Price Transparencybeta Hospital negotiated rates

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

KOHALA HOSPITAL

Kapaau, HI · CCN 121302 · Rates published

1,409 distinct procedures filed
10 distinct payers
13,058 rate rows
2025-07-23 last MRF observed · ⚠ 12 mo old
Data quality

11,046 of 13,058 rate rows are consumer-grade (84.6%)

2,012 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 1,913
per-diem day rate — not a per-procedure price 90
placeholder amount (≤ $0.02) — excluded from medians 8
exceeds 10× this hospital's gross charge — excluded from medians 1

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 12 months old.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.hhsc.org/standardcharge/kohala/99-0262197_Kohala-Hospital_standardcharges.csv
Found on page https://www.hhsc.org/standard-charges
Discovered viaCMS hospital list
Last fetch not_modified · 2026-05-17
Content fingerprint 7bcef4e0f0e3893f… · 2,881,591 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
8
MS_DRG 		Simultaneous Pancreas And Kidney Transplant 1 $663,305.00 $663,305.00 $663,305.00 nat. median
$53,167
outlier · 12.5×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 1 $444,327.00 $444,327.00 $444,327.00 nat. median
$202,976
outlier · 2.2×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 1 $385,107.00 $385,107.00 $385,107.00 nat. median
$133,161
outlier · 2.9×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 1 $364,092.00 $364,092.00 $364,092.00 nat. median
$206,474
1.8× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 1 $341,344.00 $341,344.00 $341,344.00 nat. median
$100,136
outlier · 3.4×
6
MS_DRG 		Liver Transplant Without Mcc 1 $341,344.00 $341,344.00 $341,344.00 nat. median
$46,260
outlier · 7.4×
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 1 $258,885.00 $258,885.00 $258,885.00 nat. median
$52,303
outlier · 4.9×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 1 $257,036.00 $257,036.00 $257,036.00 nat. median
$108,660
outlier · 2.4×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 1 $257,036.00 $257,036.00 $257,036.00 nat. median
$265,286
1.0× median
22
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 1 $233,473.00 $233,473.00 $233,473.00 nat. median
$34,274
outlier · 6.8×
21
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 1 $233,473.00 $233,473.00 $233,473.00 nat. median
$54,045
outlier · 4.3×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 1 $233,473.00 $233,473.00 $233,473.00 nat. median
$77,570
outlier · 3.0×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 1 $217,942.00 $217,942.00 $217,942.00 nat. median
$117,357
1.9× median
16
MS_DRG 		Autologous Bone Marrow Transplant With Cc/mcc 1 $217,942.00 $217,942.00 $217,942.00 nat. median
$56,918
outlier · 3.8×
17
MS_DRG 		Autologous Bone Marrow Transplant Without Cc/mcc 1 $217,942.00 $217,942.00 $217,942.00 nat. median
$53,807
outlier · 4.1×
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 1 $214,034.00 $214,034.00 $214,034.00 nat. median
$64,732
outlier · 3.3×
956
MS_DRG 		Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 1 $203,918.00 $203,918.00 $203,918.00 nat. median
$37,662
outlier · 5.4×
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 $184,063.00 $184,063.00 $184,063.00 nat. median
$64,508
outlier · 2.9×
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 $184,063.00 $184,063.00 $184,063.00 nat. median
$61,920
outlier · 3.0×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 $184,063.00 $184,063.00 $184,063.00 nat. median
$93,672
2.0× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 1 $176,319.00 $176,319.00 $176,319.00 nat. median
$62,134
outlier · 2.8×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 1 $173,891.00 $173,891.00 $173,891.00 nat. median
$66,526
outlier · 2.6×
215
MS_DRG 		Other Heart Assist System Implant 1 $162,410.00 $162,410.00 $162,410.00 nat. median
$99,019
1.6× median
264
MS_DRG 		Other Circulatory System O.r. Procedures 1 $153,953.00 $153,953.00 $153,953.00 nat. median
$33,061
outlier · 4.7×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 1 $152,334.00 $152,334.00 $152,334.00 nat. median
$68,886
outlier · 2.2×
651
MS_DRG 		Kidney Transplant With Hemodialysis Without Mcc 1 $147,282.00 $147,282.00 $147,282.00 nat. median
$35,527
outlier · 4.1×
652
MS_DRG 		Kidney Transplant 1 $147,282.00 $147,282.00 $147,282.00 nat. median
$31,494
outlier · 4.7×
650
MS_DRG 		Kidney Transplant With Hemodialysis With Mcc 1 $147,282.00 $147,282.00 $147,282.00 nat. median
$45,278
outlier · 3.3×
855
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures Without Cc/mcc 1 $146,628.00 $146,628.00 $146,628.00 nat. median
$16,326
outlier · 9.0×
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 1 $146,628.00 $146,628.00 $146,628.00 nat. median
$48,170
outlier · 3.0×
854
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Cc 1 $146,628.00 $146,628.00 $146,628.00 nat. median
$20,421
outlier · 7.2×
