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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

UPSON REGIONAL MEDICAL CENTER

Thomaston, GA · CCN 110002 · Rates published

423 distinct procedures filed
13 distinct payers
6,480 rate rows
2025-01-01 last MRF observed · ⚠ 17 mo old
Data quality

1,285 of 6,480 rate rows are consumer-grade (19.8%)

5,195 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 5,195

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 17 months old.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://hospitalpricedisclosure.com/download.aspx?ci=S5WFReNwWX5BkPqChnLG0w*-*
Found on page https://hospitalpricedisclosure.com/tools.aspx?ci=S5WFReNwWX5BkPqChnLG0w*-*
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint 62b76d5b3815b342… · 5,857,376 bytes · first seen 2026-05-05

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
468
MS_DRG 		Revision Of Hip Or Knee Replacement Without Cc/Mcc 1 $113,287.21 $113,287.21 $113,287.21 nat. median
$27,218
outlier · 4.2×
749
MS_DRG 		Other Female Reproductive System O.r. Procedures With Cc/Mcc 1 $96,735.80 $96,735.80 $96,735.80 nat. median
$25,696
outlier · 3.8×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 2 $80,303.47 $80,303.47 $80,303.47 nat. median
$66,526
1.2× median
330
MS_DRG 		Major Small And Large Bowel Procedures With Cc 4 $70,630.93 $70,630.93 $70,630.93 nat. median
$24,346
outlier · 2.9×
574
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Cc 1 $64,479.37 $64,479.37 $64,479.37 nat. median
$33,674
1.9× median
5674
OTHER 		Level 4 Pathology 1 $60,557.07 $60,557.07 $60,557.07 nat. median
$807
outlier · 75.0×
173
MS_DRG 		Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 3 $59,811.81 $59,811.81 $59,811.81 nat. median
$29,766
outlier · 2.0×
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 3 $57,981.95 $57,981.95 $57,981.95 nat. median
$44,810
1.3× median
321
MS_DRG 		Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 2 $56,260.33 $56,260.33 $56,260.33 nat. median
$28,170
2.0× median
41
MS_DRG 		Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 2 $55,990.56 $55,990.56 $55,990.56 nat. median
$22,575
outlier · 2.5×
279
MS_DRG 		Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures… 2 $54,209.75 $54,209.75 $54,209.75 nat. median
$33,732
1.6× median
432
MS_DRG 		Cirrhosis And Alcoholic Hepatitis With Mcc 1 $52,463.87 $52,463.87 $52,463.87 nat. median
$19,681
outlier · 2.7×
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 2 $51,202.21 $51,202.21 $51,202.21 nat. median
$62,134
0.8× median
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 3 $50,182.21 $50,182.21 $50,182.21 nat. median
$48,170
1.0× median
909
MS_DRG 		Other O.r. Procedures For Injuries Without Cc/Mcc 1 $48,141.50 $48,141.50 $48,141.50 nat. median
$13,888
outlier · 3.5×
239
MS_DRG 		Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 2 $46,524.46 $46,524.46 $46,524.46 nat. median
$47,740
1.0× median
322
MS_DRG 		Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 5 $45,790.92 $45,790.92 $45,790.92 nat. median
$19,070
outlier · 2.4×
242
MS_DRG 		Permanent Cardiac Pacemaker Implant With Mcc 1 $45,683.50 $45,683.50 $45,683.50 nat. median
$32,825
1.4× median
246
MS_DRG 		Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 2 $43,761.65 $43,761.65 $43,761.65 nat. median
$26,892
1.6× median
152
MS_DRG 		Otitis Media And Uri With Mcc 2 $38,221.51 $38,221.51 $38,221.51 nat. median
$12,253
outlier · 3.1×
270
MS_DRG 		Other Major Cardiovascular Procedures With Mcc 1 $36,799.70 $36,799.70 $36,799.70 nat. median
$51,307
0.7× median
272
MS_DRG 		Other Major Cardiovascular Procedures Without Cc/Mcc 1 $36,737.98 $36,737.98 $36,737.98 nat. median
$26,293
1.4× median
981
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 2 $35,613.97 $35,613.97 $35,613.97 nat. median
$46,084
0.8× median
82
MS_DRG 		Traumatic Stupor And Coma >1 Hour With Mcc 1 $33,221.40 $33,221.40 $33,221.40 nat. median
$22,770
1.5× median
331
MS_DRG 		Major Small And Large Bowel Procedures Without Cc/Mcc 5 $32,616.92 $32,616.92 $32,616.92 nat. median
$17,703
1.8× median
323
MS_DRG 		Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 1 $31,026.76 $31,026.76 $31,026.76 nat. median
$41,311
0.8× median
240
MS_DRG 		Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 3 $30,785.07 $30,785.07 $30,785.07 nat. median
$28,136
1.1× median
474
MS_DRG 		Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 2 $30,629.07 $30,629.07 $30,629.07 nat. median
$42,295
0.7× median
982
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 3 $30,382.59 $30,382.59 $30,382.59 nat. median
$24,493
1.2× median
398
MS_DRG 		Appendix Procedures With Cc 2 $29,317.62 $29,317.62 $29,317.62 nat. median
$15,921
1.8× median
908
MS_DRG 		Other O.r. Procedures For Injuries With Cc 1 $29,148.92 $29,148.92 $29,148.92 nat. median
