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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

SIBLEY MEMORIAL HOSPITAL

Washington, DC · CCN 090005 · Rates published

586 distinct procedures filed
20 distinct payers
10,352 rate rows
2025-07-01 last MRF observed · ⚠ 15 mo old
Data quality

3,396 of 10,352 rate rows are consumer-grade (32.8%)

6,956 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 6,767
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 185
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 4

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 15 months old. CMS requires hospitals to refresh these files at least annually, so newer rates may exist that we haven't ingested yet. The prices below are exactly as last filed.

Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://jhm-web-assets.s3.amazonaws.com/hopkinsmedicine/prod/charge-fees/450562642_SibleyMemorialHospital_standardcharges.csv
Found on page https://www.hopkinsmedicine.org/patient-care/patients-visitors/billing-insurance/pay-bill/charges-fees
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-01
Content fingerprint ac7d6b9c8869c673… · 3,152,798 bytes · first seen 2026-06-08

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 $345,953.41 $345,953.41 $345,953.41 nat. median
$190,557
1.8× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 1 $305,560.59 $305,560.59 $305,560.59 nat. median
$126,722
outlier · 2.4×
463
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 1 $223,034.06 $223,034.06 $223,034.06 nat. median
$49,960
outlier · 4.5×
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 $144,842.96 $144,842.96 $144,842.96 nat. median
$63,648
outlier · 2.3×
40
MS_DRG 		Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 1 $117,329.33 $117,329.33 $117,329.33 nat. median
$35,905
outlier · 3.3×
73
MS_DRG 		Cranial And Peripheral Nerve Disorders With Mcc 2 $17,193.62 $169,217.58 $93,205.60 nat. median
$15,359
outlier · 6.1×
949
MS_DRG 		Aftercare With Cc/Mcc 2 $85,837.20 $91,176.86 $88,507.03 nat. median
$11,791
outlier · 7.5×
834
MS_DRG 		Acute Leukemia With Mcc 4 $31,410.59 $110,848.79 $85,041.34 nat. median
$50,391
1.7× median
405
MS_DRG 		Pancreas, Liver And Shunt Procedures With Mcc 1 $82,746.24 $82,746.24 $82,746.24 nat. median
$50,825
1.6× median
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 4 $31,979.65 $101,958.72 $80,139.91 nat. median
$49,639
1.6× median
471
MS_DRG 		Cervical Spinal Fusion With Mcc 1 $79,551.70 $79,551.70 $79,551.70 nat. median
$44,860
1.8× median
820
MS_DRG 		Lymphoma And Leukemia With Major O.r. Procedures With Mcc 1 $78,504.31 $78,504.31 $78,504.31 nat. median
$53,879
1.5× median
58
MS_DRG 		Multiple Sclerosis And Cerebellar Ataxia With Mcc 1 $77,825.28 $77,825.28 $77,825.28 nat. median
$16,834
outlier · 4.6×
856
MS_DRG 		Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 1 $70,567.90 $70,567.90 $70,567.90 nat. median
$41,690
1.7× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 2 $52,334.19 $86,397.86 $69,366.02 nat. median
$59,384
1.2× median
26
MS_DRG 		Craniotomy And Endovascular Intracranial Procedures With Cc 1 $68,410.32 $68,410.32 $68,410.32 nat. median
$29,611
outlier · 2.3×
579
MS_DRG 		Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 2 $12,044.12 $119,994.86 $66,019.49 nat. median
$30,215
outlier · 2.2×
423
MS_DRG 		Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 1 $65,609.26 $65,609.26 $65,609.26 nat. median
$38,579
1.7× median
462
MS_DRG 		Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 2 $57,696.49 $73,143.98 $65,420.24 nat. median
$26,439
outlier · 2.5×
402
MS_DRG 		Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 1 $64,917.24 $64,917.24 $64,917.24 nat. median
$36,896
1.8× median
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 5 $34,197.38 $118,035.14 $57,484.24 nat. median
$42,662
1.3× median
460
MS_DRG 		Spinal Fusion Except Cervical Without Mcc 4 $35,093.13 $68,432.98 $56,769.90 nat. median
$31,618
1.8× median
739
MS_DRG 		Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 2 $48,032.81 $59,450.35 $53,741.58 nat. median
$34,656
1.6× median
987
MS_DRG 		Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 3 $30,156.61 $55,311.61 $52,930.06 nat. median
$31,913
1.7× median
545
MS_DRG 		Connective Tissue Disorders With Mcc 1 $52,397.12 $52,397.12 $52,397.12 nat. median
$23,409
outlier · 2.2×
356
MS_DRG 		Other Digestive System O.r. Procedures With Mcc 3 $20,538.81 $62,466.13 $52,338.58 nat. median
$40,230
1.3× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 3 $36,181.16 $87,977.42 $51,826.89 nat. median
$62,721
0.8× median
829
MS_DRG 		Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 1 $50,609.88 $50,609.88 $50,609.88 nat. median
$29,254
1.7× median
521
MS_DRG 		Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 1 $50,230.70 $50,230.70 $50,230.70 nat. median
