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Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

Select Specialty Hospital - Des Moines

Des Moines, IA · CCN 162003 · Rates published

829 distinct procedures filed
17 distinct payers
41,450 rate rows
2026-09-20 last MRF observed
Data quality

17,409 of 41,450 rate rows are consumer-grade (42.0%)

24,041 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 19,067
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 4,974
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://resources.selectmedical.com/Pricing-Transparency/critical-illness-recovery/25-1855473_Select_Specialty_Hospital-Des_Moines_standardcharges.csv
Found on page https://www.selectspecialtyhospitals.com/locations-and-tours/ia/des-moines/des-moines/
Discovered viaDiscovered by HANK
Last fetch success · 2026-09-20
Content fingerprint e3665f6b49c5efa4… · 93,738,517 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 12 $2,736.00 $2,736.00 $2,736.00 nat. median
$23,080
outlier · 0.1×
100
MS_DRG 		Seizures With Mcc 12 $2,736.00 $2,736.00 $2,736.00 nat. median
$13,848
outlier · 0.2×
101
MS_DRG 		Seizures Without Mcc 12 $2,736.00 $2,736.00 $2,736.00 nat. median
$6,782
outlier · 0.4×
102
MS_DRG 		Headaches With Mcc 12 $2,736.00 $2,736.00 $2,736.00 nat. median
$8,305
outlier · 0.3×
103
MS_DRG 		Headaches Without Mcc 12 $2,736.00 $2,736.00 $2,736.00 nat. median
$6,384
outlier · 0.4×
11
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With 12 $2,736.00 $2,736.00 $2,736.00 nat. median
$37,371
outlier · 0.1×
113
MS_DRG 		Orbital Procedures With Cc/mcc 12 $2,736.00 $2,736.00 $2,736.00 nat. median
$15,919
outlier · 0.2×
114
MS_DRG 		Orbital Procedures Without Cc/mcc 12 $2,736.00 $2,736.00 $2,736.00 nat. median
$9,291
outlier · 0.3×
115
MS_DRG 		Extraocular Procedures Except Orbit 12 $2,736.00 $2,736.00 $2,736.00 nat. median
$10,959
outlier · 0.2×
116
MS_DRG 		Intraocular Procedures With Cc/mcc 12 $2,736.00 $2,736.00 $2,736.00 nat. median
$12,417
outlier · 0.2×
117
MS_DRG 		Intraocular Procedures Without Cc/mcc 12 $2,736.00 $2,736.00 $2,736.00 nat. median
$7,630
outlier · 0.4×
12
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With 12 $2,736.00 $2,736.00 $2,736.00 nat. median
$28,888
outlier · 0.1×
121
MS_DRG 		Acute Major Eye Infections With Cc/mcc 12 $2,736.00 $2,736.00 $2,736.00 nat. median
$8,182
outlier · 0.3×
122
MS_DRG 		Acute Major Eye Infections Without Cc/mcc 12 $2,736.00 $2,736.00 $2,736.00 nat. median
$5,366
0.5× median
123
MS_DRG 		Neurological Eye Disorders 12 $2,736.00 $2,736.00 $2,736.00 nat. median
$5,994
outlier · 0.5×
124
MS_DRG 		Other Disorders Of The Eye With Mcc Or Thrombolytic Agent 12 $2,736.00 $2,736.00 $2,736.00 nat. median
$9,359
outlier · 0.3×
125
MS_DRG 		Other Disorders Of The Eye Without Mcc 12 $2,736.00 $2,736.00 $2,736.00 nat. median
$5,925
outlier · 0.5×
129
MS_DRG 		Major Head & Neck Procedures W Cc/mcc Or Major Device 12 $2,736.00 $2,736.00 $2,736.00 nat. median
$2,024
1.4× median
13
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With 12 $2,736.00 $2,736.00 $2,736.00 nat. median
$19,678
outlier · 0.1×
130
MS_DRG 		Major Head & Neck Procedures Without Cc/mcc 12 $2,736.00 $2,736.00 $2,736.00 nat. median
$2,024
1.4× median
131
MS_DRG 		Cranial/facial Procedures W Cc/mcc 12 $2,736.00 $2,736.00 $2,736.00 nat. median
$2,024
1.4× median
132
MS_DRG 		Cranial/facial Procedures Without Cc/mcc 12 $2,736.00 $2,736.00 $2,736.00 nat. median
$2,024
1.4× median
133
MS_DRG 		Other Ear, Nose, Mouth & Throat O.r. Procedures W Cc/mcc 12 $2,736.00 $2,736.00 $2,736.00 nat. median
$2,024
1.4× median
134
MS_DRG 		Other Ear, Nose, Mouth & Throat O.r. Procedures Without Cc/mcc 12 $2,736.00 $2,736.00 $2,736.00 nat. median
$2,024
1.4× median
135
MS_DRG 		Sinus And Mastoid Procedures With Cc/mcc 12 $2,736.00 $2,736.00 $2,736.00 nat. median
$15,526
outlier · 0.2×
136
MS_DRG 		Sinus And Mastoid Procedures Without Cc/mcc 12 $2,736.00 $2,736.00 $2,736.00 nat. median
$7,209
outlier · 0.4×
137
MS_DRG 		Mouth Procedures With Cc/mcc 12 $2,736.00 $2,736.00 $2,736.00 nat. median
$10,613
outlier · 0.3×
138
MS_DRG 		Mouth Procedures Without Cc/mcc 12 $2,736.00 $2,736.00 $2,736.00 nat. median
$6,233
outlier · 0.4×
139
MS_DRG 		Salivary Gland Procedures 12 $2,736.00 $2,736.00 $2,736.00 nat. median
$8,855
outlier · 0.3×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 12 $2,736.00 $2,736.00 $2,736.00 nat. median
$72,715
outlier · 0.0×
140
MS_DRG 		Major Head And Neck Procedures With Mcc 12 $2,736.00 $2,736.00 $2,736.00 nat. median
$28,105
outlier · 0.1×
141
MS_DRG 		Major Head And Neck Procedures With Cc 12 $2,736.00 $2,736.00 $2,736.00 nat. median
$14,978
outlier · 0.2×
142
MS_DRG 		Major Head And Neck Procedures Without Cc/mcc 12 $2,736.00 $2,736.00 $2,736.00 nat. median
$11,405
outlier · 0.2×
143
MS_DRG 		Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 12 $2,736.00 $2,736.00 $2,736.00 nat. median
$24,795
outlier · 0.1×
144
MS_DRG 		Other Ear, Nose, Mouth And Throat O.r. Procedures With Cc 12 $2,736.00 $2,736.00 $2,736.00 nat. median
$12,620
outlier · 0.2×
145
MS_DRG 		Other Ear, Nose, Mouth And Throat O.r. Procedures Without Cc/mcc 12 $2,736.00 $2,736.00 $2,736.00 nat. median
$8,643
outlier · 0.3×
146
MS_DRG 		Ear, Nose, Mouth And Throat Malignancy With Mcc 12 $2,736.00 $2,736.00 $2,736.00 nat. median
$14,541
outlier · 0.2×
147
MS_DRG 		Ear, Nose, Mouth And Throat Malignancy With Cc 12 $2,736.00 $2,736.00 $2,736.00 nat. median
$8,900
outlier · 0.3×
148
MS_DRG 		Ear, Nose, Mouth And Throat Malignancy Without Cc/mcc 12 $2,736.00 $2,736.00 $2,736.00 nat. median
$5,634
outlier · 0.5×
149
MS_DRG 		Dysequilibrium 12 $2,736.00 $2,736.00 $2,736.00 nat. median
$5,582
outlier · 0.5×
15
MS_DRG 		Autologous Bone Marrow Transplant 12 $2,736.00 $2,736.00 $2,736.00 nat. median
$2,024
