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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

HOAG MEMORIAL HOSPITAL PRESBYTERIAN

Newport Beach, CA · CCN 050224 · Rates published

429 distinct procedures filed
7 distinct payers
5,725 rate rows
2025-07-01 last MRF observed · ⚠ 15 mo old
Data quality

1,157 of 5,725 rate rows are consumer-grade (20.2%)

4,568 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 4,563
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 5

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 15 months old.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://upload.cdn-hoag.org/wp-content/uploads/2025/07/09124439/951643327_hoag-memorial-hospital-presbyterian_standardcharges.csv
Found on page https://www.hoag.org/patients-visitors/billing-information/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-03
Content fingerprint aad8e14e7e1c5a25… · 2,897,049 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
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 1 $657,903.00 $657,903.00 $657,903.00 nat. median
$50,905
outlier · 12.9×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 1 $260,688.00 $260,688.00 $260,688.00 nat. median
$190,557
1.4× median
857
MS_DRG 		Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 1 $153,823.58 $153,823.58 $153,823.58 nat. median
$20,398
outlier · 7.5×
269
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 1 $107,310.00 $107,310.00 $107,310.00 nat. median
$40,092
outlier · 2.7×
270
MS_DRG 		Other Major Cardiovascular Procedures With Mcc 2 $47,839.50 $162,090.00 $104,964.75 nat. median
$49,396
outlier · 2.1×
236
MS_DRG 		Coronary Bypass Without Cardiac Catheterization Without Mcc 1 $104,148.59 $104,148.59 $104,148.59 nat. median
$40,341
outlier · 2.6×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 2 $71,763.16 $107,310.00 $98,000.00 nat. median
$72,473
1.4× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 1 $97,758.00 $97,758.00 $97,758.00 nat. median
$126,722
0.8× median
545
MS_DRG 		Connective Tissue Disorders With Mcc 1 $89,815.82 $89,815.82 $89,815.82 nat. median
$23,409
outlier · 3.8×
579
MS_DRG 		Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 1 $80,000.00 $80,000.00 $80,000.00 nat. median
$30,215
outlier · 2.6×
242
MS_DRG 		Permanent Cardiac Pacemaker Implant With Mcc 1 $80,000.00 $80,000.00 $80,000.00 nat. median
$30,994
outlier · 2.6×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 $78,487.56 $78,487.56 $78,487.56 nat. median
$77,696
1.0× median
272
MS_DRG 		Other Major Cardiovascular Procedures Without Cc/Mcc 1 $66,532.00 $77,948.41 $72,240.21 nat. median
$24,851
outlier · 2.9×
501
MS_DRG 		Soft Tissue Procedures With Cc 1 $71,831.96 $71,831.96 $71,831.96 nat. median
$16,999
outlier · 4.2×
659
MS_DRG 		Kidney And Ureter Procedures For Non-neoplasm With Mcc 1 $71,288.02 $71,288.02 $71,288.02 nat. median
$24,371
outlier · 2.9×
908
MS_DRG 		Other O.r. Procedures For Injuries With Cc 2 $42,795.00 $97,758.00 $70,276.50 nat. median
$19,340
outlier · 3.6×
823
MS_DRG 		Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 2 $40,000.00 $97,758.00 $68,879.00 nat. median
$42,894
1.6× median
884
MS_DRG 		Organic Disturbances And Intellectual Disability 1 $46,008.91 $88,995.00 $67,501.96 nat. median
$14,262
outlier · 4.7×
9109
OTHER 		Inj, Elahere, 1 Mg 1 $65,602.10 $65,602.10 $65,602.10 nat. median
$71
outlier · 918.4×
519
MS_DRG 		Back And Neck Procedures Except Spinal Fusion With Cc 2 $54,809.00 $76,358.47 $65,583.74 nat. median
$19,488
outlier · 3.4×
423
MS_DRG 		Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 1 $65,172.00 $65,172.00 $65,172.00 nat. median
$38,579
1.7× median
615
MS_DRG 		Adrenal And Pituitary Procedures Without Cc/Mcc 1 $64,932.88 $64,932.88 $64,932.88 nat. median
$14,353
outlier · 4.5×
56
MS_DRG 		Degenerative Nervous System Disorders With Mcc 1 $39,750.90 $90,000.00 $64,875.45 nat. median
$21,152
outlier · 3.1×
220
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 2 $20,000.00 $103,887.49 $61,943.75 nat. median
$50,679
1.2× median
455
MS_DRG 		Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 1 $43,556.55 $79,195.82 $61,376.19 nat. median
$38,944
1.6× median
673
MS_DRG 		Other Kidney And Urinary Tract Procedures With Mcc 1 $37,045.60 $85,590.00 $61,317.80 nat. median
$38,049
1.6× median
25
MS_DRG 		Craniotomy And Endovascular Intracranial Procedures With Mcc 2 $28,086.17 $71,290.87 $61,071.00 nat. median
$42,902
1.4× median
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 2 $36,441.72 $79,694.00 $58,067.86 nat. median
$49,639
1.2× median
559
MS_DRG 		Aftercare, Musculoskeletal System And Connective Tissue With Mcc 1 $55,577.21 $55,577.21 $55,577.21 nat. median
$18,115
outlier · 3.1×
460
MS_DRG 		Spinal Fusion Except Cervical Without Mcc 1 $34,676.21 $73,745.33 $54,210.77 nat. median