$27,642
1.8× median
94
MS_DRG 		Bacterial And Tuberculous Infections Of Nervous System With Mcc 1 $50,029.61 $50,029.61 $50,029.61 nat. median
$33,427
1.5× median
840
MS_DRG 		Lymphoma And Non-acute Leukemia With Mcc 1 $49,996.20 $49,996.20 $49,996.20 nat. median
$29,848
1.7× median
673
MS_DRG 		Other Kidney And Urinary Tract Procedures With Mcc 4 $33,658.07 $77,220.65 $49,242.02 nat. median
$38,049
1.3× median
837
MS_DRG 		Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 4 $28,048.79 $73,719.44 $48,388.13 nat. median
$45,443
1.1× median
736
MS_DRG 		Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 3 $29,901.68 $77,557.26 $47,251.20 nat. median
$34,654
1.4× median
455
MS_DRG 		Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 5 $22,338.41 $88,027.11 $46,985.24 nat. median
$38,944
1.2× median
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 $45,990.57 $45,990.57 $45,990.57 nat. median
$55,188
0.8× median
348
MS_DRG 		Anal And Stomal Procedures With Cc 1 $45,730.47 $45,730.47 $45,730.47 nat. median
$12,956
outlier · 3.5×
518
MS_DRG 		Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 1 $45,043.70 $45,043.70 $45,043.70 nat. median
$34,464
1.3× median
56
MS_DRG 		Degenerative Nervous System Disorders With Mcc 2 $1,578.83 $84,578.00 $43,078.42 nat. median
$21,152
outlier · 2.0×
907
MS_DRG 		Other O.r. Procedures For Injuries With Mcc 2 $23,312.07 $61,820.27 $42,566.17 nat. median
$36,018
1.2× median
472
MS_DRG 		Cervical Spinal Fusion With Cc 2 $22,375.27 $47,087.76 $42,359.49 nat. median
$28,262
1.5× median
406
MS_DRG 		Pancreas, Liver And Shunt Procedures With Cc 2 $37,487.11 $46,666.80 $42,076.96 nat. median
$27,639
1.5× median
271
MS_DRG 		Other Major Cardiovascular Procedures With Cc 1 $41,871.43 $41,871.43 $41,871.43 nat. median
$34,048
1.2× median
466
MS_DRG 		Revision Of Hip Or Knee Replacement With Mcc 3 $37,940.03 $85,461.98 $41,019.65 nat. median
$46,420
0.9× median
846
MS_DRG 		Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 1 $41,000.54 $41,000.54 $41,000.54 nat. median
$24,027
1.7× median
485
MS_DRG 		Knee Procedures With Principal Diagnosis Of Infection With Mcc 1 $40,516.00 $40,516.00 $40,516.00 nat. median
$30,601
1.3× median
29
MS_DRG 		Spinal Procedures With Cc Or Spinal Neurostimulators 1 $40,068.61 $40,068.61 $40,068.61 nat. median
$31,937
1.3× median
5465
OTHER 		Level 5 Neurostimulator And Related Procedures 3 $14,965.64 $48,860.24 $39,555.57 nat. median
$31,928
1.2× median
163
MS_DRG 		Major Chest Procedures With Mcc 1 $39,338.52 $39,338.52 $39,338.52 nat. median
$42,735
0.9× median
326
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Mcc 6 $11,203.22 $77,230.02 $39,300.38 nat. median
$46,224
0.9× median

Other procedures at this hospital

Browse this hospital's 586 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 — — $345,953.41 $345,953.41 $345,953.41 2025-07-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 1 1 — — $305,560.59 $305,560.59 $305,560.59 2025-07-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 1 1 — — $223,034.06 $223,034.06 $223,034.06 2025-07-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 1 — — $144,842.96 $144,842.96 $144,842.96 2025-07-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 1 1 — — $117,329.33 $117,329.33 $117,329.33 2025-07-01
73 MS_DRG Cranial And Peripheral Nerve Disorders With Mcc 2 2 — — $17,193.62 $169,217.58 $93,205.60 2025-07-01
949 MS_DRG Aftercare With Cc/Mcc 2 2 — — $85,837.20 $91,176.86 $88,507.03 2025-07-01
834 MS_DRG Acute Leukemia With Mcc 4 4 — — $31,410.59 $110,848.79 $85,041.34 2025-07-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 1 1 — — $82,746.24 $82,746.24 $82,746.24 2025-07-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 6 4 — — $31,979.65 $101,958.72 $80,139.91 2025-07-01
471 MS_DRG Cervical Spinal Fusion With Mcc 1 1 — — $79,551.70 $79,551.70 $79,551.70 2025-07-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 1 1 — — $78,504.31 $78,504.31 $78,504.31 2025-07-01
58 MS_DRG Multiple Sclerosis And Cerebellar Ataxia With Mcc 1 1 — — $77,825.28 $77,825.28 $77,825.28 2025-07-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 1 1 — — $70,567.90 $70,567.90 $70,567.90 2025-07-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 2 2 — — $52,334.19 $86,397.86 $69,366.02 2025-07-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 1 1 — — $68,410.32 $68,410.32 $68,410.32 2025-07-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 2 2 — — $12,044.12 $119,994.86 $66,019.49 2025-07-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 1 1 — — $65,609.26 $65,609.26 $65,609.26 2025-07-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 2 2 — — $57,696.49 $73,143.98 $65,420.24 2025-07-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 1 1 — — $64,917.24 $64,917.24 $64,917.24 2025-07-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 7 5 — — $34,197.38 $118,035.14 $57,484.24 2025-07-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 4 4 — — $35,093.13 $68,432.98 $56,769.90 2025-07-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 2 2 — — $48,032.81 $59,450.35 $53,741.58 2025-07-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 3 3 — — $30,156.61 $55,311.61 $52,930.06 2025-07-01
