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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

Kentfield Hospital

Kentfield, CA · CCN 052043 · Rates published

1,902 distinct procedures filed
162 distinct payers
30,173 rate rows
2026-07-30 last MRF observed
Data quality

23,167 of 30,173 rate rows are consumer-grade (76.8%)

7,006 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
per-diem day rate — not a per-procedure price 6,705
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 133
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 72
placeholder amount (≤ $0.02) — excluded from medians 68
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 28
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbKRHKENTFIELDCA&type=CDMWithoutLabel&fileType=CSVKENTIFIELD
Found on page https://kentfieldhospital.org/price-transparency/
Discovered viaCMS hospital list
Last fetch not_modified · 2026-11-03
Content fingerprint 5b50630865c9a799… · 118,088 bytes · first seen 2026-05-13

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
89
MS_DRG 		Concussion With Cc 10 $537,909.39 $537,909.39 $537,909.39 nat. median
$11,098
outlier · 48.5×
78
MS_DRG 		Hypertensive Encephalopathy With Cc 10 $537,909.39 $537,909.39 $537,909.39 nat. median
$9,988
outlier · 53.9×
92
MS_DRG 		Other Disorders Of Nervous System With Cc 10 $537,909.39 $537,909.39 $537,909.39 nat. median
$10,593
outlier · 50.8×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 10 $310,277.39 $310,277.39 $310,277.39 nat. median
$190,359
1.6× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 10 $229,767.96 $229,767.96 $229,767.96 nat. median
$126,461
1.8× median
164
MS_DRG 		Major Chest Procedures With Cc 10 $202,666.58 $202,666.58 $202,666.58 nat. median
$24,221
outlier · 8.4×
163
MS_DRG 		Major Chest Procedures With Mcc 10 $202,666.58 $202,666.58 $202,666.58 nat. median
$42,636
outlier · 4.8×
165
MS_DRG 		Major Chest Procedures Without Cc/mcc 10 $202,666.58 $202,666.58 $202,666.58 nat. median
$18,640
outlier · 10.9×
140
MS_DRG 		Major Head And Neck Procedures With Mcc 10 $177,508.29 $177,508.29 $177,508.29 nat. median
$38,337
outlier · 4.6×
166
MS_DRG 		Other Respiratory System O.r. Procedures With Mcc 10 $177,508.29 $177,508.29 $177,508.29 nat. median
$35,655
outlier · 5.0×
987
MS_DRG 		Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 10 $163,207.97 $163,207.97 $163,207.97 nat. median
$31,832
outlier · 5.1×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 10 $158,548.16 $158,548.16 $158,548.16 nat. median
$62,577
outlier · 2.5×
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 10 $147,720.80 $147,720.80 $147,720.80 nat. median
$59,324
outlier · 2.5×
21
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 10 $118,828.56 $118,828.56 $118,828.56 nat. median
$51,462
outlier · 2.3×
24
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 10 $118,828.56 $118,828.56 $118,828.56 nat. median
$36,527
outlier · 3.3×
13
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 10 $118,828.56 $118,828.56 $118,828.56 nat. median
$26,353
outlier · 4.5×
11
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 10 $118,828.56 $118,828.56 $118,828.56 nat. median
$49,944
outlier · 2.4×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 10 $118,828.56 $118,828.56 $118,828.56 nat. median
$74,298
1.6× median
32
MS_DRG 		Ventricular Shunt Procedures With Cc 10 $118,828.56 $118,828.56 $118,828.56 nat. median
$20,655
outlier · 5.8×
31
MS_DRG 		Ventricular Shunt Procedures With Mcc 10 $118,828.56 $118,828.56 $118,828.56 nat. median
$40,565
outlier · 2.9×
25
MS_DRG 		Craniotomy And Endovascular Intracranial Procedures With Mcc 10 $118,828.56 $118,828.56 $118,828.56 nat. median
$42,767
outlier · 2.8×
33
MS_DRG 		Ventricular Shunt Procedures Without Cc/mcc 10 $118,828.56 $118,828.56 $118,828.56 nat. median
$16,263
outlier · 7.3×
28
MS_DRG 		Spinal Procedures With Mcc 10 $118,828.56 $118,828.56 $118,828.56 nat. median
$54,377
outlier · 2.2×
30
MS_DRG 		Spinal Procedures Without Cc/mcc 10 $118,828.56 $118,828.56 $118,828.56 nat. median
$21,259
outlier · 5.6×
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 10 $118,828.56 $118,828.56 $118,828.56 nat. median
$53,419
outlier · 2.2×
27
MS_DRG 		Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 10 $118,828.56 $118,828.56 $118,828.56 nat. median
$24,339
outlier · 4.9×
80
MS_DRG 		Nontraumatic Stupor And Coma With Mcc 10 $118,828.56 $118,828.56 $118,828.56 nat. median
$17,890
outlier · 6.6×
22
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 10 $118,828.56 $118,828.56 $118,828.56 nat. median
$32,286
outlier · 3.7×
12
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 10 $118,828.56 $118,828.56 $118,828.56 nat. median
$38,687
outlier · 3.1×
29
MS_DRG 		Spinal Procedures With Cc Or Spinal Neurostimulators 10 $118,828.56 $118,828.56 $118,828.56 nat. median
$31,858
outlier · 3.7×
26
MS_DRG 		Craniotomy And Endovascular Intracranial Procedures With Cc 10 $118,828.56 $118,828.56 $118,828.56 nat. median
