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

BAYHEALTH HOSPITAL, SUSSEX CAMPUS

Milford, DE · CCN 080009 · Rates published

541 distinct procedures filed
14 distinct payers
7,829 rate rows
2025-07-01 last MRF observed · ⚠ 16 mo old
Data quality

2,378 of 7,829 rate rows are consumer-grade (30.4%)

5,451 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 5,300
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 149
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 2

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 16 months old.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://www.bayhealth.org/-/media/files/patients-and-visitors/billing-financial-aid/price-transparency/2025/510064318bayhealthhospitalsussexcampusstandardcharges.json
Found on page https://www.bayhealth.org/patients/billing/price-transparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-11-07
Content fingerprint 9b72bd509ef58b3c… · 14,059,677 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
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 1 $536,714.41 $536,714.41 $536,714.41 nat. median
$190,274
outlier · 2.8×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 2 $242,038.38 $340,382.57 $291,210.47 nat. median
$126,240
outlier · 2.3×
485
MS_DRG 		Knee Procedures With Principal Diagnosis Of Infection With Mcc 1 $166,557.45 $166,557.45 $166,557.45 nat. median
$30,552
outlier · 5.5×
956
MS_DRG 		Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 1 $154,591.25 $154,591.25 $154,591.25 nat. median
$35,358
outlier · 4.4×
981
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 3 $71,611.82 $194,293.72 $122,754.80 nat. median
$43,542
outlier · 2.8×
326
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Mcc 1 $120,363.36 $120,363.36 $120,363.36 nat. median
$46,321
outlier · 2.6×
823
MS_DRG 		Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 1 $112,600.00 $112,600.00 $112,600.00 nat. median
$42,696
outlier · 2.6×
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 1 $104,676.38 $104,676.38 $104,676.38 nat. median
$67,850
1.5× median
583
MS_DRG 		Mastectomy For Malignancy Without Cc/Mcc 2 $98,642.67 $106,046.89 $102,344.78 nat. median
$16,749
outlier · 6.1×
653
MS_DRG 		Major Bladder Procedures With Mcc 1 $18,261.67 $181,663.51 $99,962.59 nat. median
$49,933
outlier · 2.0×
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 4 $36,195.34 $388,409.03 $95,590.92 nat. median
$42,583
outlier · 2.2×
841
MS_DRG 		Lymphoma And Non-acute Leukemia With Cc 1 $88,001.89 $88,001.89 $88,001.89 nat. median
$15,874
outlier · 5.5×
570
MS_DRG 		Skin Debridement With Mcc 1 $77,928.64 $77,928.64 $77,928.64 nat. median
$27,964
outlier · 2.8×
335
MS_DRG 		Peritoneal Adhesiolysis With Mcc 2 $42,966.00 $109,443.67 $76,204.83 nat. median
$33,068
outlier · 2.3×
463
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 1 $74,781.95 $74,781.95 $74,781.95 nat. median
$49,857
1.5× median
270
MS_DRG 		Other Major Cardiovascular Procedures With Mcc 2 $30,250.70 $117,380.15 $73,815.43 nat. median
$49,269
1.5× median
242
MS_DRG 		Permanent Cardiac Pacemaker Implant With Mcc 1 $71,422.94 $71,422.94 $71,422.94 nat. median
$30,977
outlier · 2.3×
5232
OTHER 		Level 2 Icd And Similar Procedures 4 $33,056.01 $170,150.51 $69,310.90 nat. median
$32,779
outlier · 2.1×
35
MS_DRG 		Carotid Artery Stent Procedures With Cc 1 $67,470.02 $67,470.02 $67,470.02 nat. median
$22,703
outlier · 3.0×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 5 $54,615.57 $246,377.06 $65,256.14 nat. median
$62,605
1.0× median
353
MS_DRG 		Hernia Procedures Except Inguinal And Femoral With Mcc 1 $65,000.78 $65,000.78 $65,000.78 nat. median
$27,342
outlier · 2.4×
52
MS_DRG 		Spinal Disorders And Injuries With Cc/Mcc 1 $61,929.29 $61,929.29 $61,929.29 nat. median
$18,049
outlier · 3.4×
93
MS_DRG 		Other Disorders Of Nervous System Without Cc/Mcc 2 $6,641.99 $115,875.01 $61,258.50 nat. median
$8,454
outlier · 7.2×
346
MS_DRG 		Minor Small And Large Bowel Procedures Without Cc/Mcc 1 $61,208.27 $61,208.27 $61,208.27 nat. median
$12,291
outlier · 5.0×
322
MS_DRG 		Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 1 $60,196.80 $60,196.80 $60,196.80 nat. median
$17,712
outlier · 3.4×
466
MS_DRG 		Revision Of Hip Or Knee Replacement With Mcc 1 $12,356.01 $107,618.27 $59,987.14 nat. median
$46,310
1.3× median
356
MS_DRG 		Other Digestive System O.r. Procedures With Mcc 1 $59,909.46 $59,909.46 $59,909.46 nat. median
$40,214
1.5× median
330
MS_DRG 		Major Small And Large Bowel Procedures With Cc 4 $18,517.27 $74,466.58 $58,711.75 nat. median
$22,930
outlier · 2.6×
183
MS_DRG 		Major Chest Trauma With Mcc 1 $57,957.74 $57,957.74 $57,957.74 nat. median
$14,982
outlier · 3.9×
5116
OTHER 		Level 6 Musculoskeletal Procedures 2 $18,813.40 $62,490.75 $57,143.67 nat. median
$18,629
outlier · 3.1×
283