$31,618
1.7× median
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 2 $35,413.99 $140,806.29 $53,543.68 nat. median
$53,532
1.0× median
947
MS_DRG 		Signs And Symptoms With Mcc 1 $52,939.06 $52,939.06 $52,939.06 nat. median
$12,113
outlier · 4.4×
215
MS_DRG 		Other Heart Assist System Implant 1 $52,677.84 $52,677.84 $52,677.84 nat. median
$93,917
0.6× median
5626
OTHER 		Level 6 Radiation Therapy 2 $21,764.00 $71,995.05 $52,104.00 nat. median
$1,954
outlier · 26.7×
405
MS_DRG 		Pancreas, Liver And Shunt Procedures With Mcc 1 $50,428.59 $50,428.59 $50,428.59 nat. median
$50,825
1.0× median
357
MS_DRG 		Other Digestive System O.r. Procedures With Cc 2 $21,023.55 $76,034.00 $48,528.77 nat. median
$21,819
outlier · 2.2×
856
MS_DRG 		Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 2 $41,965.23 $53,616.31 $47,790.77 nat. median
$41,690
1.1× median
326
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Mcc 1 $47,201.45 $47,201.45 $47,201.45 nat. median
$46,224
1.0× median
92
MS_DRG 		Other Disorders Of Nervous System With Cc 1 $47,115.00 $47,115.00 $47,115.00 nat. median
$10,613
outlier · 4.4×
551
MS_DRG 		Medical Back Problems With Mcc 1 $45,582.38 $45,582.38 $45,582.38 nat. median
$16,106
outlier · 2.8×
471
MS_DRG 		Cervical Spinal Fusion With Mcc 1 $45,183.48 $45,183.48 $45,183.48 nat. median
$44,860
1.0× median
817
MS_DRG 		Other Antepartum Diagnoses With O.r. Procedures With Mcc 1 $44,325.57 $44,325.57 $44,325.57 nat. median
$21,785
outlier · 2.0×
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 4 $7,610.71 $117,924.10 $44,324.21 nat. median
$45,474
1.0× median
394
MS_DRG 		Other Digestive System Diagnoses With Cc 1 $43,448.00 $43,448.00 $43,448.00 nat. median
$9,688
outlier · 4.5×
375
MS_DRG 		Digestive Malignancy With Cc 2 $11,669.30 $50,354.91 $43,448.00 nat. median
$12,163
outlier · 3.6×
398
MS_DRG 		Appendix Procedures With Cc 1 $43,448.00 $43,448.00 $43,448.00 nat. median
$15,023
outlier · 2.9×
812
MS_DRG 		Red Blood Cell Disorders Without Mcc 1 $42,795.00 $42,795.00 $42,795.00 nat. median
$9,313
outlier · 4.6×
264
MS_DRG 		Other Circulatory System O.r. Procedures 1 $42,795.00 $42,795.00 $42,795.00 nat. median
$31,243
1.4× median
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 3 $35,653.37 $43,601.54 $42,726.46 nat. median
$42,662
1.0× median
623
MS_DRG 		Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 1 $42,564.02 $42,564.02 $42,564.02 nat. median
$17,691
outlier · 2.4×

Other procedures at this hospital

Browse this hospital's 429 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 1 1 — — $40,538.49 $40,538.49 $40,538.49 2025-07-01
101 MS_DRG Seizures Without Mcc 4 2 — — $8,854.20 $30,403.41 $21,537.98 2025-07-01
103 MS_DRG Headaches Without Mcc 4 3 — — $5,121.20 $19,708.61 $12,657.83 2025-07-01
117 MS_DRG Intraocular Procedures Without Cc/Mcc 1 1 — — $10,862.00 $10,862.00 $10,862.00 2025-07-01
123 MS_DRG Neurological Eye Disorders 1 1 — — $26,656.07 $26,656.07 $26,656.07 2025-07-01
140 MS_DRG Major Head And Neck Procedures With Mcc 1 1 — — $14,884.82 $14,884.82 $14,884.82 2025-07-01
145 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures Without Cc/Mcc 1 1 — — $9,775.80 $9,775.80 $9,775.80 2025-07-01
152 MS_DRG Otitis Media And Uri With Mcc 1 1 — — $10,000.00 $10,000.00 $10,000.00 2025-07-01
158 MS_DRG Dental And Oral Diseases With Cc 1 1 — — $17,118.00 $17,118.00 $17,118.00 2025-07-01
163 MS_DRG Major Chest Procedures With Mcc 2 2 — — $32,086.00 $41,196.06 $36,641.03 2025-07-01
164 MS_DRG Major Chest Procedures With Cc 2 2 — — $19,122.36 $21,724.00 $20,423.18 2025-07-01
165 MS_DRG Major Chest Procedures Without Cc/Mcc 2 1 — — $25,677.00 $28,291.00 $26,984.00 2025-07-01
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 1 1 — — $15,037.09 $15,037.09 $15,037.09 2025-07-01
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 4 2 — — $13,334.11 $17,118.00 $13,559.66 2025-07-01
177 MS_DRG Respiratory Infections And Inflammations With Mcc 3 2 — — $14,318.19 $40,693.54 $15,276.08 2025-07-01
178 MS_DRG Respiratory Infections And Inflammations With Cc 3 2 — — $9,585.32 $34,236.00 $21,008.09 2025-07-01
186 MS_DRG Pleural Effusion With Mcc 1 1 — — $14,943.98 $14,943.98 $14,943.98 2025-07-01
187 MS_DRG Pleural Effusion With Cc 1 1 — — $9,604.64 $9,604.64 $9,604.64 2025-07-01
189 MS_DRG Pulmonary Edema And Respiratory Failure 5 3 — — $9,829.62 $43,042.47 $11,944.51 2025-07-01
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 3 1 — — $10,731.60 $21,724.00 $10,741.60 2025-07-01
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 3 2 — — $12,490.63 $32,526.20 $17,118.00 2025-07-01
194 MS_DRG Simple Pneumonia And Pleurisy With Cc 2 2 — — $7,925.60 $26,047.72 $16,986.66 2025-07-01
195 MS_DRG Simple Pneumonia And Pleurisy Without Cc/Mcc 1 1 — — $9,006.88 $9,006.88 $9,006.88 2025-07-01