$20,396
1.4× median
327
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Cc 3 $28,677.58 $28,677.58 $28,677.58 nat. median
$24,638
1.2× median
243
MS_DRG 		Permanent Cardiac Pacemaker Implant With Cc 2 $28,373.85 $28,373.85 $28,373.85 nat. median
$22,669
1.3× median
419
MS_DRG 		Laparoscopic Cholecystectomy Without C.d.e. Without Cc/Mcc 2 $28,074.74 $28,074.74 $28,074.74 nat. median
$14,421
1.9× median
5193
OTHER 		Level 3 Endovascular Procedures 4 $27,937.42 $27,937.42 $27,937.42 nat. median
$12,177
outlier · 2.3×
411
MS_DRG 		Cholecystectomy With C.d.e. With Mcc 3 $27,305.04 $27,305.04 $27,305.04 nat. median
$30,448
0.9× median
9274
OTHER 		Crotalidae Poly Immune Fab 1 $25,957.88 $25,957.88 $25,957.88 nat. median
$1,850
outlier · 14.0×
857
MS_DRG 		Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 1 $25,699.85 $25,699.85 $25,699.85 nat. median
$21,522
1.2× median
414
MS_DRG 		Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 1 $25,638.06 $25,638.06 $25,638.06 nat. median
$34,948
0.7× median
493
MS_DRG 		Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 2 $25,591.49 $25,591.49 $25,591.49 nat. median
$24,757
1.0× median
862
MS_DRG 		Postoperative And Post-traumatic Infections With Mcc 1 $25,239.11 $25,239.11 $25,239.11 nat. median
$18,227
1.4× median
336
MS_DRG 		Peritoneal Adhesiolysis With Cc 3 $25,201.31 $25,201.31 $25,201.31 nat. median
$21,526
1.2× median
397
MS_DRG 		Appendix Procedures With Mcc 2 $25,037.07 $25,037.07 $25,037.07 nat. median
$24,164
1.0× median
579
MS_DRG 		Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 1 $25,013.37 $25,013.37 $25,013.37 nat. median
$31,571
0.8× median
417
MS_DRG 		Laparoscopic Cholecystectomy Without C.d.e. With Mcc 3 $24,929.18 $24,929.18 $24,929.18 nat. median
$23,829
1.0× median
167
MS_DRG 		Other Respiratory System O.r. Procedures With Cc 3 $24,676.35 $24,676.35 $24,676.35 nat. median
$18,895
1.3× median
264
MS_DRG 		Other Circulatory System O.r. Procedures 2 $24,262.05 $24,262.05 $24,262.05 nat. median
$33,061
0.7× median
673
MS_DRG 		Other Kidney And Urinary Tract Procedures With Mcc 1 $24,216.70 $24,216.70 $24,216.70 nat. median
$40,454
0.6× median
229
MS_DRG 		Other Cardiothoracic Procedures Without Mcc 1 $24,045.51 $24,045.51 $24,045.51 nat. median
$33,143
0.7× median
418
MS_DRG 		Laparoscopic Cholecystectomy Without C.d.e. With Cc 3 $23,979.83 $23,979.83 $23,979.83 nat. median
$17,482
1.4× median

Other procedures at this hospital

Browse this hospital's 423 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 1 1 — — $113,287.21 $113,287.21 $113,287.21 2025-01-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 1 1 — — $96,735.80 $96,735.80 $96,735.80 2025-01-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 2 2 — — $80,303.47 $80,303.47 $80,303.47 2025-01-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 6 4 — — $70,630.93 $70,630.93 $70,630.93 2025-01-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 1 1 — — $64,479.37 $64,479.37 $64,479.37 2025-01-01
5674 OTHER Level 4 Pathology 1 1 — — $60,557.07 $60,557.07 $60,557.07 2025-01-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 4 3 — — $59,811.81 $59,811.81 $59,811.81 2025-01-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 3 3 — — $57,981.95 $57,981.95 $57,981.95 2025-01-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 3 2 — — $56,260.33 $56,260.33 $56,260.33 2025-01-01
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 2 2 — — $55,990.56 $55,990.56 $55,990.56 2025-01-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 2 2 — — $54,209.75 $54,209.75 $54,209.75 2025-01-01
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 1 1 — — $52,463.87 $52,463.87 $52,463.87 2025-01-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 2 2 — — $51,202.21 $51,202.21 $51,202.21 2025-01-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 3 3 — — $50,182.21 $50,182.21 $50,182.21 2025-01-01
909 MS_DRG Other O.r. Procedures For Injuries Without Cc/Mcc 1 1 — — $48,141.50 $48,141.50 $48,141.50 2025-01-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 2 2 — — $46,524.46 $46,524.46 $46,524.46 2025-01-01
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 5 5 — — $45,790.92 $45,790.92 $45,790.92 2025-01-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 1 1 — — $45,683.50 $45,683.50 $45,683.50 2025-01-01
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 2 2 — — $43,761.65 $43,761.65 $43,761.65 2025-01-01
152 MS_DRG Otitis Media And Uri With Mcc 2 2 — — $38,221.51 $38,221.51 $38,221.51 2025-01-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 1 1 — — $36,799.70 $36,799.70 $36,799.70 2025-01-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 1 1 — — $36,737.98 $36,737.98 $36,737.98 2025-01-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 2 2 — — $35,613.97 $35,613.97 $35,613.97 2025-01-01