MS_DRG 		Acute Myocardial Infarction, Expired With Mcc 1 $56,773.65 $56,773.65 $56,773.65 nat. median
$18,778
outlier · 3.0×
5611
OTHER 		Level 1 Therapeutic Radiation Treatment Preparation 1 $55,864.72 $55,864.72 $55,864.72 nat. median
$142
outlier · 394.1×
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 1 $55,435.72 $55,435.72 $55,435.72 nat. median
$63,874
0.9× median
579
MS_DRG 		Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 2 $23,095.04 $84,636.19 $53,865.62 nat. median
$30,192
1.8× median
181
MS_DRG 		Respiratory Neoplasms With Cc 1 $53,497.80 $53,497.80 $53,497.80 nat. median
$11,103
outlier · 4.8×
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 5 $46,923.56 $119,939.03 $53,171.15 nat. median
$59,289
0.9× median
959
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 1 $52,614.54 $52,614.54 $52,614.54 nat. median
$26,480
2.0× median
673
MS_DRG 		Other Kidney And Urinary Tract Procedures With Mcc 1 $28,886.49 $74,507.11 $51,696.80 nat. median
$37,940
1.4× median
241
MS_DRG 		Amputation For Circulatory System Disorders Except Upper Limb And Toe Without Cc… 1 $50,845.90 $50,845.90 $50,845.90 nat. median
$14,139
outlier · 3.6×
38
MS_DRG 		Extracranial Procedures With Cc 3 $13,590.06 $56,037.72 $50,003.73 nat. median
$16,160
outlier · 3.1×
336
MS_DRG 		Peritoneal Adhesiolysis With Cc 3 $17,626.46 $110,609.63 $49,229.71 nat. median
$20,257
outlier · 2.4×
98
MS_DRG 		Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 1 $48,978.55 $48,978.55 $48,978.55 nat. median
$21,136
outlier · 2.3×
803
MS_DRG 		Other O.r. Procedures Of The Blood And Blood Forming Organs With Cc 1 $48,729.99 $48,729.99 $48,729.99 nat. median
$17,874
outlier · 2.7×
5223
OTHER 		Level 3 Pacemaker And Similar Procedures 1 $45,564.81 $51,593.15 $48,578.98 nat. median
$10,915
outlier · 4.5×
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 6 $31,905.88 $129,218.04 $47,469.03 nat. median
$45,281
1.0× median
284
MS_DRG 		Acute Myocardial Infarction, Expired With Cc 1 $47,443.77 $47,443.77 $47,443.77 nat. median
$7,842
outlier · 6.0×
855
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures Without Cc/Mcc 1 $47,437.53 $47,437.53 $47,437.53 nat. median
$15,392
outlier · 3.1×
380
MS_DRG 		Complicated Peptic Ulcer With Mcc 1 $45,708.92 $45,708.92 $45,708.92 nat. median
$18,487
outlier · 2.5×
357
MS_DRG 		Other Digestive System O.r. Procedures With Cc 1 $45,483.30 $45,530.80 $45,507.05 nat. median
$21,746
outlier · 2.1×
286
MS_DRG 		Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 1 $44,933.67 $44,933.67 $44,933.67 nat. median
$20,781
outlier · 2.2×

Other procedures at this hospital

Browse this hospital's 541 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
             
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 1 1 — — $536,714.41 $536,714.41 $536,714.41 2025-07-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 2 2 — — $242,038.38 $340,382.57 $291,210.47 2025-07-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 1 1 — — $166,557.45 $166,557.45 $166,557.45 2025-07-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 1 1 — — $154,591.25 $154,591.25 $154,591.25 2025-07-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 3 3 — — $71,611.82 $194,293.72 $122,754.80 2025-07-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 1 1 — — $120,363.36 $120,363.36 $120,363.36 2025-07-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 1 1 — — $112,600.00 $112,600.00 $112,600.00 2025-07-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 1 1 — — $104,676.38 $104,676.38 $104,676.38 2025-07-01
583 MS_DRG Mastectomy For Malignancy Without Cc/Mcc 2 2 — — $98,642.67 $106,046.89 $102,344.78 2025-07-01
653 MS_DRG Major Bladder Procedures With Mcc 2 1 — — $18,261.67 $181,663.51 $99,962.59 2025-07-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 5 4 — — $36,195.34 $388,409.03 $95,590.92 2025-07-01
841 MS_DRG Lymphoma And Non-acute Leukemia With Cc 1 1 — — $88,001.89 $88,001.89 $88,001.89 2025-07-01
570 MS_DRG Skin Debridement With Mcc 1 1 — — $77,928.64 $77,928.64 $77,928.64 2025-07-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 2 2 — — $42,966.00 $109,443.67 $76,204.83 2025-07-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 1 1 — — $74,781.95 $74,781.95 $74,781.95 2025-07-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 2 2 — — $30,250.70 $117,380.15 $73,815.43 2025-07-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 1 1 — — $71,422.94 $71,422.94 $71,422.94 2025-07-01
5232 OTHER Level 2 Icd And Similar Procedures 6 4 — — $33,056.01 $170,150.51 $69,310.90 2025-07-01
35 MS_DRG Carotid Artery Stent Procedures With Cc 1 1 — — $67,470.02 $67,470.02 $67,470.02 2025-07-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 5 5 — — $54,615.57 $246,377.06 $65,256.14 2025-07-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 1 1 — — $65,000.78 $65,000.78 $65,000.78 2025-07-01
