Price Transparencybeta Hospital negotiated rates

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

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Hospital

MIDDLESEX HOSPITAL

Middletown, CT · CCN 070020 · Rates published

Your selected procedure

You selected 807 (MS_DRG)

VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC

This hospital’s price: $12,062 across 12 payers · range $3,623-$18,194

Source: https://middlesexhealth.org/download.cfm?downloadfile=5F8596E9-E111-0502-043F2B6E836DB364&typename=dmHTMLFile&fieldname=filename · observed 2025-01-01

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

2,300 distinct procedures filed
49 distinct payers
34,776 rate rows
2025-01-01 last MRF observed · ⚠ 19 mo old
Data quality

5,948 of 34,776 rate rows are consumer-grade (17.1%)

28,828 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 28,537
per-diem day rate — not a per-procedure price 265
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 22
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 4

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 19 months old.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://middlesexhealth.org/download.cfm?downloadfile=5F8596E9-E111-0502-043F2B6E836DB364&typename=dmHTMLFile&fieldname=filename
Found on page https://middlesexhealth.org/about-middlesex-health/quality-and-compliance/compliance/price-transparency
Discovered viaDiscovered by HANK (automated)
Last fetch not_modified · 2026-08-01
Content fingerprint e1b9c3b8c63b7578… · 22,532,615 bytes · first seen 2026-05-15

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
77
MS_DRG 		Hypertensive Encephalopathy With Mcc 1 $185,587.00 $185,587.00 $185,587.00 nat. median
$15,867
outlier · 11.7×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 1 $182,554.76 $182,554.76 $182,554.76 nat. median
$199,832
0.9× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 2 $146,116.70 $212,302.00 $179,209.35 nat. median
$132,706
1.4× median
876
MS_DRG 		O.r. Procedures With Principal Diagnosis Of Mental Illness 1 $162,565.71 $162,565.71 $162,565.71 nat. median
$33,858
outlier · 4.8×
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 5 $75,236.00 $133,157.50 $115,553.66 nat. median
$57,648
outlier · 2.0×
820
MS_DRG 		Lymphoma And Leukemia With Major O.r. Procedures With Mcc 1 $110,032.02 $110,032.02 $110,032.02 nat. median
$56,397
2.0× median
542
MS_DRG 		Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 1 $92,928.00 $92,928.00 $92,928.00 nat. median
$17,869
outlier · 5.2×
166
MS_DRG 		Other Respiratory System O.r. Procedures With Mcc 1 $91,562.57 $91,562.57 $91,562.57 nat. median
$37,053
outlier · 2.5×
455
MS_DRG 		Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 8 $37,188.69 $118,132.82 $77,796.90 nat. median
$46,399
1.7× median
841
MS_DRG 		Lymphoma And Non-acute Leukemia With Cc 1 $76,915.82 $76,915.82 $76,915.82 nat. median
$16,539
outlier · 4.7×
460
MS_DRG 		Spinal Fusion Except Cervical Without Mcc 9 $30,825.93 $97,200.09 $71,964.02 nat. median
$37,051
1.9× median
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 7 $38,693.84 $134,595.23 $71,722.02 nat. median
$44,514
1.6× median
344
MS_DRG 		Minor Small And Large Bowel Procedures With Mcc 1 $63,679.02 $73,508.73 $68,593.88 nat. median
$25,623
outlier · 2.7×
485
MS_DRG 		Knee Procedures With Principal Diagnosis Of Infection With Mcc 2 $29,672.75 $101,163.98 $65,418.36 nat. median
$31,836
outlier · 2.1×
75
MS_DRG 		Viral Meningitis With Cc/mcc 2 $16,671.75 $107,660.85 $62,166.30 nat. median
$18,303
outlier · 3.4×
800
MS_DRG 		Splenic Procedures With Cc 1 $61,785.08 $61,785.08 $61,785.08 nat. median
$27,862
outlier · 2.2×
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 8 $27,035.54 $179,613.27 $61,346.77 nat. median
$62,218
1.0× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 8 $600.00 $155,217.29 $61,177.30 nat. median
$65,958
0.9× median
239
MS_DRG 		Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 4 $41,953.52 $102,738.42 $60,644.33 nat. median
