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Hospital

HILO BENIOFF MEDICAL CENTER

Hilo, HI · CCN 120005 · Rates published

610 distinct procedures filed
54 distinct payers
142,162 rate rows
2024-09-01 last MRF observed · ⚠ 21 mo old
Data quality

84,161 of 142,162 rate rows are consumer-grade (59.2%)

58,001 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
professional (physician) fee — not the facility price 46,996
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 10,446
per-diem day rate — not a per-procedure price 517
placeholder amount (≤ $0.02) — excluded from medians 26
exceeds 10× this hospital's gross charge — excluded from medians 16

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 21 months old.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://pricetransparency.healthcare/hilo-medical-center/charges/export
Found on page https://www.hhsc.org/price-transparency/
Discovered viaCMS hospital list
Last fetch success · 2026-06-22
Content fingerprint 608c8b84a40825ad… · 41,345,526 bytes · first seen 2026-06-22

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
224
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 2 $162,570.70 $162,570.70 $162,570.70 nat. median
$54,196
outlier · 3.0×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 5 $158,138.58 $158,138.58 $158,138.58 nat. median
$133,176
1.2× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 1 $107,098.00 $107,098.00 $107,098.00 nat. median
$65,950
1.6× median
659
MS_DRG 		Kidney And Ureter Procedures For Non-neoplasm With Mcc 5 $90,417.18 $90,417.18 $90,417.18 nat. median
$25,587
outlier · 3.5×
749
MS_DRG 		Other Female Reproductive System O.r. Procedures With Cc/mcc 1 $84,605.50 $84,605.50 $84,605.50 nat. median
$25,699
outlier · 3.3×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 1 $84,380.04 $84,380.04 $84,380.04 nat. median
$68,887
1.2× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 1 $76,284.83 $76,284.83 $76,284.83 nat. median
$59,793
1.3× median
250
MS_DRG 		Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 2 $70,633.57 $70,633.57 $70,633.57 nat. median
$23,306
outlier · 3.0×
576
MS_DRG 		Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 1 $69,832.76 $69,832.76 $69,832.76 nat. median
$49,171
1.4× median
405
MS_DRG 		Pancreas, Liver And Shunt Procedures With Mcc 1 $69,100.04 $69,100.04 $69,100.04 nat. median
$52,836
1.3× median
463
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 2 $68,507.32 $68,507.32 $68,507.32 nat. median
$52,753
1.3× median
242
MS_DRG 		Permanent Cardiac Pacemaker Implant With Mcc 6 $65,349.93 $65,349.93 $65,349.93 nat. median
$32,829
2.0× median
270
MS_DRG 		Other Major Cardiovascular Procedures With Mcc 7 $64,283.79 $64,283.79 $64,283.79 nat. median
$51,307
1.3× median
483
MS_DRG 		Major Joint Or Limb Reattachment Procedures Of Upper Extremities 3 $63,250.08 $63,250.08 $63,250.08 nat. median
$26,699
outlier · 2.4×
327
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Cc 2 $58,777.96 $58,777.96 $58,777.96 nat. median
$24,638
outlier · 2.4×
277
MS_DRG 		Cardiac Defibrillator Implant Without Mcc 2 $58,342.00 $58,342.00 $58,342.00 nat. median
$46,109
1.3× median
163
MS_DRG 		Major Chest Procedures With Mcc 5 $57,711.82 $57,711.82 $57,711.82 nat. median
$44,938
1.3× median
444
MS_DRG 		Disorders Of The Biliary Tract With Mcc 4 $55,572.93 $55,572.93 $55,572.93 nat. median
$16,880
outlier · 3.3×
856
MS_DRG 		Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 1 $52,832.28 $52,832.28 $52,832.28 nat. median
$43,966
1.2× median
904
MS_DRG 		Skin Grafts For Injuries With Cc/mcc 2 $52,581.61 $52,581.61 $52,581.61 nat. median
$36,505
1.4× median
654
MS_DRG 		Major Bladder Procedures With Cc 1 $51,698.00 $51,698.00 $51,698.00 nat. median
$27,847
1.9× median
269
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 5 $50,957.92 $50,957.92 $50,957.92 nat. median
$41,527
1.2× median
823
MS_DRG 		Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 1 $50,274.27 $50,274.27 $50,274.27 nat. median
$45,113
1.1× median
474
MS_DRG 		Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 2 $49,987.62 $49,987.62 $49,987.62 nat. median
$42,295
1.2× median
96
MS_DRG 		Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 1 $49,395.00 $49,395.00 $49,395.00 nat. median
$24,796
2.0× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 4 $47,549.89 $47,549.89 $47,549.89 nat. median
$66,526
0.7× median
97
MS_DRG 		Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 1 $46,573.89 $46,573.89 $46,573.89 nat. median
$35,069
1.3× median
485
MS_DRG 		Knee Procedures With Principal Diagnosis Of Infection With Mcc 2 $46,168.84 $46,168.84 $46,168.84 nat. median
$32,031
1.4× median
956
MS_DRG 		Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 4 $46,086.79 $46,086.79 $46,086.79 nat. median
$37,664
1.2× median
40
MS_DRG 		Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 2 $45,074.64 $45,074.64 $45,074.64 nat. median