$29,541
outlier · 4.0×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 10 $118,828.55 $118,828.55 $118,828.55 nat. median
$66,584
1.8× median
287
MS_DRG 		Circulatory Disorders Except Ami, With Cardiac Catheterization Without Mcc 10 $118,828.55 $118,828.55 $118,828.55 nat. median
$11,240
outlier · 10.6×
270
MS_DRG 		Other Major Cardiovascular Procedures With Mcc 10 $118,828.55 $118,828.55 $118,828.55 nat. median
$49,305
outlier · 2.4×
253
MS_DRG 		Other Vascular Procedures With Cc 10 $118,828.55 $118,828.55 $118,828.55 nat. median
$24,911
outlier · 4.8×
344
MS_DRG 		Minor Small And Large Bowel Procedures With Mcc 10 $118,828.55 $118,828.55 $118,828.55 nat. median
$24,531
outlier · 4.8×
239
MS_DRG 		Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 10 $118,828.55 $118,828.55 $118,828.55 nat. median
$45,172
outlier · 2.6×
252
MS_DRG 		Other Vascular Procedures With Mcc 10 $118,828.55 $118,828.55 $118,828.55 nat. median
$32,644
outlier · 3.6×
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 10 $118,828.55 $118,828.55 $118,828.55 nat. median
$42,609
outlier · 2.8×
81
MS_DRG 		Nontraumatic Stupor And Coma Without Mcc 10 $118,828.55 $118,828.55 $118,828.55 nat. median
$9,332
outlier · 12.7×
242
MS_DRG 		Permanent Cardiac Pacemaker Implant With Mcc 10 $118,828.55 $118,828.55 $118,828.55 nat. median
$30,977
outlier · 3.8×
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 10 $118,828.55 $118,828.55 $118,828.55 nat. median
$56,633
outlier · 2.1×
265
MS_DRG 		Aicd Lead Procedures 10 $118,828.55 $118,828.55 $118,828.55 nat. median
$33,634
outlier · 3.5×
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 10 $118,828.55 $118,828.55 $118,828.55 nat. median
$55,425
outlier · 2.1×
271
MS_DRG 		Other Major Cardiovascular Procedures With Cc 10 $118,828.55 $118,828.55 $118,828.55 nat. median
$33,980
outlier · 3.5×
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 10 $118,828.55 $118,828.55 $118,828.55 nat. median
$63,829
1.9× median
258
MS_DRG 		Cardiac Pacemaker Device Replacement With Mcc 10 $118,828.55 $118,828.55 $118,828.55 nat. median
$28,394
outlier · 4.2×
255
MS_DRG 		Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 10 $118,828.55 $118,828.55 $118,828.55 nat. median
$25,023
outlier · 4.7×
277
MS_DRG 		Cardiac Defibrillator Implant Without Mcc 10 $118,828.55 $118,828.55 $118,828.55 nat. median
$44,088
outlier · 2.7×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 10 $118,828.55 $118,828.55 $118,828.55 nat. median
$76,979
1.5× median

Other procedures at this hospital

Browse this hospital's 1,902 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
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
             
89 MS_DRG Concussion With Cc 14 10 — — $537,909.39 $537,909.39 $537,909.39 2025-08-01
78 MS_DRG Hypertensive Encephalopathy With Cc 14 10 — — $537,909.39 $537,909.39 $537,909.39 2025-08-01
92 MS_DRG Other Disorders Of Nervous System With Cc 14 10 — — $537,909.39 $537,909.39 $537,909.39 2025-08-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 14 10 — — $310,277.39 $310,277.39 $310,277.39 2025-08-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 14 10 — — $229,767.96 $229,767.96 $229,767.96 2025-08-01
164 MS_DRG Major Chest Procedures With Cc 14 10 — — $202,666.58 $202,666.58 $202,666.58 2025-08-01
163 MS_DRG Major Chest Procedures With Mcc 14 10 — — $202,666.58 $202,666.58 $202,666.58 2025-08-01
165 MS_DRG Major Chest Procedures Without Cc/mcc 14 10 — — $202,666.58 $202,666.58 $202,666.58 2025-08-01
140 MS_DRG Major Head And Neck Procedures With Mcc 14 10 — — $177,508.29 $177,508.29 $177,508.29 2025-08-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 14 10 — — $177,508.29 $177,508.29 $177,508.29 2025-08-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 15 10 — — $163,207.97 $163,207.97 $163,207.97 2025-08-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 15 10 — — $158,548.16 $158,548.16 $158,548.16 2025-08-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 14 10 — — $147,720.80 $147,720.80 $147,720.80 2025-08-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 14 10 — — $118,828.56 $118,828.56 $118,828.56 2025-08-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 14 10 — — $118,828.56 $118,828.56 $118,828.56 2025-08-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 14 10 — — $118,828.56 $118,828.56 $118,828.56 2025-08-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 14 10 — — $118,828.56 $118,828.56 $118,828.56 2025-08-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 14 10 — — $118,828.56 $118,828.56 $118,828.56 2025-08-01
32 MS_DRG Ventricular Shunt Procedures With Cc 14 10 — — $118,828.56 $118,828.56 $118,828.56 2025-08-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 14 10 — — $118,828.56 $118,828.56 $118,828.56 2025-08-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 14 10 — — $118,828.56 $118,828.56 $118,828.56 2025-08-01
33 MS_DRG Ventricular Shunt Procedures Without Cc/mcc 14 10 — — $118,828.56 $118,828.56 $118,828.56 2025-08-01
