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

Select Specialty Hospital-evansville

Evansville, IN · CCN 152014 · Rates published

829 distinct procedures filed
28 distinct payers
55,543 rate rows
2026-09-20 last MRF observed
Data quality

24,870 of 55,543 rate rows are consumer-grade (44.8%)

30,673 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
per-diem day rate — not a per-procedure price 21,554
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 9,119
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://resources.selectmedical.com/Pricing-Transparency/critical-illness-recovery/87-0789607_Select_Specialty_Hospital-Evansville_standardcharges.csv
Found on page https://www.selectspecialtyhospitals.com/locations-and-tours/in/evansville/evansville/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-20
Content fingerprint 73af122a009955f1… · 106,356,510 bytes · first seen 2026-09-20

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
10
MS_DRG 		Pancreas Transplant 17 $2,595.50 $2,595.50 $2,595.50 nat. median
$64,933
outlier · 0.0×
100
MS_DRG 		Seizures With Mcc 17 $2,595.50 $2,595.50 $2,595.50 nat. median
$18,360
outlier · 0.1×
101
MS_DRG 		Seizures Without Mcc 17 $2,595.50 $2,595.50 $2,595.50 nat. median
$9,272
outlier · 0.3×
102
MS_DRG 		Headaches With Mcc 17 $2,595.50 $2,595.50 $2,595.50 nat. median
$11,492
outlier · 0.2×
103
MS_DRG 		Headaches Without Mcc 17 $2,595.50 $2,595.50 $2,595.50 nat. median
$8,805
outlier · 0.3×
11
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With 17 $2,595.50 $2,595.50 $2,595.50 nat. median
$50,018
outlier · 0.1×
113
MS_DRG 		Orbital Procedures With Cc/mcc 17 $2,595.50 $2,595.50 $2,595.50 nat. median
$21,770
outlier · 0.1×
114
MS_DRG 		Orbital Procedures Without Cc/mcc 17 $2,595.50 $2,595.50 $2,595.50 nat. median
$13,083
outlier · 0.2×
115
MS_DRG 		Extraocular Procedures Except Orbit 17 $2,595.50 $2,595.50 $2,595.50 nat. median
$14,984
outlier · 0.2×
116
MS_DRG 		Intraocular Procedures With Cc/mcc 17 $2,595.50 $2,595.50 $2,595.50 nat. median
$17,255
outlier · 0.2×
117
MS_DRG 		Intraocular Procedures Without Cc/mcc 17 $2,595.50 $2,595.50 $2,595.50 nat. median
$11,182
outlier · 0.2×
12
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With 17 $2,595.50 $2,595.50 $2,595.50 nat. median
$38,715
outlier · 0.1×
121
MS_DRG 		Acute Major Eye Infections With Cc/mcc 17 $2,595.50 $2,595.50 $2,595.50 nat. median
$11,742
outlier · 0.2×
122
MS_DRG 		Acute Major Eye Infections Without Cc/mcc 17 $2,595.50 $2,595.50 $2,595.50 nat. median
$7,967
outlier · 0.3×
123
MS_DRG 		Neurological Eye Disorders 17 $2,595.50 $2,595.50 $2,595.50 nat. median
$8,514
outlier · 0.3×
124
MS_DRG 		Other Disorders Of The Eye With Mcc Or Thrombolytic Agent 17 $2,595.50 $2,595.50 $2,595.50 nat. median
$13,112
outlier · 0.2×
125
MS_DRG 		Other Disorders Of The Eye Without Mcc 17 $2,595.50 $2,595.50 $2,595.50 nat. median
$8,280
outlier · 0.3×
129
MS_DRG 		Major Head & Neck Procedures W Cc/mcc Or Major Device 17 $2,595.50 $2,595.50 $2,595.50 nat. median
$2,324
1.1× median
13
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With 17 $2,595.50 $2,595.50 $2,595.50 nat. median
$26,383
outlier · 0.1×
130
MS_DRG 		Major Head & Neck Procedures Without Cc/mcc 17 $2,595.50 $2,595.50 $2,595.50 nat. median
$2,596
1.0× median
131
MS_DRG 		Cranial/facial Procedures W Cc/mcc 17 $2,595.50 $2,595.50 $2,595.50 nat. median
$2,364
1.1× median
132
MS_DRG 		Cranial/facial Procedures Without Cc/mcc 17 $2,595.50 $2,595.50 $2,595.50 nat. median