$37,698
1.2× median
673
MS_DRG 		Other Kidney And Urinary Tract Procedures With Mcc 9 $44,607.90 $44,607.90 $44,607.90 nat. median
$40,457
1.1× median
252
MS_DRG 		Other Vascular Procedures With Mcc 8 $44,355.99 $44,355.99 $44,355.99 nat. median
$34,043
1.3× median
907
MS_DRG 		Other O.r. Procedures For Injuries With Mcc 3 $43,761.60 $43,761.60 $43,761.60 nat. median
$38,112
1.1× median
165
MS_DRG 		Major Chest Procedures Without Cc/mcc 1 $43,736.00 $43,736.00 $43,736.00 nat. median
$19,862
outlier · 2.2×
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 8 $43,667.38 $43,667.38 $43,667.38 nat. median
$44,810
1.0× median
628
MS_DRG 		Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 2 $43,649.38 $43,649.38 $43,649.38 nat. median
$37,237
1.2× median
240
MS_DRG 		Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 5 $43,455.91 $43,455.91 $43,455.91 nat. median
$28,136
1.5× median
164
MS_DRG 		Major Chest Procedures With Cc 4 $42,370.31 $42,370.31 $42,370.31 nat. median
$25,707
1.6× median
841
MS_DRG 		Lymphoma And Non-acute Leukemia With Cc 2 $41,762.36 $41,762.36 $41,762.36 nat. median
$16,647
outlier · 2.5×
141
MS_DRG 		Major Head And Neck Procedures With Cc 1 $41,644.65 $41,644.65 $41,644.65 nat. median
$21,442
1.9× median
482
MS_DRG 		Hip And Femur Procedures Except Major Joint Without Cc/Mcc 9 $41,568.27 $41,568.27 $41,568.27 nat. median
$17,028
outlier · 2.4×
467
MS_DRG 		Revision Of Hip Or Knee Replacement With Cc 1 $41,502.49 $41,502.49 $41,502.49 nat. median
$34,721
1.2× median
829
MS_DRG 		Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 2 $41,469.13 $41,469.13 $41,469.13 nat. median
$30,781
1.3× median
335
MS_DRG 		Peritoneal Adhesiolysis With Mcc 2 $41,312.22 $41,312.22 $41,312.22 nat. median
$35,058
1.2× median
239
MS_DRG 		Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 4 $41,131.06 $41,131.06 $41,131.06 nat. median
$47,740
0.9× median
260
MS_DRG 		Cardiac Pacemaker Revision Except Device Replacement With Mcc 1 $40,739.33 $40,739.33 $40,739.33 nat. median
$32,663
1.2× median
357
MS_DRG 		Other Digestive System O.r. Procedures With Cc 4 $40,484.57 $40,484.57 $40,484.57 nat. median
$22,941
1.8× median
5231
OTHER 		Level 1 Icd And Similar Procedures 3 $40,005.59 $40,005.59 $40,005.59 nat. median
$23,015
1.7× median
411
MS_DRG 		Cholecystectomy With C.d.e. With Mcc 1 $39,074.45 $39,074.45 $39,074.45 nat. median
$30,452
1.3× median
948
MS_DRG 		Signs And Symptoms Without Mcc 5 $38,909.00 $38,909.00 $38,909.00 nat. median
$8,516
outlier · 4.6×

Other procedures at this hospital

Browse this hospital's 610 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
             
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 2 2 — — $162,570.70 $162,570.70 $162,570.70 2024-09-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 5 5 — — $158,138.58 $158,138.58 $158,138.58 2024-09-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 1 1 — — $107,098.00 $107,098.00 $107,098.00 2024-09-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 5 5 — — $90,417.18 $90,417.18 $90,417.18 2024-09-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 1 1 — — $84,605.50 $84,605.50 $84,605.50 2024-09-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 1 1 — — $84,380.04 $84,380.04 $84,380.04 2024-09-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 1 1 — — $76,284.83 $76,284.83 $76,284.83 2024-09-01
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 2 2 — — $70,633.57 $70,633.57 $70,633.57 2024-09-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 1 1 — — $69,832.76 $69,832.76 $69,832.76 2024-09-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 1 1 — — $69,100.04 $69,100.04 $69,100.04 2024-09-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 2 2 — — $68,507.32 $68,507.32 $68,507.32 2024-09-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 6 6 — — $65,349.93 $65,349.93 $65,349.93 2024-09-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 7 7 — — $64,283.79 $64,283.79 $64,283.79 2024-09-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 3 3 — — $63,250.08 $63,250.08 $63,250.08 2024-09-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 2 2 — — $58,777.96 $58,777.96 $58,777.96 2024-09-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 2 2 — — $58,342.00 $58,342.00 $58,342.00 2024-09-01
163 MS_DRG Major Chest Procedures With Mcc 5 5 — — $57,711.82 $57,711.82 $57,711.82 2024-09-01
444 MS_DRG Disorders Of The Biliary Tract With Mcc 4 4 — — $55,572.93 $55,572.93 $55,572.93 2024-09-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 1 1 — — $52,832.28 $52,832.28 $52,832.28 2024-09-01
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 2 2 — — $52,581.61 $52,581.61 $52,581.61 2024-09-01