958
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Cc 1 $145,407.00 $145,407.00 $145,407.00 nat. median
$41,228
outlier · 3.5×
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 1 $145,407.00 $145,407.00 $145,407.00 nat. median
$72,135
outlier · 2.0×
959
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 1 $145,407.00 $145,407.00 $145,407.00 nat. median
$27,489
outlier · 5.3×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 1 $133,736.00 $133,736.00 $133,736.00 nat. median
$79,312
1.7× median
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 1 $133,736.00 $133,736.00 $133,736.00 nat. median
$59,898
outlier · 2.2×
836
MS_DRG 		Acute Leukemia Without Major O.r. Procedures Without Cc/mcc 1 $132,980.00 $132,980.00 $132,980.00 nat. median
$13,339
outlier · 10.0×
834
MS_DRG 		Acute Leukemia Without Major O.r. Procedures With Mcc 1 $132,980.00 $132,980.00 $132,980.00 nat. median
$53,172
outlier · 2.5×
835
MS_DRG 		Acute Leukemia Without Major O.r. Procedures With Cc 1 $132,980.00 $132,980.00 $132,980.00 nat. median
$21,480
outlier · 6.2×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 $130,674.00 $130,674.00 $130,674.00 nat. median
$81,118
1.6× median
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 $130,674.00 $130,674.00 $130,674.00 nat. median
$58,020
outlier · 2.3×
458
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 $130,674.00 $130,674.00 $130,674.00 nat. median
$42,730
outlier · 3.1×
320
MS_DRG 		Other Endovascular Cardiac Valve Procedures Without Mcc 1 $125,804.00 $125,804.00 $125,804.00 nat. median
$24,229
outlier · 5.2×
319
MS_DRG 		Other Endovascular Cardiac Valve Procedures With Mcc 1 $125,804.00 $125,804.00 $125,804.00 nat. median
$43,757
outlier · 2.9×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 $121,396.00 $121,396.00 $121,396.00 nat. median
$74,915
1.6× median
221
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 $121,396.00 $121,396.00 $121,396.00 nat. median
$48,732
outlier · 2.5×
220
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 $121,396.00 $121,396.00 $121,396.00 nat. median
$52,879
outlier · 2.3×
212
MS_DRG 		Concomitant Aortic And Mitral Valve�procedures 1 $121,396.00 $121,396.00 $121,396.00 nat. median
$102,358
1.2× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 1 $121,201.00 $121,201.00 $121,201.00 nat. median
$73,807
1.6× median
326
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Mcc 1 $120,540.00 $120,540.00 $120,540.00 nat. median
$48,178
outlier · 2.5×

Other procedures at this hospital

Browse this hospital's 1,409 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
             
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Mcc 1 1 — — $36,769.00 $36,769.00 $36,769.00 2025-07-23
436 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Cc 1 1 — — $36,769.00 $36,769.00 $36,769.00 2025-07-23
540 MS_DRG Osteomyelitis With Cc 1 1 — — $37,132.00 $37,132.00 $37,132.00 2025-07-23
541 MS_DRG Osteomyelitis Without Cc/mcc 1 1 — — $37,132.00 $37,132.00 $37,132.00 2025-07-23
539 MS_DRG Osteomyelitis With Mcc 1 1 — — $37,132.00 $37,132.00 $37,132.00 2025-07-23
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 1 1 — — $37,311.00 $37,311.00 $37,311.00 2025-07-23
735 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy Without Cc/mcc 1 1 — — $37,576.00 $37,576.00 $37,576.00 2025-07-23
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/mcc 1 1 — — $37,576.00 $37,576.00 $37,576.00 2025-07-23
922 MS_DRG Other Injury, Poisoning And Toxic Effect Diagnoses With Mcc 1 1 — — $37,709.00 $37,709.00 $37,709.00 2025-07-23
314 MS_DRG Other Circulatory System Diagnoses With Mcc 1 1 — — $37,806.00 $37,806.00 $37,806.00 2025-07-23
545 MS_DRG Connective Tissue Disorders With Mcc 1 1 — — $38,113.00 $38,113.00 $38,113.00 2025-07-23
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 1 1 — — $38,531.00 $38,531.00 $38,531.00 2025-07-23
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 1 1 — — $38,531.00 $38,531.00 $38,531.00 2025-07-23
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 1 1 — — $38,531.00 $38,531.00 $38,531.00 2025-07-23
595 MS_DRG Major Skin Disorders With Mcc 1 1 — — $38,555.00 $38,555.00 $38,555.00 2025-07-23
476 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders Without Cc… 1 1 — — $38,738.00 $38,738.00 $38,738.00 2025-07-23
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 1 1 — — $38,738.00 $38,738.00 $38,738.00 2025-07-23
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 1 1 — — $38,738.00 $38,738.00 $38,738.00 2025-07-23
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 1 1 — — $38,835.00 $38,835.00 $38,835.00 2025-07-23
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 1 1 — — $38,856.00 $38,856.00 $38,856.00 2025-07-23
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 1 1 — — $38,988.00 $38,988.00 $38,988.00 2025-07-23
434 MS_DRG Cirrhosis And Alcoholic Hepatitis Without Cc/mcc 1 1 — — $39,339.00 $39,339.00 $39,339.00 2025-07-23
