× median
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 22 $1,654.00 $895,324.67 $48,553.52 nat. median
$47,707
1.0× median
9453
OTHER 		Injection, Nivolumab 4 $3,685.46 $77,068.01 $48,313.90 nat. median
$34
outlier · 1424.8×
9013
OTHER 		Inj Risankizumab-rzaa?1 Mg 2 $10,202.54 $85,657.85 $47,930.19 nat. median
$15
outlier · 3126.6×
267
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 3 $3,837.95 $47,943.76 $47,922.77 nat. median
$47,266
1.0× median

Other procedures at this hospital

Browse this hospital's 811 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
             
791 MS_DRG Prematurity With Major Problems 2 2 — — $48,810.89 $373,915.45 $211,363.17 2025-11-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 12 11 — — $16,051.77 $1,582,729.61 $171,188.21 2025-11-01
799 MS_DRG Splenic Procedures With Mcc 2 2 — — $7,789.85 $332,045.45 $169,917.65 2025-11-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 4 4 — — $11,427.28 $516,549.25 $145,484.86 2025-11-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 1 1 — — $135,430.00 $135,430.00 $135,430.00 2025-11-01
901 MS_DRG Wound Debridements For Injuries With Mcc 2 2 — — $16,943.25 $244,467.13 $130,705.19 2025-11-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 8 7 — — $1,050.00 $322,051.87 $127,364.71 2025-11-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 9 9 — — $68,299.83 $156,377.73 $121,037.95 2025-11-01
5165 OTHER Level 5 ENT Procedures 1 1 — — $110,347.86 $110,347.86 $110,347.86 2025-11-01
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 3 2 — — $11,484.34 $109,133.06 $109,133.06 2025-11-01
264 MS_DRG Other Circulatory System O.r. Procedures 6 5 — — $1,250.10 $275,720.53 $101,747.29 2025-11-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 1 — — $92,701.29 $92,701.29 $92,701.29 2025-11-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 2 2 — — $54,428.30 $116,009.08 $85,218.69 2025-11-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 4 4 — — $12,584.00 $101,557.07 $84,067.01 2025-11-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 1 1 — — $83,900.00 $83,900.00 $83,900.00 2025-11-01
620 MS_DRG O.r. Procedures For Obesity With Cc 2 1 — — $83,467.67 $83,467.67 $83,467.67 2025-11-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 10 8 — — $3,453.42 $246,907.68 $80,798.20 2025-11-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 5 5 — — $24,795.40 $122,067.00 $80,308.14 2025-11-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 3 2 — — $38,970.06 $391,319.99 $79,146.56 2025-11-01
800 MS_DRG Splenic Procedures With Cc 3 3 — — $55,149.24 $144,740.00 $74,910.29 2025-11-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 2 2 — — $66,684.25 $80,862.24 $73,773.24 2025-11-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 1 1 — — $72,871.44 $72,871.44 $72,871.44 2025-11-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 9 9 — — $1,632.00 $219,378.72 $71,622.16 2025-11-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 2 2 — — $25,413.91 $117,150.00 $71,281.96 2025-11-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 1 1 — — $70,240.95 $70,240.95 $70,240.95 2025-11-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 12 11 — — $10,928.65 $661,808.97 $69,073.27 2025-11-01
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 2 2 — — $9,746.78 $127,842.00 $68,794.39 2025-11-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 8 8 — — $1,925.70 $130,117.24 $68,776.29 2025-11-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 16 15 — — $27,696.89 $543,230.25 $68,181.95 2025-11-01
215 MS_DRG Other Heart Assist System Implant 4 4 — — $13,563.00 $67,532.72 $66,636.20 2025-11-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 3 3 — — $62,144.26 $117,528.05 $65,744.84 2025-11-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 1 1 — — $64,650.18 $64,650.18 $64,650.18 2025-11-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 3 3 — — $47,504.00 $80,387.90 $62,170.35 2025-11-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 4 4 — — $11,492.35 $198,553.68 $59,581.19 2025-11-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 1 1 — — $58,987.44 $58,987.44 $58,987.44 2025-11-01
