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Hospital

Pam Specialty Hospital Of Sarasota

Sarasota, FL · CCN 102018 · Rates published

3,037 distinct procedures filed
22 distinct payers
40,685 rate rows
2025-09-11 last MRF observed
Data quality

40,546 of 40,685 rate rows are consumer-grade (99.7%)

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

Excluded — reasonRows
per-diem day rate — not a per-procedure price 139
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sthpiprd.blob.core.windows.net/machine-readable-files/11106/842670518_pam-specialty-hospital-of-sarasota-llc_standardcharges.csv
Found on page https://search.hospitalpriceindex.com/hpi2/machineReadable/SpecialtyHospitalSarasota/11106
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint dd68be8ad7995863… · 12,404,409 bytes · first seen 2026-05-06

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
5834
APR_DRG 		Neonate With Ecmo 1 $473,169.21 $473,169.21 $473,169.21 nat. median
$309,665
1.5× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 1 $289,807.09 $289,807.09 $289,807.09 nat. median
$246,434
1.2× median
114
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 $270,920.91 $270,920.91 $270,920.91 nat. median
$117,173
outlier · 2.3×
5833
APR_DRG 		Neonate With Ecmo 1 $269,485.59 $269,485.59 $269,485.59 nat. median
$244,017
1.1× median
5832
APR_DRG 		Neonate With Ecmo 1 $206,915.14 $206,915.14 $206,915.14 nat. median
$156,126
1.3× median
1614
APR_DRG 		Implantable Heart Assist Systems 1 $202,040.10 $202,040.10 $202,040.10 nat. median
$207,730
1.0× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 1 $201,916.00 $201,916.00 $201,916.00 nat. median
$162,982
1.2× median
113
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 $201,622.89 $201,622.89 $201,622.89 nat. median
$60,831
outlier · 3.3×
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 1 $198,064.79 $198,064.79 $198,064.79 nat. median
$164,834
1.2× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 1 $194,207.06 $194,207.06 $194,207.06 nat. median
$122,924
1.6× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 1 $193,010.95 $193,010.95 $193,010.95 nat. median
$182,665
1.1× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 1 $190,041.52 $190,041.52 $190,041.52 nat. median
$164,289
1.2× median
5831
APR_DRG 		Neonate With Ecmo 1 $185,731.47 $185,731.47 $185,731.47 nat. median
$144,745
1.3× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 1 $179,719.93 $179,719.93 $179,719.93 nat. median
$160,267
1.1× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 1 $176,125.90 $176,125.90 $176,125.90 nat. median
$150,721
1.2× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 1 $167,082.88 $167,082.88 $167,082.88 nat. median
$151,838
1.1× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 1 $165,389.56 $165,389.56 $165,389.56 nat. median
$145,336
1.1× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mo… 10 $159,698.61 $246,956.61 $164,637.74 nat. median
$202,976
0.8× median
112
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 $160,287.55 $160,287.55 $160,287.55 nat. median
$58,674
outlier · 2.7×
1613
APR_DRG 		Implantable Heart Assist Systems 1 $158,202.33 $158,202.33 $158,202.33 nat. median
$119,796
1.3× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 1 $152,215.28 $152,215.28 $152,215.28 nat. median
$105,658
1.4× median
5913
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 1 $143,324.12 $143,324.12 $143,324.12 nat. median
$102,919
1.4× median
5881
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 1 $141,763.06 $141,763.06 $141,763.06 nat. median
$124,573
1.1× median
4
MS_DRG 		Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mouth And… 10 $131,350.82 $203,119.83 $135,413.22 nat. median
$133,161
1.0× median
5892
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 1 $135,090.20 $135,090.20 $135,090.20 nat. median
$89,796
1.5× median
5891
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 1 $135,090.20 $135,090.20 $135,090.20 nat. median
$93,370
1.4× median
5893
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 1 $135,090.20 $135,090.20 $135,090.20 nat. median
$69,788
1.9× median
93
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 1 $133,111.93 $133,111.93 $133,111.93 nat. median
$78,990
1.7× median
6024
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 1 $125,869.18 $125,869.18 $125,869.18 nat. median
$118,620
1.1× median
5912
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 1 $122,930.77 $122,930.77 $122,930.77 nat. median
$81,294
1.5× median
5933
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 1 $122,226.17 $122,226.17 $122,226.17 nat. median
$108,996
1.1× median
1611
APR_DRG 		Implantable Heart Assist Systems 1 $116,405.68 $116,405.68 $116,405.68 nat. median
$76,806
1.5× median
1612
APR_DRG 		Implantable Heart Assist Systems 1 $116,405.68 $116,405.68 $116,405.68 nat. median
$85,444
1.4× median
1604