28 MS_DRG Spinal Procedures With Mcc 14 10 — — $118,828.56 $118,828.56 $118,828.56 2025-08-01
30 MS_DRG Spinal Procedures Without Cc/mcc 14 10 — — $118,828.56 $118,828.56 $118,828.56 2025-08-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 14 10 — — $118,828.56 $118,828.56 $118,828.56 2025-08-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 14 10 — — $118,828.56 $118,828.56 $118,828.56 2025-08-01
80 MS_DRG Nontraumatic Stupor And Coma With Mcc 14 10 — — $118,828.56 $118,828.56 $118,828.56 2025-08-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 14 10 — — $118,828.56 $118,828.56 $118,828.56 2025-08-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 14 10 — — $118,828.56 $118,828.56 $118,828.56 2025-08-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 14 10 — — $118,828.56 $118,828.56 $118,828.56 2025-08-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 14 10 — — $118,828.56 $118,828.56 $118,828.56 2025-08-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 14 10 — — $118,828.55 $118,828.55 $118,828.55 2025-08-01
287 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization Without Mcc 14 10 — — $118,828.55 $118,828.55 $118,828.55 2025-08-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 14 10 — — $118,828.55 $118,828.55 $118,828.55 2025-08-01
253 MS_DRG Other Vascular Procedures With Cc 14 10 — — $118,828.55 $118,828.55 $118,828.55 2025-08-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 14 10 — — $118,828.55 $118,828.55 $118,828.55 2025-08-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 14 10 — — $118,828.55 $118,828.55 $118,828.55 2025-08-01
252 MS_DRG Other Vascular Procedures With Mcc 14 10 — — $118,828.55 $118,828.55 $118,828.55 2025-08-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 14 10 — — $118,828.55 $118,828.55 $118,828.55 2025-08-01
81 MS_DRG Nontraumatic Stupor And Coma Without Mcc 14 10 — — $118,828.55 $118,828.55 $118,828.55 2025-08-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 14 10 — — $118,828.55 $118,828.55 $118,828.55 2025-08-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 14 10 — — $118,828.55 $118,828.55 $118,828.55 2025-08-01
265 MS_DRG Aicd Lead Procedures 14 10 — — $118,828.55 $118,828.55 $118,828.55 2025-08-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 14 10 — — $118,828.55 $118,828.55 $118,828.55 2025-08-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 14 10 — — $118,828.55 $118,828.55 $118,828.55 2025-08-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 14 10 — — $118,828.55 $118,828.55 $118,828.55 2025-08-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 14 10 — — $118,828.55 $118,828.55 $118,828.55 2025-08-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 14 10 — — $118,828.55 $118,828.55 $118,828.55 2025-08-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 14 10 — — $118,828.55 $118,828.55 $118,828.55 2025-08-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 14 10 — — $118,828.55 $118,828.55 $118,828.55 2025-08-01
306 MS_DRG Cardiac Congenital And Valvular Disorders With Mcc 14 10 — — $118,828.55 $118,828.55 $118,828.55 2025-08-01
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 14 10 — — $118,828.55 $118,828.55 $118,828.55 2025-08-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 14 10 — — $118,828.55 $118,828.55 $118,828.55 2025-08-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 14 10 — — $118,828.55 $118,828.55 $118,828.55 2025-08-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 14 10 — — $118,828.55 $118,828.55 $118,828.55 2025-08-01
259 MS_DRG Cardiac Pacemaker Device Replacement Without Mcc 14 10 — — $118,828.55 $118,828.55 $118,828.55 2025-08-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 14 10 — — $118,828.55 $118,828.55 $118,828.55 2025-08-01
241 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe Without Cc… 14 10 — — $118,828.55 $118,828.55 $118,828.55 2025-08-01
254 MS_DRG Other Vascular Procedures Without Cc/mcc 14 10 — — $118,828.55 $118,828.55 $118,828.55 2025-08-01
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/mcc 14 10 — — $118,828.55 $118,828.55 $118,828.55 2025-08-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 14 10 — — $118,828.55 $118,828.55 $118,828.55 2025-08-01
307 MS_DRG Cardiac Congenital And Valvular Disorders Without Mcc 14 10 — — $118,828.55 $118,828.55 $118,828.55 2025-08-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 15 10 — — $116,013.09 $116,013.09 $116,013.09 2025-08-01
116 MS_DRG Intraocular Procedures With Cc/mcc 14 10 — — $115,767.94 $115,767.94 $115,767.94 2025-08-01
137 MS_DRG Mouth Procedures With Cc/mcc 14 10 — — $115,767.94 $115,767.94 $115,767.94 2025-08-01
113 MS_DRG Orbital Procedures With Cc/mcc 14 10 — — $115,767.94 $115,767.94 $115,767.94 2025-08-01
135 MS_DRG Sinus And Mastoid Procedures With Cc/mcc 14 10 — — $115,767.94 $115,767.94 $115,767.94 2025-08-01
141 MS_DRG Major Head And Neck Procedures With Cc 14 10 — — $115,767.94 $115,767.94 $115,767.94 2025-08-01