433 MS_DRG Cirrhosis And Alcoholic Hepatitis With Cc 1 1 — — $39,339.00 $39,339.00 $39,339.00 2025-07-23
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 1 1 — — $39,339.00 $39,339.00 $39,339.00 2025-07-23
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 1 1 — — $39,421.00 $39,421.00 $39,421.00 2025-07-23
977 MS_DRG HIV With Or Without Other Related Condition 1 1 — — $39,440.00 $39,440.00 $39,440.00 2025-07-23
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 1 1 — — $39,442.00 $39,442.00 $39,442.00 2025-07-23
716 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy Without Cc/mcc 1 1 — — $39,601.00 $39,601.00 $39,601.00 2025-07-23
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/mcc 1 1 — — $39,601.00 $39,601.00 $39,601.00 2025-07-23
844 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 1 1 — — $39,624.00 $39,624.00 $39,624.00 2025-07-23
845 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 1 1 — — $39,624.00 $39,624.00 $39,624.00 2025-07-23
412 MS_DRG Cholecystectomy With C.d.e. With Cc 1 1 — — $39,874.00 $39,874.00 $39,874.00 2025-07-23
964 MS_DRG Other Multiple Significant Trauma With Cc 1 1 — — $39,919.00 $39,919.00 $39,919.00 2025-07-23
963 MS_DRG Other Multiple Significant Trauma With Mcc 1 1 — — $39,919.00 $39,919.00 $39,919.00 2025-07-23
965 MS_DRG Other Multiple Significant Trauma Without Cc/mcc 1 1 — — $39,919.00 $39,919.00 $39,919.00 2025-07-23
177 MS_DRG Respiratory Infections And Inflammations With Mcc 1 1 — — $40,112.00 $40,112.00 $40,112.00 2025-07-23
178 MS_DRG Respiratory Infections And Inflammations With Cc 1 1 — — $40,112.00 $40,112.00 $40,112.00 2025-07-23
39 MS_DRG Extracranial Procedures Without Cc/mcc 1 1 — — $40,122.00 $40,122.00 $40,122.00 2025-07-23
804 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs Without Cc/mcc 1 1 — — $40,235.00 $40,235.00 $40,235.00 2025-07-23
803 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Cc 1 1 — — $40,235.00 $40,235.00 $40,235.00 2025-07-23
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 1 1 — — $40,235.00 $40,235.00 $40,235.00 2025-07-23
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 1 1 — — $40,909.00 $40,909.00 $40,909.00 2025-07-23
499 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Without… 1 1 — — $40,909.00 $40,909.00 $40,909.00 2025-07-23
168 MS_DRG Other Respiratory System O.r. Procedures Without Cc/mcc 1 1 — — $41,147.00 $41,147.00 $41,147.00 2025-07-23
657 MS_DRG Kidney And Ureter Procedures For Neoplasm With Cc 1 1 — — $41,198.00 $41,198.00 $41,198.00 2025-07-23
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 1 1 — — $41,198.00 $41,198.00 $41,198.00 2025-07-23
658 MS_DRG Kidney And Ureter Procedures For Neoplasm Without Cc/mcc 1 1 — — $41,198.00 $41,198.00 $41,198.00 2025-07-23
723 MS_DRG Malignancy, Male Reproductive System With Cc 1 1 — — $41,272.00 $41,272.00 $41,272.00 2025-07-23
722 MS_DRG Malignancy, Male Reproductive System With Mcc 1 1 — — $41,272.00 $41,272.00 $41,272.00 2025-07-23
799 MS_DRG Splenic Procedures With Mcc 1 1 — — $41,621.00 $41,621.00 $41,621.00 2025-07-23
800 MS_DRG Splenic Procedures With Cc 1 1 — — $41,621.00 $41,621.00 $41,621.00 2025-07-23
801 MS_DRG Splenic Procedures Without Cc/mcc 1 1 — — $41,621.00 $41,621.00 $41,621.00 2025-07-23
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/mcc 1 1 — — $41,841.00 $41,841.00 $41,841.00 2025-07-23
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 1 1 — — $42,031.00 $42,031.00 $42,031.00 2025-07-23
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 1 1 — — $42,031.00 $42,031.00 $42,031.00 2025-07-23
908 MS_DRG Other O.r. Procedures For Injuries With Cc 1 1 — — $42,240.00 $42,240.00 $42,240.00 2025-07-23
296 MS_DRG Cardiac Arrest, Unexplained With Mcc 1 1 — — $42,537.00 $42,537.00 $42,537.00 2025-07-23
297 MS_DRG Cardiac Arrest, Unexplained With Cc 1 1 — — $42,537.00 $42,537.00 $42,537.00 2025-07-23
298 MS_DRG Cardiac Arrest, Unexplained Without Cc/mcc 1 1 — — $42,537.00 $42,537.00 $42,537.00 2025-07-23
410 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 1 1 — — $43,059.00 $43,059.00 $43,059.00 2025-07-23
165 MS_DRG Major Chest Procedures Without Cc/mcc 1 1 — — $43,259.00 $43,259.00 $43,259.00 2025-07-23
189 MS_DRG Pulmonary Edema And Respiratory Failure 1 1 — — $43,412.00 $43,412.00 $43,412.00 2025-07-23
738 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy Without Cc/mcc 1 1 — — $43,422.00 $43,422.00 $43,422.00 2025-07-23
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 1 1 — — $43,422.00 $43,422.00 $43,422.00 2025-07-23
737 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 1 1 — — $43,422.00 $43,422.00 $43,422.00 2025-07-23
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 1 1 — — $43,447.00 $43,447.00 $43,447.00 2025-07-23
655 MS_DRG Major Bladder Procedures Without Cc/mcc 1 1 — — $43,597.00 $43,597.00 $43,597.00 2025-07-23
