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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

CANDLER HOSPITAL

Savannah, GA · CCN 110024 · Rates published

670 distinct procedures filed
26 distinct payers
231,696 rate rows
2025-07-01 last MRF observed · ⚠ 16 mo old
Data quality

185,530 of 231,696 rate rows are consumer-grade (80.1%)

46,166 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 45,699
placeholder amount (≤ $0.02) — excluded from medians 451
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 13
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 3

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 16 months old. CMS requires hospitals to refresh these files at least annually, so newer rates may exist that we haven't ingested yet. The prices below are exactly as last filed.

Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.sjchs.org/docs/default-source/default-document-library/580593388_candler-hospital_standardcharges.json
Found on page https://www.sjchs.org/pay-my-bill
Discovered viaCMS hospital list
Last fetch success · 2026-11-02
Content fingerprint 92b13b8dfff6e87d… · 50,806,218 bytes · first seen 2026-11-02

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… 5 $104,866.24 $533,839.33 $201,647.40 nat. median
$190,359
1.1× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 4 $66,608.63 $243,362.60 $118,920.30 nat. median
$126,461
0.9× median
9312
OTHER 		Inj., Ravulizumab-cwvz 10 Mg 4 $438.57 $154,858.55 $99,919.25 nat. median
$229
outlier · 435.8×
405
MS_DRG 		Pancreas, Liver And Shunt Procedures With Mcc 6 $36,906.87 $293,024.14 $86,274.65 nat. median
$50,728
1.7× median
423
MS_DRG 		Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 2 $65,412.51 $90,566.60 $77,989.56 nat. median
$38,534
outlier · 2.0×
734
MS_DRG 		Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/Mcc 1 $68,685.11 $68,685.11 $68,685.11 nat. median
$20,494
outlier · 3.4×
9028
OTHER 		Inj Inotuzumab Ozogam 0.1 Mg 1 $65,768.06 $65,768.06 $65,768.06 nat. median
$2,817
outlier · 23.3×
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 4 $28,791.67 $160,088.01 $65,455.71 nat. median
$59,324
1.1× median
826
MS_DRG 		Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r.… 1 $65,094.46 $65,094.46 $65,094.46 nat. median
$43,838
1.5× median
5166
OTHER 		Cochlear Implant Procedure 1 $64,685.36 $64,685.36 $64,685.36 nat. median
$34,037
1.9× median
799
MS_DRG 		Splenic Procedures With Mcc 1 $59,709.52 $59,709.52 $59,709.52 nat. median
$43,234
1.4× median
97
MS_DRG 		Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 1 $57,039.90 $57,039.90 $57,039.90 nat. median
$33,159
1.7× median
904
MS_DRG 		Skin Grafts For Injuries With Cc/Mcc 3 $24,780.39 $66,200.08 $48,857.97 nat. median
$34,740
1.4× median
0723
RC 		Inj Efgart-alfa 2mg Hya-qvfc 1 $48,780.55 $48,780.55 $48,780.55 nat. median
$339
outlier · 144.1×
9261
OTHER 		Ustekinumab Sub Cu Inj, 1 Mg 2 $38,416.50 $57,624.75 $48,020.62 nat. median
$163
outlier · 294.4×
907
MS_DRG 		Other O.r. Procedures For Injuries With Mcc 5 $19,169.96 $239,558.44 $47,066.18 nat. median
$35,937
1.3× median
356
MS_DRG 		Other Digestive System O.r. Procedures With Mcc 7 $21,681.03 $161,616.39 $45,839.18 nat. median
$40,205
1.1× median
271
MS_DRG 		Other Major Cardiovascular Procedures With Cc 2 $23,223.99 $68,410.94 $45,817.46 nat. median
$33,980
1.3× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 7 $20,316.74 $751,827.56 $45,728.88 nat. median
$62,577
0.7× median
61
MS_DRG 		Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 1 $44,539.29 $44,539.29 $44,539.29 nat. median
$25,952
1.7× median
52
MS_DRG 		Spinal Disorders And Injuries With Cc/Mcc 2 $12,674.00 $75,671.90 $44,172.95 nat. median
$18,077
outlier · 2.4×
11
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 2 $25,126.76 $57,358.20 $43,375.23 nat. median
$49,944
0.9× median
974
MS_DRG 		HIV With Major Related Condition With Mcc 5 $16,271.22 $69,205.33 $41,203.61 nat. median
$27,506
1.5× median
40
MS_DRG 		Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 4 $18,400.76 $102,450.09 $39,851.83 nat. median
$35,821
1.1× median
834
MS_DRG 		Acute Leukemia With Mcc 4 $35,715.01 $65,822.01 $39,718.31 nat. median
$50,314
0.8× median
270
MS_DRG 		Other Major Cardiovascular Procedures With Mcc 6 $10,494.22 $80,847.59 $38,827.97 nat. median
$49,305
0.8× median
653
MS_DRG 		Major Bladder Procedures With Mcc 2 $35,673.06 $40,224.09 $37,948.57 nat. median
$49,995
0.8× median
478
MS_DRG 		Biopsies Of Musculoskeletal System And Connective Tissue With Cc 1 $37,784.89 $37,784.89 $37,784.89 nat. median
$22,770
1.7× median
9281
OTHER 		Injection, Pegloticase 1 $36,716.92 $36,716.92 $36,716.92 nat. median
$3,769
outlier · 9.7×
252
MS_DRG 		Other Vascular Procedures With Mcc 3 $23,211.11 $118,359.31 $35,714.34 nat. median
$32,644