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 14 10 — — $115,767.94 $115,767.94 $115,767.94 2025-08-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 14 10 — — $115,767.94 $115,767.94 $115,767.94 2025-08-01
205 MS_DRG Other Respiratory System Diagnoses With Mcc 14 10 — — $112,102.84 $112,102.84 $112,102.84 2025-08-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 14 10 — — $111,192.31 $111,192.31 $111,192.31 2025-08-01
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 14 10 — — $111,192.31 $111,192.31 $111,192.31 2025-08-01
799 MS_DRG Splenic Procedures With Mcc 15 10 — — $106,800.60 $106,800.60 $106,800.60 2025-08-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 14 10 — — $106,800.32 $106,800.32 $106,800.32 2025-08-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 14 10 — — $106,394.79 $106,394.79 $106,394.79 2025-08-01
582 MS_DRG Mastectomy For Malignancy With Cc/mcc 14 10 — — $103,793.26 $103,793.26 $103,793.26 2025-08-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 14 10 — — $103,793.26 $103,793.26 $103,793.26 2025-08-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 15 10 — — $103,112.54 $103,112.54 $103,112.54 2025-08-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 14 10 — — $100,051.65 $100,051.65 $100,051.65 2025-08-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 14 10 — — $100,051.65 $100,051.65 $100,051.65 2025-08-01
551 MS_DRG Medical Back Problems With Mcc 14 10 — — $99,921.58 $99,921.58 $99,921.58 2025-08-01
901 MS_DRG Wound Debridements For Injuries With Mcc 15 10 — — $98,177.28 $98,177.28 $98,177.28 2025-08-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 15 10 — — $96,991.29 $96,991.29 $96,991.29 2025-08-01
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 15 10 — — $96,585.75 $96,585.75 $96,585.75 2025-08-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 15 10 — — $96,585.75 $96,585.75 $96,585.75 2025-08-01
787 MS_DRG Cesarean Section Without Sterilization With Cc 15 10 — — $96,585.75 $96,585.75 $96,585.75 2025-08-01
735 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy Without Cc/mcc 15 10 — — $96,585.75 $96,585.75 $96,585.75 2025-08-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 15 10 — — $96,585.75 $96,585.75 $96,585.75 2025-08-01
754 MS_DRG Malignancy, Female Reproductive System With Mcc 15 10 — — $96,585.75 $96,585.75 $96,585.75 2025-08-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 15 10 — — $96,585.75 $96,585.75 $96,585.75 2025-08-01
748 MS_DRG Female Reproductive System Reconstructive Procedures 15 10 — — $96,585.75 $96,585.75 $96,585.75 2025-08-01
743 MS_DRG Uterine And Adnexa Procedures For Non-malignancy Without Cc/mcc 15 10 — — $96,585.75 $96,585.75 $96,585.75 2025-08-01
747 MS_DRG Vagina, Cervix And Vulva Procedures Without Cc/mcc 15 10 — — $96,585.75 $96,585.75 $96,585.75 2025-08-01
786 MS_DRG Cesarean Section Without Sterilization With Mcc 15 10 — — $96,585.75 $96,585.75 $96,585.75 2025-08-01
746 MS_DRG Vagina, Cervix And Vulva Procedures With Cc/mcc 15 10 — — $96,585.75 $96,585.75 $96,585.75 2025-08-01
843 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 15 10 — — $96,585.75 $96,585.75 $96,585.75 2025-08-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 15 10 — — $96,585.75 $96,585.75 $96,585.75 2025-08-01
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc 15 10 — — $96,585.75 $96,585.75 $96,585.75 2025-08-01
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 15 10 — — $96,585.75 $96,585.75 $96,585.75 2025-08-01
850 MS_DRG Acute Leukemia With Other Procedures 15 10 — — $96,585.75 $96,585.75 $96,585.75 2025-08-01
744 MS_DRG D&c, Conization, Laparoscopy And Tubal Interruption With Cc/mcc 15 10 — — $96,585.75 $96,585.75 $96,585.75 2025-08-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 15 10 — — $96,585.75 $96,585.75 $96,585.75 2025-08-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 15 10 — — $96,585.75 $96,585.75 $96,585.75 2025-08-01
918 MS_DRG Poisoning And Toxic Effects Of Drugs Without Mcc 15 10 — — $96,585.75 $96,585.75 $96,585.75 2025-08-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 15 10 — — $96,585.75 $96,585.75 $96,585.75 2025-08-01
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 15 10 — — $96,585.75 $96,585.75 $96,585.75 2025-08-01
755 MS_DRG Malignancy, Female Reproductive System With Cc 15 10 — — $96,585.75 $96,585.75 $96,585.75 2025-08-01
750 MS_DRG Other Female Reproductive System O.r. Procedures Without Cc/mcc 15 10 — — $96,585.75 $96,585.75 $96,585.75 2025-08-01
745 MS_DRG D&c, Conization, Laparoscopy And Tubal Interruption Without Cc/mcc 15 10 — — $96,585.75 $96,585.75 $96,585.75 2025-08-01
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 15 10 — — $96,585.75 $96,585.75 $96,585.75 2025-08-01
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/mcc 15 10 — — $96,585.75 $96,585.75 $96,585.75 2025-08-01
741 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy Without… 15 10 — — $96,585.75 $96,585.75 $96,585.75 2025-08-01