1.4× median
150
MS_DRG 		Epistaxis With Mcc 12 $2,736.00 $2,736.00 $2,736.00 nat. median
$9,501
outlier · 0.3×
151
MS_DRG 		Epistaxis Without Mcc 12 $2,736.00 $2,736.00 $2,736.00 nat. median
$5,673
outlier · 0.5×
152
MS_DRG 		Otitis Media And Uri With Mcc 12 $2,736.00 $2,736.00 $2,736.00 nat. median
$8,314
outlier · 0.3×
153
MS_DRG 		Otitis Media And Uri Without Mcc 12 $2,736.00 $2,736.00 $2,736.00 nat. median
$5,379
0.5× median
154
MS_DRG 		Other Ear, Nose, Mouth And Throat Diagnoses With Mcc 12 $2,736.00 $2,736.00 $2,736.00 nat. median
$11,032
outlier · 0.2×
155
MS_DRG 		Other Ear, Nose, Mouth And Throat Diagnoses With Cc 12 $2,736.00 $2,736.00 $2,736.00 nat. median
$6,927
outlier · 0.4×
156
MS_DRG 		Other Ear, Nose, Mouth And Throat Diagnoses Without Cc/mcc 12 $2,736.00 $2,736.00 $2,736.00 nat. median
$5,048
0.5× median
157
MS_DRG 		Dental And Oral Diseases With Mcc 12 $2,736.00 $2,736.00 $2,736.00 nat. median
$11,790
outlier · 0.2×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 12 $2,736.00 $2,736.00 $2,736.00 nat. median
$186,516
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
             
10 MS_DRG Pancreas Transplant 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
100 MS_DRG Seizures With Mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
101 MS_DRG Seizures Without Mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
102 MS_DRG Headaches With Mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
103 MS_DRG Headaches Without Mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
113 MS_DRG Orbital Procedures With Cc/mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
114 MS_DRG Orbital Procedures Without Cc/mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
115 MS_DRG Extraocular Procedures Except Orbit 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
116 MS_DRG Intraocular Procedures With Cc/mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
117 MS_DRG Intraocular Procedures Without Cc/mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
121 MS_DRG Acute Major Eye Infections With Cc/mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
122 MS_DRG Acute Major Eye Infections Without Cc/mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
123 MS_DRG Neurological Eye Disorders 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
124 MS_DRG Other Disorders Of The Eye With Mcc Or Thrombolytic Agent 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
125 MS_DRG Other Disorders Of The Eye Without Mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
129 MS_DRG Major Head & Neck Procedures W Cc/mcc Or Major Device 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
130 MS_DRG Major Head & Neck Procedures Without Cc/mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
131 MS_DRG Cranial/facial Procedures W Cc/mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
132 MS_DRG Cranial/facial Procedures Without Cc/mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
133 MS_DRG Other Ear, Nose, Mouth & Throat O.r. Procedures W Cc/mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
134 MS_DRG Other Ear, Nose, Mouth & Throat O.r. Procedures Without Cc/mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
135 MS_DRG Sinus And Mastoid Procedures With Cc/mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
136 MS_DRG Sinus And Mastoid Procedures Without Cc/mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
137 MS_DRG Mouth Procedures With Cc/mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
138 MS_DRG Mouth Procedures Without Cc/mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
139 MS_DRG Salivary Gland Procedures 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
14 MS_DRG Allogeneic Bone Marrow Transplant 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
140 MS_DRG Major Head And Neck Procedures With Mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
141 MS_DRG Major Head And Neck Procedures With Cc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
142 MS_DRG Major Head And Neck Procedures Without Cc/mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
144 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Cc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
145 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures Without Cc/mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
147 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Cc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
148 MS_DRG Ear, Nose, Mouth And Throat Malignancy Without Cc/mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
149 MS_DRG Dysequilibrium 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
15 MS_DRG Autologous Bone Marrow Transplant 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
150 MS_DRG Epistaxis With Mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
151 MS_DRG Epistaxis Without Mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
152 MS_DRG Otitis Media And Uri With Mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
153 MS_DRG Otitis Media And Uri Without Mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
154 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses With Mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
155 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses With Cc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
156 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses Without Cc/mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
157 MS_DRG Dental And Oral Diseases With Mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
158 MS_DRG Dental And Oral Diseases With Cc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
159 MS_DRG Dental And Oral Diseases Without Cc/mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
163 MS_DRG Major Chest Procedures With Mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