52 MS_DRG Spinal Disorders And Injuries With Cc/Mcc 1 1 — — $61,929.29 $61,929.29 $61,929.29 2025-07-01
93 MS_DRG Other Disorders Of Nervous System Without Cc/Mcc 2 2 — — $6,641.99 $115,875.01 $61,258.50 2025-07-01
346 MS_DRG Minor Small And Large Bowel Procedures Without Cc/Mcc 1 1 — — $61,208.27 $61,208.27 $61,208.27 2025-07-01
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 1 1 — — $60,196.80 $60,196.80 $60,196.80 2025-07-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 2 1 — — $12,356.01 $107,618.27 $59,987.14 2025-07-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 1 1 — — $59,909.46 $59,909.46 $59,909.46 2025-07-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 7 4 — — $18,517.27 $74,466.58 $58,711.75 2025-07-01
183 MS_DRG Major Chest Trauma With Mcc 1 1 — — $57,957.74 $57,957.74 $57,957.74 2025-07-01
5116 OTHER Level 6 Musculoskeletal Procedures 5 2 — — $18,813.40 $62,490.75 $57,143.67 2025-07-01
283 MS_DRG Acute Myocardial Infarction, Expired With Mcc 1 1 — — $56,773.65 $56,773.65 $56,773.65 2025-07-01
5611 OTHER Level 1 Therapeutic Radiation Treatment Preparation 1 1 — — $55,864.72 $55,864.72 $55,864.72 2025-07-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 1 1 — — $55,435.72 $55,435.72 $55,435.72 2025-07-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 2 2 — — $23,095.04 $84,636.19 $53,865.62 2025-07-01
181 MS_DRG Respiratory Neoplasms With Cc 1 1 — — $53,497.80 $53,497.80 $53,497.80 2025-07-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 5 5 — — $46,923.56 $119,939.03 $53,171.15 2025-07-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 1 1 — — $52,614.54 $52,614.54 $52,614.54 2025-07-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 2 1 — — $28,886.49 $74,507.11 $51,696.80 2025-07-01
241 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe Without Cc… 1 1 — — $50,845.90 $50,845.90 $50,845.90 2025-07-01
38 MS_DRG Extracranial Procedures With Cc 3 3 — — $13,590.06 $56,037.72 $50,003.73 2025-07-01
336 MS_DRG Peritoneal Adhesiolysis With Cc 3 3 — — $17,626.46 $110,609.63 $49,229.71 2025-07-01
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 1 1 — — $48,978.55 $48,978.55 $48,978.55 2025-07-01
803 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Cc 1 1 — — $48,729.99 $48,729.99 $48,729.99 2025-07-01
5223 OTHER Level 3 Pacemaker And Similar Procedures 2 1 — — $45,564.81 $51,593.15 $48,578.98 2025-07-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 8 6 — — $31,905.88 $129,218.04 $47,469.03 2025-07-01
284 MS_DRG Acute Myocardial Infarction, Expired With Cc 1 1 — — $47,443.77 $47,443.77 $47,443.77 2025-07-01
855 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures Without Cc/Mcc 1 1 — — $47,437.53 $47,437.53 $47,437.53 2025-07-01
380 MS_DRG Complicated Peptic Ulcer With Mcc 1 1 — — $45,708.92 $45,708.92 $45,708.92 2025-07-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 2 1 — — $45,483.30 $45,530.80 $45,507.05 2025-07-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 1 1 — — $44,933.67 $44,933.67 $44,933.67 2025-07-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 1 1 — — $44,930.36 $44,930.36 $44,930.36 2025-07-01
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 1 1 — — $44,150.69 $44,150.69 $44,150.69 2025-07-01
59 MS_DRG Multiple Sclerosis And Cerebellar Ataxia With Cc 2 2 — — $39,244.51 $48,799.45 $44,021.98 2025-07-01
253 MS_DRG Other Vascular Procedures With Cc 5 4 — — $20,965.06 $124,642.85 $43,787.11 2025-07-01
39 MS_DRG Extracranial Procedures Without Cc/Mcc 1 1 — — $42,686.21 $42,686.21 $42,686.21 2025-07-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 4 4 — — $1,109.95 $77,203.04 $42,385.84 2025-07-01
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/Mcc 4 2 — — $14,140.48 $44,435.57 $41,970.89 2025-07-01
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/Mcc 2 2 — — $29,667.87 $53,030.38 $41,349.12 2025-07-01
696 MS_DRG Kidney And Urinary Tract Signs And Symptoms Without Mcc 1 1 — — $41,058.42 $41,058.42 $41,058.42 2025-07-01
535 MS_DRG Fractures Of Hip And Pelvis With Mcc 2 2 — — $26,011.86 $56,094.36 $41,053.11 2025-07-01
398 MS_DRG Appendix Procedures With Cc 3 3 — — $11,330.28 $43,435.92 $40,899.20 2025-07-01
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 1 1 — — $40,534.33 $40,534.33 $40,534.33 2025-07-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 1 1 — — $40,487.46 $40,487.46 $40,487.46 2025-07-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 3 3 — — $38,491.28 $60,268.12 $40,032.09 2025-07-01
311 MS_DRG Angina Pectoris 1 1 — — $39,798.21 $39,798.21 $39,798.21 2025-07-01
556 MS_DRG Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without Mcc 1 1 — — $39,689.84 $39,689.84 $39,689.84 2025-07-01
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/Mcc 4 2 — — $13,738.72 $59,128.68 $39,502.85 2025-07-01