653 MS_DRG Major Bladder Procedures With Mcc 1 1 — — $43,597.00 $43,597.00 $43,597.00 2025-07-23
654 MS_DRG Major Bladder Procedures With Cc 1 1 — — $43,597.00 $43,597.00 $43,597.00 2025-07-23
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 1 1 — — $43,787.00 $43,787.00 $43,787.00 2025-07-23
660 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Cc 1 1 — — $43,828.00 $43,828.00 $43,828.00 2025-07-23
843 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 1 1 — — $43,843.00 $43,843.00 $43,843.00 2025-07-23
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 1 1 — — $43,859.00 $43,859.00 $43,859.00 2025-07-23
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 1 1 — — $43,859.00 $43,859.00 $43,859.00 2025-07-23
624 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 1 1 — — $43,859.00 $43,859.00 $43,859.00 2025-07-23
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 1 1 — — $44,016.00 $44,016.00 $44,016.00 2025-07-23
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 1 1 — — $44,016.00 $44,016.00 $44,016.00 2025-07-23
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 1 1 — — $44,135.00 $44,135.00 $44,135.00 2025-07-23
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 1 1 — — $44,135.00 $44,135.00 $44,135.00 2025-07-23
501 MS_DRG Soft Tissue Procedures With Cc 1 1 — — $44,181.00 $44,181.00 $44,181.00 2025-07-23
500 MS_DRG Soft Tissue Procedures With Mcc 1 1 — — $44,181.00 $44,181.00 $44,181.00 2025-07-23
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 1 1 — — $44,556.00 $44,556.00 $44,556.00 2025-07-23
830 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 1 1 — — $44,556.00 $44,556.00 $44,556.00 2025-07-23
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 1 1 — — $44,567.00 $44,567.00 $44,567.00 2025-07-23
30 MS_DRG Spinal Procedures Without Cc/mcc 1 1 — — $44,916.00 $44,916.00 $44,916.00 2025-07-23
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 1 1 — — $45,200.00 $45,200.00 $45,200.00 2025-07-23
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 1 1 — — $45,461.00 $45,461.00 $45,461.00 2025-07-23
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 1 1 — — $45,523.00 $45,523.00 $45,523.00 2025-07-23
479 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue Without Cc/mcc 1 1 — — $45,523.00 $45,523.00 $45,523.00 2025-07-23
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 1 1 — — $45,523.00 $45,523.00 $45,523.00 2025-07-23
288 MS_DRG Acute And Subacute Endocarditis With Mcc 1 1 — — $45,692.00 $45,692.00 $45,692.00 2025-07-23
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 1 1 — — $45,692.00 $45,692.00 $45,692.00 2025-07-23
289 MS_DRG Acute And Subacute Endocarditis With Cc 1 1 — — $45,692.00 $45,692.00 $45,692.00 2025-07-23
290 MS_DRG Acute And Subacute Endocarditis Without Cc/mcc 1 1 — — $45,692.00 $45,692.00 $45,692.00 2025-07-23
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 1 1 — — $46,189.00 $46,189.00 $46,189.00 2025-07-23
254 MS_DRG Other Vascular Procedures Without Cc/mcc 1 1 — — $46,481.00 $46,481.00 $46,481.00 2025-07-23
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 1 1 — — $47,362.00 $47,362.00 $47,362.00 2025-07-23
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 1 1 — — $47,666.00 $47,666.00 $47,666.00 2025-07-23
42 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/mcc 1 1 — — $47,701.00 $47,701.00 $47,701.00 2025-07-23
472 MS_DRG Cervical Spinal Fusion With Cc 1 1 — — $47,714.00 $47,714.00 $47,714.00 2025-07-23
141 MS_DRG Major Head And Neck Procedures With Cc 1 1 — — $47,972.00 $47,972.00 $47,972.00 2025-07-23
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 1 1 — — $48,150.00 $48,150.00 $48,150.00 2025-07-23
62 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 1 1 — — $48,370.00 $48,370.00 $48,370.00 2025-07-23
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 1 1 — — $48,370.00 $48,370.00 $48,370.00 2025-07-23
63 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 1 1 — — $48,370.00 $48,370.00 $48,370.00 2025-07-23
842 MS_DRG Lymphoma And Non-acute Leukemia Without Cc/mcc 1 1 — — $48,578.00 $48,578.00 $48,578.00 2025-07-23
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 1 1 — — $48,856.00 $48,856.00 $48,856.00 2025-07-23
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 1 1 — — $48,856.00 $48,856.00 $48,856.00 2025-07-23
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 1 1 — — $48,856.00 $48,856.00 $48,856.00 2025-07-23
621 MS_DRG O.r. Procedures For Obesity Without Cc/mcc 1 1 — — $49,017.00 $49,017.00 $49,017.00 2025-07-23
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 1 1 — — $49,171.00 $49,171.00 $49,171.00 2025-07-23
619 MS_DRG O.r. Procedures For Obesity With Mcc 1 1 — — $49,231.00 $49,231.00 $49,231.00 2025-07-23
620 MS_DRG O.r. Procedures For Obesity With Cc 1 1 — — $49,231.00 $49,231.00 $49,231.00 2025-07-23
711 MS_DRG Testes Procedures With Cc/mcc 1 1 — — $49,395.00 $49,395.00 $49,395.00 2025-07-23