164 MS_DRG Major Chest Procedures With Cc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
165 MS_DRG Major Chest Procedures Without Cc/mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 21 12 — — $2,736.00 $103,321.32 $2,736.00 2026-09-20
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
168 MS_DRG Other Respiratory System O.r. Procedures Without Cc/mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnos 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
176 MS_DRG Pulmonary Embolism Without Mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
177 MS_DRG Respiratory Infections And Inflammations With Mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
178 MS_DRG Respiratory Infections And Inflammations With Cc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
179 MS_DRG Respiratory Infections And Inflammations Without Cc/mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
180 MS_DRG Respiratory Neoplasms With Mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
181 MS_DRG Respiratory Neoplasms With Cc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
182 MS_DRG Respiratory Neoplasms Without Cc/mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
183 MS_DRG Major Chest Trauma With Mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
184 MS_DRG Major Chest Trauma With Cc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
185 MS_DRG Major Chest Trauma Without Cc/mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
186 MS_DRG Pleural Effusion With Mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
187 MS_DRG Pleural Effusion With Cc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
188 MS_DRG Pleural Effusion Without Cc/mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
189 MS_DRG Pulmonary Edema And Respiratory Failure 21 12 — — $2,736.00 $43,202.85 $2,736.00 2026-09-20
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
191 MS_DRG Chronic Obstructive Pulmonary Disease With Cc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
192 MS_DRG Chronic Obstructive Pulmonary Disease Without Cc/mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
194 MS_DRG Simple Pneumonia And Pleurisy With Cc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
195 MS_DRG Simple Pneumonia And Pleurisy Without Cc/mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
196 MS_DRG Interstitial Lung Disease With Mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
197 MS_DRG Interstitial Lung Disease With Cc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
198 MS_DRG Interstitial Lung Disease Without Cc/mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
199 MS_DRG Pneumothorax With Mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
200 MS_DRG Pneumothorax With Cc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
201 MS_DRG Pneumothorax Without Cc/mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
202 MS_DRG Bronchitis And Asthma With Cc/mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
203 MS_DRG Bronchitis And Asthma Without Cc/mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
204 MS_DRG Respiratory Signs And Symptoms 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
205 MS_DRG Other Respiratory System Diagnoses With Mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
206 MS_DRG Other Respiratory System Diagnoses Without Mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 21 12 — — $2,736.00 $94,139.53 $2,736.00 2026-09-20
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 21 12 — — $2,736.00 $28,016.69 $2,736.00 2026-09-20
209 MS_DRG Complex Aortic Arch Procedures 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
215 MS_DRG Other Heart Assist System Implant 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Card 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Card 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Card 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without A 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without A 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With M 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Withou 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
228 MS_DRG Other Cardiothoracic Procedures With Mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
230 MS_DRG Other Cardiothoracic Procedures Without Cc/mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
231 MS_DRG Coronary Bypass With Ptca With Mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
232 MS_DRG Coronary Bypass With Ptca Without Mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With M 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Withou 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
237 MS_DRG Major Cardiovasc Procedures W Mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
238 MS_DRG Major Cardiovasc Procedures Without Mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And To 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And To 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
241 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And To 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
245 MS_DRG Aicd Generator Procedures 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
247 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent Witho 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent W 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
249 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent W 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device W 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
251 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device W 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
252 MS_DRG Other Vascular Procedures With Mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