199 MS_DRG Pneumothorax With Mcc 1 1 — — $17,032.66 $17,032.66 $17,032.66 2025-07-01
200 MS_DRG Pneumothorax With Cc 1 1 — — $17,118.00 $17,118.00 $17,118.00 2025-07-01
204 MS_DRG Respiratory Signs And Symptoms 1 1 — — $41,405.30 $41,405.30 $41,405.30 2025-07-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 1 1 — — $25,118.55 $25,118.55 $25,118.55 2025-07-01
215 MS_DRG Other Heart Assist System Implant 1 1 — — $52,677.84 $52,677.84 $52,677.84 2025-07-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 3 2 — — $71,763.16 $107,310.00 $98,000.00 2025-07-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 2 2 — — $20,000.00 $103,887.49 $61,943.75 2025-07-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 2 2 — — $15,886.96 $30,194.34 $23,040.65 2025-07-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 3 2 — — $35,413.99 $140,806.29 $53,543.68 2025-07-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 1 1 — — $104,148.59 $104,148.59 $104,148.59 2025-07-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 1 1 — — $80,000.00 $80,000.00 $80,000.00 2025-07-01
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 2 2 — — $19,365.08 $21,753.06 $20,559.07 2025-07-01
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/Mcc 1 1 — — $17,282.95 $17,282.95 $17,282.95 2025-07-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 3 2 — — $28,086.17 $71,290.87 $61,071.00 2025-07-01
252 MS_DRG Other Vascular Procedures With Mcc 1 1 — — $35,739.00 $35,739.00 $35,739.00 2025-07-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 3 2 — — $14,667.75 $28,117.36 $28,093.60 2025-07-01
2616 OTHER Brachytx, Non-str,yttrium-90 1 1 — — $13,509.00 $13,509.00 $13,509.00 2025-07-01
264 MS_DRG Other Circulatory System O.r. Procedures 1 1 — — $42,795.00 $42,795.00 $42,795.00 2025-07-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 1 1 — — $41,475.56 $41,475.56 $41,475.56 2025-07-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 2 1 — — $10,280.07 $43,750.73 $27,015.40 2025-07-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 1 1 — — $107,310.00 $107,310.00 $107,310.00 2025-07-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 4 2 — — $19,685.22 $45,406.00 $33,343.43 2025-07-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 2 2 — — $47,839.50 $162,090.00 $104,964.75 2025-07-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 2 1 — — $66,532.00 $77,948.41 $72,240.21 2025-07-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 2 2 — — $10,387.45 $35,739.00 $23,063.22 2025-07-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 1 1 — — $30,499.89 $30,499.89 $30,499.89 2025-07-01
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 2 2 — — $15,266.31 $15,505.86 $15,386.08 2025-07-01
281 MS_DRG Acute Myocardial Infarction, Discharged Alive With Cc 1 1 — — $15,016.25 $15,016.25 $15,016.25 2025-07-01
282 MS_DRG Acute Myocardial Infarction, Discharged Alive Without Cc/Mcc 2 1 — — $7,033.47 $9,674.50 $8,353.99 2025-07-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 1 1 — — $20,769.58 $20,769.58 $20,769.58 2025-07-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 1 1 — — $38,326.09 $38,326.09 $38,326.09 2025-07-01
291 MS_DRG Heart Failure And Shock With Mcc 6 3 — — $7,033.18 $58,199.86 $12,411.45 2025-07-01
299 MS_DRG Peripheral Vascular Disorders With Mcc 1 1 — — $17,118.00 $17,118.00 $17,118.00 2025-07-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 1 1 — — $260,688.00 $260,688.00 $260,688.00 2025-07-01
302 MS_DRG Atherosclerosis With Mcc 1 1 — — $21,064.00 $21,064.00 $21,064.00 2025-07-01
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 1 1 — — $11,458.89 $11,458.89 $11,458.89 2025-07-01
314 MS_DRG Other Circulatory System Diagnoses With Mcc 3 2 — — $20,212.70 $36,576.04 $20,440.92 2025-07-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 1 1 — — $29,123.99 $29,123.99 $29,123.99 2025-07-01
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 4 2 — — $17,041.94 $26,545.00 $21,198.78 2025-07-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 1 1 — — $47,201.45 $47,201.45 $47,201.45 2025-07-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 1 1 — — $15,375.11 $15,375.11 $15,375.11 2025-07-01
328 MS_DRG Stomach, Esophageal And Duodenal Procedures Without Cc/Mcc 2 2 — — $15,212.41 $15,375.11 $15,293.76 2025-07-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 3 3 — — $35,653.37 $43,601.54 $42,726.46 2025-07-01
33 MS_DRG Ventricular Shunt Procedures Without Cc/Mcc 2 2 — — $15,031.55 $53,095.00 $34,063.27 2025-07-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 3 2 — — $22,641.71 $54,310.00 $22,649.01 2025-07-01
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/Mcc 3 2 — — $17,118.00 $32,586.00 $30,940.00 2025-07-01
333 MS_DRG Rectal Resection With Cc 1 1 — — $19,961.49 $19,961.49 $19,961.49 2025-07-01