1712 OTHER Paclitaxel Protein Bound 1 1 — — $58,388.28 $58,388.28 $58,388.28 2025-11-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 5 4 — — $1,575.00 $67,495.06 $57,743.15 2025-11-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 11 8 — — $2,450.00 $150,258.00 $57,436.00 2025-11-01
5378 OTHER Level 8 Urology And Related Services 1 1 — — $55,684.89 $55,684.89 $55,684.89 2025-11-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 10 9 — — $35,288.74 $203,926.32 $55,303.76 2025-11-01
834 MS_DRG Acute Leukemia With Mcc 1 1 — — $54,882.91 $54,882.91 $54,882.91 2025-11-01
653 MS_DRG Major Bladder Procedures With Mcc 1 1 — — $54,057.98 $54,057.98 $54,057.98 2025-11-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 3 3 — — $15,908.32 $54,445.97 $52,343.69 2025-11-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 7 6 — — $42,867.04 $81,378.00 $52,036.30 2025-11-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 10 10 — — $4,139.66 $281,778.27 $49,597.39 2025-11-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 1 1 — — $48,810.89 $48,810.89 $48,810.89 2025-11-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 25 22 — — $1,654.00 $895,324.67 $48,553.52 2025-11-01
9453 OTHER Injection, Nivolumab 5 4 — — $3,685.46 $77,068.01 $48,313.90 2025-11-01
9013 OTHER Inj Risankizumab-rzaa?1 Mg 2 2 — — $10,202.54 $85,657.85 $47,930.19 2025-11-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 3 3 — — $3,837.95 $47,943.76 $47,922.77 2025-11-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 2 2 — — $36,561.68 $58,759.35 $47,660.51 2025-11-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 4 4 — — $29,021.10 $55,492.60 $46,891.77 2025-11-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 1 1 — — $46,773.90 $46,773.90 $46,773.90 2025-11-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 2 2 — — $16,992.29 $75,873.51 $46,432.90 2025-11-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 3 3 — — $1,086.02 $45,478.32 $45,270.26 2025-11-01
471 MS_DRG Cervical Spinal Fusion With Mcc 5 4 — — $2,430.61 $85,067.92 $44,544.95 2025-11-01
9390 OTHER Pertuzu, Trastuzu, 10 Mg 5 4 — — $11,854.31 $113,535.29 $44,357.21 2025-11-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 1 1 — — $44,114.64 $44,114.64 $44,114.64 2025-11-01
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 2 2 — — $9,755.79 $77,892.92 $43,824.36 2025-11-01
163 MS_DRG Major Chest Procedures With Mcc 10 7 — — $24,726.65 $144,504.61 $43,627.60 2025-11-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 13 12 — — $30,843.51 $739,730.96 $43,498.22 2025-11-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 3 3 — — $32,134.99 $45,400.96 $43,199.85 2025-11-01
28 MS_DRG Spinal Procedures With Mcc 5 5 — — $31,657.47 $76,193.96 $42,104.44 2025-11-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 12 12 — — $2,297.80 $348,292.92 $41,828.00 2025-11-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 4 4 — — $25,883.88 $175,619.83 $40,903.22 2025-11-01
336 MS_DRG Peritoneal Adhesiolysis With Cc 2 2 — — $13,788.73 $67,410.00 $40,599.37 2025-11-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 10 10 — — $18,073.00 $123,896.00 $40,022.68 2025-11-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 1 1 — — $40,012.61 $40,012.61 $40,012.61 2025-11-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 1 1 — — $39,873.22 $39,873.22 $39,873.22 2025-11-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 2 2 — — $19,037.92 $59,609.23 $39,323.57 2025-11-01