902 MS_DRG Wound Debridements For Injuries With Cc 1 1 — — $39,493.36 $39,493.36 $39,493.36 2025-07-01
436 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Cc 2 2 — — $27,995.89 $50,293.76 $39,144.82 2025-07-01
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 2 2 — — $17,429.35 $59,035.23 $38,232.29 2025-07-01
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 1 1 — — $38,063.13 $38,063.13 $38,063.13 2025-07-01
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Mcc 1 1 — — $38,050.59 $38,050.59 $38,050.59 2025-07-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 2 2 — — $19,453.10 $56,522.50 $37,987.80 2025-07-01
5166 OTHER Cochlear Implant Procedure 2 2 — — $33,932.73 $39,406.56 $36,669.65 2025-07-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 3 3 — — $33,211.20 $91,818.42 $36,554.77 2025-07-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 4 2 — — $9,807.60 $47,276.21 $36,465.58 2025-07-01
5094 OTHER Level 4 Breast/Lymphatic Surgery And Related Procedures 2 2 — — $14,814.54 $57,267.02 $36,040.78 2025-07-01
5362 OTHER Level 2 Laparoscopy And Related Services 10 5 — — $10,746.47 $58,799.16 $35,848.00 2025-07-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 2 2 — — $1,813.81 $69,454.45 $35,634.13 2025-07-01
727 MS_DRG Inflammation Of The Male Reproductive System With Mcc 1 1 — — $35,630.59 $35,630.59 $35,630.59 2025-07-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 2 1 — — $19,244.38 $52,011.31 $35,627.85 2025-07-01
607 MS_DRG Minor Skin Disorders Without Mcc 1 1 — — $35,043.64 $35,043.64 $35,043.64 2025-07-01
375 MS_DRG Digestive Malignancy With Cc 2 2 — — $25,140.28 $44,828.83 $34,984.56 2025-07-01
383 MS_DRG Uncomplicated Peptic Ulcer With Mcc 1 1 — — $34,848.89 $34,848.89 $34,848.89 2025-07-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 1 1 — — $34,663.64 $34,663.64 $34,663.64 2025-07-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 1 1 — — $33,524.07 $33,524.07 $33,524.07 2025-07-01
542 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 2 2 — — $15,561.09 $50,022.28 $32,791.68 2025-07-01
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 9 6 — — $16,350.98 $46,967.26 $32,607.14 2025-07-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 3 3 — — $20,264.98 $64,155.48 $32,495.58 2025-07-01
419 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. Without Cc/Mcc 4 3 — — $25,528.70 $34,928.52 $32,369.84 2025-07-01
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 4 4 — — $12,777.37 $43,046.09 $32,362.47 2025-07-01
5464 OTHER Level 4 Neurostimulator And Related Procedures 6 5 — — $17,541.54 $55,114.70 $32,115.90 2025-07-01
501 MS_DRG Soft Tissue Procedures With Cc 3 2 — — $13,620.92 $69,886.68 $31,943.17 2025-07-01
306 MS_DRG Cardiac Congenital And Valvular Disorders With Mcc 2 2 — — $12,238.14 $50,669.22 $31,453.68 2025-07-01
815 MS_DRG Reticuloendothelial And Immunity Disorders With Cc 2 2 — — $25,010.54 $37,622.23 $31,316.39 2025-07-01
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 3 3 — — $14,786.18 $76,161.55 $31,209.53 2025-07-01
858 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures Without Cc/Mcc 1 1 — — $30,952.72 $30,952.72 $30,952.72 2025-07-01
512 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures Without Cc/… 1 1 — — $30,815.52 $30,815.52 $30,815.52 2025-07-01
539 MS_DRG Osteomyelitis With Mcc 2 2 — — $16,988.61 $42,461.53 $29,725.07 2025-07-01
5093 OTHER Level 3 Breast/Lymphatic Surgery And Related Procedures 5 5 — — $12,298.32 $43,329.23 $29,647.85 2025-07-01
546 MS_DRG Connective Tissue Disorders With Cc 1 1 — — $29,436.46 $29,436.46 $29,436.46 2025-07-01
74 MS_DRG Cranial And Peripheral Nerve Disorders Without Mcc 3 3 — — $7,945.57 $45,937.58 $29,281.63 2025-07-01
65 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours 7 6 — — $8,568.73 $58,791.36 $28,956.85 2025-07-01
809 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 5 4 — — $7,307.67 $176,640.55 $28,825.15 2025-07-01
86 MS_DRG Traumatic Stupor And Coma <1 Hour With Cc 1 1 — — $28,758.81 $28,758.81 $28,758.81 2025-07-01
9247 OTHER Inj, Amisulpride, 1 Mg 5 4 — — $6,367.13 $30,121.36 $28,753.66 2025-07-01
399 MS_DRG Appendix Procedures Without Cc/Mcc 2 1 — — $28,248.20 $29,223.19 $28,735.69 2025-07-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 4 4 — — $2,009.08 $255,231.51 $28,685.31 2025-07-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 5 4 — — $22,242.71 $34,359.48 $28,445.25 2025-07-01
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 4 3 — — $14,688.22 $47,226.96 $28,256.65 2025-07-01
368 MS_DRG Major Esophageal Disorders With Mcc 2 2 — — $12,349.55 $43,878.14 $28,113.85 2025-07-01
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 2 2 — — $19,048.24 $37,048.43 $28,048.33 2025-07-01
54 MS_DRG Nervous System Neoplasms With Mcc 1 1 — — $28,047.15 $28,047.15 $28,047.15 2025-07-01