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 1 1 — — $33,221.40 $33,221.40 $33,221.40 2025-01-01
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/Mcc 7 5 — — $32,616.92 $32,616.92 $32,616.92 2025-01-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 1 1 — — $31,026.76 $31,026.76 $31,026.76 2025-01-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 3 3 — — $30,785.07 $30,785.07 $30,785.07 2025-01-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 2 2 — — $30,629.07 $30,629.07 $30,629.07 2025-01-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 3 3 — — $30,382.59 $30,382.59 $30,382.59 2025-01-01
398 MS_DRG Appendix Procedures With Cc 2 2 — — $29,317.62 $29,317.62 $29,317.62 2025-01-01
908 MS_DRG Other O.r. Procedures For Injuries With Cc 1 1 — — $29,148.92 $29,148.92 $29,148.92 2025-01-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 3 3 — — $28,677.58 $28,677.58 $28,677.58 2025-01-01
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 2 2 — — $28,373.85 $28,373.85 $28,373.85 2025-01-01
419 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. Without Cc/Mcc 2 2 — — $28,074.74 $28,074.74 $28,074.74 2025-01-01
5193 OTHER Level 3 Endovascular Procedures 6 4 — — $27,937.42 $27,937.42 $27,937.42 2025-01-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 3 3 — — $27,305.04 $27,305.04 $27,305.04 2025-01-01
9274 OTHER Crotalidae Poly Immune Fab 1 1 — — $25,957.88 $25,957.88 $25,957.88 2025-01-01
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 1 1 — — $25,699.85 $25,699.85 $25,699.85 2025-01-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 1 1 — — $25,638.06 $25,638.06 $25,638.06 2025-01-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 2 2 — — $25,591.49 $25,591.49 $25,591.49 2025-01-01
862 MS_DRG Postoperative And Post-traumatic Infections With Mcc 1 1 — — $25,239.11 $25,239.11 $25,239.11 2025-01-01
336 MS_DRG Peritoneal Adhesiolysis With Cc 3 3 — — $25,201.31 $25,201.31 $25,201.31 2025-01-01
397 MS_DRG Appendix Procedures With Mcc 3 2 — — $25,037.07 $25,037.07 $25,037.07 2025-01-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 1 1 — — $25,013.37 $25,013.37 $25,013.37 2025-01-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 3 3 — — $24,929.18 $24,929.18 $24,929.18 2025-01-01
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 3 3 — — $24,676.35 $24,676.35 $24,676.35 2025-01-01
264 MS_DRG Other Circulatory System O.r. Procedures 2 2 — — $24,262.05 $24,262.05 $24,262.05 2025-01-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 1 1 — — $24,216.70 $24,216.70 $24,216.70 2025-01-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 1 1 — — $24,045.51 $24,045.51 $24,045.51 2025-01-01
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 3 3 — — $23,979.83 $23,979.83 $23,979.83 2025-01-01
328 MS_DRG Stomach, Esophageal And Duodenal Procedures Without Cc/Mcc 1 1 — — $23,341.49 $23,341.49 $23,341.49 2025-01-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 1 1 — — $23,311.63 $23,311.63 $23,311.63 2025-01-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 5 5 — — $23,213.60 $23,213.60 $23,213.60 2025-01-01
504 MS_DRG Foot Procedures With Cc 1 1 — — $22,851.83 $22,851.83 $22,851.83 2025-01-01
314 MS_DRG Other Circulatory System Diagnoses With Mcc 2 2 — — $22,838.01 $22,838.01 $22,838.01 2025-01-01
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 5 5 — — $22,787.22 $22,787.22 $22,787.22 2025-01-01
5115 OTHER Level 5 Musculoskeletal Procedures 9 7 — — $22,695.93 $22,695.93 $22,695.93 2025-01-01
769 MS_DRG Postpartum And Post Abortion Diagnoses With O.r. Procedures 1 1 — — $22,446.76 $22,446.76 $22,446.76 2025-01-01
337 MS_DRG Peritoneal Adhesiolysis Without Cc/Mcc 2 2 — — $22,068.34 $22,068.34 $22,068.34 2025-01-01
662 MS_DRG Minor Bladder Procedures With Mcc 1 1 — — $21,994.39 $21,994.39 $21,994.39 2025-01-01
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 3 3 — — $21,871.76 $21,871.76 $21,871.76 2025-01-01
880 MS_DRG Acute Adjustment Reaction And Psychosocial Dysfunction 3 3 — — $21,639.00 $21,639.00 $21,639.00 2025-01-01
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/Mcc 3 2 — — $21,585.89 $21,585.89 $21,585.89 2025-01-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 1 1 — — $21,521.88 $21,521.88 $21,521.88 2025-01-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 1 1 — — $21,404.74 $21,404.74 $21,404.74 2025-01-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 1 1 — — $21,246.93 $21,246.93 $21,246.93 2025-01-01
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 4 4 — — $20,917.38 $20,917.38 $20,917.38 2025-01-01
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 3 3 — — $20,843.79 $20,843.79 $20,843.79 2025-01-01