$47,513
1.3× median
409
MS_DRG 		Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 1 $58,751.03 $58,751.03 $58,751.03 nat. median
$21,453
outlier · 2.7×
474
MS_DRG 		Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 2 $36,510.40 $75,283.38 $55,896.89 nat. median
$41,643
1.3× median
63685
CPT 		Insert/Replace, Spinal Neurostimulator Pulse Gen/Receiv 2 $33,028.65 $75,532.37 $54,280.51 nat. median
$21,025
outlier · 2.6×
616
MS_DRG 		Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 2 $23,315.23 $84,267.00 $53,791.12 nat. median
$35,240
1.5× median
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 1 $53,710.00 $53,710.00 $53,710.00 nat. median
$51,433
1.0× median
466
MS_DRG 		Revision Of Hip Or Knee Replacement With Mcc 2 $35,340.33 $62,221.00 $48,780.67 nat. median
$48,652
1.0× median
463
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 1 $47,066.15 $47,066.15 $47,066.15 nat. median
$51,984
0.9× median
500
MS_DRG 		Soft Tissue Procedures With Mcc 2 $22,862.59 $70,949.44 $46,906.01 nat. median
$30,787
1.5× median
981
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 5 $28,990.22 $110,215.25 $46,746.32 nat. median
$45,808
1.0× median
326
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Mcc 5 $2,785.43 $101,680.79 $46,563.01 nat. median
$48,124
1.0× median
270
MS_DRG 		Other Major Cardiovascular Procedures With Mcc 1 $46,087.55 $46,087.55 $46,087.55 nat. median
$50,808
0.9× median
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 10 $31,571.50 $211,356.76 $45,706.41 nat. median
$47,707
1.0× median
823
MS_DRG 		Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 1 $44,765.49 $44,765.49 $44,765.49 nat. median
$44,650
1.0× median
53445
CPT 		Insert Uro/Ves Nck Sphincter 1 $44,701.91 $44,701.91 $44,701.91 nat. median
$16,059
outlier · 2.8×
901
MS_DRG 		Wound Debridements For Injuries With Mcc 1 $43,738.01 $43,738.01 $43,738.01 nat. median
$41,186
1.1× median
472
MS_DRG 		Cervical Spinal Fusion With Cc 4 $28,612.91 $74,647.53 $42,509.78 nat. median
$29,471
1.4× median
289
MS_DRG 		Acute And Subacute Endocarditis With Cc 1 $40,834.64 $40,834.64 $40,834.64 nat. median
$16,866
outlier · 2.4×
76
MS_DRG 		Viral Meningitis Without Cc/mcc 2 $30,976.00 $49,692.00 $40,334.00 nat. median
$9,485
outlier · 4.3×
421
MS_DRG 		Hepatobiliary Diagnostic Procedures With Cc 1 $40,027.68 $40,027.68 $40,027.68 nat. median
$17,222
outlier · 2.3×
357
MS_DRG 		Other Digestive System O.r. Procedures With Cc 5 $20,627.33 $66,256.00 $39,949.85 nat. median
$22,749
1.8× median
803
MS_DRG 		Other O.r. Procedures Of The Blood And Blood Forming Organs With Cc 1 $35,633.12 $43,725.80 $39,679.46 nat. median
$18,538
outlier · 2.1×
740
MS_DRG 		Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Cc 1 $38,803.72 $38,803.72 $38,803.72 nat. median
$18,460
outlier · 2.1×
356
MS_DRG 		Other Digestive System O.r. Procedures With Mcc 3 $34,886.56 $65,814.46 $38,487.43 nat. median
$42,341
0.9× median
163
MS_DRG 		Major Chest Procedures With Mcc 5 $22,034.00 $84,532.00 $38,150.87 nat. median
$44,914
0.8× median
269
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 4 $17,568.42 $104,710.25 $37,731.47 nat. median
$41,285
0.9× median
819
MS_DRG 		Other Antepartum Diagnoses With O.r. Procedures Without Cc/mcc 1 $36,817.00 $36,817.00 $36,817.00 nat. median
$9,235
outlier · 4.0×
40
MS_DRG 		Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 1 $36,780.00 $36,780.00 $36,780.00 nat. median
$37,498
1.0× median
998
MS_DRG 		Principal Diagnosis Invalid As Discharge Diagnosis 1 $36,780.00 $36,780.00 $36,780.00 nat. median
$5,186
outlier · 7.1×
620
MS_DRG 		O.r. Procedures For Obesity With Cc 2 $15,396.13 $40,866.30 $36,478.90 nat. median
$17,117
outlier · 2.1×
27726
CPT 		Repair Fibula Nonunion/malunion W/int Fixation 1 $36,475.75 $36,475.75 $36,475.75 nat. median
$7,285
outlier · 5.0×
385
MS_DRG 		Inflammatory Bowel Disease With Mcc 2 $14,680.15 $57,974.00 $36,327.07 nat. median
$16,070
outlier · 2.3×