122 MS_DRG Acute Major Eye Infections Without Cc/Mcc 1 1 — — $39,205.00 $39,205.00 $39,205.00 2025-11-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 1 1 — — $39,191.32 $39,191.32 $39,191.32 2025-11-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 3 3 — — $3,391.52 $51,777.59 $38,864.96 2025-11-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 10 8 — — $17,352.62 $66,042.23 $38,740.41 2025-11-01
9131 OTHER Inj, Ado-trastuzumab Emt 1mg 2 1 — — $38,034.48 $38,034.48 $38,034.48 2025-11-01
621 MS_DRG O.r. Procedures For Obesity Without Cc/Mcc 3 2 — — $33,972.00 $37,739.22 $37,739.22 2025-11-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 1 1 — — $37,725.67 $37,725.67 $37,725.67 2025-11-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 13 12 — — $1,400.00 $406,945.80 $37,679.72 2025-11-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 3 3 — — $34,855.71 $203,866.00 $37,616.04 2025-11-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 4 4 — — $24,090.68 $1,022,871.92 $37,407.26 2025-11-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 10 8 — — $1,747.00 $108,105.33 $37,398.75 2025-11-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 2 2 — — $35,389.16 $39,205.00 $37,297.08 2025-11-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 8 7 — — $1,632.00 $494,651.18 $36,975.24 2025-11-01
90 MS_DRG Concussion Without Cc/Mcc 2 2 — — $9,803.84 $63,658.19 $36,731.01 2025-11-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 5 4 — — $9,498.00 $47,379.49 $35,295.35 2025-11-01
9353 OTHER Inj Fam-trastu Deru-nxki 1mg 2 2 — — $9,121.03 $60,340.31 $34,730.67 2025-11-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 4 4 — — $15,086.57 $160,259.76 $34,563.88 2025-11-01
9057 OTHER Inj Nivol Relatlimab 3mg/1mg 2 2 — — $31,404.24 $36,780.90 $34,092.57 2025-11-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 3 3 — — $24,060.04 $80,579.55 $34,063.64 2025-11-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 2 2 — — $3,336.49 $64,477.21 $33,906.85 2025-11-01
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 2 2 — — $8,489.73 $59,021.53 $33,755.63 2025-11-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 1 1 — — $33,634.00 $33,634.00 $33,634.00 2025-11-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 4 4 — — $21,729.56 $42,104.44 $33,567.14 2025-11-01
75 MS_DRG Viral Meningitis With Cc/Mcc 1 1 — — $33,560.00 $33,560.00 $33,560.00 2025-11-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 3 3 — — $17,353.60 $42,932.44 $32,968.27 2025-11-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 7 7 — — $5,214.55 $42,252.21 $32,885.24 2025-11-01
99 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis Without Cc/Mcc 4 3 — — $11,578.78 $71,639.94 $32,736.87 2025-11-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 8 7 — — $1,246.98 $53,842.74 $32,347.11 2025-11-01
696 MS_DRG Kidney And Urinary Tract Signs And Symptoms Without Mcc 3 2 — — $4,428.18 $32,029.98 $32,029.98 2025-11-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 7 7 — — $7,841.00 $246,322.33 $31,946.65 2025-11-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 5 5 — — $28,326.37 $67,335.07 $31,923.21 2025-11-01
835 MS_DRG Acute Leukemia With Cc 2 2 — — $4,005.00 $59,587.23 $31,796.12 2025-11-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 1 1 — — $31,725.77 $31,725.77 $31,725.77 2025-11-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 18 17 — — $1,957.68 $104,065.14 $31,719.05 2025-11-01
9195 OTHER Injection, Udenyca 0.5 Mg 1 1 — — $31,654.55 $31,654.55 $31,654.55 2025-11-01
488 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection With Cc/Mcc 11 10 — — $2,790.00 $185,464.27 $31,364.00 2025-11-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $31,220.57 $31,220.57 $31,220.57 2025-11-01
570 MS_DRG Skin Debridement With Mcc 4 4 — — $11,904.78 $218,076.98 $30,535.40 2025-11-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 5 5 — — $1,632.00 $38,896.09 $30,455.00 2025-11-01
164 MS_DRG Major Chest Procedures With Cc 6 6 — — $4,975.49 $184,803.77 $30,125.51 2025-11-01