1.1× median
463
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 4 $20,148.00 $78,699.75 $35,584.07 nat. median
$49,873
0.7× median
856
MS_DRG 		Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 5 $22,420.80 $113,038.16 $35,278.03 nat. median
$41,655
0.8× median
326
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Mcc 7 $18,680.97 $111,890.09 $34,235.08 nat. median
$46,201
0.7× median
239
MS_DRG 		Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 4 $31,213.03 $63,736.43 $33,751.24 nat. median
$45,172
0.7× median
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 12 $20,892.90 $190,747.50 $33,655.35 nat. median
$45,362
0.7× median
837
MS_DRG 		Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 4 $11,435.22 $41,575.88 $32,746.17 nat. median
$45,402
0.7× median
163
MS_DRG 		Major Chest Procedures With Mcc 7 $14,265.92 $59,645.42 $32,324.20 nat. median
$42,636
0.8× median
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 10 $13,987.37 $71,799.80 $32,114.25 nat. median
$42,609
0.8× median
500
MS_DRG 		Soft Tissue Procedures With Mcc 2 $16,748.36 $45,677.98 $31,213.17 nat. median
$29,659
1.1× median
981
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 8 $14,270.32 $212,905.87 $30,789.02 nat. median
$43,609
0.7× median
493
MS_DRG 		Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 1 $30,620.08 $30,620.08 $30,620.08 nat. median
$23,523
1.3× median
749
MS_DRG 		Other Female Reproductive System O.r. Procedures With Cc/Mcc 3 $16,499.01 $40,243.94 $30,304.02 nat. median
$24,308
1.2× median
479
MS_DRG 		Biopsies Of Musculoskeletal System And Connective Tissue Without Cc/Mcc 1 $29,800.85 $29,800.85 $29,800.85 nat. median
$17,759
1.7× median
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 10 $4,715.15 $90,193.50 $29,623.76 nat. median
$50,808
0.6× median
940
MS_DRG 		O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 1 $29,578.40 $29,578.40 $29,578.40 nat. median
$21,577
1.4× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 1 $29,480.59 $29,480.59 $29,480.59 nat. median
$58,052
0.5× median
655
MS_DRG 		Major Bladder Procedures Without Cc/Mcc 1 $25,664.48 $33,065.95 $29,365.21 nat. median
$20,494
1.4× median
9284
OTHER 		Ipilimumab Injection 8 $1,324.47 $48,132.74 $29,215.91 nat. median
$189
outlier · 154.7×
823
MS_DRG 		Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 3 $28,456.09 $30,872.58 $28,888.37 nat. median
$42,755
0.7× median
9287
OTHER 		Brentuximab Vedotin Inj 4 $18,637.51 $59,867.26 $28,823.74 nat. median
$268
outlier · 107.4×

Other procedures at this hospital

Browse this hospital's 670 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
             
0720 RC Inj Glofitamab Gxbm, 2.5 Mg 1 1 — — $11,214.60 $11,214.60 $11,214.60 2025-07-01
0723 RC Inj Efgart-alfa 2mg Hya-qvfc 1 1 — — $48,780.55 $48,780.55 $48,780.55 2025-07-01
100 MS_DRG Seizures With Mcc 8 6 — — $5,131.19 $14,967.71 $12,159.15 2025-07-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 3 2 — — $25,126.76 $57,358.20 $43,375.23 2025-07-01
139 MS_DRG Salivary Gland Procedures 1 1 — — $13,883.97 $13,883.97 $13,883.97 2025-07-01
141 MS_DRG Major Head And Neck Procedures With Cc 2 2 — — $15,624.14 $20,476.89 $18,050.51 2025-07-01
142 MS_DRG Major Head And Neck Procedures Without Cc/Mcc 2 2 — — $2,712.73 $24,295.61 $13,504.17 2025-07-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 2 2 — — $20,639.34 $32,805.97 $26,722.65 2025-07-01
145 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures Without Cc/Mcc 2 2 — — $11,065.31 $11,557.17 $11,311.24 2025-07-01
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 1 1 — — $19,096.68 $19,096.68 $19,096.68 2025-07-01
147 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Cc 2 2 — — $9,147.99 $12,819.90 $10,983.94 2025-07-01
163 MS_DRG Major Chest Procedures With Mcc 7 7 — — $14,265.92 $59,645.42 $32,324.20 2025-07-01
164 MS_DRG Major Chest Procedures With Cc 11 8 — — $13,061.13 $60,272.74 $19,064.18 2025-07-01
165 MS_DRG Major Chest Procedures Without Cc/Mcc 12 10 — — $9,389.49 $30,194.91 $14,250.40 2025-07-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 6 5 — — $8,659.35 $81,248.00 $20,286.23 2025-07-01
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 4 3 — — $13,924.59 $29,713.69 $15,859.34 2025-07-01
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 8 5 — — $5,268.12 $21,821.69 $15,138.87 2025-07-01
177 MS_DRG Respiratory Infections And Inflammations With Mcc 8 6 — — $11,116.21 $24,474.74 $12,671.76 2025-07-01
180 MS_DRG Respiratory Neoplasms With Mcc 9 7 — — $8,271.22 $73,064.64 $12,046.97 2025-07-01
181 MS_DRG Respiratory Neoplasms With Cc 6 6 — — $5,911.92 $17,751.01 $10,716.45 2025-07-01
183 MS_DRG Major Chest Trauma With Mcc 1 1 — — $14,816.71 $14,816.71 $14,816.71 2025-07-01
186 MS_DRG Pleural Effusion With Mcc 4 4 — — $7,309.82 $25,260.38 $11,908.88 2025-07-01