253 MS_DRG Other Vascular Procedures With Cc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
254 MS_DRG Other Vascular Procedures Without Cc/mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
256 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
257 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders Witho 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
259 MS_DRG Cardiac Pacemaker Device Replacement Without Mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
261 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Cc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
262 MS_DRG Cardiac Pacemaker Revision Except Device Replacement Without Cc/mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
263 MS_DRG Vein Ligation And Stripping 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
264 MS_DRG Other Circulatory System O.r. Procedures 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
265 MS_DRG Aicd Lead Procedures 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Wit 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Wit 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
271 MS_DRG Other Major Cardiovascular Procedures With Cc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimula 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
28 MS_DRG Spinal Procedures With Mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
281 MS_DRG Acute Myocardial Infarction, Discharged Alive With Cc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
282 MS_DRG Acute Myocardial Infarction, Discharged Alive Without Cc/mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
283 MS_DRG Acute Myocardial Infarction, Expired With Mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
284 MS_DRG Acute Myocardial Infarction, Expired With Cc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
285 MS_DRG Acute Myocardial Infarction, Expired Without Cc/mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
287 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization Witho 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
288 MS_DRG Acute And Subacute Endocarditis With Mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
289 MS_DRG Acute And Subacute Endocarditis With Cc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
290 MS_DRG Acute And Subacute Endocarditis Without Cc/mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
291 MS_DRG Heart Failure And Shock With Mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
292 MS_DRG Heart Failure And Shock With Cc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
293 MS_DRG Heart Failure And Shock Without Cc/mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
294 MS_DRG Deep Vein Thrombophlebitis With Cc/mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
295 MS_DRG Deep Vein Thrombophlebitis Without Cc/mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
296 MS_DRG Cardiac Arrest, Unexplained With Mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
297 MS_DRG Cardiac Arrest, Unexplained With Cc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
298 MS_DRG Cardiac Arrest, Unexplained Without Cc/mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
299 MS_DRG Peripheral Vascular Disorders With Mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
30 MS_DRG Spinal Procedures Without Cc/mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
300 MS_DRG Peripheral Vascular Disorders With Cc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
301 MS_DRG Peripheral Vascular Disorders Without Cc/mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
302 MS_DRG Atherosclerosis With Mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
303 MS_DRG Atherosclerosis Without Mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
304 MS_DRG Hypertension With Mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
305 MS_DRG Hypertension Without Mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
306 MS_DRG Cardiac Congenital And Valvular Disorders With Mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
307 MS_DRG Cardiac Congenital And Valvular Disorders Without Mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
309 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Cc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
31 MS_DRG Ventricular Shunt Procedures With Mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
310 MS_DRG Cardiac Arrhythmia And Conduction Disorders Without Cc/mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
311 MS_DRG Angina Pectoris 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
312 MS_DRG Syncope And Collapse 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
313 MS_DRG Chest Pain 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
314 MS_DRG Other Circulatory System Diagnoses With Mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
315 MS_DRG Other Circulatory System Diagnoses With Cc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
316 MS_DRG Other Circulatory System Diagnoses Without Cc/mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
32 MS_DRG Ventricular Shunt Procedures With Cc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
328 MS_DRG Stomach, Esophageal And Duodenal Procedures Without Cc/mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
33 MS_DRG Ventricular Shunt Procedures Without Cc/mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
330 MS_DRG Major Small And Large Bowel Procedures With Cc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
332 MS_DRG Rectal Resection With Mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
333 MS_DRG Rectal Resection With Cc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
334 MS_DRG Rectal Resection Without Cc/mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