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly 1 $115,981.95 $115,981.95 $115,981.95 nat. median
$97,957
1.2× median
164
MS_DRG 		Major Chest Procedures With Cc 10 $108,402.84 $167,633.25 $111,755.50 nat. median
$25,705
outlier · 4.3×
165
MS_DRG 		Major Chest Procedures Without Cc/mcc 10 $108,402.84 $167,633.25 $111,755.50 nat. median
$19,858
outlier · 5.6×
163
MS_DRG 		Major Chest Procedures With Mcc 10 $108,402.84 $167,633.25 $111,755.50 nat. median
$44,937
outlier · 2.5×
11
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 10 $107,017.45 $165,490.91 $110,327.27 nat. median
$52,857
outlier · 2.1×
166
MS_DRG 		Other Respiratory System O.r. Procedures With Mcc 10 $107,017.45 $165,490.91 $110,327.27 nat. median
$37,476
outlier · 2.9×
140
MS_DRG 		Major Head And Neck Procedures With Mcc 10 $107,017.45 $165,490.91 $110,327.27 nat. median
$40,208
outlier · 2.7×
981
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 10 $107,003.74 $165,469.70 $110,313.13 nat. median
$46,084
outlier · 2.4×
54
APR_DRG 		Tracheostomy With Mv >96 Hours Without Extensive Procedure 1 $106,038.37 $106,038.37 $106,038.37 nat. median
$68,217
1.6× median
43
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 1 $104,963.92 $104,963.92 $104,963.92 nat. median
$69,926
1.5× median
8424
APR_DRG 		Burns With Skin Graft Except Extensive Third Degree Burns 1 $100,617.13 $100,617.13 $100,617.13 nat. median
$80,416
1.3× median
987
MS_DRG 		Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 10 $97,525.52 $150,812.66 $100,541.77 nat. median
$33,845
outlier · 3.0×
5932
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 1 $98,309.84 $98,309.84 $98,309.84 nat. median
$86,338
1.1× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv &gt;96 Hours 10 $94,741.03 $146,506.76 $97,671.17 nat. median
$66,526
1.5× median
6074
APR_DRG 		Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 1 $97,297.44 $97,297.44 $97,297.44 nat. median
$95,507
1.0× median
6303
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 1 $97,084.34 $97,084.34 $97,084.34 nat. median
$72,936
1.3× median
8514
APR_DRG 		Gender Related Procedures 1 $92,845.32 $92,845.32 $92,845.32 nat. median
$70,353
1.3× median

Other procedures at this hospital

Browse this hospital's 3,037 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
             
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 11 10 — — $107,017.45 $165,490.91 $110,327.27 2025-09-11
111 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 1 — — $78,941.96 $78,941.96 $78,941.96 2025-09-11
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 1 — — $160,287.55 $160,287.55 $160,287.55 2025-09-11
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 1 — — $201,622.89 $201,622.89 $201,622.89 2025-09-11
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 1 — — $270,920.91 $270,920.91 $270,920.91 2025-09-11
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 11 10 — — $72,117.68 $111,522.18 $74,348.12 2025-09-11
1204 APR_DRG Major Respiratory And Chest Procedures 1 1 — — $47,405.67 $47,405.67 $47,405.67 2025-09-11
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 1 1 — — $46,848.03 $46,848.03 $46,848.03 2025-09-11
140 MS_DRG Major Head And Neck Procedures With Mcc 11 10 — — $107,017.45 $165,490.91 $110,327.27 2025-09-11
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 1 1 — — $53,757.67 $53,757.67 $53,757.67 2025-09-11
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 1 1 — — $115,981.95 $115,981.95 $115,981.95 2025-09-11
1611 APR_DRG Implantable Heart Assist Systems 1 1 — — $116,405.68 $116,405.68 $116,405.68 2025-09-11
1612 APR_DRG Implantable Heart Assist Systems 1 1 — — $116,405.68 $116,405.68 $116,405.68 2025-09-11
1613 APR_DRG Implantable Heart Assist Systems 1 1 — — $158,202.33 $158,202.33 $158,202.33 2025-09-11
1614 APR_DRG Implantable Heart Assist Systems 1 1 — — $202,040.10 $202,040.10 $202,040.10 2025-09-11
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 1 1 — — $57,016.13 $57,016.13 $57,016.13 2025-09-11
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 1 1 — — $77,944.25 $77,944.25 $77,944.25 2025-09-11
163 MS_DRG Major Chest Procedures With Mcc 11 10 — — $108,402.84 $167,633.25 $111,755.50 2025-09-11
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 1 1 — — $49,032.04 $49,032.04 $49,032.04 2025-09-11
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 1 1 — — $68,203.97 $68,203.97 $68,203.97 2025-09-11
164 MS_DRG Major Chest Procedures With Cc 11 10 — — $108,402.84 $167,633.25 $111,755.50 2025-09-11
165 MS_DRG Major Chest Procedures Without Cc/mcc 11 10 — — $108,402.84 $167,633.25 $111,755.50 2025-09-11
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 1 1 — — $61,274.74 $61,274.74 $61,274.74 2025-09-11
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 11 10 — — $107,017.45 $165,490.91 $110,327.27 2025-09-11
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 1 1 — — $54,625.56 $54,625.56 $54,625.56 2025-09-11