337 MS_DRG Peritoneal Adhesiolysis Without Cc/Mcc 3 2 — — $17,118.00 $63,867.40 $17,118.00 2025-07-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 1 1 — — $36,976.50 $36,976.50 $36,976.50 2025-07-01
345 MS_DRG Minor Small And Large Bowel Procedures With Cc 1 1 — — $25,677.00 $25,677.00 $25,677.00 2025-07-01
348 MS_DRG Anal And Stomal Procedures With Cc 1 1 — — $12,603.01 $12,603.01 $12,603.01 2025-07-01
349 MS_DRG Anal And Stomal Procedures Without Cc/Mcc 1 1 — — $10,403.53 $10,403.53 $10,403.53 2025-07-01
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 2 2 — — $8,195.00 $8,689.60 $8,442.30 2025-07-01
355 MS_DRG Hernia Procedures Except Inguinal And Femoral Without Cc/Mcc 1 1 — — $13,740.27 $13,740.27 $13,740.27 2025-07-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 1 1 — — $40,513.73 $40,513.73 $40,513.73 2025-07-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 2 2 — — $21,023.55 $76,034.00 $48,528.77 2025-07-01
369 MS_DRG Major Esophageal Disorders With Cc 1 1 — — $17,547.83 $17,547.83 $17,547.83 2025-07-01
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 4 2 — — $9,829.16 $132,431.95 $33,469.51 2025-07-01
372 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Cc 4 2 — — $7,650.32 $32,586.00 $18,884.57 2025-07-01
373 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections Without Cc/Mcc 1 1 — — $23,446.00 $23,446.00 $23,446.00 2025-07-01
374 MS_DRG Digestive Malignancy With Mcc 2 2 — — $20,093.16 $55,633.50 $37,863.33 2025-07-01
375 MS_DRG Digestive Malignancy With Cc 3 2 — — $11,669.30 $50,354.91 $43,448.00 2025-07-01
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 3 2 — — $7,415.90 $17,123.40 $14,016.32 2025-07-01
378 MS_DRG Gastrointestinal Hemorrhage With Cc 6 4 — — $3,362.86 $36,896.21 $10,487.97 2025-07-01
379 MS_DRG Gastrointestinal Hemorrhage Without Cc/Mcc 1 1 — — $32,586.00 $32,586.00 $32,586.00 2025-07-01
38 MS_DRG Extracranial Procedures With Cc 2 2 — — $10,834.13 $15,513.09 $13,173.61 2025-07-01
381 MS_DRG Complicated Peptic Ulcer With Cc 2 2 — — $10,397.68 $10,454.61 $10,426.15 2025-07-01
388 MS_DRG Gastrointestinal Obstruction With Mcc 2 2 — — $11,749.00 $13,895.18 $12,822.09 2025-07-01
389 MS_DRG Gastrointestinal Obstruction With Cc 2 2 — — $7,727.84 $7,877.06 $7,802.45 2025-07-01
39 MS_DRG Extracranial Procedures Without Cc/Mcc 1 1 — — $10,615.73 $10,615.73 $10,615.73 2025-07-01
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 4 2 — — $12,200.25 $62,078.14 $29,344.67 2025-07-01
392 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc 5 3 — — $5,055.53 $30,797.51 $7,765.29 2025-07-01
393 MS_DRG Other Digestive System Diagnoses With Mcc 2 2 — — $10,862.00 $15,626.61 $13,244.31 2025-07-01
394 MS_DRG Other Digestive System Diagnoses With Cc 1 1 — — $43,448.00 $43,448.00 $43,448.00 2025-07-01
398 MS_DRG Appendix Procedures With Cc 1 1 — — $43,448.00 $43,448.00 $43,448.00 2025-07-01
399 MS_DRG Appendix Procedures Without Cc/Mcc 1 1 — — $30,417.85 $30,417.85 $30,417.85 2025-07-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 1 1 — — $97,758.00 $97,758.00 $97,758.00 2025-07-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 1 1 — — $50,428.59 $50,428.59 $50,428.59 2025-07-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 2 2 — — $26,775.36 $32,586.00 $29,680.68 2025-07-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 4 3 — — $22,129.95 $36,119.37 $24,191.95 2025-07-01
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 3 2 — — $15,634.74 $21,724.00 $15,736.27 2025-07-01
419 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. Without Cc/Mcc 2 1 — — $12,508.03 $17,101.12 $14,804.58 2025-07-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 1 1 — — $17,118.00 $17,118.00 $17,118.00 2025-07-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 1 1 — — $65,172.00 $65,172.00 $65,172.00 2025-07-01
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 1 1 — — $20,375.07 $20,375.07 $20,375.07 2025-07-01
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 2 2 — — $32,586.00 $34,236.00 $33,411.00 2025-07-01
433 MS_DRG Cirrhosis And Alcoholic Hepatitis With Cc 1 1 — — $10,061.04 $10,061.04 $10,061.04 2025-07-01
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Mcc 4 3 — — $16,898.15 $23,950.65 $17,205.71 2025-07-01
436 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Cc 2 2 — — $10,719.42 $25,677.00 $18,198.21 2025-07-01
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 2 2 — — $17,118.00 $31,264.33 $24,191.17 2025-07-01
439 MS_DRG Disorders Of Pancreas Except Malignancy With Cc 2 2 — — $26,742.00 $30,114.83 $28,428.42 2025-07-01
440 MS_DRG Disorders Of Pancreas Except Malignancy Without Cc/Mcc 2 2 — — $17,118.00 $41,218.36 $29,168.18 2025-07-01