545 MS_DRG Connective Tissue Disorders With Mcc 1 1 — — $52,397.12 $52,397.12 $52,397.12 2025-07-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 3 3 — — $20,538.81 $62,466.13 $52,338.58 2025-07-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 3 3 — — $36,181.16 $87,977.42 $51,826.89 2025-07-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 1 1 — — $50,609.88 $50,609.88 $50,609.88 2025-07-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 1 1 — — $50,230.70 $50,230.70 $50,230.70 2025-07-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 1 1 — — $50,029.61 $50,029.61 $50,029.61 2025-07-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 1 1 — — $49,996.20 $49,996.20 $49,996.20 2025-07-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 4 4 — — $33,658.07 $77,220.65 $49,242.02 2025-07-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 4 4 — — $28,048.79 $73,719.44 $48,388.13 2025-07-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 3 3 — — $29,901.68 $77,557.26 $47,251.20 2025-07-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 7 5 — — $22,338.41 $88,027.11 $46,985.24 2025-07-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 1 — — $45,990.57 $45,990.57 $45,990.57 2025-07-01
348 MS_DRG Anal And Stomal Procedures With Cc 1 1 — — $45,730.47 $45,730.47 $45,730.47 2025-07-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 1 1 — — $45,043.70 $45,043.70 $45,043.70 2025-07-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 2 2 — — $1,578.83 $84,578.00 $43,078.42 2025-07-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 2 2 — — $23,312.07 $61,820.27 $42,566.17 2025-07-01
472 MS_DRG Cervical Spinal Fusion With Cc 4 2 — — $22,375.27 $47,087.76 $42,359.49 2025-07-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 2 2 — — $37,487.11 $46,666.80 $42,076.96 2025-07-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 1 1 — — $41,871.43 $41,871.43 $41,871.43 2025-07-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 3 3 — — $37,940.03 $85,461.98 $41,019.65 2025-07-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 1 1 — — $41,000.54 $41,000.54 $41,000.54 2025-07-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 1 1 — — $40,516.00 $40,516.00 $40,516.00 2025-07-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 1 1 — — $40,068.61 $40,068.61 $40,068.61 2025-07-01
5465 OTHER Level 5 Neurostimulator And Related Procedures 3 3 — — $14,965.64 $48,860.24 $39,555.57 2025-07-01
163 MS_DRG Major Chest Procedures With Mcc 1 1 — — $39,338.52 $39,338.52 $39,338.52 2025-07-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 6 6 — — $11,203.22 $77,230.02 $39,300.38 2025-07-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 2 2 — — $37,651.20 $40,735.46 $39,193.33 2025-07-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 2 2 — — $10,185.00 $66,787.67 $38,486.33 2025-07-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 4 4 — — $12,873.76 $49,263.44 $38,149.11 2025-07-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 4 3 — — $33,611.69 $60,684.67 $38,060.01 2025-07-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 1 1 — — $37,980.23 $37,980.23 $37,980.23 2025-07-01
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/Mcc 1 1 — — $37,883.56 $37,883.56 $37,883.56 2025-07-01
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 2 2 — — $21,488.79 $52,484.71 $36,986.75 2025-07-01
30 MS_DRG Spinal Procedures Without Cc/Mcc 1 1 — — $36,940.47 $36,940.47 $36,940.47 2025-07-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 11 8 — — $8,633.50 $83,072.16 $36,747.95 2025-07-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 5 4 — — $15,245.02 $41,965.49 $35,717.19 2025-07-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 1 1 — — $35,364.08 $35,364.08 $35,364.08 2025-07-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 1 1 — — $34,857.46 $34,857.46 $34,857.46 2025-07-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 2 2 — — $21,152.92 $47,998.39 $34,575.65 2025-07-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 2 2 — — $30,619.68 $37,230.25 $33,924.96 2025-07-01
5661 OTHER Therapeutic Nuclear Medicine 3 3 — — $22,305.13 $73,844.94 $33,744.19 2025-07-01
337 MS_DRG Peritoneal Adhesiolysis Without Cc/Mcc 2 2 — — $25,103.61 $42,099.49 $33,601.55 2025-07-01
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 3 3 — — $31,454.08 $42,582.46 $33,211.42 2025-07-01
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/Mcc 1 1 — — $32,942.46 $32,942.46 $32,942.46 2025-07-01