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 11 10 — — $72,117.68 $111,522.18 $74,348.12 2025-09-11
1674 APR_DRG Other Cardiothoracic And Thoracic Circulatory Procedures 1 1 — — $60,037.82 $60,037.82 $60,037.82 2025-09-11
168 MS_DRG Other Respiratory System O.r. Procedures Without Cc/mcc 11 10 — — $72,117.68 $111,522.18 $74,348.12 2025-09-11
1694 APR_DRG Major Abdominal Vascular Procedures 1 1 — — $48,703.01 $48,703.01 $48,703.01 2025-09-11
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 11 10 — — $72,117.68 $111,522.18 $74,348.12 2025-09-11
1783 APR_DRG External Heart Assist Devices 1 1 — — $52,332.14 $52,332.14 $52,332.14 2025-09-11
1784 APR_DRG External Heart Assist Devices 1 1 — — $64,856.52 $64,856.52 $64,856.52 2025-09-11
1794 APR_DRG Defibrillator Implants 1 1 — — $53,913.61 $53,913.61 $53,913.61 2025-09-11
1834 APR_DRG Percutaneous Structural Cardiac Procedures 1 1 — — $58,372.26 $58,372.26 $58,372.26 2025-09-11
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 11 10 — — $57,715.17 $89,250.27 $59,500.18 2025-09-11
202 MS_DRG Bronchitis And Asthma With Cc/mcc 11 10 — — $57,715.17 $89,250.27 $59,500.18 2025-09-11
205 MS_DRG Other Respiratory System Diagnoses With Mcc 11 10 — — $59,960.13 $92,721.86 $61,814.57 2025-09-11
207 MS_DRG Respiratory System Diagnosis With Ventilator Support &gt;96 Hours 11 10 — — $88,911.45 $137,491.94 $91,661.29 2025-09-11
208 MS_DRG Respiratory System Diagnosis With Ventilator Support &lt;=96 Hours 11 10 — — $53,988.81 $83,487.86 $55,658.57 2025-09-11
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 11 10 — — $57,715.17 $89,250.27 $59,500.18 2025-09-11
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 11 10 — — $57,715.17 $89,250.27 $59,500.18 2025-09-11
214 APR_DRG Open Craniotomy Except Trauma 1 1 — — $52,701.18 $52,701.18 $52,701.18 2025-09-11
215 MS_DRG Other Heart Assist System Implant 11 10 — — $57,715.17 $89,250.27 $59,500.18 2025-09-11
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 10 — — $57,715.17 $89,250.27 $59,500.18 2025-09-11
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 10 — — $57,715.17 $89,250.27 $59,500.18 2025-09-11
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 10 — — $57,715.17 $89,250.27 $59,500.18 2025-09-11
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 11 10 — — $57,715.17 $89,250.27 $59,500.18 2025-09-11
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 11 10 — — $57,715.17 $89,250.27 $59,500.18 2025-09-11
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 11 10 — — $57,715.17 $89,250.27 $59,500.18 2025-09-11
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 1 1 — — $46,693.72 $46,693.72 $46,693.72 2025-09-11
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 11 10 — — $57,715.17 $89,250.27 $59,500.18 2025-09-11
228 MS_DRG Other Cardiothoracic Procedures With Mcc 11 10 — — $57,715.17 $89,250.27 $59,500.18 2025-09-11
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 11 10 — — $57,715.17 $89,250.27 $59,500.18 2025-09-11
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 11 10 — — $57,715.17 $89,250.27 $59,500.18 2025-09-11
231 MS_DRG Coronary Bypass With Ptca With Mcc 11 10 — — $57,715.17 $89,250.27 $59,500.18 2025-09-11
232 MS_DRG Coronary Bypass With Ptca Without Mcc 11 10 — — $57,715.17 $89,250.27 $59,500.18 2025-09-11
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 11 10 — — $57,715.17 $89,250.27 $59,500.18 2025-09-11
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 11 10 — — $57,715.17 $89,250.27 $59,500.18 2025-09-11
234 APR_DRG Spinal Procedures 1 1 — — $48,052.30 $48,052.30 $48,052.30 2025-09-11
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 11 10 — — $57,715.17 $89,250.27 $59,500.18 2025-09-11
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 11 10 — — $57,715.17 $89,250.27 $59,500.18 2025-09-11
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 11 10 — — $57,715.17 $89,250.27 $59,500.18 2025-09-11
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 11 10 — — $57,715.17 $89,250.27 $59,500.18 2025-09-11
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 11 10 — — $57,715.17 $89,250.27 $59,500.18 2025-09-11
241 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe Without Cc… 11 10 — — $57,715.17 $89,250.27 $59,500.18 2025-09-11
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 11 10 — — $57,715.17 $89,250.27 $59,500.18 2025-09-11
245 MS_DRG Aicd Generator Procedures 11 10 — — $58,094.67 $89,837.12 $59,891.41 2025-09-11
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 11 10 — — $57,715.17 $89,250.27 $59,500.18 2025-09-11
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 11 10 — — $57,715.17 $89,250.27 $59,500.18 2025-09-11
251 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc 11 10 — — $57,715.17 $89,250.27 $59,500.18 2025-09-11
252 MS_DRG Other Vascular Procedures With Mcc 11 10 — — $57,715.17 $89,250.27 $59,500.18 2025-09-11