442 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc 1 1 — — $21,624.00 $21,624.00 $21,624.00 2025-07-01
444 MS_DRG Disorders Of The Biliary Tract With Mcc 3 2 — — $15,716.69 $107,909.71 $17,118.00 2025-07-01
445 MS_DRG Disorders Of The Biliary Tract With Cc 1 1 — — $10,589.11 $10,589.11 $10,589.11 2025-07-01
446 MS_DRG Disorders Of The Biliary Tract Without Cc/Mcc 1 1 — — $7,943.27 $7,943.27 $7,943.27 2025-07-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 2 2 — — $36,441.72 $79,694.00 $58,067.86 2025-07-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 2 1 — — $43,556.55 $79,195.82 $61,376.19 2025-07-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 1 — — $78,487.56 $78,487.56 $78,487.56 2025-07-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 2 1 — — $34,676.21 $73,745.33 $54,210.77 2025-07-01
465 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 1 1 — — $16,356.80 $16,356.80 $16,356.80 2025-07-01
471 MS_DRG Cervical Spinal Fusion With Mcc 1 1 — — $45,183.48 $45,183.48 $45,183.48 2025-07-01
472 MS_DRG Cervical Spinal Fusion With Cc 2 2 — — $30,831.00 $48,077.00 $39,454.00 2025-07-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 2 1 — — $23,468.72 $26,353.00 $24,910.86 2025-07-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 2 2 — — $3,000.00 $21,911.91 $12,455.95 2025-07-01
479 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue Without Cc/Mcc 1 1 — — $17,875.48 $17,875.48 $17,875.48 2025-07-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 1 1 — — $24,856.21 $24,856.21 $24,856.21 2025-07-01
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 2 2 — — $19,665.54 $19,852.72 $19,759.13 2025-07-01
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/Mcc 2 2 — — $14,972.29 $53,911.23 $34,441.76 2025-07-01
489 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection Without Cc/Mcc 1 1 — — $35,273.00 $35,273.00 $35,273.00 2025-07-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 1 1 — — $22,487.76 $22,487.76 $22,487.76 2025-07-01
497 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 1 1 — — $10,862.00 $10,862.00 $10,862.00 2025-07-01
501 MS_DRG Soft Tissue Procedures With Cc 1 1 — — $71,831.96 $71,831.96 $71,831.96 2025-07-01
506 MS_DRG Major Thumb Or Joint Procedures 1 1 — — $11,333.81 $11,333.81 $11,333.81 2025-07-01
507 MS_DRG Major Shoulder Or Elbow Joint Procedures With Cc/Mcc 1 1 — — $21,724.00 $21,724.00 $21,724.00 2025-07-01
5092 OTHER Level 2 Breast/Lymphatic Surgery And Related Procedures 4 2 — — $7,984.72 $16,218.14 $10,842.50 2025-07-01
5093 OTHER Level 3 Breast/Lymphatic Surgery And Related Procedures 1 1 — — $13,083.38 $13,083.38 $13,083.38 2025-07-01
5113 OTHER Level 3 Musculoskeletal Procedures 1 1 — — $9,284.00 $9,284.00 $9,284.00 2025-07-01
5114 OTHER Level 4 Musculoskeletal Procedures 4 2 — — $8,850.52 $22,623.94 $10,693.88 2025-07-01
5115 OTHER Level 5 Musculoskeletal Procedures 4 3 — — $16,217.44 $51,367.51 $26,603.94 2025-07-01
5153 OTHER Level 3 Airway Endoscopy 5 2 — — $2,078.21 $8,900.17 $7,148.00 2025-07-01
5155 OTHER Level 5 Airway Endoscopy 1 1 — — $19,000.07 $19,000.07 $19,000.07 2025-07-01
5164 OTHER Level 4 ENT Procedures 3 2 — — $3,942.24 $14,670.58 $10,082.32 2025-07-01
5165 OTHER Level 5 ENT Procedures 5 3 — — $1,977.11 $14,738.00 $7,374.61 2025-07-01
5183 OTHER Level 3 Vascular Procedures 7 2 — — $3,902.90 $12,111.32 $7,148.00 2025-07-01
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 2 2 — — $54,809.00 $76,358.47 $65,583.74 2025-07-01
5192 OTHER Level 2 Endovascular Procedures 2 2 — — $6,998.52 $18,691.96 $12,845.24 2025-07-01
5193 OTHER Level 3 Endovascular Procedures 3 2 — — $14,124.64 $30,382.00 $17,281.37 2025-07-01
5194 OTHER Level 4 Endovascular Procedures 2 1 — — $21,470.78 $21,945.50 $21,708.14 2025-07-01
5213 OTHER Level 3 Electrophysiologic Procedures 6 3 — — $18,480.16 $30,547.33 $24,776.53 2025-07-01
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 3 3 — — $20,189.45 $20,223.42 $20,202.42 2025-07-01
5222 OTHER Level 2 Pacemaker And Similar Procedures 2 2 — — $7,284.20 $10,405.99 $8,845.09 2025-07-01
5223 OTHER Level 3 Pacemaker And Similar Procedures 4 2 — — $13,038.30 $35,509.52 $13,293.72 2025-07-01
5224 OTHER Level 4 Pacemaker And Similar Procedures 2 2 — — $8,445.44 $9,221.38 $8,833.41 2025-07-01
5232 OTHER Level 2 Icd And Similar Procedures 2 2 — — $5,003.60 $39,931.19 $22,467.40 2025-07-01
5331 OTHER Complex Gi Procedures 3 2 — — $6,948.00 $7,415.87 $6,978.41 2025-07-01
5342 OTHER Level 2 Abdominal/Peritoneal/Biliary And Related Procedures 1 1 — — $14,833.50 $14,833.50 $14,833.50 2025-07-01
535 MS_DRG Fractures Of Hip And Pelvis With Mcc 1 1 — — $12,603.21 $12,603.21 $12,603.21 2025-07-01
536 MS_DRG Fractures Of Hip And Pelvis Without Mcc 1 1 — — $7,802.95 $7,802.95 $7,802.95 2025-07-01
5361 OTHER Level 1 Laparoscopy And Related Services 8 3 — — $7,065.03 $15,001.64 $9,080.31 2025-07-01