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 4 4 — — $17,408.15 $38,030.08 $32,392.44 2025-07-01
5625 OTHER Level 5 Radiation Therapy 20 11 — — $2,291.53 $87,847.35 $32,381.52 2025-07-01
655 MS_DRG Major Bladder Procedures Without Cc/Mcc 3 3 — — $13,280.00 $34,518.43 $32,059.64 2025-07-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 2 2 — — $25,953.21 $37,614.07 $31,783.64 2025-07-01
547 MS_DRG Connective Tissue Disorders Without Cc/Mcc 1 1 — — $31,274.20 $31,274.20 $31,274.20 2025-07-01
754 MS_DRG Malignancy, Female Reproductive System With Mcc 3 3 — — $21,711.60 $50,819.62 $31,077.54 2025-07-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 5 3 — — $20,209.32 $53,654.48 $30,658.08 2025-07-01
5626 OTHER Level 6 Radiation Therapy 7 5 — — $9,912.82 $57,165.28 $30,633.11 2025-07-01
592 MS_DRG Skin Ulcers With Mcc 2 2 — — $21,387.49 $39,864.00 $30,625.75 2025-07-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 6 5 — — $2,656.00 $41,076.04 $30,623.04 2025-07-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 5 4 — — $15,123.78 $61,113.00 $30,332.24 2025-07-01
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 1 1 — — $30,325.70 $30,325.70 $30,325.70 2025-07-01
164 MS_DRG Major Chest Procedures With Cc 6 5 — — $19,931.95 $38,136.92 $30,301.13 2025-07-01
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 2 2 — — $11,873.23 $48,723.44 $30,298.34 2025-07-01
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 1 1 — — $30,200.12 $30,200.12 $30,200.12 2025-07-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 2 2 — — $28,581.79 $31,459.72 $30,020.76 2025-07-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 1 1 — — $29,966.84 $29,966.84 $29,966.84 2025-07-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 2 2 — — $27,545.17 $31,668.11 $29,606.64 2025-07-01
333 MS_DRG Rectal Resection With Cc 2 2 — — $23,461.99 $35,650.68 $29,556.33 2025-07-01
314 MS_DRG Other Circulatory System Diagnoses With Mcc 6 5 — — $20,053.32 $37,534.10 $29,528.25 2025-07-01
582 MS_DRG Mastectomy For Malignancy With Cc/Mcc 1 1 — — $29,376.45 $29,376.45 $29,376.45 2025-07-01
624 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 1 1 — — $29,219.76 $29,219.76 $29,219.76 2025-07-01
2616 OTHER Brachytx, Non-str,yttrium-90 3 3 — — $21,829.70 $35,427.28 $29,113.03 2025-07-01
70 MS_DRG Nonspecific Cerebrovascular Disorders With Mcc 2 2 — — $12,076.69 $46,064.00 $29,070.35 2025-07-01
722 MS_DRG Malignancy, Male Reproductive System With Mcc 1 1 — — $29,002.35 $29,002.35 $29,002.35 2025-07-01
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 5 4 — — $8,851.88 $56,723.95 $28,620.66 2025-07-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 2 2 — — $18,639.75 $38,297.76 $28,468.76 2025-07-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 11 7 — — $15,320.54 $36,079.63 $28,455.07 2025-07-01
5094 OTHER Level 4 Breast/Lymphatic Surgery And Related Procedures 11 8 — — $15,214.47 $45,104.15 $28,432.33 2025-07-01
75 MS_DRG Viral Meningitis With Cc/Mcc 1 1 — — $28,300.39 $28,300.39 $28,300.39 2025-07-01
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 1 1 — — $27,792.75 $27,792.75 $27,792.75 2025-07-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 4 3 — — $3,170.00 $35,103.44 $27,493.16 2025-07-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 1 1 — — $27,322.12 $27,322.12 $27,322.12 2025-07-01
654 MS_DRG Major Bladder Procedures With Cc 4 4 — — $16,596.81 $35,882.65 $27,309.07 2025-07-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 1 1 — — $27,261.75 $27,261.75 $27,261.75 2025-07-01
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 2 2 — — $25,206.52 $28,715.44 $26,960.98 2025-07-01
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 1 1 — — $26,791.80 $26,791.80 $26,791.80 2025-07-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 1 1 — — $26,711.32 $26,711.32 $26,711.32 2025-07-01
593 MS_DRG Skin Ulcers With Cc 1 1 — — $26,536.80 $26,536.80 $26,536.80 2025-07-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 1 1 — — $26,529.21 $26,529.21 $26,529.21 2025-07-01
80 MS_DRG Nontraumatic Stupor And Coma With Mcc 3 3 — — $14,981.36 $31,093.66 $26,504.40 2025-07-01
668 MS_DRG Transurethral Procedures With Mcc 1 1 — — $26,478.45 $26,478.45 $26,478.45 2025-07-01
165 MS_DRG Major Chest Procedures Without Cc/Mcc 6 5 — — $5,752.44 $39,865.13 $26,418.07 2025-07-01
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Mcc 2 2 — — $7,923.00 $44,240.00 $26,081.50 2025-07-01
983 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/Mcc 1 1 — — $25,948.87 $25,948.87 $25,948.87 2025-07-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 7 6 — — $11,264.22 $36,725.21 $25,852.23 2025-07-01
345 MS_DRG Minor Small And Large Bowel Procedures With Cc 1 1 — — $25,843.11 $25,843.11 $25,843.11 2025-07-01
602 MS_DRG Cellulitis With Mcc 3 3 — — $22,207.07 $30,277.19 $25,612.41 2025-07-01