654 MS_DRG Major Bladder Procedures With Cc 1 1 — — $51,698.00 $51,698.00 $51,698.00 2024-09-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 5 5 — — $50,957.92 $50,957.92 $50,957.92 2024-09-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 1 1 — — $50,274.27 $50,274.27 $50,274.27 2024-09-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 2 2 — — $49,987.62 $49,987.62 $49,987.62 2024-09-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 1 1 — — $49,395.00 $49,395.00 $49,395.00 2024-09-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 4 4 — — $47,549.89 $47,549.89 $47,549.89 2024-09-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 1 1 — — $46,573.89 $46,573.89 $46,573.89 2024-09-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 2 2 — — $46,168.84 $46,168.84 $46,168.84 2024-09-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 4 4 — — $46,086.79 $46,086.79 $46,086.79 2024-09-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 2 2 — — $45,074.64 $45,074.64 $45,074.64 2024-09-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 9 9 — — $44,607.90 $44,607.90 $44,607.90 2024-09-01
252 MS_DRG Other Vascular Procedures With Mcc 8 8 — — $44,355.99 $44,355.99 $44,355.99 2024-09-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 3 3 — — $43,761.60 $43,761.60 $43,761.60 2024-09-01
165 MS_DRG Major Chest Procedures Without Cc/mcc 1 1 — — $43,736.00 $43,736.00 $43,736.00 2024-09-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 8 8 — — $43,667.38 $43,667.38 $43,667.38 2024-09-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 2 2 — — $43,649.38 $43,649.38 $43,649.38 2024-09-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 5 5 — — $43,455.91 $43,455.91 $43,455.91 2024-09-01
164 MS_DRG Major Chest Procedures With Cc 4 4 — — $42,370.31 $42,370.31 $42,370.31 2024-09-01
841 MS_DRG Lymphoma And Non-acute Leukemia With Cc 2 2 — — $41,762.36 $41,762.36 $41,762.36 2024-09-01
141 MS_DRG Major Head And Neck Procedures With Cc 1 1 — — $41,644.65 $41,644.65 $41,644.65 2024-09-01
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/Mcc 9 9 — — $41,568.27 $41,568.27 $41,568.27 2024-09-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 1 1 — — $41,502.49 $41,502.49 $41,502.49 2024-09-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 2 2 — — $41,469.13 $41,469.13 $41,469.13 2024-09-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 2 2 — — $41,312.22 $41,312.22 $41,312.22 2024-09-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 4 4 — — $41,131.06 $41,131.06 $41,131.06 2024-09-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 1 1 — — $40,739.33 $40,739.33 $40,739.33 2024-09-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 4 4 — — $40,484.57 $40,484.57 $40,484.57 2024-09-01
5231 OTHER Level 1 Icd And Similar Procedures 3 3 — — $40,005.59 $40,005.59 $40,005.59 2024-09-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 1 1 — — $39,074.45 $39,074.45 $39,074.45 2024-09-01
948 MS_DRG Signs And Symptoms Without Mcc 5 5 — — $38,909.00 $38,909.00 $38,909.00 2024-09-01
374 MS_DRG Digestive Malignancy With Mcc 4 4 — — $38,192.92 $38,192.92 $38,192.92 2024-09-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 1 1 — — $37,342.96 $37,342.96 $37,342.96 2024-09-01
896 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 7 7 — — $37,096.89 $37,096.89 $37,096.89 2024-09-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 3 3 — — $37,095.76 $37,095.76 $37,095.76 2024-09-01
380 MS_DRG Complicated Peptic Ulcer With Mcc 4 4 — — $37,014.46 $37,014.46 $37,014.46 2024-09-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 5 5 — — $36,625.85 $36,625.85 $36,625.85 2024-09-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 3 3 — — $36,599.34 $36,599.34 $36,599.34 2024-09-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 3 3 — — $36,435.69 $36,435.69 $36,435.69 2024-09-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 3 3 — — $36,355.64 $36,355.64 $36,355.64 2024-09-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 9 9 — — $36,313.24 $36,313.24 $36,313.24 2024-09-01
717 MS_DRG Other Male Reproductive System O.r. Procedures Except Malignancy With Cc/mcc 3 3 — — $36,115.47 $36,115.47 $36,115.47 2024-09-01
665 MS_DRG Prostatectomy With Mcc 1 1 — — $36,009.69 $36,009.69 $36,009.69 2024-09-01
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 9 9 — — $35,450.93 $35,450.93 $35,450.93 2024-09-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 9 9 — — $35,404.36 $35,404.36 $35,404.36 2024-09-01
919 MS_DRG Complications Of Treatment With Mcc 4 4 — — $34,578.40 $34,578.40 $34,578.40 2024-09-01
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 1 1 — — $34,407.71 $34,407.71 $34,407.71 2024-09-01
545 MS_DRG Connective Tissue Disorders With Mcc 1 1 — — $34,251.00 $34,251.00 $34,251.00 2024-09-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 3 3 — — $34,039.90 $34,039.90 $34,039.90 2024-09-01