783 MS_DRG Cesarean Section With Sterilization With Mcc 15 10 — — $96,585.75 $96,585.75 $96,585.75 2025-08-01
738 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy Without Cc/mcc 15 10 — — $96,585.75 $96,585.75 $96,585.75 2025-08-01
737 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 15 10 — — $96,585.75 $96,585.75 $96,585.75 2025-08-01
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 15 10 — — $96,585.75 $96,585.75 $96,585.75 2025-08-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 15 10 — — $96,585.75 $96,585.75 $96,585.75 2025-08-01
740 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Cc 15 10 — — $96,585.75 $96,585.75 $96,585.75 2025-08-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 15 10 — — $96,585.75 $96,585.75 $96,585.75 2025-08-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 15 10 — — $96,585.75 $96,585.75 $96,585.75 2025-08-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 15 10 — — $96,585.75 $96,585.75 $96,585.75 2025-08-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 14 10 — — $96,585.50 $96,585.50 $96,585.50 2025-08-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 14 10 — — $96,585.50 $96,585.50 $96,585.50 2025-08-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 14 10 — — $96,585.50 $96,585.50 $96,585.50 2025-08-01
499 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Without… 14 10 — — $96,585.50 $96,585.50 $96,585.50 2025-08-01
385 MS_DRG Inflammatory Bowel Disease With Mcc 14 10 — — $96,585.50 $96,585.50 $96,585.50 2025-08-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 14 10 — — $96,585.50 $96,585.50 $96,585.50 2025-08-01
562 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 14 10 — — $96,585.50 $96,585.50 $96,585.50 2025-08-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 14 10 — — $96,585.50 $96,585.50 $96,585.50 2025-08-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 14 10 — — $96,585.50 $96,585.50 $96,585.50 2025-08-01
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 14 10 — — $96,585.50 $96,585.50 $96,585.50 2025-08-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 14 10 — — $96,585.50 $96,585.50 $96,585.50 2025-08-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 14 10 — — $96,585.50 $96,585.50 $96,585.50 2025-08-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 14 10 — — $96,585.50 $96,585.50 $96,585.50 2025-08-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 14 10 — — $96,585.50 $96,585.50 $96,585.50 2025-08-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 14 10 — — $96,585.50 $96,585.50 $96,585.50 2025-08-01
643 MS_DRG Endocrine Disorders With Mcc* 14 10 — — $96,585.50 $96,585.50 $96,585.50 2025-08-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 14 10 — — $96,585.50 $96,585.50 $96,585.50 2025-08-01
693 MS_DRG Urinary Stones With Mcc 7 6 — — $96,585.50 $96,585.50 $96,585.50 2025-08-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 14 10 — — $96,585.50 $96,585.50 $96,585.50 2025-08-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 15 10 — — $96,210.83 $96,210.83 $96,210.83 2025-08-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 15 10 — — $96,210.83 $96,210.83 $96,210.83 2025-08-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 15 10 — — $96,210.83 $96,210.83 $96,210.83 2025-08-01
908 MS_DRG Other O.r. Procedures For Injuries With Cc* 15 10 — — $96,210.83 $96,210.83 $96,210.83 2025-08-01
822 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures Without Cc/mcc 15 10 — — $96,210.83 $96,210.83 $96,210.83 2025-08-01
828 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 15 10 — — $96,210.83 $96,210.83 $96,210.83 2025-08-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc* 15 10 — — $96,210.83 $96,210.83 $96,210.83 2025-08-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 15 10 — — $96,210.83 $96,210.83 $96,210.83 2025-08-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 14 10 — — $95,774.44 $95,774.44 $95,774.44 2025-08-01
500 MS_DRG Soft Tissue Procedures With Mcc 14 10 — — $94,244.13 $94,244.13 $94,244.13 2025-08-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 14 10 — — $92,851.55 $92,851.55 $92,851.55 2025-08-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 14 10 — — $92,851.55 $92,851.55 $92,851.55 2025-08-01
261 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Cc 14 10 — — $92,851.55 $92,851.55 $92,851.55 2025-08-01
262 MS_DRG Cardiac Pacemaker Revision Except Device Replacement Without Cc/mcc 14 10 — — $92,851.55 $92,851.55 $92,851.55 2025-08-01
264 MS_DRG Other Circulatory System O.r. Procedures 14 10 — — $92,851.55 $92,851.55 $92,851.55 2025-08-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 14 10 — — $92,851.55 $92,851.55 $92,851.55 2025-08-01
263 MS_DRG Vein Ligation And Stripping 14 10 — — $92,851.55 $92,851.55 $92,851.55 2025-08-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 14 10 — — $91,742.07 $91,742.07 $91,742.07 2025-08-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc* 7 6 — — $91,596.69 $91,596.69 $91,596.69 2025-08-01