597 MS_DRG Malignant Breast Disorders With Mcc 1 1 — — $49,487.00 $49,487.00 $49,487.00 2025-07-23
598 MS_DRG Malignant Breast Disorders With Cc 1 1 — — $49,487.00 $49,487.00 $49,487.00 2025-07-23
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 1 1 — — $50,836.00 $50,836.00 $50,836.00 2025-07-23
336 MS_DRG Peritoneal Adhesiolysis With Cc 1 1 — — $50,841.00 $50,841.00 $50,841.00 2025-07-23
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 1 1 — — $50,943.00 $50,943.00 $50,943.00 2025-07-23
32 MS_DRG Ventricular Shunt Procedures With Cc 1 1 — — $51,228.00 $51,228.00 $51,228.00 2025-07-23
31 MS_DRG Ventricular Shunt Procedures With Mcc 1 1 — — $51,228.00 $51,228.00 $51,228.00 2025-07-23
38 MS_DRG Extracranial Procedures With Cc 1 1 — — $51,534.00 $51,534.00 $51,534.00 2025-07-23
375 MS_DRG Digestive Malignancy With Cc 1 1 — — $52,003.00 $52,003.00 $52,003.00 2025-07-23
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 1 1 — — $52,126.00 $52,126.00 $52,126.00 2025-07-23
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 1 1 — — $52,126.00 $52,126.00 $52,126.00 2025-07-23
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 1 1 — — $52,341.00 $52,341.00 $52,341.00 2025-07-23
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 1 1 — — $52,341.00 $52,341.00 $52,341.00 2025-07-23
675 MS_DRG Other Kidney And Urinary Tract Procedures Without Cc/mcc 1 1 — — $52,341.00 $52,341.00 $52,341.00 2025-07-23
285 MS_DRG Acute Myocardial Infarction, Expired Without Cc/mcc 1 1 — — $53,216.00 $53,216.00 $53,216.00 2025-07-23
283 MS_DRG Acute Myocardial Infarction, Expired With Mcc 1 1 — — $53,216.00 $53,216.00 $53,216.00 2025-07-23
284 MS_DRG Acute Myocardial Infarction, Expired With Cc 1 1 — — $53,216.00 $53,216.00 $53,216.00 2025-07-23
374 MS_DRG Digestive Malignancy With Mcc 1 1 — — $53,248.00 $53,248.00 $53,248.00 2025-07-23
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 1 1 — — $53,850.00 $53,850.00 $53,850.00 2025-07-23
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 1 1 — — $53,850.00 $53,850.00 $53,850.00 2025-07-23
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 1 1 — — $53,850.00 $53,850.00 $53,850.00 2025-07-23
615 MS_DRG Adrenal And Pituitary Procedures Without Cc/mcc 1 1 — — $54,302.00 $54,302.00 $54,302.00 2025-07-23
614 MS_DRG Adrenal And Pituitary Procedures With Cc/mcc 1 1 — — $54,302.00 $54,302.00 $54,302.00 2025-07-23
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 1 1 — — $54,304.00 $54,304.00 $54,304.00 2025-07-23
869 MS_DRG Other Infectious And Parasitic Diseases Diagnoses Without Cc/mcc 1 1 — — $54,435.00 $54,435.00 $54,435.00 2025-07-23
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 1 1 — — $54,435.00 $54,435.00 $54,435.00 2025-07-23
868 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Cc 1 1 — — $54,435.00 $54,435.00 $54,435.00 2025-07-23
754 MS_DRG Malignancy, Female Reproductive System With Mcc 1 1 — — $54,616.00 $54,616.00 $54,616.00 2025-07-23
755 MS_DRG Malignancy, Female Reproductive System With Cc 1 1 — — $54,616.00 $54,616.00 $54,616.00 2025-07-23
975 MS_DRG HIV With Major Related Condition With Cc 1 1 — — $54,862.00 $54,862.00 $54,862.00 2025-07-23
974 MS_DRG HIV With Major Related Condition With Mcc 1 1 — — $54,862.00 $54,862.00 $54,862.00 2025-07-23
976 MS_DRG HIV With Major Related Condition Without Cc/mcc 1 1 — — $54,862.00 $54,862.00 $54,862.00 2025-07-23
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 1 1 — — $54,964.00 $54,964.00 $54,964.00 2025-07-23
571 MS_DRG Skin Debridement With Cc 1 1 — — $55,169.00 $55,169.00 $55,169.00 2025-07-23
838 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Che… 1 1 — — $55,181.00 $55,181.00 $55,181.00 2025-07-23
839 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Without Cc/mcc 1 1 — — $55,181.00 $55,181.00 $55,181.00 2025-07-23
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 1 1 — — $55,181.00 $55,181.00 $55,181.00 2025-07-23
357 MS_DRG Other Digestive System O.r. Procedures With Cc 1 1 — — $55,238.00 $55,238.00 $55,238.00 2025-07-23
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 1 1 — — $55,286.00 $55,286.00 $55,286.00 2025-07-23
422 MS_DRG Hepatobiliary Diagnostic Procedures Without Cc/mcc 1 1 — — $55,298.00 $55,298.00 $55,298.00 2025-07-23
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 1 1 — — $55,441.00 $55,441.00 $55,441.00 2025-07-23
137 MS_DRG Mouth Procedures With Cc/mcc 1 1 — — $56,900.00 $56,900.00 $56,900.00 2025-07-23
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 1 1 — — $57,009.00 $57,009.00 $57,009.00 2025-07-23
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 1 1 — — $57,009.00 $57,009.00 $57,009.00 2025-07-23
335 MS_DRG Peritoneal Adhesiolysis With Mcc 1 1 — — $57,513.00 $57,513.00 $57,513.00 2025-07-23
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 1 1 — — $57,594.00 $57,594.00 $57,594.00 2025-07-23
570 MS_DRG Skin Debridement With Mcc 1 1 — — $57,873.00 $57,873.00 $57,873.00 2025-07-23