62 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 4 3 — — $20,842.88 $20,842.88 $20,842.88 2025-01-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 5 4 — — $20,825.04 $20,825.04 $20,825.04 2025-01-01
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 3 3 — — $20,766.75 $20,766.75 $20,766.75 2025-01-01
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 6 5 — — $20,733.67 $20,733.67 $20,733.67 2025-01-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 1 1 — — $20,629.41 $20,629.41 $20,629.41 2025-01-01
770 MS_DRG Abortion With D&c, Aspiration Curettage Or Hysterotomy 1 1 — — $20,543.27 $20,543.27 $20,543.27 2025-01-01
683 MS_DRG Renal Failure With Cc 4 3 — — $20,253.51 $20,253.51 $20,253.51 2025-01-01
988 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 4 3 — — $19,918.29 $19,918.29 $19,918.29 2025-01-01
5223 OTHER Level 3 Pacemaker And Similar Procedures 3 3 — — $19,642.15 $19,642.15 $19,642.15 2025-01-01
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 4 4 — — $19,595.56 $19,595.56 $19,595.56 2025-01-01
660 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Cc 2 2 — — $19,549.62 $19,549.62 $19,549.62 2025-01-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 1 1 — — $19,492.51 $19,492.51 $19,492.51 2025-01-01
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With Mcc 3 3 — — $19,444.17 $19,444.17 $19,444.17 2025-01-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 1 1 — — $18,975.53 $18,975.53 $18,975.53 2025-01-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 1 1 — — $18,923.44 $18,923.44 $18,923.44 2025-01-01
684 MS_DRG Renal Failure Without Cc/Mcc 2 2 — — $18,865.38 $18,865.38 $18,865.38 2025-01-01
181 MS_DRG Respiratory Neoplasms With Cc 1 1 — — $18,856.19 $18,856.19 $18,856.19 2025-01-01
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 8 7 — — $18,851.38 $18,851.38 $18,851.38 2025-01-01
254 MS_DRG Other Vascular Procedures Without Cc/Mcc 2 2 — — $18,803.10 $18,803.10 $18,803.10 2025-01-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 2 2 — — $18,687.21 $18,687.21 $18,687.21 2025-01-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 1 1 — — $18,609.02 $18,609.02 $18,609.02 2025-01-01
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Mcc 1 1 — — $18,451.20 $18,451.20 $18,451.20 2025-01-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 1 1 — — $18,446.18 $18,446.18 $18,446.18 2025-01-01
5362 OTHER Level 2 Laparoscopy And Related Services 1 1 — — $18,444.32 $18,444.32 $18,444.32 2025-01-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 2 2 — — $18,132.92 $18,132.92 $18,132.92 2025-01-01
256 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Cc 2 2 — — $18,004.60 $18,004.60 $18,004.60 2025-01-01
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 1 1 — — $17,959.44 $17,959.44 $17,959.44 2025-01-01
489 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection Without Cc/Mcc 1 1 — — $17,889.78 $17,889.78 $17,889.78 2025-01-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 1 1 — — $17,754.69 $17,754.69 $17,754.69 2025-01-01
5194 OTHER Level 4 Endovascular Procedures 3 2 — — $17,688.51 $17,688.51 $17,688.51 2025-01-01
571 MS_DRG Skin Debridement With Cc 2 2 — — $17,682.78 $17,682.78 $17,682.78 2025-01-01
253 MS_DRG Other Vascular Procedures With Cc 1 1 — — $17,673.04 $17,673.04 $17,673.04 2025-01-01
792 MS_DRG Prematurity Without Major Problems 5 5 — — $17,609.54 $17,609.54 $17,609.54 2025-01-01
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 3 3 — — $17,513.52 $17,513.52 $17,513.52 2025-01-01
786 MS_DRG Cesarean Section Without Sterilization With Mcc 5 5 — — $16,966.97 $16,966.97 $16,966.97 2025-01-01
177 MS_DRG Respiratory Infections And Inflammations With Mcc 3 3 — — $16,540.46 $16,540.46 $16,540.46 2025-01-01
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 1 1 — — $16,539.55 $16,539.55 $16,539.55 2025-01-01
5116 OTHER Level 6 Musculoskeletal Procedures 1 1 — — $16,399.44 $16,399.44 $16,399.44 2025-01-01
5054 OTHER Level 4 Skin Procedures 3 3 — — $16,325.24 $16,325.24 $16,325.24 2025-01-01
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 1 1 — — $16,166.73 $16,166.73 $16,166.73 2025-01-01
785 MS_DRG Cesarean Section With Sterilization Without Cc/Mcc 6 6 — — $16,136.28 $16,136.28 $16,136.28 2025-01-01
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 1 1 — — $15,529.19 $15,529.19 $15,529.19 2025-01-01
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 1 1 — — $15,361.46 $15,361.46 $15,361.46 2025-01-01
358 MS_DRG Other Digestive System O.r. Procedures Without Cc/Mcc 1 1 — — $15,257.64 $15,257.64 $15,257.64 2025-01-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 1 1 — — $15,231.43 $15,231.43 $15,231.43 2025-01-01
465 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 1 1 — — $15,071.77 $15,071.77 $15,071.77 2025-01-01