5362 OTHER Level 2 Laparoscopy And Related Services 7 3 — — $696.64 $34,355.00 $12,972.40 2025-07-01
5376 OTHER Level 6 Urology And Related Services 3 2 — — $9,534.00 $11,522.92 $11,279.97 2025-07-01
5415 OTHER Level 5 Gynecologic Procedures 3 2 — — $6,148.26 $10,193.22 $8,343.96 2025-07-01
545 MS_DRG Connective Tissue Disorders With Mcc 1 1 — — $89,815.82 $89,815.82 $89,815.82 2025-07-01
546 MS_DRG Connective Tissue Disorders With Cc 1 1 — — $11,643.81 $11,643.81 $11,643.81 2025-07-01
5464 OTHER Level 4 Neurostimulator And Related Procedures 2 2 — — $26,788.91 $26,793.66 $26,791.28 2025-07-01
5465 OTHER Level 5 Neurostimulator And Related Procedures 1 1 — — $18,205.87 $18,205.87 $18,205.87 2025-07-01
549 MS_DRG Septic Arthritis With Cc 1 1 — — $11,702.75 $11,702.75 $11,702.75 2025-07-01
5492 OTHER Level 2 Intraocular Procedures 1 1 — — $14,188.00 $14,188.00 $14,188.00 2025-07-01
5493 OTHER Level 3 Intraocular Procedures 1 1 — — $15,192.28 $15,192.28 $15,192.28 2025-07-01
5501 OTHER Level 1 Extraocular, Repair, And Plastic Eye Procedures 1 1 — — $7,289.10 $7,289.10 $7,289.10 2025-07-01
551 MS_DRG Medical Back Problems With Mcc 1 1 — — $45,582.38 $45,582.38 $45,582.38 2025-07-01
552 MS_DRG Medical Back Problems Without Mcc 2 2 — — $9,224.71 $16,184.72 $12,704.72 2025-07-01
554 MS_DRG Bone Diseases And Arthropathies Without Mcc 1 1 — — $8,129.18 $8,129.18 $8,129.18 2025-07-01
558 MS_DRG Tendonitis, Myositis And Bursitis Without Mcc 1 1 — — $34,236.00 $34,236.00 $34,236.00 2025-07-01
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Mcc 1 1 — — $55,577.21 $55,577.21 $55,577.21 2025-07-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 2 1 — — $39,750.90 $90,000.00 $64,875.45 2025-07-01
560 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Cc 1 1 — — $23,711.66 $23,711.66 $23,711.66 2025-07-01
561 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue Without Cc/Mcc 1 1 — — $28,549.10 $28,549.10 $28,549.10 2025-07-01
5613 OTHER Level 3 Therapeutic Radiation Treatment Preparation 2 2 — — $11,741.17 $15,747.98 $13,744.58 2025-07-01
5622 OTHER Level 2 Radiation Therapy 3 2 — — $13,723.08 $33,454.44 $32,042.58 2025-07-01
5623 OTHER Level 3 Radiation Therapy 4 2 — — $11,107.78 $35,396.73 $17,608.88 2025-07-01
5624 OTHER Level 4 Radiation Therapy 1 1 — — $26,780.00 $26,780.00 $26,780.00 2025-07-01
5626 OTHER Level 6 Radiation Therapy 3 2 — — $21,764.00 $71,995.05 $52,104.00 2025-07-01
5627 OTHER Level 7 Radiation Therapy 5 2 — — $10,887.98 $14,172.10 $13,382.09 2025-07-01
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 2 2 — — $13,179.14 $21,819.44 $17,499.29 2025-07-01
570 MS_DRG Skin Debridement With Mcc 1 1 — — $7,483.59 $7,483.59 $7,483.59 2025-07-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 1 1 — — $80,000.00 $80,000.00 $80,000.00 2025-07-01
581 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/Mcc 1 1 — — $25,677.00 $25,677.00 $25,677.00 2025-07-01
59 MS_DRG Multiple Sclerosis And Cerebellar Ataxia With Cc 1 1 — — $12,197.32 $12,197.32 $12,197.32 2025-07-01
598 MS_DRG Malignant Breast Disorders With Cc 1 1 — — $10,304.88 $10,304.88 $10,304.88 2025-07-01
602 MS_DRG Cellulitis With Mcc 2 1 — — $13,916.74 $61,397.50 $37,657.12 2025-07-01
603 MS_DRG Cellulitis Without Mcc 4 2 — — $8,695.39 $38,515.50 $29,107.24 2025-07-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 1 1 — — $25,278.43 $25,278.43 $25,278.43 2025-07-01
615 MS_DRG Adrenal And Pituitary Procedures Without Cc/Mcc 1 1 — — $64,932.88 $64,932.88 $64,932.88 2025-07-01
62 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 2 2 — — $13,703.53 $14,074.45 $13,888.99 2025-07-01
620 MS_DRG O.r. Procedures For Obesity With Cc 1 1 — — $26,000.00 $26,000.00 $26,000.00 2025-07-01
621 MS_DRG O.r. Procedures For Obesity Without Cc/Mcc 2 2 — — $24,675.00 $25,259.71 $24,967.35 2025-07-01
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 1 1 — — $42,564.02 $42,564.02 $42,564.02 2025-07-01
638 MS_DRG Diabetes With Cc 2 2 — — $17,118.00 $24,092.32 $20,605.16 2025-07-01
639 MS_DRG Diabetes Without Cc/Mcc 1 1 — — $13,588.55 $13,588.55 $13,588.55 2025-07-01
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 2 1 — — $19,169.11 $30,662.83 $24,915.97 2025-07-01
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 4 3 — — $2,231.00 $10,894.44 $9,201.72 2025-07-01
641 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou… 3 2 — — $1,508.66 $18,551.42 $7,549.13 2025-07-01
643 MS_DRG Endocrine Disorders With Mcc 2 2 — — $15,637.36 $21,316.15 $18,476.76 2025-07-01
644 MS_DRG Endocrine Disorders With Cc 4 3 — — $8,798.56 $22,732.86 $10,214.56 2025-07-01
65 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours 5 3 — — $5,026.25 $89,771.68 $9,929.09 2025-07-01