662 MS_DRG Minor Bladder Procedures With Mcc 1 1 — — $33,798.00 $33,798.00 $33,798.00 2024-09-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 3 3 — — $33,677.21 $33,677.21 $33,677.21 2024-09-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 6 6 — — $33,397.51 $33,397.51 $33,397.51 2024-09-01
5232 OTHER Level 2 Icd And Similar Procedures 7 7 — — $33,373.63 $33,373.63 $33,373.63 2024-09-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 1 1 — — $32,559.72 $32,559.72 $32,559.72 2024-09-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 4 4 — — $32,363.68 $32,363.68 $32,363.68 2024-09-01
657 MS_DRG Kidney And Ureter Procedures For Neoplasm With Cc 3 3 — — $32,068.44 $32,068.44 $32,068.44 2024-09-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 6 6 — — $31,901.24 $31,901.24 $31,901.24 2024-09-01
570 MS_DRG Skin Debridement With Mcc 3 3 — — $31,261.31 $31,261.31 $31,261.31 2024-09-01
338 MS_DRG Appendectomy With Complicated Principal Diagnosis With Mcc 1 1 — — $30,909.06 $30,909.06 $30,909.06 2024-09-01
835 MS_DRG Acute Leukemia With Cc 1 1 — — $30,906.51 $30,906.51 $30,906.51 2024-09-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 1 1 — — $30,813.96 $30,813.96 $30,813.96 2024-09-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 2 2 — — $30,798.03 $30,798.03 $30,798.03 2024-09-01
557 MS_DRG Tendonitis, Myositis And Bursitis With Mcc 2 2 — — $30,627.60 $30,627.60 $30,627.60 2024-09-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 3 3 — — $29,859.06 $29,859.06 $29,859.06 2024-09-01
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 7 6 — — $29,776.78 $29,776.78 $29,776.78 2024-09-01
5224 OTHER Level 4 Pacemaker And Similar Procedures 1 1 — — $29,743.06 $29,743.06 $29,743.06 2024-09-01
62 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 6 6 — — $29,684.90 $29,684.90 $29,684.90 2024-09-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 1 1 — — $29,565.92 $29,565.92 $29,565.92 2024-09-01
347 MS_DRG Anal And Stomal Procedures With Mcc 1 1 — — $29,513.38 $29,513.38 $29,513.38 2024-09-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 1 1 — — $29,235.58 $29,235.58 $29,235.58 2024-09-01
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 2 2 — — $28,805.62 $28,805.62 $28,805.62 2024-09-01
658 MS_DRG Kidney And Ureter Procedures For Neoplasm Without Cc/mcc 3 3 — — $28,606.15 $28,606.15 $28,606.15 2024-09-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 4 4 — — $28,410.44 $28,410.44 $28,410.44 2024-09-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 5 5 — — $27,659.44 $27,659.44 $27,659.44 2024-09-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 2 2 — — $27,549.88 $27,549.88 $27,549.88 2024-09-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 1 1 — — $27,522.42 $27,522.42 $27,522.42 2024-09-01
35 MS_DRG Carotid Artery Stent Procedures With Cc 2 2 — — $27,354.49 $27,354.49 $27,354.49 2024-09-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 1 1 — — $27,327.04 $27,327.04 $27,327.04 2024-09-01
592 MS_DRG Skin Ulcers With Mcc 1 1 — — $27,279.19 $27,279.19 $27,279.19 2024-09-01
375 MS_DRG Digestive Malignancy With Cc 8 8 — — $27,211.37 $27,211.37 $27,211.37 2024-09-01
2616 OTHER Brachytx, Non-str,yttrium-90 3 3 — — $27,055.22 $27,055.22 $27,055.22 2024-09-01
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 10 10 — — $26,957.31 $26,957.31 $26,957.31 2024-09-01
412 MS_DRG Cholecystectomy With C.d.e. With Cc 1 1 — — $26,714.02 $26,714.02 $26,714.02 2024-09-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 3 3 — — $26,673.67 $26,673.67 $26,673.67 2024-09-01
291 MS_DRG Heart Failure And Shock With Mcc 15 15 — — $26,642.83 $26,642.83 $26,642.83 2024-09-01
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/mcc 6 6 — — $26,603.61 $26,603.61 $26,603.61 2024-09-01
180 MS_DRG Respiratory Neoplasms With Mcc 5 5 — — $26,280.50 $26,280.50 $26,280.50 2024-09-01
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 8 8 — — $25,971.50 $25,971.50 $25,971.50 2024-09-01
5116 OTHER Level 6 Musculoskeletal Procedures 1 1 — — $25,864.35 $25,864.35 $25,864.35 2024-09-01
5464 OTHER Level 4 Neurostimulator And Related Procedures 2 2 — — $25,678.76 $25,678.76 $25,678.76 2024-09-01
336 MS_DRG Peritoneal Adhesiolysis With Cc 1 1 — — $25,466.10 $25,466.10 $25,466.10 2024-09-01
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 13 13 — — $24,866.13 $24,866.13 $24,866.13 2024-09-01
253 MS_DRG Other Vascular Procedures With Cc 5 5 — — $24,782.35 $24,782.35 $24,782.35 2024-09-01
337 MS_DRG Peritoneal Adhesiolysis Without Cc/mcc 3 3 — — $24,664.04 $24,664.04 $24,664.04 2024-09-01
941 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/… 2 2 — — $24,528.85 $24,528.85 $24,528.85 2024-09-01
908 MS_DRG Other O.r. Procedures For Injuries With Cc 2 2 — — $24,473.38 $24,473.38 $24,473.38 2024-09-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 11 11 — — $24,098.37 $24,098.37 $24,098.37 2024-09-01
813 MS_DRG Coagulation Disorders 3 3 — — $24,082.67 $24,082.67 $24,082.67 2024-09-01