187 MS_DRG Pleural Effusion With Cc 1 1 — — $10,229.92 $10,229.92 $10,229.92 2025-07-01
196 MS_DRG Interstitial Lung Disease With Mcc 2 2 — — $9,253.92 $14,196.40 $11,725.16 2025-07-01
199 MS_DRG Pneumothorax With Mcc 2 1 — — $10,204.96 $22,461.20 $16,333.08 2025-07-01
205 MS_DRG Other Respiratory System Diagnoses With Mcc 2 2 — — $8,238.05 $11,583.88 $9,910.97 2025-07-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 4 4 — — $28,791.67 $160,088.01 $65,455.71 2025-07-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 9 8 — — $9,862.12 $26,728.04 $18,724.45 2025-07-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 4 4 — — $31,213.03 $63,736.43 $33,751.24 2025-07-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 4 4 — — $18,305.50 $35,863.02 $27,196.24 2025-07-01
252 MS_DRG Other Vascular Procedures With Mcc 3 3 — — $23,211.11 $118,359.31 $35,714.34 2025-07-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 2 2 — — $18,684.46 $21,638.16 $20,161.31 2025-07-01
256 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Cc 4 3 — — $10,981.83 $26,214.83 $16,841.42 2025-07-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 1 1 — — $19,688.82 $19,688.82 $19,688.82 2025-07-01
2616 OTHER Brachytx, Non-str,yttrium-90 4 3 — — $4,369.01 $94,626.95 $18,612.60 2025-07-01
264 MS_DRG Other Circulatory System O.r. Procedures 5 5 — — $8,704.00 $26,922.63 $23,241.46 2025-07-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 6 6 — — $10,494.22 $80,847.59 $38,827.97 2025-07-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 2 2 — — $23,223.99 $68,410.94 $45,817.46 2025-07-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 1 1 — — $13,840.10 $13,840.10 $13,840.10 2025-07-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 1 1 — — $25,985.69 $25,985.69 $25,985.69 2025-07-01
283 MS_DRG Acute Myocardial Infarction, Expired With Mcc 1 1 — — $19,728.74 $19,728.74 $19,728.74 2025-07-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 2 2 — — $14,246.27 $17,556.41 $15,901.34 2025-07-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 1 1 — — $12,090.96 $12,090.96 $12,090.96 2025-07-01
299 MS_DRG Peripheral Vascular Disorders With Mcc 5 4 — — $8,505.96 $20,468.95 $11,343.59 2025-07-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 5 5 — — $104,866.24 $533,839.33 $201,647.40 2025-07-01
314 MS_DRG Other Circulatory System Diagnoses With Mcc 9 8 — — $14,255.33 $33,470.00 $16,143.84 2025-07-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 9 7 — — $18,680.97 $111,890.09 $34,235.08 2025-07-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 6 6 — — $9,815.80 $43,570.60 $25,260.67 2025-07-01
328 MS_DRG Stomach, Esophageal And Duodenal Procedures Without Cc/Mcc 10 7 — — $4,286.48 $25,400.94 $12,427.17 2025-07-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 14 10 — — $13,987.37 $71,799.80 $32,114.25 2025-07-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 17 10 — — $12,953.84 $71,480.88 $17,395.17 2025-07-01
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/Mcc 14 9 — — $10,640.41 $27,978.74 $14,251.41 2025-07-01
334 MS_DRG Rectal Resection Without Cc/Mcc 2 2 — — $11,901.42 $16,929.59 $14,415.51 2025-07-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 6 5 — — $10,609.79 $40,878.75 $23,327.60 2025-07-01
336 MS_DRG Peritoneal Adhesiolysis With Cc 8 8 — — $13,822.00 $31,118.98 $16,003.99 2025-07-01
337 MS_DRG Peritoneal Adhesiolysis Without Cc/Mcc 3 3 — — $12,082.96 $19,619.28 $19,425.00 2025-07-01
345 MS_DRG Minor Small And Large Bowel Procedures With Cc 6 5 — — $8,223.08 $24,612.97 $12,618.49 2025-07-01
346 MS_DRG Minor Small And Large Bowel Procedures Without Cc/Mcc 4 4 — — $9,462.03 $19,930.26 $16,527.79 2025-07-01
347 MS_DRG Anal And Stomal Procedures With Mcc 1 1 — — $10,631.16 $10,631.16 $10,631.16 2025-07-01
348 MS_DRG Anal And Stomal Procedures With Cc 4 4 — — $8,682.94 $42,034.44 $10,242.75 2025-07-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 3 3 — — $16,563.86 $17,396.69 $16,888.13 2025-07-01
351 MS_DRG Inguinal And Femoral Hernia Procedures With Cc 3 3 — — $8,216.96 $12,821.76 $11,911.62 2025-07-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 3 3 — — $19,153.32 $46,752.48 $20,684.43 2025-07-01
355 MS_DRG Hernia Procedures Except Inguinal And Femoral Without Cc/Mcc 6 4 — — $8,018.04 $21,720.32 $14,436.97 2025-07-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 8 7 — — $21,681.03 $161,616.39 $45,839.18 2025-07-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 6 5 — — $15,401.65 $31,493.20 $16,283.26 2025-07-01
358 MS_DRG Other Digestive System O.r. Procedures Without Cc/Mcc 3 3 — — $9,396.80 $21,976.70 $13,197.06 2025-07-01
368 MS_DRG Major Esophageal Disorders With Mcc 3 3 — — $10,921.95 $15,289.60 $12,269.27 2025-07-01