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 1 1 — — $57,951.00 $57,951.00 $57,951.00 2025-07-23
140 MS_DRG Major Head And Neck Procedures With Mcc 1 1 — — $58,399.00 $58,399.00 $58,399.00 2025-07-23
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 1 1 — — $58,480.00 $58,480.00 $58,480.00 2025-07-23
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 1 1 — — $58,480.00 $58,480.00 $58,480.00 2025-07-23
791 MS_DRG Prematurity With Major Problems 1 1 — — $58,606.00 $58,606.00 $58,606.00 2025-07-23
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 1 1 — — $58,649.00 $58,649.00 $58,649.00 2025-07-23
471 MS_DRG Cervical Spinal Fusion With Mcc 1 1 — — $58,934.00 $58,934.00 $58,934.00 2025-07-23
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 1 1 — — $59,991.00 $59,991.00 $59,991.00 2025-07-23
164 MS_DRG Major Chest Procedures With Cc 1 1 — — $60,167.00 $60,167.00 $60,167.00 2025-07-23
163 MS_DRG Major Chest Procedures With Mcc 1 1 — — $60,393.00 $60,393.00 $60,393.00 2025-07-23
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 1 1 — — $60,444.00 $60,444.00 $60,444.00 2025-07-23
789 MS_DRG Neonates, Died Or Transferred To Another Acute Care Facility 1 1 — — $61,318.00 $61,318.00 $61,318.00 2025-07-23
37 MS_DRG Extracranial Procedures With Mcc 1 1 — — $61,909.00 $61,909.00 $61,909.00 2025-07-23
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 1 1 — — $61,930.00 $61,930.00 $61,930.00 2025-07-23
905 MS_DRG Skin Grafts For Injuries Without Cc/mcc 1 1 — — $61,930.00 $61,930.00 $61,930.00 2025-07-23
330 MS_DRG Major Small And Large Bowel Procedures With Cc 1 1 — — $62,081.00 $62,081.00 $62,081.00 2025-07-23
421 MS_DRG Hepatobiliary Diagnostic Procedures With Cc 1 1 — — $62,316.00 $62,316.00 $62,316.00 2025-07-23
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 1 1 — — $62,316.00 $62,316.00 $62,316.00 2025-07-23
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 1 1 — — $62,871.00 $62,871.00 $62,871.00 2025-07-23
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 1 1 — — $63,120.00 $63,120.00 $63,120.00 2025-07-23
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 1 1 — — $63,120.00 $63,120.00 $63,120.00 2025-07-23
253 MS_DRG Other Vascular Procedures With Cc 1 1 — — $64,292.00 $64,292.00 $64,292.00 2025-07-23
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 1 1 — — $66,823.00 $66,823.00 $66,823.00 2025-07-23
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 1 1 — — $67,759.00 $67,759.00 $67,759.00 2025-07-23
332 MS_DRG Rectal Resection With Mcc 1 1 — — $67,787.00 $67,787.00 $67,787.00 2025-07-23
333 MS_DRG Rectal Resection With Cc 1 1 — — $67,787.00 $67,787.00 $67,787.00 2025-07-23
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 1 1 — — $68,136.00 $68,136.00 $68,136.00 2025-07-23
618 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 1 1 — — $68,156.00 $68,156.00 $68,156.00 2025-07-23
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 1 1 — — $68,156.00 $68,156.00 $68,156.00 2025-07-23
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 1 1 — — $68,156.00 $68,156.00 $68,156.00 2025-07-23
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 1 1 — — $68,448.00 $68,448.00 $68,448.00 2025-07-23
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 1 1 — — $68,448.00 $68,448.00 $68,448.00 2025-07-23
252 MS_DRG Other Vascular Procedures With Mcc 1 1 — — $68,448.00 $68,448.00 $68,448.00 2025-07-23
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 1 1 — — $69,908.00 $69,908.00 $69,908.00 2025-07-23
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 1 1 — — $69,908.00 $69,908.00 $69,908.00 2025-07-23
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 1 1 — — $72,821.00 $72,821.00 $72,821.00 2025-07-23
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 1 1 — — $72,830.00 $72,830.00 $72,830.00 2025-07-23
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 1 1 — — $72,830.00 $72,830.00 $72,830.00 2025-07-23
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 1 1 — — $72,958.00 $72,958.00 $72,958.00 2025-07-23
245 MS_DRG Aicd Generator Procedures 1 1 — — $73,587.00 $73,587.00 $73,587.00 2025-07-23
265 MS_DRG Aicd Lead Procedures 1 1 — — $73,587.00 $73,587.00 $73,587.00 2025-07-23
841 MS_DRG Lymphoma And Non-acute Leukemia With Cc 1 1 — — $73,985.00 $73,985.00 $73,985.00 2025-07-23
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 1 1 — — $75,463.00 $75,463.00 $75,463.00 2025-07-23
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 1 1 — — $76,577.00 $76,577.00 $76,577.00 2025-07-23
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 1 1 — — $76,687.00 $76,687.00 $76,687.00 2025-07-23
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 1 1 — — $76,913.00 $76,913.00 $76,913.00 2025-07-23
241 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe Without Cc… 1 1 — — $76,913.00 $76,913.00 $76,913.00 2025-07-23
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 1 1 — — $76,913.00 $76,913.00 $76,913.00 2025-07-23