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 7 7 — — $23,964.62 $23,964.62 $23,964.62 2024-09-01
660 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Cc 6 6 — — $23,712.49 $23,712.49 $23,712.49 2024-09-01
663 MS_DRG Minor Bladder Procedures With Cc 1 1 — — $23,441.00 $23,441.00 $23,441.00 2024-09-01
9045 OTHER Idursulfase Injection 1 1 — — $23,426.44 $23,426.44 $23,426.44 2024-09-01
283 MS_DRG Acute Myocardial Infarction, Expired With Mcc 4 4 — — $23,381.69 $23,381.69 $23,381.69 2024-09-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 4 4 — — $23,191.24 $23,191.24 $23,191.24 2024-09-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 5 5 — — $23,146.85 $23,146.85 $23,146.85 2024-09-01
546 MS_DRG Connective Tissue Disorders With Cc 2 2 — — $23,078.06 $23,078.06 $23,078.06 2024-09-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 1 1 — — $22,934.96 $22,934.96 $22,934.96 2024-09-01
52 MS_DRG Spinal Disorders And Injuries With Cc/mcc 2 2 — — $22,912.16 $22,912.16 $22,912.16 2024-09-01
710 MS_DRG Penis Procedures Without Cc/mcc 1 1 — — $22,866.00 $22,866.00 $22,866.00 2024-09-01
5378 OTHER Level 8 Urology And Related Services 2 2 — — $22,852.91 $22,852.91 $22,852.91 2024-09-01
902 MS_DRG Wound Debridements For Injuries With Cc 1 1 — — $22,778.00 $22,778.00 $22,778.00 2024-09-01
811 MS_DRG Red Blood Cell Disorders With Mcc 3 3 — — $22,665.28 $22,665.28 $22,665.28 2024-09-01
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 4 4 — — $22,630.36 $22,630.36 $22,630.36 2024-09-01
988 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 5 5 — — $22,626.47 $22,626.47 $22,626.47 2024-09-01
539 MS_DRG Osteomyelitis With Mcc 1 1 — — $22,564.01 $22,564.01 $22,564.01 2024-09-01
205 MS_DRG Other Respiratory System Diagnoses With Mcc 4 4 — — $22,542.94 $22,542.94 $22,542.94 2024-09-01
196 MS_DRG Interstitial Lung Disease With Mcc 1 1 — — $22,518.24 $22,518.24 $22,518.24 2024-09-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 10 10 — — $22,465.41 $22,465.41 $22,465.41 2024-09-01
342 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Cc 1 1 — — $22,451.00 $22,451.00 $22,451.00 2024-09-01
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 8 8 — — $22,360.67 $22,360.67 $22,360.67 2024-09-01
264 MS_DRG Other Circulatory System O.r. Procedures 6 6 — — $22,334.51 $22,334.51 $22,334.51 2024-09-01
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 1 1 — — $22,311.20 $22,311.20 $22,311.20 2024-09-01
38 MS_DRG Extracranial Procedures With Cc 1 1 — — $22,263.81 $22,263.81 $22,263.81 2024-09-01
542 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 4 4 — — $22,179.06 $22,179.06 $22,179.06 2024-09-01
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 1 1 — — $21,899.64 $21,899.64 $21,899.64 2024-09-01
398 MS_DRG Appendix Procedures With Cc 4 4 — — $21,738.49 $21,738.49 $21,738.49 2024-09-01
843 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 2 2 — — $21,723.26 $21,723.26 $21,723.26 2024-09-01
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 10 10 — — $21,717.65 $21,717.65 $21,717.65 2024-09-01
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 15 15 — — $21,714.89 $21,714.89 $21,714.89 2024-09-01
36 MS_DRG Carotid Artery Stent Procedures Without Cc/mcc 1 1 — — $21,521.59 $21,521.59 $21,521.59 2024-09-01
666 MS_DRG Prostatectomy With Cc 1 1 — — $21,361.85 $21,361.85 $21,361.85 2024-09-01
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 3 3 — — $21,165.97 $21,165.97 $21,165.97 2024-09-01
722 MS_DRG Malignancy, Male Reproductive System With Mcc 1 1 — — $21,081.40 $21,081.40 $21,081.40 2024-09-01
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Mcc 1 1 — — $21,028.41 $21,028.41 $21,028.41 2024-09-01
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 1 1 — — $20,918.26 $20,918.26 $20,918.26 2024-09-01
179 MS_DRG Respiratory Infections And Inflammations Without Cc/mcc 3 3 — — $20,855.20 $20,855.20 $20,855.20 2024-09-01
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 1 1 — — $20,822.39 $20,822.39 $20,822.39 2024-09-01
682 MS_DRG Renal Failure With Mcc 11 11 — — $20,790.28 $20,790.28 $20,790.28 2024-09-01
70 MS_DRG Other Cerebrovascular Disorders With Mcc 4 4 — — $20,602.72 $20,602.72 $20,602.72 2024-09-01
91 MS_DRG Other Disorders Of Nervous System With Mcc 5 5 — — $20,541.26 $20,541.26 $20,541.26 2024-09-01
256 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Cc 1 1 — — $20,478.13 $20,478.13 $20,478.13 2024-09-01
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 16 15 — — $20,378.42 $20,378.42 $20,378.42 2024-09-01
328 MS_DRG Stomach, Esophageal And Duodenal Procedures Without Cc/mcc 1 1 — — $20,276.26 $20,276.26 $20,276.26 2024-09-01
299 MS_DRG Peripheral Vascular Disorders With Mcc 4 4 — — $20,267.38 $20,267.38 $20,267.38 2024-09-01
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 20 20 — — $20,193.83 $20,193.83 $20,193.83 2024-09-01