253 MS_DRG Other Vascular Procedures With Cc 11 10 — — $57,715.17 $89,250.27 $59,500.18 2025-09-11
254 MS_DRG Other Vascular Procedures Without Cc/mcc 11 10 — — $57,715.17 $89,250.27 $59,500.18 2025-09-11
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 11 10 — — $57,715.17 $89,250.27 $59,500.18 2025-09-11
256 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Cc 11 10 — — $57,715.17 $89,250.27 $59,500.18 2025-09-11
257 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders Without Cc/mcc 11 10 — — $57,715.17 $89,250.27 $59,500.18 2025-09-11
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 11 10 — — $57,715.17 $89,250.27 $59,500.18 2025-09-11
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 11 10 — — $57,715.17 $89,250.27 $59,500.18 2025-09-11
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 1 1 — — $49,171.66 $49,171.66 $49,171.66 2025-09-11
263 MS_DRG Vein Ligation And Stripping 11 10 — — $58,094.67 $89,837.12 $59,891.41 2025-09-11
264 MS_DRG Other Circulatory System O.r. Procedures 11 10 — — $58,094.67 $89,837.12 $59,891.41 2025-09-11
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 11 10 — — $57,715.17 $89,250.27 $59,500.18 2025-09-11
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 11 10 — — $57,715.17 $89,250.27 $59,500.18 2025-09-11
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 11 10 — — $57,715.17 $89,250.27 $59,500.18 2025-09-11
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 11 10 — — $57,715.17 $89,250.27 $59,500.18 2025-09-11
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 11 10 — — $57,715.17 $89,250.27 $59,500.18 2025-09-11
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 11 10 — — $57,715.17 $89,250.27 $59,500.18 2025-09-11
271 MS_DRG Other Major Cardiovascular Procedures With Cc 11 10 — — $57,715.17 $89,250.27 $59,500.18 2025-09-11
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 11 10 — — $57,715.17 $89,250.27 $59,500.18 2025-09-11
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 11 10 — — $57,715.17 $89,250.27 $59,500.18 2025-09-11
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 11 10 — — $57,715.17 $89,250.27 $59,500.18 2025-09-11
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 11 10 — — $57,715.17 $89,250.27 $59,500.18 2025-09-11
28 MS_DRG Spinal Procedures With Mcc 11 10 — — $54,820.96 $84,774.68 $56,516.45 2025-09-11
288 MS_DRG Acute And Subacute Endocarditis With Mcc 11 10 — — $46,590.95 $72,047.87 $48,031.91 2025-09-11
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 11 10 — — $54,820.96 $84,774.68 $56,516.45 2025-09-11
2993 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 1 1 — — $52,257.03 $52,257.03 $52,257.03 2025-09-11
2994 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 1 1 — — $66,828.25 $66,828.25 $66,828.25 2025-09-11
3 MS_DRG Ecmo Or Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mo… 11 10 — — $159,698.61 $246,956.61 $164,637.74 2025-09-11
3004 APR_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 1 1 — — $50,982.55 $50,982.55 $50,982.55 2025-09-11
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 1 1 — — $53,831.97 $53,831.97 $53,831.97 2025-09-11
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 1 1 — — $77,567.87 $77,567.87 $77,567.87 2025-09-11
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 1 1 — — $54,703.94 $54,703.94 $54,703.94 2025-09-11
31 MS_DRG Ventricular Shunt Procedures With Mcc 11 10 — — $57,715.17 $89,250.27 $59,500.18 2025-09-11
3124 APR_DRG Skin Graft For Musculoskeletal And Connective Tissue Diagnoses 1 1 — — $47,239.11 $47,239.11 $47,239.11 2025-09-11
32 MS_DRG Ventricular Shunt Procedures With Cc 11 10 — — $57,715.17 $89,250.27 $59,500.18 2025-09-11
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 11 10 — — $57,715.17 $89,250.27 $59,500.18 2025-09-11
33 MS_DRG Ventricular Shunt Procedures Without Cc/mcc 11 10 — — $57,715.17 $89,250.27 $59,500.18 2025-09-11
34 MS_DRG Carotid Artery Stent Procedures With Mcc 11 10 — — $57,715.17 $89,250.27 $59,500.18 2025-09-11
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 11 10 — — $57,715.17 $89,250.27 $59,500.18 2025-09-11
35 MS_DRG Carotid Artery Stent Procedures With Cc 11 10 — — $57,715.17 $89,250.27 $59,500.18 2025-09-11
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 11 10 — — $57,715.17 $89,250.27 $59,500.18 2025-09-11
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 11 10 — — $63,819.09 $98,689.32 $65,792.88 2025-09-11
36 MS_DRG Carotid Artery Stent Procedures Without Cc/mcc 11 10 — — $57,715.17 $89,250.27 $59,500.18 2025-09-11
37 MS_DRG Extracranial Procedures With Mcc 11 10 — — $57,715.17 $89,250.27 $59,500.18 2025-09-11
38 MS_DRG Extracranial Procedures With Cc 11 10 — — $57,715.17 $89,250.27 $59,500.18 2025-09-11
385 MS_DRG Inflammatory Bowel Disease With Mcc 11 10 — — $57,715.17 $89,250.27 $59,500.18 2025-09-11
39 MS_DRG Extracranial Procedures Without Cc/mcc 11 10 — — $57,715.17 $89,250.27 $59,500.18 2025-09-11