291 MS_DRG Heart Failure And Shock With Mcc 6 5 — — $15,066.69 $15,066.69 $15,066.69 2025-01-01
386 MS_DRG Inflammatory Bowel Disease With Cc 1 1 — — $14,975.82 $14,975.82 $14,975.82 2025-01-01
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 5 4 — — $14,886.58 $14,886.58 $14,886.58 2025-01-01
602 MS_DRG Cellulitis With Mcc 2 2 — — $14,708.56 $14,708.56 $14,708.56 2025-01-01
885 MS_DRG Psychoses 6 4 — — $14,690.30 $14,690.30 $14,690.30 2025-01-01
374 MS_DRG Digestive Malignancy With Mcc 1 1 — — $14,675.30 $14,675.30 $14,675.30 2025-01-01
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 2 2 — — $14,598.08 $14,598.08 $14,598.08 2025-01-01
713 MS_DRG Transurethral Prostatectomy With Cc/Mcc 2 2 — — $14,582.89 $14,582.89 $14,582.89 2025-01-01
919 MS_DRG Complications Of Treatment With Mcc 2 2 — — $14,505.43 $14,505.43 $14,505.43 2025-01-01
380 MS_DRG Complicated Peptic Ulcer With Mcc 1 1 — — $14,488.40 $14,488.40 $14,488.40 2025-01-01
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 3 3 — — $14,410.70 $14,410.70 $14,410.70 2025-01-01
165 MS_DRG Major Chest Procedures Without Cc/Mcc 1 1 — — $14,404.04 $14,404.04 $14,404.04 2025-01-01
657 MS_DRG Kidney And Ureter Procedures For Neoplasm With Cc 1 1 — — $14,330.07 $14,330.07 $14,330.07 2025-01-01
189 MS_DRG Pulmonary Edema And Respiratory Failure 5 4 — — $14,221.75 $14,221.75 $14,221.75 2025-01-01
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/Mcc 2 2 — — $14,201.15 $14,201.15 $14,201.15 2025-01-01
283 MS_DRG Acute Myocardial Infarction, Expired With Mcc 1 1 — — $14,179.96 $14,179.96 $14,179.96 2025-01-01
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 1 1 — — $14,166.22 $14,166.22 $14,166.22 2025-01-01
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/Mcc 1 1 — — $14,047.77 $14,047.77 $14,047.77 2025-01-01
661 MS_DRG Kidney And Ureter Procedures For Non-neoplasm Without Cc/Mcc 4 4 — — $13,905.49 $13,905.49 $13,905.49 2025-01-01
5341 OTHER Level 1 Abdominal/Peritoneal/Biliary And Related Procedures 3 3 — — $13,751.53 $13,751.53 $13,751.53 2025-01-01
5375 OTHER Level 5 Urology And Related Services 3 2 — — $13,589.77 $13,589.77 $13,589.77 2025-01-01
597 MS_DRG Malignant Breast Disorders With Mcc 1 1 — — $13,551.84 $13,551.84 $13,551.84 2025-01-01
375 MS_DRG Digestive Malignancy With Cc 3 3 — — $13,530.27 $13,530.27 $13,530.27 2025-01-01
637 MS_DRG Diabetes With Mcc 5 4 — — $13,527.63 $13,527.63 $13,527.63 2025-01-01
902 MS_DRG Wound Debridements For Injuries With Cc 1 1 — — $13,481.92 $13,481.92 $13,481.92 2025-01-01
551 MS_DRG Medical Back Problems With Mcc 1 1 — — $13,395.27 $13,395.27 $13,395.27 2025-01-01
788 MS_DRG Cesarean Section Without Sterilization Without Cc/Mcc 8 7 — — $13,375.10 $13,375.10 $13,375.10 2025-01-01
251 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc 2 2 — — $13,367.97 $13,367.97 $13,367.97 2025-01-01
100 MS_DRG Seizures With Mcc 1 1 — — $13,357.11 $13,357.11 $13,357.11 2025-01-01
74 MS_DRG Cranial And Peripheral Nerve Disorders Without Mcc 1 1 — — $13,310.11 $13,310.11 $13,310.11 2025-01-01
39 MS_DRG Extracranial Procedures Without Cc/Mcc 1 1 — — $13,306.48 $13,306.48 $13,306.48 2025-01-01
5222 OTHER Level 2 Pacemaker And Similar Procedures 6 5 — — $13,283.34 $13,283.34 $13,283.34 2025-01-01
505 MS_DRG Foot Procedures Without Cc/Mcc 1 1 — — $13,246.13 $13,246.13 $13,246.13 2025-01-01
582 MS_DRG Mastectomy For Malignancy With Cc/Mcc 1 1 — — $13,168.34 $13,168.34 $13,168.34 2025-01-01
195 MS_DRG Simple Pneumonia And Pleurisy Without Cc/Mcc 2 2 — — $13,028.01 $13,028.01 $13,028.01 2025-01-01
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/Mcc 3 3 — — $13,009.94 $13,009.94 $13,009.94 2025-01-01
746 MS_DRG Vagina, Cervix And Vulva Procedures With Cc/Mcc 1 1 — — $12,976.11 $12,976.11 $12,976.11 2025-01-01
296 MS_DRG Cardiac Arrest, Unexplained With Mcc 1 1 — — $12,968.66 $12,968.66 $12,968.66 2025-01-01
809 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 1 1 — — $12,950.72 $12,950.72 $12,950.72 2025-01-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 1 1 — — $12,940.33 $12,940.33 $12,940.33 2025-01-01
282 MS_DRG Acute Myocardial Infarction, Discharged Alive Without Cc/Mcc 4 3 — — $12,827.88 $12,827.88 $12,827.88 2025-01-01
843 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 1 1 — — $12,731.34 $12,731.34 $12,731.34 2025-01-01
828 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 1 1 — — $12,724.60 $12,724.60 $12,724.60 2025-01-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 1 1 — — $12,677.89 $12,677.89 $12,677.89 2025-01-01
58 MS_DRG Multiple Sclerosis And Cerebellar Ataxia With Mcc 1 1 — — $12,629.42 $12,629.42 $12,629.42 2025-01-01
884 MS_DRG Organic Disturbances And Intellectual Disability 3 2 — — $12,609.80 $12,609.80 $12,609.80 2025-01-01