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 2 2 — — $20,086.89 $20,086.89 $20,086.89 2024-09-01
368 MS_DRG Major Esophageal Disorders With Mcc 2 2 — — $19,813.06 $19,813.06 $19,813.06 2024-09-01
176 MS_DRG Pulmonary Embolism Without Mcc 7 7 — — $19,775.76 $19,775.76 $19,775.76 2024-09-01
183 MS_DRG Major Chest Trauma With Mcc 5 5 — — $19,704.87 $19,704.87 $19,704.87 2024-09-01
983 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/mcc 1 1 — — $19,676.76 $19,676.76 $19,676.76 2024-09-01
442 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc 4 4 — — $19,508.37 $19,508.37 $19,508.37 2024-09-01
54 MS_DRG Nervous System Neoplasms With Mcc 5 5 — — $19,162.44 $19,162.44 $19,162.44 2024-09-01
909 MS_DRG Other O.r. Procedures For Injuries Without Cc/mcc 2 2 — — $19,136.65 $19,136.65 $19,136.65 2024-09-01
251 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc 1 1 — — $19,099.89 $19,099.89 $19,099.89 2024-09-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 7 7 — — $19,085.49 $19,085.49 $19,085.49 2024-09-01
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/mcc 9 9 — — $19,068.49 $19,068.49 $19,068.49 2024-09-01
788 MS_DRG Cesarean Section Without Sterilization Without Cc/Mcc 11 11 — — $19,047.81 $19,047.81 $19,047.81 2024-09-01
77 MS_DRG Hypertensive Encephalopathy With Mcc 2 2 — — $18,972.61 $18,972.61 $18,972.61 2024-09-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 6 6 — — $18,870.42 $18,870.42 $18,870.42 2024-09-01
314 MS_DRG Other Circulatory System Diagnoses With Mcc 10 10 — — $18,806.08 $18,806.08 $18,806.08 2024-09-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 1 1 — — $18,752.97 $18,752.97 $18,752.97 2024-09-01
376 MS_DRG Digestive Malignancy Without Cc/mcc 2 2 — — $18,742.60 $18,742.60 $18,742.60 2024-09-01
2033 OTHER Cath, Trans Intra Litho/coro 1 1 — — $18,689.00 $18,689.00 $18,689.00 2024-09-01
5094 OTHER Level 4 Breast/Lymphatic Surgery And Related Procedures 4 4 — — $18,652.68 $18,652.68 $18,652.68 2024-09-01
487 MS_DRG Knee Procedures With Principal Diagnosis Of Infection Without Cc/mcc 1 1 — — $18,612.70 $18,612.70 $18,612.70 2024-09-01
63 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 4 4 — — $18,593.85 $18,593.85 $18,593.85 2024-09-01
664 MS_DRG Minor Bladder Procedures Without Cc/mcc 1 1 — — $18,441.00 $18,441.00 $18,441.00 2024-09-01
758 MS_DRG Infections, Female Reproductive System With Cc 1 1 — — $18,403.81 $18,403.81 $18,403.81 2024-09-01
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 5 5 — — $18,323.00 $18,323.00 $18,323.00 2024-09-01
669 MS_DRG Transurethral Procedures With Cc 2 2 — — $18,213.96 $18,213.96 $18,213.96 2024-09-01
504 MS_DRG Foot Procedures With Cc 2 2 — — $18,167.42 $18,167.42 $18,167.42 2024-09-01
65 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours 16 16 — — $18,138.55 $18,138.55 $18,138.55 2024-09-01
517 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures Without Cc/mc… 1 1 — — $18,087.52 $18,087.52 $18,087.52 2024-09-01
564 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc 1 1 — — $18,067.39 $18,067.39 $18,067.39 2024-09-01
345 MS_DRG Minor Small And Large Bowel Procedures With Cc 1 1 — — $18,048.77 $18,048.77 $18,048.77 2024-09-01
713 MS_DRG Transurethral Prostatectomy With Cc/mcc 3 3 — — $17,922.09 $17,922.09 $17,922.09 2024-09-01
186 MS_DRG Pleural Effusion With Mcc 2 2 — — $17,912.94 $17,912.94 $17,912.94 2024-09-01
708 MS_DRG Major Male Pelvic Procedures Without Cc/mcc 1 1 — — $17,893.15 $17,893.15 $17,893.15 2024-09-01
578 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis Without Cc/mcc 1 1 — — $17,841.08 $17,841.08 $17,841.08 2024-09-01
315 MS_DRG Other Circulatory System Diagnoses With Cc 7 7 — — $17,795.76 $17,795.76 $17,795.76 2024-09-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 5 5 — — $17,669.08 $17,669.08 $17,669.08 2024-09-01
433 MS_DRG Cirrhosis And Alcoholic Hepatitis With Cc 2 2 — — $17,666.44 $17,666.44 $17,666.44 2024-09-01
606 MS_DRG Minor Skin Disorders With Mcc 1 1 — — $17,538.13 $17,538.13 $17,538.13 2024-09-01
553 MS_DRG Bone Diseases And Arthropathies With Mcc 1 1 — — $17,201.42 $17,201.42 $17,201.42 2024-09-01
419 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. Without Cc/mcc 8 7 — — $17,193.72 $17,193.72 $17,193.72 2024-09-01
74 MS_DRG Cranial And Peripheral Nerve Disorders Without Mcc 1 1 — — $16,870.77 $16,870.77 $16,870.77 2024-09-01
83 MS_DRG Traumatic Stupor And Coma >1 Hour With Cc 3 3 — — $16,679.87 $16,679.87 $16,679.87 2024-09-01
73 MS_DRG Cranial And Peripheral Nerve Disorders With Mcc 1 1 — — $16,644.32 $16,644.32 $16,644.32 2024-09-01
287 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization Without Mcc 10 10 — — $16,565.03 $16,565.03 $16,565.03 2024-09-01
177 MS_DRG Respiratory Infections And Inflammations With Mcc 12 12 — — $16,551.55 $16,551.55 $16,551.55 2024-09-01
661 MS_DRG Kidney And Ureter Procedures For Non-neoplasm Without Cc/Mcc 13 13 — — $16,546.99 $16,546.99 $16,546.99 2024-09-01