141 MS_DRG Major Head And Neck Procedures With Cc 1 1 — — $29,802.84 $29,802.84 $29,802.84 2025-11-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 3 3 — — $16,303.46 $31,101.21 $29,485.53 2025-11-01
5213 OTHER Level 3 Electrophysiologic Procedures 21 20 — — $15.02 $112,141.82 $29,157.08 2025-11-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 5 5 — — $19,489.95 $51,216.07 $29,021.10 2025-11-01
5231 OTHER Level 1 Icd And Similar Procedures 2 2 — — $28,861.92 $28,894.55 $28,878.24 2025-11-01
626 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Cc 1 1 — — $28,672.62 $28,672.62 $28,672.62 2025-11-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 5 4 — — $26,313.01 $401,233.75 $28,607.34 2025-11-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 22 19 — — $1,308.19 $141,483.00 $28,540.77 2025-11-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 3 3 — — $23,969.96 $31,942.85 $28,532.71 2025-11-01
843 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 1 1 — — $28,493.14 $28,493.14 $28,493.14 2025-11-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 2 2 — — $27,992.78 $28,684.33 $28,338.56 2025-11-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 4 3 — — $1,068.59 $46,068.10 $28,197.69 2025-11-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 5 5 — — $17,439.18 $47,949.93 $28,143.32 2025-11-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 3 3 — — $1,603.49 $37,430.60 $28,143.31 2025-11-01
37 MS_DRG Extracranial Procedures With Mcc 3 3 — — $20,514.58 $32,543.96 $28,044.16 2025-11-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 11 11 — — $1,512.17 $55,925.29 $28,023.00 2025-11-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 2 2 — — $19,118.20 $36,858.80 $27,988.50 2025-11-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 5 3 — — $24,903.39 $143,773.16 $27,744.80 2025-11-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 1 1 — — $27,616.27 $27,616.27 $27,616.27 2025-11-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 5 5 — — $11,083.35 $41,015.51 $27,534.66 2025-11-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 3 3 — — $22,447.06 $187,659.00 $27,440.00 2025-11-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 2 2 — — $17,466.64 $37,331.18 $27,398.91 2025-11-01
668 MS_DRG Transurethral Procedures With Mcc 2 2 — — $26,412.47 $28,008.94 $27,210.71 2025-11-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 8 8 — — $20,222.44 $375,108.00 $27,128.83 2025-11-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 6 6 — — $21,220.09 $28,395.74 $26,705.35 2025-11-01
500 MS_DRG Soft Tissue Procedures With Mcc 6 5 — — $14,864.47 $216,818.00 $26,636.97 2025-11-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 9 7 — — $1,319.81 $259,474.31 $26,619.08 2025-11-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 6 6 — — $7,970.62 $31,194.01 $26,477.19 2025-11-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 13 13 — — $9,199.00 $174,831.48 $26,297.43 2025-11-01
654 MS_DRG Major Bladder Procedures With Cc 1 1 — — $26,239.00 $26,239.00 $26,239.00 2025-11-01
252 MS_DRG Other Vascular Procedures With Mcc 7 7 — — $20,780.46 $35,852.54 $25,711.40 2025-11-01
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 3 3 — — $11,076.28 $59,920.00 $25,618.89 2025-11-01
472 MS_DRG Cervical Spinal Fusion With Cc 4 4 — — $18,503.65 $185,844.00 $25,607.88 2025-11-01
245 MS_DRG Aicd Generator Procedures 1 1 — — $25,569.01 $25,569.01 $25,569.01 2025-11-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 3 3 — — $1,207.98 $26,472.91 $25,341.01 2025-11-01
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 2 2 — — $18,860.45 $31,597.04 $25,228.75 2025-11-01
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 1 1 — — $25,216.00 $25,216.00 $25,216.00 2025-11-01
465 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 6 6 — — $5,756.19 $54,484.08 $24,937.50 2025-11-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 4 4 — — $2,053.93 $25,402.84 $24,648.56 2025-11-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 3 3 — — $15,682.00 $25,281.64 $24,535.57 2025-11-01