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 2 2 — — $12,578.91 $12,578.91 $12,578.91 2025-01-01
512 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures Without Cc/… 1 1 — — $12,545.16 $12,545.16 $12,545.16 2025-01-01
5443 OTHER Level 3 Nerve Injections 9 8 — — $12,515.85 $12,515.85 $12,515.85 2025-01-01
682 MS_DRG Renal Failure With Mcc 3 3 — — $12,502.08 $12,502.08 $12,502.08 2025-01-01
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 1 1 — — $12,436.00 $12,436.00 $12,436.00 2025-01-01
5114 OTHER Level 4 Musculoskeletal Procedures 10 8 — — $12,381.45 $12,381.45 $12,381.45 2025-01-01
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 4 4 — — $12,174.70 $12,174.70 $12,174.70 2025-01-01
5155 OTHER Level 5 Airway Endoscopy 6 5 — — $12,082.69 $12,082.69 $12,082.69 2025-01-01
787 MS_DRG Cesarean Section Without Sterilization With Cc 7 6 — — $12,041.75 $12,041.75 $12,041.75 2025-01-01
287 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization Without Mcc 5 4 — — $11,797.89 $11,797.89 $11,797.89 2025-01-01
63 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 1 1 — — $11,737.02 $11,737.02 $11,737.02 2025-01-01
717 MS_DRG Other Male Reproductive System O.r. Procedures Except Malignancy With Cc/Mcc 2 2 — — $11,706.90 $11,706.90 $11,706.90 2025-01-01
5361 OTHER Level 1 Laparoscopy And Related Services 8 7 — — $11,665.33 $11,665.33 $11,665.33 2025-01-01
811 MS_DRG Red Blood Cell Disorders With Mcc 5 5 — — $11,621.29 $11,621.29 $11,621.29 2025-01-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 1 1 — — $11,620.08 $11,620.08 $11,620.08 2025-01-01
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 3 3 — — $11,609.08 $11,609.08 $11,609.08 2025-01-01
813 MS_DRG Coagulation Disorders 2 2 — — $11,586.00 $11,586.00 $11,586.00 2025-01-01
416 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. Without Cc/Mcc 1 1 — — $11,415.84 $11,415.84 $11,415.84 2025-01-01
5373 OTHER Level 3 Urology And Related Services 8 7 — — $11,415.73 $11,415.73 $11,415.73 2025-01-01
638 MS_DRG Diabetes With Cc 6 5 — — $11,295.06 $11,295.06 $11,295.06 2025-01-01
262 MS_DRG Cardiac Pacemaker Revision Except Device Replacement Without Cc/Mcc 1 1 — — $11,272.66 $11,272.66 $11,272.66 2025-01-01
605 MS_DRG Trauma To The Skin, Subcutaneous Tissue And Breast Without Mcc 1 1 — — $11,123.15 $11,123.15 $11,123.15 2025-01-01
768 MS_DRG Vaginal Delivery With O.r. Procedures Except Sterilization And/Or D&c 6 6 — — $11,109.18 $11,109.18 $11,109.18 2025-01-01
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 1 1 — — $11,100.90 $11,100.90 $11,100.90 2025-01-01
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 1 1 — — $11,042.03 $11,042.03 $11,042.03 2025-01-01
784 MS_DRG Cesarean Section With Sterilization With Cc 4 4 — — $10,963.42 $10,963.42 $10,963.42 2025-01-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 1 1 — — $10,955.46 $10,955.46 $10,955.46 2025-01-01
5164 OTHER Level 4 ENT Procedures 7 6 — — $10,933.25 $10,933.25 $10,933.25 2025-01-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 1 1 — — $10,913.98 $10,913.98 $10,913.98 2025-01-01
708 MS_DRG Major Male Pelvic Procedures Without Cc/Mcc 2 2 — — $10,881.07 $10,881.07 $10,881.07 2025-01-01
433 MS_DRG Cirrhosis And Alcoholic Hepatitis With Cc 2 2 — — $10,823.29 $10,823.29 $10,823.29 2025-01-01
748 MS_DRG Female Reproductive System Reconstructive Procedures 1 1 — — $10,774.02 $10,774.02 $10,774.02 2025-01-01
743 MS_DRG Uterine And Adnexa Procedures For Non-malignancy Without Cc/Mcc 7 7 — — $10,773.55 $10,773.55 $10,773.55 2025-01-01
393 MS_DRG Other Digestive System Diagnoses With Mcc 1 1 — — $10,770.27 $10,770.27 $10,770.27 2025-01-01
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 2 2 — — $10,759.10 $10,759.10 $10,759.10 2025-01-01
340 MS_DRG Appendectomy With Complicated Principal Diagnosis Without Cc/Mcc 3 3 — — $10,756.35 $10,756.35 $10,756.35 2025-01-01
915 MS_DRG Allergic Reactions With Mcc 3 3 — — $10,708.17 $10,708.17 $10,708.17 2025-01-01
65 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours 6 5 — — $10,677.59 $10,677.59 $10,677.59 2025-01-01
168 MS_DRG Other Respiratory System O.r. Procedures Without Cc/Mcc 1 1 — — $10,667.74 $10,667.74 $10,667.74 2025-01-01
812 MS_DRG Red Blood Cell Disorders Without Mcc 5 4 — — $10,600.32 $10,600.32 $10,600.32 2025-01-01
379 MS_DRG Gastrointestinal Hemorrhage Without Cc/Mcc 3 2 — — $10,482.12 $10,482.12 $10,482.12 2025-01-01
378 MS_DRG Gastrointestinal Hemorrhage With Cc 6 5 — — $10,436.50 $10,436.50 $10,436.50 2025-01-01
199 MS_DRG Pneumothorax With Mcc 2 2 — — $10,275.46 $10,275.46 $10,275.46 2025-01-01
66 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction Without Cc/Mcc 5 4 — — $10,266.77 $10,266.77 $10,266.77 2025-01-01
728 MS_DRG Inflammation Of The Male Reproductive System Without Mcc 1 1 — — $10,117.92 $10,117.92 $10,117.92 2025-01-01