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 4 4 — — $5,203.26 $15,955.27 $12,054.41 2025-07-01
374 MS_DRG Digestive Malignancy With Mcc 7 6 — — $9,465.94 $27,962.09 $14,569.41 2025-07-01
375 MS_DRG Digestive Malignancy With Cc 6 5 — — $3,508.12 $19,565.84 $10,007.00 2025-07-01
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 11 9 — — $2,527.80 $28,241.04 $10,294.06 2025-07-01
380 MS_DRG Complicated Peptic Ulcer With Mcc 3 2 — — $12,999.76 $29,185.53 $24,656.12 2025-07-01
381 MS_DRG Complicated Peptic Ulcer With Cc 2 2 — — $9,109.24 $13,136.58 $11,122.91 2025-07-01
385 MS_DRG Inflammatory Bowel Disease With Mcc 3 3 — — $7,375.06 $22,467.00 $13,844.30 2025-07-01
388 MS_DRG Gastrointestinal Obstruction With Mcc 5 5 — — $5,204.10 $16,212.85 $10,130.63 2025-07-01
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 14 9 — — $2,999.20 $42,894.70 $10,240.26 2025-07-01
393 MS_DRG Other Digestive System Diagnoses With Mcc 10 7 — — $6,955.90 $25,893.48 $10,178.95 2025-07-01
398 MS_DRG Appendix Procedures With Cc 8 8 — — $4,844.77 $20,234.91 $9,878.94 2025-07-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 6 4 — — $66,608.63 $243,362.60 $118,920.30 2025-07-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 4 4 — — $18,400.76 $102,450.09 $39,851.83 2025-07-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 8 6 — — $36,906.87 $293,024.14 $86,274.65 2025-07-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 9 7 — — $14,067.54 $57,814.56 $21,147.11 2025-07-01
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/Mcc 3 3 — — $11,937.00 $34,873.34 $25,061.53 2025-07-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 2 2 — — $24,275.52 $24,797.56 $24,536.54 2025-07-01
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 3 3 — — $13,016.69 $14,242.07 $13,033.92 2025-07-01
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 1 1 — — $15,647.16 $15,647.16 $15,647.16 2025-07-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 3 3 — — $23,900.12 $33,341.34 $24,862.14 2025-07-01
415 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 2 2 — — $12,910.56 $14,720.52 $13,815.54 2025-07-01
416 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. Without Cc/Mcc 1 1 — — $9,874.27 $9,874.27 $9,874.27 2025-07-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 10 9 — — $8,008.12 $54,533.67 $12,964.95 2025-07-01
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 16 11 — — $3,678.84 $25,524.98 $11,251.33 2025-07-01
419 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. Without Cc/Mcc 14 10 — — $6,732.41 $19,166.36 $10,240.10 2025-07-01
42 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/Mcc 2 2 — — $12,936.99 $32,053.97 $22,495.48 2025-07-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 2 2 — — $13,361.48 $17,921.78 $15,641.63 2025-07-01
421 MS_DRG Hepatobiliary Diagnostic Procedures With Cc 2 2 — — $16,225.21 $18,006.34 $17,115.78 2025-07-01
422 MS_DRG Hepatobiliary Diagnostic Procedures Without Cc/Mcc 1 1 — — $11,199.22 $11,199.22 $11,199.22 2025-07-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 2 2 — — $65,412.51 $90,566.60 $77,989.56 2025-07-01
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 1 1 — — $13,903.78 $13,903.78 $13,903.78 2025-07-01
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 14 9 — — $8,075.92 $26,988.72 $13,728.27 2025-07-01
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Mcc 11 7 — — $4,990.28 $28,735.65 $13,913.79 2025-07-01
436 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Cc 6 6 — — $6,333.88 $25,995.20 $9,907.31 2025-07-01
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 6 6 — — $9,138.46 $52,534.90 $16,489.07 2025-07-01
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 5 4 — — $12,122.68 $27,675.46 $15,543.00 2025-07-01
442 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc 8 6 — — $1,469.27 $13,421.28 $9,876.02 2025-07-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 5 4 — — $20,148.00 $78,699.75 $35,584.07 2025-07-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 5 5 — — $18,444.88 $27,063.20 $20,706.53 2025-07-01
465 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 1 1 — — $14,247.54 $14,247.54 $14,247.54 2025-07-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 2 2 — — $27,428.66 $29,932.53 $28,680.60 2025-07-01
476 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders Without Cc… 1 1 — — $10,903.53 $10,903.53 $10,903.53 2025-07-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 1 1 — — $21,808.71 $21,808.71 $21,808.71 2025-07-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 1 1 — — $37,784.89 $37,784.89 $37,784.89 2025-07-01
479 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue Without Cc/Mcc 1 1 — — $29,800.85 $29,800.85 $29,800.85 2025-07-01