393 MS_DRG Other Digestive System Diagnoses With Mcc 11 10 — — $46,453.79 $71,835.75 $47,890.50 2025-09-11
4 MS_DRG Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mouth And … 11 10 — — $131,350.82 $203,119.83 $135,413.22 2025-09-11
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 11 10 — — $67,165.95 $103,864.88 $69,243.25 2025-09-11
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 11 10 — — $57,715.17 $89,250.27 $59,500.18 2025-09-11
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 11 10 — — $57,715.17 $89,250.27 $59,500.18 2025-09-11
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 1 1 — — $67,075.64 $67,075.64 $67,075.64 2025-09-11
42 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/mcc 11 10 — — $57,715.17 $89,250.27 $59,500.18 2025-09-11
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 11 10 — — $57,715.17 $89,250.27 $59,500.18 2025-09-11
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 11 10 — — $48,607.30 $75,165.93 $50,110.62 2025-09-11
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 11 10 — — $48,607.30 $75,165.93 $50,110.62 2025-09-11
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 11 10 — — $48,607.30 $75,165.93 $50,110.62 2025-09-11
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 1 1 — — $104,963.92 $104,963.92 $104,963.92 2025-09-11
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 11 10 — — $47,903.18 $74,077.08 $49,384.72 2025-09-11
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 1 1 — — $152,215.28 $152,215.28 $152,215.28 2025-09-11
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 11 10 — — $48,607.30 $75,165.93 $50,110.62 2025-09-11
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 11 10 — — $48,607.30 $75,165.93 $50,110.62 2025-09-11
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 11 10 — — $57,660.30 $89,165.42 $59,443.61 2025-09-11
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 11 10 — — $57,715.17 $89,250.27 $59,500.18 2025-09-11
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 11 10 — — $57,715.17 $89,250.27 $59,500.18 2025-09-11
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 11 10 — — $57,715.17 $89,250.27 $59,500.18 2025-09-11
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 11 10 — — $57,715.17 $89,250.27 $59,500.18 2025-09-11
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 11 10 — — $57,715.17 $89,250.27 $59,500.18 2025-09-11
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 11 10 — — $57,715.17 $89,250.27 $59,500.18 2025-09-11
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 11 10 — — $57,715.17 $89,250.27 $59,500.18 2025-09-11
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 11 10 — — $57,715.17 $89,250.27 $59,500.18 2025-09-11
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 11 10 — — $57,715.17 $89,250.27 $59,500.18 2025-09-11
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 11 10 — — $57,715.17 $89,250.27 $59,500.18 2025-09-11
499 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Without… 11 10 — — $57,715.17 $89,250.27 $59,500.18 2025-09-11
500 MS_DRG Soft Tissue Procedures With Mcc 11 10 — — $56,316.08 $87,086.72 $58,057.81 2025-09-11
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 11 10 — — $54,820.96 $84,774.68 $56,516.45 2025-09-11
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 11 10 — — $57,715.17 $89,250.27 $59,500.18 2025-09-11
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 11 10 — — $57,715.17 $89,250.27 $59,500.18 2025-09-11
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 1 1 — — $51,313.21 $51,313.21 $51,313.21 2025-09-11
52 MS_DRG Spinal Disorders And Injuries With Cc/mcc 11 10 — — $48,607.30 $75,165.93 $50,110.62 2025-09-11
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 1 1 — — $76,955.53 $76,955.53 $76,955.53 2025-09-11
53 MS_DRG Spinal Disorders And Injuries Without Cc/mcc 11 10 — — $48,607.30 $75,165.93 $50,110.62 2025-09-11
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 1 1 — — $106,038.37 $106,038.37 $106,038.37 2025-09-11
54 MS_DRG Nervous System Neoplasms With Mcc 11 10 — — $57,715.17 $89,250.27 $59,500.18 2025-09-11
551 MS_DRG Medical Back Problems With Mcc 11 10 — — $59,708.66 $92,332.98 $61,555.32 2025-09-11
562 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 11 10 — — $57,715.17 $89,250.27 $59,500.18 2025-09-11
570 MS_DRG Skin Debridement With Mcc 11 10 — — $53,828.78 $83,240.39 $55,493.59 2025-09-11
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 11 10 — — $63,576.76 $98,314.58 $65,543.05 2025-09-11
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 11 10 — — $62,022.21 $95,910.63 $63,940.42 2025-09-11
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 11 10 — — $50,971.14 $78,821.36 $52,547.57 2025-09-11
581 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/mcc 11 10 — — $50,971.14 $78,821.36 $52,547.57 2025-09-11
582 MS_DRG Mastectomy For Malignancy With Cc/mcc 11 10 — — $62,022.21 $95,910.63 $63,940.42 2025-09-11