442 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc 4 3 — — $10,109.62 $10,109.62 $10,109.62 2025-01-01
71 MS_DRG Nonspecific Cerebrovascular Disorders With Cc 1 1 — — $10,089.01 $10,089.01 $10,089.01 2025-01-01
355 MS_DRG Hernia Procedures Except Inguinal And Femoral Without Cc/Mcc 3 3 — — $10,076.61 $10,076.61 $10,076.61 2025-01-01
805 MS_DRG Vaginal Delivery Without Sterilization Or D&c With Mcc 4 3 — — $10,009.27 $10,009.27 $10,009.27 2025-01-01
139 MS_DRG Salivary Gland Procedures 1 1 — — $9,964.51 $9,964.51 $9,964.51 2025-01-01
921 MS_DRG Complications Of Treatment Without Cc/Mcc 2 1 — — $9,858.43 $9,858.43 $9,858.43 2025-01-01
389 MS_DRG Gastrointestinal Obstruction With Cc 3 2 — — $9,839.25 $9,839.25 $9,839.25 2025-01-01
281 MS_DRG Acute Myocardial Infarction, Discharged Alive With Cc 6 5 — — $9,838.22 $9,838.22 $9,838.22 2025-01-01
194 MS_DRG Simple Pneumonia And Pleurisy With Cc 6 5 — — $9,706.03 $9,706.03 $9,706.03 2025-01-01
833 MS_DRG Other Antepartum Diagnoses Without O.r. Procedures Without Cc/Mcc 4 4 — — $9,622.44 $9,622.44 $9,622.44 2025-01-01
316 MS_DRG Other Circulatory System Diagnoses Without Cc/Mcc 1 1 — — $9,618.11 $9,618.11 $9,618.11 2025-01-01
372 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Cc 3 3 — — $9,599.98 $9,599.98 $9,599.98 2025-01-01
947 MS_DRG Signs And Symptoms With Mcc 1 1 — — $9,590.99 $9,590.99 $9,590.99 2025-01-01
5113 OTHER Level 3 Musculoskeletal Procedures 10 8 — — $9,516.04 $9,516.04 $9,516.04 2025-01-01
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 5 5 — — $9,315.85 $9,315.85 $9,315.85 2025-01-01
543 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 1 1 — — $9,312.59 $9,312.59 $9,312.59 2025-01-01
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 1 1 — — $9,185.17 $9,185.17 $9,185.17 2025-01-01
593 MS_DRG Skin Ulcers With Cc 2 2 — — $9,182.54 $9,182.54 $9,182.54 2025-01-01
535 MS_DRG Fractures Of Hip And Pelvis With Mcc 1 1 — — $9,142.37 $9,142.37 $9,142.37 2025-01-01
436 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Cc 2 2 — — $9,028.10 $9,028.10 $9,028.10 2025-01-01
103 MS_DRG Headaches Without Mcc 3 3 — — $9,013.07 $9,013.07 $9,013.07 2025-01-01
603 MS_DRG Cellulitis Without Mcc 5 4 — — $8,976.43 $8,976.43 $8,976.43 2025-01-01
300 MS_DRG Peripheral Vascular Disorders With Cc 1 1 — — $8,908.51 $8,908.51 $8,908.51 2025-01-01
689 MS_DRG Kidney And Urinary Tract Infections With Mcc 3 3 — — $8,838.65 $8,838.65 $8,838.65 2025-01-01
123 MS_DRG Neurological Eye Disorders 1 1 — — $8,819.20 $8,819.20 $8,819.20 2025-01-01
5154 OTHER Level 4 Airway Endoscopy 2 2 — — $8,809.76 $8,809.76 $8,809.76 2025-01-01
191 MS_DRG Chronic Obstructive Pulmonary Disease With Cc 3 3 — — $8,712.46 $8,712.46 $8,712.46 2025-01-01
184 MS_DRG Major Chest Trauma With Cc 1 1 — — $8,686.78 $8,686.78 $8,686.78 2025-01-01
546 MS_DRG Connective Tissue Disorders With Cc 1 1 — — $8,673.86 $8,673.86 $8,673.86 2025-01-01
188 MS_DRG Pleural Effusion Without Cc/Mcc 2 2 — — $8,595.32 $8,595.32 $8,595.32 2025-01-01
445 MS_DRG Disorders Of The Biliary Tract With Cc 1 1 — — $8,366.22 $8,366.22 $8,366.22 2025-01-01
439 MS_DRG Disorders Of Pancreas Except Malignancy With Cc 4 4 — — $8,257.05 $8,257.05 $8,257.05 2025-01-01
544 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 1 1 — — $8,221.83 $8,221.83 $8,221.83 2025-01-01
8011 OTHER Comprehensive Observation Services 13 11 — — $8,192.41 $8,192.41 $8,192.41 2025-01-01
178 MS_DRG Respiratory Infections And Inflammations With Cc 2 2 — — $8,190.44 $8,190.44 $8,190.44 2025-01-01
842 MS_DRG Lymphoma And Non-acute Leukemia Without Cc/Mcc 1 1 — — $8,069.74 $8,069.74 $8,069.74 2025-01-01
302 MS_DRG Atherosclerosis With Mcc 1 1 — — $8,022.23 $8,022.23 $8,022.23 2025-01-01
558 MS_DRG Tendonitis, Myositis And Bursitis Without Mcc 2 2 — — $7,976.85 $7,976.85 $7,976.85 2025-01-01
755 MS_DRG Malignancy, Female Reproductive System With Cc 1 1 — — $7,971.81 $7,971.81 $7,971.81 2025-01-01
699 MS_DRG Other Kidney And Urinary Tract Diagnoses With Cc 1 1 — — $7,951.61 $7,951.61 $7,951.61 2025-01-01
572 MS_DRG Skin Debridement Without Cc/Mcc 1 1 — — $7,896.11 $7,896.11 $7,896.11 2025-01-01
148 MS_DRG Ear, Nose, Mouth And Throat Malignancy Without Cc/Mcc 1 1 — — $7,892.38 $7,892.38 $7,892.38 2025-01-01
641 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou… 4 3 — — $7,883.73 $7,883.73 $7,883.73 2025-01-01
815 MS_DRG Reticuloendothelial And Immunity Disorders With Cc 2 2 — — $7,882.62 $7,882.62 $7,882.62 2025-01-01
783 MS_DRG Cesarean Section With Sterilization With Mcc 2 2 — — $7,819.94 $7,819.94 $7,819.94 2025-01-01
806 MS_DRG Vaginal Delivery Without Sterilization Or D&c With Cc 8 7 — — $7,746.56 $7,746.56 $7,746.56 2025-01-01
315 MS_DRG Other Circulatory System Diagnoses With Cc 2 2 — — $7,738.23 $7,738.23 $7,738.23 2025-01-01