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 1 1 — — $78,322.00 $78,322.00 $78,322.00 2025-07-23
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 1 1 — — $79,121.00 $79,121.00 $79,121.00 2025-07-23
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 1 1 — — $79,121.00 $79,121.00 $79,121.00 2025-07-23
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 1 1 — — $79,121.00 $79,121.00 $79,121.00 2025-07-23
459 MS_DRG Spinal Fusion Except Cervical With Mcc 1 1 — — $80,196.00 $80,196.00 $80,196.00 2025-07-23
642 MS_DRG Inborn And Other Disorders Of Metabolism 1 1 — — $81,222.00 $81,222.00 $81,222.00 2025-07-23
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 1 1 — — $81,850.00 $81,850.00 $81,850.00 2025-07-23
28 MS_DRG Spinal Procedures With Mcc 1 1 — — $81,898.00 $81,898.00 $81,898.00 2025-07-23
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 1 1 — — $84,808.00 $84,808.00 $84,808.00 2025-07-23
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 1 1 — — $84,808.00 $84,808.00 $84,808.00 2025-07-23
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 1 1 — — $85,317.00 $85,317.00 $85,317.00 2025-07-23
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 1 1 — — $86,024.00 $86,024.00 $86,024.00 2025-07-23
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 1 1 — — $87,931.00 $87,931.00 $87,931.00 2025-07-23
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 1 1 — — $88,073.00 $88,073.00 $88,073.00 2025-07-23
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 1 1 — — $88,073.00 $88,073.00 $88,073.00 2025-07-23
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 1 1 — — $88,925.00 $88,925.00 $88,925.00 2025-07-23
271 MS_DRG Other Major Cardiovascular Procedures With Cc 1 1 — — $91,416.00 $91,416.00 $91,416.00 2025-07-23
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 1 1 — — $91,416.00 $91,416.00 $91,416.00 2025-07-23
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 1 1 — — $91,416.00 $91,416.00 $91,416.00 2025-07-23
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 1 1 — — $92,153.00 $92,153.00 $92,153.00 2025-07-23
425 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures Without Cc/mcc 1 1 — — $92,153.00 $92,153.00 $92,153.00 2025-07-23
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 1 1 — — $92,153.00 $92,153.00 $92,153.00 2025-07-23
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 1 1 — — $92,523.00 $92,523.00 $92,523.00 2025-07-23
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 1 1 — — $94,313.00 $94,313.00 $94,313.00 2025-07-23
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 1 1 — — $94,313.00 $94,313.00 $94,313.00 2025-07-23
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 1 1 — — $95,109.00 $95,109.00 $95,109.00 2025-07-23
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 1 1 — — $95,934.00 $95,934.00 $95,934.00 2025-07-23
465 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 1 1 — — $96,258.00 $96,258.00 $96,258.00 2025-07-23
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 1 1 — — $96,258.00 $96,258.00 $96,258.00 2025-07-23
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 1 1 — — $96,258.00 $96,258.00 $96,258.00 2025-07-23
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 1 1 — — $98,048.00 $98,048.00 $98,048.00 2025-07-23
276 MS_DRG Cardiac Defibrillator Implant With Mcc 1 1 — — $98,048.00 $98,048.00 $98,048.00 2025-07-23
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 1 1 — — $99,820.00 $99,820.00 $99,820.00 2025-07-23
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 1 1 — — $105,929.00 $105,929.00 $105,929.00 2025-07-23
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 1 1 — — $105,929.00 $105,929.00 $105,929.00 2025-07-23
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 1 1 — — $106,381.00 $106,381.00 $106,381.00 2025-07-23
228 MS_DRG Other Cardiothoracic Procedures With Mcc 1 1 — — $107,250.00 $107,250.00 $107,250.00 2025-07-23
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 1 1 — — $107,250.00 $107,250.00 $107,250.00 2025-07-23
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 1 1 — — $110,034.00 $110,034.00 $110,034.00 2025-07-23
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 1 1 — — $110,034.00 $110,034.00 $110,034.00 2025-07-23
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 1 1 — — $110,034.00 $110,034.00 $110,034.00 2025-07-23
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 1 1 — — $120,540.00 $120,540.00 $120,540.00 2025-07-23
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 1 1 — — $121,201.00 $121,201.00 $121,201.00 2025-07-23
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 1 — — $121,396.00 $121,396.00 $121,396.00 2025-07-23
212 MS_DRG Concomitant Aortic And Mitral Valve�procedures 1 1 — — $121,396.00 $121,396.00 $121,396.00 2025-07-23
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 1 — — $121,396.00 $121,396.00 $121,396.00 2025-07-23