657 MS_DRG Kidney And Ureter Procedures For Neoplasm With Cc 1 1 — — $17,218.80 $17,218.80 $17,218.80 2025-07-01
658 MS_DRG Kidney And Ureter Procedures For Neoplasm Without Cc/Mcc 3 2 — — $14,209.84 $25,660.72 $20,996.00 2025-07-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 1 1 — — $71,288.02 $71,288.02 $71,288.02 2025-07-01
66 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction Without Cc/Mcc 2 1 — — $6,847.58 $18,571.58 $12,709.58 2025-07-01
661 MS_DRG Kidney And Ureter Procedures For Non-neoplasm Without Cc/Mcc 4 3 — — $3,362.86 $27,086.65 $16,655.64 2025-07-01
662 MS_DRG Minor Bladder Procedures With Mcc 1 1 — — $29,124.30 $29,124.30 $29,124.30 2025-07-01
669 MS_DRG Transurethral Procedures With Cc 1 1 — — $14,787.30 $14,787.30 $14,787.30 2025-07-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 2 1 — — $37,045.60 $85,590.00 $61,317.80 2025-07-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 2 2 — — $22,743.71 $42,795.00 $32,769.35 2025-07-01
68 MS_DRG Nonspecific Cva And Precerebral Occlusion Without Infarction Without Mcc 1 1 — — $8,470.16 $8,470.16 $8,470.16 2025-07-01
682 MS_DRG Renal Failure With Mcc 2 1 — — $7,737.08 $24,198.91 $15,968.00 2025-07-01
683 MS_DRG Renal Failure With Cc 5 3 — — $2,231.00 $21,724.00 $8,140.32 2025-07-01
689 MS_DRG Kidney And Urinary Tract Infections With Mcc 3 2 — — $8,591.27 $43,448.00 $11,410.38 2025-07-01
690 MS_DRG Kidney And Urinary Tract Infections Without Mcc 4 3 — — $7,739.58 $17,118.00 $7,927.80 2025-07-01
694 MS_DRG Urinary Stones Without Mcc 1 1 — — $7,555.39 $7,555.39 $7,555.39 2025-07-01
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With Mcc 3 2 — — $15,842.34 $21,724.00 $15,920.07 2025-07-01
699 MS_DRG Other Kidney And Urinary Tract Diagnoses With Cc 2 2 — — $9,100.42 $29,956.50 $19,528.46 2025-07-01
708 MS_DRG Major Male Pelvic Procedures Without Cc/Mcc 1 1 — — $31,754.00 $31,754.00 $31,754.00 2025-07-01
71 MS_DRG Nonspecific Cerebrovascular Disorders With Cc 3 2 — — $9,186.07 $21,724.00 $10,056.17 2025-07-01
728 MS_DRG Inflammation Of The Male Reproductive System Without Mcc 1 1 — — $17,118.00 $17,118.00 $17,118.00 2025-07-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 1 1 — — $25,677.00 $25,677.00 $25,677.00 2025-07-01
737 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 3 2 — — $17,067.87 $42,960.00 $18,935.14 2025-07-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 1 1 — — $34,313.61 $34,313.61 $34,313.61 2025-07-01
74 MS_DRG Cranial And Peripheral Nerve Disorders Without Mcc 1 1 — — $17,118.00 $17,118.00 $17,118.00 2025-07-01
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/Mcc 1 1 — — $32,586.00 $32,586.00 $32,586.00 2025-07-01
743 MS_DRG Uterine And Adnexa Procedures For Non-malignancy Without Cc/Mcc 4 2 — — $8,559.00 $20,192.01 $11,351.78 2025-07-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 1 1 — — $21,724.00 $21,724.00 $21,724.00 2025-07-01
75 MS_DRG Viral Meningitis With Cc/Mcc 1 1 — — $34,236.00 $34,236.00 $34,236.00 2025-07-01
755 MS_DRG Malignancy, Female Reproductive System With Cc 1 1 — — $32,586.00 $32,586.00 $32,586.00 2025-07-01
768 MS_DRG Vaginal Delivery With O.r. Procedures Except Sterilization And/Or D&c 3 2 — — $12,810.00 $15,986.70 $12,810.00 2025-07-01
784 MS_DRG Cesarean Section With Sterilization With Cc 2 2 — — $15,388.43 $32,419.30 $23,903.86 2025-07-01
785 MS_DRG Cesarean Section With Sterilization Without Cc/Mcc 3 2 — — $8,777.00 $14,188.80 $11,760.00 2025-07-01
786 MS_DRG Cesarean Section Without Sterilization With Mcc 3 2 — — $16,986.00 $23,520.00 $17,640.00 2025-07-01
787 MS_DRG Cesarean Section Without Sterilization With Cc 3 2 — — $15,818.33 $23,331.61 $17,640.00 2025-07-01
788 MS_DRG Cesarean Section Without Sterilization Without Cc/Mcc 4 2 — — $10,127.00 $23,520.00 $16,861.77 2025-07-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 1 1 — — $657,903.00 $657,903.00 $657,903.00 2025-07-01
797 MS_DRG Vaginal Delivery With Sterilization And/Or D&c With Cc 1 1 — — $17,736.00 $17,736.00 $17,736.00 2025-07-01
80 MS_DRG Nontraumatic Stupor And Coma With Mcc 1 1 — — $20,920.94 $20,920.94 $20,920.94 2025-07-01
804 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs Without Cc/Mcc 1 1 — — $8,552.25 $8,552.25 $8,552.25 2025-07-01
805 MS_DRG Vaginal Delivery Without Sterilization Or D&c With Mcc 4 2 — — $8,242.38 $15,470.68 $12,810.00 2025-07-01
806 MS_DRG Vaginal Delivery Without Sterilization Or D&c With Cc 4 2 — — $9,527.00 $16,307.40 $12,810.00 2025-07-01
807 MS_DRG Vaginal Delivery Without Sterilization Or D&c Without Cc/Mcc 4 2 — — $10,352.00 $16,193.61 $12,810.00 2025-07-01
811 MS_DRG Red Blood Cell Disorders With Mcc 1 1 — — $13,564.13 $13,564.13 $13,564.13 2025-07-01
812 MS_DRG Red Blood Cell Disorders Without Mcc 1 1 — — $42,795.00 $42,795.00 $42,795.00 2025-07-01
813 MS_DRG Coagulation Disorders 1 1 — — $21,724.00 $21,724.00 $21,724.00 2025-07-01