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 1 1 — — $13,298.42 $13,298.42 $13,298.42 2025-07-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 1 1 — — $24,365.54 $24,365.54 $24,365.54 2025-07-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 1 1 — — $30,620.08 $30,620.08 $30,620.08 2025-07-01
500 MS_DRG Soft Tissue Procedures With Mcc 2 2 — — $16,748.36 $45,677.98 $31,213.17 2025-07-01
503 MS_DRG Foot Procedures With Mcc 2 2 — — $13,812.97 $41,961.13 $27,887.05 2025-07-01
504 MS_DRG Foot Procedures With Cc 1 1 — — $16,506.56 $16,506.56 $16,506.56 2025-07-01
505 MS_DRG Foot Procedures Without Cc/Mcc 1 1 — — $12,157.45 $12,157.45 $12,157.45 2025-07-01
5093 OTHER Level 3 Breast/Lymphatic Surgery And Related Procedures 16 10 — — $4,510.50 $20,596.56 $10,557.38 2025-07-01
5094 OTHER Level 4 Breast/Lymphatic Surgery And Related Procedures 18 13 — — $5,531.37 $54,694.89 $15,251.86 2025-07-01
512 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures Without Cc/… 1 1 — — $25,644.90 $25,644.90 $25,644.90 2025-07-01
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 6 6 — — $11,887.20 $29,334.89 $15,552.69 2025-07-01
5166 OTHER Cochlear Implant Procedure 1 1 — — $64,685.36 $64,685.36 $64,685.36 2025-07-01
517 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures Without Cc/Mc… 1 1 — — $16,555.69 $16,555.69 $16,555.69 2025-07-01
5194 OTHER Level 4 Endovascular Procedures 3 3 — — $2,753.90 $15,065.80 $14,768.06 2025-07-01
52 MS_DRG Spinal Disorders And Injuries With Cc/Mcc 2 2 — — $12,674.00 $75,671.90 $44,172.95 2025-07-01
5377 OTHER Level 7 Urology And Related Services 2 2 — — $10,995.05 $24,190.88 $17,592.97 2025-07-01
5378 OTHER Level 8 Urology And Related Services 10 7 — — $8,847.72 $35,646.71 $17,271.40 2025-07-01
539 MS_DRG Osteomyelitis With Mcc 2 2 — — $20,244.28 $24,879.44 $22,561.86 2025-07-01
54 MS_DRG Nervous System Neoplasms With Mcc 7 6 — — $8,063.01 $11,754.01 $10,002.00 2025-07-01
540 MS_DRG Osteomyelitis With Cc 1 1 — — $12,441.03 $12,441.03 $12,441.03 2025-07-01
545 MS_DRG Connective Tissue Disorders With Mcc 3 3 — — $2,146.32 $27,125.74 $21,359.10 2025-07-01
546 MS_DRG Connective Tissue Disorders With Cc 2 2 — — $7,820.84 $12,946.42 $10,383.63 2025-07-01
5464 OTHER Level 4 Neurostimulator And Related Procedures 13 8 — — $6,381.21 $38,500.59 $22,247.65 2025-07-01
55 MS_DRG Nervous System Neoplasms Without Mcc 1 1 — — $17,157.87 $17,157.87 $17,157.87 2025-07-01
551 MS_DRG Medical Back Problems With Mcc 2 2 — — $8,564.54 $12,507.28 $10,535.91 2025-07-01
557 MS_DRG Tendonitis, Myositis And Bursitis With Mcc 3 3 — — $6,572.34 $15,886.55 $11,925.62 2025-07-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 8 7 — — $10,397.76 $38,584.72 $19,877.15 2025-07-01
560 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Cc 10 7 — — $4,500.00 $45,241.18 $10,203.94 2025-07-01
564 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc 4 4 — — $6,432.71 $23,643.11 $11,219.90 2025-07-01
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 15 10 — — $5,572.01 $26,542.53 $12,539.56 2025-07-01
570 MS_DRG Skin Debridement With Mcc 2 2 — — $12,598.00 $20,967.70 $16,782.85 2025-07-01
571 MS_DRG Skin Debridement With Cc 6 6 — — $5,120.78 $14,668.14 $11,427.58 2025-07-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 1 1 — — $29,480.59 $29,480.59 $29,480.59 2025-07-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 2 2 — — $12,391.95 $22,100.44 $17,246.19 2025-07-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 1 1 — — $12,391.95 $12,391.95 $12,391.95 2025-07-01
578 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis Without Cc/Mcc 5 4 — — $10,458.83 $27,025.41 $12,606.35 2025-07-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 3 3 — — $12,598.00 $42,160.05 $19,224.33 2025-07-01
58 MS_DRG Multiple Sclerosis And Cerebellar Ataxia With Mcc 3 3 — — $8,717.97 $27,501.40 $16,180.90 2025-07-01
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 7 6 — — $3,712.07 $27,755.22 $12,870.43 2025-07-01
581 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/Mcc 2 2 — — $12,047.12 $15,599.23 $13,823.17 2025-07-01
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/Mcc 2 2 — — $9,978.15 $14,145.63 $12,061.89 2025-07-01
585 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/Mcc 3 2 — — $11,094.48 $26,923.08 $20,717.57 2025-07-01
59 MS_DRG Multiple Sclerosis And Cerebellar Ataxia With Cc 4 4 — — $5,372.42 $29,625.00 $14,530.69 2025-07-01
592 MS_DRG Skin Ulcers With Mcc 3 3 — — $6,639.41 $19,699.34 $14,709.90 2025-07-01
595 MS_DRG Major Skin Disorders With Mcc 1 1 — — $16,263.20 $16,263.20 $16,263.20 2025-07-01
597 MS_DRG Malignant Breast Disorders With Mcc 3 3 — — $10,556.57 $24,284.14 $12,264.28 2025-07-01
602 MS_DRG Cellulitis With Mcc 8 7 — — $5,853.80 $17,525.58 $10,080.58 2025-07-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 1 1 — — $44,539.29 $44,539.29 $44,539.29 2025-07-01