662 MS_DRG Minor Bladder Procedures With Mcc 2 2 — — $14,478.72 $34,210.08 $24,344.40 2025-11-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 2 2 — — $3,365.40 $45,001.49 $24,183.44 2025-11-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 3 3 — — $20,241.68 $29,382.40 $24,171.20 2025-11-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 2 2 — — $16,146.53 $31,739.00 $23,942.76 2025-11-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 6 6 — — $3,399.58 $67,815.00 $23,904.02 2025-11-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 22 19 — — $14,263.06 $400,668.35 $23,857.10 2025-11-01
5224 OTHER Level 4 Pacemaker And Similar Procedures 3 3 — — $11,286.59 $23,783.12 $23,753.73 2025-11-01
686 MS_DRG Kidney And Urinary Tract Neoplasms With Mcc 1 1 — — $23,523.00 $23,523.00 $23,523.00 2025-11-01
251 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc 2 2 — — $16,012.46 $30,984.00 $23,498.23 2025-11-01
503 MS_DRG Foot Procedures With Mcc 2 2 — — $22,489.78 $24,391.93 $23,440.85 2025-11-01
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 4 3 — — $21,737.95 $60,374.70 $23,421.64 2025-11-01
9284 OTHER Ipilimumab Injection 3 3 — — $17,313.97 $27,434.02 $23,294.74 2025-11-01
347 MS_DRG Anal And Stomal Procedures With Mcc 1 1 — — $23,283.13 $23,283.13 $23,283.13 2025-11-01
5116 OTHER Level 6 Musculoskeletal Procedures 13 13 — — $1,213.83 $51,439.26 $23,121.90 2025-11-01
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 13 13 — — $11,994.13 $554,391.70 $22,899.54 2025-11-01
614 MS_DRG Adrenal And Pituitary Procedures With Cc/Mcc 2 2 — — $11,245.82 $34,285.88 $22,765.85 2025-11-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 2 2 — — $19,512.56 $25,951.69 $22,732.12 2025-11-01
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 3 2 — — $9,918.31 $22,646.33 $22,545.28 2025-11-01
35 MS_DRG Carotid Artery Stent Procedures With Cc 2 2 — — $22,404.99 $22,531.74 $22,468.37 2025-11-01
815 MS_DRG Reticuloendothelial And Immunity Disorders With Cc 2 2 — — $8,310.47 $36,402.92 $22,356.69 2025-11-01
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 8 7 — — $20,588.45 $60,429.93 $22,283.69 2025-11-01
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 2 2 — — $10,924.02 $33,028.29 $21,976.15 2025-11-01
5471 OTHER Implantation Of Drug Infusion Device 3 3 — — $1,632.00 $25,113.71 $21,926.27 2025-11-01
974 MS_DRG HIV With Major Related Condition With Mcc 5 5 — — $13,796.06 $29,129.25 $21,901.71 2025-11-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 3 3 — — $3,103.76 $40,415.89 $21,821.64 2025-11-01
535 MS_DRG Fractures Of Hip And Pelvis With Mcc 2 2 — — $13,468.44 $29,769.31 $21,618.88 2025-11-01
999 MS_DRG Ungroupable 8 7 — — $2,074.90 $39,999.33 $21,614.35 2025-11-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 11 11 — — $7,856.00 $50,992.00 $21,604.73 2025-11-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 11 11 — — $11,873.69 $76,038.89 $21,577.38 2025-11-01
615 MS_DRG Adrenal And Pituitary Procedures Without Cc/Mcc 1 1 — — $21,540.17 $21,540.17 $21,540.17 2025-11-01
9455 OTHER Injection, Siltuximab 2 2 — — $15,809.54 $26,863.26 $21,336.40 2025-11-01
496 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 2 2 — — $9,565.62 $33,078.07 $21,321.85 2025-11-01
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 13 11 — — $9,497.50 $135,672.14 $21,261.87 2025-11-01
314 MS_DRG Other Circulatory System Diagnoses With Mcc 11 10 — — $7,018.96 $119,468.46 $21,243.28 2025-11-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 7 7 — — $5,244.72 $48,221.77 $21,136.20 2025-11-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 4 3 — — $19,393.56 $42,077.47 $21,044.56 2025-11-01
53 MS_DRG Spinal Disorders And Injuries Without Cc/Mcc 1 1 — — $21,008.87 $21,008.87 $21,008.87 2025-11-01