743 MS_DRG Uterine And Adnexa Procedures For Non-malignancy Without Cc/Mcc 2 2 — — $25,812.08 $30,143.32 $27,977.70 2025-07-01
5115 OTHER Level 5 Musculoskeletal Procedures 13 8 — — $13,249.66 $50,696.94 $27,788.20 2025-07-01
598 MS_DRG Malignant Breast Disorders With Cc 1 1 — — $27,756.74 $27,756.74 $27,756.74 2025-07-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 1 1 — — $27,457.13 $27,457.13 $27,457.13 2025-07-01
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With Mcc 6 5 — — $11,249.20 $149,758.46 $27,329.36 2025-07-01
345 MS_DRG Minor Small And Large Bowel Procedures With Cc 2 2 — — $12,222.86 $42,428.94 $27,325.90 2025-07-01
388 MS_DRG Gastrointestinal Obstruction With Mcc 2 2 — — $12,044.90 $42,400.12 $27,222.51 2025-07-01
58 MS_DRG Multiple Sclerosis And Cerebellar Ataxia With Mcc 1 1 — — $27,183.58 $27,183.58 $27,183.58 2025-07-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 1 1 — — $26,974.38 $26,974.38 $26,974.38 2025-07-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 1 1 — — $26,972.77 $26,972.77 $26,972.77 2025-07-01
540 MS_DRG Osteomyelitis With Cc 1 1 — — $26,934.43 $26,934.43 $26,934.43 2025-07-01
252 MS_DRG Other Vascular Procedures With Mcc 1 1 — — $26,923.87 $26,923.87 $26,923.87 2025-07-01
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 6 5 — — $13,916.92 $61,445.47 $26,852.23 2025-07-01
158 MS_DRG Dental And Oral Diseases With Cc 1 1 — — $26,808.16 $26,808.16 $26,808.16 2025-07-01
328 MS_DRG Stomach, Esophageal And Duodenal Procedures Without Cc/Mcc 2 2 — — $13,195.61 $40,409.63 $26,802.62 2025-07-01
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 1 1 — — $26,784.13 $26,784.13 $26,784.13 2025-07-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 2 2 — — $18,477.33 $34,669.55 $26,573.44 2025-07-01
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 5 4 — — $8,427.20 $46,908.24 $26,374.79 2025-07-01
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 2 2 — — $12,656.00 $39,970.43 $26,313.22 2025-07-01
974 MS_DRG HIV With Major Related Condition With Mcc 2 2 — — $13,502.07 $38,904.17 $26,203.12 2025-07-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 7 5 — — $17,026.95 $65,335.00 $26,197.68 2025-07-01
977 MS_DRG HIV With Or Without Other Related Condition 2 2 — — $23,822.23 $28,051.98 $25,937.10 2025-07-01
562 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 2 1 — — $12,030.25 $39,660.68 $25,845.47 2025-07-01
9290 OTHER Inj, Bupivacaine, Nos, 0.5mg 2 2 — — $1,412.56 $50,235.95 $25,824.26 2025-07-01
5361 OTHER Level 1 Laparoscopy And Related Services 14 8 — — $5,830.78 $40,377.08 $25,430.66 2025-07-01
292 MS_DRG Heart Failure And Shock With Cc 2 2 — — $19,503.75 $31,353.29 $25,428.52 2025-07-01
865 MS_DRG Viral Illness With Mcc 1 1 — — $24,695.73 $24,695.73 $24,695.73 2025-07-01
5342 OTHER Level 2 Abdominal/Peritoneal/Biliary And Related Procedures 2 2 — — $22,327.27 $26,981.32 $24,654.29 2025-07-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 2 2 — — $23,985.74 $24,711.73 $24,348.74 2025-07-01
103 MS_DRG Headaches Without Mcc 4 4 — — $7,084.32 $50,949.33 $24,324.74 2025-07-01
62 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 3 2 — — $18,671.95 $30,188.65 $24,272.77 2025-07-01
919 MS_DRG Complications Of Treatment With Mcc 4 4 — — $13,541.40 $42,253.62 $24,250.47 2025-07-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 1 1 — — $24,074.36 $24,074.36 $24,074.36 2025-07-01
784 MS_DRG Cesarean Section With Sterilization With Cc 4 4 — — $15,225.22 $33,839.90 $23,839.03 2025-07-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 3 2 — — $12,104.02 $70,155.57 $23,518.23 2025-07-01
69 MS_DRG Transient Ischemia Without Thrombolytic 3 2 — — $19,222.26 $23,153.00 $23,153.00 2025-07-01
202 MS_DRG Bronchitis And Asthma With Cc/Mcc 2 2 — — $18,789.93 $27,477.58 $23,133.76 2025-07-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 1 1 — — $23,003.54 $23,003.54 $23,003.54 2025-07-01
55 MS_DRG Nervous System Neoplasms Without Mcc 2 2 — — $19,646.99 $26,313.29 $22,980.14 2025-07-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 3 3 — — $11,430.86 $98,022.52 $22,947.16 2025-07-01
600 MS_DRG Non-malignant Breast Disorders With Cc/Mcc 1 1 — — $22,754.95 $22,754.95 $22,754.95 2025-07-01
73 MS_DRG Cranial And Peripheral Nerve Disorders With Mcc 2 2 — — $11,849.58 $33,347.91 $22,598.75 2025-07-01
83 MS_DRG Traumatic Stupor And Coma >1 Hour With Cc 1 1 — — $22,412.21 $22,412.21 $22,412.21 2025-07-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 1 1 — — $22,282.13 $22,282.13 $22,282.13 2025-07-01
862 MS_DRG Postoperative And Post-traumatic Infections With Mcc 2 2 — — $12,604.58 $31,940.66 $22,272.62 2025-07-01
787 MS_DRG Cesarean Section Without Sterilization With Cc 6 5 — — $17,162.18 $35,880.58 $22,252.56 2025-07-01
581 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/Mcc 1 1 — — $22,072.13 $22,072.13 $22,072.13 2025-07-01