665 MS_DRG Prostatectomy With Mcc 14 10 — — $91,596.69 $91,596.69 $91,596.69 2025-08-01
653 MS_DRG Major Bladder Procedures With Mcc 14 10 — — $91,596.69 $91,596.69 $91,596.69 2025-08-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 15 10 — — $90,701.70 $90,701.70 $90,701.70 2025-08-01
784 MS_DRG Cesarean Section With Sterilization With Cc 15 10 — — $90,613.37 $90,613.37 $90,613.37 2025-08-01
570 MS_DRG Skin Debridement With Mcc* 14 10 — — $90,081.68 $90,081.68 $90,081.68 2025-08-01
974 MS_DRG HIV With Major Related Condition With Mcc* 15 10 — — $87,197.28 $87,197.28 $87,197.28 2025-08-01
583 MS_DRG Mastectomy For Malignancy Without Cc/mcc 14 10 — — $85,299.47 $85,299.47 $85,299.47 2025-08-01
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 14 10 — — $85,299.47 $85,299.47 $85,299.47 2025-08-01
581 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/mcc 14 10 — — $85,299.47 $85,299.47 $85,299.47 2025-08-01
52 MS_DRG Spinal Disorders And Injuries With Cc/mcc 14 10 — — $82,942.79 $82,942.79 $82,942.79 2025-08-01
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc* 14 10 — — $82,529.13 $82,529.13 $82,529.13 2025-08-01
919 MS_DRG Complications Of Treatment With Mcc 15 10 — — $82,055.43 $82,055.43 $82,055.43 2025-08-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 14 10 — — $81,481.35 $81,481.35 $81,481.35 2025-08-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 14 10 — — $81,343.62 $81,343.62 $81,343.62 2025-08-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 10 — — $81,343.62 $81,343.62 $81,343.62 2025-08-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 10 — — $81,343.62 $81,343.62 $81,343.62 2025-08-01
53 MS_DRG Spinal Disorders And Injuries Without Cc/mcc 14 10 — — $81,228.84 $81,228.84 $81,228.84 2025-08-01
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 14 10 — — $80,165.28 $80,165.28 $80,165.28 2025-08-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc* 7 6 — — $80,073.46 $80,073.46 $80,073.46 2025-08-01
666 MS_DRG Prostatectomy With Cc 14 10 — — $80,073.46 $80,073.46 $80,073.46 2025-08-01
675 MS_DRG Other Kidney And Urinary Tract Procedures Without Cc/mcc* 7 6 — — $80,073.46 $80,073.46 $80,073.46 2025-08-01
654 MS_DRG Major Bladder Procedures With Cc 14 10 — — $80,073.46 $80,073.46 $80,073.46 2025-08-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 14 10 — — $79,522.55 $79,522.55 $79,522.55 2025-08-01
38 MS_DRG Extracranial Procedures With Cc 14 10 — — $79,522.55 $79,522.55 $79,522.55 2025-08-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 14 10 — — $79,522.55 $79,522.55 $79,522.55 2025-08-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 14 10 — — $79,522.55 $79,522.55 $79,522.55 2025-08-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 14 10 — — $79,522.55 $79,522.55 $79,522.55 2025-08-01
142 MS_DRG Major Head And Neck Procedures Without Cc/mcc 14 10 — — $79,522.55 $79,522.55 $79,522.55 2025-08-01
36 MS_DRG Carotid Artery Stent Procedures Without Cc/mcc 14 10 — — $79,522.55 $79,522.55 $79,522.55 2025-08-01
199 MS_DRG Pneumothorax With Mcc 14 10 — — $79,522.55 $79,522.55 $79,522.55 2025-08-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 14 10 — — $79,522.55 $79,522.55 $79,522.55 2025-08-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 14 10 — — $79,522.55 $79,522.55 $79,522.55 2025-08-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 14 10 — — $79,522.55 $79,522.55 $79,522.55 2025-08-01
138 MS_DRG Mouth Procedures Without Cc/mcc 14 10 — — $79,522.55 $79,522.55 $79,522.55 2025-08-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 14 10 — — $79,522.55 $79,522.55 $79,522.55 2025-08-01
157 MS_DRG Dental And Oral Diseases With Mcc 14 10 — — $79,522.55 $79,522.55 $79,522.55 2025-08-01
100 MS_DRG Seizures With Mcc 14 10 — — $79,522.55 $79,522.55 $79,522.55 2025-08-01
115 MS_DRG Extraocular Procedures Except Orbit 14 10 — — $79,522.55 $79,522.55 $79,522.55 2025-08-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 14 10 — — $79,522.55 $79,522.55 $79,522.55 2025-08-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 14 10 — — $79,522.55 $79,522.55 $79,522.55 2025-08-01
114 MS_DRG Orbital Procedures Without Cc/mcc 14 10 — — $79,522.55 $79,522.55 $79,522.55 2025-08-01
144 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Cc 14 10 — — $79,522.55 $79,522.55 $79,522.55 2025-08-01
145 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures Without Cc/mcc 14 10 — — $79,522.55 $79,522.55 $79,522.55 2025-08-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 14 10 — — $79,522.55 $79,522.55 $79,522.55 2025-08-01
35 MS_DRG Carotid Artery Stent Procedures With Cc 14 10 — — $79,522.55 $79,522.55 $79,522.55 2025-08-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 14 10 — — $79,522.55 $79,522.55 $79,522.55 2025-08-01
251 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc 14 10 — — $79,522.55 $79,522.55 $79,522.55 2025-08-01