Other procedures at this hospital

Browse this hospital's 2,300 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
             
77 MS_DRG Hypertensive Encephalopathy With Mcc 1 1 — — $185,587.00 $185,587.00 $185,587.00 2025-01-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 1 1 — — $182,554.76 $182,554.76 $182,554.76 2025-01-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 2 2 — — $146,116.70 $212,302.00 $179,209.35 2025-01-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 1 1 — — $162,565.71 $162,565.71 $162,565.71 2025-01-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 6 5 — — $75,236.00 $133,157.50 $115,553.66 2025-01-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 1 1 — — $110,032.02 $110,032.02 $110,032.02 2025-01-01
542 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 1 1 — — $92,928.00 $92,928.00 $92,928.00 2025-01-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 1 1 — — $91,562.57 $91,562.57 $91,562.57 2025-01-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 12 8 — — $37,188.69 $118,132.82 $77,796.90 2025-01-01
841 MS_DRG Lymphoma And Non-acute Leukemia With Cc 1 1 — — $76,915.82 $76,915.82 $76,915.82 2025-01-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 17 9 — — $30,825.93 $97,200.09 $71,964.02 2025-01-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 15 7 — — $38,693.84 $134,595.23 $71,722.02 2025-01-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 2 1 — — $63,679.02 $73,508.73 $68,593.88 2025-01-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 2 2 — — $29,672.75 $101,163.98 $65,418.36 2025-01-01
75 MS_DRG Viral Meningitis With Cc/mcc 2 2 — — $16,671.75 $107,660.85 $62,166.30 2025-01-01
800 MS_DRG Splenic Procedures With Cc 1 1 — — $61,785.08 $61,785.08 $61,785.08 2025-01-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 10 8 — — $27,035.54 $179,613.27 $61,346.77 2025-01-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 13 8 — — $600.00 $155,217.29 $61,177.30 2025-01-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 4 4 — — $41,953.52 $102,738.42 $60,644.33 2025-01-01
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 1 1 — — $58,751.03 $58,751.03 $58,751.03 2025-01-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 2 2 — — $36,510.40 $75,283.38 $55,896.89 2025-01-01
63685 CPT Insert/Replace, Spinal Neurostimulator Pulse Gen/Receiv 2 2 — — $33,028.65 $75,532.37 $54,280.51 2025-01-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 2 2 — — $23,315.23 $84,267.00 $53,791.12 2025-01-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 1 1 — — $53,710.00 $53,710.00 $53,710.00 2025-01-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 2 2 — — $35,340.33 $62,221.00 $48,780.67 2025-01-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 1 1 — — $47,066.15 $47,066.15 $47,066.15 2025-01-01
500 MS_DRG Soft Tissue Procedures With Mcc 2 2 — — $22,862.59 $70,949.44 $46,906.01 2025-01-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 6 5 — — $28,990.22 $110,215.25 $46,746.32 2025-01-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 5 5 — — $2,785.43 $101,680.79 $46,563.01 2025-01-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 1 1 — — $46,087.55 $46,087.55 $46,087.55 2025-01-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 16 10 — — $31,571.50 $211,356.76 $45,706.41 2025-01-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 1 1 — — $44,765.49 $44,765.49 $44,765.49 2025-01-01
53445 CPT Insert Uro/Ves Nck Sphincter 1 1 — — $44,701.91 $44,701.91 $44,701.91 2025-01-01
901 MS_DRG Wound Debridements For Injuries With Mcc 1 1 — — $43,738.01 $43,738.01 $43,738.01 2025-01-01
472 MS_DRG Cervical Spinal Fusion With Cc 4 4 — — $28,612.91 $74,647.53 $42,509.78 2025-01-01
289 MS_DRG Acute And Subacute Endocarditis With Cc 1 1 — — $40,834.64 $40,834.64 $40,834.64 2025-01-01
76 MS_DRG Viral Meningitis Without Cc/mcc 2 2 — — $30,976.00 $49,692.00 $40,334.00 2025-01-01
421 MS_DRG Hepatobiliary Diagnostic Procedures With Cc 1 1 — — $40,027.68 $40,027.68 $40,027.68 2025-01-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 6 5 — — $20,627.33 $66,256.00 $39,949.85 2025-01-01
803 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Cc 2 1 — — $35,633.12 $43,725.80 $39,679.46 2025-01-01
740 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Cc 1 1 — — $38,803.72 $38,803.72 $38,803.72 2025-01-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 3 3 — — $34,886.56 $65,814.46 $38,487.43 2025-01-01
163 MS_DRG Major Chest Procedures With Mcc 5 5 — — $22,034.00 $84,532.00 $38,150.87 2025-01-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 5 4 — — $17,568.42 $104,710.25 $37,731.47 2025-01-01
819 MS_DRG Other Antepartum Diagnoses With O.r. Procedures Without Cc/mcc 1 1 — — $36,817.00 $36,817.00 $36,817.00 2025-01-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 1 1 — — $36,780.00 $36,780.00 $36,780.00 2025-01-01
998 MS_DRG Principal Diagnosis Invalid As Discharge Diagnosis 1 1 — — $36,780.00 $36,780.00 $36,780.00 2025-01-01
620 MS_DRG O.r. Procedures For Obesity With Cc 5 2 — — $15,396.13 $40,866.30 $36,478.90 2025-01-01
27726 CPT Repair Fibula Nonunion/malunion W/int Fixation 1 1 — — $36,475.75 $36,475.75 $36,475.75 2025-01-01