786 MS_DRG Cesarean Section Without Sterilization With Mcc 4 4 — — $19,004.42 $60,286.96 $21,767.47 2025-07-01
922 MS_DRG Other Injury, Poisoning And Toxic Effect Diagnoses With Mcc 1 1 — — $21,727.22 $21,727.22 $21,727.22 2025-07-01
513 MS_DRG Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures With Cc/Mcc 2 2 — — $12,739.64 $30,678.59 $21,709.11 2025-07-01
200 MS_DRG Pneumothorax With Cc 2 2 — — $19,831.50 $23,385.19 $21,608.35 2025-07-01
554 MS_DRG Bone Diseases And Arthropathies Without Mcc 5 3 — — $6,728.05 $26,044.12 $21,544.87 2025-07-01
5623 OTHER Level 3 Radiation Therapy 9 5 — — $7,491.18 $42,809.26 $21,526.29 2025-07-01
551 MS_DRG Medical Back Problems With Mcc 2 2 — — $17,144.56 $25,801.44 $21,473.00 2025-07-01
304 MS_DRG Hypertension With Mcc 7 6 — — $7,822.28 $35,792.17 $21,258.58 2025-07-01
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 7 5 — — $7,194.33 $40,766.41 $21,055.49 2025-07-01
92 MS_DRG Other Disorders Of Nervous System With Cc 8 6 — — $8,449.57 $113,484.79 $20,981.32 2025-07-01
9039 OTHER Dimecaprol Injection 9 6 — — $2,386.90 $49,957.66 $20,861.49 2025-07-01
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 11 7 — — $14,498.36 $44,799.74 $20,835.76 2025-07-01
637 MS_DRG Diabetes With Mcc 8 6 — — $6,984.62 $37,432.73 $20,540.67 2025-07-01
717 MS_DRG Other Male Reproductive System O.r. Procedures Except Malignancy With Cc/Mcc 1 1 — — $20,433.41 $20,433.41 $20,433.41 2025-07-01
77 MS_DRG Hypertensive Encephalopathy With Mcc 1 1 — — $20,368.83 $20,368.83 $20,368.83 2025-07-01
964 MS_DRG Other Multiple Significant Trauma With Cc 1 1 — — $20,184.57 $20,184.57 $20,184.57 2025-07-01
9161 OTHER Inj Cefazolin Sodium, Baxter 1 1 — — $20,085.68 $20,085.68 $20,085.68 2025-07-01
433 MS_DRG Cirrhosis And Alcoholic Hepatitis With Cc 3 3 — — $8,668.39 $25,737.85 $19,982.82 2025-07-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 1 1 — — $19,795.01 $19,795.01 $19,795.01 2025-07-01
791 MS_DRG Prematurity With Major Problems 1 1 — — $19,765.64 $19,765.64 $19,765.64 2025-07-01
644 MS_DRG Endocrine Disorders With Cc 3 1 — — $5,598.70 $22,480.81 $19,642.65 2025-07-01
798 MS_DRG Vaginal Delivery With Sterilization And/Or D&c Without Cc/Mcc 2 2 — — $19,410.74 $19,856.74 $19,633.74 2025-07-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 3 3 — — $11,353.93 $74,235.53 $19,508.83 2025-07-01
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 5 5 — — $14,218.85 $62,797.73 $19,482.41 2025-07-01
349 MS_DRG Anal And Stomal Procedures Without Cc/Mcc 1 1 — — $19,383.64 $19,383.64 $19,383.64 2025-07-01
301 MS_DRG Peripheral Vascular Disorders Without Cc/Mcc 2 1 — — $16,893.00 $21,635.45 $19,264.22 2025-07-01
788 MS_DRG Cesarean Section Without Sterilization Without Cc/Mcc 7 5 — — $7,801.10 $28,462.12 $19,148.37 2025-07-01
785 MS_DRG Cesarean Section With Sterilization Without Cc/Mcc 4 4 — — $11,583.17 $34,578.98 $19,038.40 2025-07-01
536 MS_DRG Fractures Of Hip And Pelvis Without Mcc 2 2 — — $14,291.22 $23,678.02 $18,984.62 2025-07-01
896 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 5 5 — — $11,497.45 $28,276.62 $18,954.37 2025-07-01
5341 OTHER Level 1 Abdominal/Peritoneal/Biliary And Related Procedures 6 5 — — $3,585.18 $33,864.08 $18,867.09 2025-07-01
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 1 1 — — $18,766.03 $18,766.03 $18,766.03 2025-07-01
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 4 4 — — $14,598.55 $46,130.61 $18,742.50 2025-07-01
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 2 2 — — $18,306.46 $19,053.29 $18,679.88 2025-07-01
204 MS_DRG Respiratory Signs And Symptoms 1 1 — — $18,536.36 $18,536.36 $18,536.36 2025-07-01
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 2 2 — — $18,229.56 $18,582.25 $18,405.90 2025-07-01
60 MS_DRG Multiple Sclerosis And Cerebellar Ataxia Without Cc/Mcc 2 2 — — $13,147.74 $23,625.72 $18,386.73 2025-07-01
863 MS_DRG Postoperative And Post-traumatic Infections Without Mcc 4 4 — — $6,421.86 $22,595.67 $18,381.78 2025-07-01
5194 OTHER Level 4 Endovascular Procedures 4 4 — — $14,297.60 $51,897.11 $18,249.32 2025-07-01
355 MS_DRG Hernia Procedures Except Inguinal And Femoral Without Cc/Mcc 2 2 — — $11,310.85 $25,146.34 $18,228.60 2025-07-01
395 MS_DRG Other Digestive System Diagnoses Without Cc/Mcc 1 1 — — $18,210.59 $18,210.59 $18,210.59 2025-07-01
797 MS_DRG Vaginal Delivery With Sterilization And/Or D&c With Cc 1 1 — — $18,154.15 $18,154.15 $18,154.15 2025-07-01
382 MS_DRG Complicated Peptic Ulcer Without Cc/Mcc 1 1 — — $17,976.36 $17,976.36 $17,976.36 2025-07-01
314 MS_DRG Other Circulatory System Diagnoses With Mcc 7 6 — — $7,761.45 $40,120.36 $17,874.07 2025-07-01
379 MS_DRG Gastrointestinal Hemorrhage Without Cc/Mcc 1 1 — — $17,824.66 $17,824.66 $17,824.66 2025-07-01
369 MS_DRG Major Esophageal Disorders With Cc 2 2 — — $8,809.11 $26,656.12 $17,732.61 2025-07-01