838 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Che… 3 3 — — $24,020.40 $60,970.82 $25,517.56 2025-07-01
905 MS_DRG Skin Grafts For Injuries Without Cc/Mcc 1 1 — — $25,326.53 $25,326.53 $25,326.53 2025-07-01
380 MS_DRG Complicated Peptic Ulcer With Mcc 3 2 — — $21,559.48 $28,391.77 $25,297.38 2025-07-01
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 2 2 — — $23,970.22 $26,623.04 $25,296.63 2025-07-01
5116 OTHER Level 6 Musculoskeletal Procedures 12 6 — — $11,985.62 $66,330.52 $24,963.08 2025-07-01
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 1 1 — — $24,766.08 $24,766.08 $24,766.08 2025-07-01
727 MS_DRG Inflammation Of The Male Reproductive System With Mcc 1 1 — — $24,655.41 $24,655.41 $24,655.41 2025-07-01
974 MS_DRG HIV With Major Related Condition With Mcc 5 5 — — $13,532.68 $217,552.10 $24,534.92 2025-07-01
465 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 1 1 — — $24,288.60 $24,288.60 $24,288.60 2025-07-01
410 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 1 1 — — $24,280.68 $24,280.68 $24,280.68 2025-07-01
507 MS_DRG Major Shoulder Or Elbow Joint Procedures With Cc/Mcc 1 1 — — $24,263.11 $24,263.11 $24,263.11 2025-07-01
517 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures Without Cc/Mc… 1 1 — — $23,875.57 $23,875.57 $23,875.57 2025-07-01
738 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy Without Cc/Mcc 3 1 — — $10,330.15 $27,355.49 $23,762.19 2025-07-01
828 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 1 1 — — $23,750.75 $23,750.75 $23,750.75 2025-07-01
5115 OTHER Level 5 Musculoskeletal Procedures 17 9 — — $9,645.56 $30,344.03 $23,733.34 2025-07-01
737 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 3 3 — — $17,371.76 $29,387.84 $23,661.91 2025-07-01
707 MS_DRG Major Male Pelvic Procedures With Cc/Mcc 1 1 — — $23,542.80 $23,542.80 $23,542.80 2025-07-01
585 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/Mcc 4 3 — — $6,776.95 $52,505.06 $23,454.26 2025-07-01
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/Mcc 1 1 — — $23,409.30 $23,409.30 $23,409.30 2025-07-01
157 MS_DRG Dental And Oral Diseases With Mcc 1 1 — — $23,407.64 $23,407.64 $23,407.64 2025-07-01
5627 OTHER Level 7 Radiation Therapy 2 2 — — $9,522.32 $37,215.83 $23,369.08 2025-07-01
496 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 1 1 — — $23,288.36 $23,288.36 $23,288.36 2025-07-01
740 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Cc 3 2 — — $22,950.62 $31,459.00 $23,182.62 2025-07-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 1 1 — — $23,050.94 $23,050.94 $23,050.94 2025-07-01
862 MS_DRG Postoperative And Post-traumatic Infections With Mcc 8 6 — — $8,637.00 $52,013.28 $22,647.49 2025-07-01
988 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 2 2 — — $19,346.50 $25,811.37 $22,578.93 2025-07-01
581 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/Mcc 3 3 — — $9,797.99 $34,287.62 $22,546.51 2025-07-01
941 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/… 2 2 — — $15,410.26 $29,657.84 $22,534.05 2025-07-01
355 MS_DRG Hernia Procedures Except Inguinal And Femoral Without Cc/Mcc 1 1 — — $22,508.98 $22,508.98 $22,508.98 2025-07-01
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/Mcc 2 2 — — $22,351.07 $22,650.95 $22,501.01 2025-07-01
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/Mcc 3 3 — — $12,024.46 $25,401.69 $22,437.14 2025-07-01
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 4 3 — — $5,160.20 $25,964.87 $22,425.79 2025-07-01
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/Mcc 8 6 — — $5,108.54 $37,874.59 $22,388.98 2025-07-01
908 MS_DRG Other O.r. Procedures For Injuries With Cc 5 4 — — $11,918.44 $30,479.86 $22,192.65 2025-07-01
708 MS_DRG Major Male Pelvic Procedures Without Cc/Mcc 1 1 — — $22,183.79 $22,183.79 $22,183.79 2025-07-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 1 1 — — $22,052.03 $22,052.03 $22,052.03 2025-07-01
748 MS_DRG Female Reproductive System Reconstructive Procedures 1 1 — — $22,031.19 $22,031.19 $22,031.19 2025-07-01
539 MS_DRG Osteomyelitis With Mcc 3 3 — — $12,107.12 $26,309.18 $21,955.81 2025-07-01
393 MS_DRG Other Digestive System Diagnoses With Mcc 6 6 — — $7,376.13 $39,223.71 $21,951.58 2025-07-01
5432 OTHER Level 2 Nerve Procedures 1 1 — — $21,944.66 $21,944.66 $21,944.66 2025-07-01
621 MS_DRG O.r. Procedures For Obesity Without Cc/Mcc 5 5 — — $18,206.10 $24,079.82 $21,784.72 2025-07-01
334 MS_DRG Rectal Resection Without Cc/Mcc 2 2 — — $20,631.62 $22,660.04 $21,645.83 2025-07-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 1 1 — — $21,561.61 $21,561.61 $21,561.61 2025-07-01
444 MS_DRG Disorders Of The Biliary Tract With Mcc 4 4 — — $20,684.42 $26,621.88 $21,549.62 2025-07-01
693 MS_DRG Urinary Stones With Mcc 1 1 — — $21,541.92 $21,541.92 $21,541.92 2025-07-01