9304 OTHER Inj., Cemiplimab-rwlc, 1 Mg 4 4 — — $6,692.60 $90,608.00 $20,940.67 2025-11-01
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 13 12 — — $1,054.90 $146,650.91 $20,918.07 2025-11-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 2 2 — — $9,609.96 $32,051.23 $20,830.60 2025-11-01
386 MS_DRG Inflammatory Bowel Disease With Cc 6 6 — — $6,196.29 $59,409.29 $20,755.12 2025-11-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 4 4 — — $2,951.13 $28,492.57 $20,554.94 2025-11-01
575 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis Without Cc/Mcc 1 1 — — $20,549.44 $20,549.44 $20,549.44 2025-11-01
825 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures Without Cc/Mcc 1 1 — — $20,356.44 $20,356.44 $20,356.44 2025-11-01
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 6 5 — — $11,589.57 $36,377.54 $20,165.28 2025-11-01
9436 OTHER Inj Pegfilgrast Ex Bio 0.5mg 6 5 — — $2,199.24 $42,080.85 $19,948.10 2025-11-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 2 2 — — $7,841.00 $32,041.81 $19,941.40 2025-11-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 1 1 — — $19,924.62 $19,924.62 $19,924.62 2025-11-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 5 4 — — $12,852.70 $27,913.56 $19,909.82 2025-11-01
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 22 18 — — $6,551.20 $60,068.13 $19,860.79 2025-11-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 6 6 — — $16,033.43 $28,188.58 $19,796.00 2025-11-01
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 14 12 — — $12,678.40 $136,634.80 $19,792.36 2025-11-01
80 MS_DRG Nontraumatic Stupor And Coma With Mcc 1 1 — — $19,676.37 $19,676.37 $19,676.37 2025-11-01
283 MS_DRG Acute Myocardial Infarction, Expired With Mcc 8 8 — — $9,022.00 $278,999.95 $19,603.27 2025-11-01
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 43 37 — — $7,084.81 $91,174.80 $19,509.96 2025-11-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 11 11 — — $1,676.00 $72,630.40 $19,370.42 2025-11-01
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 19 18 — — $1,000.00 $75,860.00 $19,293.80 2025-11-01
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 11 9 — — $2,542.10 $55,234.19 $19,157.62 2025-11-01
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 11 10 — — $10,246.21 $42,043.84 $19,132.63 2025-11-01
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 27 24 — — $12,594.00 $108,241.66 $19,131.90 2025-11-01
744 MS_DRG D&c, Conization, Laparoscopy And Tubal Interruption With Cc/Mcc 5 5 — — $7,563.82 $41,940.55 $18,985.61 2025-11-01
906 MS_DRG Hand Procedures For Injuries 2 2 — — $15,908.32 $22,057.33 $18,982.83 2025-11-01
93 MS_DRG Other Disorders Of Nervous System Without Cc/Mcc 7 6 — — $2,558.04 $21,940.28 $18,891.00 2025-11-01
9378 OTHER Daratumumab, Hyaluronidase 4 4 — — $5,442.12 $32,561.17 $18,879.38 2025-11-01
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/Mcc 21 19 — — $7,030.90 $110,797.79 $18,696.95 2025-11-01
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 7 6 — — $1,632.00 $23,523.00 $18,694.12 2025-11-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 3 3 — — $11,741.08 $199,374.32 $18,597.74 2025-11-01
862 MS_DRG Postoperative And Post-traumatic Infections With Mcc 12 11 — — $7,046.34 $49,264.23 $18,449.76 2025-11-01
9377 OTHER Inj. Isatuximab-irfc 10 Mg 2 2 — — $13,923.63 $22,957.55 $18,440.59 2025-11-01
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/Mcc 8 8 — — $13,958.57 $54,429.74 $18,248.64 2025-11-01
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 14 13 — — $8,958.06 $45,452.40 $18,089.79 2025-11-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 4 4 — — $10,021.02 $23,799.36 $17,984.72 2025-11-01
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 7 7 — — $5,454.73 $20,070.06 $17,972.49 2025-11-01
5194 OTHER Level 4 Endovascular Procedures 7 6 — — $143.40 $22,393.01 $17,847.19 2025-11-01