5443 OTHER Level 3 Nerve Injections 2 1 — — $4,044.38 $31,316.37 $17,680.38 2025-07-01
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 8 6 — — $9,654.60 $28,367.34 $17,670.47 2025-07-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 1 1 — — $17,663.01 $17,663.01 $17,663.01 2025-07-01
91 MS_DRG Other Disorders Of Nervous System With Mcc 6 5 — — $2,896.51 $52,037.22 $17,604.47 2025-07-01
819 MS_DRG Other Antepartum Diagnoses With O.r. Procedures Without Cc/Mcc 1 1 — — $17,565.19 $17,565.19 $17,565.19 2025-07-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 3 2 — — $9,576.19 $49,357.09 $17,523.08 2025-07-01
70 MS_DRG Nonspecific Cerebrovascular Disorders With Mcc 6 5 — — $10,950.36 $28,937.63 $17,522.65 2025-07-01
141 MS_DRG Major Head And Neck Procedures With Cc 1 1 — — $17,437.40 $17,437.40 $17,437.40 2025-07-01
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 1 1 — — $17,357.24 $17,357.24 $17,357.24 2025-07-01
100 MS_DRG Seizures With Mcc 5 5 — — $7,225.67 $89,520.47 $17,313.04 2025-07-01
602 MS_DRG Cellulitis With Mcc 3 2 — — $12,635.78 $35,127.54 $17,244.01 2025-07-01
534 MS_DRG Fractures Of Femur Without Mcc 2 2 — — $8,991.60 $25,362.13 $17,176.87 2025-07-01
564 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc 2 2 — — $12,918.90 $21,318.29 $17,118.60 2025-07-01
561 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue Without Cc/Mcc 2 2 — — $10,767.09 $23,373.06 $17,070.08 2025-07-01
5114 OTHER Level 4 Musculoskeletal Procedures 12 8 — — $7,148.55 $43,994.05 $17,050.24 2025-07-01
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 9 7 — — $6,804.92 $43,407.50 $16,909.40 2025-07-01
386 MS_DRG Inflammatory Bowel Disease With Cc 2 1 — — $15,949.06 $17,713.04 $16,831.05 2025-07-01
5375 OTHER Level 5 Urology And Related Services 12 7 — — $5,117.02 $30,118.96 $16,784.54 2025-07-01
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 7 6 — — $7,156.94 $46,058.02 $16,766.50 2025-07-01
670 MS_DRG Transurethral Procedures Without Cc/Mcc 2 1 — — $8,046.22 $25,360.61 $16,703.42 2025-07-01
496 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 1 1 — — $16,643.92 $16,643.92 $16,643.92 2025-07-01
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 2 2 — — $15,637.32 $17,605.10 $16,621.21 2025-07-01
389 MS_DRG Gastrointestinal Obstruction With Cc 3 2 — — $6,819.93 $19,745.42 $16,562.65 2025-07-01
558 MS_DRG Tendonitis, Myositis And Bursitis Without Mcc 3 2 — — $7,208.64 $29,621.24 $16,432.66 2025-07-01
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/Mcc 1 1 — — $16,431.03 $16,431.03 $16,431.03 2025-07-01
880 MS_DRG Acute Adjustment Reaction And Psychosocial Dysfunction 1 1 — — $16,425.58 $16,425.58 $16,425.58 2025-07-01
291 MS_DRG Heart Failure And Shock With Mcc 10 7 — — $5,596.48 $36,440.80 $16,369.12 2025-07-01
9347 OTHER Inj Luspatercept-aamt 0.25mg 1 1 — — $16,329.18 $16,329.18 $16,329.18 2025-07-01
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/Mcc 1 1 — — $16,231.00 $16,231.00 $16,231.00 2025-07-01
660 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Cc 6 4 — — $10,831.08 $36,100.25 $16,093.85 2025-07-01
372 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Cc 4 3 — — $7,886.06 $61,295.87 $16,082.72 2025-07-01
196 MS_DRG Interstitial Lung Disease With Mcc 3 2 — — $15,558.62 $51,144.80 $16,067.82 2025-07-01
5092 OTHER Level 2 Breast/Lymphatic Surgery And Related Procedures 10 6 — — $6,563.99 $35,284.18 $15,988.15 2025-07-01
592 MS_DRG Skin Ulcers With Mcc 2 2 — — $15,491.80 $15,890.42 $15,691.11 2025-07-01
694 MS_DRG Urinary Stones Without Mcc 1 1 — — $15,675.35 $15,675.35 $15,675.35 2025-07-01
36 MS_DRG Carotid Artery Stent Procedures Without Cc/Mcc 5 4 — — $14,571.91 $55,683.79 $15,634.33 2025-07-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 1 1 — — $15,380.07 $15,380.07 $15,380.07 2025-07-01
206 MS_DRG Other Respiratory System Diagnoses Without Mcc 2 1 — — $7,453.66 $23,178.81 $15,316.24 2025-07-01
445 MS_DRG Disorders Of The Biliary Tract With Cc 1 1 — — $15,180.28 $15,180.28 $15,180.28 2025-07-01
5165 OTHER Level 5 ENT Procedures 8 5 — — $6,001.58 $43,259.17 $15,139.67 2025-07-01
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 6 6 — — $11,298.94 $69,593.76 $15,120.35 2025-07-01
5222 OTHER Level 2 Pacemaker And Similar Procedures 7 5 — — $8,206.51 $40,443.24 $15,119.84 2025-07-01
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 1 1 — — $15,084.22 $15,084.22 $15,084.22 2025-07-01
394 MS_DRG Other Digestive System Diagnoses With Cc 4 3 — — $6,560.80 $57,740.82 $15,061.83 2025-07-01
177 MS_DRG Respiratory Infections And Inflammations With Mcc 6 5 — — $11,958.18 $35,811.07 $15,003.62 2025-07-01
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 8 6 — — $6,861.93 $50,731.33 $14,938.90 2025-07-01
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 5 4 — — $13,985.84 $24,146.55 $14,885.14 2025-07-01