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 1 — — $121,396.00 $121,396.00 $121,396.00 2025-07-23
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 1 1 — — $125,804.00 $125,804.00 $125,804.00 2025-07-23
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 1 1 — — $125,804.00 $125,804.00 $125,804.00 2025-07-23
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 1 — — $130,674.00 $130,674.00 $130,674.00 2025-07-23
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 1 — — $130,674.00 $130,674.00 $130,674.00 2025-07-23
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 1 — — $130,674.00 $130,674.00 $130,674.00 2025-07-23
835 MS_DRG Acute Leukemia Without Major O.r. Procedures With Cc 1 1 — — $132,980.00 $132,980.00 $132,980.00 2025-07-23
836 MS_DRG Acute Leukemia Without Major O.r. Procedures Without Cc/mcc 1 1 — — $132,980.00 $132,980.00 $132,980.00 2025-07-23
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 1 1 — — $132,980.00 $132,980.00 $132,980.00 2025-07-23
231 MS_DRG Coronary Bypass With Ptca With Mcc 1 1 — — $133,736.00 $133,736.00 $133,736.00 2025-07-23
232 MS_DRG Coronary Bypass With Ptca Without Mcc 1 1 — — $133,736.00 $133,736.00 $133,736.00 2025-07-23
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 1 1 — — $145,407.00 $145,407.00 $145,407.00 2025-07-23
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 1 1 — — $145,407.00 $145,407.00 $145,407.00 2025-07-23
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 1 1 — — $145,407.00 $145,407.00 $145,407.00 2025-07-23
855 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures Without Cc/mcc 1 1 — — $146,628.00 $146,628.00 $146,628.00 2025-07-23
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 1 1 — — $146,628.00 $146,628.00 $146,628.00 2025-07-23
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 1 1 — — $146,628.00 $146,628.00 $146,628.00 2025-07-23
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 1 1 — — $147,282.00 $147,282.00 $147,282.00 2025-07-23
652 MS_DRG Kidney Transplant 1 1 — — $147,282.00 $147,282.00 $147,282.00 2025-07-23
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 1 1 — — $147,282.00 $147,282.00 $147,282.00 2025-07-23
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 1 1 — — $152,334.00 $152,334.00 $152,334.00 2025-07-23
264 MS_DRG Other Circulatory System O.r. Procedures 1 1 — — $153,953.00 $153,953.00 $153,953.00 2025-07-23
215 MS_DRG Other Heart Assist System Implant 1 1 — — $162,410.00 $162,410.00 $162,410.00 2025-07-23
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 1 1 — — $173,891.00 $173,891.00 $173,891.00 2025-07-23
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 1 1 — — $176,319.00 $176,319.00 $176,319.00 2025-07-23
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $184,063.00 $184,063.00 $184,063.00 2025-07-23
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $184,063.00 $184,063.00 $184,063.00 2025-07-23
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $184,063.00 $184,063.00 $184,063.00 2025-07-23
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 1 1 — — $203,918.00 $203,918.00 $203,918.00 2025-07-23
955 MS_DRG Craniotomy For Multiple Significant Trauma 1 1 — — $214,034.00 $214,034.00 $214,034.00 2025-07-23
14 MS_DRG Allogeneic Bone Marrow Transplant 1 1 — — $217,942.00 $217,942.00 $217,942.00 2025-07-23
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 1 1 — — $217,942.00 $217,942.00 $217,942.00 2025-07-23
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 1 1 — — $217,942.00 $217,942.00 $217,942.00 2025-07-23
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 1 1 — — $233,473.00 $233,473.00 $233,473.00 2025-07-23
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 1 1 — — $233,473.00 $233,473.00 $233,473.00 2025-07-23
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 1 1 — — $233,473.00 $233,473.00 $233,473.00 2025-07-23
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 1 1 — — $257,036.00 $257,036.00 $257,036.00 2025-07-23
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 1 1 — — $257,036.00 $257,036.00 $257,036.00 2025-07-23
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 1 1 — — $258,885.00 $258,885.00 $258,885.00 2025-07-23
6 MS_DRG Liver Transplant Without Mcc 1 1 — — $341,344.00 $341,344.00 $341,344.00 2025-07-23
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 1 1 — — $341,344.00 $341,344.00 $341,344.00 2025-07-23
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 1 1 — — $364,092.00 $364,092.00 $364,092.00 2025-07-23
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 1 1 — — $385,107.00 $385,107.00 $385,107.00 2025-07-23
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 1 1 — — $444,327.00 $444,327.00 $444,327.00 2025-07-23
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 1 1 — — $663,305.00 $663,305.00 $663,305.00 2025-07-23
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