489 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection Without Cc/Mcc 7 5 — — $7,134.65 $38,582.98 $17,816.74 2025-11-01
62 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 5 5 — — $8,383.55 $86,301.40 $17,729.16 2025-11-01
199 MS_DRG Pneumothorax With Mcc 5 5 — — $6,167.55 $53,049.06 $17,637.46 2025-11-01
597 MS_DRG Malignant Breast Disorders With Mcc 1 1 — — $17,575.80 $17,575.80 $17,575.80 2025-11-01
253 MS_DRG Other Vascular Procedures With Cc 7 7 — — $12,242.39 $25,511.47 $17,559.80 2025-11-01
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 7 6 — — $6,486.22 $71,261.85 $17,413.51 2025-11-01
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 2 2 — — $16,524.76 $18,083.49 $17,304.12 2025-11-01
487 MS_DRG Knee Procedures With Principal Diagnosis Of Infection Without Cc/Mcc 2 2 — — $10,834.04 $23,710.89 $17,272.47 2025-11-01
183 MS_DRG Major Chest Trauma With Mcc 10 10 — — $2,977.29 $91,922.00 $17,251.54 2025-11-01
665 MS_DRG Prostatectomy With Mcc 1 1 — — $17,208.49 $17,208.49 $17,208.49 2025-11-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 5 5 — — $1,845.94 $22,313.86 $17,105.38 2025-11-01
551 MS_DRG Medical Back Problems With Mcc 11 9 — — $6,607.26 $154,870.00 $17,079.80 2025-11-01
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/Mcc 6 5 — — $11,487.34 $59,737.74 $17,046.75 2025-11-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 6 6 — — $7,453.57 $39,205.00 $17,035.13 2025-11-01
100 MS_DRG Seizures With Mcc 13 11 — — $4,952.00 $68,325.40 $17,012.56 2025-11-01
975 MS_DRG HIV With Major Related Condition With Cc 2 2 — — $9,011.12 $24,929.13 $16,970.12 2025-11-01
803 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Cc 1 1 — — $16,921.06 $16,921.06 $16,921.06 2025-11-01
296 MS_DRG Cardiac Arrest, Unexplained With Mcc 3 3 — — $16,294.30 $59,576.24 $16,751.60 2025-11-01
841 MS_DRG Lymphoma And Non-acute Leukemia With Cc 2 2 — — $9,791.80 $23,699.67 $16,745.74 2025-11-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 7 7 — — $5,033.60 $24,578.13 $16,741.88 2025-11-01
334 MS_DRG Rectal Resection Without Cc/Mcc 2 2 — — $13,192.88 $20,136.00 $16,664.44 2025-11-01
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 7 7 — — $6,597.86 $56,191.78 $16,624.73 2025-11-01
5115 OTHER Level 5 Musculoskeletal Procedures 37 33 — — $5.67 $45,327.25 $16,580.93 2025-11-01
548 MS_DRG Septic Arthritis With Mcc 3 3 — — $14,038.80 $18,332.06 $16,506.86 2025-11-01
545 MS_DRG Connective Tissue Disorders With Mcc 4 4 — — $9,918.31 $28,608.04 $16,474.10 2025-11-01
9336 OTHER Inj Truxima 10 Mg 6 5 — — $2,760.83 $39,063.75 $16,437.54 2025-11-01
786 MS_DRG Cesarean Section Without Sterilization With Mcc 11 11 — — $7,321.59 $65,870.00 $16,370.50 2025-11-01
711 MS_DRG Testes Procedures With Cc/Mcc 2 2 — — $10,701.62 $22,024.97 $16,363.30 2025-11-01
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 17 14 — — $2,790.00 $82,240.49 $16,332.26 2025-11-01
393 MS_DRG Other Digestive System Diagnoses With Mcc 9 8 — — $6,014.42 $19,199.51 $16,290.64 2025-11-01
913 MS_DRG Traumatic Injury With Mcc 1 1 — — $16,263.49 $16,263.49 $16,263.49 2025-11-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 2 2 — — $14,210.79 $18,285.09 $16,247.94 2025-11-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 7 6 — — $15,432.00 $317,803.22 $16,230.48 2025-11-01
177 MS_DRG Respiratory Infections And Inflammations With Mcc 20 18 — — $2,488.16 $87,175.18 $16,225.35 2025-11-01
415 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 2 2 — — $14,147.96 $18,271.50 $16,209.73 2025-11-01
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 9 7 — — $5,098.02 $22,684.38 $16,166.00 2025-11-01
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 7 6 — — $8,706.33 $201,888.44 $16,122.90 2025-11-01
256 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Cc 4 4 — — $13,627.46 $297,805.00 $16,116.90 2025-11-01
254 MS_DRG Other Vascular Procedures Without Cc/Mcc 2 2 — — $14,686.72 $17,510.86 $16,098.79 2025-11-01