920 MS_DRG Complications Of Treatment With Cc 4 3 — — $8,700.18 $22,655.44 $14,831.30 2025-07-01
776 MS_DRG Postpartum And Post Abortion Diagnoses Without O.r. Procedures 5 4 — — $7,225.67 $16,114.37 $14,799.06 2025-07-01
657 MS_DRG Kidney And Ureter Procedures For Neoplasm With Cc 1 1 — — $14,674.96 $14,674.96 $14,674.96 2025-07-01
1490 OTHER Inj Pembrolizumab 3 2 — — $11,490.83 $14,860.87 $14,614.59 2025-07-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 3 3 — — $14,576.45 $57,037.20 $14,613.22 2025-07-01
180 MS_DRG Respiratory Neoplasms With Mcc 5 3 — — $14,316.38 $43,045.64 $14,572.67 2025-07-01
722 MS_DRG Malignancy, Male Reproductive System With Mcc 1 1 — — $14,551.18 $14,551.18 $14,551.18 2025-07-01
439 MS_DRG Disorders Of Pancreas Except Malignancy With Cc 6 5 — — $7,083.60 $21,078.74 $14,511.51 2025-07-01
988 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 1 1 — — $14,505.25 $14,505.25 $14,505.25 2025-07-01
374 MS_DRG Digestive Malignancy With Mcc 2 2 — — $12,119.58 $16,615.44 $14,367.51 2025-07-01
199 MS_DRG Pneumothorax With Mcc 4 4 — — $11,135.76 $24,800.33 $14,183.32 2025-07-01
5192 OTHER Level 2 Endovascular Procedures 5 5 — — $5,849.26 $32,626.75 $14,119.44 2025-07-01
393 MS_DRG Other Digestive System Diagnoses With Mcc 5 4 — — $13,378.39 $40,202.62 $14,000.47 2025-07-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 2 2 — — $10,274.81 $17,724.47 $13,999.64 2025-07-01
0763 OTHER Inj, Bupivacaine Liposome 4 4 — — $10,519.89 $32,345.57 $13,996.95 2025-07-01
5415 OTHER Level 5 Gynecologic Procedures 9 6 — — $4,944.99 $21,146.07 $13,980.86 2025-07-01
370 MS_DRG Major Esophageal Disorders Without Cc/Mcc 1 1 — — $13,947.27 $13,947.27 $13,947.27 2025-07-01
489 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection Without Cc/Mcc 2 2 — — $10,541.93 $17,352.56 $13,947.25 2025-07-01
9238 OTHER Calcium Glucon (wg Critical) 2 1 — — $758.16 $27,088.12 $13,923.14 2025-07-01
5184 OTHER Level 4 Vascular Procedures 4 3 — — $5,627.23 $36,627.10 $13,882.51 2025-07-01
884 MS_DRG Organic Disturbances And Intellectual Disability 3 3 — — $6,318.46 $16,321.83 $13,865.66 2025-07-01
392 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc 9 6 — — $5,395.01 $25,594.52 $13,774.93 2025-07-01
299 MS_DRG Peripheral Vascular Disorders With Mcc 4 3 — — $12,056.45 $29,057.34 $13,582.88 2025-07-01
754 MS_DRG Malignancy, Female Reproductive System With Mcc 1 1 — — $13,511.39 $13,511.39 $13,511.39 2025-07-01
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/Mcc 1 1 — — $13,506.82 $13,506.82 $13,506.82 2025-07-01
203 MS_DRG Bronchitis And Asthma Without Cc/Mcc 1 1 — — $13,400.87 $13,400.87 $13,400.87 2025-07-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 1 1 — — $13,222.45 $13,222.45 $13,222.45 2025-07-01
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 6 4 — — $3,902.05 $26,782.42 $13,148.83 2025-07-01
5193 OTHER Level 3 Endovascular Procedures 7 5 — — $10,826.11 $66,469.83 $13,126.53 2025-07-01
813 MS_DRG Coagulation Disorders 6 4 — — $1,478.44 $46,978.17 $13,068.96 2025-07-01
443 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis Without C… 2 2 — — $7,194.33 $18,810.02 $13,002.17 2025-07-01
205 MS_DRG Other Respiratory System Diagnoses With Mcc 7 6 — — $8,509.14 $50,625.42 $12,845.21 2025-07-01
643 MS_DRG Endocrine Disorders With Mcc 3 3 — — $10,622.54 $13,792.70 $12,828.11 2025-07-01
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 9 7 — — $4,523.44 $28,149.17 $12,804.39 2025-07-01
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 9 6 — — $6,994.79 $65,398.97 $12,769.89 2025-07-01
682 MS_DRG Renal Failure With Mcc 6 5 — — $8,743.65 $130,796.89 $12,713.06 2025-07-01
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 7 5 — — $8,132.06 $26,271.02 $12,658.20 2025-07-01
642 MS_DRG Inborn And Other Disorders Of Metabolism 1 1 — — $12,652.55 $12,652.55 $12,652.55 2025-07-01
5731 OTHER Level 1 Minor Procedures 2 1 — — $126.42 $25,128.56 $12,627.49 2025-07-01
948 MS_DRG Signs And Symptoms Without Mcc 6 5 — — $4,946.34 $22,462.07 $12,584.20 2025-07-01
5626 OTHER Level 6 Radiation Therapy 5 3 — — $6,687.56 $62,441.84 $12,198.83 2025-07-01
768 MS_DRG Vaginal Delivery With O.r. Procedures Except Sterilization And/Or D&c 4 4 — — $7,963.03 $16,642.42 $12,122.89 2025-07-01
9201 OTHER Rabies Ig Ht&sol Human Im/sc 2 2 — — $5,185.36 $18,739.00 $11,962.18 2025-07-01
563 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 4 3 — — $7,513.36 $27,555.43 $11,854.39 2025-07-01
63 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 1 1 — — $11,851.89 $11,851.89 $11,851.89 2025-07-01
5374 OTHER Level 4 Urology And Related Services 12 7 — — $2,181.87 $21,873.29 $11,844.24 2025-07-01
351 MS_DRG Inguinal And Femoral Hernia Procedures With Cc 1 1 — — $11,831.16 $11,831.16 $11,831.16 2025-07-01
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