385 MS_DRG Inflammatory Bowel Disease With Mcc 2 2 — — $14,680.15 $57,974.00 $36,327.07 2025-01-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 1 1 — — $35,856.34 $35,856.34 $35,856.34 2025-01-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 2 2 — — $34,549.00 $37,086.93 $35,817.96 2025-01-01
33264 CPT Rmvl Impltbl Dfb Pls Gen W/Rplcmt Pls Gen Mlt Ld 1 1 — — $35,552.49 $35,552.49 $35,552.49 2025-01-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 1 1 — — $35,428.33 $35,428.33 $35,428.33 2025-01-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 4 4 — — $22,099.00 $64,722.59 $35,212.01 2025-01-01
413 MS_DRG Cholecystectomy With C.d.e. Without Cc/mcc 1 1 — — $35,160.10 $35,160.10 $35,160.10 2025-01-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 2 2 — — $31,973.93 $37,434.72 $34,704.32 2025-01-01
831 MS_DRG Other Antepartum Diagnoses Without O.r. Procedures With Mcc 1 1 — — $34,675.06 $34,675.06 $34,675.06 2025-01-01
517 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures Without Cc/mc… 1 1 — — $33,459.28 $33,459.28 $33,459.28 2025-01-01
496 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 3 3 — — $19,467.44 $49,140.39 $33,375.62 2025-01-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 3 1 — — $33,314.46 $33,510.21 $33,314.47 2025-01-01
64582 CPT Open Impltj Hpglsl Nrv Nstim Ra Pg&respir Sensor 16 8 — — $4,630.05 $79,147.35 $33,259.97 2025-01-01
941 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/… 1 1 — — $32,997.84 $32,997.84 $32,997.84 2025-01-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 1 1 — — $32,930.94 $32,930.94 $32,930.94 2025-01-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 6 5 — — $31,746.36 $101,410.00 $32,794.90 2025-01-01
336 MS_DRG Peritoneal Adhesiolysis With Cc 8 5 — — $19,342.81 $66,256.00 $32,388.11 2025-01-01
27535 CPT Open Tx Tibial Fracture Proximal Unicondylar 1 1 — — $32,225.31 $32,225.31 $32,225.31 2025-01-01
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 7 5 — — $300.00 $61,661.83 $32,075.00 2025-01-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 5 4 — — $25,924.18 $86,197.47 $31,781.85 2025-01-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 1 1 — — $31,677.66 $31,677.66 $31,677.66 2025-01-01
99 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis Without Cc/mcc 1 1 — — $31,473.94 $31,473.94 $31,473.94 2025-01-01
818 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Cc 1 1 — — $31,265.32 $31,265.32 $31,265.32 2025-01-01
27138 CPT Revj Tot Hip Arthrp Fem Only W/wo Algrft 1 1 — — $31,103.50 $31,103.50 $31,103.50 2025-01-01
974 MS_DRG HIV With Major Related Condition With Mcc 1 1 — — $30,976.00 $30,976.00 $30,976.00 2025-01-01
37 MS_DRG Extracranial Procedures With Mcc 4 4 — — $12,386.13 $40,210.00 $30,778.71 2025-01-01
27487 CPT Revj Tot Knee Arthrp Fem&entire Tibial Compone 1 1 — — $30,734.00 $30,734.00 $30,734.00 2025-01-01
100 MS_DRG Seizures With Mcc 4 3 — — $12,239.86 $44,673.16 $30,699.12 2025-01-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 4 4 — — $29,456.61 $73,560.00 $30,163.89 2025-01-01
58 MS_DRG Multiple Sclerosis And Cerebellar Ataxia With Mcc 2 2 — — $21,497.00 $38,720.00 $30,108.50 2025-01-01
36 MS_DRG Carotid Artery Stent Procedures Without Cc/mcc 2 2 — — $17,249.28 $42,724.79 $29,987.03 2025-01-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 1 1 — — $29,921.68 $29,921.68 $29,921.68 2025-01-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 1 1 — — $29,920.89 $29,920.89 $29,920.89 2025-01-01
339 MS_DRG Appendectomy With Complicated Principal Diagnosis With Cc 4 3 — — $15,018.25 $37,308.01 $29,508.48 2025-01-01
252 MS_DRG Other Vascular Procedures With Mcc 2 2 — — $28,401.40 $30,376.57 $29,388.99 2025-01-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 1 1 — — $29,250.04 $29,250.04 $29,250.04 2025-01-01
253 MS_DRG Other Vascular Procedures With Cc 9 6 — — $22,701.58 $79,902.59 $29,133.00 2025-01-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 3 3 — — $10,405.02 $69,581.04 $29,052.89 2025-01-01
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 2 2 — — $15,777.39 $42,265.50 $29,021.44 2025-01-01
181 MS_DRG Respiratory Neoplasms With Cc 2 2 — — $10,453.57 $47,298.12 $28,875.85 2025-01-01
290 MS_DRG Acute And Subacute Endocarditis Without Cc/mcc 1 1 — — $28,794.23 $28,794.23 $28,794.23 2025-01-01
597 MS_DRG Malignant Breast Disorders With Mcc 2 2 — — $15,552.72 $41,548.84 $28,550.78 2025-01-01
342 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Cc 2 2 — — $26,272.00 $30,606.12 $28,439.06 2025-01-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 4 4 — — $28,150.25 $78,419.79 $28,342.17 2025-01-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 1 1 — — $28,209.70 $28,209.70 $28,209.70 2025-01-01
665 MS_DRG Prostatectomy With Mcc 1 1 — — $28,034.33 $28,034.33 $28,034.33 2025-01-01
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 4 4 — — $20,526.55 $57,008.48 $27,855.42 2025-01-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 1 1 — — $27,585.00 $27,585.00 $27,585.00 2025-01-01
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 3 3 — — $15,172.27 $71,300.93 $27,585.00 2025-01-01
33263 CPT Rmvl Impltbl Dfb Plse Gen W/Rplcmt Plse Gen 2 Ld 1 1 — — $27,394.73 $27,394.73 $27,394.73 2025-01-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 9 5 — — $24,057.01 $74,083.04 $26,972.26 2025-01-01