$2,397
1.1× median
133
MS_DRG 		Other Ear, Nose, Mouth & Throat O.r. Procedures W Cc/mcc 17 $2,595.50 $2,595.50 $2,595.50 nat. median
$6,311
outlier · 0.4×
134
MS_DRG 		Other Ear, Nose, Mouth & Throat O.r. Procedures Without Cc/mcc 17 $2,595.50 $2,595.50 $2,595.50 nat. median
$4,925
0.5× median
135
MS_DRG 		Sinus And Mastoid Procedures With Cc/mcc 17 $2,595.50 $2,595.50 $2,595.50 nat. median
$21,659
outlier · 0.1×
136
MS_DRG 		Sinus And Mastoid Procedures Without Cc/mcc 17 $2,595.50 $2,595.50 $2,595.50 nat. median
$10,553
outlier · 0.2×
137
MS_DRG 		Mouth Procedures With Cc/mcc 17 $2,595.50 $2,595.50 $2,595.50 nat. median
$14,441
outlier · 0.2×
138
MS_DRG 		Mouth Procedures Without Cc/mcc 17 $2,595.50 $2,595.50 $2,595.50 nat. median
$9,085
outlier · 0.3×
139
MS_DRG 		Salivary Gland Procedures 17 $2,595.50 $2,595.50 $2,595.50 nat. median
$12,788
outlier · 0.2×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 17 $2,595.50 $2,595.50 $2,595.50 nat. median
$110,307
outlier · 0.0×
140
MS_DRG 		Major Head And Neck Procedures With Mcc 17 $2,595.50 $2,595.50 $2,595.50 nat. median
$38,372
outlier · 0.1×
141
MS_DRG 		Major Head And Neck Procedures With Cc 17 $2,595.50 $2,595.50 $2,595.50 nat. median
$20,533
outlier · 0.1×
142
MS_DRG 		Major Head And Neck Procedures Without Cc/mcc 17 $2,595.50 $2,595.50 $2,595.50 nat. median
$15,736
outlier · 0.2×
143
MS_DRG 		Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 17 $2,595.50 $2,595.50 $2,595.50 nat. median
$32,954
outlier · 0.1×
144
MS_DRG 		Other Ear, Nose, Mouth And Throat O.r. Procedures With Cc 17 $2,595.50 $2,595.50 $2,595.50 nat. median
$16,874
outlier · 0.2×
145
MS_DRG 		Other Ear, Nose, Mouth And Throat O.r. Procedures Without Cc/mcc 17 $2,595.50 $2,595.50 $2,595.50 nat. median
$12,074
outlier · 0.2×
146
MS_DRG 		Ear, Nose, Mouth And Throat Malignancy With Mcc 17 $2,595.50 $2,595.50 $2,595.50 nat. median
$20,516
outlier · 0.1×
147
MS_DRG 		Ear, Nose, Mouth And Throat Malignancy With Cc 17 $2,595.50 $2,595.50 $2,595.50 nat. median
$12,630
outlier · 0.2×
148
MS_DRG 		Ear, Nose, Mouth And Throat Malignancy Without Cc/mcc 17 $2,595.50 $2,595.50 $2,595.50 nat. median
$8,662
outlier · 0.3×
149
MS_DRG 		Dysequilibrium 17 $2,595.50 $2,595.50 $2,595.50 nat. median
$7,943
outlier · 0.3×
15
MS_DRG 		Autologous Bone Marrow Transplant 17 $2,595.50 $2,595.50 $2,595.50 nat. median
$2,024
1.3× median
150
MS_DRG 		Epistaxis With Mcc 17 $2,595.50 $2,595.50 $2,595.50 nat. median
$13,323
outlier · 0.2×
151
MS_DRG 		Epistaxis Without Mcc 17 $2,595.50 $2,595.50 $2,595.50 nat. median
$7,990
outlier · 0.3×
152
MS_DRG 		Otitis Media And Uri With Mcc 17 $2,595.50 $2,595.50 $2,595.50 nat. median
$11,608
outlier · 0.2×
153
MS_DRG 		Otitis Media And Uri Without Mcc 17 $2,595.50 $2,595.50 $2,595.50 nat. median
$7,678
outlier · 0.3×
154
MS_DRG 		Other Ear, Nose, Mouth And Throat Diagnoses With Mcc 17 $2,595.50 $2,595.50 $2,595.50 nat. median
$15,312
outlier · 0.2×
155
MS_DRG 		Other Ear, Nose, Mouth And Throat Diagnoses With Cc 17 $2,595.50 $2,595.50 $2,595.50 nat. median
$9,517
outlier · 0.3×
156
MS_DRG 		Other Ear, Nose, Mouth And Throat Diagnoses Without Cc/mcc 17 $2,595.50 $2,595.50 $2,595.50 nat. median
$7,404
outlier · 0.4×
157
MS_DRG 		Dental And Oral Diseases With Mcc 17 $2,595.50 $2,595.50 $2,595.50 nat. median
$16,383
outlier · 0.2×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 17 $2,595.50 $2,595.50 $2,595.50 nat. median
$249,036
outlier · 0.0×