542 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 2 2 — — $13,805.73 $29,164.61 $21,485.17 2025-07-01
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 4 3 — — $8,637.00 $31,134.08 $21,468.56 2025-07-01
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 2 2 — — $11,272.01 $31,476.85 $21,374.43 2025-07-01
5464 OTHER Level 4 Neurostimulator And Related Procedures 2 2 — — $19,949.81 $22,745.74 $21,347.78 2025-07-01
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 6 6 — — $16,353.93 $25,521.63 $21,343.19 2025-07-01
841 MS_DRG Lymphoma And Non-acute Leukemia With Cc 1 1 — — $21,212.16 $21,212.16 $21,212.16 2025-07-01
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 1 1 — — $21,203.78 $21,203.78 $21,203.78 2025-07-01
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/Mcc 9 6 — — $8,637.00 $50,122.23 $21,169.41 2025-07-01
909 MS_DRG Other O.r. Procedures For Injuries Without Cc/Mcc 1 1 — — $21,056.86 $21,056.86 $21,056.86 2025-07-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 2 2 — — $8,635.35 $33,413.33 $21,024.34 2025-07-01
620 MS_DRG O.r. Procedures For Obesity With Cc 3 3 — — $19,448.65 $24,738.37 $20,896.28 2025-07-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 1 1 — — $20,742.52 $20,742.52 $20,742.52 2025-07-01
571 MS_DRG Skin Debridement With Cc 2 2 — — $19,006.37 $22,276.11 $20,641.24 2025-07-01
368 MS_DRG Major Esophageal Disorders With Mcc 2 2 — — $16,139.06 $25,126.92 $20,632.99 2025-07-01
578 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis Without Cc/Mcc 2 2 — — $8,893.36 $32,205.40 $20,549.38 2025-07-01
374 MS_DRG Digestive Malignancy With Mcc 5 5 — — $7,197.50 $27,828.54 $20,538.81 2025-07-01
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 6 6 — — $2,879.00 $27,452.70 $20,477.74 2025-07-01
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 4 4 — — $8,088.00 $64,687.39 $20,374.26 2025-07-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 1 1 — — $20,262.08 $20,262.08 $20,262.08 2025-07-01
549 MS_DRG Septic Arthritis With Cc 1 1 — — $20,235.21 $20,235.21 $20,235.21 2025-07-01
299 MS_DRG Peripheral Vascular Disorders With Mcc 3 3 — — $12,405.28 $20,463.80 $20,147.68 2025-07-01
54 MS_DRG Nervous System Neoplasms With Mcc 5 5 — — $12,789.18 $22,411.94 $20,137.10 2025-07-01
564 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc 2 2 — — $10,956.55 $29,291.31 $20,123.93 2025-07-01
660 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Cc 5 4 — — $8,609.09 $24,415.64 $20,065.70 2025-07-01
501 MS_DRG Soft Tissue Procedures With Cc 2 2 — — $13,671.90 $26,400.00 $20,035.95 2025-07-01
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 2 2 — — $13,154.24 $26,799.13 $19,976.69 2025-07-01
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 5 5 — — $7,634.67 $29,950.40 $19,934.02 2025-07-01
147 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Cc 1 1 — — $19,762.91 $19,762.91 $19,762.91 2025-07-01
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 1 1 — — $19,671.05 $19,671.05 $19,671.05 2025-07-01
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 1 1 — — $19,574.51 $19,574.51 $19,574.51 2025-07-01
533 MS_DRG Fractures Of Femur With Mcc 1 1 — — $19,563.78 $19,563.78 $19,563.78 2025-07-01
839 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Without Cc/Mcc 5 5 — — $13,777.20 $22,609.95 $19,521.56 2025-07-01
168 MS_DRG Other Respiratory System O.r. Procedures Without Cc/Mcc 1 1 — — $19,513.45 $19,513.45 $19,513.45 2025-07-01
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Mcc 8 6 — — $12,900.00 $29,129.30 $19,492.88 2025-07-01
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 17 11 — — $5,926.32 $41,193.02 $19,396.26 2025-07-01
713 MS_DRG Transurethral Prostatectomy With Cc/Mcc 3 3 — — $18,637.01 $22,063.90 $19,239.51 2025-07-01
91 MS_DRG Other Disorders Of Nervous System With Mcc 2 2 — — $16,448.24 $21,898.46 $19,173.35 2025-07-01
186 MS_DRG Pleural Effusion With Mcc 2 2 — — $11,749.67 $26,506.08 $19,127.88 2025-07-01
5193 OTHER Level 3 Endovascular Procedures 8 7 — — $9,315.50 $29,361.50 $19,065.07 2025-07-01
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 5 5 — — $9,968.20 $44,950.19 $19,017.61 2025-07-01
336 MS_DRG Peritoneal Adhesiolysis With Cc 3 3 — — $13,291.10 $26,265.10 $18,979.18 2025-07-01
830 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 1 1 — — $18,974.40 $18,974.40 $18,974.40 2025-07-01
205 MS_DRG Other Respiratory System Diagnoses With Mcc 2 2 — — $13,704.29 $24,000.96 $18,852.62 2025-07-01
385 MS_DRG Inflammatory Bowel Disease With Mcc 5 5 — — $16,435.54 $25,611.31 $18,802.80 2025-07-01
847 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Cc 5 5 — — $9,906.03 $24,860.19 $18,789.94 2025-07-01
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 8 6 — — $11,318.10 $52,073.99 $18,772.65 2025-07-01
520 MS_DRG Back And Neck Procedures Except Spinal Fusion Without Cc/Mcc 1 1 — — $18,585.16 $18,585.16 $18,585.16 2025-07-01