614 MS_DRG Adrenal And Pituitary Procedures With Cc/Mcc 4 4 — — $13,628.69 $34,609.81 $16,340.43 2025-07-01
615 MS_DRG Adrenal And Pituitary Procedures Without Cc/Mcc 5 5 — — $8,251.77 $20,821.27 $11,715.53 2025-07-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 3 3 — — $2,765.65 $26,319.43 $20,130.06 2025-07-01
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 9 7 — — $3,668.12 $31,377.35 $13,881.05 2025-07-01
62 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 1 1 — — $11,192.39 $11,192.39 $11,192.39 2025-07-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 3 3 — — $25,044.91 $27,284.49 $25,663.49 2025-07-01
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 6 5 — — $3,391.52 $16,052.79 $12,284.28 2025-07-01
626 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Cc 3 3 — — $9,251.72 $21,130.85 $13,643.82 2025-07-01
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 3 3 — — $14,874.44 $16,471.27 $15,204.38 2025-07-01
637 MS_DRG Diabetes With Mcc 12 9 — — $5,554.90 $23,030.83 $10,158.33 2025-07-01
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 10 9 — — $3,835.42 $25,258.45 $13,348.53 2025-07-01
643 MS_DRG Endocrine Disorders With Mcc 3 3 — — $9,735.41 $12,855.21 $12,549.37 2025-07-01
653 MS_DRG Major Bladder Procedures With Mcc 2 2 — — $35,673.06 $40,224.09 $37,948.57 2025-07-01
654 MS_DRG Major Bladder Procedures With Cc 3 3 — — $15,110.00 $34,640.05 $19,802.97 2025-07-01
655 MS_DRG Major Bladder Procedures Without Cc/Mcc 2 1 — — $25,664.48 $33,065.95 $29,365.21 2025-07-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 6 6 — — $16,344.63 $44,842.22 $21,506.46 2025-07-01
657 MS_DRG Kidney And Ureter Procedures For Neoplasm With Cc 15 11 — — $4,644.30 $29,484.30 $12,806.64 2025-07-01
658 MS_DRG Kidney And Ureter Procedures For Neoplasm Without Cc/Mcc 12 8 — — $8,870.29 $23,613.81 $11,742.56 2025-07-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 5 3 — — $10,882.39 $56,644.23 $17,919.42 2025-07-01
660 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Cc 14 9 — — $4,991.25 $23,973.34 $10,724.60 2025-07-01
662 MS_DRG Minor Bladder Procedures With Mcc 2 2 — — $19,284.73 $35,194.00 $27,239.36 2025-07-01
663 MS_DRG Minor Bladder Procedures With Cc 4 3 — — $5,885.16 $17,582.89 $10,756.14 2025-07-01
665 MS_DRG Prostatectomy With Mcc 1 1 — — $22,108.83 $22,108.83 $22,108.83 2025-07-01
666 MS_DRG Prostatectomy With Cc 1 1 — — $25,925.75 $25,925.75 $25,925.75 2025-07-01
668 MS_DRG Transurethral Procedures With Mcc 2 2 — — $19,594.01 $20,401.03 $19,997.52 2025-07-01
669 MS_DRG Transurethral Procedures With Cc 2 2 — — $9,832.70 $10,238.85 $10,035.78 2025-07-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 8 7 — — $14,627.43 $29,902.63 $23,875.60 2025-07-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 5 5 — — $12,787.91 $19,075.36 $17,517.91 2025-07-01
675 MS_DRG Other Kidney And Urinary Tract Procedures Without Cc/Mcc 1 1 — — $18,475.33 $18,475.33 $18,475.33 2025-07-01
682 MS_DRG Renal Failure With Mcc 15 9 — — $5,282.86 $177,795.25 $10,169.74 2025-07-01
686 MS_DRG Kidney And Urinary Tract Neoplasms With Mcc 4 4 — — $1,500.00 $19,695.48 $10,241.49 2025-07-01
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With Mcc 17 13 — — $7,259.34 $24,910.33 $13,278.66 2025-07-01
707 MS_DRG Major Male Pelvic Procedures With Cc/Mcc 11 8 — — $4,559.06 $33,000.26 $14,539.52 2025-07-01
708 MS_DRG Major Male Pelvic Procedures Without Cc/Mcc 18 12 — — $5,933.18 $26,551.94 $11,514.31 2025-07-01
709 MS_DRG Penis Procedures With Cc/Mcc 2 2 — — $16,753.40 $16,795.30 $16,774.35 2025-07-01
711 MS_DRG Testes Procedures With Cc/Mcc 2 1 — — $13,450.70 $16,301.61 $14,876.16 2025-07-01
713 MS_DRG Transurethral Prostatectomy With Cc/Mcc 3 3 — — $8,819.91 $21,719.74 $11,333.03 2025-07-01
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/Mcc 1 1 — — $16,270.58 $16,270.58 $16,270.58 2025-07-01
716 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy Without Cc/Mcc 1 1 — — $17,996.38 $17,996.38 $17,996.38 2025-07-01
717 MS_DRG Other Male Reproductive System O.r. Procedures Except Malignancy With Cc/Mcc 4 3 — — $13,012.76 $40,317.97 $15,683.12 2025-07-01
718 MS_DRG Other Male Reproductive System O.r. Procedures Except Malignancy Without Cc/Mcc 3 3 — — $9,660.90 $13,423.06 $12,139.64 2025-07-01
73 MS_DRG Cranial And Peripheral Nerve Disorders With Mcc 4 3 — — $8,755.44 $19,145.35 $10,868.89 2025-07-01
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/Mcc 1 1 — — $68,685.11 $68,685.11 $68,685.11 2025-07-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 1 1 — — $13,062.63 $13,062.63 $13,062.63 2025-07-01
737 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 3 3 — — $13,905.76 $31,365.66 $19,973.90 2025-07-01
738 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy Without Cc/Mcc 1 1 — — $13,812.01 $13,812.01 $13,812.01 2025-07-01