583 MS_DRG Mastectomy For Malignancy Without Cc/mcc 11 10 — — $50,971.14 $78,821.36 $52,547.57 2025-09-11
5831 APR_DRG Neonate With Ecmo 1 1 — — $185,731.47 $185,731.47 $185,731.47 2025-09-11
5832 APR_DRG Neonate With Ecmo 1 1 — — $206,915.14 $206,915.14 $206,915.14 2025-09-11
5833 APR_DRG Neonate With Ecmo 1 1 — — $269,485.59 $269,485.59 $269,485.59 2025-09-11
5834 APR_DRG Neonate With Ecmo 1 1 — — $473,169.21 $473,169.21 $473,169.21 2025-09-11
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 1 1 — — $141,763.06 $141,763.06 $141,763.06 2025-09-11
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 1 1 — — $165,389.56 $165,389.56 $165,389.56 2025-09-11
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 1 1 — — $193,010.95 $193,010.95 $193,010.95 2025-09-11
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 1 1 — — $289,807.09 $289,807.09 $289,807.09 2025-09-11
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 1 1 — — $135,090.20 $135,090.20 $135,090.20 2025-09-11
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 1 1 — — $135,090.20 $135,090.20 $135,090.20 2025-09-11
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 1 1 — — $135,090.20 $135,090.20 $135,090.20 2025-09-11
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 1 1 — — $122,930.77 $122,930.77 $122,930.77 2025-09-11
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 1 1 — — $143,324.12 $143,324.12 $143,324.12 2025-09-11
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 1 1 — — $190,041.52 $190,041.52 $190,041.52 2025-09-11
5931 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 1 1 — — $74,817.24 $74,817.24 $74,817.24 2025-09-11
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 1 1 — — $98,309.84 $98,309.84 $98,309.84 2025-09-11
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 1 1 — — $122,226.17 $122,226.17 $122,226.17 2025-09-11
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 1 1 — — $167,082.88 $167,082.88 $167,082.88 2025-09-11
6021 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 1 1 — — $52,020.26 $52,020.26 $52,020.26 2025-09-11
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 1 1 — — $69,831.98 $69,831.98 $69,831.98 2025-09-11
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 1 1 — — $87,393.05 $87,393.05 $87,393.05 2025-09-11
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 1 1 — — $125,869.18 $125,869.18 $125,869.18 2025-09-11
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 1 1 — — $52,130.48 $52,130.48 $52,130.48 2025-09-11
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 1 1 — — $92,061.53 $92,061.53 $92,061.53 2025-09-11
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 1 1 — — $49,824.82 $49,824.82 $49,824.82 2025-09-11
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 1 1 — — $66,709.05 $66,709.05 $66,709.05 2025-09-11
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 1 1 — — $97,297.44 $97,297.44 $97,297.44 2025-09-11
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 1 1 — — $47,903.71 $47,903.71 $47,903.71 2025-09-11
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 1 1 — — $55,495.08 $55,495.08 $55,495.08 2025-09-11
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 1 1 — — $70,042.63 $70,042.63 $70,042.63 2025-09-11
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 1 1 — — $201,916.00 $201,916.00 $201,916.00 2025-09-11
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 11 10 — — $59,475.48 $91,972.40 $61,314.93 2025-09-11
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 1 1 — — $80,923.48 $80,923.48 $80,923.48 2025-09-11
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 1 1 — — $63,746.15 $63,746.15 $63,746.15 2025-09-11
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 1 1 — — $80,179.70 $80,179.70 $80,179.70 2025-09-11
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 1 1 — — $53,498.85 $53,498.85 $53,498.85 2025-09-11
619 MS_DRG O.r. Procedures For Obesity With Mcc 11 10 — — $59,786.39 $92,453.18 $61,635.45 2025-09-11
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 1 1 — — $62,514.94 $62,514.94 $62,514.94 2025-09-11
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 11 10 — — $59,786.39 $92,453.18 $61,635.45 2025-09-11
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 1 1 — — $55,414.25 $55,414.25 $55,414.25 2025-09-11
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 1 1 — — $97,084.34 $97,084.34 $97,084.34 2025-09-11
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 1 1 — — $176,125.90 $176,125.90 $176,125.90 2025-09-11
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 1 1 — — $57,080.63 $57,080.63 $57,080.63 2025-09-11
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 1 1 — — $194,207.06 $194,207.06 $194,207.06 2025-09-11
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 1 1 — — $63,578.77 $63,578.77 $63,578.77 2025-09-11
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 11 10 — — $59,475.48 $91,972.40 $61,314.93 2025-09-11