419 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. Without Cc/Mcc 6 5 — — $15,107.55 $31,961.14 $18,539.15 2025-07-01
769 MS_DRG Postpartum And Post Abortion Diagnoses With O.r. Procedures 5 4 — — $3,427.63 $25,898.47 $18,526.80 2025-07-01
5362 OTHER Level 2 Laparoscopy And Related Services 23 13 — — $2,804.77 $42,500.65 $18,487.12 2025-07-01
804 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs Without Cc/Mcc 1 1 — — $18,410.18 $18,410.18 $18,410.18 2025-07-01
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 4 4 — — $7,931.40 $28,634.32 $18,149.49 2025-07-01
813 MS_DRG Coagulation Disorders 8 7 — — $4,592.48 $79,514.70 $18,090.88 2025-07-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 4 4 — — $14,823.86 $30,776.20 $18,034.75 2025-07-01
842 MS_DRG Lymphoma And Non-acute Leukemia Without Cc/Mcc 2 2 — — $14,138.33 $21,581.38 $17,859.85 2025-07-01
5242 OTHER Level 2 Blood Product Exchange And Related Services 1 1 — — $17,773.12 $17,773.12 $17,773.12 2025-07-01
657 MS_DRG Kidney And Ureter Procedures For Neoplasm With Cc 3 3 — — $13,725.78 $30,828.31 $17,727.04 2025-07-01
5376 OTHER Level 6 Urology And Related Services 1 1 — — $17,677.06 $17,677.06 $17,677.06 2025-07-01
398 MS_DRG Appendix Procedures With Cc 5 4 — — $11,457.43 $24,200.69 $17,670.79 2025-07-01
760 MS_DRG Menstrual And Other Female Reproductive System Disorders With Cc/Mcc 3 3 — — $16,532.75 $38,554.23 $17,670.19 2025-07-01
196 MS_DRG Interstitial Lung Disease With Mcc 3 3 — — $9,471.71 $23,626.16 $17,660.13 2025-07-01
977 MS_DRG HIV With Or Without Other Related Condition 2 2 — — $15,282.65 $20,031.98 $17,657.31 2025-07-01
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 1 1 — — $17,480.51 $17,480.51 $17,480.51 2025-07-01
919 MS_DRG Complications Of Treatment With Mcc 6 5 — — $13,815.07 $24,191.87 $17,430.10 2025-07-01
896 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 7 7 — — $13,490.39 $24,957.93 $17,225.77 2025-07-01
103 MS_DRG Headaches Without Mcc 2 2 — — $14,132.10 $20,066.81 $17,099.46 2025-07-01
312 MS_DRG Syncope And Collapse 4 4 — — $6,741.45 $27,018.29 $17,052.89 2025-07-01
858 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures Without Cc/Mcc 2 2 — — $13,680.47 $20,184.07 $16,932.27 2025-07-01
399 MS_DRG Appendix Procedures Without Cc/Mcc 4 4 — — $13,323.52 $19,843.84 $16,894.50 2025-07-01
818 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Cc 1 1 — — $16,845.24 $16,845.24 $16,845.24 2025-07-01
346 MS_DRG Minor Small And Large Bowel Procedures Without Cc/Mcc 1 1 — — $16,719.51 $16,719.51 $16,719.51 2025-07-01
263 MS_DRG Vein Ligation And Stripping 1 1 — — $16,489.35 $16,489.35 $16,489.35 2025-07-01
5623 OTHER Level 3 Radiation Therapy 19 12 — — $3,101.17 $61,121.81 $16,370.02 2025-07-01
743 MS_DRG Uterine And Adnexa Procedures For Non-malignancy Without Cc/Mcc 9 5 — — $5,312.00 $18,579.04 $16,310.59 2025-07-01
643 MS_DRG Endocrine Disorders With Mcc 3 3 — — $13,626.43 $37,768.20 $16,294.95 2025-07-01
445 MS_DRG Disorders Of The Biliary Tract With Cc 5 4 — — $8,268.32 $18,587.28 $16,230.23 2025-07-01
328 MS_DRG Stomach, Esophageal And Duodenal Procedures Without Cc/Mcc 4 4 — — $10,236.67 $26,346.30 $16,064.49 2025-07-01
71 MS_DRG Nonspecific Cerebrovascular Disorders With Cc 3 3 — — $14,920.04 $16,149.98 $16,044.02 2025-07-01
358 MS_DRG Other Digestive System O.r. Procedures Without Cc/Mcc 2 2 — — $15,373.20 $16,630.52 $16,001.86 2025-07-01
999 MS_DRG Ungroupable 1 1 — — $15,920.30 $15,920.30 $15,920.30 2025-07-01
779 MS_DRG Abortion Without D&c 1 1 — — $15,819.29 $15,819.29 $15,819.29 2025-07-01
433 MS_DRG Cirrhosis And Alcoholic Hepatitis With Cc 4 4 — — $12,418.34 $18,522.36 $15,754.71 2025-07-01
5093 OTHER Level 3 Breast/Lymphatic Surgery And Related Procedures 11 6 — — $9,311.78 $55,687.80 $15,715.27 2025-07-01
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 3 3 — — $15,290.29 $26,924.93 $15,707.18 2025-07-01
187 MS_DRG Pleural Effusion With Cc 4 4 — — $12,663.25 $19,877.22 $15,574.96 2025-07-01
292 MS_DRG Heart Failure And Shock With Cc 2 2 — — $13,797.90 $17,340.09 $15,568.99 2025-07-01
436 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Cc 2 2 — — $14,286.49 $16,741.65 $15,514.07 2025-07-01
947 MS_DRG Signs And Symptoms With Mcc 6 6 — — $8,643.15 $18,304.19 $15,513.30 2025-07-01
76 MS_DRG Viral Meningitis Without Cc/Mcc 1 1 — — $15,470.86 $15,470.86 $15,470.86 2025-07-01
815 MS_DRG Reticuloendothelial And Immunity Disorders With Cc 2 2 — — $14,491.80 $16,311.29 $15,401.55 2025-07-01
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 7 4 — — $12,493.11 $35,570.48 $15,162.89 2025-07-01
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 7 6 — — $10,211.18 $29,320.92 $15,152.41 2025-07-01
637 MS_DRG Diabetes With Mcc 6 5 — — $10,501.34 $22,042.21 $15,085.82 2025-07-01