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 16 13 — — $2,112.06 $39,709.50 $16,092.28 2025-11-01
983 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/Mcc 5 4 — — $11,530.38 $22,864.59 $16,039.87 2025-11-01
444 MS_DRG Disorders Of The Biliary Tract With Mcc 10 9 — — $9,634.81 $52,734.02 $16,017.92 2025-11-01
5626 OTHER Level 6 Radiation Therapy 1 1 — — $15,905.94 $15,905.94 $15,905.94 2025-11-01
642 MS_DRG Inborn And Other Disorders Of Metabolism 2 2 — — $1,400.00 $30,295.47 $15,847.74 2025-11-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 2 2 — — $13,955.56 $17,632.06 $15,793.81 2025-11-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 7 7 — — $8,483.64 $60,663.07 $15,789.06 2025-11-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 3 3 — — $1,598.84 $17,197.48 $15,763.74 2025-11-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 1 1 — — $15,692.44 $15,692.44 $15,692.44 2025-11-01
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/Mcc 3 3 — — $10,174.16 $22,360.12 $15,682.00 2025-11-01
176 MS_DRG Pulmonary Embolism Without Mcc 9 9 — — $5,501.84 $22,664.00 $15,682.00 2025-11-01
909 MS_DRG Other O.r. Procedures For Injuries Without Cc/Mcc 7 7 — — $9,943.96 $114,620.67 $15,659.35 2025-11-01
196 MS_DRG Interstitial Lung Disease With Mcc 5 5 — — $9,114.20 $21,950.49 $15,653.09 2025-11-01
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 13 12 — — $3,375.89 $41,700.56 $15,651.96 2025-11-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 2 2 — — $2,154.46 $29,022.75 $15,588.60 2025-11-01
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Mcc 11 11 — — $1,676.00 $244,928.19 $15,582.00 2025-11-01
5465 OTHER Level 5 Neurostimulator And Related Procedures 2 2 — — $1,632.00 $29,523.66 $15,577.83 2025-11-01
512 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures Without Cc/… 8 8 — — $2,480.55 $52,677.55 $15,544.31 2025-11-01
42 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/Mcc 2 2 — — $13,537.17 $17,519.20 $15,528.19 2025-11-01
501 MS_DRG Soft Tissue Procedures With Cc 7 7 — — $1,536.56 $17,972.49 $15,486.92 2025-11-01
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/Mcc 1 1 — — $15,480.93 $15,480.93 $15,480.93 2025-11-01
165 MS_DRG Major Chest Procedures Without Cc/Mcc 2 2 — — $12,897.61 $17,911.41 $15,404.51 2025-11-01
115 MS_DRG Extraocular Procedures Except Orbit 3 3 — — $4,739.26 $229,403.54 $15,392.74 2025-11-01
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/Mcc 15 14 — — $4,508.00 $107,626.49 $15,325.78 2025-11-01
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 34 28 — — $1,676.00 $184,307.35 $15,244.50 2025-11-01
5362 OTHER Level 2 Laparoscopy And Related Services 30 28 — — $6.36 $50,224.20 $15,211.52 2025-11-01
964 MS_DRG Other Multiple Significant Trauma With Cc 13 12 — — $2,250.00 $117,511.00 $15,118.93 2025-11-01
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 4 3 — — $7,605.45 $21,493.41 $15,101.08 2025-11-01
368 MS_DRG Major Esophageal Disorders With Mcc 5 5 — — $5,845.26 $16,720.09 $15,097.10 2025-11-01
562 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 6 6 — — $6,387.60 $61,448.00 $15,072.35 2025-11-01
30 MS_DRG Spinal Procedures Without Cc/Mcc 4 4 — — $11,040.12 $30,556.82 $15,070.33 2025-11-01
412 MS_DRG Cholecystectomy With C.d.e. With Cc 1 1 — — $15,022.52 $15,022.52 $15,022.52 2025-11-01
887 MS_DRG Other Mental Disorder Diagnoses 1 1 — — $15,012.71 $15,012.71 $15,012.71 2025-11-01
349 MS_DRG Anal And Stomal Procedures Without Cc/Mcc 1 1 — — $14,980.00 $14,980.00 $14,980.00 2025-11-01
908 MS_DRG Other O.r. Procedures For Injuries With Cc 3 3 — — $11,969.78 $16,340.70 $14,949.60 2025-11-01
299 MS_DRG Peripheral Vascular Disorders With Mcc 10 9 — — $7,841.00 $46,758.50 $14,941.15 2025-11-01
915 MS_DRG Allergic Reactions With Mcc 2 1 — — $12,509.76 $17,323.68 $14,916.72 2025-11-01
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