Other procedures at this hospital

Browse this hospital's 829 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
             
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 30 17 — — $2,054.10 $161,180.04 $2,595.50 2026-09-20
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 30 17 — — $2,595.50 $133,228.54 $2,595.50 2026-09-20
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 30 17 — — $2,595.50 $111,321.74 $2,595.50 2026-09-20
189 MS_DRG Pulmonary Edema And Respiratory Failure 30 17 — — $2,595.50 $45,178.65 $2,595.50 2026-09-20
314 MS_DRG Other Circulatory System Diagnoses With Mcc 30 17 — — $2,595.50 $40,282.67 $2,595.50 2026-09-20
264 MS_DRG Other Circulatory System O.r. Procedures 30 17 — — $2,595.50 $27,570.27 $2,595.50 2026-09-20
10 MS_DRG Pancreas Transplant 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
100 MS_DRG Seizures With Mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
101 MS_DRG Seizures Without Mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
102 MS_DRG Headaches With Mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
103 MS_DRG Headaches Without Mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
113 MS_DRG Orbital Procedures With Cc/mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
114 MS_DRG Orbital Procedures Without Cc/mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
115 MS_DRG Extraocular Procedures Except Orbit 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
116 MS_DRG Intraocular Procedures With Cc/mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
117 MS_DRG Intraocular Procedures Without Cc/mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
121 MS_DRG Acute Major Eye Infections With Cc/mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
122 MS_DRG Acute Major Eye Infections Without Cc/mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
123 MS_DRG Neurological Eye Disorders 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
124 MS_DRG Other Disorders Of The Eye With Mcc Or Thrombolytic Agent 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
125 MS_DRG Other Disorders Of The Eye Without Mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
129 MS_DRG Major Head & Neck Procedures W Cc/mcc Or Major Device 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
130 MS_DRG Major Head & Neck Procedures Without Cc/mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
131 MS_DRG Cranial/facial Procedures W Cc/mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
132 MS_DRG Cranial/facial Procedures Without Cc/mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
133 MS_DRG Other Ear, Nose, Mouth & Throat O.r. Procedures W Cc/mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
134 MS_DRG Other Ear, Nose, Mouth & Throat O.r. Procedures Without Cc/mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
135 MS_DRG Sinus And Mastoid Procedures With Cc/mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
136 MS_DRG Sinus And Mastoid Procedures Without Cc/mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
137 MS_DRG Mouth Procedures With Cc/mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
138 MS_DRG Mouth Procedures Without Cc/mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
139 MS_DRG Salivary Gland Procedures 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
14 MS_DRG Allogeneic Bone Marrow Transplant 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
140 MS_DRG Major Head And Neck Procedures With Mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
141 MS_DRG Major Head And Neck Procedures With Cc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
142 MS_DRG Major Head And Neck Procedures Without Cc/mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
144 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Cc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
145 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures Without Cc/mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
147 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Cc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
148 MS_DRG Ear, Nose, Mouth And Throat Malignancy Without Cc/mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
149 MS_DRG Dysequilibrium 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
15 MS_DRG Autologous Bone Marrow Transplant 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
150 MS_DRG Epistaxis With Mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
151 MS_DRG Epistaxis Without Mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
152 MS_DRG Otitis Media And Uri With Mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
153 MS_DRG Otitis Media And Uri Without Mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
154 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses With Mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
155 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses With Cc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
156 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses Without Cc/mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
157 MS_DRG Dental And Oral Diseases With Mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
158 MS_DRG Dental And Oral Diseases With Cc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
159 MS_DRG Dental And Oral Diseases Without Cc/mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
163 MS_DRG Major Chest Procedures With Mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
164 MS_DRG Major Chest Procedures With Cc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
165 MS_DRG Major Chest Procedures Without Cc/mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
168 MS_DRG Other Respiratory System O.r. Procedures Without Cc/mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnos 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
176 MS_DRG Pulmonary Embolism Without Mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
177 MS_DRG Respiratory Infections And Inflammations With Mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
178 MS_DRG Respiratory Infections And Inflammations With Cc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
179 MS_DRG Respiratory Infections And Inflammations Without Cc/mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
180 MS_DRG Respiratory Neoplasms With Mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
181 MS_DRG Respiratory Neoplasms With Cc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
182 MS_DRG Respiratory Neoplasms Without Cc/mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
183 MS_DRG Major Chest Trauma With Mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
184 MS_DRG Major Chest Trauma With Cc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
185 MS_DRG Major Chest Trauma Without Cc/mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
186 MS_DRG Pleural Effusion With Mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
187 MS_DRG Pleural Effusion With Cc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
188 MS_DRG Pleural Effusion Without Cc/mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
191 MS_DRG Chronic Obstructive Pulmonary Disease With Cc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
192 MS_DRG Chronic Obstructive Pulmonary Disease Without Cc/mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
194 MS_DRG Simple Pneumonia And Pleurisy With Cc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