335 MS_DRG Peritoneal Adhesiolysis With Mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
336 MS_DRG Peritoneal Adhesiolysis With Cc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
337 MS_DRG Peritoneal Adhesiolysis Without Cc/mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
338 MS_DRG Appendectomy With Complicated Principal Diagnosis With Mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
339 MS_DRG Appendectomy With Complicated Principal Diagnosis With Cc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
34 MS_DRG Carotid Artery Stent Procedures With Mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
340 MS_DRG Appendectomy With Complicated Principal Diagnosis Without Cc/mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
341 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
342 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Cc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
343 MS_DRG Appendectomy Without Complicated Principal Diagnosis Without Cc/mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
345 MS_DRG Minor Small And Large Bowel Procedures With Cc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
346 MS_DRG Minor Small And Large Bowel Procedures Without Cc/mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
347 MS_DRG Anal And Stomal Procedures With Mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
348 MS_DRG Anal And Stomal Procedures With Cc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
349 MS_DRG Anal And Stomal Procedures Without Cc/mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
35 MS_DRG Carotid Artery Stent Procedures With Cc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
351 MS_DRG Inguinal And Femoral Hernia Procedures With Cc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
352 MS_DRG Inguinal And Femoral Hernia Procedures Without Cc/mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
355 MS_DRG Hernia Procedures Except Inguinal And Femoral Without Cc/mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
357 MS_DRG Other Digestive System O.r. Procedures With Cc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
358 MS_DRG Other Digestive System O.r. Procedures Without Cc/mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
36 MS_DRG Carotid Artery Stent Procedures Without Cc/mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without M 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
368 MS_DRG Major Esophageal Disorders With Mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
369 MS_DRG Major Esophageal Disorders With Cc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
37 MS_DRG Extracranial Procedures With Mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
370 MS_DRG Major Esophageal Disorders Without Cc/mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
372 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Cc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
373 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections Without C 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
374 MS_DRG Digestive Malignancy With Mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
375 MS_DRG Digestive Malignancy With Cc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
376 MS_DRG Digestive Malignancy Without Cc/mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
378 MS_DRG Gastrointestinal Hemorrhage With Cc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
379 MS_DRG Gastrointestinal Hemorrhage Without Cc/mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
38 MS_DRG Extracranial Procedures With Cc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
380 MS_DRG Complicated Peptic Ulcer With Mcc 21 12 — — $2,736.00 $11,245.12 $2,736.00 2026-09-20
381 MS_DRG Complicated Peptic Ulcer With Cc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
382 MS_DRG Complicated Peptic Ulcer Without Cc/mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
383 MS_DRG Uncomplicated Peptic Ulcer With Mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
384 MS_DRG Uncomplicated Peptic Ulcer Without Mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
385 MS_DRG Inflammatory Bowel Disease With Mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
386 MS_DRG Inflammatory Bowel Disease With Cc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
387 MS_DRG Inflammatory Bowel Disease Without Cc/mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
388 MS_DRG Gastrointestinal Obstruction With Mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
389 MS_DRG Gastrointestinal Obstruction With Cc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
39 MS_DRG Extracranial Procedures Without Cc/mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
390 MS_DRG Gastrointestinal Obstruction Without Cc/mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders W 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
392 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders W 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
393 MS_DRG Other Digestive System Diagnoses With Mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
394 MS_DRG Other Digestive System Diagnoses With Cc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
395 MS_DRG Other Digestive System Diagnoses Without Cc/mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
397 MS_DRG Appendix Procedures With Mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
398 MS_DRG Appendix Procedures With Cc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
399 MS_DRG Appendix Procedures Without Cc/mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, M 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 21 12 — — $2,736.00 $2,736.00 $2,736.00 2026-09-20
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