58262 CPT Vag Hyst 250 Gm/< W/rmvl Tube&/ovary 2 2 — — $22,571.00 $31,176.58 $26,873.79 2025-01-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 1 1 — — $26,778.96 $26,778.96 $26,778.96 2025-01-01
570 MS_DRG Skin Debridement With Mcc 1 1 — — $26,656.79 $26,656.79 $26,656.79 2025-01-01
299 MS_DRG Peripheral Vascular Disorders With Mcc 4 3 — — $16,639.48 $35,579.98 $26,480.74 2025-01-01
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 3 3 — — $9,699.97 $41,619.05 $26,334.00 2025-01-01
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 2 2 — — $19,164.82 $33,285.38 $26,225.10 2025-01-01
343 MS_DRG Appendectomy Without Complicated Principal Diagnosis Without Cc/mcc 3 3 — — $17,863.00 $28,263.71 $26,204.20 2025-01-01
27447 CPT Total Knee Arthroplasty 26 11 — — $15,344.55 $41,008.00 $26,170.92 2025-01-01
27130 CPT Total Hip Arthroplasty 25 10 — — $14,076.64 $41,008.00 $26,155.20 2025-01-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 1 1 — — $26,089.22 $26,089.22 $26,089.22 2025-01-01
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 4 4 — — $16,646.82 $44,203.94 $25,911.01 2025-01-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 6 5 — — $23,057.25 $27,425.08 $25,880.71 2025-01-01
64590 CPT Insertion/rplcmt Peripheral/gastric Npgr 11 8 — — $2,372.00 $36,400.65 $25,788.01 2025-01-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 1 1 — — $25,708.97 $25,708.97 $25,708.97 2025-01-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 1 1 — — $25,337.73 $25,337.73 $25,337.73 2025-01-01
197 MS_DRG Interstitial Lung Disease With Cc 2 2 — — $9,151.28 $41,410.00 $25,280.64 2025-01-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 7 5 — — $1,425.63 $57,134.00 $25,277.79 2025-01-01
337 MS_DRG Peritoneal Adhesiolysis Without Cc/mcc 8 5 — — $400.00 $40,243.15 $25,244.71 2025-01-01
761 MS_DRG Menstrual And Other Female Reproductive System Disorders Without Cc/mcc 1 1 — — $25,094.46 $25,094.46 $25,094.46 2025-01-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 1 — — $25,094.46 $25,094.46 $25,094.46 2025-01-01
184 MS_DRG Major Chest Trauma With Cc 3 2 — — $9,712.64 $24,989.68 $24,989.68 2025-01-01
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 8 7 — — $10,240.00 $71,264.58 $24,931.06 2025-01-01
368 MS_DRG Major Esophageal Disorders With Mcc 1 1 — — $24,846.00 $24,846.00 $24,846.00 2025-01-01
497 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 1 1 — — $24,730.33 $24,730.33 $24,730.33 2025-01-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 5 4 — — $11,059.26 $25,609.54 $24,597.81 2025-01-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 4 4 — — $17,448.47 $53,830.78 $24,534.50 2025-01-01
983 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/mcc 2 2 — — $15,567.55 $33,459.73 $24,513.64 2025-01-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 1 1 — — $24,287.83 $24,287.83 $24,287.83 2025-01-01
27279 CPT Arthrodesis Si Joint Percutaneous/min Invasive 1 1 — — $24,270.72 $24,270.72 $24,270.72 2025-01-01
338 MS_DRG Appendectomy With Complicated Principal Diagnosis With Mcc 1 1 — — $24,099.72 $24,099.72 $24,099.72 2025-01-01
520 MS_DRG Back And Neck Procedures Except Spinal Fusion Without Cc/mcc 4 4 — — $7,744.00 $38,256.00 $24,005.06 2025-01-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 4 3 — — $8,198.42 $28,789.45 $23,846.19 2025-01-01
506 MS_DRG Major Thumb Or Joint Procedures 1 1 — — $23,724.71 $23,724.71 $23,724.71 2025-01-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 1 1 — — $23,577.60 $23,577.60 $23,577.60 2025-01-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 6 6 — — $14,399.20 $51,228.00 $23,549.47 2025-01-01
164 MS_DRG Major Chest Procedures With Cc 13 7 — — $17,340.00 $62,008.05 $23,452.06 2025-01-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 6 5 — — $3,384.92 $50,188.92 $23,335.06 2025-01-01
19350 CPT Nipple/Areola Reconstruction 2 2 — — $19,636.00 $26,984.73 $23,310.36 2025-01-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 1 1 — — $23,304.82 $23,304.82 $23,304.82 2025-01-01
811 MS_DRG Red Blood Cell Disorders With Mcc 7 5 — — $11,867.93 $39,417.00 $23,232.00 2025-01-01
658 MS_DRG Kidney And Ureter Procedures For Neoplasm Without Cc/mcc 7 7 — — $13,680.55 $40,575.00 $23,232.00 2025-01-01
25575 CPT Open Tx Radial&ulnar Shaft Fx W/fixj Radius&ulna 1 1 — — $23,089.94 $23,089.94 $23,089.94 2025-01-01
503 MS_DRG Foot Procedures With Mcc 1 1 — — $23,089.11 $23,089.11 $23,089.11 2025-01-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 7 6 — — $19,797.75 $113,228.02 $22,992.86 2025-01-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 2 2 — — $21,920.34 $23,993.46 $22,956.90 2025-01-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 2 2 — — $20,305.74 $25,585.35 $22,945.54 2025-01-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 1 1 — — $22,898.04 $22,898.04 $22,898.04 2025-01-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 1 1 — — $22,866.74 $22,866.74 $22,866.74 2025-01-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 1 1 — — $22,827.73 $22,827.73 $22,827.73 2025-01-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 20 11 — — $8,876.77 $206,332.23 $22,666.57 2025-01-01