740 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Cc 1 1 — — $22,612.52 $22,612.52 $22,612.52 2025-07-01
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/Mcc 10 7 — — $6,390.56 $28,433.70 $16,517.33 2025-07-01
743 MS_DRG Uterine And Adnexa Procedures For Non-malignancy Without Cc/Mcc 12 8 — — $4,506.40 $18,565.07 $9,993.72 2025-07-01
744 MS_DRG D&c, Conization, Laparoscopy And Tubal Interruption With Cc/Mcc 4 4 — — $12,499.16 $22,102.07 $13,830.52 2025-07-01
746 MS_DRG Vagina, Cervix And Vulva Procedures With Cc/Mcc 5 4 — — $8,059.78 $27,281.36 $16,032.81 2025-07-01
747 MS_DRG Vagina, Cervix And Vulva Procedures Without Cc/Mcc 2 2 — — $12,624.43 $15,576.07 $14,100.25 2025-07-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 4 3 — — $16,499.01 $40,243.94 $30,304.02 2025-07-01
754 MS_DRG Malignancy, Female Reproductive System With Mcc 2 2 — — $11,429.09 $22,745.54 $17,087.32 2025-07-01
757 MS_DRG Infections, Female Reproductive System With Mcc 1 1 — — $15,584.16 $15,584.16 $15,584.16 2025-07-01
779 MS_DRG Abortion Without D&c 4 3 — — $2,616.02 $13,450.05 $10,293.57 2025-07-01
786 MS_DRG Cesarean Section Without Sterilization With Mcc 15 12 — — $5,610.79 $107,253.72 $11,323.22 2025-07-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 13 10 — — $4,715.15 $90,193.50 $29,623.76 2025-07-01
791 MS_DRG Prematurity With Major Problems 14 12 — — $2,097.30 $38,400.43 $15,545.10 2025-07-01
799 MS_DRG Splenic Procedures With Mcc 1 1 — — $59,709.52 $59,709.52 $59,709.52 2025-07-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 1 1 — — $25,622.45 $25,622.45 $25,622.45 2025-07-01
803 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Cc 1 1 — — $12,787.91 $12,787.91 $12,787.91 2025-07-01
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 3 2 — — $15,244.36 $16,422.00 $16,387.29 2025-07-01
809 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 9 8 — — $8,035.76 $19,943.84 $10,878.17 2025-07-01
811 MS_DRG Red Blood Cell Disorders With Mcc 10 7 — — $7,649.84 $20,395.44 $10,987.47 2025-07-01
813 MS_DRG Coagulation Disorders 7 6 — — $4,381.84 $29,414.23 $10,408.32 2025-07-01
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 1 1 — — $17,126.68 $17,126.68 $17,126.68 2025-07-01
815 MS_DRG Reticuloendothelial And Immunity Disorders With Cc 2 2 — — $8,370.45 $15,353.63 $11,862.04 2025-07-01
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 1 1 — — $17,952.20 $17,952.20 $17,952.20 2025-07-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 3 3 — — $28,456.09 $30,872.58 $28,888.37 2025-07-01
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 3 3 — — $7,043.85 $16,488.31 $12,518.18 2025-07-01
825 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures Without Cc/Mcc 3 3 — — $8,211.90 $20,521.64 $10,529.27 2025-07-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 1 1 — — $65,094.46 $65,094.46 $65,094.46 2025-07-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 2 2 — — $17,260.87 $37,268.67 $27,264.77 2025-07-01
828 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 2 2 — — $4,158.42 $17,475.47 $10,816.94 2025-07-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 5 5 — — $18,944.97 $44,963.00 $28,729.99 2025-07-01
830 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 1 1 — — $12,391.85 $12,391.85 $12,391.85 2025-07-01
831 MS_DRG Other Antepartum Diagnoses Without O.r. Procedures With Mcc 2 2 — — $11,029.55 $11,927.27 $11,478.41 2025-07-01
834 MS_DRG Acute Leukemia With Mcc 4 4 — — $35,715.01 $65,822.01 $39,718.31 2025-07-01
835 MS_DRG Acute Leukemia With Cc 2 2 — — $4,500.00 $16,677.75 $10,588.88 2025-07-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 4 4 — — $11,435.22 $41,575.88 $32,746.17 2025-07-01
839 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Without Cc/Mcc 1 1 — — $13,375.78 $13,375.78 $13,375.78 2025-07-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 4 4 — — $6,432.56 $38,875.14 $17,726.55 2025-07-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 3 3 — — $16,192.00 $27,345.68 $18,288.27 2025-07-01
847 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Cc 10 6 — — $1,572.34 $22,632.92 $12,148.95 2025-07-01
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 1 1 — — $10,617.59 $10,617.59 $10,617.59 2025-07-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 19 12 — — $20,892.90 $190,747.50 $33,655.35 2025-07-01
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 13 8 — — $3,734.06 $31,139.04 $15,326.29 2025-07-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 6 5 — — $22,420.80 $113,038.16 $35,278.03 2025-07-01
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 9 9 — — $6,890.02 $35,499.84 $14,889.60 2025-07-01
858 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures Without Cc/Mcc 1 1 — — $20,518.46 $20,518.46 $20,518.46 2025-07-01