58 MS_DRG Multiple Sclerosis And Cerebellar Ataxia With Mcc 14 10 — — $79,522.55 $79,522.55 $79,522.55 2025-08-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 14 10 — — $79,522.55 $79,522.55 $79,522.55 2025-08-01
37 MS_DRG Extracranial Procedures With Mcc 14 10 — — $79,522.55 $79,522.55 $79,522.55 2025-08-01
196 MS_DRG Interstitial Lung Disease With Mcc* 14 10 — — $79,522.55 $79,522.55 $79,522.55 2025-08-01
154 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses With Mcc 14 10 — — $79,522.55 $79,522.55 $79,522.55 2025-08-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 14 10 — — $79,522.55 $79,522.55 $79,522.55 2025-08-01
204 MS_DRG Respiratory Signs And Symptoms 14 10 — — $79,522.55 $79,522.55 $79,522.55 2025-08-01
139 MS_DRG Salivary Gland Procedures 14 10 — — $79,522.55 $79,522.55 $79,522.55 2025-08-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 14 10 — — $79,522.55 $79,522.55 $79,522.55 2025-08-01
215 MS_DRG Other Heart Assist System Implant 14 10 — — $79,522.55 $79,522.55 $79,522.55 2025-08-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 14 10 — — $79,522.55 $79,522.55 $79,522.55 2025-08-01
102 MS_DRG Headaches With Mcc 14 10 — — $79,522.55 $79,522.55 $79,522.55 2025-08-01
168 MS_DRG Other Respiratory System O.r. Procedures Without Cc/mcc 14 10 — — $79,522.55 $79,522.55 $79,522.55 2025-08-01
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 14 10 — — $79,522.55 $79,522.55 $79,522.55 2025-08-01
117 MS_DRG Intraocular Procedures Without Cc/mcc 14 10 — — $79,522.55 $79,522.55 $79,522.55 2025-08-01
39 MS_DRG Extracranial Procedures Without Cc/mcc 14 10 — — $79,522.55 $79,522.55 $79,522.55 2025-08-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 14 10 — — $79,522.55 $79,522.55 $79,522.55 2025-08-01
136 MS_DRG Sinus And Mastoid Procedures Without Cc/mcc 14 10 — — $79,522.55 $79,522.55 $79,522.55 2025-08-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 14 10 — — $79,476.64 $79,476.64 $79,476.64 2025-08-01
393 MS_DRG Other Digestive System Diagnoses With Mcc 14 10 — — $77,739.74 $77,739.74 $77,739.74 2025-08-01
388 MS_DRG Gastrointestinal Obstruction With Mcc 14 10 — — $75,604.95 $75,604.95 $75,604.95 2025-08-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 14 10 — — $75,054.04 $75,054.04 $75,054.04 2025-08-01
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 14 10 — — $74,862.75 $74,862.75 $74,862.75 2025-08-01
539 MS_DRG Osteomyelitis With Mcc* 14 10 — — $74,166.46 $74,166.46 $74,166.46 2025-08-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 14 10 — — $73,278.88 $73,278.88 $73,278.88 2025-08-01
380 MS_DRG Complicated Peptic Ulcer With Mcc 14 10 — — $73,278.88 $73,278.88 $73,278.88 2025-08-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 14 10 — — $73,278.88 $73,278.88 $73,278.88 2025-08-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 14 10 — — $73,278.88 $73,278.88 $73,278.88 2025-08-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 14 10 — — $72,972.82 $72,972.82 $72,972.82 2025-08-01
620 MS_DRG O.r. Procedures For Obesity With Cc 14 10 — — $72,590.25 $72,590.25 $72,590.25 2025-08-01
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 14 10 — — $72,590.25 $72,590.25 $72,590.25 2025-08-01
989 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/mcc 14 9 — — $72,269.07 $72,269.07 $72,269.07 2025-08-01
988 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 15 10 — — $72,269.07 $72,269.07 $72,269.07 2025-08-01
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 15 10 — — $72,269.07 $72,269.07 $72,269.07 2025-08-01
941 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/… 15 10 — — $72,269.06 $72,269.06 $72,269.06 2025-08-01
922 MS_DRG Other Injury, Poisoning And Toxic Effect Diagnoses With Mcc 15 10 — — $72,269.06 $72,269.06 $72,269.06 2025-08-01
905 MS_DRG Skin Grafts For Injuries Without Cc/mcc 15 10 — — $72,269.06 $72,269.06 $72,269.06 2025-08-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 15 10 — — $72,269.06 $72,269.06 $72,269.06 2025-08-01
903 MS_DRG Wound Debridements For Injuries Without Cc/mcc 15 10 — — $72,269.06 $72,269.06 $72,269.06 2025-08-01
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/mcc 15 10 — — $72,269.06 $72,269.06 $72,269.06 2025-08-01
717 MS_DRG Other Male Reproductive System O.r. Procedures Except Malignancy With Cc/mcc 15 10 — — $72,269.06 $72,269.06 $72,269.06 2025-08-01
711 MS_DRG Testes Procedures With Cc/mcc 15 10 — — $72,269.06 $72,269.06 $72,269.06 2025-08-01
818 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Cc 15 10 — — $72,269.06 $72,269.06 $72,269.06 2025-08-01
934 MS_DRG Full Thickness Burn Without Skin Graft Or Inhalation Injury 15 10 — — $72,269.06 $72,269.06 $72,269.06 2025-08-01
709 MS_DRG Penis Procedures With Cc/mcc 15 10 — — $72,269.06 $72,269.06 $72,269.06 2025-08-01
707 MS_DRG Major Male Pelvic Procedures With Cc/mcc 15 10 — — $72,269.06 $72,269.06 $72,269.06 2025-08-01
902 MS_DRG Wound Debridements For Injuries With Cc 15 10 — — $72,269.06 $72,269.06 $72,269.06 2025-08-01