58290 CPT Vaginal Hysterectomy, Uterus >250 Gms 1 1 — — $22,571.00 $22,571.00 $22,571.00 2025-01-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 6 6 — — $21,062.22 $93,367.01 $22,480.57 2025-01-01
621 MS_DRG O.r. Procedures For Obesity Without Cc/mcc 21 11 — — $200.00 $38,158.82 $22,201.33 2025-01-01
595 MS_DRG Major Skin Disorders With Mcc 1 1 — — $22,201.00 $22,201.00 $22,201.00 2025-01-01
502 MS_DRG Soft Tissue Procedures Without Cc/mcc 1 1 — — $22,076.14 $22,076.14 $22,076.14 2025-01-01
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc 5 5 — — $16,456.43 $36,729.73 $22,067.00 2025-01-01
27446 CPT Arthrp Knee Condyle&plateau Medial/lat Cmprt 6 5 — — $11,724.00 $36,327.00 $22,054.47 2025-01-01
881 MS_DRG Depressive Neuroses 1 1 — — $21,980.00 $21,980.00 $21,980.00 2025-01-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 1 1 — — $21,833.63 $21,833.63 $21,833.63 2025-01-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 11 9 — — $600.00 $56,497.98 $21,791.43 2025-01-01
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 1 1 — — $21,702.41 $21,702.41 $21,702.41 2025-01-01
264 MS_DRG Other Circulatory System O.r. Procedures 2 1 — — $13,780.69 $29,604.69 $21,692.69 2025-01-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 1 1 — — $21,613.53 $21,613.53 $21,613.53 2025-01-01
557 MS_DRG Tendonitis, Myositis And Bursitis With Mcc 2 2 — — $11,335.16 $31,701.26 $21,518.21 2025-01-01
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 3 3 — — $18,988.31 $32,054.22 $21,510.88 2025-01-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 4 4 — — $1,326.62 $21,637.06 $21,485.46 2025-01-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 1 1 — — $21,229.53 $21,229.53 $21,229.53 2025-01-01
346 MS_DRG Minor Small And Large Bowel Procedures Without Cc/mcc 4 4 — — $200.00 $52,044.22 $21,216.25 2025-01-01
23615 CPT Optx Prox Humeral Fx W/int Fixj Rpr Tuberosity 1 1 — — $21,198.00 $21,198.00 $21,198.00 2025-01-01
35 MS_DRG Carotid Artery Stent Procedures With Cc 3 3 — — $1,227.98 $21,678.48 $20,904.12 2025-01-01
387 MS_DRG Inflammatory Bowel Disease Without Cc/mcc 6 5 — — $6,523.94 $85,913.95 $20,783.60 2025-01-01
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 3 3 — — $14,493.03 $20,951.06 $20,781.88 2025-01-01
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc 6 6 — — $17,223.54 $35,580.49 $20,521.00 2025-01-01
375 MS_DRG Digestive Malignancy With Cc 4 4 — — $6,475.56 $48,047.63 $20,377.34 2025-01-01
80 MS_DRG Nontraumatic Stupor And Coma With Mcc 1 1 — — $20,287.38 $20,287.38 $20,287.38 2025-01-01
19357 CPT Tissue Expander Placement Breast Reconstruction 2 1 — — $19,825.23 $20,625.59 $20,225.41 2025-01-01
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 1 1 — — $20,191.24 $20,191.24 $20,191.24 2025-01-01
433 MS_DRG Cirrhosis And Alcoholic Hepatitis With Cc 8 7 — — $9,618.12 $41,688.07 $19,993.75 2025-01-01
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 12 6 — — $18,585.27 $53,727.08 $19,782.43 2025-01-01
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 1 1 — — $19,661.75 $19,661.75 $19,661.75 2025-01-01
328 MS_DRG Stomach, Esophageal And Duodenal Procedures Without Cc/mcc 6 5 — — $8,282.00 $38,655.22 $19,480.75 2025-01-01
314 MS_DRG Other Circulatory System Diagnoses With Mcc 6 4 — — $15,903.00 $23,583.53 $19,349.35 2025-01-01
655 MS_DRG Major Bladder Procedures Without Cc/mcc 1 1 — — $19,339.46 $19,339.46 $19,339.46 2025-01-01
374 MS_DRG Digestive Malignancy With Mcc 3 2 — — $10,605.54 $19,260.03 $19,260.02 2025-01-01
847 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Cc 4 2 — — $652.13 $31,914.67 $19,192.93 2025-01-01
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 15 10 — — $14,624.96 $50,671.87 $19,143.13 2025-01-01
792 MS_DRG Prematurity Without Major Problems 7 5 — — $650.00 $75,120.00 $19,091.50 2025-01-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 1 1 — — $19,089.35 $19,089.35 $19,089.35 2025-01-01
835 MS_DRG Acute Leukemia With Cc 1 1 — — $19,075.24 $19,075.24 $19,075.24 2025-01-01
439 MS_DRG Disorders Of Pancreas Except Malignancy With Cc 14 8 — — $600.00 $40,757.56 $18,974.38 2025-01-01
783 MS_DRG Cesarean Section With Sterilization With Mcc 1 1 — — $18,971.53 $18,971.53 $18,971.53 2025-01-01
743 MS_DRG Uterine And Adnexa Procedures For Non-malignancy Without Cc/mcc 10 8 — — $10,815.06 $28,187.63 $18,892.17 2025-01-01
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 31 16 — — $200.00 $99,063.85 $18,880.87 2025-01-01
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 11 10 — — $8,138.71 $108,672.07 $18,782.20 2025-01-01
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 14 10 — — $10,334.36 $43,438.00 $18,714.79 2025-01-01
787 MS_DRG Cesarean Section Without Sterilization With Cc 14 7 — — $700.00 $44,065.00 $18,567.50 2025-01-01
205 MS_DRG Other Respiratory System Diagnoses With Mcc 2 2 — — $966.74 $36,055.28 $18,511.01 2025-01-01
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 1 1 — — $18,510.78 $18,510.78 $18,510.78 2025-01-01
63 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 4 4 — — $14,485.95 $37,452.45 $18,442.39 2025-01-01
908 MS_DRG Other O.r. Procedures For Injuries With Cc 3 3 — — $18,250.95 $18,824.24 $18,418.45 2025-01-01