416 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. Without Cc/mcc 1 1 — — $16,456.71 $16,456.71 $16,456.71 2024-09-01
695 MS_DRG Kidney And Urinary Tract Signs And Symptoms With Mcc 1 1 — — $16,369.47 $16,369.47 $16,369.47 2024-09-01
906 MS_DRG Hand Procedures For Injuries 2 2 — — $16,320.45 $16,320.45 $16,320.45 2024-09-01
884 MS_DRG Organic Disturbances And Intellectual Disability 3 3 — — $16,270.85 $16,270.85 $16,270.85 2024-09-01
340 MS_DRG Appendectomy With Complicated Principal Diagnosis Without Cc/Mcc 2 2 — — $16,121.83 $16,121.83 $16,121.83 2024-09-01
59 MS_DRG Multiple Sclerosis And Cerebellar Ataxia With Cc 3 3 — — $15,931.31 $15,931.31 $15,931.31 2024-09-01
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc 8 8 — — $15,842.00 $15,842.00 $15,842.00 2024-09-01
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 2 2 — — $15,826.88 $15,826.88 $15,826.88 2024-09-01
825 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures Without Cc/mcc 1 1 — — $15,791.75 $15,791.75 $15,791.75 2024-09-01
100 MS_DRG Seizures With Mcc 7 7 — — $15,772.20 $15,772.20 $15,772.20 2024-09-01
86 MS_DRG Traumatic Stupor And Coma <1 Hour With Cc 3 3 — — $15,613.07 $15,613.07 $15,613.07 2024-09-01
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 5 5 — — $15,559.78 $15,559.78 $15,559.78 2024-09-01
644 MS_DRG Endocrine Disorders With Cc 4 4 — — $15,433.74 $15,433.74 $15,433.74 2024-09-01
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 12 12 — — $15,391.31 $15,391.31 $15,391.31 2024-09-01
386 MS_DRG Inflammatory Bowel Disease With Cc 4 4 — — $15,314.43 $15,314.43 $15,314.43 2024-09-01
292 MS_DRG Heart Failure And Shock With Cc 8 8 — — $15,287.29 $15,287.29 $15,287.29 2024-09-01
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 12 12 — — $15,238.36 $15,238.36 $15,238.36 2024-09-01
643 MS_DRG Endocrine Disorders With Mcc 6 6 — — $15,020.84 $15,020.84 $15,020.84 2024-09-01
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 10 10 — — $14,782.06 $14,782.06 $14,782.06 2024-09-01
9198 OTHER Inj Andexxa, 10 Mg 2 2 — — $14,656.73 $14,656.73 $14,656.73 2024-09-01
373 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections Without Cc/mcc 2 2 — — $14,587.98 $14,587.98 $14,587.98 2024-09-01
199 MS_DRG Pneumothorax With Mcc 6 6 — — $14,537.65 $14,537.65 $14,537.65 2024-09-01
341 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Mcc 1 1 — — $14,420.00 $14,420.00 $14,420.00 2024-09-01
723 MS_DRG Malignancy, Male Reproductive System With Cc 1 1 — — $14,356.69 $14,356.69 $14,356.69 2024-09-01
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 2 2 — — $14,332.18 $14,332.18 $14,332.18 2024-09-01
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 4 4 — — $14,216.59 $14,216.59 $14,216.59 2024-09-01
947 MS_DRG Signs And Symptoms With Mcc 2 2 — — $14,186.22 $14,186.22 $14,186.22 2024-09-01
796 MS_DRG Vaginal Delivery With Sterilization And/or D&c With Mcc 1 1 — — $14,143.00 $14,143.00 $14,143.00 2024-09-01
512 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures Without Cc/… 2 2 — — $14,142.76 $14,142.76 $14,142.76 2024-09-01
152 MS_DRG Otitis Media And Uri With Mcc 3 3 — — $14,140.12 $14,140.12 $14,140.12 2024-09-01
282 MS_DRG Acute Myocardial Infarction, Discharged Alive Without Cc/Mcc 11 11 — — $14,137.86 $14,137.86 $14,137.86 2024-09-01
296 MS_DRG Cardiac Arrest, Unexplained With Mcc 3 3 — — $14,051.31 $14,051.31 $14,051.31 2024-09-01
439 MS_DRG Disorders Of Pancreas Except Malignancy With Cc 7 7 — — $13,966.11 $13,966.11 $13,966.11 2024-09-01
558 MS_DRG Tendonitis, Myositis And Bursitis Without Mcc 3 3 — — $13,877.05 $13,877.05 $13,877.05 2024-09-01
206 MS_DRG Other Respiratory System Diagnoses Without Mcc 2 2 — — $13,834.24 $13,834.24 $13,834.24 2024-09-01
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc 4 4 — — $13,833.22 $13,833.22 $13,833.22 2024-09-01
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Mcc 3 3 — — $13,826.28 $13,826.28 $13,826.28 2024-09-01
144 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Cc 1 1 — — $13,753.92 $13,753.92 $13,753.92 2024-09-01
84 MS_DRG Traumatic Stupor And Coma >1 Hour Without Cc/mcc 4 4 — — $13,741.59 $13,741.59 $13,741.59 2024-09-01
786 MS_DRG Cesarean Section Without Sterilization With Mcc 5 5 — — $13,722.14 $13,722.14 $13,722.14 2024-09-01
593 MS_DRG Skin Ulcers With Cc 2 2 — — $13,682.17 $13,682.17 $13,682.17 2024-09-01
844 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 1 1 — — $13,672.58 $13,672.58 $13,672.58 2024-09-01
302 MS_DRG Atherosclerosis With Mcc 1 1 — — $13,654.00 $13,654.00 $13,654.00 2024-09-01
696 MS_DRG Kidney And Urinary Tract Signs And Symptoms Without Mcc 4 4 — — $13,568.31 $13,568.31 $13,568.31 2024-09-01
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 5 5 — — $13,551.98 $13,551.98 $13,551.98 2024-09-01