195 MS_DRG Simple Pneumonia And Pleurisy Without Cc/mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
196 MS_DRG Interstitial Lung Disease With Mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
197 MS_DRG Interstitial Lung Disease With Cc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
198 MS_DRG Interstitial Lung Disease Without Cc/mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
199 MS_DRG Pneumothorax With Mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
200 MS_DRG Pneumothorax With Cc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
201 MS_DRG Pneumothorax Without Cc/mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
202 MS_DRG Bronchitis And Asthma With Cc/mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
203 MS_DRG Bronchitis And Asthma Without Cc/mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
204 MS_DRG Respiratory Signs And Symptoms 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
205 MS_DRG Other Respiratory System Diagnoses With Mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
206 MS_DRG Other Respiratory System Diagnoses Without Mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
209 MS_DRG Complex Aortic Arch Procedures 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
215 MS_DRG Other Heart Assist System Implant 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Card 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Card 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Card 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without A 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without A 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With M 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Withou 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
228 MS_DRG Other Cardiothoracic Procedures With Mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
230 MS_DRG Other Cardiothoracic Procedures Without Cc/mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
231 MS_DRG Coronary Bypass With Ptca With Mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
232 MS_DRG Coronary Bypass With Ptca Without Mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With M 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Withou 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
237 MS_DRG Major Cardiovasc Procedures W Mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
238 MS_DRG Major Cardiovasc Procedures Without Mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And To 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And To 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
241 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And To 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
245 MS_DRG Aicd Generator Procedures 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
247 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent Witho 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent W 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
249 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent W 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device W 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
251 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device W 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
252 MS_DRG Other Vascular Procedures With Mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
253 MS_DRG Other Vascular Procedures With Cc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
254 MS_DRG Other Vascular Procedures Without Cc/mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
256 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
257 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders Witho 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
259 MS_DRG Cardiac Pacemaker Device Replacement Without Mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
261 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Cc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
262 MS_DRG Cardiac Pacemaker Revision Except Device Replacement Without Cc/mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
263 MS_DRG Vein Ligation And Stripping 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
265 MS_DRG Aicd Lead Procedures 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Wit 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Wit 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
271 MS_DRG Other Major Cardiovascular Procedures With Cc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimula 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
28 MS_DRG Spinal Procedures With Mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
281 MS_DRG Acute Myocardial Infarction, Discharged Alive With Cc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
282 MS_DRG Acute Myocardial Infarction, Discharged Alive Without Cc/mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
283 MS_DRG Acute Myocardial Infarction, Expired With Mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
284 MS_DRG Acute Myocardial Infarction, Expired With Cc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
285 MS_DRG Acute Myocardial Infarction, Expired Without Cc/mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
287 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization Witho 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
288 MS_DRG Acute And Subacute Endocarditis With Mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
289 MS_DRG Acute And Subacute Endocarditis With Cc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
290 MS_DRG Acute And Subacute Endocarditis Without Cc/mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
291 MS_DRG Heart Failure And Shock With Mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
292 MS_DRG Heart Failure And Shock With Cc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
293 MS_DRG Heart Failure And Shock Without Cc/mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
294 MS_DRG Deep Vein Thrombophlebitis With Cc/mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
295 MS_DRG Deep Vein Thrombophlebitis Without Cc/mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
296 MS_DRG Cardiac Arrest, Unexplained With Mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
297 MS_DRG Cardiac Arrest, Unexplained With Cc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
298 MS_DRG Cardiac Arrest, Unexplained Without Cc/mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
299 MS_DRG Peripheral Vascular Disorders With Mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
30 MS_DRG Spinal Procedures Without Cc/mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
300 MS_DRG Peripheral Vascular Disorders With Cc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
301 MS_DRG Peripheral Vascular Disorders Without Cc/mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
302 MS_DRG Atherosclerosis With Mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
303 MS_DRG Atherosclerosis Without Mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
304 MS_DRG Hypertension With Mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
305 MS_DRG Hypertension Without Mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
306 MS_DRG Cardiac Congenital And Valvular Disorders With Mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