43659 CPT Unlisted Laparoscopy Procedure Stomach 1 1 — — $18,364.00 $18,364.00 $18,364.00 2025-01-01
813 MS_DRG Coagulation Disorders 7 7 — — $12,584.46 $35,185.25 $18,363.36 2025-01-01
686 MS_DRG Kidney And Urinary Tract Neoplasms With Mcc 1 1 — — $18,332.93 $18,332.93 $18,332.93 2025-01-01
707 MS_DRG Major Male Pelvic Procedures With Cc/mcc 3 3 — — $14,006.87 $30,750.00 $18,330.55 2025-01-01
351 MS_DRG Inguinal And Femoral Hernia Procedures With Cc 2 2 — — $13,394.76 $23,252.00 $18,323.38 2025-01-01
465 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 1 1 — — $18,273.51 $18,273.51 $18,273.51 2025-01-01
19318 CPT Breast Reduction 22 11 — — $75.00 $24,061.30 $18,177.15 2025-01-01
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 1 1 — — $18,176.83 $18,176.83 $18,176.83 2025-01-01
165 MS_DRG Major Chest Procedures Without Cc/mcc 8 7 — — $16,437.43 $45,384.91 $18,141.25 2025-01-01
896 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 10 8 — — $8,935.00 $42,206.59 $18,042.97 2025-01-01
22551 CPT Arthrd Ant Interbody Decompress Cervical Belw C2 4 3 — — $5,419.60 $23,928.00 $18,003.33 2025-01-01
58571 CPT Laps Total Hysterect 250 Gm/< W/rmvl Tube/ovary 7 5 — — $389.11 $31,459.36 $17,938.00 2025-01-01
786 MS_DRG Cesarean Section Without Sterilization With Mcc 7 4 — — $605.39 $21,388.00 $17,893.21 2025-01-01
918 MS_DRG Poisoning And Toxic Effects Of Drugs Without Mcc 9 8 — — $6,154.40 $50,314.00 $17,870.00 2025-01-01
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/mcc 1 1 — — $17,839.99 $17,839.99 $17,839.99 2025-01-01
866 MS_DRG Viral Illness Without Mcc 7 7 — — $8,413.89 $32,244.00 $17,798.53 2025-01-01
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 7 6 — — $14,273.30 $40,062.11 $17,705.12 2025-01-01
785 MS_DRG Cesarean Section With Sterilization Without Cc/mcc 9 5 — — $583.33 $19,458.73 $17,675.00 2025-01-01
62 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 5 4 — — $16,297.02 $49,360.88 $17,625.10 2025-01-01
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 8 5 — — $17,308.47 $44,293.00 $17,559.61 2025-01-01
27870 CPT Arthrodesis Ankle Open 2 1 — — $16,513.50 $18,548.04 $17,530.77 2025-01-01
58552 CPT Laparoscopy, Surg, w/Vag Hyst, Uterus 250gms/<; W T/o 1 1 — — $17,456.00 $17,456.00 $17,456.00 2025-01-01
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/mcc 22 10 — — $550.00 $64,639.53 $17,429.42 2025-01-01
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/mcc 2 2 — — $17,334.89 $17,483.17 $17,409.03 2025-01-01
788 MS_DRG Cesarean Section Without Sterilization Without Cc/mcc 19 9 — — $611.11 $30,024.00 $17,393.61 2025-01-01
28298 CPT Corrj Hallux Valgus W/Sesmdc W/Prox Phlnx Osteot 1 1 — — $17,392.00 $17,392.00 $17,392.00 2025-01-01
152 MS_DRG Otitis Media And Uri With Mcc 4 4 — — $11,043.12 $25,500.17 $17,370.28 2025-01-01
43282 CPT Laps Rpr Paraesphgl Hrna Incl Fundplsty W/Mesh 1 1 — — $17,361.90 $17,361.90 $17,361.90 2025-01-01
380 MS_DRG Complicated Peptic Ulcer With Mcc 1 1 — — $17,348.05 $17,348.05 $17,348.05 2025-01-01
784 MS_DRG Cesarean Section With Sterilization With Cc 5 4 — — $400.00 $20,820.49 $17,231.00 2025-01-01
535 MS_DRG Fractures Of Hip And Pelvis With Mcc 2 1 — — $12,047.94 $22,387.61 $17,217.78 2025-01-01
769 MS_DRG Postpartum And Post Abortion Diagnoses With O.r. Procedures 3 3 — — $8,282.00 $18,390.00 $17,139.00 2025-01-01
479 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue Without Cc/mcc 1 1 — — $17,138.92 $17,138.92 $17,138.92 2025-01-01
177 MS_DRG Respiratory Infections And Inflammations With Mcc 19 11 — — $600.00 $46,415.72 $17,101.47 2025-01-01
843 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 2 1 — — $16,306.39 $17,826.12 $17,066.25 2025-01-01
791 MS_DRG Prematurity With Major Problems 7 5 — — $600.00 $40,568.00 $17,053.50 2025-01-01
27695 CPT Rpr Primary Disrupted Ligament Ankle Collateral 1 1 — — $17,016.97 $17,016.97 $17,016.97 2025-01-01
657 MS_DRG Kidney And Ureter Procedures For Neoplasm With Cc 1 1 — — $16,994.21 $16,994.21 $16,994.21 2025-01-01
304 MS_DRG Hypertension With Mcc 4 3 — — $8,577.47 $26,788.68 $16,980.13 2025-01-01
254 MS_DRG Other Vascular Procedures Without Cc/mcc 9 5 — — $15,368.91 $39,658.01 $16,831.40 2025-01-01
862 MS_DRG Postoperative And Post-traumatic Infections With Mcc 9 8 — — $9,551.04 $45,419.27 $16,829.34 2025-01-01
11450 CPT Excision Hidradenitis Axillary Smpl/intrm Rpr 1 1 — — $16,766.00 $16,766.00 $16,766.00 2025-01-01
27696 CPT Rpr Prim Disrupted Ligm Ankle Bth Coltrl Ligms 1 1 — — $16,765.24 $16,765.24 $16,765.24 2025-01-01
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 2 2 — — $15,939.68 $17,332.53 $16,636.10 2025-01-01
303 MS_DRG Atherosclerosis Without Mcc 1 1 — — $16,583.70 $16,583.70 $16,583.70 2025-01-01
566 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses Without Cc/mcc 1 1 — — $16,472.39 $16,472.39 $16,472.39 2025-01-01
919 MS_DRG Complications Of Treatment With Mcc 7 6 — — $9,875.00 $30,976.00 $16,430.06 2025-01-01
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 1 1 — — $16,424.89 $16,424.89 $16,424.89 2025-01-01
581 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/mcc 2 2 — — $12,483.95 $20,347.74 $16,415.85 2025-01-01
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 13 8 — — $8,637.11 $84,586.00 $16,373.09 2025-01-01