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 1 1 — — $44,325.57 $44,325.57 $44,325.57 2025-07-01
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 1 1 — — $7,897.64 $7,897.64 $7,897.64 2025-07-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 1 1 — — $40,852.68 $40,852.68 $40,852.68 2025-07-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 2 2 — — $40,000.00 $97,758.00 $68,879.00 2025-07-01
828 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 2 1 — — $15,128.57 $42,795.00 $28,961.78 2025-07-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 1 1 — — $29,967.61 $29,967.61 $29,967.61 2025-07-01
83 MS_DRG Traumatic Stupor And Coma >1 Hour With Cc 1 1 — — $13,182.53 $13,182.53 $13,182.53 2025-07-01
831 MS_DRG Other Antepartum Diagnoses Without O.r. Procedures With Mcc 1 1 — — $21,724.00 $21,724.00 $21,724.00 2025-07-01
832 MS_DRG Other Antepartum Diagnoses Without O.r. Procedures With Cc 2 2 — — $10,270.80 $10,612.00 $10,441.40 2025-07-01
833 MS_DRG Other Antepartum Diagnoses Without O.r. Procedures Without Cc/Mcc 2 2 — — $8,559.00 $16,987.84 $12,773.42 2025-07-01
834 MS_DRG Acute Leukemia With Mcc 1 1 — — $28,286.15 $28,286.15 $28,286.15 2025-07-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 1 1 — — $29,759.74 $29,759.74 $29,759.74 2025-07-01
844 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 1 1 — — $11,249.11 $11,249.11 $11,249.11 2025-07-01
847 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Cc 1 1 — — $40,960.56 $40,960.56 $40,960.56 2025-07-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 6 4 — — $7,610.71 $117,924.10 $44,324.21 2025-07-01
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 3 2 — — $18,774.59 $20,524.00 $18,787.25 2025-07-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 2 2 — — $41,965.23 $53,616.31 $47,790.77 2025-07-01
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 1 1 — — $153,823.58 $153,823.58 $153,823.58 2025-07-01
862 MS_DRG Postoperative And Post-traumatic Infections With Mcc 2 2 — — $34,236.00 $48,856.59 $41,546.29 2025-07-01
863 MS_DRG Postoperative And Post-traumatic Infections Without Mcc 2 2 — — $2,231.00 $26,191.29 $14,211.15 2025-07-01
866 MS_DRG Viral Illness Without Mcc 1 1 — — $17,118.00 $17,118.00 $17,118.00 2025-07-01
87 MS_DRG Traumatic Stupor And Coma <1 Hour Without Cc/Mcc 1 1 — — $17,118.00 $17,118.00 $17,118.00 2025-07-01
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 6 3 — — $18,437.42 $31,100.96 $18,990.32 2025-07-01
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 6 3 — — $7,610.71 $31,756.11 $10,987.92 2025-07-01
880 MS_DRG Acute Adjustment Reaction And Psychosocial Dysfunction 1 1 — — $24,793.96 $24,793.96 $24,793.96 2025-07-01
884 MS_DRG Organic Disturbances And Intellectual Disability 2 1 — — $46,008.91 $88,995.00 $67,501.96 2025-07-01
885 MS_DRG Psychoses 1 1 — — $13,350.81 $13,350.81 $13,350.81 2025-07-01
895 MS_DRG Alcohol, Drug Abuse Or Dependence With Rehabilitation Therapy 5 3 — — $7,560.08 $14,250.00 $10,748.13 2025-07-01
901 MS_DRG Wound Debridements For Injuries With Mcc 1 1 — — $34,777.81 $34,777.81 $34,777.81 2025-07-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 2 2 — — $6,809.39 $9,775.80 $8,292.59 2025-07-01
908 MS_DRG Other O.r. Procedures For Injuries With Cc 2 2 — — $42,795.00 $97,758.00 $70,276.50 2025-07-01
9109 OTHER Inj, Elahere, 1 Mg 1 1 — — $65,602.10 $65,602.10 $65,602.10 2025-07-01
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 2 1 — — $2,231.00 $15,476.18 $8,853.59 2025-07-01
918 MS_DRG Poisoning And Toxic Effects Of Drugs Without Mcc 2 2 — — $8,152.09 $45,530.64 $26,841.37 2025-07-01
92 MS_DRG Other Disorders Of Nervous System With Cc 1 1 — — $47,115.00 $47,115.00 $47,115.00 2025-07-01
920 MS_DRG Complications Of Treatment With Cc 1 1 — — $32,136.35 $32,136.35 $32,136.35 2025-07-01
9430 OTHER Piflu F-18, Dia 1 Millicurie 4 3 — — $4,954.23 $7,627.72 $7,179.89 2025-07-01
947 MS_DRG Signs And Symptoms With Mcc 1 1 — — $52,939.06 $52,939.06 $52,939.06 2025-07-01
948 MS_DRG Signs And Symptoms Without Mcc 2 2 — — $34,027.50 $37,069.36 $35,548.43 2025-07-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 1 1 — — $22,476.69 $22,476.69 $22,476.69 2025-07-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 2 1 — — $1,438.36 $39,045.81 $20,242.08 2025-07-01
988 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 1 1 — — $16,645.03 $16,645.03 $16,645.03 2025-07-01
989 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/Mcc 1 1 — — $10,528.17 $10,528.17 $10,528.17 2025-07-01
99 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis Without Cc/Mcc 1 1 — — $25,677.00 $25,677.00 $25,677.00 2025-07-01
999 MS_DRG Ungroupable 1 1 — — $39,453.68 $39,453.68 $39,453.68 2025-07-01
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