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 15 10 — — $72,269.06 $72,269.06 $72,269.06 2025-08-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 15 10 — — $72,269.06 $72,269.06 $72,269.06 2025-08-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 15 10 — — $72,269.06 $72,269.06 $72,269.06 2025-08-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 15 10 — — $72,269.06 $72,269.06 $72,269.06 2025-08-01
670 MS_DRG Transurethral Procedures Without Cc/mcc 7 6 — — $72,268.88 $72,268.88 $72,268.88 2025-08-01
671 MS_DRG Urethral Procedures With Cc/mcc 7 6 — — $72,268.88 $72,268.88 $72,268.88 2025-08-01
672 MS_DRG Urethral Procedures Without Cc/mcc 7 6 — — $72,268.88 $72,268.88 $72,268.88 2025-08-01
488 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection With Cc/mcc 14 10 — — $72,268.88 $72,268.88 $72,268.88 2025-08-01
615 MS_DRG Adrenal And Pituitary Procedures Without Cc/mcc 14 10 — — $72,268.88 $72,268.88 $72,268.88 2025-08-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 14 10 — — $72,268.88 $72,268.88 $72,268.88 2025-08-01
501 MS_DRG Soft Tissue Procedures With Cc 14 10 — — $72,268.88 $72,268.88 $72,268.88 2025-08-01
669 MS_DRG Transurethral Procedures With Cc 7 6 — — $72,268.88 $72,268.88 $72,268.88 2025-08-01
614 MS_DRG Adrenal And Pituitary Procedures With Cc/mcc 14 10 — — $72,268.88 $72,268.88 $72,268.88 2025-08-01
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 14 10 — — $72,268.88 $72,268.88 $72,268.88 2025-08-01
668 MS_DRG Transurethral Procedures With Mcc 7 6 — — $72,268.88 $72,268.88 $72,268.88 2025-08-01
604 MS_DRG Trauma To The Skin, Subcutaneous Tissue And Breast With Mcc 14 10 — — $72,268.88 $72,268.88 $72,268.88 2025-08-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 14 10 — — $72,268.88 $72,268.88 $72,268.88 2025-08-01
663 MS_DRG Minor Bladder Procedures With Cc 14 10 — — $72,268.88 $72,268.88 $72,268.88 2025-08-01
664 MS_DRG Minor Bladder Procedures Without Cc/mcc 14 10 — — $72,268.88 $72,268.88 $72,268.88 2025-08-01
606 MS_DRG Minor Skin Disorders With Mcc 14 10 — — $72,268.88 $72,268.88 $72,268.88 2025-08-01
660 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Cc* 14 10 — — $72,268.88 $72,268.88 $72,268.88 2025-08-01
661 MS_DRG Kidney And Ureter Procedures For Non-neoplasm Without Cc/mcc* 14 10 — — $72,268.88 $72,268.88 $72,268.88 2025-08-01
662 MS_DRG Minor Bladder Procedures With Mcc 14 10 — — $72,268.88 $72,268.88 $72,268.88 2025-08-01
387 MS_DRG Inflammatory Bowel Disease Without Cc/mcc 14 10 — — $72,268.88 $72,268.88 $72,268.88 2025-08-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 14 10 — — $72,268.88 $72,268.88 $72,268.88 2025-08-01
667 MS_DRG Prostatectomy Without Cc/mcc 7 6 — — $72,268.88 $72,268.88 $72,268.88 2025-08-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc* 14 10 — — $72,268.88 $72,268.88 $72,268.88 2025-08-01
545 MS_DRG Connective Tissue Disorders With Mcc 14 10 — — $72,268.88 $72,268.88 $72,268.88 2025-08-01
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Mcc 14 10 — — $72,268.88 $72,268.88 $72,268.88 2025-08-01
578 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis Without Cc/mcc* 14 10 — — $72,268.88 $72,268.88 $72,268.88 2025-08-01
655 MS_DRG Major Bladder Procedures Without Cc/mcc 14 10 — — $72,268.88 $72,268.88 $72,268.88 2025-08-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc* 14 10 — — $72,268.88 $72,268.88 $72,268.88 2025-08-01
657 MS_DRG Kidney And Ureter Procedures For Neoplasm With Cc 14 10 — — $72,268.88 $72,268.88 $72,268.88 2025-08-01
575 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis Without Cc/mcc 14 10 — — $72,268.88 $72,268.88 $72,268.88 2025-08-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 14 10 — — $72,268.88 $72,268.88 $72,268.88 2025-08-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 14 10 — — $72,268.88 $72,268.88 $72,268.88 2025-08-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc* 14 10 — — $72,268.88 $72,268.88 $72,268.88 2025-08-01
386 MS_DRG Inflammatory Bowel Disease With Cc 14 10 — — $72,268.88 $72,268.88 $72,268.88 2025-08-01
658 MS_DRG Kidney And Ureter Procedures For Neoplasm Without Cc/mcc 14 10 — — $72,268.88 $72,268.88 $72,268.88 2025-08-01
374 MS_DRG Digestive Malignancy With Mcc* 14 10 — — $72,268.88 $72,268.88 $72,268.88 2025-08-01
189 MS_DRG Pulmonary Edema And Respiratory Failure 14 10 — — $72,046.99 $72,046.99 $72,046.99 2025-08-01
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 14 10 — — $71,243.57 $71,243.57 $71,243.57 2025-08-01
831 MS_DRG Other Antepartum Diagnoses Without O.r. Procedures With Mcc 15 10 — — $71,182.55 $71,182.55 $71,182.55 2025-08-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 15 10 — — $71,182.55 $71,182.55 $71,182.55 2025-08-01
770 MS_DRG Abortion With D&c, Aspiration Curettage Or Hysterotomy 15 10 — — $71,182.55 $71,182.55 $71,182.55 2025-08-01
793 MS_DRG Full Term Neonate With Major Problems 15 10 — — $71,182.55 $71,182.55 $71,182.55 2025-08-01
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