199 MS_DRG Pneumothorax With Mcc 5 4 — — $14,966.20 $20,919.67 $16,343.37 2025-01-01
915 MS_DRG Allergic Reactions With Mcc 1 1 — — $16,326.57 $16,326.57 $16,326.57 2025-01-01
501 MS_DRG Soft Tissue Procedures With Cc 7 6 — — $941.06 $28,440.43 $16,224.81 2025-01-01
504 MS_DRG Foot Procedures With Cc 1 1 — — $16,194.92 $16,194.92 $16,194.92 2025-01-01
571 MS_DRG Skin Debridement With Cc 2 2 — — $5,469.17 $26,833.01 $16,151.09 2025-01-01
708 MS_DRG Major Male Pelvic Procedures Without Cc/mcc 9 7 — — $13,478.86 $35,636.43 $16,122.00 2025-01-01
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 3 3 — — $15,457.40 $18,568.75 $16,106.69 2025-01-01
444 MS_DRG Disorders Of The Biliary Tract With Mcc 9 6 — — $14,199.78 $39,909.37 $16,105.03 2025-01-01
283 MS_DRG Acute Myocardial Infarction, Expired With Mcc 1 1 — — $16,099.30 $16,099.30 $16,099.30 2025-01-01
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Mcc 8 6 — — $14,384.86 $27,585.00 $16,088.61 2025-01-01
897 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc 27 14 — — $3,332.55 $41,700.00 $16,079.33 2025-01-01
828 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 1 1 — — $16,052.41 $16,052.41 $16,052.41 2025-01-01
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 4 3 — — $15,852.35 $34,973.13 $15,954.25 2025-01-01
91 MS_DRG Other Disorders Of Nervous System With Mcc 5 4 — — $14,693.27 $92,718.00 $15,910.73 2025-01-01
754 MS_DRG Malignancy, Female Reproductive System With Mcc 1 1 — — $15,883.34 $15,883.34 $15,883.34 2025-01-01
180 MS_DRG Respiratory Neoplasms With Mcc 6 5 — — $15,602.79 $37,499.32 $15,855.76 2025-01-01
23472 CPT Arthroplasty Glenohumeral Joint Total Shoulder 14 10 — — $7,677.00 $28,077.52 $15,850.86 2025-01-01
24515 CPT Optx Humeral Shft Fx W/plate/screws W/wocerclage 4 3 — — $11,682.00 $19,587.64 $15,828.83 2025-01-01
666 MS_DRG Prostatectomy With Cc 1 1 — — $15,746.89 $15,746.89 $15,746.89 2025-01-01
70 MS_DRG Nonspecific Cerebrovascular Disorders With Mcc 5 5 — — $838.34 $16,504.88 $15,738.07 2025-01-01
759 MS_DRG Infections, Female Reproductive System Without Cc/mcc 2 2 — — $5,885.80 $25,562.22 $15,724.01 2025-01-01
393 MS_DRG Other Digestive System Diagnoses With Mcc 9 8 — — $14,727.71 $119,359.54 $15,678.97 2025-01-01
28740 CPT Arthrodesis Midtarsometatarsal Single Joint 3 2 — — $11,642.24 $23,928.00 $15,669.05 2025-01-01
64628 CPT Thermal Dstrj Intraosseous Bvn 1st 2 Lmbr/sac 7 7 — — $4,221.45 $33,574.83 $15,664.99 2025-01-01
564 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc 1 1 — — $15,595.55 $15,595.55 $15,595.55 2025-01-01
988 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 5 3 — — $11,065.14 $15,605.46 $15,518.79 2025-01-01
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 31 19 — — $200.00 $41,009.38 $15,488.00 2025-01-01
313 MS_DRG Chest Pain 3 3 — — $6,842.01 $18,073.45 $15,488.00 2025-01-01
419 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. Without Cc/mcc 11 8 — — $698.65 $32,072.79 $15,488.00 2025-01-01
865 MS_DRG Viral Illness With Mcc 1 1 — — $15,439.04 $15,439.04 $15,439.04 2025-01-01
832 MS_DRG Other Antepartum Diagnoses Without O.r. Procedures With Cc 4 4 — — $1,231.00 $18,712.63 $15,413.50 2025-01-01
49616 CPT Rpr Aa Hernia Recr 3-10 Cm Ncrc8/strangulated 1 1 — — $15,408.00 $15,408.00 $15,408.00 2025-01-01
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 13 7 — — $600.00 $53,740.00 $15,342.96 2025-01-01
505 MS_DRG Foot Procedures Without Cc/mcc 3 3 — — $14,342.99 $15,740.59 $15,340.23 2025-01-01
513 MS_DRG Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures With Cc/mcc 4 4 — — $14,604.88 $35,112.00 $15,327.67 2025-01-01
60 MS_DRG Multiple Sclerosis And Cerebellar Ataxia Without Cc/mcc 4 4 — — $200.00 $33,363.71 $15,240.48 2025-01-01
440 MS_DRG Disorders Of Pancreas Except Malignancy Without Cc/mcc 14 8 — — $600.00 $28,108.03 $15,108.67 2025-01-01
38 MS_DRG Extracranial Procedures With Cc 1 1 — — $15,082.16 $15,082.16 $15,082.16 2025-01-01
296 MS_DRG Cardiac Arrest, Unexplained With Mcc 1 1 — — $15,003.34 $15,003.34 $15,003.34 2025-01-01
700 MS_DRG Other Kidney And Urinary Tract Diagnoses Without Cc/mcc 7 5 — — $6,966.82 $21,396.00 $14,957.00 2025-01-01
153 MS_DRG Otitis Media And Uri Without Mcc 2 2 — — $6,578.86 $23,232.00 $14,905.43 2025-01-01
28730 CPT Arthrd Midtarsl/tarsometatarsal Mult/transvrs 3 2 — — $6,809.95 $15,664.99 $14,759.03 2025-01-01
0421T CPT Transurethral Waterjet Ablation Prostate Compl 9 7 — — $10,347.00 $15,252.39 $14,753.74 2025-01-01
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/mcc 7 5 — — $13,749.75 $37,345.55 $14,679.26 2025-01-01
27650 CPT Repair Primary Open/prq Ruptured Achilles Tendon 4 4 — — $7,956.98 $21,276.26 $14,642.91 2025-01-01
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 5 5 — — $14,170.25 $15,348.59 $14,634.20 2025-01-01
24685 CPT Open Treatment Ulnar Fracture Proximal End 2 2 — — $7,950.75 $21,198.00 $14,574.38 2025-01-01
183 MS_DRG Major Chest Trauma With Mcc 1 1 — — $14,557.00 $14,557.00 $14,557.00 2025-01-01
884 MS_DRG Organic Disturbances And Intellectual Disability 3 3 — — $8,853.67 $16,172.21 $14,524.99 2025-01-01
410 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 1 1 — — $14,475.96 $14,475.96 $14,475.96 2025-01-01
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