643 MS_DRG Endocrine Disorders With Mcc 11 10 — — $57,715.17 $89,250.27 $59,500.18 2025-09-11
653 MS_DRG Major Bladder Procedures With Mcc 11 10 — — $54,734.08 $84,640.34 $56,426.89 2025-09-11
654 MS_DRG Major Bladder Procedures With Cc 11 10 — — $47,848.32 $73,992.24 $49,328.16 2025-09-11
665 MS_DRG Prostatectomy With Mcc 11 10 — — $54,734.08 $84,640.34 $56,426.89 2025-09-11
666 MS_DRG Prostatectomy With Cc 11 10 — — $47,848.32 $73,992.24 $49,328.16 2025-09-11
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 11 10 — — $54,734.08 $84,640.34 $56,426.89 2025-09-11
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 11 10 — — $47,848.32 $73,992.24 $49,328.16 2025-09-11
675 MS_DRG Other Kidney And Urinary Tract Procedures Without Cc/mcc 11 10 — — $47,848.32 $73,992.24 $49,328.16 2025-09-11
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 1 1 — — $56,571.16 $56,571.16 $56,571.16 2025-09-11
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 1 1 — — $47,328.11 $47,328.11 $47,328.11 2025-09-11
6904 APR_DRG Acute Leukemia 1 1 — — $50,566.97 $50,566.97 $50,566.97 2025-09-11
693 MS_DRG Urinary Stones With Mcc 11 10 — — $57,715.17 $89,250.27 $59,500.18 2025-09-11
73 MS_DRG Cranial And Peripheral Nerve Disorders With Mcc 11 10 — — $57,715.17 $89,250.27 $59,500.18 2025-09-11
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/mcc 11 10 — — $57,715.17 $89,250.27 $59,500.18 2025-09-11
735 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy Without Cc/mcc 11 10 — — $57,715.17 $89,250.27 $59,500.18 2025-09-11
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 11 10 — — $57,715.17 $89,250.27 $59,500.18 2025-09-11
737 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 11 10 — — $57,715.17 $89,250.27 $59,500.18 2025-09-11
738 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy Without Cc/mcc 11 10 — — $57,715.17 $89,250.27 $59,500.18 2025-09-11
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 11 10 — — $57,715.17 $89,250.27 $59,500.18 2025-09-11
740 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Cc 11 10 — — $57,715.17 $89,250.27 $59,500.18 2025-09-11
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure 1 1 — — $47,921.67 $47,921.67 $47,921.67 2025-09-11
741 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy Without… 11 10 — — $57,715.17 $89,250.27 $59,500.18 2025-09-11
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc 11 10 — — $57,715.17 $89,250.27 $59,500.18 2025-09-11
743 MS_DRG Uterine And Adnexa Procedures For Non-malignancy Without Cc/mcc 11 10 — — $57,715.17 $89,250.27 $59,500.18 2025-09-11
744 MS_DRG D&amp;C, Conization, Laparoscopy And Tubal Interruption With Cc/mcc 11 10 — — $57,715.17 $89,250.27 $59,500.18 2025-09-11
745 MS_DRG D&amp;C, Conization, Laparoscopy And Tubal Interruption Without Cc/mcc 11 10 — — $57,715.17 $89,250.27 $59,500.18 2025-09-11
746 MS_DRG Vagina, Cervix And Vulva Procedures With Cc/mcc 11 10 — — $57,715.17 $89,250.27 $59,500.18 2025-09-11
747 MS_DRG Vagina, Cervix And Vulva Procedures Without Cc/mcc 11 10 — — $57,715.17 $89,250.27 $59,500.18 2025-09-11
748 MS_DRG Female Reproductive System Reconstructive Procedures 11 10 — — $57,715.17 $89,250.27 $59,500.18 2025-09-11
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 11 10 — — $57,715.17 $89,250.27 $59,500.18 2025-09-11
750 MS_DRG Other Female Reproductive System O.r. Procedures Without Cc/mcc 11 10 — — $57,715.17 $89,250.27 $59,500.18 2025-09-11
754 MS_DRG Malignancy, Female Reproductive System With Mcc 11 10 — — $57,715.17 $89,250.27 $59,500.18 2025-09-11
755 MS_DRG Malignancy, Female Reproductive System With Cc 11 10 — — $57,715.17 $89,250.27 $59,500.18 2025-09-11
783 MS_DRG Cesarean Section With Sterilization With Mcc 11 10 — — $57,715.17 $89,250.27 $59,500.18 2025-09-11
784 MS_DRG Cesarean Section With Sterilization With Cc 11 10 — — $57,715.17 $89,250.27 $59,500.18 2025-09-11
786 MS_DRG Cesarean Section Without Sterilization With Mcc 11 10 — — $57,715.17 $89,250.27 $59,500.18 2025-09-11
787 MS_DRG Cesarean Section Without Sterilization With Cc 11 10 — — $57,715.17 $89,250.27 $59,500.18 2025-09-11
799 MS_DRG Splenic Procedures With Mcc 11 10 — — $63,819.09 $98,689.32 $65,792.88 2025-09-11
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 11 10 — — $57,715.17 $89,250.27 $59,500.18 2025-09-11
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 11 10 — — $57,715.17 $89,250.27 $59,500.18 2025-09-11
82 MS_DRG Traumatic Stupor And Coma &gt;1 Hour With Mcc 11 10 — — $49,055.38 $75,858.84 $50,572.56 2025-09-11
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 11 10 — — $57,715.17 $89,250.27 $59,500.18 2025-09-11
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 11 10 — — $57,715.17 $89,250.27 $59,500.18 2025-09-11
822 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures Without Cc/mcc 11 10 — — $57,491.13 $88,903.82 $59,269.21 2025-09-11