392 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc 7 6 — — $7,699.80 $7,699.80 $7,699.80 2025-01-01
643 MS_DRG Endocrine Disorders With Mcc 1 1 — — $7,603.01 $7,603.01 $7,603.01 2025-01-01
304 MS_DRG Hypertension With Mcc 1 1 — — $7,581.71 $7,581.71 $7,581.71 2025-01-01
690 MS_DRG Kidney And Urinary Tract Infections Without Mcc 8 7 — — $7,574.81 $7,574.81 $7,574.81 2025-01-01
200 MS_DRG Pneumothorax With Cc 1 1 — — $7,563.77 $7,563.77 $7,563.77 2025-01-01
563 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 1 1 — — $7,560.10 $7,560.10 $7,560.10 2025-01-01
91 MS_DRG Other Disorders Of Nervous System With Mcc 2 2 — — $7,534.38 $7,534.38 $7,534.38 2025-01-01
560 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Cc 2 2 — — $7,515.06 $7,515.06 $7,515.06 2025-01-01
948 MS_DRG Signs And Symptoms Without Mcc 5 5 — — $7,510.52 $7,510.52 $7,510.52 2025-01-01
594 MS_DRG Skin Ulcers Without Cc/Mcc 1 1 — — $7,473.48 $7,473.48 $7,473.48 2025-01-01
394 MS_DRG Other Digestive System Diagnoses With Cc 1 1 — — $7,390.42 $7,390.42 $7,390.42 2025-01-01
5374 OTHER Level 4 Urology And Related Services 3 3 — — $7,365.66 $7,365.66 $7,365.66 2025-01-01
866 MS_DRG Viral Illness Without Mcc 2 2 — — $7,321.07 $7,321.07 $7,321.07 2025-01-01
832 MS_DRG Other Antepartum Diagnoses Without O.r. Procedures With Cc 2 2 — — $7,205.68 $7,205.68 $7,205.68 2025-01-01
897 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc 4 4 — — $7,202.13 $7,202.13 $7,202.13 2025-01-01
92 MS_DRG Other Disorders Of Nervous System With Cc 1 1 — — $7,176.16 $7,176.16 $7,176.16 2025-01-01
187 MS_DRG Pleural Effusion With Cc 2 2 — — $7,168.49 $7,168.49 $7,168.49 2025-01-01
368 MS_DRG Major Esophageal Disorders With Mcc 1 1 — — $7,154.24 $7,154.24 $7,154.24 2025-01-01
206 MS_DRG Other Respiratory System Diagnoses Without Mcc 1 1 — — $7,097.56 $7,097.56 $7,097.56 2025-01-01
93 MS_DRG Other Disorders Of Nervous System Without Cc/Mcc 2 2 — — $7,097.35 $7,097.35 $7,097.35 2025-01-01
369 MS_DRG Major Esophageal Disorders With Cc 1 1 — — $7,079.07 $7,079.07 $7,079.07 2025-01-01
565 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Cc 1 1 — — $7,071.66 $7,071.66 $7,071.66 2025-01-01
180 MS_DRG Respiratory Neoplasms With Mcc 1 1 — — $7,051.53 $7,051.53 $7,051.53 2025-01-01
798 MS_DRG Vaginal Delivery With Sterilization And/Or D&c Without Cc/Mcc 1 1 — — $6,932.16 $6,932.16 $6,932.16 2025-01-01
552 MS_DRG Medical Back Problems Without Mcc 1 1 — — $6,890.68 $6,890.68 $6,890.68 2025-01-01
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 2 2 — — $6,889.70 $6,889.70 $6,889.70 2025-01-01
176 MS_DRG Pulmonary Embolism Without Mcc 2 2 — — $6,878.39 $6,878.39 $6,878.39 2025-01-01
918 MS_DRG Poisoning And Toxic Effects Of Drugs Without Mcc 2 2 — — $6,865.26 $6,865.26 $6,865.26 2025-01-01
5191 OTHER Level 1 Endovascular Procedures 10 8 — — $6,830.41 $6,830.41 $6,830.41 2025-01-01
312 MS_DRG Syncope And Collapse 3 3 — — $6,826.34 $6,826.34 $6,826.34 2025-01-01
381 MS_DRG Complicated Peptic Ulcer With Cc 1 1 — — $6,817.76 $6,817.76 $6,817.76 2025-01-01
694 MS_DRG Urinary Stones Without Mcc 1 1 — — $6,813.71 $6,813.71 $6,813.71 2025-01-01
5431 OTHER Level 1 Nerve Procedures 9 7 — — $6,735.35 $6,735.35 $6,735.35 2025-01-01
158 MS_DRG Dental And Oral Diseases With Cc 1 1 — — $6,701.73 $6,701.73 $6,701.73 2025-01-01
203 MS_DRG Bronchitis And Asthma Without Cc/Mcc 6 5 — — $6,701.44 $6,701.44 $6,701.44 2025-01-01
864 MS_DRG Fever And Inflammatory Conditions 1 1 — — $6,693.00 $6,693.00 $6,693.00 2025-01-01
816 MS_DRG Reticuloendothelial And Immunity Disorders Without Cc/Mcc 1 1 — — $6,681.98 $6,681.98 $6,681.98 2025-01-01
581 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/Mcc 1 1 — — $6,625.50 $6,625.50 $6,625.50 2025-01-01
101 MS_DRG Seizures Without Mcc 3 3 — — $6,543.39 $6,543.39 $6,543.39 2025-01-01
204 MS_DRG Respiratory Signs And Symptoms 1 1 — — $6,520.66 $6,520.66 $6,520.66 2025-01-01
5165 OTHER Level 5 ENT Procedures 4 4 — — $6,513.94 $6,513.94 $6,513.94 2025-01-01
914 MS_DRG Traumatic Injury Without Mcc 1 1 — — $6,491.36 $6,491.36 $6,491.36 2025-01-01
192 MS_DRG Chronic Obstructive Pulmonary Disease Without Cc/Mcc 3 3 — — $6,450.39 $6,450.39 $6,450.39 2025-01-01
863 MS_DRG Postoperative And Post-traumatic Infections Without Mcc 3 3 — — $6,449.73 $6,449.73 $6,449.73 2025-01-01
776 MS_DRG Postpartum And Post Abortion Diagnoses Without O.r. Procedures 5 5 — — $6,441.57 $6,441.57 $6,441.57 2025-01-01
9292 OTHER Inj, Clindamycin (baxter) 3 3 — — $6,424.94 $6,424.94 $6,424.94 2025-01-01
5200 OTHER Implantation Wireless Pa Pressure Monitor 1 1 — — $6,414.98 $6,414.98 $6,414.98 2025-01-01
440 MS_DRG Disorders Of Pancreas Except Malignancy Without Cc/Mcc 3 3 — — $6,409.76 $6,409.76 $6,409.76 2025-01-01
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