315 MS_DRG Other Circulatory System Diagnoses With Cc 3 3 — — $12,584.94 $16,143.54 $15,075.39 2025-07-01
976 MS_DRG HIV With Major Related Condition Without Cc/Mcc 2 2 — — $13,995.30 $16,009.81 $15,002.56 2025-07-01
332 MS_DRG Rectal Resection With Mcc 2 2 — — $5,154.12 $24,709.07 $14,931.60 2025-07-01
177 MS_DRG Respiratory Infections And Inflammations With Mcc 10 8 — — $5,214.58 $26,914.80 $14,928.85 2025-07-01
822 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures Without Cc/Mcc 1 1 — — $14,865.00 $14,865.00 $14,865.00 2025-07-01
376 MS_DRG Digestive Malignancy Without Cc/Mcc 1 1 — — $14,811.53 $14,811.53 $14,811.53 2025-07-01
349 MS_DRG Anal And Stomal Procedures Without Cc/Mcc 3 3 — — $11,709.60 $25,167.36 $14,806.15 2025-07-01
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 12 8 — — $9,983.19 $24,534.92 $14,802.34 2025-07-01
786 MS_DRG Cesarean Section Without Sterilization With Mcc 9 6 — — $7,484.00 $30,209.85 $14,731.26 2025-07-01
783 MS_DRG Cesarean Section With Sterilization With Mcc 4 4 — — $11,175.50 $18,546.70 $14,730.31 2025-07-01
489 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection Without Cc/Mcc 1 1 — — $14,729.57 $14,729.57 $14,729.57 2025-07-01
199 MS_DRG Pneumothorax With Mcc 1 1 — — $14,697.43 $14,697.43 $14,697.43 2025-07-01
644 MS_DRG Endocrine Disorders With Cc 3 3 — — $11,634.38 $18,304.96 $14,580.67 2025-07-01
551 MS_DRG Medical Back Problems With Mcc 2 2 — — $8,402.74 $20,422.80 $14,412.77 2025-07-01
849 MS_DRG Radiotherapy 1 1 — — $14,395.00 $14,395.00 $14,395.00 2025-07-01
81 MS_DRG Nontraumatic Stupor And Coma Without Mcc 2 2 — — $13,022.40 $15,760.84 $14,391.62 2025-07-01
553 MS_DRG Bone Diseases And Arthropathies With Mcc 4 3 — — $10,230.97 $18,200.06 $14,354.99 2025-07-01
563 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 2 2 — — $10,747.20 $17,928.27 $14,337.74 2025-07-01
809 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 7 6 — — $6,506.00 $18,218.92 $14,210.02 2025-07-01
62 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 3 3 — — $11,788.17 $17,755.26 $14,173.95 2025-07-01
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/Mcc 5 5 — — $12,474.56 $22,430.40 $14,150.02 2025-07-01
60 MS_DRG Multiple Sclerosis And Cerebellar Ataxia Without Cc/Mcc 4 4 — — $10,768.80 $19,800.97 $14,027.06 2025-07-01
597 MS_DRG Malignant Breast Disorders With Mcc 2 2 — — $8,773.76 $19,206.00 $13,989.88 2025-07-01
138 MS_DRG Mouth Procedures Without Cc/Mcc 1 1 — — $13,844.27 $13,844.27 $13,844.27 2025-07-01
975 MS_DRG HIV With Major Related Condition With Cc 4 4 — — $10,321.75 $22,845.60 $13,841.11 2025-07-01
864 MS_DRG Fever And Inflammatory Conditions 2 2 — — $13,427.39 $14,117.74 $13,772.56 2025-07-01
915 MS_DRG Allergic Reactions With Mcc 1 1 — — $13,710.15 $13,710.15 $13,710.15 2025-07-01
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 6 5 — — $8,342.23 $27,167.22 $13,685.14 2025-07-01
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 11 10 — — $9,342.46 $169,600.86 $13,679.92 2025-07-01
863 MS_DRG Postoperative And Post-traumatic Infections Without Mcc 4 4 — — $7,219.81 $16,086.35 $13,666.55 2025-07-01
291 MS_DRG Heart Failure And Shock With Mcc 13 9 — — $8,769.00 $42,391.37 $13,660.56 2025-07-01
770 MS_DRG Abortion With D&c, Aspiration Curettage Or Hysterotomy 2 2 — — $12,134.26 $15,045.52 $13,589.89 2025-07-01
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 6 5 — — $2,591.10 $33,945.02 $13,567.22 2025-07-01
741 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy Without… 2 2 — — $10,150.78 $16,867.31 $13,509.05 2025-07-01
178 MS_DRG Respiratory Infections And Inflammations With Cc 3 3 — — $7,175.42 $14,201.38 $13,506.94 2025-07-01
189 MS_DRG Pulmonary Edema And Respiratory Failure 11 8 — — $5,596.56 $18,278.82 $13,441.68 2025-07-01
386 MS_DRG Inflammatory Bowel Disease With Cc 5 4 — — $7,364.12 $24,617.85 $13,422.08 2025-07-01
787 MS_DRG Cesarean Section Without Sterilization With Cc 11 8 — — $7,482.25 $20,665.38 $13,419.51 2025-07-01
661 MS_DRG Kidney And Ureter Procedures For Non-neoplasm Without Cc/Mcc 7 5 — — $7,947.79 $25,110.50 $13,386.38 2025-07-01
848 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis Without Cc/Mcc 1 1 — — $13,369.01 $13,369.01 $13,369.01 2025-07-01
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 10 7 — — $3,982.67 $20,397.49 $13,326.15 2025-07-01
381 MS_DRG Complicated Peptic Ulcer With Cc 3 3 — — $12,686.01 $13,452.45 $13,308.37 2025-07-01
600 MS_DRG Non-malignant Breast Disorders With Cc/Mcc 4 4 — — $10,659.77 $15,596.86 $13,177.06 2025-07-01
303 MS_DRG Atherosclerosis Without Mcc 2 2 — — $8,914.68 $17,421.57 $13,168.12 2025-07-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 1 1 — — $13,148.62 $13,148.62 $13,148.62 2025-07-01
598 MS_DRG Malignant Breast Disorders With Cc 1 1 — — $13,130.43 $13,130.43 $13,130.43 2025-07-01
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