729 MS_DRG Other Male Reproductive System Diagnoses With Cc/mcc 1 1 — — $13,493.16 $13,493.16 $13,493.16 2024-09-01
158 MS_DRG Dental And Oral Diseases With Cc 1 1 — — $13,373.63 $13,373.63 $13,373.63 2024-09-01
725 MS_DRG Benign Prostatic Hypertrophy With Mcc 1 1 — — $13,307.29 $13,307.29 $13,307.29 2024-09-01
352 MS_DRG Inguinal And Femoral Hernia Procedures Without Cc/mcc 1 1 — — $13,215.61 $13,215.61 $13,215.61 2024-09-01
142 MS_DRG Major Head And Neck Procedures Without Cc/mcc 2 2 — — $13,174.84 $13,174.84 $13,174.84 2024-09-01
343 MS_DRG Appendectomy Without Complicated Principal Diagnosis Without Cc/Mcc 2 2 — — $12,953.26 $12,953.26 $12,953.26 2024-09-01
71 MS_DRG Other Cerebrovascular Disorders With Cc 2 2 — — $12,901.36 $12,901.36 $12,901.36 2024-09-01
989 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/mcc 4 4 — — $12,878.85 $12,878.85 $12,878.85 2024-09-01
440 MS_DRG Disorders Of Pancreas Except Malignancy Without Cc/mcc 2 2 — — $12,854.64 $12,854.64 $12,854.64 2024-09-01
257 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders Without Cc/mcc 1 1 — — $12,761.30 $12,761.30 $12,761.30 2024-09-01
381 MS_DRG Complicated Peptic Ulcer With Cc 2 2 — — $12,747.89 $12,747.89 $12,747.89 2024-09-01
501 MS_DRG Soft Tissue Procedures With Cc 6 6 — — $12,698.74 $12,698.74 $12,698.74 2024-09-01
699 MS_DRG Other Kidney And Urinary Tract Diagnoses With Cc 8 8 — — $12,673.95 $12,673.95 $12,673.95 2024-09-01
667 MS_DRG Prostatectomy Without Cc/mcc 1 1 — — $12,634.03 $12,634.03 $12,634.03 2024-09-01
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 10 10 — — $12,629.42 $12,629.42 $12,629.42 2024-09-01
194 MS_DRG Simple Pneumonia And Pleurisy With Cc 9 9 — — $12,594.33 $12,594.33 $12,594.33 2024-09-01
513 MS_DRG Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures With Cc/mcc 2 2 — — $12,551.25 $12,551.25 $12,551.25 2024-09-01
637 MS_DRG Diabetes With Mcc 7 7 — — $12,492.38 $12,492.38 $12,492.38 2024-09-01
78 MS_DRG Hypertensive Encephalopathy With Cc 1 1 — — $12,475.53 $12,475.53 $12,475.53 2024-09-01
378 MS_DRG Gastrointestinal Hemorrhage With Cc 14 14 — — $12,455.53 $12,455.53 $12,455.53 2024-09-01
551 MS_DRG Medical Back Problems With Mcc 2 2 — — $12,347.30 $12,347.30 $12,347.30 2024-09-01
598 MS_DRG Malignant Breast Disorders With Cc 2 2 — — $12,279.00 $12,279.00 $12,279.00 2024-09-01
514 MS_DRG Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures Without Cc/mcc 2 2 — — $12,265.30 $12,265.30 $12,265.30 2024-09-01
1471 OTHER Injection, Pertuzumab, 1 Mg 1 1 — — $12,265.18 $12,265.18 $12,265.18 2024-09-01
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 4 4 — — $12,241.69 $12,241.69 $12,241.69 2024-09-01
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 8 8 — — $12,176.58 $12,176.58 $12,176.58 2024-09-01
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With Mcc 10 10 — — $12,092.80 $12,092.80 $12,092.80 2024-09-01
809 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 2 2 — — $12,085.78 $12,085.78 $12,085.78 2024-09-01
743 MS_DRG Uterine And Adnexa Procedures For Non-malignancy Without Cc/mcc 4 4 — — $11,933.19 $11,933.19 $11,933.19 2024-09-01
862 MS_DRG Postoperative And Post-traumatic Infections With Mcc 4 4 — — $11,858.70 $11,858.70 $11,858.70 2024-09-01
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 13 13 — — $11,842.94 $11,842.94 $11,842.94 2024-09-01
392 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc 13 13 — — $11,743.01 $11,743.01 $11,743.01 2024-09-01
55 MS_DRG Nervous System Neoplasms Without Mcc 1 1 — — $11,724.90 $11,724.90 $11,724.90 2024-09-01
66 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction Without Cc/Mcc 10 10 — — $11,717.52 $11,717.52 $11,717.52 2024-09-01
5093 OTHER Level 3 Breast/Lymphatic Surgery And Related Procedures 2 2 — — $11,667.05 $11,667.05 $11,667.05 2024-09-01
602 MS_DRG Cellulitis With Mcc 10 10 — — $11,660.82 $11,660.82 $11,660.82 2024-09-01
783 MS_DRG Cesarean Section With Sterilization With Mcc 2 2 — — $11,623.39 $11,623.39 $11,623.39 2024-09-01
178 MS_DRG Respiratory Infections And Inflammations With Cc 6 6 — — $11,619.36 $11,619.36 $11,619.36 2024-09-01
307 MS_DRG Cardiac Congenital And Valvular Disorders Without Mcc 1 1 — — $11,592.58 $11,592.58 $11,592.58 2024-09-01
787 MS_DRG Cesarean Section Without Sterilization With Cc 8 8 — — $11,550.32 $11,550.32 $11,550.32 2024-09-01
388 MS_DRG Gastrointestinal Obstruction With Mcc 4 4 — — $11,470.72 $11,470.72 $11,470.72 2024-09-01
372 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Cc 7 7 — — $11,325.18 $11,325.18 $11,325.18 2024-09-01
436 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Cc 4 4 — — $11,294.36 $11,294.36 $11,294.36 2024-09-01
502 MS_DRG Soft Tissue Procedures Without Cc/mcc 2 2 — — $11,292.01 $11,292.01 $11,292.01 2024-09-01
393 MS_DRG Other Digestive System Diagnoses With Mcc 8 8 — — $11,286.70 $11,286.70 $11,286.70 2024-09-01
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