862 MS_DRG Postoperative And Post-traumatic Infections With Mcc 12 9 — — $6,695.89 $60,586.26 $13,842.64 2025-07-01
865 MS_DRG Viral Illness With Mcc 2 2 — — $6,910.27 $12,988.01 $9,949.14 2025-07-01
868 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Cc 2 2 — — $6,970.61 $16,505.89 $11,738.25 2025-07-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 8 7 — — $20,316.74 $751,827.56 $45,728.88 2025-07-01
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 21 12 — — $5,481.92 $31,696.98 $14,283.26 2025-07-01
885 MS_DRG Psychoses 2 2 — — $11,698.22 $12,248.00 $11,973.11 2025-07-01
901 MS_DRG Wound Debridements For Injuries With Mcc 2 2 — — $13,142.51 $29,554.30 $21,348.40 2025-07-01
902 MS_DRG Wound Debridements For Injuries With Cc 3 3 — — $7,652.85 $14,368.95 $14,340.69 2025-07-01
9028 OTHER Inj Inotuzumab Ozogam 0.1 Mg 1 1 — — $65,768.06 $65,768.06 $65,768.06 2025-07-01
903 MS_DRG Wound Debridements For Injuries Without Cc/Mcc 1 1 — — $10,226.47 $10,226.47 $10,226.47 2025-07-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 3 3 — — $24,780.39 $66,200.08 $48,857.97 2025-07-01
905 MS_DRG Skin Grafts For Injuries Without Cc/Mcc 1 1 — — $25,135.79 $25,135.79 $25,135.79 2025-07-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 7 5 — — $19,169.96 $239,558.44 $47,066.18 2025-07-01
908 MS_DRG Other O.r. Procedures For Injuries With Cc 6 5 — — $6,965.37 $31,847.15 $19,762.00 2025-07-01
909 MS_DRG Other O.r. Procedures For Injuries Without Cc/Mcc 3 3 — — $7,655.58 $16,428.82 $12,201.61 2025-07-01
91 MS_DRG Other Disorders Of Nervous System With Mcc 8 7 — — $9,146.02 $33,212.00 $11,627.23 2025-07-01
915 MS_DRG Allergic Reactions With Mcc 2 2 — — $11,608.33 $13,495.17 $12,551.75 2025-07-01
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 9 6 — — $6,458.16 $24,166.72 $11,900.00 2025-07-01
9182 OTHER Inj Mogamulizumab-kpkc, 1 Mg 2 2 — — $22,674.97 $27,530.20 $25,102.58 2025-07-01
919 MS_DRG Complications Of Treatment With Mcc 7 6 — — $8,182.50 $27,656.54 $13,077.84 2025-07-01
9204 OTHER Inj Tisotu Vedotin-tftv, 1mg 1 1 — — $21,288.68 $21,288.68 $21,288.68 2025-07-01
9236 OTHER Eculizumab Injection 1 1 — — $19,591.01 $19,591.01 $19,591.01 2025-07-01
9261 OTHER Ustekinumab Sub Cu Inj, 1 Mg 2 2 — — $38,416.50 $57,624.75 $48,020.62 2025-07-01
9276 OTHER Cabazitaxel Injection 1 1 — — $12,995.32 $12,995.32 $12,995.32 2025-07-01
9281 OTHER Injection, Pegloticase 1 1 — — $36,716.92 $36,716.92 $36,716.92 2025-07-01
9284 OTHER Ipilimumab Injection 11 8 — — $1,324.47 $48,132.74 $29,215.91 2025-07-01
9287 OTHER Brentuximab Vedotin Inj 6 4 — — $18,637.51 $59,867.26 $28,823.74 2025-07-01
9312 OTHER Inj., Ravulizumab-cwvz 10 Mg 5 4 — — $438.57 $154,858.55 $99,919.25 2025-07-01
9331 OTHER Inj, Polatuzumab Vedotin 1mg 1 1 — — $24,532.97 $24,532.97 $24,532.97 2025-07-01
9389 OTHER Inj. Lurbinectedin, 0.1 Mg 4 4 — — $8,110.72 $29,305.90 $16,610.08 2025-07-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 4 4 — — $7,125.00 $54,219.60 $16,725.08 2025-07-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 1 1 — — $26,920.20 $26,920.20 $26,920.20 2025-07-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 1 1 — — $29,578.40 $29,578.40 $29,578.40 2025-07-01
941 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/… 2 2 — — $8,791.40 $15,660.78 $12,226.09 2025-07-01
945 MS_DRG Rehabilitation With Cc/Mcc 3 1 — — $13,769.89 $31,832.06 $19,241.38 2025-07-01
946 MS_DRG Rehabilitation Without Cc/Mcc 3 1 — — $9,868.53 $42,905.22 $26,468.40 2025-07-01
9480 OTHER Injection Trabectedin 0.1mg 1 1 — — $15,030.50 $15,030.50 $15,030.50 2025-07-01
9483 OTHER Inj, Atezolizumab,10 Mg 1 1 — — $21,506.20 $21,506.20 $21,506.20 2025-07-01
949 MS_DRG Aftercare With Cc/Mcc 9 8 — — $4,875.00 $47,424.90 $10,437.64 2025-07-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 2 2 — — $15,907.38 $17,568.40 $16,737.89 2025-07-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 1 1 — — $57,039.90 $57,039.90 $57,039.90 2025-07-01
974 MS_DRG HIV With Major Related Condition With Mcc 6 5 — — $16,271.22 $69,205.33 $41,203.61 2025-07-01
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 3 3 — — $14,105.34 $27,262.83 $17,815.96 2025-07-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 9 8 — — $14,270.32 $212,905.87 $30,789.02 2025-07-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 5 4 — — $10,464.28 $20,720.16 $16,512.07 2025-07-01
983 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/Mcc 2 2 — — $10,872.99 $11,265.58 $11,069.28 2025-07-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 2 2 — — $11,614.17 $21,893.25 $16,753.71 2025-07-01
988 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 6 5 — — $7,228.26 $28,018.85 $14,279.44 2025-07-01
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