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 11 10 — — $57,715.17 $89,250.27 $59,500.18 2025-09-11
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 11 10 — — $57,715.17 $89,250.27 $59,500.18 2025-09-11
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 11 10 — — $57,715.17 $89,250.27 $59,500.18 2025-09-11
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 11 10 — — $57,715.17 $89,250.27 $59,500.18 2025-09-11
828 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 11 10 — — $57,491.13 $88,903.82 $59,269.21 2025-09-11
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 11 10 — — $57,715.17 $89,250.27 $59,500.18 2025-09-11
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 1 1 — — $58,447.37 $58,447.37 $58,447.37 2025-09-11
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 1 1 — — $179,719.93 $179,719.93 $179,719.93 2025-09-11
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 1 1 — — $100,617.13 $100,617.13 $100,617.13 2025-09-11
843 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 11 10 — — $57,715.17 $89,250.27 $59,500.18 2025-09-11
850 MS_DRG Acute Leukemia With Other Procedures 11 10 — — $57,715.17 $89,250.27 $59,500.18 2025-09-11
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 1 1 — — $52,775.48 $52,775.48 $52,775.48 2025-09-11
8513 APR_DRG Gender Related Procedures 1 1 — — $92,845.32 $92,845.32 $92,845.32 2025-09-11
8514 APR_DRG Gender Related Procedures 1 1 — — $92,845.32 $92,845.32 $92,845.32 2025-09-11
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 11 10 — — $69,324.05 $107,202.14 $71,468.09 2025-09-11
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 11 10 — — $61,615.27 $95,281.35 $63,520.90 2025-09-11
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 11 10 — — $57,715.17 $89,250.27 $59,500.18 2025-09-11
8634 APR_DRG Neonatal Aftercare 1 1 — — $79,146.07 $79,146.07 $79,146.07 2025-09-11
870 MS_DRG Septicemia Or Severe Sepsis With Mv &gt;96 Hours 11 10 — — $94,741.03 $146,506.76 $97,671.17 2025-09-11
901 MS_DRG Wound Debridements For Injuries With Mcc 11 10 — — $58,666.19 $90,720.92 $60,480.61 2025-09-11
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 11 10 — — $57,491.13 $88,903.82 $59,269.21 2025-09-11
908 MS_DRG Other O.r. Procedures For Injuries With Cc 11 10 — — $57,491.13 $88,903.82 $59,269.21 2025-09-11
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 1 1 — — $48,922.64 $48,922.64 $48,922.64 2025-09-11
9104 APR_DRG Craniotomy For Multiple Significant Trauma 1 1 — — $58,199.98 $58,199.98 $58,199.98 2025-09-11
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 1 1 — — $55,357.10 $55,357.10 $55,357.10 2025-09-11
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 1 1 — — $51,469.97 $51,469.97 $51,469.97 2025-09-11
914 APR_DRG Other Major Head And Neck Procedures 1 1 — — $53,599.28 $53,599.28 $53,599.28 2025-09-11
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 11 10 — — $57,715.17 $89,250.27 $59,500.18 2025-09-11
918 MS_DRG Poisoning And Toxic Effects Of Drugs Without Mcc 11 10 — — $57,715.17 $89,250.27 $59,500.18 2025-09-11
919 MS_DRG Complications Of Treatment With Mcc 11 10 — — $49,032.52 $75,823.49 $50,548.99 2025-09-11
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 1 1 — — $66,808.66 $66,808.66 $66,808.66 2025-09-11
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 1 1 — — $133,111.93 $133,111.93 $133,111.93 2025-09-11
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 11 10 — — $54,199.13 $83,813.09 $55,875.39 2025-09-11
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 1 1 — — $198,064.79 $198,064.79 $198,064.79 2025-09-11
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 11 10 — — $48,977.66 $75,738.65 $50,492.43 2025-09-11
955 MS_DRG Craniotomy For Multiple Significant Trauma 11 10 — — $57,491.13 $88,903.82 $59,269.21 2025-09-11
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 11 10 — — $57,491.13 $88,903.82 $59,269.21 2025-09-11
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 11 10 — — $57,491.13 $88,903.82 $59,269.21 2025-09-11
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 11 10 — — $57,491.13 $88,903.82 $59,269.21 2025-09-11
963 MS_DRG Other Multiple Significant Trauma With Mcc 11 10 — — $57,715.17 $89,250.27 $59,500.18 2025-09-11
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 11 10 — — $57,715.17 $89,250.27 $59,500.18 2025-09-11
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 11 10 — — $57,715.17 $89,250.27 $59,500.18 2025-09-11
974 MS_DRG HIV With Major Related Condition With Mcc 11 10 — — $52,105.05 $80,574.83 $53,716.55 2025-09-11
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 11 10 — — $107,003.74 $165,469.70 $110,313.13 2025-09-11
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 11 10 — — $57,957.50 $89,625.00 $59,750.00 2025-09-11
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 11 10 — — $97,525.52 $150,812.66 $100,541.77 2025-09-11
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