307 MS_DRG Cardiac Congenital And Valvular Disorders Without Mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
309 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Cc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
31 MS_DRG Ventricular Shunt Procedures With Mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
310 MS_DRG Cardiac Arrhythmia And Conduction Disorders Without Cc/mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
311 MS_DRG Angina Pectoris 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
312 MS_DRG Syncope And Collapse 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
313 MS_DRG Chest Pain 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
315 MS_DRG Other Circulatory System Diagnoses With Cc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
316 MS_DRG Other Circulatory System Diagnoses Without Cc/mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
32 MS_DRG Ventricular Shunt Procedures With Cc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
328 MS_DRG Stomach, Esophageal And Duodenal Procedures Without Cc/mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
33 MS_DRG Ventricular Shunt Procedures Without Cc/mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
330 MS_DRG Major Small And Large Bowel Procedures With Cc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
332 MS_DRG Rectal Resection With Mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
333 MS_DRG Rectal Resection With Cc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
334 MS_DRG Rectal Resection Without Cc/mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
335 MS_DRG Peritoneal Adhesiolysis With Mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
336 MS_DRG Peritoneal Adhesiolysis With Cc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
337 MS_DRG Peritoneal Adhesiolysis Without Cc/mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
338 MS_DRG Appendectomy With Complicated Principal Diagnosis With Mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
339 MS_DRG Appendectomy With Complicated Principal Diagnosis With Cc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
34 MS_DRG Carotid Artery Stent Procedures With Mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
340 MS_DRG Appendectomy With Complicated Principal Diagnosis Without Cc/mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
341 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
342 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Cc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
343 MS_DRG Appendectomy Without Complicated Principal Diagnosis Without Cc/mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
345 MS_DRG Minor Small And Large Bowel Procedures With Cc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
346 MS_DRG Minor Small And Large Bowel Procedures Without Cc/mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
347 MS_DRG Anal And Stomal Procedures With Mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
348 MS_DRG Anal And Stomal Procedures With Cc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
349 MS_DRG Anal And Stomal Procedures Without Cc/mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
35 MS_DRG Carotid Artery Stent Procedures With Cc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
351 MS_DRG Inguinal And Femoral Hernia Procedures With Cc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
352 MS_DRG Inguinal And Femoral Hernia Procedures Without Cc/mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
355 MS_DRG Hernia Procedures Except Inguinal And Femoral Without Cc/mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
357 MS_DRG Other Digestive System O.r. Procedures With Cc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
358 MS_DRG Other Digestive System O.r. Procedures Without Cc/mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
36 MS_DRG Carotid Artery Stent Procedures Without Cc/mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without M 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
368 MS_DRG Major Esophageal Disorders With Mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
369 MS_DRG Major Esophageal Disorders With Cc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
37 MS_DRG Extracranial Procedures With Mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
370 MS_DRG Major Esophageal Disorders Without Cc/mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
372 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Cc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
373 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections Without C 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
374 MS_DRG Digestive Malignancy With Mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
375 MS_DRG Digestive Malignancy With Cc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
376 MS_DRG Digestive Malignancy Without Cc/mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
378 MS_DRG Gastrointestinal Hemorrhage With Cc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
379 MS_DRG Gastrointestinal Hemorrhage Without Cc/mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
38 MS_DRG Extracranial Procedures With Cc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
380 MS_DRG Complicated Peptic Ulcer With Mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
381 MS_DRG Complicated Peptic Ulcer With Cc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
382 MS_DRG Complicated Peptic Ulcer Without Cc/mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
383 MS_DRG Uncomplicated Peptic Ulcer With Mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
384 MS_DRG Uncomplicated Peptic Ulcer Without Mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
385 MS_DRG Inflammatory Bowel Disease With Mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
386 MS_DRG Inflammatory Bowel Disease With Cc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
387 MS_DRG Inflammatory Bowel Disease Without Cc/mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
388 MS_DRG Gastrointestinal Obstruction With Mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
389 MS_DRG Gastrointestinal Obstruction With Cc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
39 MS_DRG Extracranial Procedures Without Cc/mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
390 MS_DRG Gastrointestinal Obstruction Without Cc/mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders W 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
392 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders W 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
393 MS_DRG Other Digestive System Diagnoses With Mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
394 MS_DRG Other Digestive System Diagnoses With Cc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
395 MS_DRG Other Digestive System Diagnoses Without Cc/mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
397 MS_DRG Appendix Procedures With Mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
398 MS_DRG Appendix Procedures With Cc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
399 MS_DRG Appendix Procedures Without Cc/mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, M 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 30 17 — — $2,595.50 $2,595.50 $2,595.50 2026-09-20
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